Wellstar Paulding Hospital
Wellstar Paulding Hospital in Hiram, GA publishes cash prices for 389 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Georgia median for 218 of 381 procedures and below it for 103. By typical cash price it ranks #60 of 96 Georgia hospitals and #22 of 37 hospitals in the Atlanta, GA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
2518 Jimmy Lee Smith Parkway, Hiram, GA 30141 Collected Sep 27, 2026 Source price file Check a bill from this hospital (470) 644-7000
Acute care hospital Nonprofit hospital No emergency department CMS star rating 4 of 5 CCN 110042 · CMS hospital register NPI 1457329435
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Wellstar Paulding Hospital 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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Hc Ct Abdomen W Plus Wo Contrast | $1,888.77 | $4,843.00 | — | at median | 61% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Hc Ct Abdomen W Plus Wo Contrast | $1,888.77 | $4,843.00 | — | — | 61% |
| Abdominal X-ray, 2 views CPT 74019 Hc Xr Abdomen 2Vw | $303.81 | $779.00 | — | 13% above | 61% |
| Abdominal X-ray, 2 views inpatient CPT 74019 Hc Xr Abdomen 2Vw | $303.81 | $779.00 | — | — | 61% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Hc Xr Ankle Complete 3 Plus Vw | $261.30 | $670.00 | — | 4% below | 61% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hc Xr Ankle Complete 3 Plus Vw | $261.30 | $670.00 | — | — | 61% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Hc Us Arterial Upper/Lower Ext 1-2 Levels Ltd Bilat | $798.33 | $2,047.00 | — | — | 61% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Hc Us Arterial Upper/Lower Ext 1-2 Levels Ltd Bilat | $798.33 | $2,047.00 | — | — | 61% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Hc Ct Upper Extremity W/O Contrast | $1,150.11 | $2,949.00 | — | 8% above | 61% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Hc Ct Upper Extremity W/O Contrast | $1,150.11 | $2,949.00 | — | — | 61% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc Fl Contrast X-Ray Esophagus | $99.45 | $255.00 | — | 71% below | 61% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hc Fl Contrast X-Ray Esophagus | $99.45 | $255.00 | — | — | 61% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Hc Nm Bone/Joint Imaging Whole Body | $1,087.32 | $2,788.00 | — | 15% below | 61% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hc Nm Bone/Joint Imaging Whole Body | $1,087.32 | $2,788.00 | — | — | 61% |
| Breast ultrasound, complete, one breast one side CPT 76641 Hc Us Breast Unilateral Complete | $382.20 | $980.00 | — | 9% below | 61% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hc Us Breast Unilateral Complete | $382.20 | $980.00 | — | — | 61% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Us Breast Ltd Unilateral | $382.20 | $980.00 | — | 10% above | 61% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hc Us Breast Ltd Unilateral | $382.20 | $980.00 | — | — | 61% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hc Ct Angio Abd And Plvis Cntrst Mtrl W/Wo Cntrst Img | $2,770.56 | $7,104.00 | — | 22% above | 61% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Hc Ct Angio Abd And Plvis Cntrst Mtrl W/Wo Cntrst Img | $2,770.56 | $7,104.00 | — | — | 61% |
| CT angiography (CTA) of the neck CPT 70498 Hc Ct Angiography Neck W/Contrast/Noncontrast | $1,769.43 | $4,537.00 | — | 5% above | 61% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Hc Ct Angiography Neck W/Contrast/Noncontrast | $1,769.43 | $4,537.00 | — | — | 61% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Ct Angiography Chest W/Contrast/Noncontrast | $1,347.84 | $3,456.00 | — | 9% below | 61% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hc Ct Angiography Chest W/Contrast/Noncontrast | $1,347.84 | $3,456.00 | — | — | 61% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Ct Angio Heart Structure And Morph 3D With Contrast | $243.75 | $625.00 | — | 69% below | 61% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Ct Angio Heart Structure And Morph 3D With Contrast | $243.75 | $625.00 | — | — | 61% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc Sp3 Ct Heart Screen W/O Contrast | $468.00 | $1,200.00 | — | 368% above | 61% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc Sp3 Ct Heart Screen Couple W/O Contrast | $468.00 | $1,200.00 | — | 368% above | 61% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hc Sp3 Ct Heart Screen W/O Contrast | $468.00 | $1,200.00 | — | — | 61% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hc Sp3 Ct Heart Screen Couple W/O Contrast | $468.00 | $1,200.00 | — | — | 61% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Abdomen And Pelvis Wo Contrast | $2,224.17 | $5,703.00 | — | 6% above | 61% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hc Ct Abdomen And Pelvis Wo Contrast | $2,224.17 | $5,703.00 | — | — | 61% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abdomen And Pelvis W Plus W/O Contrast | $3,133.65 | $8,035.00 | — | 7% above | 61% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abdomen And Pelvis W Plus W/O Contrast | $3,133.65 | $8,035.00 | — | — | 61% |
| CT scan of the abdomen with contrast CPT 74160 Hc Ct Abdomen With Contrast | $1,683.63 | $4,317.00 | — | at median | 61% |
| CT scan of the abdomen with contrast inpatient CPT 74160 Hc Ct Abdomen With Contrast | $1,683.63 | $4,317.00 | — | — | 61% |
| CT scan of the abdomen without contrast CPT 74150 Hc Ct Abdomen W/O Contrast | $1,358.76 | $3,484.00 | — | 7% above | 61% |
| CT scan of the abdomen without contrast inpatient CPT 74150 Hc Ct Abdomen W/O Contrast | $1,358.76 | $3,484.00 | — | — | 61% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct Maxillofacial W/O Contrast | $1,319.37 | $3,383.00 | — | 28% above | 61% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc Ct Maxillofacial W/O Contrast | $1,319.37 | $3,383.00 | — | — | 61% |
| CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Head Or Brain W/O Contrast | $1,418.82 | $3,638.00 | — | 21% above | 61% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Head Or Brain W/O Contrast | $1,418.82 | $3,638.00 | — | — | 61% |
| CT scan of the head with contrast CPT 70460 Hc Ct Head Or Brain With Contrast | $1,587.69 | $4,071.00 | — | 11% above | 61% |
| CT scan of the head with contrast inpatient CPT 70460 Hc Ct Head Or Brain With Contrast | $1,587.69 | $4,071.00 | — | — | 61% |
| CT scan of the head without and with contrast CPT 70470 Hc Ct Head Or Brain W Plus W/O Contrast | $1,881.36 | $4,824.00 | — | 2% above | 61% |
| CT scan of the head without and with contrast inpatient CPT 70470 Hc Ct Head Or Brain W Plus W/O Contrast | $1,881.36 | $4,824.00 | — | — | 61% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Ct Lumbar Spine W/O Contrast | $1,610.70 | $4,130.00 | — | 25% above | 61% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hc Ct Lumbar Spine W/O Contrast | $1,610.70 | $4,130.00 | — | — | 61% |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Pelvis With Contrast | $1,602.51 | $4,109.00 | — | at median | 61% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Pelvis With Contrast | $1,602.51 | $4,109.00 | — | — | 61% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hc Us Duplex Extracranial Arteries Compl Bilat Study | $948.09 | $2,431.00 | — | — | 61% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Hc Us Duplex Extracranial Arteries Compl Bilat Study | $948.09 | $2,431.00 | — | — | 61% |
| Chest CT scan without and with contrast CPT 71270 Hc Ct Thorax W Plus Wo Contrast Diagnostic | $1,918.02 | $4,918.00 | — | 14% above | 61% |
| Chest CT scan without and with contrast inpatient CPT 71270 Hc Ct Thorax W Plus Wo Contrast Diagnostic | $1,918.02 | $4,918.00 | — | — | 61% |
| Chest X-ray, 2 views CPT 71046 Hc Xr Chest 2Vw | $294.06 | $754.00 | — | 31% above | 61% |
| Chest X-ray, 2 views inpatient CPT 71046 Hc Xr Chest 2Vw | $294.06 | $754.00 | — | — | 61% |
| Chest X-ray, single view CPT 71045 Hc Xr Chest 1Vw | $252.72 | $648.00 | — | 50% above | 61% |
| Chest X-ray, single view inpatient CPT 71045 Hc Xr Chest 1Vw | $252.72 | $648.00 | — | — | 61% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Hc Xr Clavicle Complete | $241.80 | $620.00 | — | at median | 61% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Hc Xr Clavicle Complete | $241.80 | $620.00 | — | — | 61% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Us Retroperitoneal Complete Renal/Aorta/Nodes | $618.54 | $1,586.00 | — | 24% above | 61% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hc Us Retroperitoneal Complete Renal/Aorta/Nodes | $618.54 | $1,586.00 | — | — | 61% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Bd Dexa Axial Skeleton 2 Sites | $407.94 | $1,046.00 | — | 6% above | 61% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc Bd Dexa Axial Skeleton 2 Sites | $407.94 | $1,046.00 | — | — | 61% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Bd Dexa Forearm/Appendicular Skeleton | $332.67 | $853.00 | — | 79% above | 61% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hc Bd Dexa Forearm/Appendicular Skeleton | $332.67 | $853.00 | — | — | 61% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hc Us Pregnant Uterus W/Detail Fetal Anatomic 1St Gestation | $539.37 | $1,383.00 | — | 67% above | 61% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hc Us Pregnant Uterus W/Detail Fetal Anatomic 1St Gestation | $539.37 | $1,383.00 | — | — | 61% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Ct Thorax W Contrast Diagnostic | $1,562.34 | $4,006.00 | — | 1% above | 61% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hc Ct Thorax W Contrast Diagnostic | $1,562.34 | $4,006.00 | — | — | 61% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hc Mammo Diagnostic Digital Bilat W/Cad | $70.20 | $180.00 | — | — | 61% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hc Mammo Diagnostic Digital Bilat W/Cad | $70.20 | $180.00 | — | — | 61% |
| Diagnostic mammogram, one breast CPT 77065 Hc Mammo Diagnostic Digital Uni W/Cad | $349.05 | $895.00 | — | 43% above | 61% |
| Diagnostic mammogram, one breast inpatient CPT 77065 Hc Mammo Diagnostic Digital Uni W/Cad | $349.05 | $895.00 | — | — | 61% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Hc Us Duplex Arteries/Graft Lower Ext Complete Bilat | $246.87 | $633.00 | — | — | 61% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Hc Us Duplex Arteries/Graft Lower Ext Complete Bilat | $246.87 | $633.00 | — | — | 61% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Us Duplex Venous Lower Extremity Complete Bilateral | $97.50 | $250.00 | — | — | 61% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Us Duplex Venous Upper Extremity Complete Bilateral | $984.75 | $2,525.00 | — | — | 61% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Us Duplex Venous Lower Extremity Complete Bilateral | $97.50 | $250.00 | — | — | 61% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Us Duplex Venous Upper Extremity Complete Bilateral | $984.75 | $2,525.00 | — | — | 61% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Echo Tthrc R-T 2D W/Wom-Mode Compl Spec And Colr D | $1,835.34 | $4,706.00 | — | 18% above | 61% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Echo Tthrc R-T 2D W/Wom-Mode Compl Spec And Colr D | $1,835.34 | $4,706.00 | — | — | 61% |
| Elbow X-ray, 2 views CPT 73070 Hc Xr Elbow 2Vw | $193.05 | $495.00 | — | at median | 61% |
| Elbow X-ray, 2 views inpatient CPT 73070 Hc Xr Elbow 2Vw | $193.05 | $495.00 | — | — | 61% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Hc Xr Elbow Complete 3 Plus Vw | $261.30 | $670.00 | — | at median | 61% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Hc Xr Elbow Complete 3 Plus Vw | $261.30 | $670.00 | — | — | 61% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Hc Ct Orbit Sella Posterior Fossa Inner Or Mid Ear Wo Contrast | $1,385.28 | $3,552.00 | — | 29% above | 61% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Hc Ct Orbit Sella Posterior Fossa Inner Or Mid Ear Wo Contrast | $1,385.28 | $3,552.00 | — | — | 61% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Hc Xr Facial Bones Complete 3 Plus Vw | $378.69 | $971.00 | — | 24% above | 61% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Hc Xr Facial Bones Complete 3 Plus Vw | $378.69 | $971.00 | — | — | 61% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Hc Xr Forearm 2 Plus Vw | $238.68 | $612.00 | — | 10% above | 61% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Hc Xr Forearm 2 Plus Vw | $238.68 | $612.00 | — | — | 61% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Nm Hepatobiliary System Imaging | $1,078.74 | $2,766.00 | — | 16% below | 61% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hc Nm Hepatobiliary System Imaging | $1,078.74 | $2,766.00 | — | — | 61% |
| Hand X-ray, 2 views CPT 73120 Hc Xr Hand 2Vw | $237.90 | $610.00 | — | 11% above | 61% |
| Hand X-ray, 2 views inpatient CPT 73120 Hc Xr Hand 2Vw | $237.90 | $610.00 | — | — | 61% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Hc Xr Calcaneus 2 Plus Vw | $230.10 | $590.00 | — | 12% above | 61% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Hc Xr Calcaneus 2 Plus Vw | $230.10 | $590.00 | — | — | 61% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Sleep Study Unattended | $430.95 | $1,105.00 | — | 22% below | 61% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Infant Sleep Study 4 Channel | $430.95 | $1,105.00 | — | 22% below | 61% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hc Infant Sleep Study 4 Channel | $430.95 | $1,105.00 | — | — | 61% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hc Sleep Study Unattended | $430.95 | $1,105.00 | — | — | 61% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Sp3 Polysomnography W/Cpap | $468.00 | $1,200.00 | — | 81% below | 61% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Polysomnography W/Cpap | $3,343.86 | $8,574.00 | — | 34% above | 61% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Sp3 Polysomnography W/Cpap | $468.00 | $1,200.00 | — | — | 61% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Polysomnography W/Cpap | $3,343.86 | $8,574.00 | — | — | 61% |
| Knee X-ray, 3 views CPT 73562 Hc Xr Knee 3Vw | $269.88 | $692.00 | — | 13% above | 61% |
| Knee X-ray, 3 views inpatient CPT 73562 Hc Xr Knee 3Vw | $269.88 | $692.00 | — | — | 61% |
| Knee X-ray, complete, 4 or more views CPT 73564 Hc Xr Knee Complete 4 Plus Vw | $273.00 | $700.00 | — | at median | 61% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 Hc Xr Knee Complete 4 Plus Vw | $273.00 | $700.00 | — | — | 61% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Hc Ct Extremity Lower W/O Contrast | $1,167.27 | $2,993.00 | — | 13% above | 61% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Hc Ct Extremity Lower W/O Contrast | $1,167.27 | $2,993.00 | — | — | 61% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us Abdominal Real Time W/Image Limited | $490.62 | $1,258.00 | — | at median | 61% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Sgl Organ Bladder | $603.33 | $1,547.00 | — | 23% above | 61% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us Abdominal Real Time W/Image Limited | $490.62 | $1,258.00 | — | — | 61% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Sgl Organ Bladder | $603.33 | $1,547.00 | — | — | 61% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hc Us Lmtd Joint/Oth Nonvasc Xtr Strux R-T W/Img | $370.89 | $951.00 | — | 14% below | 61% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hc Us Lmtd Joint/Oth Nonvasc Xtr Strux R-T W/Img | $370.89 | $951.00 | — | — | 61% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Sp3 Ct Lung Screen Follow Up | $292.50 | $750.00 | — | 16% above | 61% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Ct Lung Screen Follow Up | $292.50 | $750.00 | — | 16% above | 61% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Sp3 Ct Lung Screen Base Line | $331.50 | $850.00 | — | 32% above | 61% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Ct Lung Screen Base Line | $331.50 | $850.00 | — | 32% above | 61% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Ct Lung Screen Follow Up | $292.50 | $750.00 | — | — | 61% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Sp3 Ct Lung Screen Follow Up | $292.50 | $750.00 | — | — | 61% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Ct Lung Screen Base Line | $331.50 | $850.00 | — | — | 61% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Sp3 Ct Lung Screen Base Line | $331.50 | $850.00 | — | — | 61% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Hc Xr Tib Plus Fib 2Vw | $238.68 | $612.00 | — | at median | 61% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Hc Xr Tib Plus Fib 2Vw | $238.68 | $612.00 | — | — | 61% |
| MR angiography (MRA) of the head without contrast CPT 70544 Hc Mr Angio Head W/O Contrast | $1,429.35 | $3,665.00 | — | 7% below | 61% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hc Mr Angio Head W/O Contrast | $1,429.35 | $3,665.00 | — | — | 61% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Extremity Lower Any Joint W/O Contrast | $202.80 | $520.00 | — | 87% below | 61% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri Extremity Lower Any Joint W/O Contrast | $202.80 | $520.00 | — | — | 61% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Extremity Lower Any Joint W Plus W/O Contrast | $2,072.46 | $5,314.00 | — | 17% below | 61% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri Extremity Lower Any Joint W Plus W/O Contrast | $2,072.46 | $5,314.00 | — | — | 61% |
| MRI of the abdomen without contrast CPT 74181 Hc Mri Abdomen W/O Contrast | $1,883.70 | $4,830.00 | — | 3% above | 61% |
| MRI of the abdomen without contrast inpatient CPT 74181 Hc Mri Abdomen W/O Contrast | $1,883.70 | $4,830.00 | — | — | 61% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri Abdomen W Plus W/O Contrast | $419.25 | $1,075.00 | — | 80% below | 61% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc Mri Abdomen W Plus W/O Contrast | $419.25 | $1,075.00 | — | — | 61% |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain W/O Contrast | $202.80 | $520.00 | — | 86% below | 61% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain W/O Contrast | $202.80 | $520.00 | — | — | 61% |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain W Plus W/O Contrast | $2,393.04 | $6,136.00 | — | at median | 61% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain W Plus W/O Contrast | $2,393.04 | $6,136.00 | — | — | 61% |
| MRI of the lower back, no contrast dye CPT 72148 Hc Mri Lumbar Spine W/O Contrast | $1,775.67 | $4,553.00 | — | 4% above | 61% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri Lumbar Spine W/O Contrast | $1,775.67 | $4,553.00 | — | — | 61% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri Lumbar Spine W Plus W/O Contrast | $2,370.03 | $6,077.00 | — | at median | 61% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hc Mri Lumbar Spine W Plus W/O Contrast | $2,370.03 | $6,077.00 | — | — | 61% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri Thoracic Spine W/O Contrast | $1,762.41 | $4,519.00 | — | at median | 61% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hc Mri Thoracic Spine W/O Contrast | $1,762.41 | $4,519.00 | — | — | 61% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri Cervical Spine W Plus W/O Contrast | $2,382.51 | $6,109.00 | — | at median | 61% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hc Mri Cervical Spine W Plus W/O Contrast | $2,382.51 | $6,109.00 | — | — | 61% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri Cervical Spine W/O Contrast | $1,760.46 | $4,514.00 | — | at median | 61% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hc Mri Cervical Spine W/O Contrast | $1,760.46 | $4,514.00 | — | — | 61% |
| MRI of the pelvis without and with contrast CPT 72197 Hc Mri Pelvis W Plus W/O Contrast | $2,090.79 | $5,361.00 | — | 1% below | 61% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri Pelvis W Plus W/O Contrast | $2,090.79 | $5,361.00 | — | — | 61% |
| MRI of the pelvis, no contrast dye CPT 72195 Hc Mri Pelvis W/O Contrast | $1,810.38 | $4,642.00 | — | 6% above | 61% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Hc Mri Pelvis W/O Contrast | $1,810.38 | $4,642.00 | — | — | 61% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri Joint Upper Extremity Any Joint W/O Contrast | $1,549.08 | $3,972.00 | — | at median | 61% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hc Mri Joint Upper Extremity Any Joint W/O Contrast | $1,549.08 | $3,972.00 | — | — | 61% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hc Xr Spine Cervical 4 Plus Vw | $439.14 | $1,126.00 | — | 4% above | 61% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Hc Xr Spine Cervical 4 Plus Vw | $439.14 | $1,126.00 | — | — | 61% |
| Neck soft tissue CT scan with contrast CPT 70491 Hc Ct Soft Tissue Neck W/Contrast Material | $1,677.39 | $4,301.00 | — | 10% above | 61% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Hc Ct Soft Tissue Neck W/Contrast Material | $1,677.39 | $4,301.00 | — | — | 61% |
| Neck soft tissue X-ray CPT 70360 Hc Xr Neck Soft Tissue | $202.02 | $518.00 | — | at median | 61% |
| Neck soft tissue X-ray inpatient CPT 70360 Hc Xr Neck Soft Tissue | $202.02 | $518.00 | — | — | 61% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Nm Heart Spect Multiple Studies | $3,563.04 | $9,136.00 | — | 24% above | 61% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc Nm Heart Spect Multiple Studies | $3,563.04 | $9,136.00 | — | — | 61% |
| OCT scan of the retina (optical coherence tomography) both sides CPT 92134 Hc Cmptr Opth Imaging Retina Uni/Bi | $79.56 | $204.00 | — | — | 61% |
| OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 Hc Cmptr Opth Imaging Retina Uni/Bi | $79.56 | $204.00 | — | — | 61% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Ct Skull Base To Midthigh | $3,529.11 | $9,049.00 | — | at median | 61% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Ct Skull Base To Midthigh | $3,529.11 | $9,049.00 | — | — | 61% |
| Pelvic CT scan without contrast CPT 72192 Hc Ct Pelvis W/O Contrast | $1,310.40 | $3,360.00 | — | 3% above | 61% |
| Pelvic CT scan without contrast inpatient CPT 72192 Hc Ct Pelvis W/O Contrast | $1,310.40 | $3,360.00 | — | — | 61% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Us Pelvic Nonobstetric Image Documentation Limited/Follow-Up | $370.11 | $949.00 | — | 11% above | 61% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Us Pelvic Nonobstetric Image Documentation Limited/Follow-Up | $370.11 | $949.00 | — | — | 61% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Us Pelvic Nonobstetric Complete | $97.50 | $250.00 | — | 80% below | 61% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Us Pelvic Nonobstetric Complete | $97.50 | $250.00 | — | — | 61% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us Preg Uterus Transabd 14 Weeks Or Over 1St Fetus | $572.13 | $1,467.00 | — | 5% above | 61% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Us Preg Uterus Transabd 14 Weeks Or Over 1St Fetus | $572.13 | $1,467.00 | — | — | 61% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc Us Pregnant Uterus 14Wk Or Less Transabdl 1St Fetus | $539.37 | $1,383.00 | — | 12% above | 61% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hc Us Pregnant Uterus 14Wk Or Less Transabdl 1St Fetus | $539.37 | $1,383.00 | — | — | 61% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Us Pregnant Uterus Limited 1 Or More Fetuses | $97.50 | $250.00 | — | 66% below | 61% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pregnancy 1 Or More Fetuses | $148.98 | $382.00 | — | 48% below | 61% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Us Pregnant Uterus Limited 1 Or More Fetuses | $97.50 | $250.00 | — | — | 61% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us Pregnancy 1 Or More Fetuses | $148.98 | $382.00 | — | — | 61% |
| Rib X-ray, one side, 2 views one side CPT 71100 Hc Xr Ribs Unilateral 2Vw | $283.92 | $728.00 | — | 24% above | 61% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Hc Xr Ribs Unilateral 2Vw | $283.92 | $728.00 | — | — | 61% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hc Xr Ribs Unilateral Plus Pa Chest 3Vw Min | $327.21 | $839.00 | — | 9% above | 61% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hc Xr Ribs Unilateral Plus Pa Chest 3Vw Min | $327.21 | $839.00 | — | — | 61% |
| Screening mammogram, both breasts both sides CPT 77067 Hc Screening Mammography Bi 2-View Breast Inc Cad | $331.50 | $850.00 | — | — | 61% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hc Screening Mammography Bi 2-View Breast Inc Cad | $331.50 | $850.00 | — | — | 61% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Hc Xr Sinuses Paranasal Complete 3 Plus Vw | $375.57 | $963.00 | — | 12% above | 61% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hc Xr Sinuses Paranasal Complete 3 Plus Vw | $375.57 | $963.00 | — | — | 61% |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysom 6Yrs Or Over Sleep 4 Or Over Addl Param Attnd | $3,068.13 | $7,867.00 | — | 41% above | 61% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysom 6Yrs Or Over Sleep 4 Or Over Addl Param Attnd | $3,068.13 | $7,867.00 | — | — | 61% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hc Echo 2D Stress Tte Complete Continuous Monitor W/O Cst | $1,196.13 | $3,067.00 | — | 2% below | 61% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Hc Echo 2D Stress Tte Complete Continuous Monitor W/O Cst | $1,196.13 | $3,067.00 | — | — | 61% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc Fl Barium Swallow Modified W Speech Therapy | $733.20 | $1,880.00 | — | 125% above | 61% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hc Fl Barium Swallow Modified W Speech Therapy | $733.20 | $1,880.00 | — | — | 61% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Hc Xr Femur 2Vws Min | $189.15 | $485.00 | — | 16% below | 61% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Hc Xr Femur 2Vws Min | $189.15 | $485.00 | — | — | 61% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Hc Ct Thoracic Spine W/O Contrast | $1,577.16 | $4,044.00 | — | 22% above | 61% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Hc Ct Thoracic Spine W/O Contrast | $1,577.16 | $4,044.00 | — | — | 61% |
| Toe X-ray, 2 or more views CPT 73660 Hc Xr Toes 2 Plus Vws | $109.98 | $282.00 | — | 39% below | 61% |
| Toe X-ray, 2 or more views inpatient CPT 73660 Hc Xr Toes 2 Plus Vws | $109.98 | $282.00 | — | — | 61% |
| Transvaginal pelvic ultrasound CPT 76830 Hc Us Transvaginal Non-Pregnant Uterus | $385.32 | $988.00 | — | 21% below | 61% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Us Transvaginal Non-Pregnant Uterus | $385.32 | $988.00 | — | — | 61% |
| Transvaginal ultrasound during pregnancy CPT 76817 Hc Us Pregnant Uterus Real Time W/Image Documentation Transvaginal | $58.50 | $150.00 | — | 85% below | 61% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Us Pregnant Uterus Real Time W/Image Documentation Transvaginal | $58.50 | $150.00 | — | — | 61% |
| Ultrasound of the abdomen, complete CPT 76700 Hc Us Abdominal Complete | $732.03 | $1,877.00 | — | at median | 61% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us Abdominal Complete | $732.03 | $1,877.00 | — | — | 61% |
| Ultrasound of the scrotum and testicles CPT 76870 Hc Us Scrotum | $553.41 | $1,419.00 | — | 8% below | 61% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Hc Us Scrotum | $553.41 | $1,419.00 | — | — | 61% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us Soft Tissue Head And Neck/Thyroid Parathyroid | $556.14 | $1,426.00 | — | 9% below | 61% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Us Soft Tissue Head And Neck/Thyroid Parathyroid | $556.14 | $1,426.00 | — | — | 61% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Fl Upper Gi Series Single Contrast Delay Inc Kub | $491.01 | $1,259.00 | — | 25% above | 61% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc Fl Upper Gi Series Single Contrast Delay Inc Kub | $491.01 | $1,259.00 | — | — | 61% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Hc Xr Humerus 2 Plus Vw | $235.17 | $603.00 | — | at median | 61% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Hc Xr Humerus 2 Plus Vw | $235.17 | $603.00 | — | — | 61% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Hc Us Duplex Veins Uni One Extremity Or Limited Study | $633.36 | $1,624.00 | — | 6% above | 61% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Hc Us Duplex Veins Uni One Extremity Or Limited Study | $633.36 | $1,624.00 | — | — | 61% |
| Wrist X-ray, 2 views CPT 73100 Hc Xr Wrist 2Vw | $197.73 | $507.00 | — | 4% above | 61% |
| Wrist X-ray, 2 views inpatient CPT 73100 Hc Xr Wrist 2Vw | $197.73 | $507.00 | — | — | 61% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Hc Xr Wrist Complete 3 Plus Vw | $235.17 | $603.00 | — | at median | 61% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hc Xr Wrist Complete 3 Plus Vw | $235.17 | $603.00 | — | — | 61% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hc Xr Hip Uni 2-3 Vws | $189.15 | $485.00 | — | at median | 61% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hc Xr Hip Uni 2-3 Vws | $189.15 | $485.00 | — | — | 61% |
| X-ray of the abdomen, 1 view CPT 74018 Hc Xr Abdomen 1Vw | $285.09 | $731.00 | — | 33% above | 61% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Hc Xr Abdomen 1Vw | $285.09 | $731.00 | — | — | 61% |
| X-ray of the ankle, 2 views CPT 73600 Hc Xr Ankle 2Vw | $197.73 | $507.00 | — | 6% below | 61% |
| X-ray of the ankle, 2 views inpatient CPT 73600 Hc Xr Ankle 2Vw | $197.73 | $507.00 | — | — | 61% |
| X-ray of the finger(s), 2 or more views CPT 73140 Hc Xr Fingers 2 Vw Min | $182.13 | $467.00 | — | 8% below | 61% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hc Xr Fingers 2 Vw Min | $182.13 | $467.00 | — | — | 61% |
| X-ray of the foot, 2 views CPT 73620 Hc Xr Foot 2Vw | $185.64 | $476.00 | — | at median | 61% |
| X-ray of the foot, 2 views inpatient CPT 73620 Hc Xr Foot 2Vw | $185.64 | $476.00 | — | — | 61% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Hc Xr Foot Complete 3 Plus Vw | $261.30 | $670.00 | — | 1% above | 61% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hc Xr Foot Complete 3 Plus Vw | $261.30 | $670.00 | — | — | 61% |
| X-ray of the hand, 3 or more views CPT 73130 Hc Xr Hand 3 Plus Vw | $264.42 | $678.00 | — | 24% above | 61% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Hc Xr Hand 3 Plus Vw | $264.42 | $678.00 | — | — | 61% |
| X-ray of the knee, 1 or 2 views CPT 73560 Hc Xr Knee 1-2Vw | $173.55 | $445.00 | — | 12% below | 61% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hc Xr Knee 1-2Vw | $173.55 | $445.00 | — | — | 61% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc Xr Spine Lumbosacral 2-3Vw | $341.64 | $876.00 | — | at median | 61% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hc Xr Spine Lumbosacral 2-3Vw | $341.64 | $876.00 | — | — | 61% |
| X-ray of the lower back, 4 or more views CPT 72110 Hc Xr Spine Lumbosacral 4 Plus Vw | $505.83 | $1,297.00 | — | 9% above | 61% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Xr Spine Lumbosacral 4 Plus Vw | $505.83 | $1,297.00 | — | — | 61% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc Xr Spine Thoracic 2Vw | $324.48 | $832.00 | — | 22% above | 61% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hc Xr Spine Thoracic 2Vw | $324.48 | $832.00 | — | — | 61% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Hc Xr Pelvis 1-2Vw | $242.58 | $622.00 | — | 17% above | 61% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hc Xr Pelvis 1-2Vw | $242.58 | $622.00 | — | — | 61% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc Xr Sacrum Plus Coccyx 2 Plus Vw | $287.04 | $736.00 | — | 9% above | 61% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hc Xr Sacrum Plus Coccyx 2 Plus Vw | $287.04 | $736.00 | — | — | 61% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Hc Acth Assay | $386.88 | $992.00 | — | 125% above | 61% |
| ACTH blood test inpatient CPT 82024 Hc Acth Assay | $386.88 | $992.00 | — | — | 61% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Alt Sgpt | $10.55 | $27.05 | — | 67% below | 61% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc Alt Sgpt | $10.55 | $27.05 | — | — | 61% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Ast Sgot | $10.53 | $27.00 | — | 66% below | 61% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hc Ast Sgot | $10.53 | $27.00 | — | — | 61% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc Acute Hepatitis Panel | $409.50 | $1,050.00 | — | 47% above | 61% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hc Acute Hepatitis Panel | $409.50 | $1,050.00 | — | — | 61% |
| Albumin blood test CPT 82040 Hc Albumin Serum Plasma/Whole Blood | $53.82 | $138.00 | — | 50% above | 61% |
| Albumin blood test inpatient CPT 82040 Hc Albumin Serum Plasma/Whole Blood | $53.82 | $138.00 | — | — | 61% |
| Aldosterone blood test CPT 82088 Hc Assay Of Aldosterone | $268.71 | $689.00 | — | 64% above | 61% |
| Aldosterone blood test inpatient CPT 82088 Hc Assay Of Aldosterone | $268.71 | $689.00 | — | — | 61% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hc Alkaline Phosphatase | $65.91 | $169.00 | — | 50% above | 61% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hc Alkaline Phosphatase | $65.91 | $169.00 | — | — | 61% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Spec Ige Crude Allergen Extract Each | $37.05 | $95.00 | — | 31% above | 61% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Spec Ige Crude Allergen Extract Each | $37.05 | $95.00 | — | — | 61% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Alpha-Fetoprotein Serum | $199.68 | $512.00 | — | 127% above | 61% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc Alpha-Fetoprotein Serum | $199.68 | $512.00 | — | — | 61% |
| Ammonia blood test CPT 82140 Hc Ammonia Assay | $249.21 | $639.00 | — | 183% above | 61% |
| Ammonia blood test inpatient CPT 82140 Hc Ammonia Assay | $249.21 | $639.00 | — | — | 61% |
| Amylase blood test CPT 82150 Hc Assay Of Amylase | $12.94 | $33.18 | — | 83% below | 61% |
| Amylase blood test inpatient CPT 82150 Hc Assay Of Amylase | $12.94 | $33.18 | — | — | 61% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Cyclic Citrullinated Peptide Ccp | $128.70 | $330.00 | — | 36% above | 61% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Cyclic Citrullinated Peptide Ccp | $128.70 | $330.00 | — | — | 61% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Antinuclear Antibodies Ana | $175.89 | $451.00 | — | 92% above | 61% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Antinuclear Antibodies Ana | $175.89 | $451.00 | — | — | 61% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Natriuretic Peptide | $207.48 | $532.00 | — | 71% above | 61% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc Natriuretic Peptide | $207.48 | $532.00 | — | — | 61% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture Bacterial Except Urine Blood/Stool Aerobic Isolates | $17.55 | $45.00 | — | 77% below | 61% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture Bacterial Except Urine Blood/Stool Aerobic Isolates | $17.55 | $45.00 | — | — | 61% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $81.90 | $210.00 | — | 31% below | 61% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $81.90 | $210.00 | — | — | 61% |
| Bilirubin blood test, total CPT 82247 Hc Bilirubin Total | $70.59 | $181.00 | — | 66% above | 61% |
| Bilirubin blood test, total inpatient CPT 82247 Hc Bilirubin Total | $70.59 | $181.00 | — | — | 61% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Level Iv Surgical Pathology Gross And Microscopic Exam | $80.63 | $206.75 | — | 4% below | 61% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Level Iv Surgical Pathology Gross And Microscopic Exam | $80.63 | $206.75 | — | — | 61% |
| Blood culture for bacteria CPT 87040 Hc Culture Bacterial Blood Aerobic W/Id Presumptive Isolates | $21.30 | $54.62 | — | 86% below | 61% |
| Blood culture for bacteria inpatient CPT 87040 Hc Culture Bacterial Blood Aerobic W/Id Presumptive Isolates | $21.30 | $54.62 | — | — | 61% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Bc Venipuncture | $12.48 | $32.00 | — | 7% below | 61% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Collection Blood Venipuncture | $12.48 | $32.00 | — | 7% below | 61% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Venipuncture | $12.48 | $32.00 | — | 7% below | 61% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Collection Blood Venipuncture | $12.48 | $32.00 | — | — | 61% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Venipuncture | $12.48 | $32.00 | — | — | 61% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Bc Venipuncture | $12.48 | $32.00 | — | — | 61% |
| Blood glucose (sugar) test CPT 82947 Glucose Blood | $36.66 | $94.00 | — | at median | 61% |
| Blood glucose (sugar) test CPT 82947 Hc Glucose Blood | $83.85 | $215.00 | — | 129% above | 61% |
| Blood glucose (sugar) test CPT 82947 Hc Glucose Quantitative Blood Xcpt Reagent Strip | $83.85 | $215.00 | — | 129% above | 61% |
| Blood glucose (sugar) test one side CPT 82947 Hc Rt Glucose Quantitative Blood | $83.85 | $215.00 | — | 129% above | 61% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Blood | $36.66 | $94.00 | — | — | 61% |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose Quantitative Blood Xcpt Reagent Strip | $83.85 | $215.00 | — | — | 61% |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose Blood | $83.85 | $215.00 | — | — | 61% |
| Blood glucose (sugar) test inpatient one side CPT 82947 Hc Rt Glucose Quantitative Blood | $83.85 | $215.00 | — | — | 61% |
| Blood lead test CPT 83655 Hc Assay Of Lead | $114.27 | $293.00 | — | 69% above | 61% |
| Blood lead test inpatient CPT 83655 Hc Assay Of Lead | $114.27 | $293.00 | — | — | 61% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Gonadotropin Chorionic Qualitative | $173.16 | $444.00 | — | 76% above | 61% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc Gonadotropin Chorionic Qualitative | $173.16 | $444.00 | — | — | 61% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Blood Group | $42.68 | $109.44 | — | 23% below | 61% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Abo Group Quest | $98.67 | $253.00 | — | 78% above | 61% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Blood Group | $42.68 | $109.44 | — | — | 61% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Abo Group Quest | $98.67 | $253.00 | — | — | 61% |
| Blood urea nitrogen (BUN) test CPT 84520 Hc Assay Of Urea Nitrogen Quantitative | $58.50 | $150.00 | — | 81% above | 61% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hc Assay Of Urea Nitrogen Quantitative | $58.50 | $150.00 | — | — | 61% |
| C-peptide blood test CPT 84681 Hc C-Peptide | $241.02 | $618.00 | — | 133% above | 61% |
| C-peptide blood test inpatient CPT 84681 Hc C-Peptide | $241.02 | $618.00 | — | — | 61% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C-Reactive Protein | $138.45 | $355.00 | — | 58% above | 61% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C-Reactive Protein | $138.45 | $355.00 | — | — | 61% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Hc Cdiff Pcr Qual | $57.03 | $146.23 | — | 35% below | 61% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Hc C Diff Toxin Detect Amp Probe | $230.88 | $592.00 | — | 161% above | 61% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc Cdiff Pcr Qual | $57.03 | $146.23 | — | — | 61% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc C Diff Toxin Detect Amp Probe | $230.88 | $592.00 | — | — | 61% |
| CA 19-9 blood test (tumor marker) CPT 86301 Hc Ca 19-9 | $41.42 | $106.20 | — | 57% below | 61% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc Ca 19-9 | $41.42 | $106.20 | — | — | 61% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Ca 125 | $140.79 | $361.00 | — | at median | 61% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc Ca 125 | $140.79 | $361.00 | — | — | 61% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Prb Tq | $83.85 | $215.00 | — | 3% below | 61% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amp Prb | $83.85 | $215.00 | — | 3% below | 61% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq | $83.85 | $215.00 | — | 3% below | 61% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amp Prb | $83.85 | $215.00 | — | — | 61% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Prb Tq | $83.85 | $215.00 | — | — | 61% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq | $83.85 | $215.00 | — | — | 61% |
| Calcium blood test, total CPT 82310 Hc Calcium Total | $62.01 | $159.00 | — | 109% above | 61% |
| Calcium blood test, total inpatient CPT 82310 Hc Calcium Total | $62.01 | $159.00 | — | — | 61% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Hc Carcinoembryonic Antigen Cea | $306.93 | $787.00 | — | 209% above | 61% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hc Carcinoembryonic Antigen Cea | $306.93 | $787.00 | — | — | 61% |
| Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella-Zoster Antibody | $23.98 | $61.50 | — | 67% below | 61% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Varicella-Zoster Antibody | $23.98 | $61.50 | — | — | 61% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlamydia Trachomatis Amplified Probe Technique | $62.32 | $159.80 | — | 22% below | 61% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Iadna Chlamydia Trachomatis Amplified Probe Tq | $137.67 | $353.00 | — | 72% above | 61% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlamydia Trachomatis Amplified Probe Technique | $62.32 | $159.80 | — | — | 61% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Iadna Chlamydia Trachomatis Amplified Probe Tq | $137.67 | $353.00 | — | — | 61% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel | $166.92 | $428.00 | — | 120% above | 61% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Panel | $166.92 | $428.00 | — | — | 61% |
| Complete blood count (CBC) with differential CPT 85025 Blood Count Cbc Auto W/Auto Di | $65.13 | $167.00 | — | 5% above | 61% |
| Complete blood count (CBC) with differential CPT 85025 Hc Cbc With Differential | $105.69 | $271.00 | — | 71% above | 61% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Cbc Auto W/Auto Di | $65.13 | $167.00 | — | — | 61% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hc Cbc With Differential | $105.69 | $271.00 | — | — | 61% |
| Complete blood count (CBC), no differential CPT 85027 Blood Count Cbc Auto W/O Diff | $47.58 | $122.00 | — | 16% below | 61% |
| Complete blood count (CBC), no differential CPT 85027 Hc Cbc W/O Differential | $83.85 | $215.00 | — | 49% above | 61% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Cbc Auto W/O Diff | $47.58 | $122.00 | — | — | 61% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hc Cbc W/O Differential | $83.85 | $215.00 | — | — | 61% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $105.30 | $270.00 | — | 26% below | 61% |
| Comprehensive metabolic panel (blood test) CPT 80053 Hc Comprehensive Metabolic Panel | $171.21 | $439.00 | — | 20% above | 61% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $105.30 | $270.00 | — | — | 61% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comprehensive Metabolic Panel | $171.21 | $439.00 | — | — | 61% |
| Cortisol blood test, total CPT 82533 Hc Total Cortisol | $278.07 | $713.00 | — | 171% above | 61% |
| Cortisol blood test, total inpatient CPT 82533 Hc Total Cortisol | $278.07 | $713.00 | — | — | 61% |
| Creatine kinase (CK) blood test, total CPT 82550 Hc Creatine Kinase Total | $118.56 | $304.00 | — | 130% above | 61% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Creatine Kinase Total | $118.56 | $304.00 | — | — | 61% |
| Creatinine blood test CPT 82565 Hc Creatinine Blood | $10.53 | $27.00 | — | 49% below | 61% |
| Creatinine blood test one side CPT 82565 Hc Rt Creatinine Blood | $39.39 | $101.00 | — | 91% above | 61% |
| Creatinine blood test inpatient CPT 82565 Hc Creatinine Blood | $10.53 | $27.00 | — | — | 61% |
| Creatinine blood test inpatient one side CPT 82565 Hc Rt Creatinine Blood | $39.39 | $101.00 | — | — | 61% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hc Antibody Cytomegalovirus Cmv | $120.12 | $308.00 | — | 24% above | 61% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hc Arc Cmv Testing | $120.12 | $308.00 | — | 24% above | 61% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Antibody Cytomegalovirus Cmv | $120.12 | $308.00 | — | — | 61% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Arc Cmv Testing | $120.12 | $308.00 | — | — | 61% |
| D-dimer blood test (blood clot marker) CPT 85379 Hc D Dimer | $37.21 | $95.40 | — | 61% below | 61% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Hc D Dimer | $37.21 | $95.40 | — | — | 61% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dhea Sulfate | $296.79 | $761.00 | — | 202% above | 61% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Dhea Sulfate | $296.79 | $761.00 | — | — | 61% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Test Prsmv Chem Anlyzr | $128.31 | $329.00 | — | at median | 61% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Test Prsmv Chem Anlyzr | $128.31 | $329.00 | — | — | 61% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hc Electrolyte Panel | $140.40 | $360.00 | — | 57% above | 61% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hc Cv- Electrolyte Panel | $140.40 | $360.00 | — | 57% above | 61% |
| Electrolyte panel (sodium, potassium, chloride, CO2) one side CPT 80051 Hc Rt- Electrolyte Panel | $140.40 | $360.00 | — | 57% above | 61% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hc Cv- Electrolyte Panel | $140.40 | $360.00 | — | — | 61% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hc Electrolyte Panel | $140.40 | $360.00 | — | — | 61% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient one side CPT 80051 Hc Rt- Electrolyte Panel | $140.40 | $360.00 | — | — | 61% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Eb Viral Capsid | $129.48 | $332.00 | — | 80% above | 61% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hc Eb Viral Capsid | $129.48 | $332.00 | — | — | 61% |
| Estradiol blood test CPT 82670 Hc Assay Of Total Estradiol | $57.12 | $146.47 | — | 52% below | 61% |
| Estradiol blood test inpatient CPT 82670 Hc Assay Of Total Estradiol | $57.12 | $146.47 | — | — | 61% |
| FSH (follicle-stimulating hormone) test CPT 83001 Hc Fsh Assay | $219.18 | $562.00 | — | 74% above | 61% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Fsh Assay | $219.18 | $562.00 | — | — | 61% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Hc Assay For Calprotectin Fecal | $505.44 | $1,296.00 | — | 129% above | 61% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hc Assay For Calprotectin Fecal | $505.44 | $1,296.00 | — | — | 61% |
| Ferritin blood test (iron stores) CPT 82728 Hc Ferritin Assay | $212.16 | $544.00 | — | 183% above | 61% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Hc Ferritin Assay | $212.16 | $544.00 | — | — | 61% |
| Fibrinogen blood test CPT 85384 Hc *Fibrinogen Activity | $108.42 | $278.00 | — | 21% above | 61% |
| Fibrinogen blood test CPT 85384 Hc Fibrin Degradation Split Products Agglutination Slide Semiquan | $116.22 | $298.00 | — | 30% above | 61% |
| Fibrinogen blood test inpatient CPT 85384 Hc *Fibrinogen Activity | $108.42 | $278.00 | — | — | 61% |
| Fibrinogen blood test inpatient CPT 85384 Hc Fibrin Degradation Split Products Agglutination Slide Semiquan | $116.22 | $298.00 | — | — | 61% |
| Folate (folic acid) blood test CPT 82746 Hc Folate Assay | $260.91 | $669.00 | — | 201% above | 61% |
| Folate (folic acid) blood test inpatient CPT 82746 Hc Folate Assay | $260.91 | $669.00 | — | — | 61% |
| Free T3 thyroid hormone test CPT 84481 Hc Assay Of Triiodothyronine T3 Free | $239.07 | $613.00 | — | 147% above | 61% |
| Free T3 thyroid hormone test inpatient CPT 84481 Hc Assay Of Triiodothyronine T3 Free | $239.07 | $613.00 | — | — | 61% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Assay Of Free Thyroxine | $137.67 | $353.00 | — | 82% above | 61% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Assay Of Free Thyroxine | $137.67 | $353.00 | — | — | 61% |
| Free testosterone test CPT 84402 Hc Testosterone Free | $279.24 | $716.00 | — | 74% above | 61% |
| Free testosterone test inpatient CPT 84402 Hc Testosterone Free | $279.24 | $716.00 | — | — | 61% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hc Ggt | $76.44 | $196.00 | — | 64% above | 61% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hc Ggt | $76.44 | $196.00 | — | — | 61% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hc Gen Health Panel For Op Uhc And Oscar Only | $329.55 | $845.00 | — | 31% above | 61% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Hc Gen Health Panel For Op Uhc And Oscar Only | $329.55 | $845.00 | — | — | 61% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hc Glucose Post Glucose Dose | $77.61 | $199.00 | — | 75% above | 61% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hc Glucose Post Glucose Dose | $77.61 | $199.00 | — | — | 61% |
| Glucose tolerance test, 3 samples CPT 82951 Hc Glucose Tolerance Test Gtt 3 Specimens | $26.52 | $67.99 | — | 64% below | 61% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Hc Glucose Tolerance Test Gtt 3 Specimens | $26.52 | $67.99 | — | — | 61% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Neisseria Gonorrhoeae Amplified Probe Technique | $62.03 | $159.06 | — | 24% below | 61% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Iadna Neisseria Gonorrhoeae Amplified Probe Tq | $137.67 | $353.00 | — | 69% above | 61% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Neisseria Gonorrhoeae Amplified Probe Technique | $62.03 | $159.06 | — | — | 61% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Iadna Neisseria Gonorrhoeae Amplified Probe Tq | $137.67 | $353.00 | — | — | 61% |
| H. pylori antibody blood test CPT 86677 Hc Antibody Helicobacter Pylori | $141.57 | $363.00 | — | 11% above | 61% |
| H. pylori antibody blood test inpatient CPT 86677 Hc Antibody Helicobacter Pylori | $141.57 | $363.00 | — | — | 61% |
| H. pylori stool antigen test CPT 87338 Hc Helicobacter Pylori Ag Stool | $427.05 | $1,095.00 | — | 239% above | 61% |
| H. pylori stool antigen test inpatient CPT 87338 Hc Helicobacter Pylori Ag Stool | $427.05 | $1,095.00 | — | — | 61% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Iadna Hiv-1 Quant And Reverse Transcription | $153.66 | $394.00 | — | 55% below | 61% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Iadna Hiv-1 Quant And Reverse Transcription | $153.66 | $394.00 | — | — | 61% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hc Hiv1/Hiv2 Antibody | $45.20 | $115.90 | — | 59% below | 61% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc Hiv1/Hiv2 Antibody | $45.20 | $115.90 | — | — | 61% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Hiv1 Antigens With Hiv1 And Hiv2 Antibodies Single Result | $113.10 | $290.00 | — | 5% above | 61% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Hiv1 Antigens With Hiv1 And Hiv2 Antibodies Single Result | $113.10 | $290.00 | — | — | 61% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Human Papillomavirus Hpv High-Risk Types | $63.38 | $162.50 | — | 46% below | 61% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv High-Risk Types | $187.98 | $482.00 | — | 60% above | 61% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv Screening | $187.98 | $482.00 | — | 60% above | 61% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Human Papillomavirus Hpv High-Risk Types | $63.38 | $162.50 | — | — | 61% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Hpv High-Risk Types | $187.98 | $482.00 | — | — | 61% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Hpv Screening | $187.98 | $482.00 | — | — | 61% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hba1C With Eag | $122.46 | $314.00 | — | 127% above | 61% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Hba1C With Eag | $122.46 | $314.00 | — | — | 61% |
| Hemoglobin blood test CPT 85018 Hc Blood Count Hemoglobin | $7.53 | $19.31 | — | 67% below | 61% |
| Hemoglobin blood test CPT 85018 Hc Hemoglobin | $34.71 | $89.00 | — | 50% above | 61% |
| Hemoglobin blood test one side CPT 85018 Hc Rt Or Hemoglob | $34.71 | $89.00 | — | 50% above | 61% |
| Hemoglobin blood test inpatient CPT 85018 Hc Blood Count Hemoglobin | $7.53 | $19.31 | — | — | 61% |
| Hemoglobin blood test inpatient CPT 85018 Hc Hemoglobin | $34.71 | $89.00 | — | — | 61% |
| Hemoglobin blood test inpatient one side CPT 85018 Hc Rt Or Hemoglob | $34.71 | $89.00 | — | — | 61% |
| Hepatitis B core antibody test (total) CPT 86704 Hc Hepatitis B Core Total | $91.26 | $234.00 | — | 1% above | 61% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hc Hepatitis B Core Total | $91.26 | $234.00 | — | — | 61% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis B Coreigmab | $81.12 | $208.00 | — | 5% above | 61% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hepatitis B Coreigmab | $81.12 | $208.00 | — | — | 61% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Iaad Ia Hepatitis B Surface Antigen | $45.94 | $117.80 | — | 29% below | 61% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Iaad Ia Hepatitis B Surface Antigen | $45.94 | $117.80 | — | — | 61% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Ab Test | $140.01 | $359.00 | — | 16% above | 61% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Ab Test | $140.01 | $359.00 | — | — | 61% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Iadna Hepatitis C Quant And Reverse Transcription | $87.73 | $224.94 | — | 68% below | 61% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Iadna Hepatitis C Quant And Reverse Transcription | $87.73 | $224.94 | — | — | 61% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hc Antibody Herpes Simplex Type 1 | $96.33 | $247.00 | — | 43% above | 61% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Antibody Herpes Simplex Type 1 | $96.33 | $247.00 | — | — | 61% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hc Antibody Herpes Simplex Type 2 | $96.33 | $247.00 | — | 54% above | 61% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Antibody Herpes Simplex Type 2 | $96.33 | $247.00 | — | — | 61% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hc Crp High Sensitivity Cardio | $91.65 | $235.00 | — | 2% above | 61% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc Crp High Sensitivity Cardio | $91.65 | $235.00 | — | — | 61% |
| Homocysteine blood test CPT 83090 Hc Assay Of Homocysteine | $384.54 | $986.00 | — | 181% above | 61% |
| Homocysteine blood test inpatient CPT 83090 Hc Assay Of Homocysteine | $384.54 | $986.00 | — | — | 61% |
| Insulin blood test CPT 83525 Hc Insulin | $23.40 | $60.00 | — | 68% below | 61% |
| Insulin blood test inpatient CPT 83525 Hc Insulin | $23.40 | $60.00 | — | — | 61% |
| Iron blood test (serum iron) CPT 83540 Hc Assay Of Iron | $13.26 | $34.00 | — | 74% below | 61% |
| Iron blood test (serum iron) CPT 83540 Hc Iron Liver Tissue - Histology | $130.65 | $335.00 | — | 158% above | 61% |
| Iron blood test (serum iron) inpatient CPT 83540 Hc Assay Of Iron | $13.26 | $34.00 | — | — | 61% |
| Iron blood test (serum iron) inpatient CPT 83540 Hc Iron Liver Tissue - Histology | $130.65 | $335.00 | — | — | 61% |
| Iron-binding capacity (TIBC) test CPT 83550 Hc Tibc | $143.52 | $368.00 | — | 151% above | 61% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc Tibc | $143.52 | $368.00 | — | — | 61% |
| Kidney function blood test panel CPT 80069 Hc Renal Function Panel | $17.94 | $46.00 | — | 79% below | 61% |
| Kidney function blood test panel inpatient CPT 80069 Hc Renal Function Panel | $17.94 | $46.00 | — | — | 61% |
| LH (luteinizing hormone) test CPT 83002 Hc Lh Assay | $37.83 | $97.00 | — | 46% below | 61% |
| LH (luteinizing hormone) test inpatient CPT 83002 Hc Lh Assay | $37.83 | $97.00 | — | — | 61% |
| Lactate (lactic acid) blood test CPT 83605 Hc Assay Of Lactic Acid | $149.37 | $383.00 | — | 51% above | 61% |
| Lactate (lactic acid) blood test CPT 83605 Hc Poc Lactate Cvor | $149.37 | $383.00 | — | 51% above | 61% |
| Lactate (lactic acid) blood test one side CPT 83605 Hc Rt Lactate Arterial | $149.37 | $383.00 | — | 51% above | 61% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hc Assay Of Lactic Acid | $149.37 | $383.00 | — | — | 61% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hc Poc Lactate Cvor | $149.37 | $383.00 | — | — | 61% |
| Lactate (lactic acid) blood test inpatient one side CPT 83605 Hc Rt Lactate Arterial | $149.37 | $383.00 | — | — | 61% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Lactate Dehydrogenase Ldh | $95.16 | $244.00 | — | 92% above | 61% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc Lactate Dehydrogenase Ldh | $95.16 | $244.00 | — | — | 61% |
| Lipase blood test (pancreas enzyme) CPT 83690 Hc Assay Of Lipase | $143.13 | $367.00 | — | 49% above | 61% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Assay Of Lipase | $143.13 | $367.00 | — | — | 61% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $92.04 | $236.00 | — | 13% below | 61% |
| Liver function blood test panel CPT 80076 Hc Hepatic Function Panel | $115.44 | $296.00 | — | 9% above | 61% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $92.04 | $236.00 | — | — | 61% |
| Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel | $115.44 | $296.00 | — | — | 61% |
| Lyme disease antibody test CPT 86618 Hc Lyme Disease Ab W Rflx W Blot | $48.75 | $125.00 | — | 53% below | 61% |
| Lyme disease antibody test inpatient CPT 86618 Hc Lyme Disease Ab W Rflx W Blot | $48.75 | $125.00 | — | — | 61% |
| Magnesium blood test CPT 83735 Hc Assay Of Magnesium | $83.85 | $215.00 | — | 86% above | 61% |
| Magnesium blood test inpatient CPT 83735 Hc Assay Of Magnesium | $83.85 | $215.00 | — | — | 61% |
| Measles (rubeola) antibody test CPT 86765 Hc Rubeola Antibody | $129.48 | $332.00 | — | 63% above | 61% |
| Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola Antibody | $129.48 | $332.00 | — | — | 61% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Hc Mono Test | $79.56 | $204.00 | — | 43% above | 61% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc Mono Test | $79.56 | $204.00 | — | — | 61% |
| Mumps immunity blood test CPT 86735 Hc Mumps Antibody | $106.86 | $274.00 | — | 94% above | 61% |
| Mumps immunity blood test inpatient CPT 86735 Hc Mumps Antibody | $106.86 | $274.00 | — | — | 61% |
| Obstetric blood test panel CPT 80055 Hc Obstetric Panel | $86.58 | $222.00 | — | 30% below | 61% |
| Obstetric blood test panel inpatient CPT 80055 Hc Obstetric Panel | $86.58 | $222.00 | — | — | 61% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Psa Free | $195.39 | $501.00 | — | 138% above | 61% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Psa Free | $195.39 | $501.00 | — | — | 61% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Assay Of Prostate Specific Antigen Total | $206.31 | $529.00 | — | 104% above | 61% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Assay Of Prostate Specific Antigen Total | $206.31 | $529.00 | — | — | 61% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Hc Automated Pap Smear Screening | $117.00 | $300.00 | — | 150% above | 61% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Hc Automated Pap Smear Screening | $117.00 | $300.00 | — | — | 61% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Cytopath Cervical/Vaginal Auto Thin Layer Prep Manual Screen | $41.34 | $106.01 | — | 19% below | 61% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Cytopath Cervical/Vaginal Auto Thin Layer Prep Manual Screen | $41.34 | $106.01 | — | — | 61% |
| Parathyroid hormone (PTH) blood test CPT 83970 Hc Assay Of Parathormone | $358.02 | $918.00 | — | 134% above | 61% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Assay Of Parathormone | $358.02 | $918.00 | — | — | 61% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplastin Time Partial Plasma/Whole Blood | $12.48 | $32.00 | — | 75% below | 61% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplastin Time Partial Plasma/Whole Blood | $12.48 | $32.00 | — | — | 61% |
| Phosphorus (phosphate) blood test CPT 84100 Hc Assay Of Phosphorus Inorganic | $55.77 | $143.00 | — | 59% above | 61% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Hc Assay Of Phosphorus Inorganic | $55.77 | $143.00 | — | — | 61% |
| Potassium blood test CPT 84132 Hc Potassium Blood | $75.27 | $193.00 | — | 123% above | 61% |
| Potassium blood test CPT 84132 Hc Potassium Serum Plasma/Whole Blood | $75.27 | $193.00 | — | 123% above | 61% |
| Potassium blood test inpatient CPT 84132 Hc Potassium Serum Plasma/Whole Blood | $75.27 | $193.00 | — | — | 61% |
| Potassium blood test inpatient CPT 84132 Hc Potassium Blood | $75.27 | $193.00 | — | — | 61% |
| Progesterone blood test CPT 84144 Hc Progesterone Assay | $225.03 | $577.00 | — | 134% above | 61% |
| Progesterone blood test inpatient CPT 84144 Hc Progesterone Assay | $225.03 | $577.00 | — | — | 61% |
| Prolactin blood test CPT 84146 Hc Prolactin Blood | $238.68 | $612.00 | — | 102% above | 61% |
| Prolactin blood test inpatient CPT 84146 Hc Prolactin Blood | $238.68 | $612.00 | — | — | 61% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time | $8.19 | $21.00 | — | 79% below | 61% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time | $8.19 | $21.00 | — | — | 61% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hc Drug Test Prsmv Dir Opt Obs | $303.81 | $779.00 | — | 322% above | 61% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Hc Drug Test Prsmv Dir Opt Obs | $303.81 | $779.00 | — | — | 61% |
| Rapid flu test (influenza antigen) CPT 87804 Hc Influenza | $72.93 | $187.00 | — | at median | 61% |
| Rapid flu test (influenza antigen) CPT 87804 Hc Poc Flu A And B | $72.93 | $187.00 | — | at median | 61% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Influenza | $72.93 | $187.00 | — | — | 61% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Poc Flu A And B | $72.93 | $187.00 | — | — | 61% |
| Renin blood test CPT 84244 Hc Renin Blood | $244.92 | $628.00 | — | 134% above | 61% |
| Renin blood test inpatient CPT 84244 Hc Renin Blood | $244.92 | $628.00 | — | — | 61% |
| Rh blood typing CPT 86901 Hc Rh Type | $78.39 | $201.00 | — | 68% above | 61% |
| Rh blood typing inpatient CPT 86901 Hc Rh Type | $78.39 | $201.00 | — | — | 61% |
| Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor Quant | $79.56 | $204.00 | — | 6% above | 61% |
| Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor | $79.56 | $204.00 | — | 6% above | 61% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor | $79.56 | $204.00 | — | — | 61% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor Quant | $79.56 | $204.00 | — | — | 61% |
| Rubella antibody test (immunity check) CPT 86762 Hc Rubella Antibody | $72.15 | $185.00 | — | 4% above | 61% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella Antibody | $72.15 | $185.00 | — | — | 61% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hc Sed Rate | $5.85 | $15.00 | — | 82% below | 61% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hc Sed Rate | $5.85 | $15.00 | — | — | 61% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Hc Semen Anal Vol/Count/Mot | $311.22 | $798.00 | — | 187% above | 61% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Hc Semen Anal Vol/Count/Mot | $311.22 | $798.00 | — | — | 61% |
| Sodium blood test CPT 84295 Hc Sodium Serum Plasma Or Whole Blood | $67.86 | $174.00 | — | 109% above | 61% |
| Sodium blood test inpatient CPT 84295 Hc Sodium Serum Plasma Or Whole Blood | $67.86 | $174.00 | — | — | 61% |
| Stool ova and parasites exam CPT 87177 Hc O And P Smear Conc Id | $152.88 | $392.00 | — | 88% above | 61% |
| Stool ova and parasites exam CPT 87177 Hc O And P Body Fluid | $152.88 | $392.00 | — | 88% above | 61% |
| Stool ova and parasites exam inpatient CPT 87177 Hc O And P Body Fluid | $152.88 | $392.00 | — | — | 61% |
| Stool ova and parasites exam inpatient CPT 87177 Hc O And P Smear Conc Id | $152.88 | $392.00 | — | — | 61% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Blood Occult Peroxidase Actv Qual Feces 1 Deter | $37.05 | $95.00 | — | 2% below | 61% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc Blood Occult Peroxidase Actv Qual Feces 1 Deter | $37.05 | $95.00 | — | — | 61% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Fecal Globin | $124.80 | $320.00 | — | 247% above | 61% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hc Fecal Globin | $124.80 | $320.00 | — | — | 61% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Antibody Treponema Pallidum | $59.28 | $152.00 | — | 11% below | 61% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Antibody Treponema Pallidum | $59.28 | $152.00 | — | — | 61% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Syphilis Test Non-Treponemal Antibody Qual | $37.05 | $95.00 | — | 13% below | 61% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Syphilis Test Non-Treponemal Antibody Qual | $37.05 | $95.00 | — | — | 61% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Quantiferon Tb Gold Client Inc Q | $123.24 | $316.00 | — | 26% below | 61% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Quantiferon Tb Gold Client Inc Q | $123.24 | $316.00 | — | — | 61% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hc Assay Of Total Testosterone | $244.92 | $628.00 | — | 86% above | 61% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Assay Of Total Testosterone | $244.92 | $628.00 | — | — | 61% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Microsomal Antibodies Each | $177.84 | $456.00 | — | 93% above | 61% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Microsomal Antibodies Each | $177.84 | $456.00 | — | — | 61% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Assay Of Thyroid Stimulating Hormone Tsh | $170.82 | $438.00 | — | 93% above | 61% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Assay Of Thyroid Stimulating Hormone Tsh | $170.82 | $438.00 | — | — | 61% |
| Total IgE blood test CPT 82785 Hc Ige | $168.48 | $432.00 | — | 123% above | 61% |
| Total IgE blood test inpatient CPT 82785 Hc Ige | $168.48 | $432.00 | — | — | 61% |
| Total cholesterol blood test CPT 82465 Hc Cholesterol Serum/Whole Blood Total | $76.44 | $196.00 | — | 165% above | 61% |
| Total cholesterol blood test inpatient CPT 82465 Hc Cholesterol Serum/Whole Blood Total | $76.44 | $196.00 | — | — | 61% |
| Total thyroxine (T4) blood test CPT 84436 Hc Assay Of Thyroxine Total | $96.72 | $248.00 | — | 91% above | 61% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Hc Assay Of Thyroxine Total | $96.72 | $248.00 | — | — | 61% |
| Total triiodothyronine (T3) blood test CPT 84480 Hc T3 Total | $17.94 | $46.00 | — | 79% below | 61% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Hc T3 Total | $17.94 | $46.00 | — | — | 61% |
| Transferrin blood test CPT 84466 Hc Transferrin Blood | $159.12 | $408.00 | — | 81% above | 61% |
| Transferrin blood test inpatient CPT 84466 Hc Transferrin Blood | $159.12 | $408.00 | — | — | 61% |
| Trichomonas test (NAAT) CPT 87661 Hc Iadna Trichomonas Vaginalis Amplified Probe Tech | $61.21 | $156.96 | — | 33% below | 61% |
| Trichomonas test (NAAT) inpatient CPT 87661 Hc Iadna Trichomonas Vaginalis Amplified Probe Tech | $61.21 | $156.96 | — | — | 61% |
| Triglycerides blood test CPT 84478 Hc Assay Of Triglycerides | $76.44 | $196.00 | — | 92% above | 61% |
| Triglycerides blood test inpatient CPT 84478 Hc Assay Of Triglycerides | $76.44 | $196.00 | — | — | 61% |
| Troponin test, quantitative CPT 84484 Hc Assay Of Troponin Quantitative | $190.32 | $488.00 | — | 51% above | 61% |
| Troponin test, quantitative inpatient CPT 84484 Hc Assay Of Troponin Quantitative | $190.32 | $488.00 | — | — | 61% |
| Uric acid blood test CPT 84550 Hc Uric Acid Blood | $74.49 | $191.00 | — | 44% above | 61% |
| Uric acid blood test inpatient CPT 84550 Hc Uric Acid Blood | $74.49 | $191.00 | — | — | 61% |
| Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis Auto W/Scope | $8.50 | $21.80 | — | 86% below | 61% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis Auto W/Scope | $8.50 | $21.80 | — | — | 61% |
| Urinalysis with microscope exam, manual CPT 81000 Hc N-Autom Urine Dip W Micro | $8.58 | $22.00 | — | 78% below | 61% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Hc N-Autom Urine Dip W Micro | $8.58 | $22.00 | — | — | 61% |
| Urinalysis without microscope exam, automated CPT 81003 U/A Only | $28.08 | $72.00 | — | 22% below | 61% |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis Auto W/O Scope | $74.88 | $192.00 | — | 107% above | 61% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 U/A Only | $28.08 | $72.00 | — | — | 61% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis Auto W/O Scope | $74.88 | $192.00 | — | — | 61% |
| Urinalysis without microscope exam, manual CPT 81002 Hc Urinalysis After Hours | $59.67 | $153.00 | — | 62% above | 61% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Urinalysis After Hours | $59.67 | $153.00 | — | — | 61% |
| Urine culture for bacteria, with colony count CPT 87086 Hc Culture,Urine,Clean Catch | $67.86 | $174.00 | — | 21% below | 61% |
| Urine culture for bacteria, with colony count CPT 87086 Hc Culture Urine Cath | $202.80 | $520.00 | — | 136% above | 61% |
| Urine culture for bacteria, with colony count CPT 87086 Hc Culture Bacterial Quanttative Colony Count Urine | $202.80 | $520.00 | — | 136% above | 61% |
| Urine culture for bacteria, with colony count CPT 87086 Hc Hiv 1 Antigw Hiv1 And Hiv2 Antibodies | $202.80 | $520.00 | — | 136% above | 61% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture,Urine,Clean Catch | $67.86 | $174.00 | — | — | 61% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Hiv 1 Antigw Hiv1 And Hiv2 Antibodies | $202.80 | $520.00 | — | — | 61% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture Urine Cath | $202.80 | $520.00 | — | — | 61% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture Bacterial Quanttative Colony Count Urine | $202.80 | $520.00 | — | — | 61% |
| Urine microalbumin (albumin) test CPT 82043 Hc Urine Albumin Quantitative | $11.70 | $30.00 | — | 79% below | 61% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Hc Urine Albumin Quantitative | $11.70 | $30.00 | — | — | 61% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Visual | $78.39 | $201.00 | — | 1% below | 61% |
| Urine pregnancy test, read by color change CPT 81025 Hc Urine Pregnancy Test | $98.67 | $253.00 | — | 25% above | 61% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Visual | $78.39 | $201.00 | — | — | 61% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hc Urine Pregnancy Test | $98.67 | $253.00 | — | — | 61% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Hc Vitamin B12 Assay | $262.08 | $672.00 | — | 223% above | 61% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Vitamin B12 Assay | $262.08 | $672.00 | — | — | 61% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc 25 Hydroxy Includes Fractions If Performed | $302.64 | $776.00 | — | 225% above | 61% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc 25 Hydroxy Includes Fractions If Performed | $302.64 | $776.00 | — | — | 61% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hc Vitamin D 1 25 Hydroxy Assay | $367.38 | $942.00 | — | 173% above | 61% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Hc Vitamin D 1 25 Hydroxy Assay | $367.38 | $942.00 | — | — | 61% |
| Zinc blood test CPT 84630 Hc Zinc Blood | $178.62 | $458.00 | — | 173% above | 61% |
| Zinc blood test inpatient CPT 84630 Hc Zinc Blood | $178.62 | $458.00 | — | — | 61% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Gonadotropin Chorionic Quantitative | $182.52 | $468.00 | — | 53% above | 61% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Gonadotropin Chorionic Quantitative | $182.52 | $468.00 | — | — | 61% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Hc Chemodervate Facial/Trigem/Cerv Musc Migraine | $781.56 | $2,004.00 | — | 10% below | 61% |
| Botox injections for chronic migraine inpatient CPT 64615 Hc Chemodervate Facial/Trigem/Cerv Musc Migraine | $781.56 | $2,004.00 | — | — | 61% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc Mammogram Bx Breast 1St Lesion Stereotactic | $3,735.03 | $9,577.00 | — | 67% above | 61% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hc Mammogram Bx Breast 1St Lesion Stereotactic | $3,735.03 | $9,577.00 | — | — | 61% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hc Fibula Distal Fx Wo Manip | $615.03 | $1,577.00 | — | 11% above | 61% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hc Fibula Distal Fx Wo Manip | $615.03 | $1,577.00 | — | — | 61% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Hc Metatarsal Fx Wo Manip | $806.13 | $2,067.00 | — | at median | 61% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Hc Metatarsal Fx Wo Manip | $806.13 | $2,067.00 | — | — | 61% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 Hc Heart Lt Coronary Artery Angio W/Wo Lt Ventriculography | $9,933.30 | $25,470.00 | — | 4% above | 61% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Hc Heart Lt Coronary Artery Angio W/Wo Lt Ventriculography | $9,933.30 | $25,470.00 | — | — | 61% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion Conversion Arrythmia External Elective | $2,476.89 | $6,351.00 | — | 67% above | 61% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion Conversion Arrythmia External Elective | $2,476.89 | $6,351.00 | — | — | 61% |
| Catheter ablation for atrial fibrillation CPT 93656 Hc Comp Eps Tras W/Afib Ablat | $14,880.45 | $38,155.00 | — | at median | 61% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Hc Comp Eps Tras W/Afib Ablat | $14,880.45 | $38,155.00 | — | — | 61% |
| Cervical biopsy CPT 57500 Hc Biopsy Cervix Single/Mult/Excision Of Lesion Spx | $500.37 | $1,283.00 | — | 58% below | 61% |
| Cervical biopsy inpatient CPT 57500 Hc Biopsy Cervix Single/Mult/Excision Of Lesion Spx | $500.37 | $1,283.00 | — | — | 61% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Hc Circumcision Age Over 28 Days | $5,118.75 | $13,125.00 | — | at median | 61% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Hc Circumcision Age Over 28 Days | $5,118.75 | $13,125.00 | — | — | 61% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Hc Circumcision W/Clamp/Oth Dev W/Block | $1,751.88 | $4,492.00 | — | 16% above | 61% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Hc Circumcision W/Clamp/Oth Dev W/Block | $1,751.88 | $4,492.00 | — | — | 61% |
| Circumcision, surgical, older than a newborn CPT 54160 Hc Circumcision Neonate 28 Days Old Or Less | $2,490.15 | $6,385.00 | — | 64% above | 61% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Hc Circumcision Neonate 28 Days Old Or Less | $2,490.15 | $6,385.00 | — | — | 61% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Radial Distal Fx Wo Manip | $806.13 | $2,067.00 | — | 54% above | 61% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hc Radial Distal Fx Wo Manip | $806.13 | $2,067.00 | — | — | 61% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Hc Colposcopy Cervix Vag Loop Eltrd Bx Cervix | $612.30 | $1,570.00 | — | 68% below | 61% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Hc Colposcopy Cervix Vag Loop Eltrd Bx Cervix | $612.30 | $1,570.00 | — | — | 61% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Hc Colposcopy Cervix Bx Cervix And Endocrv Curretage | $163.02 | $418.00 | — | 71% below | 61% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Hc Colposcopy Cervix Bx Cervix And Endocrv Curretage | $163.02 | $418.00 | — | — | 61% |
| Cystoscopy with ureteral stent placement CPT 52332 Hc Cystourethroscopy W Insertion Ureteral Stent | $6,766.11 | $17,349.00 | — | 107% above | 61% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 Hc Cystourethroscopy W Insertion Ureteral Stent | $6,766.11 | $17,349.00 | — | — | 61% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hc Cystourethroscopy | $1,619.67 | $4,153.00 | — | at median | 61% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hc Cystourethroscopy | $1,619.67 | $4,153.00 | — | — | 61% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Hc Dilation And Curettage Dx And Ther Nonobstetric | $3,774.81 | $9,679.00 | — | at median | 61% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Hc Dilation And Curettage Dx And Ther Nonobstetric | $3,774.81 | $9,679.00 | — | — | 61% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hc Destruction Premalignant Lesion 1St | $89.70 | $230.00 | — | 37% below | 61% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Hc Destruction Premalignant Lesion 1St | $89.70 | $230.00 | — | — | 61% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Hc Tympanostomy Local/Topical Anesthesia | $911.43 | $2,337.00 | — | at median | 61% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Hc Tympanostomy Local/Topical Anesthesia | $911.43 | $2,337.00 | — | — | 61% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Hc Removal Impacted Cerumen Irrigation/Lvg Unilat | $149.76 | $384.00 | — | 46% above | 61% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Hc Removal Impacted Cerumen Irrigation/Lvg Unilat | $149.76 | $384.00 | — | — | 61% |
| Earwax removal with instruments, one ear one side CPT 69210 Hc Removal Impacted Cerumen Instrumentation Unilat | $368.55 | $945.00 | — | 3% above | 61% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Hc Removal Impacted Cerumen Instrumentation Unilat | $368.55 | $945.00 | — | — | 61% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Biopsy Of Uterus Lining | $426.66 | $1,094.00 | — | 24% above | 61% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Biopsy Of Uterus Lining | $426.66 | $1,094.00 | — | — | 61% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hc Inj Epidural Cervical/Thoracic W Guidance | $6,020.82 | $15,438.00 | — | 303% above | 61% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hc Inj Epidural Cervical/Thoracic W Guidance | $6,020.82 | $15,438.00 | — | — | 61% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Hc Intravitreal Injection Pharmacologic Agt Spx | $709.80 | $1,820.00 | — | 27% above | 61% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Hc Intravitreal Injection Pharmacologic Agt Spx | $709.80 | $1,820.00 | — | — | 61% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc Inj Block Nerve Facet Joint Lumbar/Sac W/Image Guide 1St Level | $3,041.22 | $7,798.00 | — | 41% above | 61% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hc Inj Block Nerve Facet Joint Lumbar/Sac W/Image Guide 1St Level | $3,041.22 | $7,798.00 | — | — | 61% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hc Hemorrhoidectomy Internal Rubber Band Ligations | $530.79 | $1,361.00 | — | 61% below | 61% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hc Hemorrhoidectomy Internal Rubber Band Ligations | $530.79 | $1,361.00 | — | — | 61% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hc Hysterosalpingogram Cath Intro W/Saline Or Cst | $826.41 | $2,119.00 | — | 32% above | 61% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hc Hysterosalpingogram Cath Intro W/Saline Or Cst | $826.41 | $2,119.00 | — | — | 61% |
| IUD insertion (the device itself billed separately) CPT 58300 Hc Insertion Intrauterine Device Iud | $850.59 | $2,181.00 | — | 83% above | 61% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Hc Insertion Intrauterine Device Iud | $850.59 | $2,181.00 | — | — | 61% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc I And D Abscess-Simple Or Sing | $794.82 | $2,038.00 | — | 32% above | 61% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc I And D Abscess-Simple Or Sing | $794.82 | $2,038.00 | — | — | 61% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Inj Tendon/Ligament Single | $1,396.20 | $3,580.00 | — | 18% above | 61% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Inj Tendon/Ligament Single | $1,396.20 | $3,580.00 | — | — | 61% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Inj/Asp/Drn Bursa Major Joint Wo Us Guidance | $905.19 | $2,321.00 | — | at median | 61% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Inj/Asp/Drn Bursa Major Joint Wo Us Guidance | $905.19 | $2,321.00 | — | — | 61% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hc Insertion Drug Delivery Implant | $3,895.32 | $9,988.00 | — | 615% above | 61% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Hc Insertion Drug Delivery Implant | $3,895.32 | $9,988.00 | — | — | 61% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Inj/Asp/Drn Bursa Medium Joint Wo Us Guidance | $753.87 | $1,933.00 | — | at median | 61% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Inj/Asp/Drn Bursa Medium Joint Wo Us Guidance | $753.87 | $1,933.00 | — | — | 61% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Inj/Asp/Drn Bursa Small Joint Wo Us Guidance | $603.33 | $1,547.00 | — | 22% above | 61% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Inj/Asp/Drn Bursa Small Joint Wo Us Guidance | $603.33 | $1,547.00 | — | — | 61% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc Post-Cataract Laser Surgery | $721.89 | $1,851.00 | — | 70% above | 61% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Hc Post-Cataract Laser Surgery | $721.89 | $1,851.00 | — | — | 61% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Repair Intermediate S/A/T/E 2.5Cm Or Less | $741.00 | $1,900.00 | — | 78% above | 61% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Repair Intermediate S/A/T/E 2.5Cm Or Less | $741.00 | $1,900.00 | — | — | 61% |
| Left heart catheterization, diagnostic CPT 93452 Hc Lhc With Or Without Lv Gram | $7,729.41 | $19,819.00 | — | 19% above | 61% |
| Left heart catheterization, diagnostic inpatient CPT 93452 Hc Lhc With Or Without Lv Gram | $7,729.41 | $19,819.00 | — | — | 61% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Inj Esi Lumbar/Sac W Guidance | $1,758.12 | $4,508.00 | — | 31% above | 61% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Inj Esi Lumbar/Sac W Guidance | $1,758.12 | $4,508.00 | — | — | 61% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hc Inj Interlaminar Or Caudal Lumbar/Sac W/O Imaging | $1,740.18 | $4,462.00 | — | 5% above | 61% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc Inj Interlaminar Or Caudal Lumbar/Sac W/O Imaging | $1,740.18 | $4,462.00 | — | — | 61% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Inj Epidural Transforaminal Lumbar/Sac W Imag 1St Level | $4,175.73 | $10,707.00 | — | 164% above | 61% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Inj Epidural Transforaminal Lumbar/Sac W Imag 1St Level | $4,175.73 | $10,707.00 | — | — | 61% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Hc Mohs Micrographic H/N/H/F/G 1St Stage 5 Blocks | $577.98 | $1,482.00 | — | at median | 61% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Hc Mohs Micrographic H/N/H/F/G 1St Stage 5 Blocks | $577.98 | $1,482.00 | — | — | 61% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Exc Benign Lesion Mrgn Xcp Sk Tg Trunk Arms Legs 0.5 Cm Or Less | $624.78 | $1,602.00 | — | 52% below | 61% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hc Exc Benign Lesion Mrgn Xcp Sk Tg Trunk Arms Legs 0.5 Cm Or Less | $624.78 | $1,602.00 | — | — | 61% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hc Exc Benign Lesion Mrgn Xcp Sk Tg Face Ears Eyelids Nose Lips Muc Memb 0.5Cm Or Less | $577.59 | $1,481.00 | — | 9% below | 61% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Hc Exc Benign Lesion Mrgn Xcp Sk Tg Face Ears Eyelids Nose Lips Muc Memb 0.5Cm Or Less | $577.59 | $1,481.00 | — | — | 61% |
| Nail removal (partial or complete), one nail CPT 11730 Hc Avulsion Nail Plate Partial/Complete Simple 1 | $807.69 | $2,071.00 | — | 28% above | 61% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Avulsion Nail Plate Partial/Complete Simple 1 | $807.69 | $2,071.00 | — | — | 61% |
| Occipital nerve block (injection for headaches) CPT 64405 Hc Inj Block Nerve Occipita W/Image Guidance | $783.90 | $2,010.00 | — | 10% below | 61% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Inj Block Nerve Occipita W/Image Guidance | $783.90 | $2,010.00 | — | — | 61% |
| Pacemaker implant (dual chamber) CPT 33208 Hc Pacemaker Insertion-Dual | $11,476.53 | $29,427.00 | — | 10% above | 61% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Hc Pacemaker Insertion-Dual | $11,476.53 | $29,427.00 | — | — | 61% |
| Paracentesis with imaging guidance CPT 49083 Hc Paracentesis Abdominal With Image Guidance | $2,424.63 | $6,217.00 | — | 55% above | 61% |
| Paracentesis with imaging guidance inpatient CPT 49083 Hc Paracentesis Abdominal With Image Guidance | $2,424.63 | $6,217.00 | — | — | 61% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Excision Nail/Nail Matrix Includes Ingrown | $2,510.43 | $6,437.00 | — | 169% above | 61% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Excision Nail/Nail Matrix Includes Ingrown | $2,510.43 | $6,437.00 | — | — | 61% |
| Prostate biopsy CPT 55700 Hc Prostate Needle Biopsy Any Approach | $2,813.07 | $7,213.00 | — | at median | 61% |
| Prostate biopsy inpatient CPT 55700 Hc Prostate Needle Biopsy Any Approach | $2,813.07 | $7,213.00 | — | — | 61% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hc Inj/Rf Facet Lumbar/Sacral W Guidance Single | $4,326.27 | $11,093.00 | — | 107% above | 61% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Hc Inj/Rf Facet Lumbar/Sacral W Guidance Single | $4,326.27 | $11,093.00 | — | — | 61% |
| Removal of a foreign object under the skin, simple CPT 10120 Hc Fb Remove Skin Subq-Simple | $1,533.48 | $3,932.00 | — | 37% above | 61% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Fb Remove Skin Subq-Simple | $1,533.48 | $3,932.00 | — | — | 61% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Hc Lithotripsy Eswl Extracorp Shock Wave | $22,809.54 | $58,486.00 | — | 87% above | 61% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Hc Lithotripsy Eswl Extracorp Shock Wave | $22,809.54 | $58,486.00 | — | — | 61% |
| Short arm cast (elbow to hand) CPT 29075 Hc Cast Forearm/Wrist Short Arm | $1,219.53 | $3,127.00 | — | 37% above | 61% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hc Cast Forearm/Wrist Short Arm | $1,219.53 | $3,127.00 | — | — | 61% |
| Short arm splint (forearm and hand) CPT 29125 Hc Splint Arm Short | $614.64 | $1,576.00 | — | 60% above | 61% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hc Splint Arm Short | $614.64 | $1,576.00 | — | — | 61% |
| Short leg cast (below the knee) CPT 29405 Hc Cast Leg Short | $893.10 | $2,290.00 | — | 182% above | 61% |
| Short leg cast (below the knee) CPT 29405 Hc Application Short Leg Cast-Below Knee To Toes Phy Ther | $893.10 | $2,290.00 | — | 182% above | 61% |
| Short leg cast (below the knee) inpatient CPT 29405 Hc Cast Leg Short | $893.10 | $2,290.00 | — | — | 61% |
| Short leg cast (below the knee) inpatient CPT 29405 Hc Application Short Leg Cast-Below Knee To Toes Phy Ther | $893.10 | $2,290.00 | — | — | 61% |
| Short leg splint (calf to foot) CPT 29515 Hc Application Short Leg Splint Calf Foot - Ot | $540.54 | $1,386.00 | — | 41% above | 61% |
| Short leg splint (calf to foot) CPT 29515 Hc Application Short Leg Splint Calf Foot - Pt | $540.54 | $1,386.00 | — | 41% above | 61% |
| Short leg splint (calf to foot) CPT 29515 Hc Apply Short Leg Splint | $540.54 | $1,386.00 | — | 41% above | 61% |
| Short leg splint (calf to foot) inpatient CPT 29515 Hc Apply Short Leg Splint | $540.54 | $1,386.00 | — | — | 61% |
| Short leg splint (calf to foot) inpatient CPT 29515 Hc Application Short Leg Splint Calf Foot - Pt | $540.54 | $1,386.00 | — | — | 61% |
| Short leg splint (calf to foot) inpatient CPT 29515 Hc Application Short Leg Splint Calf Foot - Ot | $540.54 | $1,386.00 | — | — | 61% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Repair Simple Scalp/Neck/Ax/Genit/Trunk 2.5Cm Or Less | $741.00 | $1,900.00 | — | 158% above | 61% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Repair Simple Scalp/Neck/Ax/Genit/Trunk 2.5Cm Or Less | $741.00 | $1,900.00 | — | — | 61% |
| Skin biopsy, punch, one lesion CPT 11104 Hc Punch Bx Skin Single Les | $560.04 | $1,436.00 | — | 2% below | 61% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Bx Skin Single Les | $560.04 | $1,436.00 | — | — | 61% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Hc Excision Mal Lesion Trunk Arm Leg 0.5 Cm Or Less | $632.97 | $1,623.00 | — | at median | 61% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Hc Excision Mal Lesion Trunk Arm Leg 0.5 Cm Or Less | $632.97 | $1,623.00 | — | — | 61% |
| Skin tag removal, up to 15 tags CPT 11200 Hc Removal Of Skin Tags 15 Or Less Any Area | $401.31 | $1,029.00 | — | 27% above | 61% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Removal Of Skin Tags 15 Or Less Any Area | $401.31 | $1,029.00 | — | — | 61% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Spinal Puncture Lumbar Diagnostic | $2,049.06 | $5,254.00 | — | 62% above | 61% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Spinal Puncture Lumbar Diagnostic | $2,049.06 | $5,254.00 | — | — | 61% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Wound Body Simp 2.6-7.5 | $741.00 | $1,900.00 | — | 86% above | 61% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Wound Body Simp 2.6-7.5 | $741.00 | $1,900.00 | — | — | 61% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Repair Simple F/E/E/N/L/M 2.5Cm Or Less | $741.00 | $1,900.00 | — | 109% above | 61% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Repair Simple F/E/E/N/L/M 2.5Cm Or Less | $741.00 | $1,900.00 | — | — | 61% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangntl Bx Skin Single Les | $560.04 | $1,436.00 | — | at median | 61% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hc Tangntl Bx Skin Single Les | $560.04 | $1,436.00 | — | — | 61% |
| Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis Ndl/Cath Asp Pleura Space W/ Imaging | $2,939.04 | $7,536.00 | — | 108% above | 61% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis Ndl/Cath Asp Pleura Space W/ Imaging | $2,939.04 | $7,536.00 | — | — | 61% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hc Inj Trigger Point 1 Or 2 Muscles | $1,210.56 | $3,104.00 | — | at median | 61% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Inj Trigger Point 1 Or 2 Muscles | $1,210.56 | $3,104.00 | — | — | 61% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Us Bx Breast 1St Lesion | $3,692.52 | $9,468.00 | — | 69% above | 61% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc Us Bx Breast 1St Lesion | $3,692.52 | $9,468.00 | — | — | 61% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Egd Transoral Biopsy Single/Multiple | $1,405.56 | $3,604.00 | — | at median | 61% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hc Egd Transoral Biopsy Single/Multiple | $1,405.56 | $3,604.00 | — | — | 61% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Hc Cystoscopy W Ureterscopy/W Pyeloscopy/W Ureterscopy And/Or Pyeloscopy/ With Lithotripsy | $7,873.71 | $20,189.00 | — | 95% above | 61% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Hc Cystoscopy W Ureterscopy/W Pyeloscopy/W Ureterscopy And/Or Pyeloscopy/ With Lithotripsy | $7,873.71 | $20,189.00 | — | — | 61% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Hc Vasectomy Uni/Bilateral | $2,256.54 | $5,786.00 | — | — | 61% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Hc Vasectomy Uni/Bilateral | $2,256.54 | $5,786.00 | — | — | 61% |
| Vein ablation, radiofrequency, first vein CPT 36475 Hc Endovenous Rf 1St Vein | $7,813.26 | $20,034.00 | — | 152% above | 61% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 Hc Endovenous Rf 1St Vein | $7,813.26 | $20,034.00 | — | — | 61% |
| Wart removal, up to 14 warts CPT 17110 Hc Destruction Of Benign Lesions 1-14 | $2,690.22 | $6,898.00 | — | 141% above | 61% |
| Wart removal, up to 14 warts inpatient CPT 17110 Hc Destruction Of Benign Lesions 1-14 | $2,690.22 | $6,898.00 | — | — | 61% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debride Subq Tissue 1St 20Sqcm Or Less | $1,533.48 | $3,932.00 | — | 41% above | 61% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debride Subq Tissue 1St 20Sqcm Or Less | $1,533.48 | $3,932.00 | — | — | 61% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfus Blood/Comp | $773.76 | $1,984.00 | — | at median | 61% |
| Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Transfusion | $1,782.30 | $4,570.00 | — | 130% above | 61% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfus Blood/Comp | $773.76 | $1,984.00 | — | — | 61% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Transfusion | $1,782.30 | $4,570.00 | — | — | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment | $188.76 | $484.00 | — | at median | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Sputum Induction W/Tx | $379.08 | $972.00 | — | 101% above | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Neb W/I-Pap | $379.08 | $972.00 | — | 101% above | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Intrapul Percussive Ventilation Ipv | $379.08 | $972.00 | — | 101% above | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Multi Dose Inhaler | $379.08 | $972.00 | — | 101% above | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Nebulizer Rx | $379.08 | $972.00 | — | 101% above | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Pap Therapy | $379.08 | $972.00 | — | 101% above | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation Treatment | $188.76 | $484.00 | — | — | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Neb W/I-Pap | $379.08 | $972.00 | — | — | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Intrapul Percussive Ventilation Ipv | $379.08 | $972.00 | — | — | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Pap Therapy | $379.08 | $972.00 | — | — | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Nebulizer Rx | $379.08 | $972.00 | — | — | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Multi Dose Inhaler | $379.08 | $972.00 | — | — | 61% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Sputum Induction W/Tx | $379.08 | $972.00 | — | — | 61% |
| Chemotherapy IV infusion, first hour CPT 96413 Hc Chemo Inf 1St Hr Initial Drug | $695.37 | $1,783.00 | — | 55% above | 61% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc Chemo Inf 1St Hr Initial Drug | $695.37 | $1,783.00 | — | — | 61% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 Hc Eye Exam New Pt 1 Or More Visits | $146.64 | $376.00 | — | 29% below | 61% |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Hc Eye Exam New Pt 1 Or More Visits | $146.64 | $376.00 | — | — | 61% |
| Comprehensive eye exam, returning patient CPT 92014 Hc Oph Svcs Medical Exam And Eval Compre Est Pt 1 Or More | $113.10 | $290.00 | — | at median | 61% |
| Comprehensive eye exam, returning patient inpatient CPT 92014 Hc Oph Svcs Medical Exam And Eval Compre Est Pt 1 Or More | $113.10 | $290.00 | — | — | 61% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hc Comprehensive Audio | $394.29 | $1,011.00 | — | at median | 61% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Hc Comprehensive Audio | $394.29 | $1,011.00 | — | — | 61% |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Er Critical Care 30-74Min | $2,308.02 | $5,918.00 | — | 26% above | 61% |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care Inhouse Trauma Act Small Team | $4,847.31 | $12,429.00 | — | 165% above | 61% |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care Inhouse Trauma Act Full Team | $5,251.74 | $13,466.00 | — | 187% above | 61% |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care Inhouse Trauma Act Partial Team | $5,251.74 | $13,466.00 | — | 187% above | 61% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Er Critical Care 30-74Min | $2,308.02 | $5,918.00 | — | — | 61% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Critical Care Inhouse Trauma Act Small Team | $4,847.31 | $12,429.00 | — | — | 61% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Critical Care Inhouse Trauma Act Partial Team | $5,251.74 | $13,466.00 | — | — | 61% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Critical Care Inhouse Trauma Act Full Team | $5,251.74 | $13,466.00 | — | — | 61% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Eeg Awake And Drowsy Recording | $861.12 | $2,208.00 | — | 45% above | 61% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hc Eeg Awake And Drowsy Recording | $861.12 | $2,208.00 | — | — | 61% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Electrocardiogram 12Lead Tracing Only | $305.76 | $784.00 | — | 61% above | 61% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Electrocardiogram Tracing W/Wo Magnet | $305.76 | $784.00 | — | 61% above | 61% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Electrocardiogram 12Lead Tracing Only | $305.76 | $784.00 | — | — | 61% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Electrocardiogram Tracing W/Wo Magnet | $305.76 | $784.00 | — | — | 61% |
| Electroconvulsive therapy (ECT), one session CPT 90870 Hc Electroconvulsive Therapy | $4,517.37 | $11,583.00 | — | 35% above | 61% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Hc Electroconvulsive Therapy | $4,517.37 | $11,583.00 | — | — | 61% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Er Service Level I | $224.25 | $575.00 | — | 3% below | 61% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Er Service Level I | $224.25 | $575.00 | — | — | 61% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Er Service Level Ii | $341.25 | $875.00 | — | 5% below | 61% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Er Service Level Ii | $341.25 | $875.00 | — | — | 61% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Er Service Level Iii | $643.50 | $1,650.00 | — | 2% above | 61% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Er Service Level Iii | $643.50 | $1,650.00 | — | — | 61% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Er Service Level Iv | $875.16 | $2,244.00 | — | 9% above | 61% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Er Service Level Iv | $875.16 | $2,244.00 | — | — | 61% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Ed Level 5 Critical Care Less Than 30 Minutes | $1,755.00 | $4,500.00 | — | 59% above | 61% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Er Lvl5 Inhouse Act Trauma Team Small Team | $3,113.76 | $7,984.00 | — | 183% above | 61% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Er Lvl5 Inhouse Act Trauma Team Partial Team | $3,685.50 | $9,450.00 | — | 234% above | 61% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Er Lvl5 Inhouse Act Trauma Team Full Team | $4,258.80 | $10,920.00 | — | 286% above | 61% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Ed Level 5 Critical Care Less Than 30 Minutes | $1,755.00 | $4,500.00 | — | — | 61% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Er Lvl5 Inhouse Act Trauma Team Small Team | $3,113.76 | $7,984.00 | — | — | 61% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Er Lvl5 Inhouse Act Trauma Team Partial Team | $3,685.50 | $9,450.00 | — | — | 61% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Er Lvl5 Inhouse Act Trauma Team Full Team | $4,258.80 | $10,920.00 | — | — | 61% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Cardiovascular Stress Test | $516.75 | $1,325.00 | — | 38% below | 61% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Nm Cv Stress Test | $1,275.30 | $3,270.00 | — | 52% above | 61% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Pet Cv Stress Test | $1,275.30 | $3,270.00 | — | 52% above | 61% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Cardiovascular Stress Test | $516.75 | $1,325.00 | — | — | 61% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Pet Cv Stress Test | $1,275.30 | $3,270.00 | — | — | 61% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Nm Cv Stress Test | $1,275.30 | $3,270.00 | — | — | 61% |
| Eye exam, returning patient, intermediate CPT 92012 Hc Oph Svcs Medical Exam And Eval Intermediate Est Pt | $161.46 | $414.00 | — | at median | 61% |
| Eye exam, returning patient, intermediate inpatient CPT 92012 Hc Oph Svcs Medical Exam And Eval Intermediate Est Pt | $161.46 | $414.00 | — | — | 61% |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Family Psychotherapy W/Patient Present 50 Mins | $204.75 | $525.00 | — | at median | 61% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Family Psychotherapy W/Patient Present 50 Mins | $204.75 | $525.00 | — | — | 61% |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Family Psychotherapy W/O Patient Present 50 Mins | $184.86 | $474.00 | — | at median | 61% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Family Psychotherapy W/O Patient Present 50 Mins | $184.86 | $474.00 | — | — | 61% |
| Group psychotherapy session CPT 90853 Hc Group Therapy | $366.99 | $941.00 | — | 5% above | 61% |
| Group psychotherapy session inpatient CPT 90853 Hc Group Therapy | $366.99 | $941.00 | — | — | 61% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Inf Hydrat Init 31Min-1Hr | $290.16 | $744.00 | — | at median | 61% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Iv Inf Hydration | $427.05 | $1,095.00 | — | 47% above | 61% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Inf Hydrat Init 31Min-1Hr | $290.16 | $744.00 | — | — | 61% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Iv Inf Hydration | $427.05 | $1,095.00 | — | — | 61% |
| IV infusion of a medicine, first hour CPT 96365 Iv Inf Initial Up To 1Hr | $291.72 | $748.00 | — | at median | 61% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion For Ther/Proph/Dia | $291.72 | $748.00 | — | at median | 61% |
| IV infusion of a medicine, first hour CPT 96365 Hc Iv Inf Tx/Dx 1St Hr | $427.05 | $1,095.00 | — | 46% above | 61% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Inf Initial Up To 1Hr | $291.72 | $748.00 | — | — | 61% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion For Ther/Proph/Dia | $291.72 | $748.00 | — | — | 61% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Hc Iv Inf Tx/Dx 1St Hr | $427.05 | $1,095.00 | — | — | 61% |
| IV push of a medicine, first drug CPT 96374 Injection, Iv Push, Initial | $266.21 | $682.58 | — | 28% above | 61% |
| IV push of a medicine, first drug CPT 96374 Hc Iv Inj Initial | $306.54 | $786.00 | — | 47% above | 61% |
| IV push of a medicine, first drug inpatient CPT 96374 Injection, Iv Push, Initial | $266.21 | $682.58 | — | — | 61% |
| IV push of a medicine, first drug inpatient CPT 96374 Hc Iv Inj Initial | $306.54 | $786.00 | — | — | 61% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Inj Im/Subq | $78.78 | $202.00 | — | 21% below | 61% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Subq Or Im | $121.29 | $311.00 | — | 22% above | 61% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Inj Im/Subq | $78.78 | $202.00 | — | — | 61% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection Subq Or Im | $121.29 | $311.00 | — | — | 61% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Psychiatric Diagnostic Evaluation | $536.25 | $1,375.00 | — | at median | 61% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Re-Eval Psych Diag Without E/M | $536.25 | $1,375.00 | — | at median | 61% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Re-Eval Psych Diag Without E/M | $536.25 | $1,375.00 | — | — | 61% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Psychiatric Diagnostic Evaluation | $536.25 | $1,375.00 | — | — | 61% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hc Nerve Conduction Studies 7-8 Studies | $3,510.78 | $9,002.00 | — | 144% above | 61% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Hc Nerve Conduction Studies 7-8 Studies | $3,510.78 | $9,002.00 | — | — | 61% |
| Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuromuscular Reeducation Ea 15 Min Occupational Therapy | $88.14 | $226.00 | — | 35% above | 61% |
| Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuromuscular Reeducation Ea 15 Min Physical Therapy | $88.14 | $226.00 | — | 35% above | 61% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Neuromuscular Reeducation Ea 15 Min Occupational Therapy | $88.14 | $226.00 | — | — | 61% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Neuromuscular Reeducation Ea 15 Min Physical Therapy | $88.14 | $226.00 | — | — | 61% |
| New patient office visit, about 45 minutes CPT 99204 Cl Visit New Pt Level 4 | $184.86 | $474.00 | — | 7% below | 61% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Cl Visit New Pt Level 4 | $184.86 | $474.00 | — | — | 61% |
| New patient office visit, about 60 minutes CPT 99205 Cl Visit New Pt Level 5 | $240.24 | $616.00 | — | at median | 61% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Cl Visit New Pt Level 5 | $240.24 | $616.00 | — | — | 61% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Medical Nutrition Assmt And Ivntj Indiv Ea 15 Min | $36.27 | $93.00 | — | at median | 61% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Medical Nutrition Assmt And Ivntj Indiv Ea 15 Min | $36.27 | $93.00 | — | — | 61% |
| Occupational therapy evaluation, low complexity CPT 97165 Hc Ot Eval Low Complex 30 Min | $149.37 | $383.00 | — | 12% below | 61% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Hc Ot Eval Low Complex 30 Min | $149.37 | $383.00 | — | — | 61% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Pt Eval High Complex 45 Min | $146.25 | $375.00 | — | 30% below | 61% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hc Pt Eval High Complex 45 Min | $146.25 | $375.00 | — | — | 61% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Pt Eval Low Complex 20 Min | $126.75 | $325.00 | — | 28% below | 61% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc Pt Eval Low Complex 20 Min | $126.75 | $325.00 | — | — | 61% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Pt Eval Mod Complex 30 Min | $136.50 | $350.00 | — | 23% below | 61% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hc Pt Eval Mod Complex 30 Min | $136.50 | $350.00 | — | — | 61% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Therapy Ea 15 Min Physical Therapy | $97.50 | $250.00 | — | at median | 61% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Therapy Ea 15 Min Occupational Therapy | $97.50 | $250.00 | — | at median | 61% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Manual Therapy Ea 15 Min Occupational Therapy | $97.50 | $250.00 | — | — | 61% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Manual Therapy Ea 15 Min Physical Therapy | $97.50 | $250.00 | — | — | 61% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercise Ea 15 Min Physical Therapy | $88.14 | $226.00 | — | 16% above | 61% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercise Ea 15 Min Occupational Therapy | $88.14 | $226.00 | — | 16% above | 61% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Therapeutic Exercise Ea 15 Min Occupational Therapy | $88.14 | $226.00 | — | — | 61% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Therapeutic Exercise Ea 15 Min Physical Therapy | $88.14 | $226.00 | — | — | 61% |
| Psychiatric evaluation with medical services CPT 90792 Hc Psychiatric Diagnostic Eval With Medical Services | $198.12 | $508.00 | — | at median | 61% |
| Psychiatric evaluation with medical services inpatient CPT 90792 Hc Psychiatric Diagnostic Eval With Medical Services | $198.12 | $508.00 | — | — | 61% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Hc Psychological Tst Eval Svc Phys/Qhp First Hour | $228.93 | $587.00 | — | at median | 61% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Hc Psychological Tst Eval Svc Phys/Qhp First Hour | $228.93 | $587.00 | — | — | 61% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Hc Therapy Crisis Intervention 60 Mins | $536.25 | $1,375.00 | — | at median | 61% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Hc Therapy Crisis Intervention 60 Mins | $536.25 | $1,375.00 | — | — | 61% |
| Psychotherapy session, 30 minutes CPT 90832 Hc Therapy Ind And Family 30 Mins | $308.10 | $790.00 | — | at median | 61% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Therapy Ind And Family 30 Mins | $308.10 | $790.00 | — | — | 61% |
| Psychotherapy session, 45 minutes CPT 90834 Hc Therapy Ind And Family 45 Mins | $389.22 | $998.00 | — | at median | 61% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Therapy Ind And Family 45 Mins | $389.22 | $998.00 | — | — | 61% |
| Psychotherapy session, 60 minutes CPT 90837 Hc Therapy Ind And Family 60 Mins | $759.33 | $1,947.00 | — | 21% above | 61% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Therapy Ind And Family 60 Mins | $759.33 | $1,947.00 | — | — | 61% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Cessation Smoking/Tobacco Counsel 3-10 Min | $51.87 | $133.00 | — | 48% above | 61% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hc Cessation Smoking/Tobacco Counsel 3-10 Min | $51.87 | $133.00 | — | — | 61% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Cl Visit Estab Level 5 | $193.83 | $497.00 | — | 8% below | 61% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Cl Visit Estab Level 5 | $193.83 | $497.00 | — | — | 61% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Cl Visit Estab Level 4 | $168.09 | $431.00 | — | 3% below | 61% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Cl Visit Estab Level 4 | $168.09 | $431.00 | — | — | 61% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Cl Visit Estab Pt Level 4 | $127.53 | $327.00 | — | 1% above | 61% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Cl Visit Estab Pt Level 4 | $127.53 | $327.00 | — | — | 61% |
| Speech and language evaluation CPT 92523 Hc Eval Speech Sound Lang Compreh | $244.14 | $626.00 | — | at median | 61% |
| Speech and language evaluation inpatient CPT 92523 Hc Eval Speech Sound Lang Compreh | $244.14 | $626.00 | — | — | 61% |
| Speech therapy session, individual CPT 92507 Hc Treatment Of Speech | $172.77 | $443.00 | — | 25% above | 61% |
| Speech therapy session, individual inpatient CPT 92507 Hc Treatment Of Speech | $172.77 | $443.00 | — | — | 61% |
| Spirometry (breathing test) CPT 94010 Hc Spirometry | $415.35 | $1,065.00 | — | 69% above | 61% |
| Spirometry (breathing test) inpatient CPT 94010 Hc Spirometry | $415.35 | $1,065.00 | — | — | 61% |
| Spirometry before and after a bronchodilator CPT 94060 Hc Pft Disability Screening B And A | $731.64 | $1,876.00 | — | 75% above | 61% |
| Spirometry before and after a bronchodilator CPT 94060 Hc Spirometry-B And A Bronchodilator | $731.64 | $1,876.00 | — | 75% above | 61% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Spirometry-B And A Bronchodilator | $731.64 | $1,876.00 | — | — | 61% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Pft Disability Screening B And A | $731.64 | $1,876.00 | — | — | 61% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Hc Repet Tms Tx Initial W/Map/Motr Threshld/Del And M | $386.88 | $992.00 | — | at median | 61% |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 Hc Repet Tms Tx Initial W/Map/Motr Threshld/Del And M | $386.88 | $992.00 | — | — | 61% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therapeutic Activities Ea 15 Min Physical Therapy | $78.39 | $201.00 | — | 9% above | 61% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therapeutic Activities Ea 15 Min Occupational Therapy | $78.39 | $201.00 | — | 9% above | 61% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Therapeutic Activities Ea 15 Min Physical Therapy | $78.39 | $201.00 | — | — | 61% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Therapeutic Activities Ea 15 Min Occupational Therapy | $78.39 | $201.00 | — | — | 61% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Phlebotomy Therapeutic | $100.23 | $257.00 | — | 44% below | 61% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hc Phlebotomy Therapeutic | $100.23 | $257.00 | — | — | 61% |
| Visual field test, extended CPT 92083 Hc Visual Field Exam Extended | $78.00 | $200.00 | — | at median | 61% |
| Visual field test, extended inpatient CPT 92083 Hc Visual Field Exam Extended | $78.00 | $200.00 | — | — | 61% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Vfc Admin Any Route Initial Under 18 Yrs | $9.67 | $24.80 | — | 80% below | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pneumococcal Vaccine Admin | $39.78 | $102.00 | — | 18% below | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Influenza Vaccine Administrati | $39.78 | $102.00 | — | 18% below | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin | $39.78 | $102.00 | — | 18% below | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration In | $39.78 | $102.00 | — | 18% below | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hepatitis B Vacc Admin | $39.78 | $102.00 | — | 18% below | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pneumococcal Vaccine Administr | $39.78 | $102.00 | — | 18% below | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Influenza Vaccine Admin | $39.78 | $102.00 | — | 18% below | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Vaccine Admin - Initial Injection Sngl Or Combo | $62.79 | $161.00 | — | 30% above | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Vfc Admin Any Route Initial Under 18 Yrs | $9.67 | $24.80 | — | — | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Influenza Vaccine Admin | $39.78 | $102.00 | — | — | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pneumococcal Vaccine Admin | $39.78 | $102.00 | — | — | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin | $39.78 | $102.00 | — | — | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hepatitis B Vacc Admin | $39.78 | $102.00 | — | — | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Influenza Vaccine Administrati | $39.78 | $102.00 | — | — | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pneumococcal Vaccine Administr | $39.78 | $102.00 | — | — | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Administration In | $39.78 | $102.00 | — | — | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Vaccine Admin - Initial Injection Sngl Or Combo | $62.79 | $161.00 | — | — | 61% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Vfc Admin Any Route Ea Addl Under 18 Yrs | $9.67 | $24.80 | — | 75% below | 61% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Each Addtl | $20.28 | $52.00 | — | 48% below | 61% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Ea Addtl | $20.28 | $52.00 | — | 48% below | 61% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Vaccine Admin - Ea Addl Injection Sngl Or Combo | $62.79 | $161.00 | — | 61% above | 61% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Vfc Admin Any Route Ea Addl Under 18 Yrs | $9.67 | $24.80 | — | — | 61% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin Ea Addtl | $20.28 | $52.00 | — | — | 61% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin Each Addtl | $20.28 | $52.00 | — | — | 61% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Vaccine Admin - Ea Addl Injection Sngl Or Combo | $62.79 | $161.00 | — | — | 61% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.