Baptist Memorial Hospital-Golden Triangle
Baptist Memorial Hospital-Golden Triangle in Columbus, MS publishes cash prices for 369 common procedures listed here, from its own machine-readable price file updated Feb 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Mississippi median for 225 of 363 procedures and above it for 134. By typical cash price it ranks #14 of 59 Mississippi hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
2520 5th St N, Columbus, MS 39705 Collected Sep 23, 2026 Source price file Check a bill from this hospital (662) 244-1000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 250100 · CMS hospital register NPI 1609830173
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Baptist Memorial Hospital-Golden Triangle is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Baptist Memorial Hospital-Golden Triangle in Columbus, MS:
- Apr 18, 2025 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W WO CONTRAST | $1,217.75 | $4,871.00 | $156.32–$4,383.90 | 5% above | 75% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W WO CONTRAST | $1,217.75 | $4,871.00 | $1,850.98–$4,383.90 | — | 75% |
| Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VWS | $88.75 | $355.00 | $93.38–$380.00 | 45% below | 75% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VWS | $88.75 | $355.00 | $134.90–$319.50 | — | 75% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE MIN 3 VWS | $60.75 | $243.00 | $77.32–$380.00 | 51% below | 75% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE MIN 3 VWS | $60.75 | $243.00 | $92.34–$218.70 | — | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC WD LIMITED BILAT LE ARTERIAL STUDY | $84.25 | $337.00 | $113.18–$369.00 | — | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC US ARTERIAL EXTREMITY 1-2 LEVELS BILATERAL | $290.25 | $1,161.00 | $113.18–$1,044.90 | — | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC WD LIMITED BILAT LE ARTERIAL STUDY | $84.25 | $337.00 | $128.06–$303.30 | — | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC US ARTERIAL EXTREMITY 1-2 LEVELS BILATERAL | $290.25 | $1,161.00 | $441.18–$1,044.90 | — | 75% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST | $753.50 | $3,014.00 | $93.38–$2,712.60 | 3% below | 75% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST | $753.50 | $3,014.00 | $1,145.32–$2,712.60 | — | 75% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGRAM | $150.00 | $600.00 | $156.32–$540.00 | 33% below | 75% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGRAM | $150.00 | $600.00 | $228.00–$540.00 | — | 75% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE SCAN WHOLE BODY | $466.50 | $1,866.00 | $352.85–$1,679.40 | 28% below | 75% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE SCAN WHOLE BODY | $466.50 | $1,866.00 | $709.08–$1,679.40 | — | 75% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC BREAST US INCL AXILA UNILAT COMPLETE | $135.00 | $540.00 | $93.38–$486.00 | 28% below | 75% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC BREAST US INCL AXILA UNILAT COMPLETE | $135.00 | $540.00 | $205.20–$486.00 | — | 75% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC BREAST US INCLUDE AXILLA UNILAT LMTD | $114.50 | $458.00 | $77.32–$412.20 | 26% below | 75% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC BREAST US INCLUDE AXILLA UNILAT LMTD | $114.50 | $458.00 | $174.04–$412.20 | — | 75% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT CTA ABDOMEN/PELVIS W WO CONTRAST | $2,040.50 | $8,162.00 | $313.59–$7,345.80 | 20% above | 75% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT CTA ABDOMEN/PELVIS W WO CONTRAST | $2,040.50 | $8,162.00 | $3,101.56–$7,345.80 | — | 75% |
| CT angiography (CTA) of the head CPT 70496 HC CT CTA HEAD W WO CONTRAST | $999.50 | $3,998.00 | $156.32–$3,598.20 | 9% below | 75% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT CTA HEAD W WO CONTRAST | $999.50 | $3,998.00 | $1,519.24–$3,598.20 | — | 75% |
| CT angiography (CTA) of the neck CPT 70498 HC CT CTA NECK W WO CONTRAST | $999.50 | $3,998.00 | $156.32–$3,598.20 | 7% below | 75% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT CTA NECK W WO CONTRAST | $999.50 | $3,998.00 | $1,519.24–$3,598.20 | — | 75% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT CTA CHEST W CONTRST(& WOCONTRST IF INCLUDED)NONCORNARY | $1,303.75 | $5,215.00 | $156.32–$4,693.50 | 13% above | 75% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT CTA CHEST W CONTRST(& WOCONTRST IF INCLUDED)NONCORNARY | $1,303.75 | $5,215.00 | $1,981.70–$4,693.50 | — | 75% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT CTA HEART W/3D IMAGE W CONTRAST | $999.50 | $3,998.00 | $313.59–$3,598.20 | 4% below | 75% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT CTA HEART W/3D IMAGE W CONTRAST | $999.50 | $3,998.00 | $1,519.24–$3,598.20 | — | 75% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING | $67.25 | $269.00 | $77.32–$1,135.00 | 19% below | 75% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CARDIAC SCORING | $67.25 | $269.00 | $102.22–$242.10 | — | 75% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD AND PELVIS WO CONTRAST | $1,438.75 | $5,755.00 | $212.26–$5,179.50 | 7% above | 75% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD AND PELVIS WO CONTRAST | $1,438.75 | $5,755.00 | $2,186.90–$5,179.50 | — | 75% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD AND PELVIS W CONTRAST | $1,541.25 | $6,165.00 | $313.59–$5,548.50 | 5% below | 75% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD AND PELVIS W CONTRAST | $1,541.25 | $6,165.00 | $2,342.70–$5,548.50 | — | 75% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD AND PELVIS W WO CONTRAST | $1,633.75 | $6,535.00 | $313.59–$5,881.50 | 8% below | 75% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD AND PELVIS W WO CONTRAST | $1,633.75 | $6,535.00 | $2,483.30–$5,881.50 | — | 75% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST | $1,117.25 | $4,469.00 | $156.32–$4,022.10 | 15% above | 75% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST | $1,117.25 | $4,469.00 | $1,698.22–$4,022.10 | — | 75% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST | $846.50 | $3,386.00 | $93.38–$3,047.40 | 4% above | 75% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST | $846.50 | $3,386.00 | $1,286.68–$3,047.40 | — | 75% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLA AX OR COR WO CONTRAST | $565.00 | $2,260.00 | $93.38–$2,034.00 | 14% below | 75% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SINUS AX OR COR WO CONTRAST | $582.50 | $2,330.00 | $93.38–$2,097.00 | 12% below | 75% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL AX+COR WO CONTRAST | $921.00 | $3,684.00 | $93.38–$3,315.60 | 40% above | 75% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLA AX OR COR WO CONTRAST | $565.00 | $2,260.00 | $858.80–$2,034.00 | — | 75% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SINUS AX OR COR WO CONTRAST | $582.50 | $2,330.00 | $885.40–$2,097.00 | — | 75% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL AX+COR WO CONTRAST | $921.00 | $3,684.00 | $1,399.92–$3,315.60 | — | 75% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $758.00 | $3,032.00 | $93.38–$2,728.80 | at median | 75% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST | $758.00 | $3,032.00 | $1,152.16–$2,728.80 | — | 75% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST | $794.50 | $3,178.00 | $156.32–$2,860.20 | 15% below | 75% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CONTRAST | $794.50 | $3,178.00 | $1,207.64–$2,860.20 | — | 75% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD W WO CONTRAST | $1,009.50 | $4,038.00 | $156.32–$3,634.20 | 5% below | 75% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W WO CONTRAST | $1,009.50 | $4,038.00 | $1,534.44–$3,634.20 | — | 75% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SPINE LUMBAR WO CONTRAST | $840.75 | $3,363.00 | $93.38–$3,026.70 | 6% below | 75% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SPINE LUMBAR WO CONTRAST | $840.75 | $3,363.00 | $1,277.94–$3,026.70 | — | 75% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SPINE CERVICAL WO CONTRAST | $978.75 | $3,915.00 | $93.38–$3,523.50 | 12% above | 75% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SPINE CERVICAL WO CONTRAST | $978.75 | $3,915.00 | $1,487.70–$3,523.50 | — | 75% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,043.50 | $4,174.00 | $156.32–$3,756.60 | 7% above | 75% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,043.50 | $4,174.00 | $1,586.12–$3,756.60 | — | 75% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC US CAROTID ARTERY DOPPLER BILATERAL | $412.50 | $1,650.00 | $212.26–$1,485.00 | — | 75% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC US CAROTID ARTERY DOPPLER BILATERAL | $412.50 | $1,650.00 | $627.00–$1,485.00 | — | 75% |
| Chest CT scan without and with contrast CPT 71270 HC CT CHEST W WO CONTRAST | $1,194.75 | $4,779.00 | $156.32–$4,301.10 | 2% above | 75% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST W WO CONTRAST | $1,194.75 | $4,779.00 | $1,816.02–$4,301.10 | — | 75% |
| Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VWS | $103.25 | $413.00 | $77.32–$380.00 | 26% below | 75% |
| Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VWS | $103.25 | $413.00 | $156.94–$371.70 | — | 75% |
| Chest X-ray, single view CPT 71045 HC XR CHEST AP SINGLE VW | $80.25 | $321.00 | $77.32–$380.00 | 24% below | 75% |
| Chest X-ray, single view inpatient CPT 71045 HC XR CHEST AP SINGLE VW | $80.25 | $321.00 | $121.98–$288.90 | — | 75% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE | $54.50 | $218.00 | $77.32–$380.00 | 50% below | 75% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE | $54.50 | $218.00 | $82.84–$196.20 | — | 75% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL ORG | $224.00 | $896.00 | $93.38–$806.40 | 35% below | 75% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL ORG | $224.00 | $896.00 | $340.48–$806.40 | — | 75% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA SCAN AXIAL | $225.00 | $900.00 | $93.38–$810.00 | 5% below | 75% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA SCAN AXIAL | $225.00 | $900.00 | $342.00–$810.00 | — | 75% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA RADIUS WRIST HEEL | $121.00 | $484.00 | $77.32–$435.60 | 9% above | 75% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA RADIUS WRIST HEEL | $121.00 | $484.00 | $183.92–$435.60 | — | 75% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US EVALUATION SINGLE GESTATION | $509.00 | $2,036.00 | $165.00–$1,832.40 | 19% above | 75% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US EVALUATION SINGLE GESTATION | $509.00 | $2,036.00 | $773.68–$1,832.40 | — | 75% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST WO CONTRAST | $840.75 | $3,363.00 | $93.38–$3,026.70 | 2% above | 75% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST WO CONTRAST | $840.75 | $3,363.00 | $1,277.94–$3,026.70 | — | 75% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST | $1,110.00 | $4,440.00 | $156.32–$3,996.00 | 10% above | 75% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST | $1,110.00 | $4,440.00 | $1,687.20–$3,996.00 | — | 75% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCLUDING CAD BILATERAL | $189.50 | $758.00 | $94.00–$682.20 | — | 75% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCLUDING CAD BILATERAL | $189.50 | $758.00 | $288.04–$682.20 | — | 75% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIGITAL BREAST LIMITED | $54.50 | $218.00 | $49.44–$196.20 | 57% below | 75% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCLUDING CAD UNILATERAL | $151.50 | $606.00 | $87.51–$545.40 | 18% above | 75% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIGITAL BREAST LIMITED | $54.50 | $218.00 | $82.84–$196.20 | — | 75% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCLUDING CAD UNILATERAL | $151.50 | $606.00 | $230.28–$545.40 | — | 75% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC US DUPLEX SCAN LOWER EXTREMITY ARTERIES BILATERAL | $268.25 | $1,073.00 | $212.26–$975.60 | — | 75% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC US DUPLEX SCAN LOWER EXTREMITY ARTERIES BILATERAL | $268.25 | $1,073.00 | $407.74–$965.70 | — | 75% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US SAPHENUS VEIN BI/MAP | $311.75 | $1,247.00 | $212.26–$1,122.30 | — | 75% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US VENOUS DOPPLER EXTREMITY BILATERAL | $361.50 | $1,446.00 | $212.26–$1,301.40 | — | 75% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC US DUPLEX BIL EXTREMITIES W/ADD'L SAPHENOUS VEIN STUDIES | $723.25 | $2,893.00 | $212.26–$2,603.70 | 65% above | 75% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US SAPHENUS VEIN BI/MAP | $311.75 | $1,247.00 | $473.86–$1,122.30 | — | 75% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US VENOUS DOPPLER EXTREMITY BILATERAL | $361.50 | $1,446.00 | $549.48–$1,301.40 | — | 75% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC US DUPLEX BIL EXTREMITIES W/ADD'L SAPHENOUS VEIN STUDIES | $723.25 | $2,893.00 | $1,099.34–$2,603.70 | — | 75% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO 2D TRANSTHORACIC W DOPPLER COMPLETE | $831.00 | $3,324.00 | $443.00–$2,991.60 | 13% below | 75% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO 2D TRANSTHORACIC W DOPPLER COMPLETE | $831.00 | $3,324.00 | $1,263.12–$2,991.60 | — | 75% |
| Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 1 VIEW | $47.75 | $191.00 | $72.58–$380.00 | 59% below | 75% |
| Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VWS | $54.50 | $218.00 | $77.32–$380.00 | 54% below | 75% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 1 VIEW | $47.75 | $191.00 | $72.58–$171.90 | — | 75% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VWS | $54.50 | $218.00 | $82.84–$196.20 | — | 75% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW 3 VWS | $60.75 | $243.00 | $77.32–$380.00 | 45% below | 75% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW 3 VWS | $60.75 | $243.00 | $92.34–$218.70 | — | 75% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITS AXL OR CORL WO CONTRAST | $442.50 | $1,770.00 | $93.38–$1,593.00 | 37% below | 75% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT TEMP BN AX OR COR WO CONTRAST | $497.75 | $1,991.00 | $93.38–$1,791.90 | 29% below | 75% |
| Eye socket (orbit) CT scan without contrast CPT 70480 DEACTIVATED SEE 3510000004 OR 3510000007 | $658.00 | $2,632.00 | $93.38–$2,368.80 | 6% below | 75% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT TEMP,ORBIT,SELLA,IAC AX & COR W/O CNTRST A | $827.00 | $3,308.00 | $93.38–$2,977.20 | 18% above | 75% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBITS AXL OR CORL WO CONTRAST | $442.50 | $1,770.00 | $672.60–$1,593.00 | — | 75% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT TEMP BN AX OR COR WO CONTRAST | $497.75 | $1,991.00 | $756.58–$1,791.90 | — | 75% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 DEACTIVATED SEE 3510000004 OR 3510000007 | $658.00 | $2,632.00 | $1,000.16–$2,368.80 | — | 75% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT TEMP,ORBIT,SELLA,IAC AX & COR W/O CNTRST A | $827.00 | $3,308.00 | $1,257.04–$2,977.20 | — | 75% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES MIN 3 VWS | $60.75 | $243.00 | $92.34–$380.00 | 60% below | 75% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES MIN 3 VWS | $60.75 | $243.00 | $92.34–$218.70 | — | 75% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 1 VIEW | $47.75 | $191.00 | $72.58–$380.00 | 58% below | 75% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VWS | $60.75 | $243.00 | $77.32–$380.00 | 47% below | 75% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 1 VIEW | $47.75 | $191.00 | $72.58–$171.90 | — | 75% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VWS | $60.75 | $243.00 | $92.34–$218.70 | — | 75% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY INCLUDES GALLBLADDER IF PRESENT | $569.75 | $2,279.00 | $352.85–$2,051.10 | 5% below | 75% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY INCLUDES GALLBLADDER IF PRESENT | $569.75 | $2,279.00 | $866.02–$2,051.10 | — | 75% |
| Hand X-ray, 2 views CPT 73120 HC XR HAND 1 VIEW | $50.00 | $200.00 | $76.00–$380.00 | 55% below | 75% |
| Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VWS | $54.50 | $218.00 | $82.84–$380.00 | 51% below | 75% |
| Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 1 VIEW | $50.00 | $200.00 | $76.00–$180.00 | — | 75% |
| Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VWS | $54.50 | $218.00 | $82.84–$196.20 | — | 75% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR HEEL/CALCANEUS MIN 2 VWS | $54.50 | $218.00 | $77.32–$380.00 | 52% below | 75% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR HEEL/CALCANEUS MIN 2 VWS | $54.50 | $218.00 | $82.84–$196.20 | — | 75% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTEND W RESP EFFORT | $121.50 | $486.00 | $137.39–$1,135.00 | 60% below | 75% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTEND W RESP EFFORT | $121.50 | $486.00 | $184.68–$437.40 | — | 75% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY W CPAP 6YR OR > | $1,572.50 | $6,290.00 | $258.00–$5,661.00 | 5% above | 75% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY W CPAP 6YR OR > | $1,572.50 | $6,290.00 | $2,390.20–$5,661.00 | — | 75% |
| Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VWS | $89.25 | $357.00 | $77.32–$380.00 | 33% below | 75% |
| Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VWS | $89.25 | $357.00 | $135.66–$321.30 | — | 75% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE 4+ VWS | $80.50 | $322.00 | $93.38–$380.00 | 44% below | 75% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE 4+ VWS | $80.50 | $322.00 | $122.36–$289.80 | — | 75% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST | $772.75 | $3,091.00 | $93.38–$2,781.90 | 1% above | 75% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST | $772.75 | $3,091.00 | $1,174.58–$2,781.90 | — | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US SOFT TISSUE ABDOMINAL WALL | $246.00 | $984.00 | $93.38–$885.60 | 8% below | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US SOFT TISSUE LOWER BACK | $271.75 | $1,087.00 | $93.38–$978.30 | 1% above | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL SCAN LIMITED | $271.75 | $1,087.00 | $93.38–$978.30 | 1% above | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US SOFT TISSUE ABDOMINAL WALL | $246.00 | $984.00 | $373.92–$885.60 | — | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US SOFT TISSUE LOWER BACK | $271.75 | $1,087.00 | $413.06–$978.30 | — | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMINAL SCAN LIMITED | $271.75 | $1,087.00 | $413.06–$978.30 | — | 75% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US SOFT TISSUE UPPER EXTREMITY | $105.75 | $423.00 | $93.38–$380.70 | 48% below | 75% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US SOFT TISSUE GROIN AREA | $134.00 | $536.00 | $93.38–$482.40 | 34% below | 75% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US SOFT TISSUE AXILLA AREA | $134.00 | $536.00 | $93.38–$482.40 | 34% below | 75% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LIMITED JOINT W IMAGE(OTHER SOFT TISSUE/SOFT TISSUE MASS | $152.50 | $610.00 | $93.38–$549.00 | 24% below | 75% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US SOFT TISSUE UPPER EXTREMITY | $105.75 | $423.00 | $160.74–$380.70 | — | 75% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US SOFT TISSUE AXILLA AREA | $134.00 | $536.00 | $203.68–$482.40 | — | 75% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US SOFT TISSUE GROIN AREA | $134.00 | $536.00 | $203.68–$482.40 | — | 75% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LIMITED JOINT W IMAGE(OTHER SOFT TISSUE/SOFT TISSUE MASS | $152.50 | $610.00 | $231.80–$549.00 | — | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LDCT LUNG CANCER SCREENING W/O CONTRAST | $55.50 | $222.00 | $84.36–$1,135.00 | 70% below | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LDCT LUNG CANCER SCREENING W/O CONTRAST | $55.50 | $222.00 | $84.36–$199.80 | — | 75% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LEG 2 VWS | $60.75 | $243.00 | $77.32–$380.00 | 52% below | 75% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LEG 2 VWS | $60.75 | $243.00 | $92.34–$218.70 | — | 75% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR MRA OR MRV HEAD WO CONTRAST | $930.25 | $3,721.00 | $212.26–$3,348.90 | 21% below | 75% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MR MRA OR MRV HEAD WO CONTRAST | $930.25 | $3,721.00 | $1,413.98–$3,348.90 | — | 75% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MR BREAST W & W/O CON W/CAD WHEN DONE BILAT | $1,268.25 | $5,073.00 | $245.39–$4,565.70 | — | 75% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MR BREAST W & W/O CON W/CAD WHEN DONE BILAT | $1,268.25 | $5,073.00 | $1,927.74–$4,565.70 | — | 75% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR LOWER EXTREM JOINT WO CONTRAST | $1,025.00 | $4,100.00 | $212.26–$3,690.00 | 13% below | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR LOWER EXTREM JOINT WO CONTRAST | $1,025.00 | $4,100.00 | $1,558.00–$3,690.00 | — | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR LOWER EXTREM JT W WO CONTRAST | $1,552.75 | $6,211.00 | $313.59–$5,589.90 | 5% below | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR LOWER EXTREM JT W WO CONTRAST | $1,552.75 | $6,211.00 | $2,360.18–$5,589.90 | — | 75% |
| MRI of the abdomen without contrast CPT 74181 HC MR ABDOMEN WO CONTRAST | $1,128.00 | $4,512.00 | $212.26–$4,060.80 | 18% below | 75% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MR ABDOMEN WO CONTRAST | $1,128.00 | $4,512.00 | $1,714.56–$4,060.80 | — | 75% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR ABDOMEN W WO CONTRAST | $1,465.50 | $5,862.00 | $313.59–$5,275.80 | 24% below | 75% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR ABDOMEN W WO CONTRAST | $1,465.50 | $5,862.00 | $2,227.56–$5,275.80 | — | 75% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN LTD WO CONTRAST | $293.50 | $1,174.00 | $212.26–$1,387.00 | 78% below | 75% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CONTRAST | $918.75 | $3,675.00 | $212.26–$3,307.50 | 32% below | 75% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN LTD WO CONTRAST | $293.50 | $1,174.00 | $446.12–$1,056.60 | — | 75% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WO CONTRAST | $918.75 | $3,675.00 | $1,396.50–$3,307.50 | — | 75% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN W WO CONTRAST | $1,701.50 | $6,806.00 | $313.59–$6,125.40 | 19% below | 75% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN W WO CONTRAST | $1,701.50 | $6,806.00 | $2,586.28–$6,125.40 | — | 75% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR LTD WO CONTRAST | $414.25 | $1,657.00 | $212.26–$1,491.30 | 68% below | 75% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR WO CONTRAST | $1,132.00 | $4,528.00 | $212.26–$4,075.20 | 13% below | 75% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SPINE LUMBAR LTD WO CONTRAST | $414.25 | $1,657.00 | $629.66–$1,491.30 | — | 75% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SPINE LUMBAR WO CONTRAST | $1,132.00 | $4,528.00 | $1,720.64–$4,075.20 | — | 75% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MR SPINE LUMBAR W WO CONTRAST | $1,701.50 | $6,806.00 | $313.59–$6,125.40 | 12% below | 75% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR SPINE LUMBAR W WO CONTRAST | $1,701.50 | $6,806.00 | $2,586.28–$6,125.40 | — | 75% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR SPINE THORACIC LTD WO CONTRAST | $414.25 | $1,657.00 | $212.26–$1,491.30 | 69% below | 75% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR SPINE THORACIC WO CONTRAST | $1,132.00 | $4,528.00 | $212.26–$4,075.20 | 16% below | 75% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR SPINE THORACIC LTD WO CONTRAST | $414.25 | $1,657.00 | $629.66–$1,491.30 | — | 75% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR SPINE THORACIC WO CONTRAST | $1,132.00 | $4,528.00 | $1,720.64–$4,075.20 | — | 75% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR SPINE CERVICAL W WO CONTRAST | $1,719.00 | $6,876.00 | $313.59–$6,188.40 | 8% below | 75% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR SPINE CERVICAL W WO CONTRAST | $1,719.00 | $6,876.00 | $2,612.88–$6,188.40 | — | 75% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR SPINE CERVICAL LTD WO CONTRAST | $435.25 | $1,741.00 | $212.26–$1,566.90 | 67% below | 75% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR SPINE CERVICAL WO CONTRAST | $1,132.00 | $4,528.00 | $212.26–$4,075.20 | 14% below | 75% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR SPINE CERVICAL LTD WO CONTRAST | $435.25 | $1,741.00 | $661.58–$1,566.90 | — | 75% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR SPINE CERVICAL WO CONTRAST | $1,132.00 | $4,528.00 | $1,720.64–$4,075.20 | — | 75% |
| MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS W WO CONTRAST | $1,363.25 | $5,453.00 | $313.59–$4,907.70 | 23% below | 75% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS W WO CONTRAST | $1,363.25 | $5,453.00 | $2,072.14–$4,907.70 | — | 75% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST LTD | $414.25 | $1,657.00 | $212.26–$1,491.30 | 65% below | 75% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS WO CONTRAST | $910.75 | $3,643.00 | $212.26–$3,278.70 | 23% below | 75% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST LTD | $414.25 | $1,657.00 | $629.66–$1,491.30 | — | 75% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS WO CONTRAST | $910.75 | $3,643.00 | $1,384.34–$3,278.70 | — | 75% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR UPPER EXTREM JT WO CONTRAST | $930.25 | $3,721.00 | $212.26–$3,348.90 | 22% below | 75% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR UPPER EXTREM JT WO CONTRAST | $930.25 | $3,721.00 | $1,413.98–$3,348.90 | — | 75% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERV 4/5 VWS | $148.50 | $594.00 | $93.38–$534.60 | 20% below | 75% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR SPINE CERV 4/5 VWS | $148.50 | $594.00 | $225.72–$534.60 | — | 75% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST | $917.25 | $3,669.00 | $156.32–$3,302.10 | 4% below | 75% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST | $917.25 | $3,669.00 | $1,394.22–$3,302.10 | — | 75% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST | $798.75 | $3,195.00 | $93.38–$2,875.50 | 2% above | 75% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST | $798.75 | $3,195.00 | $1,214.10–$2,875.50 | — | 75% |
| Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE | $54.50 | $218.00 | $77.32–$380.00 | 50% below | 75% |
| Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE | $54.50 | $218.00 | $82.84–$196.20 | — | 75% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM HEART IMAGE SPECT MULTIPLE | $2,549.00 | $10,196.00 | $903.00–$9,176.40 | 36% above | 75% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM HEART IMAGE SPECT MULTIPLE | $2,549.00 | $10,196.00 | $3,874.48–$9,176.40 | — | 75% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET PET/CT SKULL BASE TO MID THIGH | $3,090.25 | $12,361.00 | $1,280.77–$11,124.90 | 2% above | 75% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET PET/CT SKULL BASE TO MID THIGH | $3,090.25 | $12,361.00 | $4,697.18–$11,124.90 | — | 75% |
| Pelvic CT scan without contrast CPT 72192 HC CT SACRUM WO CONTRAST | $730.25 | $2,921.00 | $93.38–$2,628.90 | 10% below | 75% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST | $926.75 | $3,707.00 | $93.38–$3,336.30 | 14% above | 75% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT SACRUM WO CONTRAST | $730.25 | $2,921.00 | $1,109.98–$2,628.90 | — | 75% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST | $926.75 | $3,707.00 | $1,408.66–$3,336.30 | — | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS NON OB LIMITED | $159.50 | $638.00 | $93.38–$574.20 | 25% below | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US BLADDER SCAN LIMITED FOLLOW UP | $159.50 | $638.00 | $93.38–$574.20 | 25% below | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US SOFT TISSUE BUTTOCK REGION | $159.50 | $638.00 | $93.38–$574.20 | 25% below | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US SOFT TISSUE EXAM PENIS | $159.75 | $639.00 | $93.38–$575.10 | 25% below | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS NON OB LIMITED | $159.50 | $638.00 | $242.44–$574.20 | — | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US SOFT TISSUE BUTTOCK REGION | $159.50 | $638.00 | $242.44–$574.20 | — | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US BLADDER SCAN LIMITED FOLLOW UP | $159.50 | $638.00 | $242.44–$574.20 | — | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US SOFT TISSUE EXAM PENIS | $159.75 | $639.00 | $242.82–$575.10 | — | 75% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC SCAN NON OB | $261.25 | $1,045.00 | $93.38–$940.50 | 18% below | 75% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC SCAN NON OB | $261.25 | $1,045.00 | $397.10–$940.50 | — | 75% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB PREGNANT SINGLE >OR=14WK | $397.00 | $1,588.00 | $93.38–$1,429.20 | 14% above | 75% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB PREGNANT SINGLE >OR=14WK | $397.00 | $1,588.00 | $603.44–$1,429.20 | — | 75% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US 1ST TRIMESTER SINGLE GESTATION<14WK | $179.75 | $719.00 | $93.38–$647.10 | 40% below | 75% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US 1ST TRIMESTER SINGLE GESTATION<14WK | $179.75 | $719.00 | $273.22–$647.10 | — | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC LD ULTRASOUND | $123.50 | $494.00 | $93.38–$444.60 | 42% below | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS LIMITED | $163.50 | $654.00 | $93.38–$588.60 | 23% below | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC LD ULTRASOUND | $123.50 | $494.00 | $187.72–$444.60 | — | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANT UTERUS LIMITED | $163.50 | $654.00 | $248.52–$588.60 | — | 75% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC XR RIBS UNILAT 2 VWS | $78.75 | $315.00 | $77.32–$380.00 | 35% below | 75% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC XR RIBS UNILAT 2 VWS | $78.75 | $315.00 | $119.70–$283.50 | — | 75% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIBS 2VW CHEST 1 VW | $78.75 | $315.00 | $93.38–$380.00 | 52% below | 75% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIBS 2VW CHEST 1 VW | $78.75 | $315.00 | $119.70–$283.50 | — | 75% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BILATERAL 2 VW WITH CAD | $136.25 | $545.00 | $92.46–$490.50 | — | 75% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BILATERAL 2 VW WITH CAD | $136.25 | $545.00 | $207.10–$490.50 | — | 75% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER MIN 2 VWS | $80.50 | $322.00 | $77.32–$380.00 | 41% below | 75% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER MIN 2 VWS | $80.50 | $322.00 | $122.36–$289.80 | — | 75% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES MIN 3 VWS | $82.00 | $328.00 | $77.32–$380.00 | 42% below | 75% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES MIN 3 VWS | $82.00 | $328.00 | $124.64–$295.20 | — | 75% |
| Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL 1 V | $49.75 | $199.00 | $75.62–$380.00 | 64% below | 75% |
| Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL SERIES <4 VWS | $85.50 | $342.00 | $93.38–$380.00 | 38% below | 75% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL 1 V | $49.75 | $199.00 | $75.62–$179.10 | — | 75% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL SERIES <4 VWS | $85.50 | $342.00 | $129.96–$307.80 | — | 75% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY WO CPAP 6YR OR > | $1,363.00 | $5,452.00 | $258.00–$4,906.80 | 6% above | 75% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY WO CPAP 6YR OR > | $1,363.00 | $5,452.00 | $2,071.76–$4,906.80 | — | 75% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR SWALLOW STUDY W CINE | $143.00 | $572.00 | $156.32–$514.80 | 40% below | 75% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR SWALLOW STUDY W CINE | $143.00 | $572.00 | $217.36–$514.80 | — | 75% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC FEMUR MIN 2 VWS | $106.50 | $426.00 | $77.32–$383.40 | 13% below | 75% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC FEMUR MIN 2 VWS | $106.50 | $426.00 | $161.88–$383.40 | — | 75% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SPINE THORACIC WO CONTRAST | $1,040.75 | $4,163.00 | $93.38–$3,746.70 | 17% above | 75% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SPINE THORACIC WO CONTRAST | $1,040.75 | $4,163.00 | $1,581.94–$3,746.70 | — | 75% |
| Toe X-ray, 2 or more views CPT 73660 HC XR TOES MIN 2 VWS | $41.50 | $166.00 | $63.08–$380.00 | 63% below | 75% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOES MIN 2 VWS | $41.50 | $166.00 | $63.08–$149.40 | — | 75% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB | $157.75 | $631.00 | $93.38–$567.90 | 49% below | 75% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB | $157.75 | $631.00 | $239.78–$567.90 | — | 75% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL | $87.50 | $350.00 | $93.38–$315.00 | 68% below | 75% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL | $87.50 | $350.00 | $133.00–$315.00 | — | 75% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL SCAN | $356.25 | $1,425.00 | $93.38–$1,282.50 | 9% below | 75% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL SCAN | $356.25 | $1,425.00 | $541.50–$1,282.50 | — | 75% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US TESTICULAR SCAN | $163.00 | $652.00 | $93.38–$586.80 | 40% below | 75% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US TESTICULAR SCAN | $163.00 | $652.00 | $247.76–$586.80 | — | 75% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US THYROID/NECK/SOFT TISSUE HEAD | $220.25 | $881.00 | $93.38–$792.90 | 19% below | 75% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US THYROID/NECK/SOFT TISSUE HEAD | $220.25 | $881.00 | $334.78–$792.90 | — | 75% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR GI WO KUB | $246.50 | $986.00 | $156.32–$887.40 | 14% below | 75% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR GI WO KUB | $246.50 | $986.00 | $374.68–$887.40 | — | 75% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 1 VIEW | $60.75 | $243.00 | $77.32–$380.00 | 50% below | 75% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 2 VWS | $60.75 | $243.00 | $77.32–$380.00 | 50% below | 75% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 1 VIEW | $60.75 | $243.00 | $92.34–$218.70 | — | 75% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 2 VWS | $60.75 | $243.00 | $92.34–$218.70 | — | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US VENOUS DOPPLER EXTREMITY UNILATERAL/LIMITED | $248.75 | $995.00 | $93.38–$895.50 | 25% below | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US VENOUS DOPPLER EXTREMITY UNILATERAL/LIMITED | $248.75 | $995.00 | $378.10–$895.50 | — | 75% |
| Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VWS | $41.50 | $166.00 | $63.08–$380.00 | 65% below | 75% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2 VWS | $41.50 | $166.00 | $63.08–$149.40 | — | 75% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST MIN 3 VWS | $80.50 | $322.00 | $77.32–$380.00 | 35% below | 75% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST MIN 3 VWS | $80.50 | $322.00 | $122.36–$289.80 | — | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP W/PELVIS UNILAT 2-3 VWS | $128.50 | $514.00 | $77.32–$462.60 | 7% above | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP W/PELVIS UNILAT 2-3 VWS | $128.50 | $514.00 | $195.32–$462.60 | — | 75% |
| X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VW | $80.25 | $321.00 | $77.32–$380.00 | 38% below | 75% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VW | $80.25 | $321.00 | $121.98–$288.90 | — | 75% |
| X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 1 VW | $63.00 | $252.00 | $77.32–$380.00 | 46% below | 75% |
| X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VWS | $71.75 | $287.00 | $77.32–$380.00 | 38% below | 75% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 1 VW | $63.00 | $252.00 | $95.76–$226.80 | — | 75% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VWS | $71.75 | $287.00 | $109.06–$258.30 | — | 75% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS MIN 2 VWS | $54.50 | $218.00 | $77.32–$380.00 | 51% below | 75% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS MIN 2 VWS | $54.50 | $218.00 | $82.84–$196.20 | — | 75% |
| X-ray of the foot, 2 views CPT 73620 HC XR FOOT 1 VW | $46.75 | $187.00 | $71.06–$380.00 | 59% below | 75% |
| X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VWS | $54.50 | $218.00 | $77.32–$380.00 | 52% below | 75% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 1 VW | $46.75 | $187.00 | $71.06–$168.30 | — | 75% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VWS | $54.50 | $218.00 | $82.84–$196.20 | — | 75% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VWS | $63.75 | $255.00 | $77.32–$380.00 | 48% below | 75% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VWS | $63.75 | $255.00 | $96.90–$229.50 | — | 75% |
| X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3 VWS | $80.50 | $322.00 | $77.32–$380.00 | 35% below | 75% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3 VWS | $80.50 | $322.00 | $122.36–$289.80 | — | 75% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VWS | $60.75 | $243.00 | $77.32–$380.00 | 50% below | 75% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2 VWS | $60.75 | $243.00 | $92.34–$218.70 | — | 75% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBAR 2 OR 3 VW | $70.75 | $283.00 | $93.38–$380.00 | 50% below | 75% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBAR 2 OR 3 VW | $70.75 | $283.00 | $107.54–$254.70 | — | 75% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBAR MIN 4 VW | $123.50 | $494.00 | $93.38–$444.60 | 42% below | 75% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBAR MIN 4 VW | $123.50 | $494.00 | $187.72–$444.60 | — | 75% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2 VWS | $65.00 | $260.00 | $93.38–$380.00 | 49% below | 75% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2 VWS | $65.00 | $260.00 | $98.80–$234.00 | — | 75% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES MIN 3 VWS | $60.75 | $243.00 | $77.32–$380.00 | 56% below | 75% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES MIN 3 VWS | $60.75 | $243.00 | $92.34–$218.70 | — | 75% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERV 3 VWS OR LESS | $74.50 | $298.00 | $77.32–$380.00 | 45% below | 75% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERV 3 VWS OR LESS | $74.50 | $298.00 | $113.24–$268.20 | — | 75% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1 OR 2 VWS | $44.25 | $177.00 | $67.26–$380.00 | 68% below | 75% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1 OR 2 VWS | $44.25 | $177.00 | $67.26–$159.30 | — | 75% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM/COCYX MIN 2 VWS | $54.50 | $218.00 | $77.32–$380.00 | 60% below | 75% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM/COCYX MIN 2 VWS | $54.50 | $218.00 | $82.84–$196.20 | — | 75% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH LEVEL | $350.75 | $1,403.00 | $37.08–$1,262.70 | 150% above | 75% |
| ACTH blood test inpatient CPT 82024 ACTH LEVEL | $350.75 | $1,403.00 | $533.14–$1,262.70 | — | 75% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $51.00 | $204.00 | $5.09–$183.60 | 90% above | 75% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT | $51.00 | $204.00 | $77.52–$183.60 | — | 75% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $50.50 | $202.00 | $4.97–$181.80 | 87% above | 75% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST | $50.50 | $202.00 | $76.76–$181.80 | — | 75% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $156.00 | $624.00 | $45.72–$561.60 | 9% above | 75% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL | $156.00 | $624.00 | $237.12–$561.60 | — | 75% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $47.75 | $191.00 | $4.75–$171.90 | 59% above | 75% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $47.75 | $191.00 | $72.58–$171.90 | — | 75% |
| Aldosterone blood test CPT 82088 ALDOSTERONE SERUM | $381.00 | $1,524.00 | $39.12–$1,371.60 | 252% above | 75% |
| Aldosterone blood test CPT 82088 ALDOSTERONE URINE | $381.00 | $1,524.00 | $39.12–$1,371.60 | 252% above | 75% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE | $381.00 | $1,524.00 | $579.12–$1,371.60 | — | 75% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM | $381.00 | $1,524.00 | $579.12–$1,371.60 | — | 75% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $50.50 | $202.00 | $4.97–$181.80 | 69% above | 75% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $50.50 | $202.00 | $76.76–$181.80 | — | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE EACH | $6.25 | $25.00 | $5.01–$22.50 | 51% below | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE EACH | $6.25 | $25.00 | $9.50–$22.50 | — | 75% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER | $9.25 | $37.00 | $14.06–$46.96 | 82% below | 75% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN PARACENTESIS | $36.25 | $145.00 | $16.10–$130.50 | 28% below | 75% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SERUM | $95.75 | $383.00 | $16.10–$344.70 | 90% above | 75% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER | $9.25 | $37.00 | $14.06–$33.30 | — | 75% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN PARACENTESIS | $36.25 | $145.00 | $55.10–$130.50 | — | 75% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN SERUM | $95.75 | $383.00 | $145.54–$344.70 | — | 75% |
| Ammonia blood test CPT 82140 AMMONIA URINE 24 HR | $108.25 | $433.00 | $13.99–$389.70 | 49% above | 75% |
| Ammonia blood test CPT 82140 AMMONIA LEVEL | $108.25 | $433.00 | $13.99–$389.70 | 49% above | 75% |
| Ammonia blood test inpatient CPT 82140 AMMONIA LEVEL | $108.25 | $433.00 | $164.54–$389.70 | — | 75% |
| Ammonia blood test inpatient CPT 82140 AMMONIA URINE 24 HR | $108.25 | $433.00 | $164.54–$389.70 | — | 75% |
| Amylase blood test CPT 82150 AMYLASE LEVEL FLUID | $38.25 | $153.00 | $6.22–$137.70 | 4% below | 75% |
| Amylase blood test CPT 82150 AMYLASE LEVEL URINE RANDOM | $52.00 | $208.00 | $6.22–$187.20 | 30% above | 75% |
| Amylase blood test CPT 82150 AMYLASE LEVEL | $62.50 | $250.00 | $6.22–$225.00 | 56% above | 75% |
| Amylase blood test CPT 82150 AMYLASE URINE 24 HR | $62.50 | $250.00 | $6.22–$225.00 | 56% above | 75% |
| Amylase blood test inpatient CPT 82150 AMYLASE LEVEL FLUID | $38.25 | $153.00 | $58.14–$137.70 | — | 75% |
| Amylase blood test inpatient CPT 82150 AMYLASE LEVEL URINE RANDOM | $52.00 | $208.00 | $79.04–$187.20 | — | 75% |
| Amylase blood test inpatient CPT 82150 AMYLASE URINE 24 HR | $62.50 | $250.00 | $95.00–$225.00 | — | 75% |
| Amylase blood test inpatient CPT 82150 AMYLASE LEVEL | $62.50 | $250.00 | $95.00–$225.00 | — | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPT IGG | $63.00 | $252.00 | $12.43–$226.80 | 37% above | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPT IGG | $63.00 | $252.00 | $95.76–$226.80 | — | 75% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODY | $85.00 | $340.00 | $11.61–$306.00 | 41% above | 75% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR ANTIBODY | $85.00 | $340.00 | $129.20–$306.00 | — | 75% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE | $171.00 | $684.00 | $37.69–$615.60 | 60% above | 75% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP | $171.00 | $684.00 | $37.69–$615.60 | 60% above | 75% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP | $171.00 | $684.00 | $259.92–$615.60 | — | 75% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIURETIC PEPTIDE | $171.00 | $684.00 | $259.92–$615.60 | — | 75% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC SOURCE OTHER THAN BLOOD/URINE/STOOL | $149.00 | $596.00 | $8.28–$536.40 | 183% above | 75% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC SOURCE OTHER THAN BLOOD/URINE/STOOL | $149.00 | $596.00 | $226.48–$536.40 | — | 75% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $166.25 | $665.00 | $8.12–$598.50 | 203% above | 75% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $166.25 | $665.00 | $252.70–$598.50 | — | 75% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $50.00 | $200.00 | $4.82–$180.00 | 112% above | 75% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN FLUID | $50.50 | $202.00 | $4.82–$181.80 | 114% above | 75% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $50.00 | $200.00 | $76.00–$180.00 | — | 75% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN FLUID | $50.50 | $202.00 | $76.76–$181.80 | — | 75% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305-SP LEVEL IV GROSS MICRO | $41.25 | $165.00 | $32.75–$148.50 | 49% below | 75% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305-SP LEVEL IV GROSS MICRO | $41.25 | $165.00 | $62.70–$148.50 | — | 75% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $97.50 | $390.00 | $9.91–$351.00 | 8% above | 75% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $97.50 | $390.00 | $148.20–$351.00 | — | 75% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $9.50 | $38.00 | $3.00–$34.20 | 19% above | 75% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $9.50 | $38.00 | $14.44–$34.20 | — | 75% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE BLOOD | $38.25 | $153.00 | $3.77–$137.70 | 41% above | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANTITATIVE BLOOD | $38.25 | $153.00 | $58.14–$137.70 | — | 75% |
| Blood lead test CPT 83655 LEAD URINE | $29.50 | $118.00 | $11.63–$106.20 | 29% below | 75% |
| Blood lead test CPT 83655 LEAD BLOOD | $115.75 | $463.00 | $11.63–$416.70 | 180% above | 75% |
| Blood lead test inpatient CPT 83655 LEAD URINE | $29.50 | $118.00 | $44.84–$106.20 | — | 75% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD | $115.75 | $463.00 | $175.94–$416.70 | — | 75% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG SERUM QUAL | $71.75 | $287.00 | $7.22–$258.30 | 55% above | 75% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 BETA HCG SERUM QUAL | $71.75 | $287.00 | $109.06–$258.30 | — | 75% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP ONLY | $39.25 | $157.00 | $4.10–$330.12 | 27% below | 75% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP ONLY | $39.25 | $157.00 | $59.66–$141.30 | — | 75% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD | $38.25 | $153.00 | $3.79–$137.70 | 24% above | 75% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BLOOD | $38.25 | $153.00 | $58.14–$137.70 | — | 75% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $181.50 | $726.00 | $19.98–$653.40 | 139% above | 75% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $181.50 | $726.00 | $275.88–$653.40 | — | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN - SF | $9.25 | $37.00 | $4.97–$33.30 | 70% below | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $40.50 | $162.00 | $4.97–$145.80 | 29% above | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN - SF | $9.25 | $37.00 | $14.06–$33.30 | — | 75% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN | $40.50 | $162.00 | $61.56–$145.80 | — | 75% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN B PCR | $32.75 | $131.00 | $35.78–$117.90 | 41% below | 75% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE/EPI AMP PROBE | $39.50 | $158.00 | $35.78–$142.20 | 29% below | 75% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE TOXIN B PCR | $32.75 | $131.00 | $49.78–$117.90 | — | 75% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE/EPI AMP PROBE | $39.50 | $158.00 | $60.04–$142.20 | — | 75% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $137.50 | $550.00 | $19.98–$495.00 | 91% above | 75% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $137.50 | $550.00 | $209.00–$495.00 | — | 75% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $137.50 | $550.00 | $19.98–$495.00 | 72% above | 75% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $137.50 | $550.00 | $209.00–$495.00 | — | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2-COVID-19 AMP PRB | $46.50 | $186.00 | $49.26–$167.40 | 5% above | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2-COVID-19 AMP PRB | $46.50 | $186.00 | $70.68–$167.40 | — | 75% |
| Calcium blood test, total CPT 82310 CALCIUM LEVEL | $50.50 | $202.00 | $4.95–$181.80 | 80% above | 75% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM LEVEL | $50.50 | $202.00 | $76.76–$181.80 | — | 75% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $180.00 | $720.00 | $18.20–$648.00 | 85% above | 75% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN | $180.00 | $720.00 | $273.60–$648.00 | — | 75% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM AB | $121.50 | $486.00 | $12.36–$437.40 | 130% above | 75% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG AB | $121.50 | $486.00 | $12.36–$437.40 | 130% above | 75% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG AB | $121.50 | $486.00 | $184.68–$437.40 | — | 75% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM AB | $121.50 | $486.00 | $184.68–$437.40 | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMP PROBE XPERT | $39.50 | $158.00 | $33.69–$142.20 | 41% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMP PROBE GCCTA | $47.75 | $191.00 | $33.69–$171.90 | 29% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH AMP PROBE | $58.75 | $235.00 | $33.69–$211.50 | 13% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMP PROBE XPERT | $39.50 | $158.00 | $60.04–$142.20 | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMP PROBE GCCTA | $47.75 | $191.00 | $72.58–$171.90 | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH AMP PROBE | $58.75 | $235.00 | $89.30–$211.50 | — | 75% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $97.50 | $390.00 | $12.85–$351.00 | 82% above | 75% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $97.50 | $390.00 | $148.20–$351.00 | — | 75% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF | $42.75 | $171.00 | $7.46–$153.90 | 10% above | 75% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF | $42.75 | $171.00 | $64.98–$153.90 | — | 75% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFF | $36.75 | $147.00 | $6.21–$132.30 | 5% above | 75% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFF | $36.75 | $147.00 | $55.86–$132.30 | — | 75% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $173.00 | $692.00 | $10.14–$622.80 | 110% above | 75% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $173.00 | $692.00 | $262.96–$622.80 | — | 75% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL SALIVA | $62.00 | $248.00 | $15.65–$223.20 | 19% above | 75% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $62.50 | $250.00 | $15.65–$225.00 | 20% above | 75% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL SALIVA | $62.00 | $248.00 | $94.24–$223.20 | — | 75% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL | $62.50 | $250.00 | $95.00–$225.00 | — | 75% |
| Creatine kinase (CK) blood test, total CPT 82550 CK | $63.00 | $252.00 | $6.25–$226.80 | 56% above | 75% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK | $63.00 | $252.00 | $95.76–$226.80 | — | 75% |
| Creatinine blood test CPT 82565 POC CREATININE | $50.50 | $202.00 | $4.92–$181.80 | 70% above | 75% |
| Creatinine blood test CPT 82565 CREATININE | $50.50 | $202.00 | $4.92–$181.80 | 70% above | 75% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $50.50 | $202.00 | $76.76–$181.80 | — | 75% |
| Creatinine blood test inpatient CPT 82565 POC CREATININE | $50.50 | $202.00 | $76.76–$181.80 | — | 75% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AB | $133.50 | $534.00 | $13.81–$480.60 | 197% above | 75% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG AB | $133.50 | $534.00 | $202.92–$480.60 | — | 75% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANT | $62.50 | $250.00 | $9.77–$225.00 | at median | 75% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANT | $62.50 | $250.00 | $95.00–$225.00 | — | 75% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS SERUM | $211.50 | $846.00 | $21.34–$761.40 | 147% above | 75% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS SERUM | $211.50 | $846.00 | $321.48–$761.40 | — | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $74.00 | $296.00 | $59.65–$266.40 | 43% above | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $74.00 | $296.00 | $112.48–$266.40 | — | 75% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $121.00 | $484.00 | $6.73–$435.60 | 95% above | 75% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES | $121.00 | $484.00 | $183.92–$435.60 | — | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA AB IGM | $43.75 | $175.00 | $17.41–$157.50 | 22% below | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA AB IGG | $43.75 | $175.00 | $17.41–$157.50 | 22% below | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA AB IGM | $43.75 | $175.00 | $66.50–$157.50 | — | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA AB IGG | $43.75 | $175.00 | $66.50–$157.50 | — | 75% |
| Estradiol blood test CPT 82670 ESTRADIOL LEVEL | $261.75 | $1,047.00 | $26.82–$942.30 | 209% above | 75% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL LEVEL | $261.75 | $1,047.00 | $397.86–$942.30 | — | 75% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $175.75 | $703.00 | $17.84–$632.70 | 127% above | 75% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE | $175.75 | $703.00 | $267.14–$632.70 | — | 75% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $214.75 | $859.00 | $18.84–$773.10 | 71% above | 75% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $214.75 | $859.00 | $326.42–$773.10 | — | 75% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL | $130.25 | $521.00 | $13.08–$468.90 | 92% above | 75% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LEVEL | $130.25 | $521.00 | $197.98–$468.90 | — | 75% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN QUANTITATIVE | $80.25 | $321.00 | $9.33–$288.90 | 50% above | 75% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN QUANTITATIVE | $80.25 | $321.00 | $121.98–$288.90 | — | 75% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL | $109.50 | $438.00 | $14.11–$394.20 | 110% above | 75% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID LEVEL | $109.50 | $438.00 | $166.44–$394.20 | — | 75% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $161.25 | $645.00 | $16.26–$580.50 | 199% above | 75% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $161.25 | $645.00 | $245.10–$580.50 | — | 75% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE) FREE BY EQUILIBRIUM DIALYSIS | $24.50 | $98.00 | $8.66–$88.20 | 30% below | 75% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE) FREE | $39.25 | $157.00 | $8.66–$141.30 | 13% above | 75% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 (THYROXINE) FREE BY EQUILIBRIUM DIALYSIS | $24.50 | $98.00 | $37.24–$88.20 | — | 75% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 (THYROXINE) FREE | $39.25 | $157.00 | $59.66–$141.30 | — | 75% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $82.00 | $328.00 | $24.45–$295.20 | 5% above | 75% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $82.00 | $328.00 | $124.64–$295.20 | — | 75% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $69.00 | $276.00 | $6.91–$248.40 | 135% above | 75% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $69.00 | $276.00 | $104.88–$248.40 | — | 75% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $215.00 | $860.00 | $31.97–$774.00 | 22% above | 75% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $215.00 | $860.00 | $326.80–$774.00 | — | 75% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PP | $38.25 | $153.00 | $4.56–$137.70 | 12% above | 75% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE CHALLENGE 1 HR | $43.00 | $172.00 | $4.56–$154.80 | 26% above | 75% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR PP | $38.25 | $153.00 | $58.14–$137.70 | — | 75% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE CHALLENGE 1 HR | $43.00 | $172.00 | $65.36–$154.80 | — | 75% |
| Glucose tolerance test, 3 samples CPT 82951 TOLERANCE UP TO 3 SPECIMENS | $51.00 | $204.00 | $12.36–$183.60 | 23% below | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 TOLERANCE UP TO 3 SPECIMENS | $51.00 | $204.00 | $77.52–$183.60 | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED PROBE XPERT | $39.50 | $158.00 | $33.69–$142.20 | 32% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED PROBE GCCTA | $47.75 | $191.00 | $33.69–$171.90 | 17% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED PROBE | $58.75 | $235.00 | $33.69–$211.50 | 2% above | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFIED PROBE XPERT | $39.50 | $158.00 | $60.04–$142.20 | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFIED PROBE GCCTA | $47.75 | $191.00 | $72.58–$171.90 | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFIED PROBE | $58.75 | $235.00 | $89.30–$211.50 | — | 75% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGA | $18.00 | $72.00 | $16.18–$64.80 | 63% below | 75% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGM | $18.00 | $72.00 | $16.18–$64.80 | 63% below | 75% |
| H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY | $137.50 | $550.00 | $16.18–$495.00 | 179% above | 75% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGA | $18.00 | $72.00 | $27.36–$64.80 | — | 75% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGM | $18.00 | $72.00 | $27.36–$64.80 | — | 75% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY | $137.50 | $550.00 | $209.00–$495.00 | — | 75% |
| H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN STOOL | $68.00 | $272.00 | $13.80–$244.80 | 4% below | 75% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN STOOL | $68.00 | $272.00 | $103.36–$244.80 | — | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD | $154.75 | $619.00 | $81.70–$557.10 | 25% below | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD | $154.75 | $619.00 | $235.22–$557.10 | — | 75% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV RAPID TEST | $38.00 | $152.00 | $13.16–$136.80 | 10% below | 75% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV ANTIBODY SCREEN | $85.00 | $340.00 | $13.16–$306.00 | 101% above | 75% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV RAPID SCREEN | $121.00 | $484.00 | $13.16–$435.60 | 187% above | 75% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV RAPID TEST | $38.00 | $152.00 | $57.76–$136.80 | — | 75% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV ANTIBODY SCREEN | $85.00 | $340.00 | $129.20–$306.00 | — | 75% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV RAPID SCREEN | $121.00 | $484.00 | $183.92–$435.60 | — | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ANTIGENS W/HIV 1 & 2 AB | $26.00 | $104.00 | $23.12–$93.60 | 35% below | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV ANTIGENS W/HIV 1 & 2 AB | $26.00 | $104.00 | $39.52–$93.60 | — | 75% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV AMPLIFIED PROBE | $28.50 | $114.00 | $33.69–$102.60 | 36% below | 75% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV AMPLIFIED PROBE | $28.50 | $114.00 | $43.32–$102.60 | — | 75% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $92.50 | $370.00 | $9.32–$333.00 | 106% above | 75% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $92.50 | $370.00 | $140.60–$333.00 | — | 75% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $23.25 | $93.00 | $2.28–$83.70 | 43% above | 75% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $23.25 | $93.00 | $35.34–$83.70 | — | 75% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE POLYVALENT | $39.00 | $156.00 | $11.57–$140.40 | 11% below | 75% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE POLYVALENT | $39.00 | $156.00 | $59.28–$140.40 | — | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $101.50 | $406.00 | $10.31–$365.40 | 131% above | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B IMMUNIZATION | $101.50 | $406.00 | $10.31–$365.40 | 131% above | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY | $101.50 | $406.00 | $154.28–$365.40 | — | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B IMMUNIZATION | $101.50 | $406.00 | $154.28–$365.40 | — | 75% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG | $80.50 | $322.00 | $9.92–$289.80 | 78% above | 75% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG | $80.50 | $322.00 | $122.36–$289.80 | — | 75% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY | $101.50 | $406.00 | $13.70–$365.40 | 74% above | 75% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODY | $101.50 | $406.00 | $154.28–$365.40 | — | 75% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL LOAD | $154.75 | $619.00 | $41.13–$557.10 | 4% below | 75% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA PCR | $255.50 | $1,022.00 | $41.13–$919.80 | 58% above | 75% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL LOAD | $154.75 | $619.00 | $235.22–$557.10 | — | 75% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA PCR | $255.50 | $1,022.00 | $388.36–$919.80 | — | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV IGG TYPE 1 | $26.75 | $107.00 | $12.66–$96.30 | 18% below | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 | $33.75 | $135.00 | $12.66–$121.50 | 4% above | 75% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV IGG TYPE 1 | $26.75 | $107.00 | $40.66–$96.30 | — | 75% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 | $33.75 | $135.00 | $51.30–$121.50 | — | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV IGG TYPE 2 | $26.75 | $107.00 | $18.58–$96.30 | 31% below | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 | $33.75 | $135.00 | $18.58–$121.50 | 13% below | 75% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV IGG TYPE 2 | $26.75 | $107.00 | $40.66–$96.30 | — | 75% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 | $33.75 | $135.00 | $51.30–$121.50 | — | 75% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HIGH SENSITIVITY | $51.75 | $207.00 | $12.43–$186.30 | 70% above | 75% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HIGH SENSITIVITY | $51.75 | $207.00 | $78.66–$186.30 | — | 75% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE LEVEL | $112.00 | $448.00 | $17.20–$403.20 | 8% above | 75% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE LEVEL | $112.00 | $448.00 | $170.24–$403.20 | — | 75% |
| Insulin blood test CPT 83525 INSULIN LEVEL | $108.75 | $435.00 | $10.97–$391.50 | 126% above | 75% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL | $108.75 | $435.00 | $165.30–$391.50 | — | 75% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL SERUM | $62.50 | $250.00 | $6.21–$225.00 | 83% above | 75% |
| Iron blood test (serum iron) CPT 83540 IRON INDEX TISSUE | $239.25 | $957.00 | $6.21–$861.30 | 599% above | 75% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON LEVEL SERUM | $62.50 | $250.00 | $95.00–$225.00 | — | 75% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON INDEX TISSUE | $239.25 | $957.00 | $363.66–$861.30 | — | 75% |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY | $83.50 | $334.00 | $8.39–$300.60 | 109% above | 75% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY | $83.50 | $334.00 | $126.92–$300.60 | — | 75% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $80.25 | $321.00 | $8.33–$288.90 | 5% above | 75% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $80.25 | $321.00 | $121.98–$288.90 | — | 75% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE SERUM | $167.75 | $671.00 | $17.78–$603.90 | 97% above | 75% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE SERUM | $167.75 | $671.00 | $254.98–$603.90 | — | 75% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL | $51.75 | $207.00 | $11.11–$186.30 | 8% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID FLUID | $51.75 | $207.00 | $11.11–$186.30 | 8% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 D LACTATE | $285.75 | $1,143.00 | $11.11–$1,028.70 | 408% above | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID LEVEL | $51.75 | $207.00 | $78.66–$186.30 | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID FLUID | $51.75 | $207.00 | $78.66–$186.30 | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 D LACTATE | $285.75 | $1,143.00 | $434.34–$1,028.70 | — | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID | $56.25 | $225.00 | $5.80–$202.50 | 91% above | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CSF | $56.25 | $225.00 | $5.80–$202.50 | 91% above | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $57.75 | $231.00 | $5.80–$207.90 | 96% above | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH CSF | $56.25 | $225.00 | $85.50–$202.50 | — | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID | $56.25 | $225.00 | $85.50–$202.50 | — | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $57.75 | $231.00 | $87.78–$207.90 | — | 75% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LE | $15.50 | $62.00 | $6.61–$55.80 | 60% below | 75% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL FLUID | $15.50 | $62.00 | $6.61–$55.80 | 60% below | 75% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE LEVEL FLUID | $15.50 | $62.00 | $23.56–$55.80 | — | 75% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE LE | $15.50 | $62.00 | $23.56–$55.80 | — | 75% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $145.50 | $582.00 | $7.84–$523.80 | 120% above | 75% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $145.50 | $582.00 | $221.16–$523.80 | — | 75% |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI IGM CSF | $15.75 | $63.00 | $16.35–$56.70 | 70% below | 75% |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI IGG CSF | $15.75 | $63.00 | $16.35–$56.70 | 70% below | 75% |
| Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY | $137.50 | $550.00 | $16.35–$495.00 | 163% above | 75% |
| Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI IGM CSF | $15.75 | $63.00 | $23.94–$56.70 | — | 75% |
| Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI IGG CSF | $15.75 | $63.00 | $23.94–$56.70 | — | 75% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE SEROLOGY | $137.50 | $550.00 | $209.00–$495.00 | — | 75% |
| Magnesium blood test CPT 83735 MAGNESIUM STOOL | $6.50 | $26.00 | $6.43–$23.40 | 82% below | 75% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE RANDOM | $27.25 | $109.00 | $6.43–$98.10 | 23% below | 75% |
| Magnesium blood test CPT 83735 MAGNESIUM RBCS | $63.25 | $253.00 | $6.43–$227.70 | 79% above | 75% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $63.50 | $254.00 | $6.43–$228.60 | 79% above | 75% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE 24 HR | $196.25 | $785.00 | $6.43–$706.50 | 454% above | 75% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM STOOL | $6.50 | $26.00 | $9.88–$23.40 | — | 75% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE RANDOM | $27.25 | $109.00 | $41.42–$98.10 | — | 75% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBCS | $63.25 | $253.00 | $96.14–$227.70 | — | 75% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL | $63.50 | $254.00 | $96.52–$228.60 | — | 75% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE 24 HR | $196.25 | $785.00 | $298.30–$706.50 | — | 75% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM ANTIBODY | $16.00 | $64.00 | $12.36–$57.60 | 58% below | 75% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG ANTIBODY | $16.00 | $64.00 | $12.36–$57.60 | 58% below | 75% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG ANTIBODY | $16.00 | $64.00 | $24.32–$57.60 | — | 75% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM ANTIBODY | $16.00 | $64.00 | $24.32–$57.60 | — | 75% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN | $97.00 | $388.00 | $4.97–$349.20 | 206% above | 75% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN | $97.00 | $388.00 | $147.44–$349.20 | — | 75% |
| Mumps immunity blood test CPT 86735 MUMPS IGM AB | $92.25 | $369.00 | $12.53–$332.10 | 86% above | 75% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY | $134.25 | $537.00 | $12.53–$483.30 | 171% above | 75% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGM AB | $92.25 | $369.00 | $140.22–$332.10 | — | 75% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY | $134.25 | $537.00 | $204.06–$483.30 | — | 75% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $63.00 | $252.00 | $17.65–$226.80 | 12% above | 75% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $63.00 | $252.00 | $95.76–$226.80 | — | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $137.50 | $550.00 | $17.65–$495.00 | 76% above | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $137.50 | $550.00 | $209.00–$495.00 | — | 75% |
| Pap test (liquid-based, automated screening with review) CPT 88175 88175-CP PAP TLP AUTO/MAN | $30.25 | $121.00 | $25.55–$108.90 | 8% below | 75% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175-CP PAP TLP AUTO/MAN | $30.25 | $121.00 | $45.98–$108.90 | — | 75% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142-CP THIN PREP CERVICAL/VAGINAL | $18.75 | $75.00 | $19.45–$67.50 | 38% below | 75% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142-CP THIN PREP CERVICAL/VAGINAL | $18.75 | $75.00 | $28.50–$67.50 | — | 75% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $178.00 | $712.00 | $39.63–$640.80 | 37% above | 75% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $178.00 | $712.00 | $270.56–$640.80 | — | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT WITH HEPZYME | $16.00 | $64.00 | $5.77–$57.60 | 59% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $56.25 | $225.00 | $5.77–$202.50 | 44% above | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LA | $56.25 | $225.00 | $5.77–$202.50 | 44% above | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT WITH HEPZYME | $16.00 | $64.00 | $24.32–$57.60 | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $56.25 | $225.00 | $85.50–$202.50 | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT LA | $56.25 | $225.00 | $85.50–$202.50 | — | 75% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS LEVEL | $43.25 | $173.00 | $4.55–$155.70 | 60% above | 75% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS LEVEL | $43.25 | $173.00 | $65.74–$155.70 | — | 75% |
| Potassium blood test CPT 84132 POTASSIUM LEVEL BLOOD | $43.00 | $172.00 | $4.57–$154.80 | 58% above | 75% |
| Potassium blood test inpatient CPT 84132 POTASSIUM LEVEL BLOOD | $43.00 | $172.00 | $65.36–$154.80 | — | 75% |
| Progesterone blood test CPT 84144 PROGESTERONE LEVEL | $197.00 | $788.00 | $20.03–$709.20 | 128% above | 75% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL | $197.00 | $788.00 | $299.44–$709.20 | — | 75% |
| Prolactin blood test CPT 84146 PROLACTIN LEVEL | $183.75 | $735.00 | $18.60–$661.50 | 97% above | 75% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN LEVEL | $183.75 | $735.00 | $279.30–$661.50 | — | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $43.00 | $172.00 | $4.12–$154.80 | 57% above | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $43.00 | $172.00 | $65.36–$154.80 | — | 75% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $14.00 | $56.00 | $12.10–$50.40 | 61% below | 75% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $14.00 | $56.00 | $21.28–$50.40 | — | 75% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ANTIGEN | $43.00 | $172.00 | $15.89–$154.80 | 48% above | 75% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ANTIGEN | $43.00 | $172.00 | $65.36–$154.80 | — | 75% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A SCREEN | $100.50 | $402.00 | $15.87–$361.80 | 189% above | 75% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A SCREEN | $100.50 | $402.00 | $152.76–$361.80 | — | 75% |
| Renin blood test CPT 84244 RENIN | $204.25 | $817.00 | $21.11–$735.30 | 210% above | 75% |
| Renin blood test inpatient CPT 84244 RENIN | $204.25 | $817.00 | $310.46–$735.30 | — | 75% |
| Rh blood typing CPT 86901 RH TYPE ONLY | $39.25 | $157.00 | $4.10–$141.30 | 5% above | 75% |
| Rh blood typing inpatient CPT 86901 RH TYPE ONLY | $39.25 | $157.00 | $59.66–$141.30 | — | 75% |
| Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUANTITATIVE | $74.00 | $296.00 | $5.44–$266.40 | 126% above | 75% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR QUANTITATIVE | $74.00 | $296.00 | $112.48–$266.40 | — | 75% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY | $126.25 | $505.00 | $13.81–$454.50 | 209% above | 75% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ANTIBODY | $133.50 | $534.00 | $13.81–$480.60 | 227% above | 75% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG ANTIBODY | $126.25 | $505.00 | $191.90–$454.50 | — | 75% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM ANTIBODY | $133.50 | $534.00 | $202.92–$480.60 | — | 75% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE AUTO | $34.00 | $136.00 | $2.59–$122.40 | 12% below | 75% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE AUTO | $34.00 | $136.00 | $51.68–$122.40 | — | 75% |
| Sodium blood test CPT 84295 SODIUM LEVEL BLOOD | $46.75 | $187.00 | $4.62–$168.30 | 39% above | 75% |
| Sodium blood test inpatient CPT 84295 SODIUM LEVEL BLOOD | $46.75 | $187.00 | $71.06–$168.30 | — | 75% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES | $108.25 | $433.00 | $8.54–$389.70 | 159% above | 75% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES | $108.25 | $433.00 | $164.54–$389.70 | — | 75% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREENING | $24.00 | $96.00 | $4.20–$86.40 | 14% above | 75% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREENING | $24.00 | $96.00 | $36.48–$86.40 | — | 75% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL HGB QUAL 1 -3 | $11.00 | $44.00 | $15.28–$44.58 | 36% below | 75% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FECAL HGB QUAL 1 -3 | $11.00 | $44.00 | $16.72–$39.60 | — | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB | $15.00 | $60.00 | $12.71–$54.00 | 61% below | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS IGG AB | $122.25 | $489.00 | $12.71–$440.10 | 218% above | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS IGM AB | $122.25 | $489.00 | $12.71–$440.10 | 218% above | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB | $15.00 | $60.00 | $22.80–$54.00 | — | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS IGG AB | $122.25 | $489.00 | $185.82–$440.10 | — | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS IGM AB | $122.25 | $489.00 | $185.82–$440.10 | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL W REFLEX TITER | $16.00 | $64.00 | $4.10–$57.60 | 35% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $40.50 | $162.00 | $4.10–$145.80 | 63% above | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUALITATIVE | $40.50 | $162.00 | $4.10–$145.80 | 63% above | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL W REFLEX TITER | $16.00 | $64.00 | $24.32–$57.60 | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUALITATIVE | $40.50 | $162.00 | $61.56–$145.80 | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF | $40.50 | $162.00 | $61.56–$145.80 | — | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB | $196.50 | $786.00 | $59.50–$707.40 | 87% above | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB | $196.50 | $786.00 | $298.68–$707.40 | — | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE BIOAVAILABLE | $68.75 | $275.00 | $24.78–$247.50 | 15% below | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM | $68.75 | $275.00 | $24.78–$247.50 | 15% below | 75% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE SERUM | $68.75 | $275.00 | $104.50–$247.50 | — | 75% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE BIOAVAILABLE | $68.75 | $275.00 | $104.50–$247.50 | — | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL LC1 AB | $12.00 | $48.00 | $13.97–$43.20 | 57% below | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB LIVER KIDNEY | $39.25 | $157.00 | $13.97–$141.30 | 41% above | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY | $44.50 | $178.00 | $13.97–$160.20 | 60% above | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL LC1 AB | $12.00 | $48.00 | $18.24–$43.20 | — | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB LIVER KIDNEY | $39.25 | $157.00 | $59.66–$141.30 | — | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY | $44.50 | $178.00 | $67.64–$160.20 | — | 75% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 NBS THYROID STIMULATING HORMONE | $7.50 | $30.00 | $11.40–$47.04 | 86% below | 75% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $89.25 | $357.00 | $16.13–$321.30 | 70% above | 75% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NBS THYROID STIMULATING HORMONE | $7.50 | $30.00 | $11.40–$27.00 | — | 75% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $89.25 | $357.00 | $135.66–$321.30 | — | 75% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN IGE | $128.50 | $514.00 | $15.80–$462.60 | 160% above | 75% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN IGE | $128.50 | $514.00 | $195.32–$462.60 | — | 75% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $40.50 | $162.00 | $4.18–$145.80 | 48% above | 75% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL BODY FLUID | $40.50 | $162.00 | $4.18–$145.80 | 48% above | 75% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $40.50 | $162.00 | $61.56–$145.80 | — | 75% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL BODY FLUID | $40.50 | $162.00 | $61.56–$145.80 | — | 75% |
| Total thyroxine (T4) blood test CPT 84436 T4 (THYROXINE) TOTAL | $30.75 | $123.00 | $6.60–$110.70 | 17% below | 75% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 (THYROXINE) TOTAL | $30.75 | $123.00 | $46.74–$110.70 | — | 75% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $134.25 | $537.00 | $13.61–$483.30 | 177% above | 75% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $134.25 | $537.00 | $204.06–$483.30 | — | 75% |
| Transferrin blood test CPT 84466 TRANSFERRIN LEVEL | $51.75 | $207.00 | $12.25–$186.30 | 9% above | 75% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN LEVEL | $51.75 | $207.00 | $78.66–$186.30 | — | 75% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $38.00 | $152.00 | $33.69–$136.80 | 20% below | 75% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $38.00 | $152.00 | $57.76–$136.80 | — | 75% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES FLUID | $55.50 | $222.00 | $5.51–$199.80 | 67% above | 75% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES BLOOD | $55.50 | $222.00 | $5.51–$199.80 | 67% above | 75% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES FLUID | $55.50 | $222.00 | $84.36–$199.80 | — | 75% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES BLOOD | $55.50 | $222.00 | $84.36–$199.80 | — | 75% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANTITATIVE 2ND AND/OR 3RD | $82.50 | $330.00 | $11.97–$297.00 | 4% above | 75% |
| Troponin test, quantitative CPT 84484 TROPONIN T | $82.50 | $330.00 | $11.97–$297.00 | 4% above | 75% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANTITATIVE | $82.50 | $330.00 | $11.97–$297.00 | 4% above | 75% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANTITATIVE 2ND AND/OR 3RD | $82.50 | $330.00 | $125.40–$297.00 | — | 75% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN T | $82.50 | $330.00 | $125.40–$297.00 | — | 75% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANTITATIVE | $82.50 | $330.00 | $125.40–$297.00 | — | 75% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $41.25 | $165.00 | $4.34–$148.50 | 31% above | 75% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD | $41.25 | $165.00 | $62.70–$148.50 | — | 75% |
| Urinalysis without microscope exam, automated CPT 81003 GLUCOSE DIPSTICK URINE | $8.50 | $34.00 | $2.16–$30.60 | 44% below | 75% |
| Urinalysis without microscope exam, automated CPT 81003 PROTEIN URINE QUAL | $8.50 | $34.00 | $2.16–$30.60 | 44% below | 75% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $10.50 | $42.00 | $2.16–$37.80 | 31% below | 75% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS | $39.75 | $159.00 | $2.16–$143.10 | 163% above | 75% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PROTEIN URINE QUAL | $8.50 | $34.00 | $12.92–$30.60 | — | 75% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GLUCOSE DIPSTICK URINE | $8.50 | $34.00 | $12.92–$30.60 | — | 75% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE | $10.50 | $42.00 | $15.96–$37.80 | — | 75% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS | $39.75 | $159.00 | $60.42–$143.10 | — | 75% |
| Urinalysis without microscope exam, manual CPT 81002 ACETONE KETONE URINE | $8.50 | $34.00 | $3.34–$30.60 | 42% below | 75% |
| Urinalysis without microscope exam, manual CPT 81002 REDUCING SUBSTANCE URINE | $10.50 | $42.00 | $3.34–$37.80 | 28% below | 75% |
| Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY | $24.00 | $96.00 | $3.34–$86.40 | 65% above | 75% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 ACETONE KETONE URINE | $8.50 | $34.00 | $12.92–$30.60 | — | 75% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 REDUCING SUBSTANCE URINE | $10.50 | $42.00 | $15.96–$37.80 | — | 75% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAVITY | $24.00 | $96.00 | $36.48–$86.40 | — | 75% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $75.00 | $300.00 | $7.75–$270.00 | 81% above | 75% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $75.00 | $300.00 | $114.00–$270.00 | — | 75% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE 24 HR | $30.75 | $123.00 | $5.55–$110.70 | at median | 75% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE RANDOM | $30.75 | $123.00 | $5.55–$110.70 | at median | 75% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE 24 HR | $30.75 | $123.00 | $46.74–$110.70 | — | 75% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE RANDOM | $30.75 | $123.00 | $46.74–$110.70 | — | 75% |
| Urine pregnancy test, read by color change CPT 81025 BETA HCG URINE | $65.50 | $262.00 | $8.27–$235.80 | 63% above | 75% |
| Urine pregnancy test, read by color change inpatient CPT 81025 BETA HCG URINE | $65.50 | $262.00 | $99.56–$235.80 | — | 75% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL | $143.00 | $572.00 | $14.48–$514.80 | 125% above | 75% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 LEVEL | $143.00 | $572.00 | $217.36–$514.80 | — | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 AND D3 LEVEL | $37.75 | $151.00 | $28.42–$135.90 | 45% below | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH LEVEL | $305.00 | $1,220.00 | $28.42–$1,098.00 | 346% above | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2 AND D3 LEVEL | $37.75 | $151.00 | $57.38–$135.90 | — | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH LEVEL | $305.00 | $1,220.00 | $463.60–$1,098.00 | — | 75% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1-25OH LEVEL | $363.50 | $1,454.00 | $36.96–$1,308.60 | 195% above | 75% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1-25OH LEVEL | $363.50 | $1,454.00 | $552.52–$1,308.60 | — | 75% |
| Zinc blood test CPT 84630 ZINC LEVEL | $89.50 | $358.00 | $10.93–$322.20 | 56% above | 75% |
| Zinc blood test inpatient CPT 84630 ZINC LEVEL | $89.50 | $358.00 | $136.04–$322.20 | — | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TA HCG SERUM QUANT | $75.50 | $302.00 | $14.45–$271.80 | 2% above | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 TA HCG SERUM QUANT | $75.50 | $302.00 | $114.76–$271.80 | — | 75% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $1,788.50 | $7,154.00 | $1,277.00–$6,541.20 | 6% above | 75% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $1,788.50 | $7,154.00 | $2,718.52–$6,438.60 | — | 75% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ED 27786-TREATMENT OF ANKLE FRACTURE | $78.50 | $314.00 | $78.50–$968.40 | 58% below | 75% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ED 27786-TREATMENT OF ANKLE FRACTURE | $78.50 | $314.00 | $119.32–$282.60 | — | 75% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC LEFT HEART CATH W COR ANGIO W WO LEFT VENTRICULOGRAPHY | $4,288.50 | $17,154.00 | $2,554.00–$15,438.60 | 27% below | 75% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC LEFT HEART CATH W COR ANGIO W WO LEFT VENTRICULOGRAPHY | $4,288.50 | $17,154.00 | $6,518.52–$15,438.60 | — | 75% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ED 92960-CARDIOVERSION ELECTIVE | $196.00 | $784.00 | $196.00–$2,642.40 | 66% below | 75% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC 92960-CARDIOVERSION ELEC ARRHYTH EXTERNAL | $196.00 | $784.00 | $196.00–$2,642.40 | 66% below | 75% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC 92960-CARDIOVERSION ELECTIVE | $484.50 | $1,938.00 | $574.61–$2,642.40 | 17% below | 75% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ED 92960-CARDIOVERSION ELECTIVE | $196.00 | $784.00 | $297.92–$705.60 | — | 75% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC 92960-CARDIOVERSION ELEC ARRHYTH EXTERNAL | $196.00 | $784.00 | $297.92–$705.60 | — | 75% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC 92960-CARDIOVERSION ELECTIVE | $484.50 | $1,938.00 | $736.44–$1,744.20 | — | 75% |
| Catheter ablation for atrial fibrillation CPT 93656 HC COMP EP INC TRANSSEPTAL CATH W ABLATION AFIB BY PULM VEIN ISOL | $12,897.75 | $51,591.00 | $1,222.00–$99,043.20 | 23% below | 75% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC COMP EP INC TRANSSEPTAL CATH W ABLATION AFIB BY PULM VEIN ISOL | $12,897.75 | $51,591.00 | $19,604.58–$46,431.90 | — | 75% |
| Cervical biopsy CPT 57500 HC ED 57500 BIOPSY OF CERVIX | $543.75 | $2,175.00 | $543.75–$3,515.44 | 43% below | 75% |
| Cervical biopsy inpatient CPT 57500 HC ED 57500 BIOPSY OF CERVIX | $543.75 | $2,175.00 | $826.50–$1,957.50 | — | 75% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION NEWBORN USING CLAMP/OTHER DEVICE | $82.25 | $329.00 | $125.02–$8,270.39 | 87% below | 75% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC ED 54150 CIRCUMCISION NEWBORN USING CLAMP/OTHER DEVICE | $689.25 | $2,757.00 | $689.25–$8,270.39 | 9% above | 75% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION NEWBORN USING CLAMP/OTHER DEVICE | $82.25 | $329.00 | $125.02–$296.10 | — | 75% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC ED 54150 CIRCUMCISION NEWBORN USING CLAMP/OTHER DEVICE | $689.25 | $2,757.00 | $1,047.66–$2,481.30 | — | 75% |
| Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION NEWBORN SURGICAL EXCISION | $78.75 | $315.00 | $119.70–$2,694.74 | 84% below | 75% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION NEWBORN SURGICAL EXCISION | $78.75 | $315.00 | $119.70–$283.50 | — | 75% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ED 25600-TREAT FRACT RADIUS ULNA | $78.50 | $314.00 | $78.50–$968.40 | 62% below | 75% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ED 25600-TREAT FRACT RADIUS ULNA | $78.50 | $314.00 | $119.32–$282.60 | — | 75% |
| Coronary stent placement, one artery CPT 92928 HC STENT(S) W PTA SINGLE MAJOR COR ARTERY/BRANCH RC | $7,183.00 | $28,732.00 | $1,222.00–$45,784.80 | 12% below | 75% |
| Coronary stent placement, one artery CPT 92928 HC STENT(S) W PTA SINGLE MAJOR COR ARTERY/BRANCH LD | $7,183.00 | $28,732.00 | $1,222.00–$45,784.80 | 12% below | 75% |
| Coronary stent placement, one artery CPT 92928 HC STENT(S) W PTA SINGLE MAJOR COR ARTERY/BRANCH LC | $7,183.00 | $28,732.00 | $1,222.00–$45,784.80 | 12% below | 75% |
| Coronary stent placement, one artery CPT 92928 HC STENT(S) W PTA SINGLE MAJOR COR ARTERY/BRANCH LM | $7,183.00 | $28,732.00 | $1,222.00–$45,784.80 | 12% below | 75% |
| Coronary stent placement, one artery CPT 92928 HC STENT(S) W PTA SINGLE MAJOR COR ARTERY/BRANCH RI | $7,542.50 | $30,170.00 | $1,222.00–$45,784.80 | 8% below | 75% |
| Coronary stent placement, one artery inpatient CPT 92928 HC STENT(S) W PTA SINGLE MAJOR COR ARTERY/BRANCH LM | $7,183.00 | $28,732.00 | $10,918.16–$25,858.80 | — | 75% |
| Coronary stent placement, one artery inpatient CPT 92928 HC STENT(S) W PTA SINGLE MAJOR COR ARTERY/BRANCH RC | $7,183.00 | $28,732.00 | $10,918.16–$25,858.80 | — | 75% |
| Coronary stent placement, one artery inpatient CPT 92928 HC STENT(S) W PTA SINGLE MAJOR COR ARTERY/BRANCH LD | $7,183.00 | $28,732.00 | $10,918.16–$25,858.80 | — | 75% |
| Coronary stent placement, one artery inpatient CPT 92928 HC STENT(S) W PTA SINGLE MAJOR COR ARTERY/BRANCH LC | $7,183.00 | $28,732.00 | $10,918.16–$25,858.80 | — | 75% |
| Coronary stent placement, one artery inpatient CPT 92928 HC STENT(S) W PTA SINGLE MAJOR COR ARTERY/BRANCH RI | $7,542.50 | $30,170.00 | $11,464.60–$27,153.00 | — | 75% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC ED 52000 - CYSTOURETHROSCOPY | $229.00 | $916.00 | $229.00–$2,694.74 | 67% below | 75% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $326.00 | $1,304.00 | $495.52–$2,694.74 | 54% below | 75% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC 52000-CYSTOSCOPY | $326.00 | $1,304.00 | $495.52–$2,694.74 | 54% below | 75% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC ED 52000 - CYSTOURETHROSCOPY | $229.00 | $916.00 | $348.08–$824.40 | — | 75% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC 52000-CYSTOSCOPY | $326.00 | $1,304.00 | $495.52–$1,173.60 | — | 75% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY | $326.00 | $1,304.00 | $495.52–$1,173.60 | — | 75% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC WD DESTRUCT PREMALIGNANT LESION FIRST | $100.25 | $401.00 | $152.38–$630.00 | 20% below | 75% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC WD DESTRUCT PREMALIGNANT LESION FIRST | $100.25 | $401.00 | $152.38–$360.90 | — | 75% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $24.50 | $98.00 | $37.24–$630.00 | 57% below | 75% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC ED 69209-REMOVE IMPACTED CERUMEN W IRRIGATION-UNILATERAL | $24.50 | $98.00 | $24.50–$152.12 | 57% below | 75% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $24.50 | $98.00 | $37.24–$88.20 | — | 75% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC ED 69209-REMOVE IMPACTED CERUMEN W IRRIGATION-UNILATERAL | $24.50 | $98.00 | $37.24–$88.20 | — | 75% |
| Earwax removal with instruments, one ear one side CPT 69210 HC ED 69210-REMOVE IMPACTED CERUMEN W INSTRUMENT-UNILATERAL | $21.00 | $84.00 | $21.00–$152.12 | 74% below | 75% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC ED 69210-REMOVE IMPACTED CERUMEN W INSTRUMENT-UNILATERAL | $21.00 | $84.00 | $31.92–$75.60 | — | 75% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ED 58100-BIOPSY OF UTERUS LINING | $82.75 | $331.00 | $82.75–$812.20 | 48% below | 75% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ED 58100-BIOPSY OF UTERUS LINING | $82.75 | $331.00 | $125.78–$297.90 | — | 75% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN C OR T W IMG | $426.00 | $1,704.00 | $608.09–$2,795.90 | 20% below | 75% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN C OR T W IMG | $426.00 | $1,704.00 | $647.52–$1,533.60 | — | 75% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC ED 67028-INTRAVITREAL INJ OF MED | $122.00 | $488.00 | $122.00–$1,339.20 | 68% below | 75% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC ED 67028-INTRAVITREAL INJ OF MED | $122.00 | $488.00 | $185.44–$439.20 | — | 75% |
| Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 HC INJECTION LUMBAR/SACRAL FACET SINGLE LEVEL BILATERAL | $715.50 | $2,862.00 | $780.00–$3,594.35 | — | 75% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC SP L/S FACET JT 1 LEVEL INJ | $443.00 | $1,772.00 | $673.36–$3,594.35 | 35% below | 75% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 HC INJECTION LUMBAR/SACRAL FACET SINGLE LEVEL BILATERAL | $715.50 | $2,862.00 | $1,087.56–$2,575.80 | — | 75% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC SP L/S FACET JT 1 LEVEL INJ | $443.00 | $1,772.00 | $673.36–$1,594.80 | — | 75% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC HYSTEROSALPINGOGRAPHY INJECTION | $1,219.50 | $4,878.00 | $63.64–$4,390.20 | 485% above | 75% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC HYSTEROSALPINGOGRAPHY INJECTION | $1,219.50 | $4,878.00 | $1,853.64–$4,390.20 | — | 75% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC ED 10060-DRAINAGE OF SKIN ABSCESS | $59.50 | $238.00 | $59.50–$802.80 | 69% below | 75% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC 10060-INCISION DRAINAGE ABSCESS SIMPLE | $109.75 | $439.00 | $166.82–$802.80 | 44% below | 75% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC WD INCISION DRAINAGE ABSCESS SIMPLE | $133.75 | $535.00 | $174.48–$802.80 | 31% below | 75% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED 10060-DRAINAGE OF SKIN ABSCESS | $59.50 | $238.00 | $90.44–$214.20 | — | 75% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC 10060-INCISION DRAINAGE ABSCESS SIMPLE | $109.75 | $439.00 | $166.82–$395.10 | — | 75% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC WD INCISION DRAINAGE ABSCESS SIMPLE | $133.75 | $535.00 | $203.30–$481.50 | — | 75% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC ED 20550-INJ SNGL TENDON LIGAMENT | $89.50 | $358.00 | $89.50–$1,191.78 | 51% below | 75% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC TENDON/SHEATH/LIGAMENT INJECTION | $177.00 | $708.00 | $259.20–$1,191.78 | 3% below | 75% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC ED 20550-INJ SNGL TENDON LIGAMENT | $89.50 | $358.00 | $136.04–$322.20 | — | 75% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC TENDON/SHEATH/LIGAMENT INJECTION | $177.00 | $708.00 | $269.04–$637.20 | — | 75% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ED 20610-ASPIRATION OR INJECTION MAJOR JOINT/BURSA WO IMAGNG | $77.25 | $309.00 | $77.25–$1,191.78 | 68% below | 75% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT | $428.75 | $1,715.00 | $259.20–$1,543.50 | 75% above | 75% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ED 20610-ASPIRATION OR INJECTION MAJOR JOINT/BURSA WO IMAGNG | $77.25 | $309.00 | $117.42–$278.10 | — | 75% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT | $428.75 | $1,715.00 | $651.70–$1,543.50 | — | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ED 20605-ASPIRATION OR INJECTION INTERMEDIATE JOINT/BURSA WO IMAGNG | $77.25 | $309.00 | $77.25–$1,191.78 | 63% below | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS INTERMEDIATE JOINT | $266.25 | $1,065.00 | $259.20–$1,191.78 | 26% above | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ED 20605-ASPIRATION OR INJECTION INTERMEDIATE JOINT/BURSA WO IMAGNG | $77.25 | $309.00 | $117.42–$278.10 | — | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS INTERMEDIATE JOINT | $266.25 | $1,065.00 | $404.70–$958.50 | — | 75% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ED 20600-ASPIRATION OR INJECTION SMALL JOINT/BURSA WO IMAGNG | $77.25 | $309.00 | $77.25–$1,191.78 | 69% below | 75% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS SMALL JOINT | $120.50 | $482.00 | $183.16–$1,191.78 | 52% below | 75% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ED 20600-ASPIRATION OR INJECTION SMALL JOINT/BURSA WO IMAGNG | $77.25 | $309.00 | $117.42–$278.10 | — | 75% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS SMALL JOINT | $120.50 | $482.00 | $183.16–$433.80 | — | 75% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ED 12031-LAYER CLOSURE OF WOUND | $107.75 | $431.00 | $107.75–$1,612.80 | 55% below | 75% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ED 12031-LAYER CLOSURE OF WOUND | $107.75 | $431.00 | $163.78–$387.90 | — | 75% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH W WO LEFT VENTRICULOGRAPHY | $3,437.25 | $13,749.00 | $2,554.00–$12,985.20 | 17% below | 75% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH W WO LEFT VENTRICULOGRAPHY | $3,437.25 | $13,749.00 | $5,224.62–$12,374.10 | — | 75% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN L OR S W IMG | $472.75 | $1,891.00 | $608.09–$2,795.90 | at median | 75% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN L OR S W IMG | $472.75 | $1,891.00 | $718.58–$1,701.90 | — | 75% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN L OR S W/O IMG | $208.00 | $832.00 | $316.16–$3,594.35 | 60% below | 75% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN L OR S W/O IMG | $208.00 | $832.00 | $316.16–$748.80 | — | 75% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC ED INJECTION NERVE BLOCK/STEROID LUMBAR/SACRAL SINGLE LEVEL | $500.50 | $2,002.00 | $500.50–$3,594.35 | 17% below | 75% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECTION NERVE BLOCK/STEROID LUMBAR/SACRAL SINGLE LEVEL | $500.50 | $2,002.00 | $760.76–$3,594.35 | 17% below | 75% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECTION NERVE BLOCK/STEROID LUMBAR/SACRAL SINGLE LEVEL | $500.50 | $2,002.00 | $760.76–$1,801.80 | — | 75% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC ED INJECTION NERVE BLOCK/STEROID LUMBAR/SACRAL SINGLE LEVEL | $500.50 | $2,002.00 | $760.76–$1,801.80 | — | 75% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC ED 11400-REMOVAL OF SKIN LESION | $210.25 | $841.00 | $210.25–$2,840.40 | 45% below | 75% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC WD EXCISE LESION BENIGN 0.5 CM OR LESS | $277.00 | $1,108.00 | $421.04–$2,840.40 | 27% below | 75% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC ED 11400-REMOVAL OF SKIN LESION | $210.25 | $841.00 | $319.58–$756.90 | — | 75% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC WD EXCISE LESION BENIGN 0.5 CM OR LESS | $277.00 | $1,108.00 | $421.04–$997.20 | — | 75% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC ED 11440-REMOVAL OF SKIN LESION | $210.25 | $841.00 | $210.25–$2,840.40 | 45% below | 75% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC WD EXCISION BENIGN LESION F.E.EYELIDS 0.6 TO 1.0 CM | $373.00 | $1,492.00 | $566.96–$2,840.40 | 2% below | 75% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC WD EXCISE LESION BENIGN FACE/EARS/NOSE/LIPS 0.5 CM OR LESS | $459.00 | $1,836.00 | $617.82–$2,840.40 | 20% above | 75% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC ED 11440-REMOVAL OF SKIN LESION | $210.25 | $841.00 | $319.58–$756.90 | — | 75% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC WD EXCISION BENIGN LESION F.E.EYELIDS 0.6 TO 1.0 CM | $373.00 | $1,492.00 | $566.96–$1,342.80 | — | 75% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC WD EXCISE LESION BENIGN FACE/EARS/NOSE/LIPS 0.5 CM OR LESS | $459.00 | $1,836.00 | $697.68–$1,652.40 | — | 75% |
| Nail removal (partial or complete), one nail CPT 11730 HC ED 11730-REMOVAL OF NAIL PLATE PARTIAL/COMPLETE-SINGLE | $53.25 | $213.00 | $53.25–$508.90 | 68% below | 75% |
| Nail removal (partial or complete), one nail CPT 11730 HC WD AVULSION OF NAIL PLATE SINGLE | $90.50 | $362.00 | $137.56–$630.00 | 46% below | 75% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED 11730-REMOVAL OF NAIL PLATE PARTIAL/COMPLETE-SINGLE | $53.25 | $213.00 | $80.94–$191.70 | — | 75% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC WD AVULSION OF NAIL PLATE SINGLE | $90.50 | $362.00 | $137.56–$325.80 | — | 75% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION OCCIPITAL NERVE | $181.25 | $725.00 | $259.20–$1,191.78 | 34% below | 75% |
| Occipital nerve block (injection for headaches) CPT 64405 HC ED 64405; INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE | $202.75 | $811.00 | $202.75–$1,191.78 | 26% below | 75% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECTION OCCIPITAL NERVE | $181.25 | $725.00 | $275.50–$652.50 | — | 75% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC ED 64405; INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE | $202.75 | $811.00 | $308.18–$729.90 | — | 75% |
| Pacemaker implant (dual chamber) CPT 33208 HC INSERT PPM W ATRIAL/VENTRICULAR LEADS | $12,265.00 | $49,060.00 | $9,189.53–$44,154.00 | 39% above | 75% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSERT PPM W ATRIAL/VENTRICULAR LEADS | $12,265.00 | $49,060.00 | $18,642.80–$44,154.00 | — | 75% |
| Paracentesis with imaging guidance CPT 49083 HC ER 49083-PARACENTESIS, ABD W IMG | $206.75 | $827.00 | $206.75–$3,785.18 | 70% below | 75% |
| Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W GUIDANCE | $857.00 | $3,428.00 | $823.27–$3,785.18 | 23% above | 75% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ER 49083-PARACENTESIS, ABD W IMG | $206.75 | $827.00 | $314.26–$744.30 | — | 75% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W GUIDANCE | $857.00 | $3,428.00 | $1,302.64–$3,085.20 | — | 75% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ED 11750-REMOVAL OF NAIL BED | $140.00 | $560.00 | $140.00–$1,612.80 | 63% below | 75% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL BED & MATRIX | $453.75 | $1,815.00 | $350.82–$1,633.50 | 19% above | 75% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ED 11750-REMOVAL OF NAIL BED | $140.00 | $560.00 | $212.80–$504.00 | — | 75% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL BED & MATRIX | $453.75 | $1,815.00 | $689.70–$1,633.50 | — | 75% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTRUCTION LYTIC AGENT LUMBAR/SACRAL SINGLE FACET JT | $807.50 | $3,230.00 | $1,227.40–$7,883.89 | 34% below | 75% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTRUCTION LYTIC AGENT LUMBAR/SACRAL SINGLE FACET JT | $807.50 | $3,230.00 | $1,227.40–$2,907.00 | — | 75% |
| Removal of a foreign object under the skin, simple CPT 10120 HC ED 10120-REMOVE FOREIGN BODY SUBCUTANEOUS TISSUE-SIMPLE | $103.75 | $415.00 | $103.75–$1,612.80 | 63% below | 75% |
| Removal of a foreign object under the skin, simple CPT 10120 HC WD 10120-REMOVE FOREIGN BODY | $258.50 | $1,034.00 | $350.82–$1,612.80 | 7% below | 75% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ED 10120-REMOVE FOREIGN BODY SUBCUTANEOUS TISSUE-SIMPLE | $103.75 | $415.00 | $157.70–$373.50 | — | 75% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC WD 10120-REMOVE FOREIGN BODY | $258.50 | $1,034.00 | $392.92–$930.60 | — | 75% |
| Short arm cast (elbow to hand) CPT 29075 HC ED 29075-APPLY FOREARM CAST | $82.00 | $328.00 | $82.00–$1,072.80 | 48% below | 75% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC ED 29075-APPLY FOREARM CAST | $82.00 | $328.00 | $124.64–$295.20 | — | 75% |
| Short arm splint (forearm and hand) CPT 29125 HC ED 29125-APPLY FOREARM SPLINT-STATIC | $48.25 | $193.00 | $48.25–$330.12 | 62% below | 75% |
| Short arm splint (forearm and hand) CPT 29125 HC 29125-APPLY FOREARM SPLINT | $56.75 | $227.00 | $86.26–$630.00 | 55% below | 75% |
| Short arm splint (forearm and hand) CPT 29125 HC OT APPLY SHORT ARM SPLINT STATIC | $62.50 | $250.00 | $95.00–$330.12 | 51% below | 75% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC ED 29125-APPLY FOREARM SPLINT-STATIC | $48.25 | $193.00 | $73.34–$173.70 | — | 75% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC 29125-APPLY FOREARM SPLINT | $56.75 | $227.00 | $86.26–$204.30 | — | 75% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPLY SHORT ARM SPLINT STATIC | $62.50 | $250.00 | $95.00–$225.00 | — | 75% |
| Short leg cast (below the knee) CPT 29405 HC ED 29405-APPLY SHORT LEG CAST | $82.00 | $328.00 | $82.00–$1,072.80 | 55% below | 75% |
| Short leg cast (below the knee) inpatient CPT 29405 HC ED 29405-APPLY SHORT LEG CAST | $82.00 | $328.00 | $124.64–$295.20 | — | 75% |
| Short leg splint (calf to foot) CPT 29515 HC ED 29515-APPLY SHORT LEG SPLINT | $46.75 | $187.00 | $46.75–$637.20 | 68% below | 75% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC ED 29515-APPLY SHORT LEG SPLINT | $46.75 | $187.00 | $71.06–$168.30 | — | 75% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED 12001 - RPR SIMPLE WOUND MINOR | $60.00 | $240.00 | $60.00–$508.90 | 67% below | 75% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SUPERFICIAL WOUND | $82.75 | $331.00 | $125.78–$630.00 | 55% below | 75% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED 12001 - RPR SIMPLE WOUND MINOR | $60.00 | $240.00 | $91.20–$216.00 | — | 75% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR SUPERFICIAL WOUND | $82.75 | $331.00 | $125.78–$297.90 | — | 75% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $148.75 | $595.00 | $226.10–$1,612.80 | 37% below | 75% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $148.75 | $595.00 | $226.10–$535.50 | — | 75% |
| Skin tag removal, up to 15 tags CPT 11200 HC ED 11200-REMOVAL OF SKIN TAGS | $62.75 | $251.00 | $62.75–$508.90 | 52% below | 75% |
| Skin tag removal, up to 15 tags CPT 11200 HC 11200 REMOVAL SKIN TAG BY LIGATURE STRANGULATION | $68.00 | $272.00 | $103.36–$630.00 | 48% below | 75% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC ED 11200-REMOVAL OF SKIN TAGS | $62.75 | $251.00 | $95.38–$225.90 | — | 75% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC 11200 REMOVAL SKIN TAG BY LIGATURE STRANGULATION | $68.00 | $272.00 | $103.36–$244.80 | — | 75% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED 62270-SPINAL PUNCTURE LUMBAR-DIAGNOSTIC | $255.25 | $1,021.00 | $255.25–$2,795.90 | 45% below | 75% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $277.25 | $1,109.00 | $421.42–$2,795.90 | 40% below | 75% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ED 62270-SPINAL PUNCTURE LUMBAR-DIAGNOSTIC | $255.25 | $1,021.00 | $387.98–$918.90 | — | 75% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $277.25 | $1,109.00 | $421.42–$998.10 | — | 75% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED 12002-REPAIR SUPERFICIAL WOUND | $62.50 | $250.00 | $62.50–$508.90 | 67% below | 75% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR SUPERFICIAL WOUND | $130.25 | $521.00 | $174.48–$630.00 | 30% below | 75% |
| 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 ED 12002-REPAIR SUPERFICIAL WOUND | $62.50 | $250.00 | $95.00–$225.00 | — | 75% |
| 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 RPR SUPERFICIAL WOUND | $130.25 | $521.00 | $197.98–$468.90 | — | 75% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ED 12011-REPAIR SUPERFICIAL WOUND | $60.00 | $240.00 | $60.00–$508.90 | 67% below | 75% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC ED 12011-REPAIR SUPERFICIAL WOUND | $60.00 | $240.00 | $91.20–$216.00 | — | 75% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BX OF SKIN(SHAVE,SCOOP,SAUCERIZE,CURETTE) SLG LESION | $154.50 | $618.00 | $174.48–$802.80 | 14% below | 75% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BX OF SKIN(SHAVE,SCOOP,SAUCERIZE,CURETTE) SLG LESION | $154.50 | $618.00 | $234.84–$556.20 | — | 75% |
| Thoracentesis with imaging guidance CPT 32555 HC ED 32555-THORACENTESIS W IMAGING | $227.50 | $910.00 | $227.50–$2,494.80 | 73% below | 75% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W IMAGING | $764.00 | $3,056.00 | $542.89–$2,750.40 | 11% below | 75% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC ED 32555-THORACENTESIS W IMAGING | $227.50 | $910.00 | $345.80–$819.00 | — | 75% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W IMAGING | $764.00 | $3,056.00 | $1,161.28–$2,750.40 | — | 75% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC ED 20552-INJECT TRIGGER POINT 1 OR 2 | $77.25 | $309.00 | $77.25–$1,191.78 | 69% below | 75% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC TRIGGER POINT(S) INJECTION 1-2 MUSCLES | $134.75 | $539.00 | $204.82–$1,191.78 | 47% below | 75% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ED 20552-INJECT TRIGGER POINT 1 OR 2 | $77.25 | $309.00 | $117.42–$278.10 | — | 75% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC TRIGGER POINT(S) INJECTION 1-2 MUSCLES | $134.75 | $539.00 | $204.82–$485.10 | — | 75% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $2,051.50 | $8,206.00 | $1,277.00–$7,385.40 | 24% above | 75% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $2,051.50 | $8,206.00 | $3,118.28–$7,385.40 | — | 75% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC ED 43248-UPPER GI ENDO GUIDE WIRE | $207.25 | $829.00 | $207.25–$3,785.18 | 83% below | 75% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC ED 43248-UPPER GI ENDO GUIDE WIRE | $207.25 | $829.00 | $315.02–$746.10 | — | 75% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS ABLATION RADIOFREQ 1ST VEIN | $2,040.25 | $8,161.00 | $1,986.00–$12,708.00 | 8% below | 75% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS ABLATION RADIOFREQ 1ST VEIN | $2,040.25 | $8,161.00 | $3,101.18–$7,344.90 | — | 75% |
| Wart removal, up to 14 warts CPT 17110 HC ED 17110-DESTRUCT BENIGN LESION 1-14 | $51.25 | $205.00 | $51.25–$508.90 | 69% below | 75% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC ED 17110-DESTRUCT BENIGN LESION 1-14 | $51.25 | $205.00 | $77.90–$184.50 | — | 75% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ED 11042-DEBRIDE SQ TISS 1ST 20 SQCM | $103.75 | $415.00 | $103.75–$1,612.80 | 71% below | 75% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC WD DEBRIDE SQ TISS 1ST 20 SQ CM | $279.75 | $1,119.00 | $350.82–$1,612.80 | 21% below | 75% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ED 11042-DEBRIDE SQ TISS 1ST 20 SQCM | $103.75 | $415.00 | $157.70–$373.50 | — | 75% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC WD DEBRIDE SQ TISS 1ST 20 SQ CM | $279.75 | $1,119.00 | $425.22–$1,007.10 | — | 75% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMINISTRATION | $285.00 | $1,140.00 | $383.88–$1,765.01 | 28% below | 75% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMINISTRATION | $285.00 | $1,140.00 | $433.20–$1,026.00 | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC TRMT W/DEVICE TO CREATE POS AIR PRESSURE TO ASSIST W/COUGHING | $62.75 | $251.00 | $95.38–$520.91 | 1% above | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL TRMT AEROSOL/IPPB/MDI/SPUTUM INDUC | $62.75 | $251.00 | $95.38–$520.91 | 1% above | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC TRMT W/DEVICE TO CREATE POS AIR PRESSURE TO ASSIST W/COUGHING | $62.75 | $251.00 | $95.38–$225.90 | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL TRMT AEROSOL/IPPB/MDI/SPUTUM INDUC | $62.75 | $251.00 | $95.38–$225.90 | — | 75% |
| Chemotherapy IV infusion, first hour CPT 96413 HC 96413-CHEMO INFUS INITIAL 1 HR | $379.50 | $1,518.00 | $291.25–$1,527.00 | 6% above | 75% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC 96413-CHEMO INFUS INITIAL 1 HR | $379.50 | $1,518.00 | $576.84–$1,366.20 | — | 75% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE FIRST 30-74 MINS | $528.50 | $2,114.00 | $528.50–$7,323.00 | 49% below | 75% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE FIRST 30-74 MINS | $528.50 | $2,114.00 | $803.32–$1,902.60 | — | 75% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE DROWSY | $239.75 | $959.00 | $273.44–$1,256.40 | 25% below | 75% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE DROWSY | $239.75 | $959.00 | $364.42–$863.10 | — | 75% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD | $63.25 | $253.00 | $52.16–$610.00 | 31% below | 75% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD | $63.25 | $253.00 | $96.14–$227.70 | — | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL ONE | $90.00 | $360.00 | $77.32–$392.00 | 12% below | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL ONE | $90.00 | $360.00 | $136.80–$324.00 | — | 75% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL TWO | $135.00 | $540.00 | $135.00–$787.00 | 30% below | 75% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL TWO | $135.00 | $540.00 | $205.20–$486.00 | — | 75% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL THREE | $190.25 | $761.00 | $190.25–$1,521.00 | 47% below | 75% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL THREE | $190.25 | $761.00 | $289.18–$684.90 | — | 75% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL FOUR | $274.50 | $1,098.00 | $274.50–$2,615.00 | 50% below | 75% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL FOUR | $274.50 | $1,098.00 | $417.24–$988.20 | — | 75% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL FIVE | $366.50 | $1,466.00 | $366.50–$4,012.00 | 55% below | 75% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL FIVE | $366.50 | $1,466.00 | $557.08–$1,319.40 | — | 75% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRESS TEST TRACING ONLY | $229.50 | $918.00 | $273.44–$838.00 | 33% below | 75% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CV STRESS TEST TRACING ONLY | $229.50 | $918.00 | $348.84–$826.20 | — | 75% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PATIENT PSYCHOTHERAPY | $164.00 | $656.00 | $141.08–$590.40 | 3% above | 75% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PATIENT PSYCHOTHERAPY | $164.00 | $656.00 | $249.28–$590.40 | — | 75% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $106.50 | $426.00 | $81.23–$383.40 | 10% below | 75% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY | $106.50 | $426.00 | $161.88–$383.40 | — | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED 9636059-HYDR IV INIT 31-60 MIN | $50.00 | $200.00 | $50.00–$849.60 | 73% below | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED 96360-HYDRATION IV INIT 31-60 MIN | $92.00 | $368.00 | $92.00–$849.60 | 49% below | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC 96360-HYDRATION IV INITIAL 31-60 MIN | $200.00 | $800.00 | $185.00–$849.60 | 10% above | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED 9636059-HYDR IV INIT 31-60 MIN | $50.00 | $200.00 | $76.00–$180.00 | — | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED 96360-HYDRATION IV INIT 31-60 MIN | $92.00 | $368.00 | $139.84–$331.20 | — | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC 96360-HYDRATION IV INITIAL 31-60 MIN | $200.00 | $800.00 | $304.00–$720.00 | — | 75% |
| IV infusion of a medicine, first hour CPT 96365 HC ED 9636559-THER PRO DIA IV INITIAL 1HR | $50.00 | $200.00 | $50.00–$849.60 | 78% below | 75% |
| IV infusion of a medicine, first hour CPT 96365 HC ED 96365-THER PRO DIA IV INITIAL 1HR | $92.00 | $368.00 | $92.00–$849.60 | 60% below | 75% |
| IV infusion of a medicine, first hour CPT 96365 HC 96365-THER/DIAG IV INITIAL 1 HR | $200.00 | $800.00 | $185.00–$849.60 | 13% below | 75% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC ED 9636559-THER PRO DIA IV INITIAL 1HR | $50.00 | $200.00 | $76.00–$180.00 | — | 75% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC ED 96365-THER PRO DIA IV INITIAL 1HR | $92.00 | $368.00 | $139.84–$331.20 | — | 75% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC 96365-THER/DIAG IV INITIAL 1 HR | $200.00 | $800.00 | $304.00–$720.00 | — | 75% |
| IV push of a medicine, first drug CPT 96374 HC ED 96374-IV PUSH SINGLE OR INITIAL | $92.00 | $368.00 | $92.00–$849.60 | 32% below | 75% |
| IV push of a medicine, first drug CPT 96374 HC 96374-IV PUSH SINGLE OR INITIAL | $200.00 | $800.00 | $185.00–$849.60 | 49% above | 75% |
| IV push of a medicine, first drug inpatient CPT 96374 HC ED 96374-IV PUSH SINGLE OR INITIAL | $92.00 | $368.00 | $139.84–$331.20 | — | 75% |
| IV push of a medicine, first drug inpatient CPT 96374 HC 96374-IV PUSH SINGLE OR INITIAL | $200.00 | $800.00 | $304.00–$720.00 | — | 75% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED 9637259-INJECTION IM OR SQ | $10.50 | $42.00 | $10.50–$182.28 | 82% below | 75% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED 96372-INJECTION IM OR SQ | $28.50 | $114.00 | $28.50–$182.28 | 52% below | 75% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC 96372-INJECTION IM OR SQ | $28.50 | $114.00 | $43.32–$437.00 | 52% below | 75% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED 9637259-INJECTION IM OR SQ | $10.50 | $42.00 | $15.96–$37.80 | — | 75% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC 96372-INJECTION IM OR SQ | $28.50 | $114.00 | $43.32–$102.60 | — | 75% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED 96372-INJECTION IM OR SQ | $28.50 | $114.00 | $43.32–$102.60 | — | 75% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION | $109.75 | $439.00 | $141.08–$665.00 | 37% below | 75% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION | $109.75 | $439.00 | $166.82–$395.10 | — | 75% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION 7-8 STUDIES | $1,042.25 | $4,169.00 | $273.44–$3,752.10 | 220% above | 75% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION 7-8 STUDIES | $1,042.25 | $4,169.00 | $1,584.22–$3,752.10 | — | 75% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT MUSCLE RE-EDUCATION BALANCE TRAIN I EA 15 MIN | $51.00 | $204.00 | $22.14–$237.00 | 4% below | 75% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT MUSCLE RE-EDUCATION BALANCE TRAIN I EA 15 MIN | $51.00 | $204.00 | $22.14–$237.00 | 4% below | 75% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT MUSCLE RE-EDUCATION BALANCE TRAIN I EA 15 MIN | $51.00 | $204.00 | $77.52–$183.60 | — | 75% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT MUSCLE RE-EDUCATION BALANCE TRAIN I EA 15 MIN | $51.00 | $204.00 | $77.52–$183.60 | — | 75% |
| New patient office visit, about 30 minutes CPT 99203 HC NEW PT OP VISIT LEVEL THREE | $93.00 | $372.00 | $66.34–$334.80 | 19% below | 75% |
| New patient office visit, about 30 minutes CPT 99203 HC WD NEW PT OP VISIT LEVEL THREE | $101.50 | $406.00 | $66.34–$365.40 | 11% below | 75% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT OP VISIT LEVEL THREE | $93.00 | $372.00 | $141.36–$334.80 | — | 75% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC WD NEW PT OP VISIT LEVEL THREE | $101.50 | $406.00 | $154.28–$365.40 | — | 75% |
| New patient office visit, about 45 minutes CPT 99204 HC WD NEW PT OP VISIT LEVEL FOUR | $121.75 | $487.00 | $108.16–$438.30 | 23% below | 75% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW PT OP VISIT LEVEL FOUR | $122.25 | $489.00 | $108.16–$440.10 | 23% below | 75% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC WD NEW PT OP VISIT LEVEL FOUR | $121.75 | $487.00 | $185.06–$438.30 | — | 75% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT OP VISIT LEVEL FOUR | $122.25 | $489.00 | $185.82–$440.10 | — | 75% |
| New patient office visit, about 60 minutes CPT 99205 HC WD NEW PT OP VISIT LEVEL FIVE | $148.75 | $595.00 | $122.15–$535.50 | 24% below | 75% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW PT OP VISIT LEVEL FIVE | $198.50 | $794.00 | $122.15–$714.60 | 1% above | 75% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC WD NEW PT OP VISIT LEVEL FIVE | $148.75 | $595.00 | $226.10–$535.50 | — | 75% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT OP VISIT LEVEL FIVE | $198.50 | $794.00 | $301.72–$714.60 | — | 75% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PT OP VISIT LEVEL TWO | $67.00 | $268.00 | $39.14–$241.20 | 14% below | 75% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC WD NEW PT OP VISIT LEVEL TWO | $81.00 | $324.00 | $39.14–$291.60 | 4% above | 75% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC NEW PT OP VISIT LEVEL TWO | $67.00 | $268.00 | $101.84–$241.20 | — | 75% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC WD NEW PT OP VISIT LEVEL TWO | $81.00 | $324.00 | $123.12–$291.60 | — | 75% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INDIVIDUAL EVAL 1/4 HR | $25.00 | $100.00 | $22.68–$202.00 | 4% above | 75% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INDIVIDUAL EVAL 1/4 HR | $25.00 | $100.00 | $38.00–$90.00 | — | 75% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION LOW COMPLEXITY 30 MIN | $223.75 | $895.00 | $62.44–$805.50 | 76% above | 75% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION LOW COMPLEXITY 30 MIN | $223.75 | $895.00 | $340.10–$805.50 | — | 75% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION HIGH COMPLEXITY 45 MIN | $223.75 | $895.00 | $64.31–$805.50 | 48% above | 75% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION HIGH COMPLEXITY 45 MIN | $223.75 | $895.00 | $340.10–$805.50 | — | 75% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION LOW COMPLEXITY 20 MIN | $223.75 | $895.00 | $64.31–$805.50 | 85% above | 75% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION LOW COMPLEXITY 20 MIN | $223.75 | $895.00 | $340.10–$805.50 | — | 75% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION MOD COMPLEXITY 30 MIN | $223.75 | $895.00 | $64.31–$805.50 | 76% above | 75% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION MOD COMPLEXITY 30 MIN | $223.75 | $895.00 | $340.10–$805.50 | — | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY TECHNIQUES EA 15 MIN | $52.00 | $208.00 | $17.58–$237.00 | 12% below | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY TECHNIQUES EA 15 MIN | $52.00 | $208.00 | $17.58–$237.00 | 12% below | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY TECHNIQUES EA 15 MIN | $52.00 | $208.00 | $79.04–$187.20 | — | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY TECHNIQUES EA 15 MIN | $52.00 | $208.00 | $79.04–$187.20 | — | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT EXERCISE I EA 15 MIN | $51.00 | $204.00 | $19.09–$237.00 | 7% below | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT EXERCISE I EA 15 MIN | $51.00 | $204.00 | $19.09–$237.00 | 7% below | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT EXERCISE II EA 15 MIN | $57.75 | $231.00 | $19.09–$237.00 | 5% above | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT EXERCISE II EA 15 MIN | $57.75 | $231.00 | $19.09–$237.00 | 5% above | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT EXERCISE I EA 15 MIN | $51.00 | $204.00 | $77.52–$183.60 | — | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT EXERCISE I EA 15 MIN | $51.00 | $204.00 | $77.52–$183.60 | — | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT EXERCISE II EA 15 MIN | $57.75 | $231.00 | $87.78–$207.90 | — | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT EXERCISE II EA 15 MIN | $57.75 | $231.00 | $87.78–$207.90 | — | 75% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 16-37 MIN | $58.75 | $235.00 | $89.30–$500.00 | 40% below | 75% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY 16-37 MIN | $58.75 | $235.00 | $89.30–$211.50 | — | 75% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY 38-52 MIN | $137.50 | $550.00 | $141.08–$500.00 | 2% below | 75% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY 38-52 MIN | $137.50 | $550.00 | $209.00–$495.00 | — | 75% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKE/TOBACCO CESSATION INTERMED VISIT 3-10 MIN | $14.75 | $59.00 | $22.42–$202.00 | 56% below | 75% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKE/TOBACCO CESSATION INTERMED VISIT 3-10 MIN | $14.75 | $59.00 | $22.42–$53.10 | — | 75% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST PT OP VISIT LEVEL FIVE | $132.75 | $531.00 | $116.84–$477.90 | 29% below | 75% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC WD EST PT OP VISIT LEVEL FIVE | $148.75 | $595.00 | $116.84–$535.50 | 20% below | 75% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC LD LABOR VISIT LEVEL V | $384.50 | $1,538.00 | $116.84–$1,709.00 | 106% above | 75% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC EST PT OP VISIT LEVEL FIVE | $132.75 | $531.00 | $201.78–$477.90 | — | 75% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC WD EST PT OP VISIT LEVEL FIVE | $148.75 | $595.00 | $226.10–$535.50 | — | 75% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC LD LABOR VISIT LEVEL V | $384.50 | $1,538.00 | $584.44–$1,384.20 | — | 75% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EST PT OP VISIT LEVEL THREE | $88.50 | $354.00 | $53.73–$318.60 | 19% below | 75% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC WD EST PT OP VISIT LEVEL THREE | $101.50 | $406.00 | $53.73–$365.40 | 7% below | 75% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC LD LABOR VISIT LEVEL III | $221.75 | $887.00 | $53.73–$1,709.00 | 103% above | 75% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC EST PT OP VISIT LEVEL THREE | $88.50 | $354.00 | $134.52–$318.60 | — | 75% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC WD EST PT OP VISIT LEVEL THREE | $101.50 | $406.00 | $154.28–$365.40 | — | 75% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC LD LABOR VISIT LEVEL III | $221.75 | $887.00 | $337.06–$798.30 | — | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC EST PT OP VISIT LEVEL FOUR | $97.50 | $390.00 | $79.45–$351.00 | 27% below | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC WD EST PT OP VISIT LEVEL FOUR | $121.75 | $487.00 | $79.45–$438.30 | 9% below | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC LD LABOR VISIT LEVEL IV | $305.50 | $1,222.00 | $79.45–$1,709.00 | 129% above | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC EST PT OP VISIT LEVEL FOUR | $97.50 | $390.00 | $148.20–$351.00 | — | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC WD EST PT OP VISIT LEVEL FOUR | $121.75 | $487.00 | $185.06–$438.30 | — | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC LD LABOR VISIT LEVEL IV | $305.50 | $1,222.00 | $464.36–$1,099.80 | — | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC EST PT OP VISIT LEVEL TWO | $67.00 | $268.00 | $28.72–$241.20 | 9% below | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC WD EST PT OP VISIT LEVEL TWO | $81.00 | $324.00 | $28.72–$291.60 | 10% above | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC LD LABOR VISIT LEVEL II | $187.00 | $748.00 | $28.72–$1,709.00 | 153% above | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC EST PT OP VISIT LEVEL TWO | $67.00 | $268.00 | $101.84–$241.20 | — | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC WD EST PT OP VISIT LEVEL TWO | $81.00 | $324.00 | $123.12–$291.60 | — | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC LD LABOR VISIT LEVEL II | $187.00 | $748.00 | $284.24–$673.20 | — | 75% |
| Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $150.25 | $601.00 | $126.63–$540.90 | 20% below | 75% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $150.25 | $601.00 | $228.38–$540.90 | — | 75% |
| Speech therapy session, individual CPT 92507 HC ST SPEECH INDIVIDUAL TREATMENT | $271.25 | $1,085.00 | $42.13–$976.50 | 115% above | 75% |
| Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH INDIVIDUAL TREATMENT | $271.25 | $1,085.00 | $412.30–$976.50 | — | 75% |
| Spirometry (breathing test) CPT 94010 HC PEAK EXPIRATORY FLOW RATE | $174.50 | $698.00 | $137.39–$671.00 | 30% above | 75% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY WO BD | $174.50 | $698.00 | $137.39–$671.00 | 30% above | 75% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY WO BD | $174.50 | $698.00 | $265.24–$628.20 | — | 75% |
| Spirometry (breathing test) inpatient CPT 94010 HC PEAK EXPIRATORY FLOW RATE | $174.50 | $698.00 | $265.24–$628.20 | — | 75% |
| Spirometry before and after a bronchodilator CPT 94060 HC PEAK EXPIR FLOW RATE PRE AND POST BD | $96.00 | $384.00 | $145.92–$1,256.40 | 62% below | 75% |
| Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODILATION RESPONSIVE/SPIROMETRY/P/P BRONCHO | $121.50 | $486.00 | $184.68–$1,256.40 | 51% below | 75% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY WITH BD | $219.50 | $878.00 | $273.44–$1,256.40 | 12% below | 75% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC PEAK EXPIR FLOW RATE PRE AND POST BD | $96.00 | $384.00 | $145.92–$345.60 | — | 75% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHODILATION RESPONSIVE/SPIROMETRY/P/P BRONCHO | $121.50 | $486.00 | $184.68–$437.40 | — | 75% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY WITH BD | $219.50 | $878.00 | $333.64–$790.20 | — | 75% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITIES I EA 15 MIN | $51.00 | $204.00 | $24.49–$237.00 | 5% below | 75% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITIES I EA 15 MIN | $51.00 | $204.00 | $24.49–$237.00 | 5% below | 75% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITIES II EA 15 MIN | $77.00 | $308.00 | $24.49–$277.20 | 43% above | 75% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITIES I EA 15 MIN | $51.00 | $204.00 | $77.52–$183.60 | — | 75% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITIES I EA 15 MIN | $51.00 | $204.00 | $77.52–$183.60 | — | 75% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITIES II EA 15 MIN | $77.00 | $308.00 | $117.04–$277.20 | — | 75% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC 99195-THERAPEUTIC ISOVOLEMIC PHLEBOTOMY | $32.00 | $128.00 | $48.64–$330.12 | 70% below | 75% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC 99195-THERAPEUTIC PHLEBOTOMY | $108.75 | $435.00 | $113.18–$391.50 | 4% above | 75% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC 99195-THERAPEUTIC ISOVOLEMIC PHLEBOTOMY | $32.00 | $128.00 | $48.64–$115.20 | — | 75% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC 99195-THERAPEUTIC PHLEBOTOMY | $108.75 | $435.00 | $165.30–$391.50 | — | 75% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Mississippi | Off list |
|---|---|---|---|---|---|
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC 90662 IIV VACCINE PRESERV FREE INCREASED AG COUNT IM | $17.68 | $70.71 | $13.86–$83.49 | 57% below | 75% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC 90662 IIV VACCINE PRESERV FREE INCREASED AG COUNT IM | $17.68 | $70.71 | $26.87–$63.64 | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED 9047159-IMMUNIZATION ADMINISTRATION | $11.50 | $46.00 | $17.48–$182.28 | 79% below | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED 90471-IMMUNIZATION ADMINISTRATION | $31.50 | $126.00 | $47.88–$182.28 | 42% below | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC 90471-IMMUNIZATION ADMINISTRATION | $34.50 | $138.00 | $52.44–$182.28 | 36% below | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED 9047159-IMMUNIZATION ADMINISTRATION | $11.50 | $46.00 | $17.48–$41.40 | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED 90471-IMMUNIZATION ADMINISTRATION | $31.50 | $126.00 | $47.88–$113.40 | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC 90471-IMMUNIZATION ADMINISTRATION | $34.50 | $138.00 | $52.44–$124.20 | — | 75% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ED 90472-IMMUNIZATION ADMIN EACH ADDL | $31.50 | $126.00 | $10.00–$113.40 | 4% above | 75% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC 90472-IMMUNIZATION ADMIN EACH ADDL | $34.50 | $138.00 | $10.00–$124.20 | 14% above | 75% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ED 90472-IMMUNIZATION ADMIN EACH ADDL | $31.50 | $126.00 | $47.88–$113.40 | — | 75% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC 90472-IMMUNIZATION ADMIN EACH ADDL | $34.50 | $138.00 | $52.44–$124.20 | — | 75% |
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.