Hospital

Claiborne Medical Center

Claiborne Medical Center in Tazewell, TN publishes cash prices for 275 common procedures listed here, from its own machine-readable price file updated Aug 5, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Tennessee median for 269 of 274 procedures and above it for 5. By typical cash price it ranks #1 of 88 Tennessee hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1850 Old Knoxville Rd, Tazewell, TN 37879 Collected Sep 23, 2026 Source price file Check a bill from this hospital (423) 626-4211

Acute care hospital Government-owned hospital Emergency department CCN 440057 · CMS hospital register NPI 1942205166

Financial assistance

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WW CON	$554.12	$1,979.00	$123.57–$1,781.10	51% below	72%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN WW CON	$554.12	$1,979.00	$123.57–$1,781.10	—	72%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VWS	$72.80	$260.00	$19.95–$234.00	58% below	72%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VWS	$72.80	$260.00	$19.95–$234.00	—	72%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3+ VWS RT	$61.32	$219.00	—	57% below	72%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3+ VWS LT	$61.32	$219.00	—	57% below	72%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3+ VWS LT	$61.32	$219.00	—	—	72%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3+ VWS RT	$61.32	$219.00	—	—	72%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ART EXT U/L LTD B	$74.20	$265.00	$50.01–$515.00	71% below	72%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ART EXT U/L LTD B	$74.20	$265.00	$50.01–$515.00	—	72%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND LEFT WO CON	$307.16	$1,097.00	—	56% below	72%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST LEFT WO CON	$307.16	$1,097.00	—	56% below	72%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND RIGHT WO CON	$307.16	$1,097.00	—	56% below	72%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW RT WO CON	$307.16	$1,097.00	—	56% below	72%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULD RT WO CON	$307.16	$1,097.00	—	56% below	72%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULD LT WO CON	$307.16	$1,097.00	—	56% below	72%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTR UP LT WO CON	$307.16	$1,097.00	—	56% below	72%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST RT WO CON	$307.16	$1,097.00	—	56% below	72%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW LEFT WO CON	$307.16	$1,097.00	—	56% below	72%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTR UP RT WO CON	$307.16	$1,097.00	—	56% below	72%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRIST LEFT WO CON	$307.16	$1,097.00	—	—	72%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW LEFT WO CON	$307.16	$1,097.00	—	—	72%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW RT WO CON	$307.16	$1,097.00	—	—	72%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTR UP LT WO CON	$307.16	$1,097.00	—	—	72%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTR UP RT WO CON	$307.16	$1,097.00	—	—	72%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND LEFT WO CON	$307.16	$1,097.00	—	—	72%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND RIGHT WO CON	$307.16	$1,097.00	—	—	72%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRIST RT WO CON	$307.16	$1,097.00	—	—	72%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULD LT WO CON	$307.16	$1,097.00	—	—	72%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULD RT WO CON	$307.16	$1,097.00	—	—	72%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS SGL CON	$91.28	$326.00	$41.66–$313.23	58% below	72%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS SGL CON	$91.28	$326.00	$41.66–$313.23	—	72%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY	$262.64	$938.00	$151.18–$1,480.00	61% below	72%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE WHOLE BODY	$262.64	$938.00	$151.18–$1,480.00	—	72%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMP LT	$132.72	$474.00	—	23% below	72%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMP RT	$132.72	$474.00	—	23% below	72%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMP RT	$132.72	$474.00	—	—	72%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMP LT	$132.72	$474.00	—	—	72%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LT	$88.48	$316.00	—	46% below	72%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RT	$88.48	$316.00	—	46% below	72%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LT	$88.48	$316.00	—	—	72%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED RT	$88.48	$316.00	—	—	72%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD & PEL WW CON	$1,463.00	$5,225.00	$123.57–$4,702.50	14% below	72%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PEL GI BLEED	$1,463.00	$5,225.00	$123.57–$4,702.50	14% below	72%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD & PEL WW CON	$1,463.00	$5,225.00	$123.57–$4,702.50	—	72%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PEL GI BLEED	$1,463.00	$5,225.00	$123.57–$4,702.50	—	72%
CT angiography (CTA) of the head CPT 70496 CTA ANG HEAD WW CON	$731.64	$2,613.00	$123.57–$2,351.70	33% below	72%
CT angiography (CTA) of the head CPT 70496 CTV HEAD WW CON	$731.64	$2,613.00	$123.57–$2,351.70	33% below	72%
CT angiography (CTA) of the head inpatient CPT 70496 CTV HEAD WW CON	$731.64	$2,613.00	$123.57–$2,351.70	—	72%
CT angiography (CTA) of the head inpatient CPT 70496 CTA ANG HEAD WW CON	$731.64	$2,613.00	$123.57–$2,351.70	—	72%
CT angiography (CTA) of the neck CPT 70498 CTA ANG NECK WW CON	$636.16	$2,272.00	$123.57–$2,044.80	39% below	72%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA ANG NECK WW CON	$636.16	$2,272.00	$123.57–$2,044.80	—	72%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WW CON	$731.64	$2,613.00	$123.57–$2,351.70	36% below	72%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST -PE WW CON	$731.64	$2,613.00	$123.57–$2,351.70	36% below	72%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST -PE WW CON	$731.64	$2,613.00	$123.57–$2,351.70	—	72%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WW CON	$731.64	$2,613.00	$123.57–$2,351.70	—	72%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL WO CON	$739.20	$2,640.00	$105.33–$2,376.00	49% below	72%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PEL WO CON	$739.20	$2,640.00	$105.33–$2,376.00	—	72%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENT A/P W CONT	$739.20	$2,640.00	$123.57–$2,376.00	61% below	72%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL W CON	$739.20	$2,640.00	$123.57–$2,376.00	61% below	72%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENT A/P W CONT	$739.20	$2,640.00	$123.57–$2,376.00	—	72%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PEL W CON	$739.20	$2,640.00	$123.57–$2,376.00	—	72%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL WO/W CON	$1,108.24	$3,958.00	$198.87–$3,562.20	49% below	72%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT URO AB/PEL WW CON	$1,108.24	$3,958.00	$198.87–$3,562.20	49% below	72%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT URO AB/PEL WW CON	$1,108.24	$3,958.00	$198.87–$3,562.20	—	72%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PEL WO/W CON	$1,108.24	$3,958.00	$198.87–$3,562.20	—	72%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON	$369.60	$1,320.00	$123.57–$1,188.00	62% below	72%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON	$369.60	$1,320.00	$123.57–$1,188.00	—	72%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON	$369.60	$1,320.00	$52.56–$1,188.00	52% below	72%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON	$369.60	$1,320.00	$52.56–$1,188.00	—	72%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS/CORO WO CON	$323.40	$1,155.00	$52.56–$1,146.00	53% below	72%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX-FACIAL WO CON	$323.40	$1,155.00	$52.56–$1,146.00	53% below	72%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAX-FACIAL WO CON	$323.40	$1,155.00	$52.56–$1,146.00	—	72%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS/CORO WO CON	$323.40	$1,155.00	$52.56–$1,146.00	—	72%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD - STROKE WO	$348.60	$1,245.00	$52.56–$1,146.00	51% below	72%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON	$348.60	$1,245.00	$52.56–$1,146.00	51% below	72%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD - STROKE WO	$348.60	$1,245.00	$52.56–$1,146.00	—	72%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON	$348.60	$1,245.00	$52.56–$1,146.00	—	72%
CT scan of the head with contrast CPT 70460 CT HEAD W CON	$348.60	$1,245.00	$121.19–$1,146.00	61% below	72%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON	$348.60	$1,245.00	$121.19–$1,146.00	—	72%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO/W CON	$539.56	$1,927.00	$123.57–$1,734.30	50% below	72%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO/W CON	$539.56	$1,927.00	$123.57–$1,734.30	—	72%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMB WO C	$507.92	$1,814.00	$52.56–$1,632.60	36% below	72%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMB WO C	$507.92	$1,814.00	$52.56–$1,632.60	—	72%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERV WO CON	$507.92	$1,814.00	$52.56–$1,632.60	43% below	72%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERV WO CON	$507.92	$1,814.00	$52.56–$1,632.60	—	72%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON	$369.60	$1,320.00	$123.57–$1,188.00	58% below	72%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON	$369.60	$1,320.00	$123.57–$1,188.00	—	72%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAR DOPP COMP BI	$172.20	$615.00	$112.96–$594.89	—	72%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAR DOPP COMP BI	$172.20	$615.00	$112.96–$594.89	—	72%
Chest CT scan without and with contrast CPT 71270 CT CHEST WW CON	$667.24	$2,383.00	$123.57–$2,144.70	30% below	72%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST WW CON	$667.24	$2,383.00	$123.57–$2,144.70	—	72%
Chest X-ray, 2 views both sides CPT 71046 XR CHEST DECUB BI	$69.44	$248.00	$17.98–$223.20	—	72%
Chest X-ray, 2 views CPT 71046 XR CHEST 2V%	$69.44	$248.00	$17.98–$223.20	43% below	72%
Chest X-ray, 2 views CPT 71046 XR SEPSIS CHEST 2 V	$69.44	$248.00	$17.98–$223.20	43% below	72%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$69.44	$248.00	$17.98–$223.20	43% below	72%
Chest X-ray, 2 views inpatient both sides CPT 71046 XR CHEST DECUB BI	$69.44	$248.00	$17.98–$223.20	—	72%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$69.44	$248.00	$17.98–$223.20	—	72%
Chest X-ray, 2 views inpatient CPT 71046 XR SEPSIS CHEST 2 V	$69.44	$248.00	$17.98–$223.20	—	72%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2V%	$69.44	$248.00	$17.98–$223.20	—	72%
Chest X-ray, single view CPT 71045 XR SEPSIS CHEST 1 V	$45.36	$162.00	$9.75–$145.80	60% below	72%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$45.36	$162.00	$9.75–$145.80	60% below	72%
Chest X-ray, single view CPT 71045 XR CHEST EXPIR 1 VW	$45.36	$162.00	$9.75–$145.80	60% below	72%
Chest X-ray, single view one side CPT 71045 XR CHEST DECUB RT	$45.36	$162.00	—	60% below	72%
Chest X-ray, single view one side CPT 71045 XR CHEST DECUB LT	$45.36	$162.00	—	60% below	72%
Chest X-ray, single view inpatient CPT 71045 XR SEPSIS CHEST 1 V	$45.36	$162.00	$9.75–$145.80	—	72%
Chest X-ray, single view inpatient CPT 71045 XR CHEST EXPIR 1 VW	$45.36	$162.00	$9.75–$145.80	—	72%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$45.36	$162.00	$9.75–$145.80	—	72%
Chest X-ray, single view inpatient one side CPT 71045 XR CHEST DECUB RT	$45.36	$162.00	—	—	72%
Chest X-ray, single view inpatient one side CPT 71045 XR CHEST DECUB LT	$45.36	$162.00	—	—	72%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RIGHT	$56.28	$201.00	—	53% below	72%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LEFT	$56.28	$201.00	—	53% below	72%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE LEFT	$56.28	$201.00	—	—	72%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE RIGHT	$56.28	$201.00	—	—	72%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPER COMP	$81.20	$290.00	$52.56–$347.00	70% below	72%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPER COMP	$81.20	$290.00	$52.56–$347.00	—	72%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD DEXA AXIAL SKELET	$94.64	$338.00	$40.51–$304.20	46% below	72%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD DEXA AXIAL SKELET	$94.64	$338.00	$40.51–$304.20	—	72%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD DEXA APPEND SKELE	$64.12	$229.00	$25.61–$206.10	25% below	72%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD DEXA APPEND SKELE	$64.12	$229.00	$25.61–$206.10	—	72%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON HR	$445.20	$1,590.00	$52.56–$1,431.00	37% below	72%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST LD DX FU WO	$445.20	$1,590.00	$52.56–$1,431.00	37% below	72%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON	$445.20	$1,590.00	$52.56–$1,431.00	37% below	72%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST/ADRN WO CON	$445.20	$1,590.00	$52.56–$1,431.00	37% below	72%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT ESOPHAGRAM	$445.20	$1,590.00	$52.56–$1,431.00	37% below	72%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT ESOPHAGRAM	$445.20	$1,590.00	$52.56–$1,431.00	—	72%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST LD DX FU WO	$445.20	$1,590.00	$52.56–$1,431.00	—	72%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON	$445.20	$1,590.00	$52.56–$1,431.00	—	72%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON HR	$445.20	$1,590.00	$52.56–$1,431.00	—	72%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST/ADRN WO CON	$445.20	$1,590.00	$52.56–$1,431.00	—	72%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON	$523.04	$1,868.00	$123.57–$1,681.20	45% below	72%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST - PE W CON	$523.04	$1,868.00	$123.57–$1,681.20	45% below	72%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST/ADREN W CON	$523.04	$1,868.00	$123.57–$1,681.20	45% below	72%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST/ADREN W CON	$523.04	$1,868.00	$123.57–$1,681.20	—	72%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON	$523.04	$1,868.00	$123.57–$1,681.20	—	72%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST - PE W CON	$523.04	$1,868.00	$123.57–$1,681.20	—	72%
Diagnostic mammogram, both breasts CPT 77066 MA POST PR MA DFMD B	$86.52	$309.00	$56.73–$495.83	25% below	72%
Diagnostic mammogram, both breasts CPT 77066 MA MAM DX BIL W CAD	$97.44	$348.00	$56.73–$495.83	15% below	72%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA POST PR MA DFMD B	$86.52	$309.00	$56.73–$495.83	—	72%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA MAM DX BIL W CAD	$97.44	$348.00	$56.73–$495.83	—	72%
Diagnostic mammogram, one breast one side CPT 77065 MA POST PR MA DFMD L	$75.88	$271.00	—	51% below	72%
Diagnostic mammogram, one breast one side CPT 77065 MA MAM DX LT W CAD	$75.88	$271.00	—	51% below	72%
Diagnostic mammogram, one breast one side CPT 77065 MA MAM DX RT W CAD	$75.88	$271.00	—	51% below	72%
Diagnostic mammogram, one breast one side CPT 77065 MA POST PR MA DFMD R	$75.88	$271.00	—	51% below	72%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA POST PR MA DFMD R	$75.88	$271.00	—	—	72%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA MAM DX RT W CAD	$75.88	$271.00	—	—	72%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA POST PR MA DFMD L	$75.88	$271.00	—	—	72%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA MAM DX LT W CAD	$75.88	$271.00	—	—	72%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US ART EXT LWR C BIL	$243.32	$869.00	$112.96–$782.10	74% below	72%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US ART EXT LWR C BIL	$243.32	$869.00	$112.96–$782.10	—	72%
Duplex ultrasound of the leg veins, both legs CPT 93970 US UP EXT VEIN COM B	$211.68	$756.00	$112.96–$680.40	67% below	72%
Duplex ultrasound of the leg veins, both legs CPT 93970 US LW EXT VEIN COM B	$211.68	$756.00	$112.96–$680.40	67% below	72%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US UP EXT VEIN COM B	$211.68	$756.00	$112.96–$680.40	—	72%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US LW EXT VEIN COM B	$211.68	$756.00	$112.96–$680.40	—	72%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TRANS COMPLETE	$349.72	$1,249.00	$146.18–$1,124.10	70% below	72%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TRANS COMPLETE%	$349.72	$1,249.00	$146.18–$1,124.10	70% below	72%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO TRANS COMPLETE%	$349.72	$1,249.00	$146.18–$1,124.10	—	72%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO TRANS COMPLETE	$349.72	$1,249.00	$146.18–$1,124.10	—	72%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 1-2 VWS RT	$36.96	$132.00	—	70% below	72%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 1-2 VWS LT	$37.24	$133.00	—	69% below	72%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 1-2 VWS RT	$36.96	$132.00	—	—	72%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 1-2 VWS LT	$37.24	$133.00	—	—	72%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 VWS RT	$55.72	$199.00	—	61% below	72%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 VWS LT	$55.72	$199.00	—	61% below	72%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW 3 VWS LT	$55.72	$199.00	—	—	72%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW 3 VWS RT	$55.72	$199.00	—	—	72%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC'S WO CON	$348.60	$1,245.00	$52.56–$1,146.00	45% below	72%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS WO CON	$348.60	$1,245.00	$52.56–$1,146.00	45% below	72%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA WO CON	$348.60	$1,245.00	$52.56–$1,146.00	45% below	72%
Eye socket (orbit) CT scan without contrast CPT 70480 CT TEMP BONES WO CON	$348.60	$1,245.00	$52.56–$1,146.00	45% below	72%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SELLA WO CON	$348.60	$1,245.00	$52.56–$1,146.00	—	72%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC'S WO CON	$348.60	$1,245.00	$52.56–$1,146.00	—	72%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT TEMP BONES WO CON	$348.60	$1,245.00	$52.56–$1,146.00	—	72%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS WO CON	$348.60	$1,245.00	$52.56–$1,146.00	—	72%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR ZYGOM ARCH 3 VWS	$84.28	$301.00	$27.94–$270.90	47% below	72%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACE BONE 3+ VWS	$84.28	$301.00	$27.94–$270.90	47% below	72%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACE BONE 3+ VWS	$84.28	$301.00	$27.94–$270.90	—	72%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR ZYGOM ARCH 3 VWS	$84.28	$301.00	$27.94–$270.90	—	72%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM RIGHT	$61.32	$219.00	—	51% below	72%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM LEFT	$61.32	$219.00	—	51% below	72%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM RIGHT	$61.32	$219.00	—	—	72%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM LEFT	$61.32	$219.00	—	—	72%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATBIL NO RX/EF	$186.76	$667.00	$155.30–$1,480.00	71% below	72%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPAT FAT MEAL EF	$186.76	$667.00	$155.30–$1,480.00	71% below	72%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPAT FAT MEAL EF	$186.76	$667.00	$155.30–$1,480.00	—	72%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATBIL NO RX/EF	$186.76	$667.00	$155.30–$1,480.00	—	72%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LT	$51.80	$185.00	—	61% below	72%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RT	$51.80	$185.00	—	61% below	72%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS LT	$51.80	$185.00	—	—	72%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS RT	$51.80	$185.00	—	—	72%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL RIGHT	$51.80	$185.00	—	59% below	72%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL LEFT	$51.80	$185.00	—	59% below	72%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR HEEL LEFT	$51.80	$185.00	—	—	72%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR HEEL RIGHT	$51.80	$185.00	—	—	72%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LT	$58.80	$210.00	—	59% below	72%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RT	$58.80	$210.00	—	59% below	72%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RT	$58.80	$210.00	—	—	72%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LT	$58.80	$210.00	—	—	72%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4+ VIEWS RT	$61.32	$219.00	—	60% below	72%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4+ VIEWS LT	$61.32	$219.00	—	60% below	72%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE 4+ VIEWS RT	$61.32	$219.00	—	—	72%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE 4+ VIEWS LT	$61.32	$219.00	—	—	72%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT LEFT WO CON	$384.72	$1,374.00	—	44% below	72%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOW LT WO CON	$384.72	$1,374.00	—	44% below	72%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT RIGHT WO CON	$384.72	$1,374.00	—	44% below	72%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP LEFT WO CON	$384.72	$1,374.00	—	44% below	72%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP RIGHT WO CON	$384.72	$1,374.00	—	44% below	72%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE RT WO CON	$384.72	$1,374.00	—	44% below	72%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE LEFT WO CON	$384.72	$1,374.00	—	44% below	72%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE LEFT WO CON	$384.72	$1,374.00	—	44% below	72%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE RIGHT WO CON	$384.72	$1,374.00	—	44% below	72%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOW RT WO CON	$384.72	$1,374.00	—	44% below	72%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT LEFT WO CON	$384.72	$1,374.00	—	—	72%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE RIGHT WO CON	$384.72	$1,374.00	—	—	72%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE LEFT WO CON	$384.72	$1,374.00	—	—	72%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP RIGHT WO CON	$384.72	$1,374.00	—	—	72%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP LEFT WO CON	$384.72	$1,374.00	—	—	72%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT RIGHT WO CON	$384.72	$1,374.00	—	—	72%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOW RT WO CON	$384.72	$1,374.00	—	—	72%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOW LT WO CON	$384.72	$1,374.00	—	—	72%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE RT WO CON	$384.72	$1,374.00	—	—	72%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE LEFT WO CON	$384.72	$1,374.00	—	—	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER ONLY	$136.36	$487.00	$50.10–$438.30	49% below	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX	$136.36	$487.00	$50.10–$438.30	49% below	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TIS LOW BACK	$136.36	$487.00	$50.10–$438.30	49% below	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$136.36	$487.00	$50.10–$438.30	49% below	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$136.36	$487.00	$50.10–$438.30	49% below	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS	$136.36	$487.00	$50.10–$438.30	49% below	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN ONLY	$136.36	$487.00	$50.10–$438.30	49% below	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN ONLY	$136.36	$487.00	$50.10–$438.30	—	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US APPENDIX	$136.36	$487.00	$50.10–$438.30	—	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TIS LOW BACK	$136.36	$487.00	$50.10–$438.30	—	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$136.36	$487.00	$50.10–$438.30	—	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS	$136.36	$487.00	$50.10–$438.30	—	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER ONLY	$136.36	$487.00	$50.10–$438.30	—	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$136.36	$487.00	$50.10–$438.30	—	72%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US AXILLARY ONLY R	$71.68	$256.00	—	65% below	72%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US AXILLARY ONLY L	$71.68	$256.00	—	65% below	72%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LW NVAS LTD L	$71.68	$256.00	—	65% below	72%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LW NVAS LTD R	$71.68	$256.00	—	65% below	72%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT UP NVAS LTD L	$71.68	$256.00	—	65% below	72%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT UP NVAS LTD R	$71.68	$256.00	—	65% below	72%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US AXILLARY ONLY L	$71.68	$256.00	—	—	72%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LW NVAS LTD L	$71.68	$256.00	—	—	72%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT UP NVAS LTD L	$71.68	$256.00	—	—	72%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LW NVAS LTD R	$71.68	$256.00	—	—	72%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT UP NVAS LTD R	$71.68	$256.00	—	—	72%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US AXILLARY ONLY R	$71.68	$256.00	—	—	72%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LD SC WO CO	$445.20	$1,590.00	$37.72–$1,431.00	133% above	72%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LD SC WO CO	$445.20	$1,590.00	$37.72–$1,431.00	—	72%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIB/FIB RIGHT	$61.32	$219.00	—	51% below	72%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIB/FIB LEFT	$61.32	$219.00	—	51% below	72%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIB/FIB LEFT	$61.32	$219.00	—	—	72%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIB/FIB RIGHT	$61.32	$219.00	—	—	72%
MR angiography (MRA) of the head without contrast CPT 70544 MR VENOGRAPHY WO CON	$299.32	$1,069.00	$105.33–$1,022.00	69% below	72%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CON	$299.32	$1,069.00	$105.33–$1,022.00	69% below	72%
MR angiography (MRA) of the head without contrast CPT 70544 MRA & MRV HEAD WO CO	$299.32	$1,069.00	$105.33–$1,022.00	69% below	72%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CON	$299.32	$1,069.00	$105.33–$1,022.00	—	72%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR VENOGRAPHY WO CON	$299.32	$1,069.00	$105.33–$1,022.00	—	72%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA & MRV HEAD WO CO	$299.32	$1,069.00	$105.33–$1,022.00	—	72%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ANKLE LEFT WO CON	$434.28	$1,551.00	—	55% below	72%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ANKLE RT WO CON	$434.28	$1,551.00	—	55% below	72%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR HIP LEFT WO CON	$434.28	$1,551.00	—	55% below	72%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR HIP RIGHT WO CON	$434.28	$1,551.00	—	55% below	72%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR KNEE LEFT WO CON	$434.28	$1,551.00	—	55% below	72%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR KNEE RIGHT WO CON	$434.28	$1,551.00	—	55% below	72%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR ANKLE RT WO CON	$434.28	$1,551.00	—	—	72%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR HIP LEFT WO CON	$434.28	$1,551.00	—	—	72%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR KNEE LEFT WO CON	$434.28	$1,551.00	—	—	72%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR KNEE RIGHT WO CON	$434.28	$1,551.00	—	—	72%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR HIP RIGHT WO CON	$434.28	$1,551.00	—	—	72%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR ANKLE LEFT WO CON	$434.28	$1,551.00	—	—	72%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR KNEE LEFT WW CON	$760.20	$2,715.00	—	40% below	72%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ANKLE LEFT WW CON	$760.20	$2,715.00	—	40% below	72%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR HIP RIGHT WW CON	$760.20	$2,715.00	—	40% below	72%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ANKLE RT WW CON	$760.20	$2,715.00	—	40% below	72%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR KNEE RIGHT WW CON	$760.20	$2,715.00	—	40% below	72%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR HIP LEFT WW CON	$760.20	$2,715.00	—	40% below	72%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR ANKLE RT WW CON	$760.20	$2,715.00	—	—	72%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR HIP LEFT WW CON	$760.20	$2,715.00	—	—	72%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR KNEE RIGHT WW CON	$760.20	$2,715.00	—	—	72%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR ANKLE LEFT WW CON	$760.20	$2,715.00	—	—	72%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR HIP RIGHT WW CON	$760.20	$2,715.00	—	—	72%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR KNEE LEFT WW CON	$760.20	$2,715.00	—	—	72%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON	$497.56	$1,777.00	$105.33–$1,599.30	47% below	72%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON	$497.56	$1,777.00	$105.33–$1,599.30	—	72%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WW CON	$707.28	$2,526.00	$198.87–$2,273.40	44% below	72%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WW CON	$707.28	$2,526.00	$198.87–$2,273.40	—	72%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON	$496.16	$1,772.00	$105.33–$1,594.80	57% below	72%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON	$496.16	$1,772.00	$105.33–$1,594.80	—	72%
MRI of the brain, with and without contrast dye CPT 70553 MR IAC'S W&WO CON	$707.28	$2,526.00	$198.87–$2,273.40	53% below	72%
MRI of the brain, with and without contrast dye CPT 70553 MR SP	$707.28	$2,526.00	$198.87–$2,273.40	53% below	72%
MRI of the brain, with and without contrast dye CPT 70553 MR PITUITARY WW CON	$707.28	$2,526.00	$198.87–$2,273.40	53% below	72%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR PITUITARY WW CON	$707.28	$2,526.00	$198.87–$2,273.40	—	72%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR SP	$707.28	$2,526.00	$198.87–$2,273.40	—	72%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR IAC'S W&WO CON	$707.28	$2,526.00	$198.87–$2,273.40	—	72%
MRI of the lower back, no contrast dye CPT 72148 MR SPINE LUMB WO CON	$658.00	$2,350.00	$105.33–$2,115.00	33% below	72%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR SPINE LUMB WO CON	$658.00	$2,350.00	$105.33–$2,115.00	—	72%
MRI of the lower back, without and then with contrast dye CPT 72158 MR SPINE LUMB WW CON	$809.20	$2,890.00	$198.87–$2,601.00	43% below	72%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR SPINE LUMB WW CON	$809.20	$2,890.00	$198.87–$2,601.00	—	72%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR SPINE THOR WO CON	$658.00	$2,350.00	$105.33–$2,115.00	33% below	72%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR SPINE THOR WO CON	$658.00	$2,350.00	$105.33–$2,115.00	—	72%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR SPINE CERV WW CON	$809.20	$2,890.00	$198.87–$2,601.00	45% below	72%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR SPINE CERV WW CON	$809.20	$2,890.00	$198.87–$2,601.00	—	72%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR SPINE CERV WO CON	$658.00	$2,350.00	$105.33–$2,115.00	33% below	72%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR SPINE CERV WO CON	$658.00	$2,350.00	$105.33–$2,115.00	—	72%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WW CON	$675.08	$2,411.00	$198.87–$2,169.90	49% below	72%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WW CON	$675.08	$2,411.00	$198.87–$2,169.90	—	72%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON	$472.36	$1,687.00	$105.33–$1,518.30	46% below	72%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON	$472.36	$1,687.00	$105.33–$1,518.30	—	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR ELBOW LEFT WO CON	$495.32	$1,769.00	—	48% below	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR ELBOW RT WO CON	$495.32	$1,769.00	—	48% below	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR SHOULD LT WO CON	$495.32	$1,769.00	—	48% below	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR SHOULD RT WO CON	$495.32	$1,769.00	—	48% below	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR WRIST LEFT WO CON	$495.32	$1,769.00	—	48% below	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR WRIST RT WO CON	$495.32	$1,769.00	—	48% below	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR WRIST LEFT WO CON	$495.32	$1,769.00	—	—	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR SHOULD LT WO CON	$495.32	$1,769.00	—	—	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR SHOULD RT WO CON	$495.32	$1,769.00	—	—	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR WRIST RT WO CON	$495.32	$1,769.00	—	—	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR ELBOW LEFT WO CON	$495.32	$1,769.00	—	—	72%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR ELBOW RT WO CON	$495.32	$1,769.00	—	—	72%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERV 4-5 VW	$108.08	$386.00	$31.64–$347.40	49% below	72%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERV 4-5 VW	$108.08	$386.00	$31.64–$347.40	—	72%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W CON	$315.00	$1,125.00	$123.57–$1,146.00	62% below	72%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W CON	$315.00	$1,125.00	$123.57–$1,146.00	—	72%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK WO CON	$299.60	$1,070.00	$52.56–$1,146.00	58% below	72%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK WO CON	$299.60	$1,070.00	$52.56–$1,146.00	—	72%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISS	$54.88	$196.00	$14.94–$176.40	55% below	72%
Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISS	$54.88	$196.00	$14.94–$176.40	—	72%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HRT MPS SPT MLT	$631.96	$2,257.00	$271.28–$2,031.30	67% below	72%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM HRT MPS SPT MLT	$631.96	$2,257.00	$271.28–$2,031.30	—	72%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CON	$369.60	$1,320.00	$52.56–$1,188.00	48% below	72%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CON	$369.60	$1,320.00	$52.56–$1,188.00	—	72%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LTD OR F/U	$64.96	$232.00	$34.62–$347.00	66% below	72%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER ONLY	$64.96	$232.00	$34.62–$347.00	66% below	72%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER ONLY	$64.96	$232.00	$34.62–$347.00	—	72%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LTD OR F/U	$64.96	$232.00	$34.62–$347.00	—	72%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON-OB COM	$101.92	$364.00	$52.56–$347.00	65% below	72%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON-OB COM	$101.92	$364.00	$52.56–$347.00	—	72%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB 14> SING/1ST G	$185.36	$662.00	$52.56–$595.80	36% below	72%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB 14> SING/1ST G	$185.36	$662.00	$52.56–$595.80	—	72%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 SING/1ST G	$185.36	$662.00	$37.19–$595.80	25% below	72%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14 SING/1ST G	$185.36	$662.00	$37.19–$595.80	—	72%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$74.20	$265.00	$50.10–$347.00	54% below	72%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED	$74.20	$265.00	$50.10–$347.00	—	72%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS RIGHT	$40.60	$145.00	—	71% below	72%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS LEFT	$40.60	$145.00	—	71% below	72%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS RIGHT	$40.60	$145.00	—	—	72%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS LEFT	$40.60	$145.00	—	—	72%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS LT W/PA CXR	$67.48	$241.00	—	56% below	72%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS RT W/PA CXR	$67.48	$241.00	—	56% below	72%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS LT W/PA CXR	$67.48	$241.00	—	—	72%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS RT W/PA CXR	$67.48	$241.00	—	—	72%
Screening mammogram, both breasts CPT 77067 MA MAM SCR BIL W CAD	$65.52	$234.00	$46.86–$399.14	15% below	72%
Screening mammogram, both breasts inpatient CPT 77067 MA MAM SCR BIL W CAD	$65.52	$234.00	$46.86–$399.14	—	72%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2+ V RT	$61.32	$219.00	—	54% below	72%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2+ V LT	$61.32	$219.00	—	54% below	72%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2+ V RT	$61.32	$219.00	—	—	72%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2+ V LT	$61.32	$219.00	—	—	72%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3+ VWS	$73.36	$262.00	$27.91–$235.80	57% below	72%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES 3+ VWS	$73.36	$262.00	$27.91–$235.80	—	72%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 1-3 VWS	$53.48	$191.00	$22.14–$171.90	56% below	72%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL 1-3 VWS	$53.48	$191.00	$22.14–$171.90	—	72%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRS ECHO W STRS TST	$376.60	$1,345.00	$161.39–$1,210.50	21% below	72%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRS ECHO W STRS TST	$376.60	$1,345.00	$161.39–$1,210.50	—	72%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR BA SWAL MOD(SP)	$76.72	$274.00	$46.04–$403.46	64% below	72%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR BA SWAL MOD(SP)	$76.72	$274.00	$46.04–$403.46	—	72%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 V LT	$61.32	$219.00	—	41% below	72%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2 V RT	$61.32	$219.00	—	41% below	72%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 V RT	$61.32	$219.00	—	—	72%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2 V LT	$61.32	$219.00	—	—	72%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THOR WO CON	$507.92	$1,814.00	$52.56–$1,632.60	31% below	72%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THOR WO CON	$507.92	$1,814.00	$52.56–$1,632.60	—	72%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2V LT	$61.32	$219.00	—	49% below	72%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2+V RT	$61.32	$219.00	—	49% below	72%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S) 2V LT	$61.32	$219.00	—	—	72%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S) 2+V RT	$61.32	$219.00	—	—	72%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$78.12	$279.00	$52.56–$375.76	72% below	72%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$78.12	$279.00	$52.56–$375.76	—	72%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$178.36	$637.00	$51.89–$573.30	21% below	72%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$178.36	$637.00	$51.89–$573.30	—	72%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMP	$250.32	$894.00	$52.56–$804.60	32% below	72%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMP	$250.32	$894.00	$52.56–$804.60	—	72%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICLES	$96.60	$345.00	$52.56–$347.00	64% below	72%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICLES	$96.60	$345.00	$52.56–$347.00	—	72%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SFT TISS NECK/HD	$128.80	$460.00	$50.10–$414.00	48% below	72%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SFT TISS NECK/HD	$128.80	$460.00	$50.10–$414.00	—	72%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SINGLE CONT%	$142.24	$508.00	$51.86–$457.20	45% below	72%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SGL CON WO/K	$142.24	$508.00	$51.86–$457.20	45% below	72%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI WAT SO WO KUB	$142.24	$508.00	$51.86–$457.20	45% below	72%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SGL CON W/KUB	$142.24	$508.00	$51.86–$457.20	45% below	72%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI WAT SO WO KUB	$142.24	$508.00	$51.86–$457.20	—	72%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI SGL CON W/KUB	$142.24	$508.00	$51.86–$457.20	—	72%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI SGL CON WO/K	$142.24	$508.00	$51.86–$457.20	—	72%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI SINGLE CONT%	$142.24	$508.00	$51.86–$457.20	—	72%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LEFT	$61.32	$219.00	—	47% below	72%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS RIGHT	$61.32	$219.00	—	47% below	72%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS LEFT	$61.32	$219.00	—	—	72%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS RIGHT	$61.32	$219.00	—	—	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN EXT UP LTD B	$122.08	$436.00	$56.37–$515.00	66% below	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN EXT LW LTD B	$122.08	$436.00	$56.37–$515.00	66% below	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN EXT UP LTD R	$122.08	$436.00	—	66% below	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN EXT UP LTD L	$122.08	$436.00	—	66% below	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN EXT LW COM R	$122.08	$436.00	—	66% below	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN EXT LW COM L	$122.08	$436.00	—	66% below	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VEIN EXT LW LTD B	$122.08	$436.00	$56.37–$515.00	—	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VEIN EXT UP LTD B	$122.08	$436.00	$56.37–$515.00	—	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN EXT UP LTD L	$122.08	$436.00	—	—	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN EXT LW COM R	$122.08	$436.00	—	—	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN EXT LW COM L	$122.08	$436.00	—	—	72%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN EXT UP LTD R	$122.08	$436.00	—	—	72%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VWS LT	$37.24	$133.00	—	68% below	72%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VWS RT	$37.24	$133.00	—	68% below	72%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VWS LT	$37.24	$133.00	—	—	72%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VWS RT	$37.24	$133.00	—	—	72%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3+NAV LT	$61.32	$219.00	—	55% below	72%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3+ VWS RT	$61.32	$219.00	—	55% below	72%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3+ VWS LT	$61.32	$219.00	—	55% below	72%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3+NAV RT	$61.32	$219.00	—	55% below	72%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3+ VWS LT	$61.32	$219.00	—	—	72%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3+ VWS RT	$61.32	$219.00	—	—	72%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3+NAV LT	$61.32	$219.00	—	—	72%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3+NAV RT	$61.32	$219.00	—	—	72%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 INC PV L	$126.84	$453.00	—	7% below	72%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3V INC PV R	$126.84	$453.00	—	7% below	72%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 INC PV L	$126.84	$453.00	—	—	72%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3V INC PV R	$126.84	$453.00	—	—	72%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN (KUB)	$54.88	$196.00	$16.66–$176.40	60% below	72%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN (KUB)	$54.88	$196.00	$16.66–$176.40	—	72%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V LEFT	$43.40	$155.00	—	66% below	72%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V RIGHT	$43.40	$155.00	—	66% below	72%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2V RIGHT	$43.40	$155.00	—	—	72%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2V LEFT	$43.40	$155.00	—	—	72%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2+ V LT	$61.32	$219.00	—	49% below	72%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2+ V RT	$61.32	$219.00	—	49% below	72%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) 2+ V RT	$61.32	$219.00	—	—	72%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) 2+ V LT	$61.32	$219.00	—	—	72%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$42.28	$151.00	—	67% below	72%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$42.28	$151.00	—	67% below	72%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT	$42.28	$151.00	—	—	72%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RT	$42.28	$151.00	—	—	72%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3+ VIEWS RT	$61.32	$219.00	—	56% below	72%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3+ VIEWS LT	$61.32	$219.00	—	56% below	72%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3+ VIEWS RT	$61.32	$219.00	—	—	72%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3+ VIEWS LT	$61.32	$219.00	—	—	72%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+ VIEWS RT	$61.32	$219.00	—	57% below	72%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+ VIEWS LT	$61.32	$219.00	—	57% below	72%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+ VIEWS LT	$61.32	$219.00	—	—	72%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+ VIEWS RT	$61.32	$219.00	—	—	72%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2 VIEWS RT	$43.12	$154.00	—	66% below	72%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2 VIEWS LT	$43.12	$154.00	—	66% below	72%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2 VIEWS LT	$43.12	$154.00	—	—	72%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2 VIEWS RT	$43.12	$154.00	—	—	72%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUM 2-3 VWS	$70.28	$251.00	$23.91–$225.90	60% below	72%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUM 2-3 VWS	$70.28	$251.00	$23.91–$225.90	—	72%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUM MIN 4 V	$116.48	$416.00	$32.34–$374.40	48% below	72%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUM MIN 4 V	$116.48	$416.00	$32.34–$374.40	—	72%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THOR 2 VWS	$59.36	$212.00	$23.21–$190.80	55% below	72%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THOR 2 VWS	$59.36	$212.00	$23.21–$190.80	—	72%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES	$57.96	$207.00	$18.80–$186.30	52% below	72%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES	$57.96	$207.00	$18.80–$186.30	—	72%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERV 2-3 V	$53.48	$191.00	$21.44–$171.90	61% below	72%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERV 2-3 V	$53.48	$191.00	$21.44–$171.90	—	72%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VWS	$70.84	$253.00	$18.80–$227.70	45% below	72%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VWS	$70.84	$253.00	$18.80–$227.70	—	72%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX	$67.48	$241.00	$20.38–$216.90	52% below	72%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX	$67.48	$241.00	$20.38–$216.90	—	72%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
ACTH blood test CPT 82024 ACTH	$22.12	$79.00	$17.38–$86.35	80% below	72%
ACTH blood test inpatient CPT 82024 ACTH	$22.12	$79.00	$17.38–$86.35	—	72%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT<	$3.92	$14.00	$2.39–$12.60	86% below	72%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT	$4.20	$15.00	$2.39–$13.50	85% below	72%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT<	$3.92	$14.00	$2.39–$12.60	—	72%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT/ALT	$4.20	$15.00	$2.39–$13.50	—	72%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST	$4.20	$15.00	$2.33–$13.50	84% below	72%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT/AST	$4.20	$15.00	$2.33–$13.50	—	72%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUT	$26.60	$95.00	$21.43–$106.80	83% below	72%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUT	$26.60	$95.00	$21.43–$106.80	—	72%
Albumin blood test CPT 82040 ALBUMIN LEVEL<	$4.20	$15.00	$2.23–$13.50	76% below	72%
Albumin blood test CPT 82040 ALBUMIN-SERUM	$4.20	$15.00	$2.23–$13.50	76% below	72%
Albumin blood test inpatient CPT 82040 ALBUMIN LEVEL<	$4.20	$15.00	$2.23–$13.50	—	72%
Albumin blood test inpatient CPT 82040 ALBUMIN-SERUM	$4.20	$15.00	$2.23–$13.50	—	72%
Aldosterone blood test CPT 82088 ALDOSTERONE	$17.08	$61.00	$18.34–$90.88	78% below	72%
Aldosterone blood test CPT 82088 ALDOSTERONE<	$22.96	$82.00	$18.34–$90.88	70% below	72%
Aldosterone blood test CPT 82088 ALDOSTERONE-URINE	$30.24	$108.00	$18.34–$97.20	61% below	72%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$17.08	$61.00	$18.34–$90.88	—	72%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE<	$22.96	$82.00	$18.34–$90.88	—	72%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE-URINE	$30.24	$108.00	$18.34–$97.20	—	72%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATAS<	$4.20	$15.00	$2.33–$13.50	83% below	72%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOS<	$4.20	$15.00	$2.33–$13.50	83% below	72%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSHATASE-	$4.20	$15.00	$2.33–$13.50	83% below	72%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKPHOS BONE SPECIFC	$33.04	$118.00	$2.33–$106.20	31% above	72%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSHATASE-	$4.20	$15.00	$2.33–$13.50	—	72%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOS<	$4.20	$15.00	$2.33–$13.50	—	72%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATAS<	$4.20	$15.00	$2.33–$13.50	—	72%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKPHOS BONE SPECIFC	$33.04	$118.00	$2.33–$106.20	—	72%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGEN QNT EA<	$4.20	$15.00	$2.35–$13.50	62% below	72%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST ALLERGY QNT	$5.88	$21.00	$2.35–$18.90	47% below	72%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE ALLERGEN QNT EA<	$4.20	$15.00	$2.35–$13.50	—	72%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IGE RAST ALLERGY QNT	$5.88	$21.00	$2.35–$18.90	—	72%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHAFETOPROTEIN SER	$7.00	$25.00	$7.55–$37.10	86% below	72%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHAFETOPROTEIN SER	$7.00	$25.00	$7.55–$37.10	—	72%
Ammonia blood test CPT 82140 AMMONIUM<	$11.76	$42.00	$6.56–$37.80	76% below	72%
Ammonia blood test CPT 82140 AMMONIA	$29.40	$105.00	$6.56–$94.50	40% below	72%
Ammonia blood test inpatient CPT 82140 AMMONIUM<	$11.76	$42.00	$6.56–$37.80	—	72%
Ammonia blood test inpatient CPT 82140 AMMONIA	$29.40	$105.00	$6.56–$94.50	—	72%
Amylase blood test CPT 82150 AMYLASE	$13.16	$47.00	$2.92–$42.30	60% below	72%
Amylase blood test CPT 82150 AMYLASE URINE	$22.12	$79.00	$2.92–$71.10	33% below	72%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES	$52.64	$188.00	$2.92–$169.20	59% above	72%
Amylase blood test inpatient CPT 82150 AMYLASE	$13.16	$47.00	$2.92–$42.30	—	72%
Amylase blood test inpatient CPT 82150 AMYLASE URINE	$22.12	$79.00	$2.92–$71.10	—	72%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES	$52.64	$188.00	$2.92–$169.20	—	72%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP-AB QUAL/SEMI QT	$34.16	$122.00	$5.83–$109.80	13% below	72%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP-AB QUAL/SEMI QT	$34.16	$122.00	$5.83–$109.80	—	72%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE ANTIBODY	$12.60	$45.00	$5.44–$40.50	66% below	72%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE ANTIBODY	$12.60	$45.00	$5.44–$40.50	—	72%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC P	$68.32	$244.00	$17.67–$219.60	23% below	72%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PRO BNP	$68.32	$244.00	$17.67–$219.60	23% below	72%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PRO BNP	$68.32	$244.00	$17.67–$219.60	—	72%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC P	$68.32	$244.00	$17.67–$219.60	—	72%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM<	$17.36	$62.00	$3.88–$55.80	54% below	72%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BACTERIAL AEROB	$17.36	$62.00	$3.88–$55.80	54% below	72%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT BACTERIAL AEROB	$17.36	$62.00	$3.88–$55.80	—	72%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM<	$17.36	$62.00	$3.88–$55.80	—	72%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANL	$31.36	$112.00	$3.81–$100.80	58% below	72%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANL	$31.36	$112.00	$3.81–$100.80	—	72%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOT<	$3.92	$14.00	$2.26–$12.60	86% below	72%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$10.08	$36.00	$2.26–$32.40	63% below	72%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOT<	$3.92	$14.00	$2.26–$12.60	—	72%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$10.08	$36.00	$2.26–$32.40	—	72%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TC LEVL IV SURG PATH	$30.52	$109.00	$18.51–$221.28	60% below	72%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TC LEVL IV SURG PATH	$30.52	$109.00	$18.51–$221.28	—	72%
Blood culture for bacteria CPT 87040 CULT BLD AEROB IS&ID	$20.72	$74.00	$4.64–$66.60	62% below	72%
Blood culture for bacteria inpatient CPT 87040 CULT BLD AEROB IS&ID	$20.72	$74.00	$4.64–$66.60	—	72%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$4.20	$15.00	$1.50–$13.93	54% below	72%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$4.20	$15.00	$1.50–$13.93	—	72%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLD	$7.56	$27.00	$1.77–$24.30	66% below	72%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLD	$7.56	$27.00	$1.77–$24.30	—	72%
Blood lead test CPT 83655 LEAD BLOOD	$7.00	$25.00	$5.45–$27.28	81% below	72%
Blood lead test CPT 83655 LEAD<	$9.80	$35.00	$5.45–$31.50	73% below	72%
Blood lead test inpatient CPT 83655 LEAD BLOOD	$7.00	$25.00	$5.45–$27.28	—	72%
Blood lead test inpatient CPT 83655 LEAD<	$9.80	$35.00	$5.45–$31.50	—	72%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST (SERUM)	$15.12	$54.00	$3.38–$48.60	72% below	72%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST (SERUM)	$15.12	$54.00	$3.38–$48.60	—	72%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUPING	$139.72	$499.00	$1.35–$449.10	86% above	72%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUPING	$139.72	$499.00	$1.35–$449.10	—	72%
Blood urea nitrogen (BUN) test CPT 84520 BUN QUANT	$7.84	$28.00	$1.78–$25.20	67% below	72%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN QUANT	$7.84	$28.00	$1.78–$25.20	—	72%
C-peptide blood test CPT 84681 C PEPTIDE UA	$13.44	$48.00	$9.36–$46.20	79% below	72%
C-peptide blood test CPT 84681 C- PEPTIDE	$17.64	$63.00	$9.36–$56.70	72% below	72%
C-peptide blood test inpatient CPT 84681 C PEPTIDE UA	$13.44	$48.00	$9.36–$46.20	—	72%
C-peptide blood test inpatient CPT 84681 C- PEPTIDE	$17.64	$63.00	$9.36–$56.70	—	72%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C- REACTIVE PROTEIN	$5.04	$18.00	$2.33–$16.20	76% below	72%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C- REACTIVE PROTEIN	$5.04	$18.00	$2.33–$16.20	—	72%
C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF CONFIRMATION	$69.16	$247.00	$16.77–$222.30	21% below	72%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIFF CONFIRMATION	$69.16	$247.00	$16.77–$222.30	—	72%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19.9	$12.32	$44.00	$9.36–$46.20	82% below	72%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19.9	$12.32	$44.00	$9.36–$46.20	—	72%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19	$52.64	$188.00	$23.09–$169.20	5% below	72%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 MPL LAB	$59.64	$213.00	$23.09–$191.70	8% above	72%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 IN-HOUSE	$71.96	$257.00	$23.09–$231.30	30% above	72%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19	$52.64	$188.00	$23.09–$169.20	—	72%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 MPL LAB	$59.64	$213.00	$23.09–$191.70	—	72%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 IN-HOUSE	$71.96	$257.00	$23.09–$231.30	—	72%
Calcium blood test, total CPT 82310 CALCIUM URINE TOT	$4.48	$16.00	$2.32–$14.40	84% below	72%
Calcium blood test, total CPT 82310 CALCIUM BLOOD TOT	$10.36	$37.00	$2.32–$33.30	62% below	72%
Calcium blood test, total inpatient CPT 82310 CALCIUM URINE TOT	$4.48	$16.00	$2.32–$14.40	—	72%
Calcium blood test, total inpatient CPT 82310 CALCIUM BLOOD TOT	$10.36	$37.00	$2.32–$33.30	—	72%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINEOMBRYONIC AG	$12.32	$44.00	$8.53–$42.43	81% below	72%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINEOMBRYONIC AG	$12.32	$44.00	$8.53–$42.43	—	72%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOS IGM<	$9.80	$35.00	$5.80–$31.50	75% below	72%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOS IGG<	$9.80	$35.00	$5.80–$31.50	75% below	72%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM	$17.08	$61.00	$5.80–$54.90	57% below	72%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG	$17.08	$61.00	$5.80–$54.90	57% below	72%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOS IGG<	$9.80	$35.00	$5.80–$31.50	—	72%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOS IGM<	$9.80	$35.00	$5.80–$31.50	—	72%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM	$17.08	$61.00	$5.80–$54.90	—	72%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG	$17.08	$61.00	$5.80–$54.90	—	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DIR PROBE<	$27.72	$99.00	$15.79–$89.10	54% below	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPL PROBE	$38.92	$139.00	$15.79–$125.10	35% below	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DIR PROBE<	$27.72	$99.00	$15.79–$89.10	—	72%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMPL PROBE	$38.92	$139.00	$15.79–$125.10	—	72%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$26.88	$96.00	$6.03–$86.40	42% below	72%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$26.88	$96.00	$6.03–$86.40	—	72%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF	$22.96	$82.00	$3.50–$73.80	46% below	72%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF	$22.96	$82.00	$3.50–$73.80	—	72%
Complete blood count (CBC), no differential CPT 85027 CBC W/OUT DIFF	$13.16	$47.00	$2.91–$42.30	49% below	72%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/OUT DIFF	$13.16	$47.00	$2.91–$42.30	—	72%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$57.40	$205.00	$4.75–$184.50	41% below	72%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL	$57.40	$205.00	$4.75–$184.50	—	72%
Cortisol blood test, total CPT 82533 CORTISOL 30M TOT<	$12.32	$44.00	$7.34–$39.60	77% below	72%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL<	$12.32	$44.00	$7.34–$39.60	77% below	72%
Cortisol blood test, total CPT 82533 CORTISOL 60M TOT<	$12.32	$44.00	$7.34–$39.60	77% below	72%
Cortisol blood test, total inpatient CPT 82533 CORTISOL 30M TOT<	$12.32	$44.00	$7.34–$39.60	—	72%
Cortisol blood test, total inpatient CPT 82533 CORTISOL 60M TOT<	$12.32	$44.00	$7.34–$39.60	—	72%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL<	$12.32	$44.00	$7.34–$39.60	—	72%
Creatine kinase (CK) blood test, total CPT 82550 CREAT PHOSPHTASE TOT	$13.16	$47.00	$2.93–$42.30	58% below	72%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREAT PHOSPHTASE TOT	$13.16	$47.00	$2.93–$42.30	—	72%
Creatinine blood test CPT 82565 CREATININE BLOOD	$4.48	$16.00	$2.30–$14.40	80% below	72%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$4.48	$16.00	$2.30–$14.40	—	72%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$8.96	$32.00	$6.48–$31.80	80% below	72%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$8.96	$32.00	$6.48–$31.80	—	72%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$20.44	$73.00	$4.58–$65.70	61% below	72%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT	$20.44	$73.00	$4.58–$65.70	—	72%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR CHN OF CUST	$12.04	$43.00	$19.35–$138.60	83% below	72%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COMPH DRUG SCREEN UA	$43.96	$157.00	$27.96–$141.30	38% below	72%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COMPH DRUG SCREEN SE	$83.44	$298.00	$27.96–$268.20	17% above	72%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE SCRN	$100.80	$360.00	$27.96–$324.00	42% above	72%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCR CHN OF CUST	$12.04	$43.00	$19.35–$138.60	—	72%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMPH DRUG SCREEN UA	$43.96	$157.00	$27.96–$141.30	—	72%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMPH DRUG SCREEN SE	$83.44	$298.00	$27.96–$268.20	—	72%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE SCRN	$100.80	$360.00	$27.96–$324.00	—	72%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$15.68	$56.00	$3.15–$50.40	66% below	72%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$15.68	$56.00	$3.15–$50.40	—	72%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGG	$8.96	$32.00	$8.16–$40.90	82% below	72%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGM	$9.80	$35.00	$8.16–$40.90	80% below	72%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR AB IGG<	$11.48	$41.00	$8.16–$40.90	77% below	72%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR AB IGM<	$11.48	$41.00	$8.16–$40.90	77% below	72%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIR CAP	$18.48	$66.00	$8.16–$59.40	63% below	72%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR IGA	$36.96	$132.00	$8.16–$118.80	26% below	72%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IGG	$8.96	$32.00	$8.16–$40.90	—	72%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IGM	$9.80	$35.00	$8.16–$40.90	—	72%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR AB IGG<	$11.48	$41.00	$8.16–$40.90	—	72%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR AB IGM<	$11.48	$41.00	$8.16–$40.90	—	72%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIR CAP	$18.48	$66.00	$8.16–$59.40	—	72%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR IGA	$36.96	$132.00	$8.16–$118.80	—	72%
Estradiol blood test CPT 82670 ESTRADIOL	$14.00	$50.00	$12.57–$62.10	84% below	72%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$14.00	$50.00	$12.57–$62.10	—	72%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN QNT	$74.76	$267.00	$8.83–$240.30	26% below	72%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN QNT	$74.76	$267.00	$8.83–$240.30	—	72%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$27.44	$98.00	$6.13–$88.20	39% below	72%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$27.44	$98.00	$6.13–$88.20	—	72%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$8.96	$32.00	$4.37–$28.80	81% below	72%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$8.96	$32.00	$4.37–$28.80	—	72%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$29.68	$106.00	$6.62–$95.40	40% below	72%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$29.68	$106.00	$6.62–$95.40	—	72%
Free T3 thyroid hormone test CPT 84481 FREE T3	$14.00	$50.00	$7.62–$45.00	75% below	72%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$14.00	$50.00	$7.62–$45.00	—	72%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 (THYROXINE)	$18.20	$65.00	$4.06–$58.50	46% below	72%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 (THYROXINE)	$18.20	$65.00	$4.06–$58.50	—	72%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$8.12	$29.00	$11.46–$56.80	87% below	72%
Free testosterone test CPT 84402 TESTOSTERONE FR<	$16.80	$60.00	$11.46–$56.80	74% below	72%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$8.12	$29.00	$11.46–$56.80	—	72%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FR<	$16.80	$60.00	$11.46–$56.80	—	72%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT<	$5.60	$20.00	$3.24–$18.00	83% below	72%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$14.56	$52.00	$3.24–$46.80	56% below	72%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT<	$5.60	$20.00	$3.24–$18.00	—	72%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$14.56	$52.00	$3.24–$46.80	—	72%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$38.36	$137.00	$21.92–$123.30	73% below	72%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$38.36	$137.00	$21.92–$123.30	—	72%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLU POST GLU DOSE	$9.52	$34.00	$2.14–$30.60	69% below	72%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLU POST GLU DOSE	$9.52	$34.00	$2.14–$30.60	—	72%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 1	$17.64	$63.00	$5.79–$56.70	60% below	72%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 1	$17.64	$63.00	$5.79–$56.70	—	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED PROBE	$14.28	$51.00	$15.79–$78.78	77% below	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DIRECT PROBE<	$27.72	$99.00	$15.79–$89.10	55% below	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFIED PROBE	$14.28	$51.00	$15.79–$78.78	—	72%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DIRECT PROBE<	$27.72	$99.00	$15.79–$89.10	—	72%
H. pylori antibody blood test CPT 86677 H PYLOIR AB	$38.08	$136.00	$7.58–$122.40	21% below	72%
H. pylori antibody blood test inpatient CPT 86677 H PYLOIR AB	$38.08	$136.00	$7.58–$122.40	—	72%
H. pylori stool antigen test CPT 87338 H PYLORI AG STOOL	$38.92	$139.00	$6.47–$125.10	36% below	72%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG STOOL	$38.92	$139.00	$6.47–$125.10	—	72%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT BY PCR	$64.68	$231.00	$38.30–$207.90	59% below	72%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT BY PCR	$64.68	$231.00	$38.30–$207.90	—	72%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1&2 WITH REFLEX	$40.04	$143.00	$10.84–$128.70	28% below	72%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1&2 WITH REFLEX	$40.04	$143.00	$10.84–$128.70	—	72%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C (GLYCOATED H	$19.60	$70.00	$4.37–$63.00	53% below	72%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C (GLYCOATED H	$19.60	$70.00	$4.37–$63.00	—	72%
Hemoglobin blood test CPT 85018 HGB BLOOD COUNT	$4.76	$17.00	$1.07–$15.30	75% below	72%
Hemoglobin blood test inpatient CPT 85018 HGB BLOOD COUNT	$4.76	$17.00	$1.07–$15.30	—	72%
Hepatitis B core antibody test (total) CPT 86704 HEPATITS B CORE AB	$7.00	$25.00	$5.42–$27.28	81% below	72%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITS B CORE AB	$7.00	$25.00	$5.42–$27.28	—	72%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG	$5.88	$21.00	$4.65–$22.73	85% below	72%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG	$5.88	$21.00	$4.65–$22.73	—	72%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA PCR QNT	$62.72	$224.00	$19.28–$201.60	59% below	72%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA PCR QNT	$62.72	$224.00	$19.28–$201.60	—	72%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1	$46.76	$167.00	$5.94–$150.30	39% above	72%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1	$46.76	$167.00	$5.94–$150.30	—	72%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES VIRUS TYPE II	$7.84	$28.00	$8.71–$43.18	81% below	72%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES VIRUS TYPE II	$7.84	$28.00	$8.71–$43.18	—	72%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HS CARDIAC	$26.88	$96.00	$5.83–$86.40	33% below	72%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HS CARDIAC	$26.88	$96.00	$5.83–$86.40	—	72%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$17.64	$63.00	$8.06–$56.70	66% below	72%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$17.64	$63.00	$8.06–$56.70	—	72%
Insulin blood test CPT 83525 INSULIN TOTAL	$7.00	$25.00	$5.14–$25.75	83% below	72%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$7.00	$25.00	$5.14–$25.75	—	72%
Iron blood test (serum iron) CPT 83540 IRON SERUM	$13.16	$47.00	$2.91–$42.30	47% below	72%
Iron blood test (serum iron) CPT 83540 IRON TOTAL/TIBC PERC	$13.16	$47.00	$2.91–$42.30	47% below	72%
Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM	$13.16	$47.00	$2.91–$42.30	—	72%
Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL/TIBC PERC	$13.16	$47.00	$2.91–$42.30	—	72%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT	$17.64	$63.00	$3.93–$56.70	57% below	72%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT	$17.64	$63.00	$3.93–$56.70	—	72%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$14.00	$50.00	$3.91–$45.00	79% below	72%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$14.00	$50.00	$3.91–$45.00	—	72%
LH (luteinizing hormone) test CPT 83002 LH (LUTENINIZING HOR	$9.24	$33.00	$8.33–$41.65	85% below	72%
LH (luteinizing hormone) test inpatient CPT 83002 LH (LUTENINIZING HOR	$9.24	$33.00	$8.33–$41.65	—	72%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$21.56	$77.00	$5.21–$69.30	43% below	72%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$21.56	$77.00	$5.21–$69.30	—	72%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH LACTATE DEHYDROG	$12.04	$43.00	$2.72–$38.70	47% below	72%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH LACTATE DEHYDROG	$12.04	$43.00	$2.72–$38.70	—	72%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$14.00	$50.00	$3.10–$45.00	60% below	72%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$14.00	$50.00	$3.10–$45.00	—	72%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$30.52	$109.00	$3.68–$98.10	60% below	72%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$30.52	$109.00	$3.68–$98.10	—	72%
Lyme disease antibody test CPT 86618 LYME'S DISEASE TEST	$12.60	$45.00	$7.66–$40.50	70% below	72%
Lyme disease antibody test CPT 86618 LYME AB CSF	$52.08	$186.00	$7.66–$167.40	26% above	72%
Lyme disease antibody test inpatient CPT 86618 LYME'S DISEASE TEST	$12.60	$45.00	$7.66–$40.50	—	72%
Lyme disease antibody test inpatient CPT 86618 LYME AB CSF	$52.08	$186.00	$7.66–$167.40	—	72%
Magnesium blood test CPT 83735 MAGNESIUM URINE<	$5.32	$19.00	$3.02–$17.10	74% below	72%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$5.60	$20.00	$3.02–$18.00	73% below	72%
Magnesium blood test CPT 83735 MAGNESIUM SERUM	$13.44	$48.00	$3.02–$43.20	35% below	72%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE<	$5.32	$19.00	$3.02–$17.10	—	72%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$5.60	$20.00	$3.02–$18.00	—	72%
Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM	$13.44	$48.00	$3.02–$43.20	—	72%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$7.84	$28.00	$5.80–$28.78	80% below	72%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY	$7.84	$28.00	$5.80–$28.78	—	72%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO HETEROPH AB SCR	$10.36	$37.00	$2.33–$33.30	73% below	72%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO HETEROPH AB SCR	$10.36	$37.00	$2.33–$33.30	—	72%
Mumps immunity blood test CPT 86735 MUMPS TITER IGG	$7.84	$28.00	$5.87–$29.55	80% below	72%
Mumps immunity blood test CPT 86735 MUMPS TITER IGM	$12.32	$44.00	$5.87–$39.60	69% below	72%
Mumps immunity blood test inpatient CPT 86735 MUMPS TITER IGG	$7.84	$28.00	$5.87–$29.55	—	72%
Mumps immunity blood test inpatient CPT 86735 MUMPS TITER IGM	$12.32	$44.00	$5.87–$39.60	—	72%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$10.64	$38.00	$8.28–$40.90	78% below	72%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE<	$14.84	$53.00	$8.28–$47.70	70% below	72%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$10.64	$38.00	$8.28–$40.90	—	72%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE<	$14.84	$53.00	$8.28–$47.70	—	72%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL<	$14.84	$53.00	$8.28–$47.70	74% below	72%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL<	$14.84	$53.00	$8.28–$47.70	—	72%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$58.80	$210.00	$18.58–$189.00	51% below	72%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$58.80	$210.00	$18.58–$189.00	—	72%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PLASMA/WHOLE BLD	$12.04	$43.00	$2.70–$38.70	54% below	72%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT PLASMA/WHOLE BLD	$12.04	$43.00	$2.70–$38.70	—	72%
Phosphorus (phosphate) blood test CPT 84100 PHOS INORGANIC SERUM	$8.68	$31.00	$2.13–$27.90	69% below	72%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOS INORGANIC SERUM	$8.68	$31.00	$2.13–$27.90	—	72%
Potassium blood test CPT 84132 POTASSIUM SERUM	$9.24	$33.00	$2.14–$29.70	56% below	72%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM	$9.24	$33.00	$2.14–$29.70	—	72%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$7.84	$28.00	$1.93–$25.20	61% below	72%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$7.84	$28.00	$1.93–$25.20	—	72%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUGS OF ABUSE PANEL	$27.72	$99.00	$5.67–$89.10	44% above	72%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUGS OF ABUSE PANEL	$27.72	$99.00	$5.67–$89.10	—	72%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A-RAPID	$22.96	$82.00	$7.44–$73.80	36% below	72%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A-RAPID	$22.96	$82.00	$7.44–$73.80	—	72%
Renin blood test CPT 84244 RENIN<	$12.32	$44.00	$9.90–$49.23	80% below	72%
Renin blood test CPT 84244 RENIN ACTIVITY	$15.96	$57.00	$9.90–$51.30	74% below	72%
Renin blood test inpatient CPT 84244 RENIN<	$12.32	$44.00	$9.90–$49.23	—	72%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY	$15.96	$57.00	$9.90–$51.30	—	72%
Rh blood typing CPT 86901 RH RL<	$7.84	$28.00	$1.35–$38.10	74% below	72%
Rh blood typing CPT 86901 RH TYPE	$13.72	$49.00	$1.35–$44.10	55% below	72%
Rh blood typing inpatient CPT 86901 RH RL<	$7.84	$28.00	$1.35–$38.10	—	72%
Rh blood typing inpatient CPT 86901 RH TYPE	$13.72	$49.00	$1.35–$44.10	—	72%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB	$10.92	$39.00	$6.48–$35.10	65% below	72%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB	$10.92	$39.00	$6.48–$35.10	—	72%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDRATE AUTOMATED	$5.32	$19.00	$1.22–$17.10	70% below	72%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDRATE AUTOMATED	$5.32	$19.00	$1.22–$17.10	—	72%
Sodium blood test CPT 84295 SODIUM SERUM	$9.80	$35.00	$2.16–$31.50	64% below	72%
Sodium blood test inpatient CPT 84295 SODIUM SERUM	$9.80	$35.00	$2.16–$31.50	—	72%
Stool ova and parasites exam CPT 87177 O&P DIRECT SMEARS<	$6.72	$24.00	$4.01–$21.60	79% below	72%
Stool ova and parasites exam inpatient CPT 87177 O&P DIRECT SMEARS<	$6.72	$24.00	$4.01–$21.60	—	72%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD OL FEC 3S	$6.44	$23.00	$1.97–$20.70	66% below	72%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD OL FEC 3S	$6.44	$23.00	$1.97–$20.70	—	72%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMAL AB CONF	$7.28	$26.00	$5.96–$29.55	76% below	72%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMAL AB CONF	$7.28	$26.00	$5.96–$29.55	—	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL	$6.16	$22.00	$1.92–$19.80	76% below	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL QUAL	$12.32	$44.00	$1.92–$39.60	52% below	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUAL	$6.16	$22.00	$1.92–$19.80	—	72%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL QUAL	$12.32	$44.00	$1.92–$39.60	—	72%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON(R)-TB	$36.68	$131.00	$27.89–$138.60	71% below	72%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON(R)-TB	$36.68	$131.00	$27.89–$138.60	—	72%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$8.96	$32.00	$11.61–$57.55	88% below	72%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TTL<	$20.72	$74.00	$11.61–$66.60	71% below	72%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$8.96	$32.00	$11.61–$57.55	—	72%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TTL<	$20.72	$74.00	$11.61–$66.60	—	72%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE<	$11.76	$42.00	$6.55–$37.80	71% below	72%
Thyroid peroxidase (TPO) antibody test CPT 86376 THRYOID MICRO ANTIBO	$25.20	$90.00	$6.55–$81.00	38% below	72%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB L&K	$32.20	$115.00	$6.55–$103.50	21% below	72%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE<	$11.76	$42.00	$6.55–$37.80	—	72%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THRYOID MICRO ANTIBO	$25.20	$90.00	$6.55–$81.00	—	72%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB L&K	$32.20	$115.00	$6.55–$103.50	—	72%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (THYROID STIMULA	$33.88	$121.00	$7.56–$108.90	34% below	72%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (THYROID STIMULA	$33.88	$121.00	$7.56–$108.90	—	72%
Total IgE blood test CPT 82785 IGE IMMUNOGLOBULIN	$7.84	$28.00	$7.41–$37.10	87% below	72%
Total IgE blood test CPT 82785 IGE IMMUNOGLOB<	$12.60	$45.00	$7.41–$40.50	79% below	72%
Total IgE blood test inpatient CPT 82785 IGE IMMUNOGLOBULIN	$7.84	$28.00	$7.41–$37.10	—	72%
Total IgE blood test inpatient CPT 82785 IGE IMMUNOGLOB<	$12.60	$45.00	$7.41–$40.50	—	72%
Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM	$8.68	$31.00	$1.96–$27.90	58% below	72%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM	$8.68	$31.00	$1.96–$27.90	—	72%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$6.72	$24.00	$3.09–$21.60	75% below	72%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL	$6.72	$24.00	$3.09–$21.60	—	72%
Total triiodothyronine (T3) blood test CPT 84480 T-3 TOTAL	$7.84	$28.00	$6.38–$31.80	84% below	72%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T-3 TOTAL	$7.84	$28.00	$6.38–$31.80	—	72%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$11.48	$41.00	$2.58–$36.90	51% below	72%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE	$11.48	$41.00	$2.58–$36.90	—	72%
Troponin test, quantitative CPT 84484 TROPONIN T	$19.88	$71.00	$5.61–$63.90	57% below	72%
Troponin test, quantitative CPT 84484 TROPONIN HS	$19.88	$71.00	$5.61–$63.90	57% below	72%
Troponin test, quantitative CPT 84484 TROPONIN I	$19.88	$71.00	$5.61–$63.90	57% below	72%
Troponin test, quantitative inpatient CPT 84484 TROPONIN T	$19.88	$71.00	$5.61–$63.90	—	72%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$19.88	$71.00	$5.61–$63.90	—	72%
Troponin test, quantitative inpatient CPT 84484 TROPONIN HS	$19.88	$71.00	$5.61–$63.90	—	72%
Uric acid blood test CPT 84550 URIC ACID SERUM	$8.96	$32.00	$2.03–$28.80	68% below	72%
Uric acid blood test inpatient CPT 84550 URIC ACID SERUM	$8.96	$32.00	$2.03–$28.80	—	72%
Urinalysis with microscope exam, automated CPT 81001 UA DIPSTICK W/ MICRO	$6.44	$23.00	$1.43–$20.70	79% below	72%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA DIPSTICK W/ MICRO	$6.44	$23.00	$1.43–$20.70	—	72%
Urinalysis without microscope exam, automated CPT 81003 GLUCOSE UA QL W/O MI	$4.48	$16.00	$1.01–$14.40	59% below	72%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICRO	$4.48	$16.00	$1.01–$14.40	59% below	72%
Urinalysis without microscope exam, automated CPT 81003 BILIRUBIN URINE QUAL	$4.48	$16.00	$1.01–$14.40	59% below	72%
Urinalysis without microscope exam, automated inpatient CPT 81003 GLUCOSE UA QL W/O MI	$4.48	$16.00	$1.01–$14.40	—	72%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W/O MICRO	$4.48	$16.00	$1.01–$14.40	—	72%
Urinalysis without microscope exam, automated inpatient CPT 81003 BILIRUBIN URINE QUAL	$4.48	$16.00	$1.01–$14.40	—	72%
Urinalysis without microscope exam, manual CPT 81002 ACETONE UA QL W/O MI	$5.04	$18.00	$1.57–$16.20	36% below	72%
Urinalysis without microscope exam, manual inpatient CPT 81002 ACETONE UA QL W/O MI	$5.04	$18.00	$1.57–$16.20	—	72%
Urine culture for bacteria, with colony count CPT 87086 URINE CULT BACT QNT	$16.24	$58.00	$3.63–$52.20	58% below	72%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULT BACT QNT	$16.24	$58.00	$3.63–$52.20	—	72%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN UA QUAN	$6.16	$22.00	$2.60–$19.80	68% below	72%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN UA QUAN	$6.16	$22.00	$2.60–$19.80	—	72%
Urine pregnancy test, read by color change CPT 81025 PREG TEST (URINE)	$12.88	$46.00	$3.87–$41.40	67% below	72%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST (URINE)	$12.88	$46.00	$3.87–$41.40	—	72%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$30.24	$108.00	$6.79–$97.20	40% below	72%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$30.24	$108.00	$6.79–$97.20	—	72%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25-HYDROXY	$17.08	$61.00	$13.32–$65.90	77% below	72%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25-HYDROXY	$17.08	$61.00	$13.32–$65.90	—	72%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25(DOH)	$17.64	$63.00	$17.33–$86.35	84% below	72%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25(DOH)	$17.64	$63.00	$17.33–$86.35	—	72%
Zinc blood test CPT 84630 ZINC	$10.64	$38.00	$5.13–$34.20	70% below	72%
Zinc blood test inpatient CPT 84630 ZINC	$10.64	$38.00	$5.13–$34.20	—	72%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$283.64	$1,013.00	$182.03–$2,356.00	59% below	72%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$283.64	$1,013.00	$182.03–$2,356.00	—	72%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT ARTH ASP/INJ MAJ%	$345.52	$1,234.00	$175.00–$2,356.00	6% above	72%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT ARTH ASP/INJ MAJ%	$345.52	$1,234.00	$175.00–$2,356.00	—	72%
Paracentesis with imaging guidance CPT 49083 US ABD PARACENT W/IM	$497.84	$1,778.00	$800.10–$2,945.00	15% below	72%
Paracentesis with imaging guidance CPT 49083 CT ABD PARACENT W/IM	$497.84	$1,778.00	$800.10–$1,808.27	15% below	72%
Paracentesis with imaging guidance inpatient CPT 49083 US ABD PARACENT W/IM	$497.84	$1,778.00	$800.10–$2,945.00	—	72%
Paracentesis with imaging guidance inpatient CPT 49083 CT ABD PARACENT W/IM	$497.84	$1,778.00	$800.10–$1,808.27	—	72%
Spinal tap (lumbar puncture), diagnostic CPT 62270 XR SP PUNCT LUMB DX%	$302.96	$1,082.00	$486.90–$1,802.00	25% below	72%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR SP PUNCT LUMB DX%	$302.96	$1,082.00	$486.90–$1,802.00	—	72%
Thoracentesis with imaging guidance one side CPT 32555 CT THORACNT W/IMG LT	$413.28	$1,476.00	—	35% below	72%
Thoracentesis with imaging guidance one side CPT 32555 US THORACNT W/IMG RT	$413.28	$1,476.00	—	35% below	72%
Thoracentesis with imaging guidance one side CPT 32555 CT THORACNT W/IMG RT	$413.28	$1,476.00	—	35% below	72%
Thoracentesis with imaging guidance one side CPT 32555 US THORACNT W/IMG LT	$413.28	$1,476.00	—	35% below	72%
Thoracentesis with imaging guidance inpatient one side CPT 32555 US THORACNT W/IMG LT	$413.28	$1,476.00	—	—	72%
Thoracentesis with imaging guidance inpatient one side CPT 32555 CT THORACNT W/IMG LT	$413.28	$1,476.00	—	—	72%
Thoracentesis with imaging guidance inpatient one side CPT 32555 CT THORACNT W/IMG RT	$413.28	$1,476.00	—	—	72%
Thoracentesis with imaging guidance inpatient one side CPT 32555 US THORACNT W/IMG RT	$413.28	$1,476.00	—	—	72%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$100.52	$359.00	$161.55–$1,802.00	75% below	72%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$100.52	$359.00	$161.55–$1,802.00	—	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX PREOP P E	$94.08	$336.00	$19.72–$302.40	5% below	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX PER ENCOU	$94.08	$336.00	$19.72–$302.40	5% below	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX ER PER EN	$94.08	$336.00	$19.72–$302.40	5% below	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX PREOP P E	$94.08	$336.00	$19.72–$302.40	—	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX ER PER EN	$94.08	$336.00	$19.72–$302.40	—	72%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX PER ENCOU	$94.08	$336.00	$19.72–$302.40	—	72%
Critical care, first 30 to 74 minutes CPT 99291 ER CRIT CARE CHRG	$369.60	$1,320.00	$367.50–$4,108.00	70% below	72%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRIT CARE CHRG	$369.60	$1,320.00	$367.50–$4,108.00	—	72%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ER	$43.96	$157.00	$9.19–$244.00	59% below	72%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$43.96	$157.00	$9.19–$244.00	59% below	72%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - OUTPATIENT	$43.96	$157.00	$9.19–$244.00	59% below	72%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PRE-OP EKG	$43.96	$157.00	$9.19–$244.00	59% below	72%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PRE-OP EKG	$43.96	$157.00	$9.19–$244.00	—	72%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG - OUTPATIENT	$43.96	$157.00	$9.19–$244.00	—	72%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$43.96	$157.00	$9.19–$244.00	—	72%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ER	$43.96	$157.00	$9.19–$244.00	—	72%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1	$91.00	$325.00	$81.94–$950.00	38% below	72%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1	$91.00	$325.00	$81.94–$950.00	—	72%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2	$164.08	$586.00	$149.20–$1,447.00	29% below	72%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2	$164.08	$586.00	$149.20–$1,447.00	—	72%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3	$210.00	$750.00	$227.00–$2,126.00	53% below	72%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3	$210.00	$750.00	$227.00–$2,126.00	—	72%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4	$280.00	$1,000.00	$405.45–$3,007.00	61% below	72%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4	$280.00	$1,000.00	$405.45–$3,007.00	—	72%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5	$320.32	$1,144.00	$514.80–$3,327.00	68% below	72%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5	$320.32	$1,144.00	$514.80–$3,327.00	—	72%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO TREADMILL	$136.36	$487.00	$37.25–$902.00	68% below	72%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIO TREADMILL	$136.36	$487.00	$37.25–$902.00	—	72%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRAV INF HYD INIT	$91.28	$326.00	$89.89–$308.00	39% below	72%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYD UP TO 1HR	$91.28	$326.00	$89.89–$293.40	39% below	72%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYD UP TO 1HR	$91.28	$326.00	$89.89–$293.40	—	72%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INTRAV INF HYD INIT	$91.28	$326.00	$89.89–$308.00	—	72%
IV infusion of a medicine, first hour CPT 96365 IV INF THER >15-1 HO	$91.28	$326.00	$89.89–$308.00	41% below	72%
IV infusion of a medicine, first hour CPT 96365 IV INF THE UP TO 1HR	$91.28	$326.00	$89.89–$293.40	41% below	72%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER >15-1 HO	$91.28	$326.00	$89.89–$308.00	—	72%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THE UP TO 1HR	$91.28	$326.00	$89.89–$293.40	—	72%
IV push of a medicine, first drug CPT 96374 IV INJ THERAP INIT	$91.28	$326.00	$89.89–$293.40	18% below	72%
IV push of a medicine, first drug CPT 96374 IV PUSH	$91.28	$326.00	$89.89–$308.00	18% below	72%
IV push of a medicine, first drug inpatient CPT 96374 IV INJ THERAP INIT	$91.28	$326.00	$89.89–$293.40	—	72%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH	$91.28	$326.00	$89.89–$308.00	—	72%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ THER INJECTION	$30.80	$110.00	$26.59–$99.00	45% below	72%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADM IM/SUB Q	$30.80	$110.00	$26.59–$308.00	45% below	72%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADM IM/SUB Q	$30.80	$110.00	$26.59–$308.00	—	72%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ THER INJECTION	$30.80	$110.00	$26.59–$99.00	—	72%
Spirometry (breathing test) CPT 94010 BASIC SPIROMETRY	$92.68	$331.00	$29.45–$382.00	36% below	72%
Spirometry (breathing test) inpatient CPT 94010 BASIC SPIROMETRY	$92.68	$331.00	$29.45–$382.00	—	72%
Spirometry before and after a bronchodilator CPT 94060 PRE/POST BRONCHODIL	$160.16	$572.00	$50.88–$514.80	53% below	72%
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE/POST BRONCHODIL	$160.16	$572.00	$50.88–$514.80	—	72%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT	$40.04	$143.00	$27.28–$2,811.90	57% below	72%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT	$40.04	$143.00	$27.28–$2,811.90	—	72%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX25-58-10/.5	$12.60	$45.00	$9.45–$40.50	78% below	72%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 INFANRIX25-58-10/.5	$12.60	$45.00	$9.45–$40.50	—	72%
Hepatitis A vaccine, adult dose CPT 90632 VAQTA 50 UNITS/ML	$22.40	$80.00	$16.80–$105.97	69% below	72%
Hepatitis A vaccine, adult dose inpatient CPT 90632 VAQTA 50 UNITS/ML	$22.40	$80.00	$16.80–$105.97	—	72%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX B 20MCG/ML	$22.40	$80.00	$12.70–$72.00	60% below	72%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX B 20MCG/ML	$22.40	$80.00	$12.70–$72.00	—	72%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE	$51.80	$185.00	$38.85–$223.65	75% below	72%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA VACCINE	$51.80	$185.00	$38.85–$223.65	—	72%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENQUADFI VACCINE	$76.98	$274.94	$57.73–$247.44	77% below	72%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENQUADFI VACCINE	$76.98	$274.94	$57.73–$247.44	—	72%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA VACCINE IJ	$43.96	$157.00	$32.97–$148.18	72% below	72%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMONIA VACCINE IJ	$43.96	$157.00	$32.97–$148.18	—	72%
Rabies vaccine, one dose CPT 90675 RABAVERT IJ	$92.12	$329.00	$127.42–$550.04	83% below	72%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT IJ	$92.12	$329.00	$127.42–$550.04	—	72%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS & DIPTHERIA	$22.40	$80.00	$16.80–$72.00	61% below	72%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC 0.5ML INJ	$22.68	$81.00	$17.01–$72.90	61% below	72%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA IJ	$22.68	$81.00	$17.01–$72.90	61% below	72%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS & DIPTHERIA	$22.40	$80.00	$16.80–$72.00	—	72%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC 0.5ML INJ	$22.68	$81.00	$17.01–$72.90	—	72%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA IJ	$22.68	$81.00	$17.01–$72.90	—	72%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 0.5ML INJ	$22.68	$81.00	$17.01–$72.90	76% below	72%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 0.5ML INJ	$22.68	$81.00	$17.01–$72.90	—	72%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM ADMIN ONE VACCINE	$30.80	$110.00	$18.88–$99.00	15% below	72%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINES-OTHER ADM	$30.80	$110.00	$18.88–$99.00	15% below	72%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINES-OTHER ADM	$30.80	$110.00	$18.88–$99.00	—	72%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IM ADMIN ONE VACCINE	$30.80	$110.00	$18.88–$99.00	—	72%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION AD EA A	$28.84	$103.00	$14.51–$92.70	15% below	72%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IM ADMIN EACH ADD VA	$28.84	$103.00	$14.51–$92.70	15% below	72%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION AD EA A	$28.84	$103.00	$14.51–$92.70	—	72%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IM ADMIN EACH ADD VA	$28.84	$103.00	$14.51–$92.70	—	72%

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

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

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

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

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

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

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

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

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

Source file: https://mrfs.hyvehealthcare.com/CovenantHealth/464420358_claiborne-medical-center_standardcharges.json