Hospital Atlanta-Sandy Springs-Roswell, GA

Wellstar Kennestone Hospital

Wellstar Kennestone Hospital in Marietta, GA publishes cash prices for 389 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Georgia median for 218 of 381 procedures and below it for 103. By typical cash price it ranks #57 of 96 Georgia hospitals and #20 of 37 hospitals in the Atlanta, GA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

677 Church Street, Marietta, GA 30060 Collected Sep 27, 2026 Source price file Check a bill from this hospital (770) 793-5000

Acute care hospital Government-owned hospital Emergency department CMS star rating 4 of 5 CCN 110035 · CMS hospital register NPI 1649248626

Financial assistance

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Abdominal CT scan without and with contrast CPT 74170 Hc Ct Abdomen W Plus Wo Contrast	$1,888.77	$4,843.00	—	at median	61%
Abdominal CT scan without and with contrast inpatient CPT 74170 Hc Ct Abdomen W Plus Wo Contrast	$1,888.77	$4,843.00	—	—	61%
Abdominal X-ray, 2 views CPT 74019 Hc Xr Abdomen 2Vw	$303.81	$779.00	—	13% above	61%
Abdominal X-ray, 2 views inpatient CPT 74019 Hc Xr Abdomen 2Vw	$303.81	$779.00	—	—	61%
Ankle X-ray, complete, 3 or more views CPT 73610 Hc Xr Ankle Complete 3 Plus Vw	$261.30	$670.00	—	4% below	61%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hc Xr Ankle Complete 3 Plus Vw	$261.30	$670.00	—	—	61%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Hc Us Arterial Upper/Lower Ext 1-2 Levels Ltd Bilat	$798.33	$2,047.00	—	—	61%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Hc Us Arterial Upper/Lower Ext 1-2 Levels Ltd Bilat	$798.33	$2,047.00	—	—	61%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Hc Ct Upper Extremity W/O Contrast	$1,150.11	$2,949.00	—	8% above	61%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Hc Ct Upper Extremity W/O Contrast	$1,150.11	$2,949.00	—	—	61%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc Fl Contrast X-Ray Esophagus	$99.45	$255.00	—	71% below	61%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hc Fl Contrast X-Ray Esophagus	$99.45	$255.00	—	—	61%
Bone scan, whole body (nuclear medicine) CPT 78306 Hc Nm Bone/Joint Imaging Whole Body	$1,087.32	$2,788.00	—	15% below	61%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hc Nm Bone/Joint Imaging Whole Body	$1,087.32	$2,788.00	—	—	61%
Breast ultrasound, complete, one breast one side CPT 76641 Hc Us Breast Unilateral Complete	$382.20	$980.00	—	9% below	61%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hc Us Breast Unilateral Complete	$382.20	$980.00	—	—	61%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Us Breast Ltd Unilateral	$382.20	$980.00	—	10% above	61%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hc Us Breast Ltd Unilateral	$382.20	$980.00	—	—	61%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hc Ct Angio Abd And Plvis Cntrst Mtrl W/Wo Cntrst Img	$2,770.56	$7,104.00	—	22% above	61%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Hc Ct Angio Abd And Plvis Cntrst Mtrl W/Wo Cntrst Img	$2,770.56	$7,104.00	—	—	61%
CT angiography (CTA) of the neck CPT 70498 Hc Ct Angiography Neck W/Contrast/Noncontrast	$1,769.43	$4,537.00	—	5% above	61%
CT angiography (CTA) of the neck inpatient CPT 70498 Hc Ct Angiography Neck W/Contrast/Noncontrast	$1,769.43	$4,537.00	—	—	61%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Ct Angiography Chest W/Contrast/Noncontrast	$1,347.84	$3,456.00	—	9% below	61%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hc Ct Angiography Chest W/Contrast/Noncontrast	$1,347.84	$3,456.00	—	—	61%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Ct Angio Heart Structure And Morph 3D With Contrast	$243.75	$625.00	—	69% below	61%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Ct Angio Heart Structure And Morph 3D With Contrast	$243.75	$625.00	—	—	61%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc Sp3 Ct Heart Screen W/O Contrast	$468.00	$1,200.00	—	368% above	61%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc Sp3 Ct Heart Screen Couple W/O Contrast	$468.00	$1,200.00	—	368% above	61%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hc Sp3 Ct Heart Screen W/O Contrast	$468.00	$1,200.00	—	—	61%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hc Sp3 Ct Heart Screen Couple W/O Contrast	$468.00	$1,200.00	—	—	61%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Abdomen And Pelvis Wo Contrast	$2,224.17	$5,703.00	—	6% above	61%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hc Ct Abdomen And Pelvis Wo Contrast	$2,224.17	$5,703.00	—	—	61%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abdomen And Pelvis W Plus W/O Contrast	$3,133.65	$8,035.00	—	7% above	61%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abdomen And Pelvis W Plus W/O Contrast	$3,133.65	$8,035.00	—	—	61%
CT scan of the abdomen with contrast CPT 74160 Hc Ct Abdomen With Contrast	$1,683.63	$4,317.00	—	at median	61%
CT scan of the abdomen with contrast inpatient CPT 74160 Hc Ct Abdomen With Contrast	$1,683.63	$4,317.00	—	—	61%
CT scan of the abdomen without contrast CPT 74150 Hc Ct Abdomen W/O Contrast	$1,358.76	$3,484.00	—	7% above	61%
CT scan of the abdomen without contrast inpatient CPT 74150 Hc Ct Abdomen W/O Contrast	$1,358.76	$3,484.00	—	—	61%
CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct Maxillofacial W/O Contrast	$1,319.37	$3,383.00	—	28% above	61%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc Ct Maxillofacial W/O Contrast	$1,319.37	$3,383.00	—	—	61%
CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Head Or Brain W/O Contrast	$1,418.82	$3,638.00	—	21% above	61%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Head Or Brain W/O Contrast	$1,418.82	$3,638.00	—	—	61%
CT scan of the head with contrast CPT 70460 Hc Ct Head Or Brain With Contrast	$1,587.69	$4,071.00	—	11% above	61%
CT scan of the head with contrast inpatient CPT 70460 Hc Ct Head Or Brain With Contrast	$1,587.69	$4,071.00	—	—	61%
CT scan of the head without and with contrast CPT 70470 Hc Ct Head Or Brain W Plus W/O Contrast	$1,881.36	$4,824.00	—	2% above	61%
CT scan of the head without and with contrast inpatient CPT 70470 Hc Ct Head Or Brain W Plus W/O Contrast	$1,881.36	$4,824.00	—	—	61%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Ct Lumbar Spine W/O Contrast	$1,610.70	$4,130.00	—	25% above	61%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hc Ct Lumbar Spine W/O Contrast	$1,610.70	$4,130.00	—	—	61%
CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Pelvis With Contrast	$1,602.51	$4,109.00	—	at median	61%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Pelvis With Contrast	$1,602.51	$4,109.00	—	—	61%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hc Us Duplex Extracranial Arteries Compl Bilat Study	$948.09	$2,431.00	—	—	61%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Hc Us Duplex Extracranial Arteries Compl Bilat Study	$948.09	$2,431.00	—	—	61%
Chest CT scan without and with contrast CPT 71270 Hc Ct Thorax W Plus Wo Contrast Diagnostic	$1,918.02	$4,918.00	—	14% above	61%
Chest CT scan without and with contrast inpatient CPT 71270 Hc Ct Thorax W Plus Wo Contrast Diagnostic	$1,918.02	$4,918.00	—	—	61%
Chest X-ray, 2 views CPT 71046 Hc Xr Chest 2Vw	$294.06	$754.00	—	31% above	61%
Chest X-ray, 2 views inpatient CPT 71046 Hc Xr Chest 2Vw	$294.06	$754.00	—	—	61%
Chest X-ray, single view CPT 71045 Hc Xr Chest 1Vw	$252.72	$648.00	—	50% above	61%
Chest X-ray, single view inpatient CPT 71045 Hc Xr Chest 1Vw	$252.72	$648.00	—	—	61%
Collarbone (clavicle) X-ray, complete CPT 73000 Hc Xr Clavicle Complete	$241.80	$620.00	—	at median	61%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Hc Xr Clavicle Complete	$241.80	$620.00	—	—	61%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Us Retroperitoneal Complete Renal/Aorta/Nodes	$618.54	$1,586.00	—	24% above	61%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hc Us Retroperitoneal Complete Renal/Aorta/Nodes	$618.54	$1,586.00	—	—	61%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Bd Dexa Axial Skeleton 2 Sites	$407.94	$1,046.00	—	6% above	61%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc Bd Dexa Axial Skeleton 2 Sites	$407.94	$1,046.00	—	—	61%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Bd Dexa Forearm/Appendicular Skeleton	$332.67	$853.00	—	79% above	61%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hc Bd Dexa Forearm/Appendicular Skeleton	$332.67	$853.00	—	—	61%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hc Us Pregnant Uterus W/Detail Fetal Anatomic 1St Gestation	$539.37	$1,383.00	—	67% above	61%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hc Us Pregnant Uterus W/Detail Fetal Anatomic 1St Gestation	$539.37	$1,383.00	—	—	61%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Ct Thorax W Contrast Diagnostic	$1,562.34	$4,006.00	—	1% above	61%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hc Ct Thorax W Contrast Diagnostic	$1,562.34	$4,006.00	—	—	61%
Diagnostic mammogram, both breasts both sides CPT 77066 Hc Mammo Diagnostic Digital Bilat W/Cad	$70.20	$180.00	—	—	61%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hc Mammo Diagnostic Digital Bilat W/Cad	$70.20	$180.00	—	—	61%
Diagnostic mammogram, one breast CPT 77065 Hc Mammo Diagnostic Digital Uni W/Cad	$349.05	$895.00	—	43% above	61%
Diagnostic mammogram, one breast inpatient CPT 77065 Hc Mammo Diagnostic Digital Uni W/Cad	$349.05	$895.00	—	—	61%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Hc Us Duplex Arteries/Graft Lower Ext Complete Bilat	$246.87	$633.00	—	—	61%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Hc Us Duplex Arteries/Graft Lower Ext Complete Bilat	$246.87	$633.00	—	—	61%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Us Duplex Venous Lower Extremity Complete Bilateral	$97.50	$250.00	—	—	61%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Us Duplex Venous Upper Extremity Complete Bilateral	$984.75	$2,525.00	—	—	61%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Us Duplex Venous Lower Extremity Complete Bilateral	$97.50	$250.00	—	—	61%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Us Duplex Venous Upper Extremity Complete Bilateral	$984.75	$2,525.00	—	—	61%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Echo Tthrc R-T 2D W/Wom-Mode Compl Spec And Colr D	$1,835.34	$4,706.00	—	18% above	61%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Echo Tthrc R-T 2D W/Wom-Mode Compl Spec And Colr D	$1,835.34	$4,706.00	—	—	61%
Elbow X-ray, 2 views CPT 73070 Hc Xr Elbow 2Vw	$193.05	$495.00	—	at median	61%
Elbow X-ray, 2 views inpatient CPT 73070 Hc Xr Elbow 2Vw	$193.05	$495.00	—	—	61%
Elbow X-ray, complete, 3 or more views CPT 73080 Hc Xr Elbow Complete 3 Plus Vw	$261.30	$670.00	—	at median	61%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Hc Xr Elbow Complete 3 Plus Vw	$261.30	$670.00	—	—	61%
Eye socket (orbit) CT scan without contrast CPT 70480 Hc Ct Orbit Sella Posterior Fossa Inner Or Mid Ear Wo Contrast	$1,385.28	$3,552.00	—	29% above	61%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Hc Ct Orbit Sella Posterior Fossa Inner Or Mid Ear Wo Contrast	$1,385.28	$3,552.00	—	—	61%
Facial bones X-ray, complete, 3 or more views CPT 70150 Hc Xr Facial Bones Complete 3 Plus Vw	$378.69	$971.00	—	24% above	61%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Hc Xr Facial Bones Complete 3 Plus Vw	$378.69	$971.00	—	—	61%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Hc Xr Forearm 2 Plus Vw	$238.68	$612.00	—	10% above	61%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Hc Xr Forearm 2 Plus Vw	$238.68	$612.00	—	—	61%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Nm Hepatobiliary System Imaging	$1,078.74	$2,766.00	—	16% below	61%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hc Nm Hepatobiliary System Imaging	$1,078.74	$2,766.00	—	—	61%
Hand X-ray, 2 views CPT 73120 Hc Xr Hand 2Vw	$237.90	$610.00	—	11% above	61%
Hand X-ray, 2 views inpatient CPT 73120 Hc Xr Hand 2Vw	$237.90	$610.00	—	—	61%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Hc Xr Calcaneus 2 Plus Vw	$230.10	$590.00	—	12% above	61%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Hc Xr Calcaneus 2 Plus Vw	$230.10	$590.00	—	—	61%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Sleep Study Unattended	$430.95	$1,105.00	—	22% below	61%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Infant Sleep Study 4 Channel	$430.95	$1,105.00	—	22% below	61%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hc Infant Sleep Study 4 Channel	$430.95	$1,105.00	—	—	61%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hc Sleep Study Unattended	$430.95	$1,105.00	—	—	61%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Sp3 Polysomnography W/Cpap	$468.00	$1,200.00	—	81% below	61%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Polysomnography W/Cpap	$3,343.86	$8,574.00	—	34% above	61%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Sp3 Polysomnography W/Cpap	$468.00	$1,200.00	—	—	61%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Polysomnography W/Cpap	$3,343.86	$8,574.00	—	—	61%
Knee X-ray, 3 views CPT 73562 Hc Xr Knee 3Vw	$269.88	$692.00	—	13% above	61%
Knee X-ray, 3 views inpatient CPT 73562 Hc Xr Knee 3Vw	$269.88	$692.00	—	—	61%
Knee X-ray, complete, 4 or more views CPT 73564 Hc Xr Knee Complete 4 Plus Vw	$273.00	$700.00	—	at median	61%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Hc Xr Knee Complete 4 Plus Vw	$273.00	$700.00	—	—	61%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Hc Ct Extremity Lower W/O Contrast	$1,167.27	$2,993.00	—	13% above	61%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Hc Ct Extremity Lower W/O Contrast	$1,167.27	$2,993.00	—	—	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us Abdominal Real Time W/Image Limited	$490.62	$1,258.00	—	at median	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Sgl Organ Bladder	$603.33	$1,547.00	—	23% above	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us Abdominal Real Time W/Image Limited	$490.62	$1,258.00	—	—	61%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Sgl Organ Bladder	$603.33	$1,547.00	—	—	61%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hc Us Lmtd Joint/Oth Nonvasc Xtr Strux R-T W/Img	$370.89	$951.00	—	14% below	61%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hc Us Lmtd Joint/Oth Nonvasc Xtr Strux R-T W/Img	$370.89	$951.00	—	—	61%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Sp3 Ct Lung Screen Follow Up	$292.50	$750.00	—	16% above	61%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Ct Lung Screen Follow Up	$292.50	$750.00	—	16% above	61%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Sp3 Ct Lung Screen Base Line	$331.50	$850.00	—	32% above	61%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Ct Lung Screen Base Line	$331.50	$850.00	—	32% above	61%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Ct Lung Screen Follow Up	$292.50	$750.00	—	—	61%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Sp3 Ct Lung Screen Follow Up	$292.50	$750.00	—	—	61%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Ct Lung Screen Base Line	$331.50	$850.00	—	—	61%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Sp3 Ct Lung Screen Base Line	$331.50	$850.00	—	—	61%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Hc Xr Tib Plus Fib 2Vw	$238.68	$612.00	—	at median	61%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Hc Xr Tib Plus Fib 2Vw	$238.68	$612.00	—	—	61%
MR angiography (MRA) of the head without contrast CPT 70544 Hc Mr Angio Head W/O Contrast	$1,429.35	$3,665.00	—	7% below	61%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hc Mr Angio Head W/O Contrast	$1,429.35	$3,665.00	—	—	61%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Extremity Lower Any Joint W/O Contrast	$202.80	$520.00	—	87% below	61%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri Extremity Lower Any Joint W/O Contrast	$202.80	$520.00	—	—	61%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Extremity Lower Any Joint W Plus W/O Contrast	$2,072.46	$5,314.00	—	17% below	61%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri Extremity Lower Any Joint W Plus W/O Contrast	$2,072.46	$5,314.00	—	—	61%
MRI of the abdomen without contrast CPT 74181 Hc Mri Abdomen W/O Contrast	$1,883.70	$4,830.00	—	3% above	61%
MRI of the abdomen without contrast inpatient CPT 74181 Hc Mri Abdomen W/O Contrast	$1,883.70	$4,830.00	—	—	61%
MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri Abdomen W Plus W/O Contrast	$419.25	$1,075.00	—	80% below	61%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc Mri Abdomen W Plus W/O Contrast	$419.25	$1,075.00	—	—	61%
MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain W/O Contrast	$202.80	$520.00	—	86% below	61%
MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain W/O Contrast	$202.80	$520.00	—	—	61%
MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain W Plus W/O Contrast	$2,393.04	$6,136.00	—	at median	61%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain W Plus W/O Contrast	$2,393.04	$6,136.00	—	—	61%
MRI of the lower back, no contrast dye CPT 72148 Hc Mri Lumbar Spine W/O Contrast	$1,775.67	$4,553.00	—	4% above	61%
MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri Lumbar Spine W/O Contrast	$1,775.67	$4,553.00	—	—	61%
MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri Lumbar Spine W Plus W/O Contrast	$2,370.03	$6,077.00	—	at median	61%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hc Mri Lumbar Spine W Plus W/O Contrast	$2,370.03	$6,077.00	—	—	61%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri Thoracic Spine W/O Contrast	$1,762.41	$4,519.00	—	at median	61%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hc Mri Thoracic Spine W/O Contrast	$1,762.41	$4,519.00	—	—	61%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri Cervical Spine W Plus W/O Contrast	$2,382.51	$6,109.00	—	at median	61%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hc Mri Cervical Spine W Plus W/O Contrast	$2,382.51	$6,109.00	—	—	61%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri Cervical Spine W/O Contrast	$1,760.46	$4,514.00	—	at median	61%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hc Mri Cervical Spine W/O Contrast	$1,760.46	$4,514.00	—	—	61%
MRI of the pelvis without and with contrast CPT 72197 Hc Mri Pelvis W Plus W/O Contrast	$2,090.79	$5,361.00	—	1% below	61%
MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri Pelvis W Plus W/O Contrast	$2,090.79	$5,361.00	—	—	61%
MRI of the pelvis, no contrast dye CPT 72195 Hc Mri Pelvis W/O Contrast	$1,810.38	$4,642.00	—	6% above	61%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Hc Mri Pelvis W/O Contrast	$1,810.38	$4,642.00	—	—	61%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri Joint Upper Extremity Any Joint W/O Contrast	$1,549.08	$3,972.00	—	at median	61%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hc Mri Joint Upper Extremity Any Joint W/O Contrast	$1,549.08	$3,972.00	—	—	61%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hc Xr Spine Cervical 4 Plus Vw	$439.14	$1,126.00	—	4% above	61%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Hc Xr Spine Cervical 4 Plus Vw	$439.14	$1,126.00	—	—	61%
Neck soft tissue CT scan with contrast CPT 70491 Hc Ct Soft Tissue Neck W/Contrast Material	$1,677.39	$4,301.00	—	10% above	61%
Neck soft tissue CT scan with contrast inpatient CPT 70491 Hc Ct Soft Tissue Neck W/Contrast Material	$1,677.39	$4,301.00	—	—	61%
Neck soft tissue X-ray CPT 70360 Hc Xr Neck Soft Tissue	$202.02	$518.00	—	at median	61%
Neck soft tissue X-ray inpatient CPT 70360 Hc Xr Neck Soft Tissue	$202.02	$518.00	—	—	61%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Nm Heart Spect Multiple Studies	$3,563.04	$9,136.00	—	24% above	61%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc Nm Heart Spect Multiple Studies	$3,563.04	$9,136.00	—	—	61%
OCT scan of the retina (optical coherence tomography) both sides CPT 92134 Hc Cmptr Opth Imaging Retina Uni/Bi	$79.56	$204.00	—	—	61%
OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 Hc Cmptr Opth Imaging Retina Uni/Bi	$79.56	$204.00	—	—	61%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Ct Skull Base To Midthigh	$3,529.11	$9,049.00	—	at median	61%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Ct Skull Base To Midthigh	$3,529.11	$9,049.00	—	—	61%
Pelvic CT scan without contrast CPT 72192 Hc Ct Pelvis W/O Contrast	$1,310.40	$3,360.00	—	3% above	61%
Pelvic CT scan without contrast inpatient CPT 72192 Hc Ct Pelvis W/O Contrast	$1,310.40	$3,360.00	—	—	61%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Us Pelvic Nonobstetric Image Documentation Limited/Follow-Up	$370.11	$949.00	—	11% above	61%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Us Pelvic Nonobstetric Image Documentation Limited/Follow-Up	$370.11	$949.00	—	—	61%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Us Pelvic Nonobstetric Complete	$97.50	$250.00	—	80% below	61%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Us Pelvic Nonobstetric Complete	$97.50	$250.00	—	—	61%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us Preg Uterus Transabd 14 Weeks Or Over 1St Fetus	$572.13	$1,467.00	—	5% above	61%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Us Preg Uterus Transabd 14 Weeks Or Over 1St Fetus	$572.13	$1,467.00	—	—	61%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc Us Pregnant Uterus 14Wk Or Less Transabdl 1St Fetus	$539.37	$1,383.00	—	12% above	61%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hc Us Pregnant Uterus 14Wk Or Less Transabdl 1St Fetus	$539.37	$1,383.00	—	—	61%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Us Pregnant Uterus Limited 1 Or More Fetuses	$97.50	$250.00	—	66% below	61%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pregnancy 1 Or More Fetuses	$148.98	$382.00	—	48% below	61%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Us Pregnant Uterus Limited 1 Or More Fetuses	$97.50	$250.00	—	—	61%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us Pregnancy 1 Or More Fetuses	$148.98	$382.00	—	—	61%
Rib X-ray, one side, 2 views one side CPT 71100 Hc Xr Ribs Unilateral 2Vw	$283.92	$728.00	—	24% above	61%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 Hc Xr Ribs Unilateral 2Vw	$283.92	$728.00	—	—	61%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hc Xr Ribs Unilateral Plus Pa Chest 3Vw Min	$327.21	$839.00	—	9% above	61%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hc Xr Ribs Unilateral Plus Pa Chest 3Vw Min	$327.21	$839.00	—	—	61%
Screening mammogram, both breasts both sides CPT 77067 Hc Screening Mammography Bi 2-View Breast Inc Cad	$331.50	$850.00	—	—	61%
Screening mammogram, both breasts inpatient both sides CPT 77067 Hc Screening Mammography Bi 2-View Breast Inc Cad	$331.50	$850.00	—	—	61%
Sinus X-ray, complete, 3 or more views CPT 70220 Hc Xr Sinuses Paranasal Complete 3 Plus Vw	$375.57	$963.00	—	12% above	61%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hc Xr Sinuses Paranasal Complete 3 Plus Vw	$375.57	$963.00	—	—	61%
Sleep study in a lab (polysomnography) CPT 95810 Hc Polysom 6Yrs Or Over Sleep 4 Or Over Addl Param Attnd	$3,068.13	$7,867.00	—	41% above	61%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysom 6Yrs Or Over Sleep 4 Or Over Addl Param Attnd	$3,068.13	$7,867.00	—	—	61%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hc Echo 2D Stress Tte Complete Continuous Monitor W/O Cst	$1,196.13	$3,067.00	—	2% below	61%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Hc Echo 2D Stress Tte Complete Continuous Monitor W/O Cst	$1,196.13	$3,067.00	—	—	61%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc Fl Barium Swallow Modified W Speech Therapy	$733.20	$1,880.00	—	125% above	61%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hc Fl Barium Swallow Modified W Speech Therapy	$733.20	$1,880.00	—	—	61%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Hc Xr Femur 2Vws Min	$189.15	$485.00	—	16% below	61%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Hc Xr Femur 2Vws Min	$189.15	$485.00	—	—	61%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Hc Ct Thoracic Spine W/O Contrast	$1,577.16	$4,044.00	—	22% above	61%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Hc Ct Thoracic Spine W/O Contrast	$1,577.16	$4,044.00	—	—	61%
Toe X-ray, 2 or more views CPT 73660 Hc Xr Toes 2 Plus Vws	$109.98	$282.00	—	39% below	61%
Toe X-ray, 2 or more views inpatient CPT 73660 Hc Xr Toes 2 Plus Vws	$109.98	$282.00	—	—	61%
Transvaginal pelvic ultrasound CPT 76830 Hc Us Transvaginal Non-Pregnant Uterus	$385.32	$988.00	—	21% below	61%
Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Us Transvaginal Non-Pregnant Uterus	$385.32	$988.00	—	—	61%
Transvaginal ultrasound during pregnancy CPT 76817 Hc Us Pregnant Uterus Real Time W/Image Documentation Transvaginal	$58.50	$150.00	—	85% below	61%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Us Pregnant Uterus Real Time W/Image Documentation Transvaginal	$58.50	$150.00	—	—	61%
Ultrasound of the abdomen, complete CPT 76700 Hc Us Abdominal Complete	$732.03	$1,877.00	—	at median	61%
Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us Abdominal Complete	$732.03	$1,877.00	—	—	61%
Ultrasound of the scrotum and testicles CPT 76870 Hc Us Scrotum	$553.41	$1,419.00	—	8% below	61%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Hc Us Scrotum	$553.41	$1,419.00	—	—	61%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us Soft Tissue Head And Neck/Thyroid Parathyroid	$556.14	$1,426.00	—	9% below	61%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Us Soft Tissue Head And Neck/Thyroid Parathyroid	$556.14	$1,426.00	—	—	61%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Fl Upper Gi Series Single Contrast Delay Inc Kub	$491.01	$1,259.00	—	25% above	61%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc Fl Upper Gi Series Single Contrast Delay Inc Kub	$491.01	$1,259.00	—	—	61%
Upper arm X-ray (humerus), 2 views CPT 73060 Hc Xr Humerus 2 Plus Vw	$235.17	$603.00	—	at median	61%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Hc Xr Humerus 2 Plus Vw	$235.17	$603.00	—	—	61%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Hc Us Duplex Veins Uni One Extremity Or Limited Study	$633.36	$1,624.00	—	6% above	61%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Hc Us Duplex Veins Uni One Extremity Or Limited Study	$633.36	$1,624.00	—	—	61%
Wrist X-ray, 2 views CPT 73100 Hc Xr Wrist 2Vw	$197.73	$507.00	—	4% above	61%
Wrist X-ray, 2 views inpatient CPT 73100 Hc Xr Wrist 2Vw	$197.73	$507.00	—	—	61%
Wrist X-ray, complete, 3 or more views CPT 73110 Hc Xr Wrist Complete 3 Plus Vw	$235.17	$603.00	—	at median	61%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hc Xr Wrist Complete 3 Plus Vw	$235.17	$603.00	—	—	61%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hc Xr Hip Uni 2-3 Vws	$189.15	$485.00	—	at median	61%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hc Xr Hip Uni 2-3 Vws	$189.15	$485.00	—	—	61%
X-ray of the abdomen, 1 view CPT 74018 Hc Xr Abdomen 1Vw	$285.09	$731.00	—	33% above	61%
X-ray of the abdomen, 1 view inpatient CPT 74018 Hc Xr Abdomen 1Vw	$285.09	$731.00	—	—	61%
X-ray of the ankle, 2 views CPT 73600 Hc Xr Ankle 2Vw	$197.73	$507.00	—	6% below	61%
X-ray of the ankle, 2 views inpatient CPT 73600 Hc Xr Ankle 2Vw	$197.73	$507.00	—	—	61%
X-ray of the finger(s), 2 or more views CPT 73140 Hc Xr Fingers 2 Vw Min	$182.13	$467.00	—	8% below	61%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hc Xr Fingers 2 Vw Min	$182.13	$467.00	—	—	61%
X-ray of the foot, 2 views CPT 73620 Hc Xr Foot 2Vw	$185.64	$476.00	—	at median	61%
X-ray of the foot, 2 views inpatient CPT 73620 Hc Xr Foot 2Vw	$185.64	$476.00	—	—	61%
X-ray of the foot, complete, 3 or more views CPT 73630 Hc Xr Foot Complete 3 Plus Vw	$261.30	$670.00	—	1% above	61%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hc Xr Foot Complete 3 Plus Vw	$261.30	$670.00	—	—	61%
X-ray of the hand, 3 or more views CPT 73130 Hc Xr Hand 3 Plus Vw	$264.42	$678.00	—	24% above	61%
X-ray of the hand, 3 or more views inpatient CPT 73130 Hc Xr Hand 3 Plus Vw	$264.42	$678.00	—	—	61%
X-ray of the knee, 1 or 2 views CPT 73560 Hc Xr Knee 1-2Vw	$173.55	$445.00	—	12% below	61%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hc Xr Knee 1-2Vw	$173.55	$445.00	—	—	61%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc Xr Spine Lumbosacral 2-3Vw	$341.64	$876.00	—	at median	61%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hc Xr Spine Lumbosacral 2-3Vw	$341.64	$876.00	—	—	61%
X-ray of the lower back, 4 or more views CPT 72110 Hc Xr Spine Lumbosacral 4 Plus Vw	$505.83	$1,297.00	—	9% above	61%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Xr Spine Lumbosacral 4 Plus Vw	$505.83	$1,297.00	—	—	61%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc Xr Spine Thoracic 2Vw	$324.48	$832.00	—	22% above	61%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hc Xr Spine Thoracic 2Vw	$324.48	$832.00	—	—	61%
X-ray of the pelvis, 1 or 2 views CPT 72170 Hc Xr Pelvis 1-2Vw	$242.58	$622.00	—	17% above	61%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hc Xr Pelvis 1-2Vw	$242.58	$622.00	—	—	61%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc Xr Sacrum Plus Coccyx 2 Plus Vw	$287.04	$736.00	—	9% above	61%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hc Xr Sacrum Plus Coccyx 2 Plus Vw	$287.04	$736.00	—	—	61%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
ACTH blood test CPT 82024 Hc Acth Assay	$386.88	$992.00	—	125% above	61%
ACTH blood test inpatient CPT 82024 Hc Acth Assay	$386.88	$992.00	—	—	61%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Alt Sgpt	$10.55	$27.05	—	67% below	61%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc Alt Sgpt	$10.55	$27.05	—	—	61%
AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Ast Sgot	$10.53	$27.00	—	66% below	61%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hc Ast Sgot	$10.53	$27.00	—	—	61%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc Acute Hepatitis Panel	$409.50	$1,050.00	—	47% above	61%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hc Acute Hepatitis Panel	$409.50	$1,050.00	—	—	61%
Albumin blood test CPT 82040 Hc Albumin Serum Plasma/Whole Blood	$53.82	$138.00	—	50% above	61%
Albumin blood test inpatient CPT 82040 Hc Albumin Serum Plasma/Whole Blood	$53.82	$138.00	—	—	61%
Aldosterone blood test CPT 82088 Hc Assay Of Aldosterone	$268.71	$689.00	—	64% above	61%
Aldosterone blood test inpatient CPT 82088 Hc Assay Of Aldosterone	$268.71	$689.00	—	—	61%
Alkaline phosphatase (ALP) blood test CPT 84075 Hc Alkaline Phosphatase	$65.91	$169.00	—	50% above	61%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hc Alkaline Phosphatase	$65.91	$169.00	—	—	61%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Spec Ige Crude Allergen Extract Each	$37.05	$95.00	—	31% above	61%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Spec Ige Crude Allergen Extract Each	$37.05	$95.00	—	—	61%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Alpha-Fetoprotein Serum	$199.68	$512.00	—	127% above	61%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc Alpha-Fetoprotein Serum	$199.68	$512.00	—	—	61%
Ammonia blood test CPT 82140 Hc Ammonia Assay	$249.21	$639.00	—	183% above	61%
Ammonia blood test inpatient CPT 82140 Hc Ammonia Assay	$249.21	$639.00	—	—	61%
Amylase blood test CPT 82150 Hc Assay Of Amylase	$12.94	$33.18	—	83% below	61%
Amylase blood test inpatient CPT 82150 Hc Assay Of Amylase	$12.94	$33.18	—	—	61%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Cyclic Citrullinated Peptide Ccp	$128.70	$330.00	—	36% above	61%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Cyclic Citrullinated Peptide Ccp	$128.70	$330.00	—	—	61%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Antinuclear Antibodies Ana	$175.89	$451.00	—	92% above	61%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Antinuclear Antibodies Ana	$175.89	$451.00	—	—	61%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Natriuretic Peptide	$207.48	$532.00	—	71% above	61%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc Natriuretic Peptide	$207.48	$532.00	—	—	61%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture Bacterial Except Urine Blood/Stool Aerobic Isolates	$17.55	$45.00	—	77% below	61%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture Bacterial Except Urine Blood/Stool Aerobic Isolates	$17.55	$45.00	—	—	61%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$81.90	$210.00	—	31% below	61%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$81.90	$210.00	—	—	61%
Bilirubin blood test, total CPT 82247 Hc Bilirubin Total	$70.59	$181.00	—	66% above	61%
Bilirubin blood test, total inpatient CPT 82247 Hc Bilirubin Total	$70.59	$181.00	—	—	61%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Level Iv Surgical Pathology Gross And Microscopic Exam	$80.63	$206.75	—	4% below	61%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Level Iv Surgical Pathology Gross And Microscopic Exam	$80.63	$206.75	—	—	61%
Blood culture for bacteria CPT 87040 Hc Culture Bacterial Blood Aerobic W/Id Presumptive Isolates	$21.30	$54.62	—	86% below	61%
Blood culture for bacteria inpatient CPT 87040 Hc Culture Bacterial Blood Aerobic W/Id Presumptive Isolates	$21.30	$54.62	—	—	61%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Bc Venipuncture	$12.48	$32.00	—	7% below	61%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Collection Blood Venipuncture	$12.48	$32.00	—	7% below	61%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Venipuncture	$12.48	$32.00	—	7% below	61%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Collection Blood Venipuncture	$12.48	$32.00	—	—	61%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Venipuncture	$12.48	$32.00	—	—	61%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Bc Venipuncture	$12.48	$32.00	—	—	61%
Blood glucose (sugar) test CPT 82947 Glucose Blood	$36.66	$94.00	—	at median	61%
Blood glucose (sugar) test CPT 82947 Hc Glucose Blood	$83.85	$215.00	—	129% above	61%
Blood glucose (sugar) test CPT 82947 Hc Glucose Quantitative Blood Xcpt Reagent Strip	$83.85	$215.00	—	129% above	61%
Blood glucose (sugar) test one side CPT 82947 Hc Rt Glucose Quantitative Blood	$83.85	$215.00	—	129% above	61%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Blood	$36.66	$94.00	—	—	61%
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose Quantitative Blood Xcpt Reagent Strip	$83.85	$215.00	—	—	61%
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose Blood	$83.85	$215.00	—	—	61%
Blood glucose (sugar) test inpatient one side CPT 82947 Hc Rt Glucose Quantitative Blood	$83.85	$215.00	—	—	61%
Blood lead test CPT 83655 Hc Assay Of Lead	$114.27	$293.00	—	69% above	61%
Blood lead test inpatient CPT 83655 Hc Assay Of Lead	$114.27	$293.00	—	—	61%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Gonadotropin Chorionic Qualitative	$173.16	$444.00	—	76% above	61%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc Gonadotropin Chorionic Qualitative	$173.16	$444.00	—	—	61%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Blood Group	$42.68	$109.44	—	23% below	61%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Abo Group Quest	$98.67	$253.00	—	78% above	61%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Blood Group	$42.68	$109.44	—	—	61%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Abo Group Quest	$98.67	$253.00	—	—	61%
Blood urea nitrogen (BUN) test CPT 84520 Hc Assay Of Urea Nitrogen Quantitative	$58.50	$150.00	—	81% above	61%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Hc Assay Of Urea Nitrogen Quantitative	$58.50	$150.00	—	—	61%
C-peptide blood test CPT 84681 Hc C-Peptide	$241.02	$618.00	—	133% above	61%
C-peptide blood test inpatient CPT 84681 Hc C-Peptide	$241.02	$618.00	—	—	61%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C-Reactive Protein	$138.45	$355.00	—	58% above	61%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C-Reactive Protein	$138.45	$355.00	—	—	61%
C. difficile toxin gene test (stool PCR) CPT 87493 Hc Cdiff Pcr Qual	$57.03	$146.23	—	35% below	61%
C. difficile toxin gene test (stool PCR) CPT 87493 Hc C Diff Toxin Detect Amp Probe	$230.88	$592.00	—	161% above	61%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc Cdiff Pcr Qual	$57.03	$146.23	—	—	61%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc C Diff Toxin Detect Amp Probe	$230.88	$592.00	—	—	61%
CA 19-9 blood test (tumor marker) CPT 86301 Hc Ca 19-9	$41.42	$106.20	—	57% below	61%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc Ca 19-9	$41.42	$106.20	—	—	61%
CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Ca 125	$140.79	$361.00	—	at median	61%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc Ca 125	$140.79	$361.00	—	—	61%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Prb Tq	$83.85	$215.00	—	3% below	61%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amp Prb	$83.85	$215.00	—	3% below	61%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq	$83.85	$215.00	—	3% below	61%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amp Prb	$83.85	$215.00	—	—	61%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Prb Tq	$83.85	$215.00	—	—	61%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq	$83.85	$215.00	—	—	61%
Calcium blood test, total CPT 82310 Hc Calcium Total	$62.01	$159.00	—	109% above	61%
Calcium blood test, total inpatient CPT 82310 Hc Calcium Total	$62.01	$159.00	—	—	61%
Carcinoembryonic antigen (CEA) test CPT 82378 Hc Carcinoembryonic Antigen Cea	$306.93	$787.00	—	209% above	61%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hc Carcinoembryonic Antigen Cea	$306.93	$787.00	—	—	61%
Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella-Zoster Antibody	$23.98	$61.50	—	67% below	61%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Varicella-Zoster Antibody	$23.98	$61.50	—	—	61%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlamydia Trachomatis Amplified Probe Technique	$62.32	$159.80	—	22% below	61%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Iadna Chlamydia Trachomatis Amplified Probe Tq	$137.67	$353.00	—	72% above	61%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlamydia Trachomatis Amplified Probe Technique	$62.32	$159.80	—	—	61%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Iadna Chlamydia Trachomatis Amplified Probe Tq	$137.67	$353.00	—	—	61%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel	$166.92	$428.00	—	120% above	61%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Panel	$166.92	$428.00	—	—	61%
Complete blood count (CBC) with differential CPT 85025 Blood Count Cbc Auto W/Auto Di	$65.13	$167.00	—	5% above	61%
Complete blood count (CBC) with differential CPT 85025 Hc Cbc With Differential	$105.69	$271.00	—	71% above	61%
Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Cbc Auto W/Auto Di	$65.13	$167.00	—	—	61%
Complete blood count (CBC) with differential inpatient CPT 85025 Hc Cbc With Differential	$105.69	$271.00	—	—	61%
Complete blood count (CBC), no differential CPT 85027 Blood Count Cbc Auto W/O Diff	$47.58	$122.00	—	16% below	61%
Complete blood count (CBC), no differential CPT 85027 Hc Cbc W/O Differential	$83.85	$215.00	—	49% above	61%
Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Cbc Auto W/O Diff	$47.58	$122.00	—	—	61%
Complete blood count (CBC), no differential inpatient CPT 85027 Hc Cbc W/O Differential	$83.85	$215.00	—	—	61%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$105.30	$270.00	—	26% below	61%
Comprehensive metabolic panel (blood test) CPT 80053 Hc Comprehensive Metabolic Panel	$171.21	$439.00	—	20% above	61%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$105.30	$270.00	—	—	61%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comprehensive Metabolic Panel	$171.21	$439.00	—	—	61%
Cortisol blood test, total CPT 82533 Hc Total Cortisol	$278.07	$713.00	—	171% above	61%
Cortisol blood test, total inpatient CPT 82533 Hc Total Cortisol	$278.07	$713.00	—	—	61%
Creatine kinase (CK) blood test, total CPT 82550 Hc Creatine Kinase Total	$118.56	$304.00	—	130% above	61%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Creatine Kinase Total	$118.56	$304.00	—	—	61%
Creatinine blood test CPT 82565 Hc Creatinine Blood	$10.53	$27.00	—	49% below	61%
Creatinine blood test one side CPT 82565 Hc Rt Creatinine Blood	$39.39	$101.00	—	91% above	61%
Creatinine blood test inpatient CPT 82565 Hc Creatinine Blood	$10.53	$27.00	—	—	61%
Creatinine blood test inpatient one side CPT 82565 Hc Rt Creatinine Blood	$39.39	$101.00	—	—	61%
Cytomegalovirus (CMV) antibody test CPT 86644 Hc Antibody Cytomegalovirus Cmv	$120.12	$308.00	—	24% above	61%
Cytomegalovirus (CMV) antibody test CPT 86644 Hc Arc Cmv Testing	$120.12	$308.00	—	24% above	61%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Antibody Cytomegalovirus Cmv	$120.12	$308.00	—	—	61%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Arc Cmv Testing	$120.12	$308.00	—	—	61%
D-dimer blood test (blood clot marker) CPT 85379 Hc D Dimer	$37.21	$95.40	—	61% below	61%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hc D Dimer	$37.21	$95.40	—	—	61%
DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dhea Sulfate	$296.79	$761.00	—	202% above	61%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Dhea Sulfate	$296.79	$761.00	—	—	61%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Test Prsmv Chem Anlyzr	$128.31	$329.00	—	at median	61%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Test Prsmv Chem Anlyzr	$128.31	$329.00	—	—	61%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hc Electrolyte Panel	$140.40	$360.00	—	57% above	61%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hc Cv- Electrolyte Panel	$140.40	$360.00	—	57% above	61%
Electrolyte panel (sodium, potassium, chloride, CO2) one side CPT 80051 Hc Rt- Electrolyte Panel	$140.40	$360.00	—	57% above	61%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hc Cv- Electrolyte Panel	$140.40	$360.00	—	—	61%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hc Electrolyte Panel	$140.40	$360.00	—	—	61%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient one side CPT 80051 Hc Rt- Electrolyte Panel	$140.40	$360.00	—	—	61%
Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Eb Viral Capsid	$129.48	$332.00	—	80% above	61%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hc Eb Viral Capsid	$129.48	$332.00	—	—	61%
Estradiol blood test CPT 82670 Hc Assay Of Total Estradiol	$57.12	$146.47	—	52% below	61%
Estradiol blood test inpatient CPT 82670 Hc Assay Of Total Estradiol	$57.12	$146.47	—	—	61%
FSH (follicle-stimulating hormone) test CPT 83001 Hc Fsh Assay	$219.18	$562.00	—	74% above	61%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Fsh Assay	$219.18	$562.00	—	—	61%
Fecal calprotectin (stool inflammation test) CPT 83993 Hc Assay For Calprotectin Fecal	$505.44	$1,296.00	—	129% above	61%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hc Assay For Calprotectin Fecal	$505.44	$1,296.00	—	—	61%
Ferritin blood test (iron stores) CPT 82728 Hc Ferritin Assay	$212.16	$544.00	—	183% above	61%
Ferritin blood test (iron stores) inpatient CPT 82728 Hc Ferritin Assay	$212.16	$544.00	—	—	61%
Fibrinogen blood test CPT 85384 Hc *Fibrinogen Activity	$108.42	$278.00	—	21% above	61%
Fibrinogen blood test CPT 85384 Hc Fibrin Degradation Split Products Agglutination Slide Semiquan	$116.22	$298.00	—	30% above	61%
Fibrinogen blood test inpatient CPT 85384 Hc *Fibrinogen Activity	$108.42	$278.00	—	—	61%
Fibrinogen blood test inpatient CPT 85384 Hc Fibrin Degradation Split Products Agglutination Slide Semiquan	$116.22	$298.00	—	—	61%
Folate (folic acid) blood test CPT 82746 Hc Folate Assay	$260.91	$669.00	—	201% above	61%
Folate (folic acid) blood test inpatient CPT 82746 Hc Folate Assay	$260.91	$669.00	—	—	61%
Free T3 thyroid hormone test CPT 84481 Hc Assay Of Triiodothyronine T3 Free	$239.07	$613.00	—	147% above	61%
Free T3 thyroid hormone test inpatient CPT 84481 Hc Assay Of Triiodothyronine T3 Free	$239.07	$613.00	—	—	61%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Assay Of Free Thyroxine	$137.67	$353.00	—	82% above	61%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Assay Of Free Thyroxine	$137.67	$353.00	—	—	61%
Free testosterone test CPT 84402 Hc Testosterone Free	$279.24	$716.00	—	74% above	61%
Free testosterone test inpatient CPT 84402 Hc Testosterone Free	$279.24	$716.00	—	—	61%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hc Ggt	$76.44	$196.00	—	64% above	61%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hc Ggt	$76.44	$196.00	—	—	61%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hc Gen Health Panel For Op Uhc And Oscar Only	$329.55	$845.00	—	31% above	61%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Hc Gen Health Panel For Op Uhc And Oscar Only	$329.55	$845.00	—	—	61%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hc Glucose Post Glucose Dose	$77.61	$199.00	—	75% above	61%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hc Glucose Post Glucose Dose	$77.61	$199.00	—	—	61%
Glucose tolerance test, 3 samples CPT 82951 Hc Glucose Tolerance Test Gtt 3 Specimens	$26.52	$67.99	—	64% below	61%
Glucose tolerance test, 3 samples inpatient CPT 82951 Hc Glucose Tolerance Test Gtt 3 Specimens	$26.52	$67.99	—	—	61%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Neisseria Gonorrhoeae Amplified Probe Technique	$62.03	$159.06	—	24% below	61%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Iadna Neisseria Gonorrhoeae Amplified Probe Tq	$137.67	$353.00	—	69% above	61%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Neisseria Gonorrhoeae Amplified Probe Technique	$62.03	$159.06	—	—	61%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Iadna Neisseria Gonorrhoeae Amplified Probe Tq	$137.67	$353.00	—	—	61%
H. pylori antibody blood test CPT 86677 Hc Antibody Helicobacter Pylori	$141.57	$363.00	—	11% above	61%
H. pylori antibody blood test inpatient CPT 86677 Hc Antibody Helicobacter Pylori	$141.57	$363.00	—	—	61%
H. pylori stool antigen test CPT 87338 Hc Helicobacter Pylori Ag Stool	$427.05	$1,095.00	—	239% above	61%
H. pylori stool antigen test inpatient CPT 87338 Hc Helicobacter Pylori Ag Stool	$427.05	$1,095.00	—	—	61%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Iadna Hiv-1 Quant And Reverse Transcription	$153.66	$394.00	—	55% below	61%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Iadna Hiv-1 Quant And Reverse Transcription	$153.66	$394.00	—	—	61%
HIV-1 and HIV-2 antibody test CPT 86703 Hc Hiv1/Hiv2 Antibody	$45.20	$115.90	—	59% below	61%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc Hiv1/Hiv2 Antibody	$45.20	$115.90	—	—	61%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Hiv1 Antigens With Hiv1 And Hiv2 Antibodies Single Result	$113.10	$290.00	—	5% above	61%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Hiv1 Antigens With Hiv1 And Hiv2 Antibodies Single Result	$113.10	$290.00	—	—	61%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Human Papillomavirus Hpv High-Risk Types	$63.38	$162.50	—	46% below	61%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv High-Risk Types	$187.98	$482.00	—	60% above	61%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv Screening	$187.98	$482.00	—	60% above	61%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Human Papillomavirus Hpv High-Risk Types	$63.38	$162.50	—	—	61%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Hpv High-Risk Types	$187.98	$482.00	—	—	61%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Hpv Screening	$187.98	$482.00	—	—	61%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hba1C With Eag	$122.46	$314.00	—	127% above	61%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Hba1C With Eag	$122.46	$314.00	—	—	61%
Hemoglobin blood test CPT 85018 Hc Blood Count Hemoglobin	$7.53	$19.31	—	67% below	61%
Hemoglobin blood test CPT 85018 Hc Hemoglobin	$34.71	$89.00	—	50% above	61%
Hemoglobin blood test one side CPT 85018 Hc Rt Or Hemoglob	$34.71	$89.00	—	50% above	61%
Hemoglobin blood test inpatient CPT 85018 Hc Blood Count Hemoglobin	$7.53	$19.31	—	—	61%
Hemoglobin blood test inpatient CPT 85018 Hc Hemoglobin	$34.71	$89.00	—	—	61%
Hemoglobin blood test inpatient one side CPT 85018 Hc Rt Or Hemoglob	$34.71	$89.00	—	—	61%
Hepatitis B core antibody test (total) CPT 86704 Hc Hepatitis B Core Total	$91.26	$234.00	—	1% above	61%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hc Hepatitis B Core Total	$91.26	$234.00	—	—	61%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis B Coreigmab	$81.12	$208.00	—	5% above	61%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hepatitis B Coreigmab	$81.12	$208.00	—	—	61%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Iaad Ia Hepatitis B Surface Antigen	$45.94	$117.80	—	29% below	61%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Iaad Ia Hepatitis B Surface Antigen	$45.94	$117.80	—	—	61%
Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Ab Test	$140.01	$359.00	—	16% above	61%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Ab Test	$140.01	$359.00	—	—	61%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Iadna Hepatitis C Quant And Reverse Transcription	$87.73	$224.94	—	68% below	61%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Iadna Hepatitis C Quant And Reverse Transcription	$87.73	$224.94	—	—	61%
Herpes blood test, HSV-1 antibody CPT 86695 Hc Antibody Herpes Simplex Type 1	$96.33	$247.00	—	43% above	61%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Antibody Herpes Simplex Type 1	$96.33	$247.00	—	—	61%
Herpes blood test, HSV-2 antibody CPT 86696 Hc Antibody Herpes Simplex Type 2	$96.33	$247.00	—	54% above	61%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Antibody Herpes Simplex Type 2	$96.33	$247.00	—	—	61%
High-sensitivity CRP (hs-CRP) test CPT 86141 Hc Crp High Sensitivity Cardio	$91.65	$235.00	—	2% above	61%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc Crp High Sensitivity Cardio	$91.65	$235.00	—	—	61%
Homocysteine blood test CPT 83090 Hc Assay Of Homocysteine	$384.54	$986.00	—	181% above	61%
Homocysteine blood test inpatient CPT 83090 Hc Assay Of Homocysteine	$384.54	$986.00	—	—	61%
Insulin blood test CPT 83525 Hc Insulin	$23.40	$60.00	—	68% below	61%
Insulin blood test inpatient CPT 83525 Hc Insulin	$23.40	$60.00	—	—	61%
Iron blood test (serum iron) CPT 83540 Hc Assay Of Iron	$13.26	$34.00	—	74% below	61%
Iron blood test (serum iron) CPT 83540 Hc Iron Liver Tissue - Histology	$130.65	$335.00	—	158% above	61%
Iron blood test (serum iron) inpatient CPT 83540 Hc Assay Of Iron	$13.26	$34.00	—	—	61%
Iron blood test (serum iron) inpatient CPT 83540 Hc Iron Liver Tissue - Histology	$130.65	$335.00	—	—	61%
Iron-binding capacity (TIBC) test CPT 83550 Hc Tibc	$143.52	$368.00	—	151% above	61%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc Tibc	$143.52	$368.00	—	—	61%
Kidney function blood test panel CPT 80069 Hc Renal Function Panel	$17.94	$46.00	—	79% below	61%
Kidney function blood test panel inpatient CPT 80069 Hc Renal Function Panel	$17.94	$46.00	—	—	61%
LH (luteinizing hormone) test CPT 83002 Hc Lh Assay	$37.83	$97.00	—	46% below	61%
LH (luteinizing hormone) test inpatient CPT 83002 Hc Lh Assay	$37.83	$97.00	—	—	61%
Lactate (lactic acid) blood test CPT 83605 Hc Assay Of Lactic Acid	$149.37	$383.00	—	51% above	61%
Lactate (lactic acid) blood test CPT 83605 Hc Poc Lactate Cvor	$149.37	$383.00	—	51% above	61%
Lactate (lactic acid) blood test one side CPT 83605 Hc Rt Lactate Arterial	$149.37	$383.00	—	51% above	61%
Lactate (lactic acid) blood test inpatient CPT 83605 Hc Assay Of Lactic Acid	$149.37	$383.00	—	—	61%
Lactate (lactic acid) blood test inpatient CPT 83605 Hc Poc Lactate Cvor	$149.37	$383.00	—	—	61%
Lactate (lactic acid) blood test inpatient one side CPT 83605 Hc Rt Lactate Arterial	$149.37	$383.00	—	—	61%
Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Lactate Dehydrogenase Ldh	$95.16	$244.00	—	92% above	61%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc Lactate Dehydrogenase Ldh	$95.16	$244.00	—	—	61%
Lipase blood test (pancreas enzyme) CPT 83690 Hc Assay Of Lipase	$143.13	$367.00	—	49% above	61%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Assay Of Lipase	$143.13	$367.00	—	—	61%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$92.04	$236.00	—	13% below	61%
Liver function blood test panel CPT 80076 Hc Hepatic Function Panel	$115.44	$296.00	—	9% above	61%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$92.04	$236.00	—	—	61%
Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel	$115.44	$296.00	—	—	61%
Lyme disease antibody test CPT 86618 Hc Lyme Disease Ab W Rflx W Blot	$48.75	$125.00	—	53% below	61%
Lyme disease antibody test inpatient CPT 86618 Hc Lyme Disease Ab W Rflx W Blot	$48.75	$125.00	—	—	61%
Magnesium blood test CPT 83735 Hc Assay Of Magnesium	$83.85	$215.00	—	86% above	61%
Magnesium blood test inpatient CPT 83735 Hc Assay Of Magnesium	$83.85	$215.00	—	—	61%
Measles (rubeola) antibody test CPT 86765 Hc Rubeola Antibody	$129.48	$332.00	—	63% above	61%
Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola Antibody	$129.48	$332.00	—	—	61%
Mono test (heterophile antibody, Monospot) CPT 86308 Hc Mono Test	$79.56	$204.00	—	43% above	61%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc Mono Test	$79.56	$204.00	—	—	61%
Mumps immunity blood test CPT 86735 Hc Mumps Antibody	$106.86	$274.00	—	94% above	61%
Mumps immunity blood test inpatient CPT 86735 Hc Mumps Antibody	$106.86	$274.00	—	—	61%
Obstetric blood test panel CPT 80055 Hc Obstetric Panel	$86.58	$222.00	—	30% below	61%
Obstetric blood test panel inpatient CPT 80055 Hc Obstetric Panel	$86.58	$222.00	—	—	61%
PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Psa Free	$195.39	$501.00	—	138% above	61%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Psa Free	$195.39	$501.00	—	—	61%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Assay Of Prostate Specific Antigen Total	$206.31	$529.00	—	104% above	61%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Assay Of Prostate Specific Antigen Total	$206.31	$529.00	—	—	61%
Pap test (liquid-based, automated screening with review) CPT 88175 Hc Automated Pap Smear Screening	$117.00	$300.00	—	150% above	61%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Hc Automated Pap Smear Screening	$117.00	$300.00	—	—	61%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Cytopath Cervical/Vaginal Auto Thin Layer Prep Manual Screen	$41.34	$106.01	—	19% below	61%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Cytopath Cervical/Vaginal Auto Thin Layer Prep Manual Screen	$41.34	$106.01	—	—	61%
Parathyroid hormone (PTH) blood test CPT 83970 Hc Assay Of Parathormone	$358.02	$918.00	—	134% above	61%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Assay Of Parathormone	$358.02	$918.00	—	—	61%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplastin Time Partial Plasma/Whole Blood	$12.48	$32.00	—	75% below	61%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplastin Time Partial Plasma/Whole Blood	$12.48	$32.00	—	—	61%
Phosphorus (phosphate) blood test CPT 84100 Hc Assay Of Phosphorus Inorganic	$55.77	$143.00	—	59% above	61%
Phosphorus (phosphate) blood test inpatient CPT 84100 Hc Assay Of Phosphorus Inorganic	$55.77	$143.00	—	—	61%
Potassium blood test CPT 84132 Hc Potassium Blood	$75.27	$193.00	—	123% above	61%
Potassium blood test CPT 84132 Hc Potassium Serum Plasma/Whole Blood	$75.27	$193.00	—	123% above	61%
Potassium blood test inpatient CPT 84132 Hc Potassium Serum Plasma/Whole Blood	$75.27	$193.00	—	—	61%
Potassium blood test inpatient CPT 84132 Hc Potassium Blood	$75.27	$193.00	—	—	61%
Progesterone blood test CPT 84144 Hc Progesterone Assay	$225.03	$577.00	—	134% above	61%
Progesterone blood test inpatient CPT 84144 Hc Progesterone Assay	$225.03	$577.00	—	—	61%
Prolactin blood test CPT 84146 Hc Prolactin Blood	$238.68	$612.00	—	102% above	61%
Prolactin blood test inpatient CPT 84146 Hc Prolactin Blood	$238.68	$612.00	—	—	61%
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time	$8.19	$21.00	—	79% below	61%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time	$8.19	$21.00	—	—	61%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hc Drug Test Prsmv Dir Opt Obs	$303.81	$779.00	—	322% above	61%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Hc Drug Test Prsmv Dir Opt Obs	$303.81	$779.00	—	—	61%
Rapid flu test (influenza antigen) CPT 87804 Hc Influenza	$72.93	$187.00	—	at median	61%
Rapid flu test (influenza antigen) CPT 87804 Hc Poc Flu A And B	$72.93	$187.00	—	at median	61%
Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Influenza	$72.93	$187.00	—	—	61%
Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Poc Flu A And B	$72.93	$187.00	—	—	61%
Renin blood test CPT 84244 Hc Renin Blood	$244.92	$628.00	—	134% above	61%
Renin blood test inpatient CPT 84244 Hc Renin Blood	$244.92	$628.00	—	—	61%
Rh blood typing CPT 86901 Hc Rh Type	$78.39	$201.00	—	68% above	61%
Rh blood typing inpatient CPT 86901 Hc Rh Type	$78.39	$201.00	—	—	61%
Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor Quant	$79.56	$204.00	—	6% above	61%
Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor	$79.56	$204.00	—	6% above	61%
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor	$79.56	$204.00	—	—	61%
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor Quant	$79.56	$204.00	—	—	61%
Rubella antibody test (immunity check) CPT 86762 Hc Rubella Antibody	$72.15	$185.00	—	4% above	61%
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella Antibody	$72.15	$185.00	—	—	61%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hc Sed Rate	$5.85	$15.00	—	82% below	61%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hc Sed Rate	$5.85	$15.00	—	—	61%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Hc Semen Anal Vol/Count/Mot	$311.22	$798.00	—	187% above	61%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Hc Semen Anal Vol/Count/Mot	$311.22	$798.00	—	—	61%
Sodium blood test CPT 84295 Hc Sodium Serum Plasma Or Whole Blood	$67.86	$174.00	—	109% above	61%
Sodium blood test inpatient CPT 84295 Hc Sodium Serum Plasma Or Whole Blood	$67.86	$174.00	—	—	61%
Stool ova and parasites exam CPT 87177 Hc O And P Smear Conc Id	$152.88	$392.00	—	88% above	61%
Stool ova and parasites exam CPT 87177 Hc O And P Body Fluid	$152.88	$392.00	—	88% above	61%
Stool ova and parasites exam inpatient CPT 87177 Hc O And P Body Fluid	$152.88	$392.00	—	—	61%
Stool ova and parasites exam inpatient CPT 87177 Hc O And P Smear Conc Id	$152.88	$392.00	—	—	61%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Blood Occult Peroxidase Actv Qual Feces 1 Deter	$37.05	$95.00	—	2% below	61%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc Blood Occult Peroxidase Actv Qual Feces 1 Deter	$37.05	$95.00	—	—	61%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Fecal Globin	$124.80	$320.00	—	247% above	61%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hc Fecal Globin	$124.80	$320.00	—	—	61%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Antibody Treponema Pallidum	$59.28	$152.00	—	11% below	61%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Antibody Treponema Pallidum	$59.28	$152.00	—	—	61%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Syphilis Test Non-Treponemal Antibody Qual	$37.05	$95.00	—	13% below	61%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Syphilis Test Non-Treponemal Antibody Qual	$37.05	$95.00	—	—	61%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Quantiferon Tb Gold Client Inc Q	$123.24	$316.00	—	26% below	61%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Quantiferon Tb Gold Client Inc Q	$123.24	$316.00	—	—	61%
Testosterone blood test, total (not free testosterone) CPT 84403 Hc Assay Of Total Testosterone	$244.92	$628.00	—	86% above	61%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Assay Of Total Testosterone	$244.92	$628.00	—	—	61%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Microsomal Antibodies Each	$177.84	$456.00	—	93% above	61%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Microsomal Antibodies Each	$177.84	$456.00	—	—	61%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Assay Of Thyroid Stimulating Hormone Tsh	$170.82	$438.00	—	93% above	61%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Assay Of Thyroid Stimulating Hormone Tsh	$170.82	$438.00	—	—	61%
Total IgE blood test CPT 82785 Hc Ige	$168.48	$432.00	—	123% above	61%
Total IgE blood test inpatient CPT 82785 Hc Ige	$168.48	$432.00	—	—	61%
Total cholesterol blood test CPT 82465 Hc Cholesterol Serum/Whole Blood Total	$76.44	$196.00	—	165% above	61%
Total cholesterol blood test inpatient CPT 82465 Hc Cholesterol Serum/Whole Blood Total	$76.44	$196.00	—	—	61%
Total thyroxine (T4) blood test CPT 84436 Hc Assay Of Thyroxine Total	$96.72	$248.00	—	91% above	61%
Total thyroxine (T4) blood test inpatient CPT 84436 Hc Assay Of Thyroxine Total	$96.72	$248.00	—	—	61%
Total triiodothyronine (T3) blood test CPT 84480 Hc T3 Total	$17.94	$46.00	—	79% below	61%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Hc T3 Total	$17.94	$46.00	—	—	61%
Transferrin blood test CPT 84466 Hc Transferrin Blood	$159.12	$408.00	—	81% above	61%
Transferrin blood test inpatient CPT 84466 Hc Transferrin Blood	$159.12	$408.00	—	—	61%
Trichomonas test (NAAT) CPT 87661 Hc Iadna Trichomonas Vaginalis Amplified Probe Tech	$61.21	$156.96	—	33% below	61%
Trichomonas test (NAAT) inpatient CPT 87661 Hc Iadna Trichomonas Vaginalis Amplified Probe Tech	$61.21	$156.96	—	—	61%
Triglycerides blood test CPT 84478 Hc Assay Of Triglycerides	$76.44	$196.00	—	92% above	61%
Triglycerides blood test inpatient CPT 84478 Hc Assay Of Triglycerides	$76.44	$196.00	—	—	61%
Troponin test, quantitative CPT 84484 Hc Assay Of Troponin Quantitative	$190.32	$488.00	—	51% above	61%
Troponin test, quantitative inpatient CPT 84484 Hc Assay Of Troponin Quantitative	$190.32	$488.00	—	—	61%
Uric acid blood test CPT 84550 Hc Uric Acid Blood	$74.49	$191.00	—	44% above	61%
Uric acid blood test inpatient CPT 84550 Hc Uric Acid Blood	$74.49	$191.00	—	—	61%
Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis Auto W/Scope	$8.50	$21.80	—	86% below	61%
Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis Auto W/Scope	$8.50	$21.80	—	—	61%
Urinalysis with microscope exam, manual CPT 81000 Hc N-Autom Urine Dip W Micro	$8.58	$22.00	—	78% below	61%
Urinalysis with microscope exam, manual inpatient CPT 81000 Hc N-Autom Urine Dip W Micro	$8.58	$22.00	—	—	61%
Urinalysis without microscope exam, automated CPT 81003 U/A Only	$28.08	$72.00	—	22% below	61%
Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis Auto W/O Scope	$74.88	$192.00	—	107% above	61%
Urinalysis without microscope exam, automated inpatient CPT 81003 U/A Only	$28.08	$72.00	—	—	61%
Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis Auto W/O Scope	$74.88	$192.00	—	—	61%
Urinalysis without microscope exam, manual CPT 81002 Hc Urinalysis After Hours	$59.67	$153.00	—	62% above	61%
Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Urinalysis After Hours	$59.67	$153.00	—	—	61%
Urine culture for bacteria, with colony count CPT 87086 Hc Culture,Urine,Clean Catch	$67.86	$174.00	—	21% below	61%
Urine culture for bacteria, with colony count CPT 87086 Hc Culture Urine Cath	$202.80	$520.00	—	136% above	61%
Urine culture for bacteria, with colony count CPT 87086 Hc Culture Bacterial Quanttative Colony Count Urine	$202.80	$520.00	—	136% above	61%
Urine culture for bacteria, with colony count CPT 87086 Hc Hiv 1 Antigw Hiv1 And Hiv2 Antibodies	$202.80	$520.00	—	136% above	61%
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture,Urine,Clean Catch	$67.86	$174.00	—	—	61%
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Hiv 1 Antigw Hiv1 And Hiv2 Antibodies	$202.80	$520.00	—	—	61%
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture Urine Cath	$202.80	$520.00	—	—	61%
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture Bacterial Quanttative Colony Count Urine	$202.80	$520.00	—	—	61%
Urine microalbumin (albumin) test CPT 82043 Hc Urine Albumin Quantitative	$11.70	$30.00	—	79% below	61%
Urine microalbumin (albumin) test inpatient CPT 82043 Hc Urine Albumin Quantitative	$11.70	$30.00	—	—	61%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Visual	$78.39	$201.00	—	1% below	61%
Urine pregnancy test, read by color change CPT 81025 Hc Urine Pregnancy Test	$98.67	$253.00	—	25% above	61%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Visual	$78.39	$201.00	—	—	61%
Urine pregnancy test, read by color change inpatient CPT 81025 Hc Urine Pregnancy Test	$98.67	$253.00	—	—	61%
Vitamin B12 (cobalamin) blood test CPT 82607 Hc Vitamin B12 Assay	$262.08	$672.00	—	223% above	61%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Vitamin B12 Assay	$262.08	$672.00	—	—	61%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc 25 Hydroxy Includes Fractions If Performed	$302.64	$776.00	—	225% above	61%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc 25 Hydroxy Includes Fractions If Performed	$302.64	$776.00	—	—	61%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hc Vitamin D 1 25 Hydroxy Assay	$367.38	$942.00	—	173% above	61%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Hc Vitamin D 1 25 Hydroxy Assay	$367.38	$942.00	—	—	61%
Zinc blood test CPT 84630 Hc Zinc Blood	$178.62	$458.00	—	173% above	61%
Zinc blood test inpatient CPT 84630 Hc Zinc Blood	$178.62	$458.00	—	—	61%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Gonadotropin Chorionic Quantitative	$182.52	$468.00	—	53% above	61%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Gonadotropin Chorionic Quantitative	$182.52	$468.00	—	—	61%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Botox injections for chronic migraine CPT 64615 Hc Chemodervate Facial/Trigem/Cerv Musc Migraine	$781.56	$2,004.00	—	10% below	61%
Botox injections for chronic migraine inpatient CPT 64615 Hc Chemodervate Facial/Trigem/Cerv Musc Migraine	$781.56	$2,004.00	—	—	61%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc Mammogram Bx Breast 1St Lesion Stereotactic	$3,735.03	$9,577.00	—	67% above	61%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hc Mammogram Bx Breast 1St Lesion Stereotactic	$3,735.03	$9,577.00	—	—	61%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hc Fibula Distal Fx Wo Manip	$615.03	$1,577.00	—	11% above	61%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hc Fibula Distal Fx Wo Manip	$615.03	$1,577.00	—	—	61%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Hc Metatarsal Fx Wo Manip	$806.13	$2,067.00	—	at median	61%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Hc Metatarsal Fx Wo Manip	$806.13	$2,067.00	—	—	61%
Cardiac catheterization with coronary angiogram one side CPT 93458 Hc Heart Lt Coronary Artery Angio W/Wo Lt Ventriculography	$9,933.30	$25,470.00	—	4% above	61%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Hc Heart Lt Coronary Artery Angio W/Wo Lt Ventriculography	$9,933.30	$25,470.00	—	—	61%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion Conversion Arrythmia External Elective	$2,476.89	$6,351.00	—	67% above	61%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion Conversion Arrythmia External Elective	$2,476.89	$6,351.00	—	—	61%
Catheter ablation for atrial fibrillation CPT 93656 Hc Comp Eps Tras W/Afib Ablat	$14,880.45	$38,155.00	—	at median	61%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Hc Comp Eps Tras W/Afib Ablat	$14,880.45	$38,155.00	—	—	61%
Cervical biopsy CPT 57500 Hc Biopsy Cervix Single/Mult/Excision Of Lesion Spx	$500.37	$1,283.00	—	58% below	61%
Cervical biopsy inpatient CPT 57500 Hc Biopsy Cervix Single/Mult/Excision Of Lesion Spx	$500.37	$1,283.00	—	—	61%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Hc Circumcision Age Over 28 Days	$5,118.75	$13,125.00	—	at median	61%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Hc Circumcision Age Over 28 Days	$5,118.75	$13,125.00	—	—	61%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Hc Circumcision W/Clamp/Oth Dev W/Block	$1,751.88	$4,492.00	—	16% above	61%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Hc Circumcision W/Clamp/Oth Dev W/Block	$1,751.88	$4,492.00	—	—	61%
Circumcision, surgical, older than a newborn CPT 54160 Hc Circumcision Neonate 28 Days Old Or Less	$2,490.15	$6,385.00	—	64% above	61%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Hc Circumcision Neonate 28 Days Old Or Less	$2,490.15	$6,385.00	—	—	61%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Radial Distal Fx Wo Manip	$806.13	$2,067.00	—	54% above	61%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hc Radial Distal Fx Wo Manip	$806.13	$2,067.00	—	—	61%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Hc Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$612.30	$1,570.00	—	68% below	61%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Hc Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$612.30	$1,570.00	—	—	61%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Hc Colposcopy Cervix Bx Cervix And Endocrv Curretage	$163.02	$418.00	—	71% below	61%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Hc Colposcopy Cervix Bx Cervix And Endocrv Curretage	$163.02	$418.00	—	—	61%
Cystoscopy with ureteral stent placement CPT 52332 Hc Cystourethroscopy W Insertion Ureteral Stent	$6,766.11	$17,349.00	—	107% above	61%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Hc Cystourethroscopy W Insertion Ureteral Stent	$6,766.11	$17,349.00	—	—	61%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hc Cystourethroscopy	$1,619.67	$4,153.00	—	at median	61%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hc Cystourethroscopy	$1,619.67	$4,153.00	—	—	61%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Hc Dilation And Curettage Dx And Ther Nonobstetric	$3,774.81	$9,679.00	—	at median	61%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Hc Dilation And Curettage Dx And Ther Nonobstetric	$3,774.81	$9,679.00	—	—	61%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hc Destruction Premalignant Lesion 1St	$89.70	$230.00	—	37% below	61%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Hc Destruction Premalignant Lesion 1St	$89.70	$230.00	—	—	61%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Hc Tympanostomy Local/Topical Anesthesia	$911.43	$2,337.00	—	at median	61%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Hc Tympanostomy Local/Topical Anesthesia	$911.43	$2,337.00	—	—	61%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Hc Removal Impacted Cerumen Irrigation/Lvg Unilat	$149.76	$384.00	—	46% above	61%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Hc Removal Impacted Cerumen Irrigation/Lvg Unilat	$149.76	$384.00	—	—	61%
Earwax removal with instruments, one ear one side CPT 69210 Hc Removal Impacted Cerumen Instrumentation Unilat	$368.55	$945.00	—	3% above	61%
Earwax removal with instruments, one ear inpatient one side CPT 69210 Hc Removal Impacted Cerumen Instrumentation Unilat	$368.55	$945.00	—	—	61%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Biopsy Of Uterus Lining	$426.66	$1,094.00	—	24% above	61%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Biopsy Of Uterus Lining	$426.66	$1,094.00	—	—	61%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hc Inj Epidural Cervical/Thoracic W Guidance	$6,020.82	$15,438.00	—	303% above	61%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hc Inj Epidural Cervical/Thoracic W Guidance	$6,020.82	$15,438.00	—	—	61%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Hc Intravitreal Injection Pharmacologic Agt Spx	$709.80	$1,820.00	—	27% above	61%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Hc Intravitreal Injection Pharmacologic Agt Spx	$709.80	$1,820.00	—	—	61%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc Inj Block Nerve Facet Joint Lumbar/Sac W/Image Guide 1St Level	$3,041.22	$7,798.00	—	41% above	61%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hc Inj Block Nerve Facet Joint Lumbar/Sac W/Image Guide 1St Level	$3,041.22	$7,798.00	—	—	61%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hc Hemorrhoidectomy Internal Rubber Band Ligations	$530.79	$1,361.00	—	61% below	61%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hc Hemorrhoidectomy Internal Rubber Band Ligations	$530.79	$1,361.00	—	—	61%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hc Hysterosalpingogram Cath Intro W/Saline Or Cst	$826.41	$2,119.00	—	32% above	61%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hc Hysterosalpingogram Cath Intro W/Saline Or Cst	$826.41	$2,119.00	—	—	61%
IUD insertion (the device itself billed separately) CPT 58300 Hc Insertion Intrauterine Device Iud	$850.59	$2,181.00	—	83% above	61%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Hc Insertion Intrauterine Device Iud	$850.59	$2,181.00	—	—	61%
Incision and drainage of a simple or single skin abscess CPT 10060 Hc I And D Abscess-Simple Or Sing	$794.82	$2,038.00	—	32% above	61%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc I And D Abscess-Simple Or Sing	$794.82	$2,038.00	—	—	61%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Inj Tendon/Ligament Single	$1,396.20	$3,580.00	—	18% above	61%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Inj Tendon/Ligament Single	$1,396.20	$3,580.00	—	—	61%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Inj/Asp/Drn Bursa Major Joint Wo Us Guidance	$905.19	$2,321.00	—	at median	61%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Inj/Asp/Drn Bursa Major Joint Wo Us Guidance	$905.19	$2,321.00	—	—	61%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hc Insertion Drug Delivery Implant	$3,895.32	$9,988.00	—	615% above	61%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Hc Insertion Drug Delivery Implant	$3,895.32	$9,988.00	—	—	61%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Inj/Asp/Drn Bursa Medium Joint Wo Us Guidance	$753.87	$1,933.00	—	at median	61%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Inj/Asp/Drn Bursa Medium Joint Wo Us Guidance	$753.87	$1,933.00	—	—	61%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Inj/Asp/Drn Bursa Small Joint Wo Us Guidance	$603.33	$1,547.00	—	22% above	61%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Inj/Asp/Drn Bursa Small Joint Wo Us Guidance	$603.33	$1,547.00	—	—	61%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc Post-Cataract Laser Surgery	$721.89	$1,851.00	—	70% above	61%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Hc Post-Cataract Laser Surgery	$721.89	$1,851.00	—	—	61%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Repair Intermediate S/A/T/E 2.5Cm Or Less	$741.00	$1,900.00	—	78% above	61%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Repair Intermediate S/A/T/E 2.5Cm Or Less	$741.00	$1,900.00	—	—	61%
Left heart catheterization, diagnostic CPT 93452 Hc Lhc With Or Without Lv Gram	$7,729.41	$19,819.00	—	19% above	61%
Left heart catheterization, diagnostic inpatient CPT 93452 Hc Lhc With Or Without Lv Gram	$7,729.41	$19,819.00	—	—	61%
Lower-back epidural injection, with imaging guidance CPT 62323 Hc Inj Esi Lumbar/Sac W Guidance	$1,758.12	$4,508.00	—	31% above	61%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Inj Esi Lumbar/Sac W Guidance	$1,758.12	$4,508.00	—	—	61%
Lower-back epidural injection, without imaging guidance CPT 62322 Hc Inj Interlaminar Or Caudal Lumbar/Sac W/O Imaging	$1,740.18	$4,462.00	—	5% above	61%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc Inj Interlaminar Or Caudal Lumbar/Sac W/O Imaging	$1,740.18	$4,462.00	—	—	61%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Inj Epidural Transforaminal Lumbar/Sac W Imag 1St Level	$4,175.73	$10,707.00	—	164% above	61%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Inj Epidural Transforaminal Lumbar/Sac W Imag 1St Level	$4,175.73	$10,707.00	—	—	61%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Hc Mohs Micrographic H/N/H/F/G 1St Stage 5 Blocks	$577.98	$1,482.00	—	at median	61%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Hc Mohs Micrographic H/N/H/F/G 1St Stage 5 Blocks	$577.98	$1,482.00	—	—	61%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Exc Benign Lesion Mrgn Xcp Sk Tg Trunk Arms Legs 0.5 Cm Or Less	$624.78	$1,602.00	—	52% below	61%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hc Exc Benign Lesion Mrgn Xcp Sk Tg Trunk Arms Legs 0.5 Cm Or Less	$624.78	$1,602.00	—	—	61%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hc Exc Benign Lesion Mrgn Xcp Sk Tg Face Ears Eyelids Nose Lips Muc Memb 0.5Cm Or Less	$577.59	$1,481.00	—	9% below	61%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Hc Exc Benign Lesion Mrgn Xcp Sk Tg Face Ears Eyelids Nose Lips Muc Memb 0.5Cm Or Less	$577.59	$1,481.00	—	—	61%
Nail removal (partial or complete), one nail CPT 11730 Hc Avulsion Nail Plate Partial/Complete Simple 1	$807.69	$2,071.00	—	28% above	61%
Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Avulsion Nail Plate Partial/Complete Simple 1	$807.69	$2,071.00	—	—	61%
Occipital nerve block (injection for headaches) CPT 64405 Hc Inj Block Nerve Occipita W/Image Guidance	$783.90	$2,010.00	—	10% below	61%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Inj Block Nerve Occipita W/Image Guidance	$783.90	$2,010.00	—	—	61%
Pacemaker implant (dual chamber) CPT 33208 Hc Pacemaker Insertion-Dual	$11,476.53	$29,427.00	—	10% above	61%
Pacemaker implant (dual chamber) inpatient CPT 33208 Hc Pacemaker Insertion-Dual	$11,476.53	$29,427.00	—	—	61%
Paracentesis with imaging guidance CPT 49083 Hc Paracentesis Abdominal With Image Guidance	$2,424.63	$6,217.00	—	55% above	61%
Paracentesis with imaging guidance inpatient CPT 49083 Hc Paracentesis Abdominal With Image Guidance	$2,424.63	$6,217.00	—	—	61%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Excision Nail/Nail Matrix Includes Ingrown	$2,510.43	$6,437.00	—	169% above	61%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Excision Nail/Nail Matrix Includes Ingrown	$2,510.43	$6,437.00	—	—	61%
Prostate biopsy CPT 55700 Hc Prostate Needle Biopsy Any Approach	$2,813.07	$7,213.00	—	at median	61%
Prostate biopsy inpatient CPT 55700 Hc Prostate Needle Biopsy Any Approach	$2,813.07	$7,213.00	—	—	61%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hc Inj/Rf Facet Lumbar/Sacral W Guidance Single	$4,326.27	$11,093.00	—	107% above	61%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Hc Inj/Rf Facet Lumbar/Sacral W Guidance Single	$4,326.27	$11,093.00	—	—	61%
Removal of a foreign object under the skin, simple CPT 10120 Hc Fb Remove Skin Subq-Simple	$1,533.48	$3,932.00	—	37% above	61%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Fb Remove Skin Subq-Simple	$1,533.48	$3,932.00	—	—	61%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Hc Lithotripsy Eswl Extracorp Shock Wave	$22,809.54	$58,486.00	—	87% above	61%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Hc Lithotripsy Eswl Extracorp Shock Wave	$22,809.54	$58,486.00	—	—	61%
Short arm cast (elbow to hand) CPT 29075 Hc Cast Forearm/Wrist Short Arm	$1,219.53	$3,127.00	—	37% above	61%
Short arm cast (elbow to hand) inpatient CPT 29075 Hc Cast Forearm/Wrist Short Arm	$1,219.53	$3,127.00	—	—	61%
Short arm splint (forearm and hand) CPT 29125 Hc Splint Arm Short	$614.64	$1,576.00	—	60% above	61%
Short arm splint (forearm and hand) inpatient CPT 29125 Hc Splint Arm Short	$614.64	$1,576.00	—	—	61%
Short leg cast (below the knee) CPT 29405 Hc Cast Leg Short	$893.10	$2,290.00	—	182% above	61%
Short leg cast (below the knee) CPT 29405 Hc Application Short Leg Cast-Below Knee To Toes Phy Ther	$893.10	$2,290.00	—	182% above	61%
Short leg cast (below the knee) inpatient CPT 29405 Hc Cast Leg Short	$893.10	$2,290.00	—	—	61%
Short leg cast (below the knee) inpatient CPT 29405 Hc Application Short Leg Cast-Below Knee To Toes Phy Ther	$893.10	$2,290.00	—	—	61%
Short leg splint (calf to foot) CPT 29515 Hc Application Short Leg Splint Calf Foot - Ot	$540.54	$1,386.00	—	41% above	61%
Short leg splint (calf to foot) CPT 29515 Hc Application Short Leg Splint Calf Foot - Pt	$540.54	$1,386.00	—	41% above	61%
Short leg splint (calf to foot) CPT 29515 Hc Apply Short Leg Splint	$540.54	$1,386.00	—	41% above	61%
Short leg splint (calf to foot) inpatient CPT 29515 Hc Apply Short Leg Splint	$540.54	$1,386.00	—	—	61%
Short leg splint (calf to foot) inpatient CPT 29515 Hc Application Short Leg Splint Calf Foot - Pt	$540.54	$1,386.00	—	—	61%
Short leg splint (calf to foot) inpatient CPT 29515 Hc Application Short Leg Splint Calf Foot - Ot	$540.54	$1,386.00	—	—	61%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Repair Simple Scalp/Neck/Ax/Genit/Trunk 2.5Cm Or Less	$741.00	$1,900.00	—	158% above	61%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Repair Simple Scalp/Neck/Ax/Genit/Trunk 2.5Cm Or Less	$741.00	$1,900.00	—	—	61%
Skin biopsy, punch, one lesion CPT 11104 Hc Punch Bx Skin Single Les	$560.04	$1,436.00	—	2% below	61%
Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Bx Skin Single Les	$560.04	$1,436.00	—	—	61%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Hc Excision Mal Lesion Trunk Arm Leg 0.5 Cm Or Less	$632.97	$1,623.00	—	at median	61%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Hc Excision Mal Lesion Trunk Arm Leg 0.5 Cm Or Less	$632.97	$1,623.00	—	—	61%
Skin tag removal, up to 15 tags CPT 11200 Hc Removal Of Skin Tags 15 Or Less Any Area	$401.31	$1,029.00	—	27% above	61%
Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Removal Of Skin Tags 15 Or Less Any Area	$401.31	$1,029.00	—	—	61%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Spinal Puncture Lumbar Diagnostic	$2,049.06	$5,254.00	—	62% above	61%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Spinal Puncture Lumbar Diagnostic	$2,049.06	$5,254.00	—	—	61%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Wound Body Simp 2.6-7.5	$741.00	$1,900.00	—	86% above	61%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Wound Body Simp 2.6-7.5	$741.00	$1,900.00	—	—	61%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Repair Simple F/E/E/N/L/M 2.5Cm Or Less	$741.00	$1,900.00	—	109% above	61%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Repair Simple F/E/E/N/L/M 2.5Cm Or Less	$741.00	$1,900.00	—	—	61%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangntl Bx Skin Single Les	$560.04	$1,436.00	—	at median	61%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hc Tangntl Bx Skin Single Les	$560.04	$1,436.00	—	—	61%
Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis Ndl/Cath Asp Pleura Space W/ Imaging	$2,939.04	$7,536.00	—	108% above	61%
Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis Ndl/Cath Asp Pleura Space W/ Imaging	$2,939.04	$7,536.00	—	—	61%
Trigger point injections, 1 or 2 muscles CPT 20552 Hc Inj Trigger Point 1 Or 2 Muscles	$1,210.56	$3,104.00	—	at median	61%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Inj Trigger Point 1 Or 2 Muscles	$1,210.56	$3,104.00	—	—	61%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Us Bx Breast 1St Lesion	$3,692.52	$9,468.00	—	69% above	61%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc Us Bx Breast 1St Lesion	$3,692.52	$9,468.00	—	—	61%
Upper endoscopy (EGD) with biopsy CPT 43239 Hc Egd Transoral Biopsy Single/Multiple	$1,405.56	$3,604.00	—	at median	61%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hc Egd Transoral Biopsy Single/Multiple	$1,405.56	$3,604.00	—	—	61%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Hc Cystoscopy W Ureterscopy/W Pyeloscopy/W Ureterscopy And/Or Pyeloscopy/ With Lithotripsy	$7,873.71	$20,189.00	—	95% above	61%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Hc Cystoscopy W Ureterscopy/W Pyeloscopy/W Ureterscopy And/Or Pyeloscopy/ With Lithotripsy	$7,873.71	$20,189.00	—	—	61%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Hc Vasectomy Uni/Bilateral	$2,256.54	$5,786.00	—	—	61%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Hc Vasectomy Uni/Bilateral	$2,256.54	$5,786.00	—	—	61%
Vein ablation, radiofrequency, first vein CPT 36475 Hc Endovenous Rf 1St Vein	$7,813.26	$20,034.00	—	152% above	61%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Hc Endovenous Rf 1St Vein	$7,813.26	$20,034.00	—	—	61%
Wart removal, up to 14 warts CPT 17110 Hc Destruction Of Benign Lesions 1-14	$2,690.22	$6,898.00	—	141% above	61%
Wart removal, up to 14 warts inpatient CPT 17110 Hc Destruction Of Benign Lesions 1-14	$2,690.22	$6,898.00	—	—	61%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debride Subq Tissue 1St 20Sqcm Or Less	$1,533.48	$3,932.00	—	41% above	61%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debride Subq Tissue 1St 20Sqcm Or Less	$1,533.48	$3,932.00	—	—	61%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfus Blood/Comp	$773.76	$1,984.00	—	at median	61%
Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Transfusion	$1,782.30	$4,570.00	—	130% above	61%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfus Blood/Comp	$773.76	$1,984.00	—	—	61%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Transfusion	$1,782.30	$4,570.00	—	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment	$188.76	$484.00	—	at median	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Sputum Induction W/Tx	$379.08	$972.00	—	101% above	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Neb W/I-Pap	$379.08	$972.00	—	101% above	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Intrapul Percussive Ventilation Ipv	$379.08	$972.00	—	101% above	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Multi Dose Inhaler	$379.08	$972.00	—	101% above	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Nebulizer Rx	$379.08	$972.00	—	101% above	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Pap Therapy	$379.08	$972.00	—	101% above	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment	$188.76	$484.00	—	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Neb W/I-Pap	$379.08	$972.00	—	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Intrapul Percussive Ventilation Ipv	$379.08	$972.00	—	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Pap Therapy	$379.08	$972.00	—	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Nebulizer Rx	$379.08	$972.00	—	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Multi Dose Inhaler	$379.08	$972.00	—	—	61%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Sputum Induction W/Tx	$379.08	$972.00	—	—	61%
Chemotherapy IV infusion, first hour CPT 96413 Hc Chemo Inf 1St Hr Initial Drug	$695.37	$1,783.00	—	55% above	61%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc Chemo Inf 1St Hr Initial Drug	$695.37	$1,783.00	—	—	61%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Hc Eye Exam New Pt 1 Or More Visits	$146.64	$376.00	—	29% below	61%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Hc Eye Exam New Pt 1 Or More Visits	$146.64	$376.00	—	—	61%
Comprehensive eye exam, returning patient CPT 92014 Hc Oph Svcs Medical Exam And Eval Compre Est Pt 1 Or More	$113.10	$290.00	—	at median	61%
Comprehensive eye exam, returning patient inpatient CPT 92014 Hc Oph Svcs Medical Exam And Eval Compre Est Pt 1 Or More	$113.10	$290.00	—	—	61%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hc Comprehensive Audio	$394.29	$1,011.00	—	at median	61%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Hc Comprehensive Audio	$394.29	$1,011.00	—	—	61%
Critical care, first 30 to 74 minutes CPT 99291 Hc Er Critical Care 30-74Min	$2,308.02	$5,918.00	—	26% above	61%
Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care Inhouse Trauma Act Small Team	$4,847.31	$12,429.00	—	165% above	61%
Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care Inhouse Trauma Act Full Team	$5,251.74	$13,466.00	—	187% above	61%
Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care Inhouse Trauma Act Partial Team	$5,251.74	$13,466.00	—	187% above	61%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Er Critical Care 30-74Min	$2,308.02	$5,918.00	—	—	61%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Critical Care Inhouse Trauma Act Small Team	$4,847.31	$12,429.00	—	—	61%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Critical Care Inhouse Trauma Act Partial Team	$5,251.74	$13,466.00	—	—	61%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Critical Care Inhouse Trauma Act Full Team	$5,251.74	$13,466.00	—	—	61%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Eeg Awake And Drowsy Recording	$861.12	$2,208.00	—	45% above	61%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hc Eeg Awake And Drowsy Recording	$861.12	$2,208.00	—	—	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Electrocardiogram 12Lead Tracing Only	$305.76	$784.00	—	61% above	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Electrocardiogram Tracing W/Wo Magnet	$305.76	$784.00	—	61% above	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Electrocardiogram 12Lead Tracing Only	$305.76	$784.00	—	—	61%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Electrocardiogram Tracing W/Wo Magnet	$305.76	$784.00	—	—	61%
Electroconvulsive therapy (ECT), one session CPT 90870 Hc Electroconvulsive Therapy	$4,517.37	$11,583.00	—	35% above	61%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Hc Electroconvulsive Therapy	$4,517.37	$11,583.00	—	—	61%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Er Service Level I	$224.25	$575.00	—	3% below	61%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Er Service Level I	$224.25	$575.00	—	—	61%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Er Service Level Ii	$341.25	$875.00	—	5% below	61%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Er Service Level Ii	$341.25	$875.00	—	—	61%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Er Service Level Iii	$643.50	$1,650.00	—	2% above	61%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Er Service Level Iii	$643.50	$1,650.00	—	—	61%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Er Service Level Iv	$875.16	$2,244.00	—	9% above	61%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Er Service Level Iv	$875.16	$2,244.00	—	—	61%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed Level 5 Critical Care Less Than 30 Minutes	$1,755.00	$4,500.00	—	59% above	61%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Er Lvl5 Inhouse Act Trauma Team Small Team	$3,113.76	$7,984.00	—	183% above	61%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Er Lvl5 Inhouse Act Trauma Team Partial Team	$3,685.50	$9,450.00	—	234% above	61%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Er Lvl5 Inhouse Act Trauma Team Full Team	$4,258.80	$10,920.00	—	286% above	61%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Ed Level 5 Critical Care Less Than 30 Minutes	$1,755.00	$4,500.00	—	—	61%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Er Lvl5 Inhouse Act Trauma Team Small Team	$3,113.76	$7,984.00	—	—	61%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Er Lvl5 Inhouse Act Trauma Team Partial Team	$3,685.50	$9,450.00	—	—	61%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Er Lvl5 Inhouse Act Trauma Team Full Team	$4,258.80	$10,920.00	—	—	61%
Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Cardiovascular Stress Test	$516.75	$1,325.00	—	38% below	61%
Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Nm Cv Stress Test	$1,275.30	$3,270.00	—	52% above	61%
Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Pet Cv Stress Test	$1,275.30	$3,270.00	—	52% above	61%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Cardiovascular Stress Test	$516.75	$1,325.00	—	—	61%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Pet Cv Stress Test	$1,275.30	$3,270.00	—	—	61%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Nm Cv Stress Test	$1,275.30	$3,270.00	—	—	61%
Eye exam, returning patient, intermediate CPT 92012 Hc Oph Svcs Medical Exam And Eval Intermediate Est Pt	$161.46	$414.00	—	at median	61%
Eye exam, returning patient, intermediate inpatient CPT 92012 Hc Oph Svcs Medical Exam And Eval Intermediate Est Pt	$161.46	$414.00	—	—	61%
Family therapy with the patient, 50 minutes CPT 90847 Hc Family Psychotherapy W/Patient Present 50 Mins	$204.75	$525.00	—	at median	61%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Family Psychotherapy W/Patient Present 50 Mins	$204.75	$525.00	—	—	61%
Family therapy without the patient, 50 minutes CPT 90846 Hc Family Psychotherapy W/O Patient Present 50 Mins	$184.86	$474.00	—	at median	61%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Family Psychotherapy W/O Patient Present 50 Mins	$184.86	$474.00	—	—	61%
Group psychotherapy session CPT 90853 Hc Group Therapy	$366.99	$941.00	—	5% above	61%
Group psychotherapy session inpatient CPT 90853 Hc Group Therapy	$366.99	$941.00	—	—	61%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Inf Hydrat Init 31Min-1Hr	$290.16	$744.00	—	at median	61%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Iv Inf Hydration	$427.05	$1,095.00	—	47% above	61%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Inf Hydrat Init 31Min-1Hr	$290.16	$744.00	—	—	61%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Iv Inf Hydration	$427.05	$1,095.00	—	—	61%
IV infusion of a medicine, first hour CPT 96365 Iv Inf Initial Up To 1Hr	$291.72	$748.00	—	at median	61%
IV infusion of a medicine, first hour CPT 96365 Iv Infusion For Ther/Proph/Dia	$291.72	$748.00	—	at median	61%
IV infusion of a medicine, first hour CPT 96365 Hc Iv Inf Tx/Dx 1St Hr	$427.05	$1,095.00	—	46% above	61%
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Inf Initial Up To 1Hr	$291.72	$748.00	—	—	61%
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion For Ther/Proph/Dia	$291.72	$748.00	—	—	61%
IV infusion of a medicine, first hour inpatient CPT 96365 Hc Iv Inf Tx/Dx 1St Hr	$427.05	$1,095.00	—	—	61%
IV push of a medicine, first drug CPT 96374 Injection, Iv Push, Initial	$266.21	$682.58	—	28% above	61%
IV push of a medicine, first drug CPT 96374 Hc Iv Inj Initial	$306.54	$786.00	—	47% above	61%
IV push of a medicine, first drug inpatient CPT 96374 Injection, Iv Push, Initial	$266.21	$682.58	—	—	61%
IV push of a medicine, first drug inpatient CPT 96374 Hc Iv Inj Initial	$306.54	$786.00	—	—	61%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Inj Im/Subq	$78.78	$202.00	—	21% below	61%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Subq Or Im	$121.29	$311.00	—	22% above	61%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Inj Im/Subq	$78.78	$202.00	—	—	61%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection Subq Or Im	$121.29	$311.00	—	—	61%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Psychiatric Diagnostic Evaluation	$536.25	$1,375.00	—	at median	61%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Re-Eval Psych Diag Without E/M	$536.25	$1,375.00	—	at median	61%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Re-Eval Psych Diag Without E/M	$536.25	$1,375.00	—	—	61%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Psychiatric Diagnostic Evaluation	$536.25	$1,375.00	—	—	61%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hc Nerve Conduction Studies 7-8 Studies	$3,510.78	$9,002.00	—	144% above	61%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Hc Nerve Conduction Studies 7-8 Studies	$3,510.78	$9,002.00	—	—	61%
Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuromuscular Reeducation Ea 15 Min Occupational Therapy	$88.14	$226.00	—	35% above	61%
Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuromuscular Reeducation Ea 15 Min Physical Therapy	$88.14	$226.00	—	35% above	61%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Neuromuscular Reeducation Ea 15 Min Occupational Therapy	$88.14	$226.00	—	—	61%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Neuromuscular Reeducation Ea 15 Min Physical Therapy	$88.14	$226.00	—	—	61%
New patient office visit, about 45 minutes CPT 99204 Cl Visit New Pt Level 4	$184.86	$474.00	—	7% below	61%
New patient office visit, about 45 minutes inpatient CPT 99204 Cl Visit New Pt Level 4	$184.86	$474.00	—	—	61%
New patient office visit, about 60 minutes CPT 99205 Cl Visit New Pt Level 5	$240.24	$616.00	—	at median	61%
New patient office visit, about 60 minutes inpatient CPT 99205 Cl Visit New Pt Level 5	$240.24	$616.00	—	—	61%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Medical Nutrition Assmt And Ivntj Indiv Ea 15 Min	$36.27	$93.00	—	at median	61%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Medical Nutrition Assmt And Ivntj Indiv Ea 15 Min	$36.27	$93.00	—	—	61%
Occupational therapy evaluation, low complexity CPT 97165 Hc Ot Eval Low Complex 30 Min	$149.37	$383.00	—	12% below	61%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Hc Ot Eval Low Complex 30 Min	$149.37	$383.00	—	—	61%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Pt Eval High Complex 45 Min	$146.25	$375.00	—	30% below	61%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hc Pt Eval High Complex 45 Min	$146.25	$375.00	—	—	61%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Pt Eval Low Complex 20 Min	$126.75	$325.00	—	28% below	61%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc Pt Eval Low Complex 20 Min	$126.75	$325.00	—	—	61%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Pt Eval Mod Complex 30 Min	$136.50	$350.00	—	23% below	61%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hc Pt Eval Mod Complex 30 Min	$136.50	$350.00	—	—	61%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Therapy Ea 15 Min Physical Therapy	$97.50	$250.00	—	at median	61%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Therapy Ea 15 Min Occupational Therapy	$97.50	$250.00	—	at median	61%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Manual Therapy Ea 15 Min Occupational Therapy	$97.50	$250.00	—	—	61%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Manual Therapy Ea 15 Min Physical Therapy	$97.50	$250.00	—	—	61%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercise Ea 15 Min Physical Therapy	$88.14	$226.00	—	16% above	61%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercise Ea 15 Min Occupational Therapy	$88.14	$226.00	—	16% above	61%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Therapeutic Exercise Ea 15 Min Occupational Therapy	$88.14	$226.00	—	—	61%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Therapeutic Exercise Ea 15 Min Physical Therapy	$88.14	$226.00	—	—	61%
Psychiatric evaluation with medical services CPT 90792 Hc Psychiatric Diagnostic Eval With Medical Services	$198.12	$508.00	—	at median	61%
Psychiatric evaluation with medical services inpatient CPT 90792 Hc Psychiatric Diagnostic Eval With Medical Services	$198.12	$508.00	—	—	61%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Hc Psychological Tst Eval Svc Phys/Qhp First Hour	$228.93	$587.00	—	at median	61%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Hc Psychological Tst Eval Svc Phys/Qhp First Hour	$228.93	$587.00	—	—	61%
Psychotherapy for crisis, first 60 minutes CPT 90839 Hc Therapy Crisis Intervention 60 Mins	$536.25	$1,375.00	—	at median	61%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Hc Therapy Crisis Intervention 60 Mins	$536.25	$1,375.00	—	—	61%
Psychotherapy session, 30 minutes CPT 90832 Hc Therapy Ind And Family 30 Mins	$308.10	$790.00	—	at median	61%
Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Therapy Ind And Family 30 Mins	$308.10	$790.00	—	—	61%
Psychotherapy session, 45 minutes CPT 90834 Hc Therapy Ind And Family 45 Mins	$389.22	$998.00	—	at median	61%
Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Therapy Ind And Family 45 Mins	$389.22	$998.00	—	—	61%
Psychotherapy session, 60 minutes CPT 90837 Hc Therapy Ind And Family 60 Mins	$759.33	$1,947.00	—	21% above	61%
Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Therapy Ind And Family 60 Mins	$759.33	$1,947.00	—	—	61%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Cessation Smoking/Tobacco Counsel 3-10 Min	$51.87	$133.00	—	48% above	61%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hc Cessation Smoking/Tobacco Counsel 3-10 Min	$51.87	$133.00	—	—	61%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Cl Visit Estab Level 5	$193.83	$497.00	—	8% below	61%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Cl Visit Estab Level 5	$193.83	$497.00	—	—	61%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Cl Visit Estab Level 4	$168.09	$431.00	—	3% below	61%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Cl Visit Estab Level 4	$168.09	$431.00	—	—	61%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Cl Visit Estab Pt Level 4	$127.53	$327.00	—	1% above	61%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Cl Visit Estab Pt Level 4	$127.53	$327.00	—	—	61%
Speech and language evaluation CPT 92523 Hc Eval Speech Sound Lang Compreh	$244.14	$626.00	—	at median	61%
Speech and language evaluation inpatient CPT 92523 Hc Eval Speech Sound Lang Compreh	$244.14	$626.00	—	—	61%
Speech therapy session, individual CPT 92507 Hc Treatment Of Speech	$172.77	$443.00	—	25% above	61%
Speech therapy session, individual inpatient CPT 92507 Hc Treatment Of Speech	$172.77	$443.00	—	—	61%
Spirometry (breathing test) CPT 94010 Hc Spirometry	$415.35	$1,065.00	—	69% above	61%
Spirometry (breathing test) inpatient CPT 94010 Hc Spirometry	$415.35	$1,065.00	—	—	61%
Spirometry before and after a bronchodilator CPT 94060 Hc Pft Disability Screening B And A	$731.64	$1,876.00	—	75% above	61%
Spirometry before and after a bronchodilator CPT 94060 Hc Spirometry-B And A Bronchodilator	$731.64	$1,876.00	—	75% above	61%
Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Spirometry-B And A Bronchodilator	$731.64	$1,876.00	—	—	61%
Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Pft Disability Screening B And A	$731.64	$1,876.00	—	—	61%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Hc Repet Tms Tx Initial W/Map/Motr Threshld/Del And M	$386.88	$992.00	—	at median	61%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 Hc Repet Tms Tx Initial W/Map/Motr Threshld/Del And M	$386.88	$992.00	—	—	61%
Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therapeutic Activities Ea 15 Min Physical Therapy	$78.39	$201.00	—	9% above	61%
Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therapeutic Activities Ea 15 Min Occupational Therapy	$78.39	$201.00	—	9% above	61%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Therapeutic Activities Ea 15 Min Physical Therapy	$78.39	$201.00	—	—	61%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Therapeutic Activities Ea 15 Min Occupational Therapy	$78.39	$201.00	—	—	61%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Phlebotomy Therapeutic	$100.23	$257.00	—	44% below	61%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hc Phlebotomy Therapeutic	$100.23	$257.00	—	—	61%
Visual field test, extended CPT 92083 Hc Visual Field Exam Extended	$78.00	$200.00	—	at median	61%
Visual field test, extended inpatient CPT 92083 Hc Visual Field Exam Extended	$78.00	$200.00	—	—	61%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Vfc Admin Any Route Initial Under 18 Yrs	$9.67	$24.80	—	80% below	61%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pneumococcal Vaccine Admin	$39.78	$102.00	—	18% below	61%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Influenza Vaccine Administrati	$39.78	$102.00	—	18% below	61%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin	$39.78	$102.00	—	18% below	61%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration In	$39.78	$102.00	—	18% below	61%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hepatitis B Vacc Admin	$39.78	$102.00	—	18% below	61%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pneumococcal Vaccine Administr	$39.78	$102.00	—	18% below	61%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Influenza Vaccine Admin	$39.78	$102.00	—	18% below	61%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Vaccine Admin - Initial Injection Sngl Or Combo	$62.79	$161.00	—	30% above	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Vfc Admin Any Route Initial Under 18 Yrs	$9.67	$24.80	—	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Influenza Vaccine Admin	$39.78	$102.00	—	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pneumococcal Vaccine Admin	$39.78	$102.00	—	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin	$39.78	$102.00	—	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hepatitis B Vacc Admin	$39.78	$102.00	—	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Influenza Vaccine Administrati	$39.78	$102.00	—	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pneumococcal Vaccine Administr	$39.78	$102.00	—	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Administration In	$39.78	$102.00	—	—	61%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Vaccine Admin - Initial Injection Sngl Or Combo	$62.79	$161.00	—	—	61%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Vfc Admin Any Route Ea Addl Under 18 Yrs	$9.67	$24.80	—	75% below	61%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Each Addtl	$20.28	$52.00	—	48% below	61%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Ea Addtl	$20.28	$52.00	—	48% below	61%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Vaccine Admin - Ea Addl Injection Sngl Or Combo	$62.79	$161.00	—	61% above	61%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Vfc Admin Any Route Ea Addl Under 18 Yrs	$9.67	$24.80	—	—	61%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin Ea Addtl	$20.28	$52.00	—	—	61%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin Each Addtl	$20.28	$52.00	—	—	61%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Vaccine Admin - Ea Addl Injection Sngl Or Combo	$62.79	$161.00	—	—	61%

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

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

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

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

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

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

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

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

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

Source file: https://www.wellstar.org/-/media/project/wellstar/org/documents/hospital-pricing-transparency-2026/58-2032904_wellstar-kennestone-hospital_standardcharges-(1).csv?rev=106eeaf547944237b3eb42d1f16d9af8&hash=26CDA499942A365F6BF50E43E9F408E7