Hospital Greenville-Anderson-Greer, SC

St Francis-Eastside

Listed in its price file as “St Francis Hospital INC”.

St Francis-Eastside in Greenville, SC publishes cash prices for 371 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the South Carolina median for 197 of 367 procedures and below it for 146. By typical cash price it ranks #27 of 43 South Carolina hospitals and #6 of 7 hospitals in the Greenville, SC area, cheapest first. Select a procedure to compare it with other hospitals nearby.

125 Commonwealth Dr.,Greenville,SC 29615 Collected Oct 31, 2026 Source price file Check a bill from this hospital

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abd W&W/O Cont	$1,705.80	$2,843.00	—	7% below	40%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abd W&W/O Cont	$1,705.80	$2,843.00	—	—	40%
Abdominal X-ray, 2 views CPT 74019 HC X-Ray Exam Abdomen 2 Views	$220.80	$368.00	—	41% below	40%
Abdominal X-ray, 2 views inpatient CPT 74019 HC X-Ray Exam Abdomen 2 Views	$220.80	$368.00	—	—	40%
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-Ray Ankle Rout 3 Views	$487.20	$812.00	—	35% above	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-Ray Ankle Rout 3 Views	$487.20	$812.00	—	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Tcp02/Abi 1-2 Levels	$232.20	$387.00	—	56% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Tcp02/Abi 1-2 Levels	$232.20	$387.00	—	—	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extremity W/O Contrast	$1,087.20	$1,812.00	—	29% below	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Upper Extremity W/O Contrast	$1,087.20	$1,812.00	—	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Fluro Esophagram	$427.80	$713.00	—	8% below	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Fluro Esophagram	$427.80	$713.00	—	—	40%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM Bone Scan Whole Body	$1,661.40	$2,769.00	—	14% above	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM Bone Scan Whole Body	$1,661.40	$2,769.00	—	—	40%
Breast ultrasound, complete, one breast CPT 76641 HC US Breast Comp	$435.60	$726.00	—	13% below	40%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US Breast Comp	$435.60	$726.00	—	—	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US Breast Ltd	$569.40	$949.00	—	13% above	40%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US Breast Ltd	$569.40	$949.00	—	—	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC Cta Abd & Pelvis W & W/O Cont	$2,544.00	$4,240.00	—	2% below	40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC Cta Abd & Pelvis W & W/O Cont	$2,544.00	$4,240.00	—	—	40%
CT angiography (CTA) of the head CPT 70496 HC Cta Head W & W/O Cont	$1,371.00	$2,285.00	—	34% below	40%
CT angiography (CTA) of the head inpatient CPT 70496 HC Cta Head W & W/O Cont	$1,371.00	$2,285.00	—	—	40%
CT angiography (CTA) of the neck CPT 70498 HC Cta Neck/Carotid W & W/O Cont	$1,371.00	$2,285.00	—	32% below	40%
CT angiography (CTA) of the neck inpatient CPT 70498 HC Cta Neck/Carotid W & W/O Cont	$1,371.00	$2,285.00	—	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio Chest W & W/O Cont	$1,599.00	$2,665.00	—	19% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT Angio Chest W & W/O Cont	$1,599.00	$2,665.00	—	—	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart No Contrast Quant Eval Coronry Calcium	$957.00	$957.00	—	781% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart No Contrast Quant Eval Coronry Calcium	$957.00	$957.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd/Pelvis W/O Contrast	$2,247.60	$3,746.00	—	24% below	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd/Pelvis W/O Contrast	$2,247.60	$3,746.00	—	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd/Pel W Cont	$2,175.60	$3,626.00	—	41% below	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd/Pel W Cont	$2,175.60	$3,626.00	—	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd/Pelvis W W/O Contrast	$3,105.60	$5,176.00	—	25% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd/Pelvis W W/O Contrast	$3,105.60	$5,176.00	—	—	40%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/ Cont	$1,408.20	$2,347.00	—	9% below	40%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/ Cont	$1,408.20	$2,347.00	—	—	40%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Cont	$1,189.80	$1,983.00	—	7% below	40%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Cont	$1,189.80	$1,983.00	—	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Facial Bones W/O Contrast	$1,268.40	$2,114.00	—	1% below	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Facial Bones W/O Contrast	$1,268.40	$2,114.00	—	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Brain W/O Contrast	$1,282.20	$2,137.00	—	6% below	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Brain W/O Contrast	$1,282.20	$2,137.00	—	—	40%
CT scan of the head with contrast CPT 70460 HC CT Brain W/ Contrast	$1,344.00	$2,240.00	—	22% below	40%
CT scan of the head with contrast inpatient CPT 70460 HC CT Brain W/ Contrast	$1,344.00	$2,240.00	—	—	40%
CT scan of the head without and with contrast CPT 70470 HC CT Brain W/WO Contrast	$1,630.80	$2,718.00	—	16% below	40%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT Brain W/WO Contrast	$1,630.80	$2,718.00	—	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT L-Spine W/O Contrast	$1,715.40	$2,859.00	—	1% below	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT L-Spine W/O Contrast	$1,715.40	$2,859.00	—	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C-Spine W/O Contrast	$1,582.20	$2,637.00	—	7% above	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT C-Spine W/O Contrast	$1,582.20	$2,637.00	—	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/ Contrast	$1,247.40	$2,079.00	—	28% below	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/ Contrast	$1,247.40	$2,079.00	—	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Extracranial Bilat Study	$717.60	$1,196.00	—	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Extracranial Bilat Study	$717.60	$1,196.00	—	—	40%
Chest CT scan without and with contrast CPT 71270 HC CT Chest W/WO Contrast	$1,573.80	$2,623.00	—	24% below	40%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT Chest W/WO Contrast	$1,573.80	$2,623.00	—	—	40%
Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views	$315.60	$526.00	—	25% above	40%
Chest X-ray, 2 views inpatient CPT 71046 HC X-Ray Exam Chest 2 Views	$315.60	$526.00	—	—	40%
Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View	$174.00	$290.00	—	17% below	40%
Chest X-ray, single view inpatient CPT 71045 HC X-Ray Exam Chest 1 View	$174.00	$290.00	—	—	40%
Collarbone (clavicle) X-ray, complete CPT 73000 HC X-Ray Clavicle	$317.40	$529.00	—	at median	40%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC X-Ray Clavicle	$317.40	$529.00	—	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitoneal Complete	$770.40	$1,284.00	—	37% above	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitoneal Complete	$770.40	$1,284.00	—	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Dexa Axial Skeleton	$337.80	$563.00	—	20% below	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Dexa Axial Skeleton	$337.80	$563.00	—	—	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dexa Appendicular Skeleton	$90.60	$151.00	—	44% below	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Dexa Appendicular Skeleton	$90.60	$151.00	—	—	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US Fetal Anatomic Eval	$899.40	$1,499.00	—	6% above	40%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US Fetal Anatomic Eval	$899.40	$1,499.00	—	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Chest W/O Contrast	$1,089.00	$1,815.00	—	15% below	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Chest W/O Contrast	$1,089.00	$1,815.00	—	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest W/ Contrast	$1,249.20	$2,082.00	—	35% below	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Chest W/ Contrast	$1,249.20	$2,082.00	—	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Dgx Bilateral Incl Cad if Perf	$257.40	$429.00	—	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammo Dgx Bilateral Incl Cad if Perf	$257.40	$429.00	—	—	40%
Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dgx Unilateral Incl Cad if Perf	$237.00	$395.00	—	30% below	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dgx Unilateral Incl Cad if Perf	$237.00	$395.00	—	—	40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Bil Niv Arterial Low Ext Duplex	$1,395.60	$2,326.00	—	36% above	40%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC Bil Niv Arterial Low Ext Duplex	$1,395.60	$2,326.00	—	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Niv Venous Duplex Bilat Study	$1,026.00	$1,710.00	—	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Niv Venous Duplex Bilat Study	$1,026.00	$1,710.00	—	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2d Echo Without Contrast - With Dop/Color Flow	$2,088.60	$3,481.00	—	24% above	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2d Echo Without Contrast - With Dop/Color Flow	$2,088.60	$3,481.00	—	—	40%
Elbow X-ray, 2 views CPT 73070 HC Elbow 2 Views	$246.60	$411.00	—	4% below	40%
Elbow X-ray, 2 views inpatient CPT 73070 HC Elbow 2 Views	$246.60	$411.00	—	—	40%
Elbow X-ray, complete, 3 or more views CPT 73080 HC Elbow Min 3 Views	$444.00	$740.00	—	24% above	40%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Elbow Min 3 Views	$444.00	$740.00	—	—	40%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit/Ear/Fossa W/O Contrast	$1,517.40	$2,529.00	—	2% below	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Orbit/Ear/Fossa W/O Contrast	$1,517.40	$2,529.00	—	—	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC Facial Bones Min 3 Views	$470.40	$784.00	—	31% above	40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Facial Bones Min 3 Views	$470.40	$784.00	—	—	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Forearm 2 Views	$382.80	$638.00	—	18% above	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Forearm 2 Views\|LEFT SIDE	$382.80	$638.00	—	18% above	40%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Forearm 2 Views	$382.80	$638.00	—	—	40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC Forearm 2 Views\|LEFT SIDE	$382.80	$638.00	—	—	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM Hepatobiliary Imaging WO Pharm	$1,819.80	$3,033.00	—	11% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM Hepatobiliary Imaging WO Pharm	$1,819.80	$3,033.00	—	—	40%
Hand X-ray, 2 views CPT 73120 HC Hand 2 Views	$230.40	$384.00	—	2% above	40%
Hand X-ray, 2 views inpatient CPT 73120 HC Hand 2 Views	$230.40	$384.00	—	—	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-Ray Os Calcis Min 2 Views	$280.20	$467.00	—	15% above	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC X-Ray Os Calcis Min 2 Views	$280.20	$467.00	—	—	40%
Knee X-ray, 3 views CPT 73562 HC X-Ray Knee 3 Views	$390.60	$651.00	—	30% above	40%
Knee X-ray, 3 views inpatient CPT 73562 HC X-Ray Knee 3 Views	$390.60	$651.00	—	—	40%
Knee X-ray, complete, 4 or more views CPT 73564 HC X-Ray Knee Rout Inc Tun Pat Min 4 View	$519.00	$865.00	—	30% above	40%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-Ray Knee Rout Inc Tun Pat Min 4 View	$519.00	$865.00	—	—	40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Ext W/O Cont	$1,086.00	$1,810.00	—	27% below	40%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Lower Ext W/O Cont	$1,086.00	$1,810.00	—	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdominal Limited	$517.20	$862.00	—	21% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdominal Limited	$517.20	$862.00	—	—	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Extrem Limited Nonvasc	$418.80	$698.00	—	29% below	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US Extrem Limited Nonvasc	$418.80	$698.00	—	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Chest Screening Low Dose Wout Cont	$598.80	$998.00	—	178% above	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Chest Screening Low Dose Wout Cont	$598.80	$998.00	—	—	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-Ray Tibia/Fibula 2 Views	$360.00	$600.00	—	11% above	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-Ray Tibia/Fibula 2 Views	$360.00	$600.00	—	—	40%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRI-Angio Head WO Contrast	$1,407.00	$2,345.00	—	27% below	40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRI-Angio Head WO Contrast	$1,407.00	$2,345.00	—	—	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Ext Jnt W/O Cont	$2,169.60	$3,616.00	—	11% below	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Ext Jnt W/O Cont	$2,169.60	$3,616.00	—	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Ext Jnt W&W/O Cont	$2,684.40	$4,474.00	—	5% below	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Ext Jnt W&W/O Cont	$2,684.40	$4,474.00	—	—	40%
MRI of the abdomen without contrast CPT 74181 HC MRI-Abdomen WO Contrast	$1,913.40	$3,189.00	—	at median	40%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI-Abdomen WO Contrast	$1,913.40	$3,189.00	—	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI-Abdomen W & WO Contrast	$2,029.20	$3,382.00	—	17% below	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI-Abdomen W & WO Contrast	$2,029.20	$3,382.00	—	—	40%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Ctrst	$1,261.80	$2,103.00	—	40% below	40%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain WO Ctrst	$1,261.80	$2,103.00	—	—	40%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI-Brain WO & W Contrast	$2,263.20	$3,772.00	—	at median	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-Brain WO & W Contrast	$2,263.20	$3,772.00	—	—	40%
MRI of the lower back, no contrast dye CPT 72148 HC MRI-Spine Lumbar WO Contrast	$1,342.80	$2,238.00	—	39% below	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-Spine Lumbar WO Contrast	$1,342.80	$2,238.00	—	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI-Spine Lumbar WO & W Cont	$2,517.60	$4,196.00	—	11% below	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI-Spine Lumbar WO & W Cont	$2,517.60	$4,196.00	—	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI-Spine Thoracic WO Contrast	$1,673.40	$2,789.00	—	23% below	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI-Spine Thoracic WO Contrast	$1,673.40	$2,789.00	—	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI-Spine Cervical W & WO Cont	$2,868.60	$4,781.00	—	1% above	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI-Spine Cervical W & WO Cont	$2,868.60	$4,781.00	—	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI-Spine Cervical WO Contrast	$1,696.20	$2,827.00	—	17% below	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI-Spine Cervical WO Contrast	$1,696.20	$2,827.00	—	—	40%
MRI of the pelvis without and with contrast CPT 72197 HC MRI-Pelvis WO & W Contrast	$2,071.80	$3,453.00	—	26% below	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI-Pelvis WO & W Contrast	$2,071.80	$3,453.00	—	—	40%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI-Pelvis WO Contrast	$1,586.40	$2,644.00	—	15% below	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI-Pelvis WO Contrast	$1,586.40	$2,644.00	—	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI-Upper Ext Jnt WO Cont	$2,302.20	$3,837.00	—	at median	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI-Upper Ext Jnt WO Cont	$2,302.20	$3,837.00	—	—	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC C-Spine Min 4 Views	$651.00	$1,085.00	—	47% above	40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC C-Spine Min 4 Views	$651.00	$1,085.00	—	—	40%
Neck soft tissue CT scan with contrast CPT 70491 HC CT Soft Tissue Neck W/ Contrast	$1,413.00	$2,355.00	—	19% below	40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT Soft Tissue Neck W/ Contrast	$1,413.00	$2,355.00	—	—	40%
Neck soft tissue CT scan without contrast CPT 70490 HC CT Soft Tissue Neck W/O Contrast	$1,180.20	$1,967.00	—	11% below	40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT Soft Tissue Neck W/O Contrast	$1,180.20	$1,967.00	—	—	40%
Neck soft tissue X-ray CPT 70360 HC Soft Tissue Lat Neck	$306.60	$511.00	—	15% above	40%
Neck soft tissue X-ray inpatient CPT 70360 HC Soft Tissue Lat Neck	$306.60	$511.00	—	—	40%
Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Contrast	$1,128.00	$1,880.00	—	12% below	40%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT Pelvis W/O Contrast	$1,128.00	$1,880.00	—	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvis Limited	$682.80	$1,138.00	—	25% above	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Pelvis Limited	$682.80	$1,138.00	—	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Complete	$610.20	$1,017.00	—	6% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvis Complete	$610.20	$1,017.00	—	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest	$862.20	$1,437.00	—	17% above	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest	$862.20	$1,437.00	—	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC Fetal Eval 1st Tri Sgl Gest	$729.00	$1,215.00	—	38% above	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC Fetal Eval 1st Tri Sgl Gest	$729.00	$1,215.00	—	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Fetal Evaluation-Limited	$442.80	$738.00	—	at median	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US Fetal Evaluation-Limited	$442.80	$738.00	—	—	40%
Rib X-ray, one side, 2 views one side CPT 71100 HC Ribs Unilateral 2 Views	$292.80	$488.00	—	2% below	40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Ribs Unilateral 2 Views	$292.80	$488.00	—	—	40%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-Ray, Ribs, Pa Chest, 3	$531.00	$885.00	—	30% above	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC X-Ray, Ribs, Pa Chest, 3	$531.00	$885.00	—	—	40%
Screening mammogram, both breasts CPT 77067 HC Mammo Screening Incl Cad if Perf	$315.00	$525.00	—	14% above	40%
Screening mammogram, both breasts inpatient CPT 77067 HC Mammo Screening Incl Cad if Perf	$315.00	$525.00	—	—	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Complete Min 2 Views	$423.00	$705.00	—	35% above	40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder Complete Min 2 Views	$423.00	$705.00	—	—	40%
Sinus X-ray, complete, 3 or more views CPT 70220 HC Sinuses Min 3 Views	$526.20	$877.00	—	42% above	40%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Sinuses Min 3 Views	$526.20	$877.00	—	—	40%
Skull X-ray, fewer than 4 views CPT 70250 HC Skull Less Than 4 Views	$324.60	$541.00	—	25% above	40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Skull Less Than 4 Views	$324.60	$541.00	—	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Dysphagia/Swallowing Study	$330.00	$550.00	—	26% below	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Dysphagia/Swallowing Study	$330.00	$550.00	—	—	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-Ray Exam of Femur Min 2 Views	$401.40	$669.00	—	23% above	40%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-Ray Exam of Femur Min 2 Views	$401.40	$669.00	—	—	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT T-Spine W/O Contrast	$1,148.40	$1,914.00	—	26% below	40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT T-Spine W/O Contrast	$1,148.40	$1,914.00	—	—	40%
Toe X-ray, 2 or more views CPT 73660 HC X-Ray Toes Min 2 Views	$270.00	$450.00	—	at median	40%
Toe X-ray, 2 or more views inpatient CPT 73660 HC X-Ray Toes Min 2 Views	$270.00	$450.00	—	—	40%
Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal, Non OB	$728.40	$1,214.00	—	at median	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal, Non OB	$728.40	$1,214.00	—	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 HC US Transvaginal Obsetrical	$799.20	$1,332.00	—	18% above	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US Transvaginal Obsetrical	$799.20	$1,332.00	—	—	40%
Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete	$1,092.00	$1,820.00	—	17% above	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete	$1,092.00	$1,820.00	—	—	40%
Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum & Contents	$754.80	$1,258.00	—	26% above	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Scrotum & Contents	$754.80	$1,258.00	—	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC Soft Tissue Neck US	$788.40	$1,314.00	—	21% above	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC Soft Tissue Neck US	$788.40	$1,314.00	—	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Rad Exam Upr GI Tract Single Contrast Study	$567.00	$945.00	—	28% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Rad Exam Upr GI Tract Single Contrast Study	$567.00	$945.00	—	—	40%
Upper arm X-ray (humerus), 2 views CPT 73060 HC Humerus Min 2 View	$368.40	$614.00	—	43% above	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HC Humerus Min 2 View\|RIGHT SIDE	$368.40	$614.00	—	43% above	40%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Humerus Min 2 View	$368.40	$614.00	—	—	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC Humerus Min 2 View\|RIGHT SIDE	$368.40	$614.00	—	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Niv Venous Duplex Uni/Ltd Study	$949.20	$1,582.00	—	10% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Niv Venous Duplex Uni/Ltd Study	$949.20	$1,582.00	—	—	40%
Wrist X-ray, 2 views CPT 73100 HC Xr Wrist 2 Views	$243.00	$405.00	—	4% above	40%
Wrist X-ray, 2 views one side CPT 73100 HC Xr Wrist 2 Views\|LEFT SIDE	$243.00	$405.00	—	4% above	40%
Wrist X-ray, 2 views inpatient CPT 73100 HC Xr Wrist 2 Views	$243.00	$405.00	—	—	40%
Wrist X-ray, 2 views inpatient one side CPT 73100 HC Xr Wrist 2 Views\|LEFT SIDE	$243.00	$405.00	—	—	40%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist Min 3 Views	$406.20	$677.00	—	11% above	40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Wrist Min 3 Views	$406.20	$677.00	—	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views	$313.80	$523.00	—	26% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views	$313.80	$523.00	—	—	40%
X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam Abdomen 1 View	$222.60	$371.00	—	34% below	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-Ray Exam Abdomen 1 View	$222.60	$371.00	—	—	40%
X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Views	$293.40	$489.00	—	at median	40%
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-Ray Ankle 2 Views	$293.40	$489.00	—	—	40%
X-ray of the finger(s), 2 or more views CPT 73140 HC Fingers Min 2 Views	$274.20	$457.00	—	6% above	40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Fingers Min 2 Views	$274.20	$457.00	—	—	40%
X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Views	$270.00	$450.00	—	at median	40%
X-ray of the foot, 2 views inpatient CPT 73620 HC X-Ray Foot 2 Views	$270.00	$450.00	—	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Foot Min 3 Views Complete	$451.80	$753.00	—	7% above	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-Ray Foot Min 3 Views Complete	$451.80	$753.00	—	—	40%
X-ray of the hand, 3 or more views CPT 73130 HC Hand Routine Min 3 Views	$361.20	$602.00	—	4% above	40%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC Hand Routine Min 3 Views	$361.20	$602.00	—	—	40%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Knee 1-2 Views	$267.00	$445.00	—	at median	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-Ray Knee 1-2 Views	$267.00	$445.00	—	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC L-Spine 2-3 Views	$459.00	$765.00	—	31% above	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC L-Spine 2-3 Views	$459.00	$765.00	—	—	40%
X-ray of the lower back, 4 or more views CPT 72110 HC L-Spine Min 4 Views	$658.20	$1,097.00	—	23% above	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC L-Spine Min 4 Views	$658.20	$1,097.00	—	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC T-Spine 2 Views	$481.80	$803.00	—	75% above	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC T-Spine 2 Views	$481.80	$803.00	—	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bones Min 3 Views	$424.80	$708.00	—	28% above	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Nasal Bones Min 3 Views	$424.80	$708.00	—	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC C-Spine 2-3 Views	$393.00	$655.00	—	14% above	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC C-Spine 2-3 Views	$393.00	$655.00	—	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis Ap Only	$180.60	$301.00	—	26% below	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Pelvis Ap Only	$180.60	$301.00	—	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacrum and Coccyx Min 2 Views	$397.20	$662.00	—	45% above	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Sacrum and Coccyx Min 2 Views	$397.20	$662.00	—	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Sgpt (Alt)	$80.40	$134.00	—	79% above	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Sgpt (Alt)	$80.40	$134.00	—	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino Ast Sgot	$67.20	$112.00	—	51% above	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Transferase Aspartate Amino Ast Sgot	$67.20	$112.00	—	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel	$93.60	$156.00	—	66% below	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC So Hepatitis Panel Acute	$471.00	$785.00	—	70% above	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel	$93.60	$156.00	—	—	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC So Hepatitis Panel Acute	$471.00	$785.00	—	—	40%
Albumin blood test CPT 82040 HC So Albumin	$46.80	$78.00	—	16% above	40%
Albumin blood test CPT 82040 HC Albumin Serum Plasma/Whole Blood	$47.40	$79.00	—	17% above	40%
Albumin blood test inpatient CPT 82040 HC So Albumin	$46.80	$78.00	—	—	40%
Albumin blood test inpatient CPT 82040 HC Albumin Serum Plasma/Whole Blood	$47.40	$79.00	—	—	40%
Aldosterone blood test CPT 82088 HC So1 Aldosterone, Serum	$184.20	$307.00	—	14% below	40%
Aldosterone blood test inpatient CPT 82088 HC So1 Aldosterone, Serum	$184.20	$307.00	—	—	40%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Alkaline Phosphatase	$49.20	$82.00	—	5% above	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Alkaline Phosphatase	$49.20	$82.00	—	—	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein Serum	$151.80	$253.00	—	33% above	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Alpha-Fetoprotein Serum	$151.80	$253.00	—	—	40%
Ammonia blood test CPT 82140 HC So Ammonia	$9.00	$15.00	—	91% below	40%
Ammonia blood test CPT 82140 HC Ammonia	$118.80	$198.00	—	14% above	40%
Ammonia blood test inpatient CPT 82140 HC So Ammonia	$9.00	$15.00	—	—	40%
Ammonia blood test inpatient CPT 82140 HC Ammonia	$118.80	$198.00	—	—	40%
Amylase blood test CPT 82150 HC Amylase	$159.60	$266.00	—	69% above	40%
Amylase blood test CPT 82150 HC So2 Amylase	$261.60	$436.00	—	177% above	40%
Amylase blood test inpatient CPT 82150 HC Amylase	$159.60	$266.00	—	—	40%
Amylase blood test inpatient CPT 82150 HC So2 Amylase	$261.60	$436.00	—	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide	$126.00	$210.00	—	31% below	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide	$126.00	$210.00	—	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC So Body Fluid Culture	$108.60	$181.00	—	at median	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture, Aerobic	$162.60	$271.00	—	50% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC So Body Fluid Culture	$108.60	$181.00	—	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture, Aerobic	$162.60	$271.00	—	—	40%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total	$216.00	$360.00	—	1% above	40%
Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel Calcium Total	$216.00	$360.00	—	—	40%
Bilirubin blood test, total CPT 82247 HC So Bilirubin Total	$49.20	$82.00	—	17% above	40%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total	$81.00	$135.00	—	93% above	40%
Bilirubin blood test, total inpatient CPT 82247 HC So Bilirubin Total	$49.20	$82.00	—	—	40%
Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Total	$81.00	$135.00	—	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC So Tissue Level IV	$75.60	$126.00	—	60% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Tissue Level IV	$331.20	$552.00	—	74% above	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC So Tissue Level IV	$75.60	$126.00	—	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Tissue Level IV	$331.20	$552.00	—	—	40%
Blood culture for bacteria CPT 87040 HC Culture Blood	$98.40	$164.00	—	36% below	40%
Blood culture for bacteria inpatient CPT 87040 HC Culture Blood	$98.40	$164.00	—	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture	$22.80	$38.00	—	at median	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Collection Venous Blood Venipuncture	$22.80	$38.00	—	—	40%
Blood glucose (sugar) test CPT 82947 HC So Glucose	$12.00	$20.00	—	64% below	40%
Blood glucose (sugar) test CPT 82947 HC Glucose, Fasting	$60.00	$100.00	—	79% above	40%
Blood glucose (sugar) test inpatient CPT 82947 HC So Glucose	$12.00	$20.00	—	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose, Fasting	$60.00	$100.00	—	—	40%
Blood lead test CPT 83655 HC So Lead	$78.60	$131.00	—	at median	40%
Blood lead test inpatient CPT 83655 HC So Lead	$78.60	$131.00	—	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonadotropin, Chorionic (Hcg) Qualitative	$167.40	$279.00	—	8% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Gonadotropin, Chorionic (Hcg) Qualitative	$167.40	$279.00	—	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC So Blood Typing, Abo	$76.20	$127.00	—	25% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing, Abo	$81.60	$136.00	—	34% above	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC So Blood Typing, Abo	$76.20	$127.00	—	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing, Abo	$81.60	$136.00	—	—	40%
Blood urea nitrogen (BUN) test CPT 84520 HC Assay of Urea Nitrogen Quantitative	$57.60	$96.00	—	28% above	40%
Blood urea nitrogen (BUN) test CPT 84520 HC So Bun	$87.60	$146.00	—	95% above	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Assay of Urea Nitrogen Quantitative	$57.60	$96.00	—	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC So Bun	$87.60	$146.00	—	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC So1 Crp	$105.00	$175.00	—	56% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein	$114.00	$190.00	—	70% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC So1 Crp	$105.00	$175.00	—	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein	$114.00	$190.00	—	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC Inf Agent Det Nucleic Acid Clostridium Amp Probe	$136.80	$228.00	—	29% below	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Inf Agent Det Nucleic Acid Clostridium Amp Probe	$136.80	$228.00	—	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 HC So Carbohydrate Antigen 19-9	$83.40	$139.00	—	42% below	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC So Carbohydrate Antigen 19-9	$83.40	$139.00	—	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC So Ca 125	$162.00	$270.00	—	3% below	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125	$205.20	$342.00	—	23% above	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC So Ca 125	$162.00	$270.00	—	—	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125	$205.20	$342.00	—	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Iadna Sars-Cov-2-19 Amp Probe Tq	$96.00	$160.00	—	17% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Iadna Sars-Cov-2-19 Amp Probe Tq	$96.00	$160.00	—	—	40%
Calcium blood test, total CPT 82310 HC So Calcium,Serum	$15.60	$26.00	—	65% below	40%
Calcium blood test, total CPT 82310 HC Calcium Total	$65.40	$109.00	—	47% above	40%
Calcium blood test, total inpatient CPT 82310 HC So Calcium,Serum	$15.60	$26.00	—	—	40%
Calcium blood test, total inpatient CPT 82310 HC Calcium Total	$65.40	$109.00	—	—	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen Cea	$148.20	$247.00	—	6% below	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC So1 Carcinoembryonic Antigen Cea	$183.60	$306.00	—	17% above	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Antigen Cea	$148.20	$247.00	—	—	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC So1 Carcinoembryonic Antigen Cea	$183.60	$306.00	—	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC So Chylmd Trach Dna Amp Probe	$52.20	$87.00	—	67% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC So1 Chylmd Trach Dna Amp Probe	$100.20	$167.00	—	36% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC So Chylmd Trach Dna Amp Probe	$52.20	$87.00	—	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC So1 Chylmd Trach Dna Amp Probe	$100.20	$167.00	—	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel	$216.00	$360.00	—	132% above	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel	$216.00	$360.00	—	—	40%
Complete blood count (CBC) with differential CPT 85025 HC Cbc	$153.00	$255.00	—	31% above	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc	$153.00	$255.00	—	—	40%
Complete blood count (CBC), no differential CPT 85027 HC Cbc (Hemogram)	$85.80	$143.00	—	at median	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc (Hemogram)	$85.80	$143.00	—	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 HC So Comp Metabolic Panel	$31.80	$53.00	—	87% below	40%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel	$539.40	$899.00	—	118% above	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC So Comp Metabolic Panel	$31.80	$53.00	—	—	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel	$539.40	$899.00	—	—	40%
Cortisol blood test, total CPT 82533 HC So Cortisol,Serum	$49.20	$82.00	—	64% below	40%
Cortisol blood test, total CPT 82533 HC Cortisol Total	$148.20	$247.00	—	9% above	40%
Cortisol blood test, total inpatient CPT 82533 HC So Cortisol,Serum	$49.20	$82.00	—	—	40%
Cortisol blood test, total inpatient CPT 82533 HC Cortisol Total	$148.20	$247.00	—	—	40%
Creatine kinase (CK) blood test, total CPT 82550 HC So Cpk (CK)	$47.40	$79.00	—	9% below	40%
Creatine kinase (CK) blood test, total CPT 82550 HC Creatine Kinase Total	$72.60	$121.00	—	40% above	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC So Cpk (CK)	$47.40	$79.00	—	—	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Creatine Kinase Total	$72.60	$121.00	—	—	40%
Creatinine blood test CPT 82565 HC Creatinine,Serum	$54.60	$91.00	—	21% above	40%
Creatinine blood test inpatient CPT 82565 HC Creatinine,Serum	$54.60	$91.00	—	—	40%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Dgradj Products D-Dimer Quantitative	$44.40	$74.00	—	69% below	40%
D-dimer blood test (blood clot marker) CPT 85379 HC So D-Dimer, Quantitative	$149.40	$249.00	—	4% above	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Dgradj Products D-Dimer Quantitative	$44.40	$74.00	—	—	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC So D-Dimer, Quantitative	$149.40	$249.00	—	—	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC So2 Drg Scrn Class List A	$84.60	$141.00	—	28% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC So1 Drg Scrn Class List A	$124.80	$208.00	—	6% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Tst Prsmv Instrmnt Chem Analyzers PR Date	$241.20	$402.00	—	105% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC So Drg Scrn Class List A	$286.80	$478.00	—	144% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr	$286.80	$478.00	—	144% above	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC So2 Drg Scrn Class List A	$84.60	$141.00	—	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC So1 Drg Scrn Class List A	$124.80	$208.00	—	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Tst Prsmv Instrmnt Chem Analyzers PR Date	$241.20	$402.00	—	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test Prsmv Chem Anlyzr	$286.80	$478.00	—	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC So Drg Scrn Class List A	$286.80	$478.00	—	—	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel	$184.80	$308.00	—	78% above	40%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Electrolyte Panel	$184.80	$308.00	—	—	40%
Estradiol blood test CPT 82670 HC Assay of Total Estradiol	$121.20	$202.00	—	at median	40%
Estradiol blood test inpatient CPT 82670 HC Assay of Total Estradiol	$121.20	$202.00	—	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Follicle Stimulating Hormone	$80.40	$134.00	—	41% below	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin Follicle Stimulating Hormone	$80.40	$134.00	—	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 HC So Calprotectin Fecal	$258.00	$430.00	—	38% above	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC So Calprotectin Fecal	$258.00	$430.00	—	—	40%
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin	$38.40	$64.00	—	66% below	40%
Ferritin blood test (iron stores) inpatient CPT 82728 HC Assay of Ferritin	$38.40	$64.00	—	—	40%
Fibrinogen blood test CPT 85384 HC So Fibrinogen	$29.40	$49.00	—	77% below	40%
Fibrinogen blood test CPT 85384 HC So1 Fibrinogen	$84.60	$141.00	—	35% below	40%
Fibrinogen blood test CPT 85384 HC Fibrinogen Activity	$163.20	$272.00	—	26% above	40%
Fibrinogen blood test inpatient CPT 85384 HC So Fibrinogen	$29.40	$49.00	—	—	40%
Fibrinogen blood test inpatient CPT 85384 HC So1 Fibrinogen	$84.60	$141.00	—	—	40%
Fibrinogen blood test inpatient CPT 85384 HC Fibrinogen Activity	$163.20	$272.00	—	—	40%
Folate (folic acid) blood test CPT 82746 HC Assay of Folic Acid Serum	$41.40	$69.00	—	65% below	40%
Folate (folic acid) blood test CPT 82746 HC So Folic Acid, Serum	$44.40	$74.00	—	63% below	40%
Folate (folic acid) blood test inpatient CPT 82746 HC Assay of Folic Acid Serum	$41.40	$69.00	—	—	40%
Folate (folic acid) blood test inpatient CPT 82746 HC So Folic Acid, Serum	$44.40	$74.00	—	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine	$17.40	$29.00	—	83% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC So T4 Free	$101.40	$169.00	—	1% above	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Assay of Free Thyroxine	$17.40	$29.00	—	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC So T4 Free	$101.40	$169.00	—	—	40%
Free testosterone test CPT 84402 HC So Testosterone Free	$161.40	$269.00	—	49% above	40%
Free testosterone test inpatient CPT 84402 HC So Testosterone Free	$161.40	$269.00	—	—	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Glutamyltrase Gamma	$93.00	$155.00	—	57% above	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Assay of Glutamyltrase Gamma	$93.00	$155.00	—	—	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel	$147.00	$245.00	—	21% above	40%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel	$147.00	$245.00	—	—	40%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test	$150.60	$251.00	—	17% above	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test	$150.60	$251.00	—	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC So N Gonorrhoeae Dna Amp Prob	$49.80	$83.00	—	67% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC So N Gonorrhoeae Dna Amp Prob	$49.80	$83.00	—	—	40%
H. pylori antibody blood test CPT 86677 HC So H.Pylori. Serum	$145.20	$242.00	—	25% above	40%
H. pylori antibody blood test inpatient CPT 86677 HC So H.Pylori. Serum	$145.20	$242.00	—	—	40%
H. pylori stool antigen test CPT 87338 HC So H.Pylori Stool Antigen	$115.80	$193.00	—	43% below	40%
H. pylori stool antigen test inpatient CPT 87338 HC So H.Pylori Stool Antigen	$115.80	$193.00	—	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC So Hiv-1, Quantification	$340.80	$568.00	—	23% below	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC So Hiv-1, Quantification	$340.80	$568.00	—	—	40%
HIV-1 and HIV-2 antibody test CPT 86703 HC Antibody Hiv-1&Hiv-2 Single Result	$82.80	$138.00	—	32% below	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Antibody Hiv-1&Hiv-2 Single Result	$82.80	$138.00	—	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$76.20	$127.00	—	22% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC So Hiv-1 & Hiv-2 Ab	$101.40	$169.00	—	4% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$76.20	$127.00	—	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC So Hiv-1 & Hiv-2 Ab	$101.40	$169.00	—	—	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC So Hpv Dna Amp Probe	$105.00	$175.00	—	13% below	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC So Hpv Dna Amp Probe	$105.00	$175.00	—	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated A1c	$126.00	$210.00	—	45% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glycosylated A1c	$126.00	$210.00	—	—	40%
Hemoglobin blood test CPT 85018 HC Blood Count Hemoglobin	$34.80	$58.00	—	9% above	40%
Hemoglobin blood test inpatient CPT 85018 HC Blood Count Hemoglobin	$34.80	$58.00	—	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC So Anti-Hbs	$119.40	$199.00	—	42% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surf Antibody Hbsab	$153.60	$256.00	—	83% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC So Anti-Hbs	$119.40	$199.00	—	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surf Antibody Hbsab	$153.60	$256.00	—	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen	$108.60	$181.00	—	28% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC M94 Hepb Surface Antigen Hbsag - Bmt	$189.60	$316.00	—	123% above	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen	$108.60	$181.00	—	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC M94 Hepb Surface Antigen Hbsag - Bmt	$189.60	$316.00	—	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody	$253.20	$422.00	—	213% above	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Antibody	$253.20	$422.00	—	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription	$369.00	$615.00	—	7% below	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription	$369.00	$615.00	—	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity	$56.40	$94.00	—	42% below	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein High Sensitivity	$56.40	$94.00	—	—	40%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron	$18.60	$31.00	—	68% below	40%
Iron blood test (serum iron) CPT 83540 HC So Iron	$358.20	$597.00	—	507% above	40%
Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Iron	$18.60	$31.00	—	—	40%
Iron blood test (serum iron) inpatient CPT 83540 HC So Iron	$358.20	$597.00	—	—	40%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity	$25.20	$42.00	—	67% below	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity	$25.20	$42.00	—	—	40%
Kidney function blood test panel CPT 80069 HC Renal Function Panel	$164.40	$274.00	—	20% above	40%
Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel	$164.40	$274.00	—	—	40%
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Luteinizing Hormone	$80.40	$134.00	—	49% below	40%
LH (luteinizing hormone) test inpatient CPT 83002 HC Gonadotropin Luteinizing Hormone	$80.40	$134.00	—	—	40%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactate	$85.20	$142.00	—	8% below	40%
Lactate (lactic acid) blood test CPT 83605 HC So Lactic Acid	$90.00	$150.00	—	3% below	40%
Lactate (lactic acid) blood test inpatient CPT 83605 HC Assay of Lactate	$85.20	$142.00	—	—	40%
Lactate (lactic acid) blood test inpatient CPT 83605 HC So Lactic Acid	$90.00	$150.00	—	—	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate Dehydrogenase Ldh	$17.40	$29.00	—	70% below	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC So Ldh	$73.80	$123.00	—	25% above	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate Dehydrogenase Ldh	$17.40	$29.00	—	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC So Ldh	$73.80	$123.00	—	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase	$99.60	$166.00	—	15% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 HC So Lipase	$99.60	$166.00	—	15% above	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase	$99.60	$166.00	—	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC So Lipase	$99.60	$166.00	—	—	40%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel	$210.00	$350.00	—	35% above	40%
Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel	$210.00	$350.00	—	—	40%
Magnesium blood test CPT 83735 HC So2 Magnesium	$20.40	$34.00	—	62% below	40%
Magnesium blood test CPT 83735 HC So1 Magnesium	$81.00	$135.00	—	51% above	40%
Magnesium blood test CPT 83735 HC Assay of Magnesium	$82.20	$137.00	—	53% above	40%
Magnesium blood test inpatient CPT 83735 HC So2 Magnesium	$20.40	$34.00	—	—	40%
Magnesium blood test inpatient CPT 83735 HC So1 Magnesium	$81.00	$135.00	—	—	40%
Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium	$82.20	$137.00	—	—	40%
Measles (rubeola) antibody test CPT 86765 HC So Rubeola Igg / Igm	$130.80	$218.00	—	66% above	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC So Rubeola Igg / Igm	$130.80	$218.00	—	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HC So Mono Antibody	$73.80	$123.00	—	17% above	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Mono Spot Test,Agglutination	$109.20	$182.00	—	73% above	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC So Mono Antibody	$73.80	$123.00	—	—	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Mono Spot Test,Agglutination	$109.20	$182.00	—	—	40%
Mumps immunity blood test CPT 86735 HC So Antibody; Mumps	$101.40	$169.00	—	18% above	40%
Mumps immunity blood test inpatient CPT 86735 HC So Antibody; Mumps	$101.40	$169.00	—	—	40%
Obstetric blood test panel CPT 80055 HC Obstetric Panel	$141.00	$235.00	—	14% above	40%
Obstetric blood test panel inpatient CPT 80055 HC Obstetric Panel	$141.00	$235.00	—	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free	$79.20	$132.00	—	33% below	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC So Prostate Specific Antigen/Free	$133.20	$222.00	—	13% above	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Assay of Prostate Specific Antigen Free	$79.20	$132.00	—	—	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC So Prostate Specific Antigen/Free	$133.20	$222.00	—	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Prostate Specific Antigen Total	$79.20	$132.00	—	27% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC So1 Assay of Psa Total	$231.00	$385.00	—	112% above	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Assay of Prostate Specific Antigen Total	$79.20	$132.00	—	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC So1 Assay of Psa Total	$231.00	$385.00	—	—	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys	$133.20	$222.00	—	63% above	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys	$133.20	$222.00	—	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen	$67.80	$113.00	—	44% below	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC So Cytopath C/V Thin Layer	$99.00	$165.00	—	18% below	40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen	$67.80	$113.00	—	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC So Cytopath C/V Thin Layer	$99.00	$165.00	—	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC So Parathyroid Hormone	$272.40	$454.00	—	36% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone	$284.40	$474.00	—	42% above	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC So Parathyroid Hormone	$272.40	$454.00	—	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone	$284.40	$474.00	—	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt	$117.00	$195.00	—	117% above	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt	$117.00	$195.00	—	—	40%
Phosphorus (phosphate) blood test CPT 84100 HC So Phosphorus Inorganic	$14.40	$24.00	—	68% below	40%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Phosphorus Inorganic	$72.60	$121.00	—	63% above	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC So Phosphorus Inorganic	$14.40	$24.00	—	—	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC Assay of Phosphorus Inorganic	$72.60	$121.00	—	—	40%
Potassium blood test CPT 84132 HC Potassium Serum Plasma/Whole Blood	$65.40	$109.00	—	45% above	40%
Potassium blood test inpatient CPT 84132 HC Potassium Serum Plasma/Whole Blood	$65.40	$109.00	—	—	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC So Fetal Chrmoml Aneuploidy	$2,277.60	$3,796.00	—	26% above	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC So Fetal Chrmoml Aneuploidy	$2,277.60	$3,796.00	—	—	40%
Progesterone blood test CPT 84144 HC Assay of Progesterone	$263.40	$439.00	—	82% above	40%
Progesterone blood test inpatient CPT 84144 HC Assay of Progesterone	$263.40	$439.00	—	—	40%
Prolactin blood test CPT 84146 HC Assay of Prolactin	$256.80	$428.00	—	88% above	40%
Prolactin blood test inpatient CPT 84146 HC Assay of Prolactin	$256.80	$428.00	—	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC So Prothrombin Time	$71.40	$119.00	—	85% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time	$75.00	$125.00	—	95% above	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC So Prothrombin Time	$71.40	$119.00	—	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time	$75.00	$125.00	—	—	40%
Rapid flu test (influenza antigen) CPT 87804 HC Iaadiadoo Influenza	$95.40	$159.00	—	12% above	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC Iaadiadoo Influenza	$95.40	$159.00	—	—	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Iaadiadoo Streptococcus Group A	$102.00	$170.00	—	17% above	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Iaadiadoo Streptococcus Group A	$102.00	$170.00	—	—	40%
Rh blood typing CPT 86901 HC Blood Typing, Rh(D)	$58.80	$98.00	—	19% above	40%
Rh blood typing inpatient CPT 86901 HC Blood Typing, Rh(D)	$58.80	$98.00	—	—	40%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quantitative	$99.00	$165.00	—	44% above	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor Quantitative	$99.00	$165.00	—	—	40%
Rubella antibody test (immunity check) CPT 86762 HC So Rubella Latex Test	$63.60	$106.00	—	2% below	40%
Rubella antibody test (immunity check) CPT 86762 HC So1 Rubella Latex Test	$105.00	$175.00	—	62% above	40%
Rubella antibody test (immunity check) CPT 86762 HC Antibody Rubella	$152.40	$254.00	—	134% above	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC So Rubella Latex Test	$63.60	$106.00	—	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC So1 Rubella Latex Test	$105.00	$175.00	—	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Antibody Rubella	$152.40	$254.00	—	—	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sed Rate	$97.20	$162.00	—	78% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Sed Rate	$97.20	$162.00	—	—	40%
Sodium blood test CPT 84295 HC Sodium Serum Plasma or Whole Blood	$45.60	$76.00	—	6% above	40%
Sodium blood test inpatient CPT 84295 HC Sodium Serum Plasma or Whole Blood	$45.60	$76.00	—	—	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult Peroxidase Actv Qual Feces 1 Deter	$41.40	$69.00	—	38% above	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Blood Occult Peroxidase Actv Qual Feces 1 Deter	$41.40	$69.00	—	—	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC So Occult Blood Fecal	$76.20	$127.00	—	31% above	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC So Occult Blood Fecal	$76.20	$127.00	—	—	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum	$39.60	$66.00	—	41% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC So Fta-Abs	$97.20	$162.00	—	44% above	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Antibody Treponema Pallidum	$39.60	$66.00	—	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC So Fta-Abs	$97.20	$162.00	—	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qual	$62.40	$104.00	—	33% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC So Vdrl / Rpr	$68.40	$114.00	—	46% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qual	$62.40	$104.00	—	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC So Vdrl / Rpr	$68.40	$114.00	—	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC So Testosterone Total	$228.60	$381.00	—	102% above	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC So Testosterone Total	$228.60	$381.00	—	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC So Tsh 3rd Generation	$50.40	$84.00	—	64% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone	$172.20	$287.00	—	23% above	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC So Tsh 3rd Generation	$50.40	$84.00	—	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone	$172.20	$287.00	—	—	40%
Total thyroxine (T4) blood test CPT 84436 HC So Thyroxine Total	$20.40	$34.00	—	70% below	40%
Total thyroxine (T4) blood test CPT 84436 HC Assay of Thyroxine Total	$185.40	$309.00	—	177% above	40%
Total thyroxine (T4) blood test inpatient CPT 84436 HC So Thyroxine Total	$20.40	$34.00	—	—	40%
Total thyroxine (T4) blood test inpatient CPT 84436 HC Assay of Thyroxine Total	$185.40	$309.00	—	—	40%
Total triiodothyronine (T3) blood test CPT 84480 HC Assay of Triiodothyronine T3 Total Tt3	$171.00	$285.00	—	42% above	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Assay of Triiodothyronine T3 Total Tt3	$171.00	$285.00	—	—	40%
Transferrin blood test CPT 84466 HC Assay of L7383transferrin	$115.20	$192.00	—	at median	40%
Transferrin blood test inpatient CPT 84466 HC Assay of L7383transferrin	$115.20	$192.00	—	—	40%
Trichomonas test (NAAT) CPT 87661 HC So Trichomonas Vaginalis Amplif	$55.80	$93.00	—	59% below	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC So Trichomonas Vaginalis Amplif	$55.80	$93.00	—	—	40%
Triglycerides blood test CPT 84478 HC So Triglycerides	$55.20	$92.00	—	24% above	40%
Triglycerides blood test CPT 84478 HC Assay of Triglycerides	$86.40	$144.00	—	94% above	40%
Triglycerides blood test inpatient CPT 84478 HC So Triglycerides	$55.20	$92.00	—	—	40%
Triglycerides blood test inpatient CPT 84478 HC Assay of Triglycerides	$86.40	$144.00	—	—	40%
Troponin test, quantitative CPT 84484 HC Assay of Troponin Quantitative	$85.80	$143.00	—	38% below	40%
Troponin test, quantitative inpatient CPT 84484 HC Assay of Troponin Quantitative	$85.80	$143.00	—	—	40%
Uric acid blood test CPT 84550 HC Assay of Blood/Uric Acid	$88.20	$147.00	—	49% above	40%
Uric acid blood test inpatient CPT 84550 HC Assay of Blood/Uric Acid	$88.20	$147.00	—	—	40%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis W/ Microscopy	$63.60	$106.00	—	3% below	40%
Urinalysis with microscope exam, automated CPT 81001 HC So Urinalysis W/Micro	$76.20	$127.00	—	16% above	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis W/ Microscopy	$63.60	$106.00	—	—	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC So Urinalysis W/Micro	$76.20	$127.00	—	—	40%
Urinalysis with microscope exam, manual CPT 81000 HC Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy	$13.20	$22.00	—	51% below	40%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy	$13.20	$22.00	—	—	40%
Urinalysis without microscope exam, automated CPT 81003 HC So Urinalysis Routine	$7.20	$12.00	—	82% below	40%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope	$55.20	$92.00	—	40% above	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC So Urinalysis Routine	$7.20	$12.00	—	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis, Auto, W/O Scope	$55.20	$92.00	—	—	40%
Urinalysis without microscope exam, manual CPT 81002 HC Non-Auto,Urine W/O Microscopy	$37.20	$62.00	—	42% above	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC Non-Auto,Urine W/O Microscopy	$37.20	$62.00	—	—	40%
Urine culture for bacteria, with colony count CPT 87086 HC Urine Cult./Colony Count	$114.00	$190.00	—	12% above	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC Urine Cult./Colony Count	$114.00	$190.00	—	—	40%
Urine microalbumin (albumin) test CPT 82043 HC Urine,Microalbumin,Quantitativ	$84.60	$141.00	—	17% above	40%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Urine,Microalbumin,Quantitativ	$84.60	$141.00	—	—	40%
Urine pregnancy test, read by color change CPT 81025 HC Hcg (Urine) Pregnancy Test	$108.00	$180.00	—	31% above	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HC Hcg (Urine) Pregnancy Test	$108.00	$180.00	—	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Cyanocobalamin Vitamin B-12	$42.00	$70.00	—	62% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC So Vitamin B-12	$45.00	$75.00	—	59% below	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Cyanocobalamin Vitamin B-12	$42.00	$70.00	—	—	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC So Vitamin B-12	$45.00	$75.00	—	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 Hydroxy Includes Fractions if Performed	$82.80	$138.00	—	46% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 Hydroxy Includes Fractions if Performed	$82.80	$138.00	—	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Quantitative	$267.00	$445.00	—	203% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Hcg Quantitative	$267.00	$445.00	—	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj\|LEFT SIDE	$23,879.72	$39,799.53	$6,950.34–$7,019.84	13% below	40%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj\|RIGHT SIDE	$39,681.79	$66,136.32	$12,297.49–$12,420.46	44% above	40%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr\|LEFT SIDE	$14,941.97	$24,903.28	$6,950.34	50% below	40%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr\|RIGHT SIDE	$22,860.17	$38,100.28	$6,950.34–$7,019.84	23% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast 1st Lesion Strtctc	$4,269.60	$7,116.00	—	25% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Bx Breast 1st Lesion Strtctc	$4,269.60	$7,116.00	—	—	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion	$1,195.20	$1,992.00	—	14% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion	$1,255.20	$2,092.00	—	10% below	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion	$1,195.20	$1,992.00	—	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion	$1,255.20	$2,092.00	—	—	40%
Carpal tunnel release, open surgery one side CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne\|LEFT SIDE	$5,880.35	$9,800.58	$1,870.41–$1,889.12	at median	40%
Carpal tunnel release, open surgery one side CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne\|RIGHT SIDE	$12,470.64	$20,784.40	$1,870.41–$1,889.12	112% above	40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC Circum 28 Days or Older	$4,608.60	$7,681.00	—	83% above	40%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC Circum 28 Days or Older	$4,608.60	$7,681.00	—	—	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block	$3,768.60	$6,281.00	—	191% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision W/Clamp/Oth Dev W/Block	$3,768.60	$6,281.00	—	—	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Treat Radius/Ulna Fx	$378.60	$631.00	—	at median	40%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Treat Radius/Ulna Fx	$378.60	$631.00	—	—	40%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$11,057.03	$18,428.38	$1,146.20–$1,157.66	375% above	40%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$11,511.24	$19,185.40	$1,146.20–$1,157.66	176% above	40%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$12,626.01	$21,043.35	$890.76–$899.66	322% above	40%
Cystoscopy with ureteral stent placement one side CPT 52332 Cysto W/Insert Ureteral Stent\|RIGHT SIDE	$58,174.19	$96,956.98	$10,181.75–$10,283.57	700% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy (Separate Procedure)	$1,449.00	$2,415.00	—	193% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystourethroscopy (Separate Procedure)	$1,449.00	$2,415.00	—	—	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Rem Impact Cerumen Irrigat Uni	$176.40	$294.00	—	50% above	40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Rem Impact Cerumen Irrigat Uni	$176.40	$294.00	—	—	40%
Earwax removal with instruments, one ear CPT 69210 HC Remove Impacted Cerumen	$150.00	$250.00	—	18% above	40%
Earwax removal with instruments, one ear inpatient CPT 69210 HC Remove Impacted Cerumen	$150.00	$250.00	—	—	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible	$19,969.08	$33,281.80	$6,200.93–$6,262.94	25% below	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible	$15,618.85	$26,031.42	$3,429.47–$3,463.77	4% below	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$7,426.80	$12,378.00	$890.76–$899.66	310% above	40%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy	$18,971.11	$31,618.52	$5,790.69–$5,848.59	at median	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography	$19,981.02	$33,301.70	$5,790.69–$5,848.59	12% above	40%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary	$27,795.52	$46,325.87	$343.34	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Intro Sal Cont Hyst	$454.80	$758.00	—	38% above	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Cath/Intro Sal Cont Hyst	$454.80	$758.00	—	—	40%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation	$24,301.38	$40,502.30	$5,790.69–$5,848.59	122% above	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$13,298.86	$22,164.77	$3,100.67	71% above	40%
IUD insertion (the device itself billed separately) CPT 58300 HC Insert Intrauterine Device	$726.60	$1,211.00	—	150% above	40%
IUD insertion (the device itself billed separately) CPT 58300 HC Insert Intrauterine Device	$11,270.85	$18,784.75	$3,100.67–$3,131.68	3778% above	40%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC Insert Intrauterine Device	$726.60	$1,211.00	—	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D Simple	$317.40	$529.00	$192.18–$194.10	13% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage-Simple	$334.20	$557.00	—	8% below	40%
Incision and drainage of a simple or single skin abscess one side CPT 10060 HC I & D Simple\|RIGHT SIDE	$673.08	$1,121.80	$192.18–$194.10	85% above	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I & D Simple	$317.40	$529.00	—	—	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Incision & Drainage-Simple	$334.20	$557.00	—	—	40%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible\|RIGHT SIDE	$14,895.00	$24,825.00	$3,429.47–$3,463.77	164% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Asp Injection Major Joint	$880.80	$1,468.00	—	36% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocent/Aspiration Maj Jnt\|RIGHT SIDE	$13,002.11	$21,670.18	$1,870.41–$1,889.12	1911% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocent/Aspiration Maj Jnt\|LEFT SIDE	$40,324.39	$67,207.32	$6,950.34–$7,019.84	6137% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Asp Injection Major Joint	$880.80	$1,468.00	—	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Asp Inj Intermediate Joint	$637.20	$1,062.00	—	46% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Asp Inj Intermediate Joint	$637.20	$1,062.00	—	—	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Drain/Inject Joint/Bursa	$502.20	$837.00	—	34% above	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Drain/Inject Joint/Bursa	$502.20	$837.00	—	—	40%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral\|RIGHT SIDE	$33,099.65	$55,166.08	$12,297.49–$12,420.46	38% above	40%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral\|LEFT SIDE	$34,885.30	$58,142.17	$3,134.07–$3,165.42	46% above	40%
Knee arthroscopy with meniscus trim one side CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg\|RIGHT SIDE	$11,919.45	$19,865.75	$3,134.07–$3,165.42	at median	40%
Knee arthroscopy with meniscus trim one side CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg\|LEFT SIDE	$23,327.09	$38,878.48	$6,950.34–$7,019.84	96% above	40%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving\|LEFT SIDE	$11,190.67	$18,651.12	$3,134.07–$3,165.42	8% below	40%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving\|RIGHT SIDE	$11,903.49	$19,839.15	$3,134.07–$3,165.42	2% below	40%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm	$48,653.77	$81,089.62	$343.34	at median	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy	$19,852.55	$33,087.58	$5,790.69–$5,848.59	6% above	40%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm/<	$31,113.84	$51,856.40	$10,181.75–$10,283.57	at median	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$28,745.43	$47,909.05	$10,181.75	27% below	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$23,597.72	$39,329.53	$5,790.69–$5,848.59	6% below	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia\|LEFT SIDE	$22,442.00	$37,403.33	$5,790.69–$5,848.59	11% below	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia\|RIGHT SIDE	$23,833.35	$39,722.25	$5,790.69–$5,848.59	5% below	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia\|RIGHT SIDE	$22,487.63	$37,479.38	$5,790.69–$5,848.59	5% below	40%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Laps Gastric Restrictive Px Remove Device & Port	$22,021.10	$36,701.83	$3,692.95–$3,729.88	2% above	40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures	$22,679.75	$37,799.58	$5,790.69–$5,848.59	37% above	40%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 Laparoscopy W/Rmvl Adnexal Structures\|RIGHT SIDE	$20,860.28	$34,767.13	$5,790.69–$5,848.59	26% above	40%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 Laparoscopy W/Rmvl Adnexal Structures\|LEFT SIDE	$23,019.03	$38,365.05	$5,790.69–$5,848.59	39% above	40%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy	$47,557.23	$79,262.05	$44.85	at median	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Lyr Clos Sc Tk Ext <2.5 Cm	$733.20	$1,222.00	—	39% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Lyr Clos Sc Tk Ext <2.5 Cm	$733.20	$1,222.00	—	—	40%
Lumpectomy (partial mastectomy) one side CPT 19301 Mastectomy Partial\|RIGHT SIDE	$20,078.29	$33,463.82	$3,750.39–$3,787.89	7% above	40%
Lumpectomy (partial mastectomy) one side CPT 19301 Mastectomy Partial\|LEFT SIDE	$21,320.19	$35,533.65	$3,750.39–$3,787.89	14% above	40%
Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete	$77,934.88	$129,891.47	$13,200.04–$13,332.04	188% above	40%
Mastectomy (total removal of the breast) one side CPT 19303 Mastectomy Simple Complete\|RIGHT SIDE	$29,128.58	$48,547.63	$6,360.26–$6,423.86	8% above	40%
Mastectomy (total removal of the breast) one side CPT 19303 Mastectomy Simple Complete\|LEFT SIDE	$47,161.93	$78,603.22	$13,200.04–$13,332.04	74% above	40%
Miscarriage treatment with D&C, first trimester CPT 59820 HC Tx Missed Abortion First Trimester Surgical	$6,753.00	$11,255.00	—	50% above	40%
Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion First Trimester Surgical	$10,116.77	$16,861.28	$3,100.67–$3,131.68	125% above	40%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC Tx Missed Abortion First Trimester Surgical	$6,753.00	$11,255.00	—	—	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Tr-Ext B9+Marg 0.5 Cm<	$801.60	$1,336.00	—	6% below	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Exc Tr-Ext B9+Marg 0.5 Cm<	$801.60	$1,336.00	—	—	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Face-Mm B9+Marg 0.5 Cm/<	$801.60	$1,336.00	—	35% below	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC Exc Face-Mm B9+Marg 0.5 Cm/<	$801.60	$1,336.00	—	—	40%
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion of Nail Plate	$218.40	$364.00	—	10% below	40%
Nail removal (partial or complete), one nail CPT 11730 HC ED Avulsion Nail Plate Single	$448.80	$748.00	—	86% above	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion of Nail Plate	$218.40	$364.00	—	—	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED Avulsion Nail Plate Single	$448.80	$748.00	—	—	40%
Occipital nerve block (injection for headaches) CPT 64405 HC Inj Aa&/Strd Greater Occipital Nerve	$768.60	$1,281.00	—	5% above	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Inj Aa&/Strd Greater Occipital Nerve	$768.60	$1,281.00	—	—	40%
Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance	$1,933.20	$3,222.00	—	30% above	40%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance	$1,933.20	$3,222.00	—	—	40%
Partial knee replacement (one compartment) one side CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt\|RIGHT SIDE	$51,561.55	$85,935.92	$12,297.49–$12,420.46	13% above	40%
Partial knee replacement (one compartment) one side CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt\|LEFT SIDE	$54,961.01	$91,601.68	$12,297.49	20% above	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excis Nail Matrix Perm Rmvl	$1,008.00	$1,680.00	—	48% above	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excis Nail Matrix Perm Rmvl	$1,008.00	$1,680.00	—	—	40%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$36,537.85	$60,896.42	$6,950.34–$7,019.84	222% above	40%
Removal of a breast lump, open surgery one side CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion\|RIGHT SIDE	$10,511.94	$17,519.90	$3,750.39–$3,787.89	7% below	40%
Removal of a breast lump, open surgery one side CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion\|LEFT SIDE	$10,640.12	$17,733.53	$3,750.39–$3,787.89	6% below	40%
Removal of a foreign object under the skin, simple CPT 10120 HC Removal FB Skin	$751.20	$1,252.00	—	32% above	40%
Removal of a foreign object under the skin, simple CPT 10120 HC Removal FB Skin	$9,821.44	$16,369.07	$389.38–$393.27	1630% above	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Removal FB Skin	$751.20	$1,252.00	—	—	40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Ca Scrn Not Hi Rsk Ind	$7,892.71	$13,154.52	$890.76–$899.66	37% above	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Scrn; Hi Risk Ind	$7,878.66	$13,131.10	$890.76–$899.66	37% above	40%
Short arm cast (elbow to hand) CPT 29075 HC Cast - Short Arm	$248.40	$414.00	—	44% below	40%
Short arm cast (elbow to hand) inpatient CPT 29075 HC Cast - Short Arm	$248.40	$414.00	—	—	40%
Short arm splint (forearm and hand) CPT 29125 HC Splint App Short Arm Stat	$187.20	$312.00	—	30% below	40%
Short arm splint (forearm and hand) CPT 29125 HC Splint - Short Arm	$187.20	$312.00	—	30% below	40%
Short arm splint (forearm and hand) inpatient CPT 29125 HC Splint - Short Arm	$187.20	$312.00	—	—	40%
Short arm splint (forearm and hand) inpatient CPT 29125 HC Splint App Short Arm Stat	$187.20	$312.00	—	—	40%
Short leg cast (below the knee) CPT 29405 HC Cast Short Leg	$248.40	$414.00	—	41% below	40%
Short leg cast (below the knee) inpatient CPT 29405 HC Cast Short Leg	$248.40	$414.00	—	—	40%
Short leg splint (calf to foot) CPT 29515 HC Splint App/Short Leg	$187.20	$312.00	—	32% below	40%
Short leg splint (calf to foot) inpatient CPT 29515 HC Splint App/Short Leg	$187.20	$312.00	—	—	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc\|RIGHT SIDE	$21,021.83	$35,036.38	$6,950.34–$7,019.84	7% below	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc\|LEFT SIDE	$22,532.72	$37,554.53	$6,950.34–$7,019.84	at median	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls\|LEFT SIDE	$17,936.62	$29,894.37	$6,950.34–$7,019.84	34% below	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls\|RIGHT SIDE	$19,538.54	$32,564.23	$6,950.34–$7,019.84	28% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Rep Lac Smp Not Face <2.5cm	$570.60	$951.00	—	77% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Rep Lac Smp Not Face <2.5cm	$853.80	$1,423.00	—	165% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Rep Lac Smp Not Face <2.5cm	$570.60	$951.00	—	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Rep Lac Smp Not Face <2.5cm	$853.80	$1,423.00	—	—	40%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion	$334.20	$557.00	—	44% below	40%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion	$334.20	$557.00	—	44% below	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Skin Single Lesion	$334.20	$557.00	—	—	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Skin Single Lesion	$334.20	$557.00	—	—	40%
Skin tag removal, up to 15 tags CPT 11200 HC Excision Up to 15 Skin Tags	$194.40	$324.00	—	31% below	40%
Skin tag removal, up to 15 tags CPT 11200 HC Excision Up to 15 Skin Tags	$11,886.97	$19,811.62	$3,100.67–$3,131.68	4128% above	40%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC Excision Up to 15 Skin Tags	$194.40	$324.00	—	—	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture Lumbar Diagnos	$914.40	$1,524.00	—	10% below	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture Lumbar Diagnos	$914.40	$1,524.00	—	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Repr Smp Not Face 2.6-7.5cm	$570.60	$951.00	—	40% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Rpr Lac Smp Scalp 2.6-7.5	$853.80	$1,423.00	—	109% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Repr Smp Not Face 2.6-7.5cm	$570.60	$951.00	—	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Rpr Lac Smp Scalp 2.6-7.5	$853.80	$1,423.00	—	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Simple Rep Wnd Face <2.5 Cm	$570.60	$951.00	—	82% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Simple Rep Wnd Face <2.5 Cm	$570.60	$951.00	—	—	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion	$318.00	$530.00	—	15% above	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Biopsy Skin Single Lesion	$318.00	$530.00	—	—	40%
Thoracentesis with imaging guidance CPT 32555 HC Sp Thora for Aspiration	$1,404.00	$2,340.00	—	at median	40%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Sp Thora for Aspiration	$1,404.00	$2,340.00	—	—	40%
Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12	$9,722.22	$16,203.70	$5,670.29–$5,726.99	55% above	40%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy Primary/Secondary Age 12/>	$10,518.88	$17,531.47	$3,175.70–$3,207.46	1% above	40%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy Primary/Secondary <Age 12	$13,399.31	$22,332.18	$5,670.29–$5,726.99	150% above	40%
Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$46,863.02	$78,105.03	$12,297.49–$12,420.46	33% above	40%
Total hip replacement one side CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft\|LEFT SIDE	$54,270.65	$90,451.08	$12,297.49–$12,420.46	53% above	40%
Total hip replacement one side CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft\|RIGHT SIDE	$54,599.40	$90,999.00	$12,297.49	54% above	40%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$44,641.04	$74,401.73	$12,297.49–$12,420.46	32% above	40%
Total knee replacement one side CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments\|LEFT SIDE	$56,267.98	$93,779.97	$12,297.49–$12,420.46	66% above	40%
Total knee replacement one side CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments\|RIGHT SIDE	$56,983.52	$94,972.53	$12,297.49–$12,420.46	68% above	40%
Total shoulder replacement one side CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder\|RIGHT SIDE	$79,893.25	$133,155.42	$16,794.71–$16,962.65	49% above	40%
Total shoulder replacement one side CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder\|LEFT SIDE	$80,860.12	$134,766.87	$16,794.71	51% above	40%
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete	$32,749.95	$54,583.25	$5,790.69–$5,848.59	13% above	40%
Trigger finger release surgery CPT 26055 HC Incise Finger Tendon Sheath	$952.20	$1,587.00	—	at median	40%
Trigger finger release surgery inpatient CPT 26055 HC Incise Finger Tendon Sheath	$952.20	$1,587.00	—	—	40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj Trigger Points 1-2 Musc	$529.80	$883.00	—	21% above	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inj Trigger Points 1-2 Musc	$529.80	$883.00	—	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast 1st Lesion US Img	$5,767.20	$9,612.00	—	120% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast 1st Lesion US Img	$5,767.20	$9,612.00	—	—	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$9,403.37	$15,672.28	$1,838.02–$1,856.40	85% above	40%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple	$11,521.72	$19,202.87	$868.75–$877.44	321% above	40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Submucosal Injection	$21,584.20	$35,973.67	$868.75–$877.44	684% above	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$13,962.12	$23,270.20	$1,838.02–$1,856.40	259% above	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$7,821.90	$13,036.50	$868.75–$877.44	64% above	40%
Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diagnostic Brush Wash	$5,995.00	$9,991.67	$868.75–$877.44	207% above	40%
Wart removal, up to 14 warts CPT 17110 HC Destruct B9 Lesion 1-14	$462.60	$771.00	—	18% above	40%
Wart removal, up to 14 warts inpatient CPT 17110 HC Destruct B9 Lesion 1-14	$462.60	$771.00	—	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Subq First 20 Sq Cm	$1,478.40	$2,464.00	—	86% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Subq First 20 Sq Cm	$1,478.40	$2,464.00	$389.38–$393.27	86% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Skin and Subcu	$4,066.20	$6,777.00	—	412% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 HC Debride Subq First 20 Sq Cm\|RIGHT SIDE	$1,478.40	$2,464.00	—	86% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 HC Debride Subq First 20 Sq Cm\|LEFT SIDE	$1,478.40	$2,464.00	$393.27	86% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Subq First 20 Sq Cm	$1,478.40	$2,464.00	—	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Skin and Subcu	$4,066.20	$6,777.00	—	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Administration	$2,037.60	$3,396.00	—	99% above	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Administration	$2,037.60	$3,396.00	—	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Sputum Induction	$126.00	$210.00	—	19% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Sputum Induction	$126.00	$210.00	—	—	40%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemo Infusion 1st Hour Chemo	$1,008.00	$1,680.00	—	31% above	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo Infusion 1st Hour Chemo	$1,008.00	$1,680.00	—	—	40%
Critical care, first 30 to 74 minutes CPT 99291 HC E/M Crit Care,ER, 1st 30-74min	$1,576.20	$2,627.00	—	44% below	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC E/M Crit Care,ER, 1st 30-74min	$1,576.20	$2,627.00	—	—	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake & Drowsy	$753.60	$1,256.00	—	at median	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Awake & Drowsy	$753.60	$1,256.00	—	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC >= 12 Lead Ekg	$235.80	$393.00	—	8% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC >= 12 Lead Ekg	$235.80	$393.00	—	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC OB ER Level 1	$194.40	$324.00	—	35% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER Level 1	$251.40	$419.00	—	16% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC OB ER Level 1	$194.40	$324.00	—	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER Level 1	$251.40	$419.00	—	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER Level 2	$398.40	$664.00	—	24% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC OB ER Level 2	$417.60	$696.00	—	20% below	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER Level 2	$398.40	$664.00	—	—	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC OB ER Level 2	$417.60	$696.00	—	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Level 3	$910.20	$1,517.00	—	3% above	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC OB ER Level 3	$961.20	$1,602.00	—	9% above	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER Level 3	$910.20	$1,517.00	—	—	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC OB ER Level 3	$961.20	$1,602.00	—	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Level 4	$1,043.40	$1,739.00	—	30% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC OB ER Level 4	$1,219.80	$2,033.00	—	18% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER Level 4	$1,043.40	$1,739.00	—	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC OB ER Level 4	$1,219.80	$2,033.00	—	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Level 5	$1,513.80	$2,523.00	—	31% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC OB ER Level 5	$2,124.00	$3,540.00	—	3% below	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER Level 5	$1,513.80	$2,523.00	—	—	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC OB ER Level 5	$2,124.00	$3,540.00	—	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Inf 1st Hour Hyd	$320.40	$534.00	—	26% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Inf 1st Hour Hyd	$320.40	$534.00	—	—	40%
IV infusion of a medicine, first hour CPT 96365 HC IV 1st Hour Init Drug	$435.00	$725.00	—	12% below	40%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV 1st Hour Init Drug	$435.00	$725.00	—	—	40%
IV push of a medicine, first drug CPT 96374 HC IV Push Initial Drug	$234.60	$391.00	—	1% above	40%
IV push of a medicine, first drug inpatient CPT 96374 HC IV Push Initial Drug	$234.60	$391.00	—	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Im Sub Q	$136.20	$227.00	—	5% above	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Im Sub Q	$136.20	$227.00	—	—	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Re-Education, Ot	$94.80	$158.00	—	5% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuro Facilitation Ea 15 Min	$104.40	$174.00	—	5% above	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Neuromuscular Re-Education, Ot	$94.80	$158.00	—	—	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuro Facilitation Ea 15 Min	$104.40	$174.00	—	—	40%
New patient office visit, about 30 minutes CPT 99203 HC New Pt, Outpt Visit Level 3	$305.40	$509.00	—	46% above	40%
New patient office visit, about 30 minutes inpatient CPT 99203 HC New Pt, Outpt Visit Level 3	$305.40	$509.00	—	—	40%
New patient office visit, about 45 minutes CPT 99204 HC New Pt, Outpt Visit Level 4	$345.60	$576.00	—	54% above	40%
New patient office visit, about 45 minutes inpatient CPT 99204 HC New Pt, Outpt Visit Level 4	$345.60	$576.00	—	—	40%
New patient office visit, about 60 minutes CPT 99205 HC New Pt, Outpt Visit Level 5	$442.80	$738.00	—	39% above	40%
New patient office visit, about 60 minutes inpatient CPT 99205 HC New Pt, Outpt Visit Level 5	$442.80	$738.00	—	—	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC New Pt, Outpt Visit Level 2	$234.00	$390.00	—	22% above	40%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC New Pt, Outpt Visit Level 2	$234.00	$390.00	—	—	40%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complex	$219.00	$365.00	—	17% above	40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Low Complex	$219.00	$365.00	—	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complex	$294.00	$490.00	—	18% above	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval High Complex	$294.00	$490.00	—	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complex	$219.60	$366.00	—	14% above	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Low Complex	$219.60	$366.00	—	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Mod Complex	$307.20	$512.00	—	42% above	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Mod Complex	$307.20	$512.00	—	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy per 15 Min.	$96.00	$160.00	—	24% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therapy Ea 15	$142.20	$237.00	—	13% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therapy per 15 Min.	$96.00	$160.00	—	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therapy Ea 15	$142.20	$237.00	—	—	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Ther Ex per 15 Min	$111.00	$185.00	—	at median	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min	$118.80	$198.00	—	7% above	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Ther Ex per 15 Min	$111.00	$185.00	—	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min	$118.80	$198.00	—	—	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoke/Tobac Counsel 3-10	$71.40	$119.00	—	36% above	40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Smoke/Tobac Counsel 3-10	$71.40	$119.00	—	—	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Est Pt, Outpt Visit Level 5	$402.60	$671.00	—	49% above	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Est Pt, Outpt Visit Level 5	$402.60	$671.00	—	—	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Est Pt, Outpt Visit Level 3	$256.20	$427.00	—	136% above	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Est Pt, Outpt Visit Level 3	$256.20	$427.00	—	—	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Est Pt, Outpt Visit Level 4	$307.20	$512.00	—	51% above	40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Est Pt, Outpt Visit Level 4	$307.20	$512.00	—	—	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Est Pt, Outpt Visit Level 2	$215.40	$359.00	—	59% above	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Est Pt, Outpt Visit Level 2	$215.40	$359.00	—	—	40%
Speech and language evaluation CPT 92523 HC Eval Speech Sound Lang Comprhension	$255.60	$426.00	—	19% below	40%
Speech and language evaluation inpatient CPT 92523 HC Eval Speech Sound Lang Comprhension	$255.60	$426.00	—	—	40%
Speech therapy session, individual CPT 92507 HC Speech/Language Therapy	$253.20	$422.00	—	4% above	40%
Speech therapy session, individual inpatient CPT 92507 HC Speech/Language Therapy	$253.20	$422.00	—	—	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activities 15 Min	$110.40	$184.00	—	10% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeutic Activities 15 Min	$133.80	$223.00	—	34% above	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Activities 15 Min	$110.40	$184.00	—	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeutic Activities 15 Min	$133.80	$223.00	—	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$922.15	$1,536.92	—	215% above	40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$922.15	$1,536.92	—	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$142.04	$236.73	—	64% above	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$142.04	$236.73	—	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$118.09	$196.81	—	89% above	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$118.09	$196.81	—	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$64.35	$107.25	—	26% above	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$64.35	$107.25	—	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$470.35	$783.92	—	224% above	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$470.35	$783.92	—	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR	$800.39	$1,333.99	—	267% above	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR	$800.39	$1,333.99	—	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$1,138.21	$1,897.01	—	37% above	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$1,138.21	$1,897.01	—	—	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$1,034.44	$1,724.07	—	258% above	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$1,034.44	$1,724.07	—	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$202.78	$337.97	—	139% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$202.78	$337.97	—	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$233.98	$389.97	—	97% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$233.98	$389.97	—	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Administration	$94.80	$158.00	—	72% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immunization Administration	$94.80	$158.00	—	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Subsequent Immun Admin	$40.80	$68.00	—	3% below	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Subsequent Immun Admin	$40.80	$68.00	—	—	40%

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

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

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

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

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

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

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

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

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

Source file: https://www.bonsecours.com/-/media/bon-secours/patients-and-visitors/corporate/pricing/582504530-1467496802_st-francis-hospital-inc_standardcharges.ashx