# Hospital prices in GA

426 procedures with a price published by GA hospitals, from the machine-readable files required under 45 CFR 180.50 (CMS Hospital Price Transparency Rule). Grouped by specialty.

Source page: https://clearcharge.org/price/ga

Each linked page lists every hospital's own figure for that code. Add `.md` to any of these URLs, or send `Accept: text/markdown`, for this format.

Hospital charges only -- the surgeon, anaesthetist and radiologist bill separately and appear in no hospital price file. A negotiated rate is not what a patient owes.

## Maternity & Childbirth

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Prenatal ultrasound | 76805 | 104 | $110 | $196 | $450 | https://clearcharge.org/price/ga/prenatal-ultrasound |
| Fetal non-stress test | 59025 | 89 | $127 | $370 | $1,365 | https://clearcharge.org/price/ga/fetal-non-stress-test |
| C-section delivery, with prenatal and postpartum care | 59510 | 46 | $2,588 | $4,384 | $5,671 | https://clearcharge.org/price/ga/c-section-delivery-with-prenatal-and-postpartum-care |
| Vaginal delivery after a previous caesarean | 59610 | 46 | $2,465 | $4,384 | $5,671 | https://clearcharge.org/price/ga/vaginal-delivery-after-a-previous-caesarean |
| Vaginal delivery, with prenatal and postpartum care | 59400 | 45 | $2,365 | $4,384 | $5,843 | https://clearcharge.org/price/ga/vaginal-delivery-with-prenatal-and-postpartum-care |

## Imaging & Radiology

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| CT scan, head, without contrast | 70450 | 116 | $107 | $392 | $1,342 | https://clearcharge.org/price/ga/ct-scan-head-without-contrast |
| X-ray, chest, 2 views | 71046 | 115 | $51 | $93 | $317 | https://clearcharge.org/price/ga/x-ray-chest-2-views |
| CT scan, head, with and without contrast | 70470 | 115 | $166 | $521 | $1,509 | https://clearcharge.org/price/ga/ct-scan-head-with-and-without-contrast |
| X-ray, chest, 1 view | 71045 | 115 | $38 | $87 | $216 | https://clearcharge.org/price/ga/x-ray-chest-1-view |
| X-ray, neck spine, 2-3 views | 72040 | 115 | $63 | $106 | $408 | https://clearcharge.org/price/ga/x-ray-neck-spine-2-3-views |
| X-ray, lower back spine, 4 or more views | 72110 | 115 | $85 | $143 | $491 | https://clearcharge.org/price/ga/x-ray-lower-back-spine-4-or-more-views |
| X-ray, pelvis | 72170 | 115 | $43 | $107 | $306 | https://clearcharge.org/price/ga/x-ray-pelvis |
| X-ray, tailbone | 72220 | 115 | $48 | $98 | $313 | https://clearcharge.org/price/ga/x-ray-tailbone |
| X-ray, abdomen, 1 view | 74018 | 115 | $47 | $93 | $299 | https://clearcharge.org/price/ga/x-ray-abdomen-1-view |
| Ultrasound, abdomen, complete | 76700 | 115 | $107 | $205 | $670 | https://clearcharge.org/price/ga/ultrasound-abdomen-complete |
| Ultrasound, abdomen, limited | 76705 | 115 | $104 | $170 | $511 | https://clearcharge.org/price/ga/ultrasound-abdomen-limited |
| Pelvic ultrasound, complete | 76856 | 115 | $104 | $198 | $525 | https://clearcharge.org/price/ga/pelvic-ultrasound-complete |
| CT scan, abdomen and pelvis, without contrast | 74176 | 114 | $231 | $533 | $1,941 | https://clearcharge.org/price/ga/ct-scan-abdomen-and-pelvis-without-contrast |
| X-ray, nasal bones | 70160 | 114 | $49 | $107 | $322 | https://clearcharge.org/price/ga/x-ray-nasal-bones |
| CT scan, eye socket and inner ear, without contrast | 70480 | 114 | $108 | $388 | $1,342 | https://clearcharge.org/price/ga/ct-scan-eye-socket-and-inner-ear-without-contrast |
| CT scan, face and jaw, without contrast | 70486 | 114 | $108 | $327 | $1,342 | https://clearcharge.org/price/ga/ct-scan-face-and-jaw-without-contrast |
| CT scan, soft tissues of the neck, without contrast | 70490 | 114 | $107 | $326 | $1,342 | https://clearcharge.org/price/ga/ct-scan-soft-tissues-of-the-neck-without-contrast |
| CT scan, chest, without contrast | 71250 | 114 | $107 | $317 | $1,342 | https://clearcharge.org/price/ga/ct-scan-chest-without-contrast |
| CT scan, chest, with contrast | 71260 | 114 | $178 | $472 | $1,707 | https://clearcharge.org/price/ga/ct-scan-chest-with-contrast |
| X-ray, neck spine, 4-5 views | 72050 | 114 | $89 | $138 | $552 | https://clearcharge.org/price/ga/x-ray-neck-spine-4-5-views |
| X-ray, lower back spine, 2-3 views | 72100 | 114 | $64 | $122 | $388 | https://clearcharge.org/price/ga/x-ray-lower-back-spine-2-3-views |
| CT scan, neck spine, without contrast | 72125 | 114 | $107 | $450 | $1,401 | https://clearcharge.org/price/ga/ct-scan-neck-spine-without-contrast |
| X-ray, upper arm bone | 73060 | 114 | $53 | $101 | $345 | https://clearcharge.org/price/ga/x-ray-upper-arm-bone |
| X-ray, elbow, 2 views | 73070 | 114 | $46 | $95 | $314 | https://clearcharge.org/price/ga/x-ray-elbow-2-views |
| CT scan, abdomen, without contrast | 74150 | 114 | $108 | $331 | $1,342 | https://clearcharge.org/price/ga/ct-scan-abdomen-without-contrast |
| CT scan, abdomen, with and without contrast | 74170 | 114 | $181 | $521 | $1,743 | https://clearcharge.org/price/ga/ct-scan-abdomen-with-and-without-contrast |
| CT scan, abdomen and pelvis, with contrast | 74177 | 114 | $335 | $800 | $2,162 | https://clearcharge.org/price/ga/ct-scan-abdomen-and-pelvis-with-contrast |
| CT scan, abdomen and pelvis, with and without contrast | 74178 | 114 | $337 | $853 | $2,361 | https://clearcharge.org/price/ga/ct-scan-abdomen-and-pelvis-with-and-without-contrast |
| Ultrasound, soft tissues of the head and neck | 76536 | 114 | $108 | $215 | $583 | https://clearcharge.org/price/ga/ultrasound-soft-tissues-of-the-head-and-neck |
| Ultrasound, scrotum | 76870 | 114 | $104 | $187 | $604 | https://clearcharge.org/price/ga/ultrasound-scrotum |
| Bone age X-ray | 77072 | 114 | $37 | $101 | $267 | https://clearcharge.org/price/ga/bone-age-x-ray |
| X-ray, facial bones | 70150 | 113 | $76 | $128 | $390 | https://clearcharge.org/price/ga/x-ray-facial-bones |
| X-ray, sinuses | 70220 | 113 | $60 | $110 | $397 | https://clearcharge.org/price/ga/x-ray-sinuses |
| X-ray, skull, limited | 70250 | 113 | $57 | $114 | $326 | https://clearcharge.org/price/ga/x-ray-skull-limited |
| X-ray, soft tissues of the neck | 70360 | 113 | $49 | $93 | $231 | https://clearcharge.org/price/ga/x-ray-soft-tissues-of-the-neck |
| CT scan, soft tissues of the neck, with contrast | 70491 | 113 | $177 | $450 | $1,512 | https://clearcharge.org/price/ga/ct-scan-soft-tissues-of-the-neck-with-contrast |
| X-ray, ribs both sides, with chest | 71111 | 113 | $76 | $139 | $454 | https://clearcharge.org/price/ga/x-ray-ribs-both-sides-with-chest |
| CT scan, chest, with and without contrast | 71270 | 113 | $179 | $465 | $1,527 | https://clearcharge.org/price/ga/ct-scan-chest-with-and-without-contrast |
| CT angiogram, chest | 71275 | 113 | $183 | $519 | $1,885 | https://clearcharge.org/price/ga/ct-angiogram-chest |
| CT scan, mid-back spine, without contrast | 72128 | 113 | $107 | $407 | $1,561 | https://clearcharge.org/price/ga/ct-scan-mid-back-spine-without-contrast |
| CT scan, lower back spine, without contrast | 72131 | 113 | $108 | $410 | $1,470 | https://clearcharge.org/price/ga/ct-scan-lower-back-spine-without-contrast |
| CT scan, pelvis, without contrast | 72192 | 113 | $107 | $304 | $1,342 | https://clearcharge.org/price/ga/ct-scan-pelvis-without-contrast |
| CT scan, pelvis, with contrast | 72193 | 113 | $180 | $465 | $1,457 | https://clearcharge.org/price/ga/ct-scan-pelvis-with-contrast |
| X-ray, collarbone | 73000 | 113 | $53 | $100 | $295 | https://clearcharge.org/price/ga/x-ray-collarbone |
| X-ray, shoulder, 2 or more views | 73030 | 113 | $59 | $104 | $406 | https://clearcharge.org/price/ga/x-ray-shoulder-2-or-more-views |
| X-ray, forearm | 73090 | 113 | $47 | $94 | $340 | https://clearcharge.org/price/ga/x-ray-forearm |
| X-ray, hand, 3 or more views | 73130 | 113 | $63 | $107 | $385 | https://clearcharge.org/price/ga/x-ray-hand-3-or-more-views |
| CT scan, arm, without contrast | 73200 | 113 | $110 | $319 | $1,331 | https://clearcharge.org/price/ga/ct-scan-arm-without-contrast |
| X-ray, knee, 1-2 views | 73560 | 113 | $57 | $99 | $288 | https://clearcharge.org/price/ga/x-ray-knee-1-2-views |
| X-ray, lower leg | 73590 | 113 | $52 | $99 | $333 | https://clearcharge.org/price/ga/x-ray-lower-leg |
| X-ray, ankle, 3 or more views | 73610 | 113 | $61 | $107 | $359 | https://clearcharge.org/price/ga/x-ray-ankle-3-or-more-views |
| X-ray, foot, 3 or more views | 73630 | 113 | $57 | $107 | $352 | https://clearcharge.org/price/ga/x-ray-foot-3-or-more-views |
| CT scan, leg, without contrast | 73700 | 113 | $108 | $328 | $1,328 | https://clearcharge.org/price/ga/ct-scan-leg-without-contrast |
| CT scan, abdomen, with contrast | 74160 | 113 | $180 | $458 | $1,515 | https://clearcharge.org/price/ga/ct-scan-abdomen-with-contrast |
| Ultrasound, kidneys and back of the abdomen, complete | 76770 | 113 | $106 | $187 | $520 | https://clearcharge.org/price/ga/ultrasound-kidneys-and-back-of-the-abdomen-complete |
| CT scan, face and jaw, with contrast | 70487 | 112 | $174 | $450 | $1,342 | https://clearcharge.org/price/ga/ct-scan-face-and-jaw-with-contrast |
| X-ray, wrist, 2 views | 73100 | 112 | $54 | $100 | $287 | https://clearcharge.org/price/ga/x-ray-wrist-2-views |
| X-ray, wrist, 3 or more views | 73110 | 112 | $72 | $118 | $339 | https://clearcharge.org/price/ga/x-ray-wrist-3-or-more-views |
| X-ray, finger | 73140 | 112 | $69 | $106 | $288 | https://clearcharge.org/price/ga/x-ray-finger |
| X-ray, thigh bone, 2 or more views | 73552 | 112 | $59 | $99 | $278 | https://clearcharge.org/price/ga/x-ray-thigh-bone-2-or-more-views |
| X-ray, foot, 2 views | 73620 | 112 | $46 | $93 | $288 | https://clearcharge.org/price/ga/x-ray-foot-2-views |
| X-ray, heel | 73650 | 112 | $46 | $95 | $270 | https://clearcharge.org/price/ga/x-ray-heel |
| CT scan, head, with contrast | 70460 | 111 | $166 | $410 | $1,342 | https://clearcharge.org/price/ga/ct-scan-head-with-contrast |
| CT scan, eye socket and inner ear, with contrast | 70481 | 111 | $177 | $458 | $1,519 | https://clearcharge.org/price/ga/ct-scan-eye-socket-and-inner-ear-with-contrast |
| CT angiogram, head | 70496 | 111 | $184 | $519 | $1,652 | https://clearcharge.org/price/ga/ct-angiogram-head |
| X-ray, ribs one side, with chest | 71101 | 111 | $64 | $118 | $392 | https://clearcharge.org/price/ga/x-ray-ribs-one-side-with-chest |
| X-ray, elbow, 3 or more views | 73080 | 111 | $53 | $103 | $357 | https://clearcharge.org/price/ga/x-ray-elbow-3-or-more-views |
| CT scan, arm, with contrast | 73201 | 111 | $335 | $496 | $1,429 | https://clearcharge.org/price/ga/ct-scan-arm-with-contrast |
| X-ray, toe | 73660 | 111 | $50 | $94 | $227 | https://clearcharge.org/price/ga/x-ray-toe |
| Transvaginal ultrasound | 76830 | 111 | $107 | $197 | $547 | https://clearcharge.org/price/ga/transvaginal-ultrasound |
| Whole-body bone survey X-ray | 77075 | 111 | $104 | $187 | $620 | https://clearcharge.org/price/ga/whole-body-bone-survey-x-ray |
| MRI, brain, without contrast | 70551 | 110 | $240 | $654 | $1,831 | https://clearcharge.org/price/ga/mri-brain-without-contrast |
| MRI, brain, with and without contrast | 70553 | 110 | $358 | $955 | $2,289 | https://clearcharge.org/price/ga/mri-brain-with-and-without-contrast |
| CT angiogram, neck | 70498 | 110 | $183 | $457 | $1,653 | https://clearcharge.org/price/ga/ct-angiogram-neck |
| X-ray, ankle, 2 views | 73600 | 110 | $53 | $100 | $262 | https://clearcharge.org/price/ga/x-ray-ankle-2-views |
| X-ray, abdomen, 2 views | 74019 | 110 | $56 | $112 | $311 | https://clearcharge.org/price/ga/x-ray-abdomen-2-views |
| CT angiogram, abdomen and pelvis | 74174 | 110 | $346 | $679 | $1,941 | https://clearcharge.org/price/ga/ct-angiogram-abdomen-and-pelvis |
| Ultrasound, chest | 76604 | 110 | $95 | $181 | $340 | https://clearcharge.org/price/ga/ultrasound-chest |
| Pregnancy ultrasound, transvaginal | 76817 | 110 | $100 | $152 | $365 | https://clearcharge.org/price/ga/pregnancy-ultrasound-transvaginal |
| Ultrasound, joint or limb, limited | 76882 | 110 | $93 | $142 | $440 | https://clearcharge.org/price/ga/ultrasound-joint-or-limb-limited |
| MRI, lower spine, without contrast | 72148 | 109 | $238 | $678 | $1,869 | https://clearcharge.org/price/ga/mri-lower-spine-without-contrast |
| MR angiogram, head, without contrast | 70544 | 109 | $245 | $621 | $2,260 | https://clearcharge.org/price/ga/mr-angiogram-head-without-contrast |
| X-ray, mid-back spine, 3 views | 72072 | 109 | $63 | $118 | $431 | https://clearcharge.org/price/ga/x-ray-mid-back-spine-3-views |
| MRI, neck spine, without contrast | 72141 | 109 | $238 | $605 | $1,846 | https://clearcharge.org/price/ga/mri-neck-spine-without-contrast |
| MRI, mid-back spine, without contrast | 72146 | 109 | $243 | $654 | $1,961 | https://clearcharge.org/price/ga/mri-mid-back-spine-without-contrast |
| MRI, neck spine, with and without contrast | 72156 | 109 | $358 | $905 | $2,255 | https://clearcharge.org/price/ga/mri-neck-spine-with-and-without-contrast |
| MRI, lower back spine, with and without contrast | 72158 | 109 | $354 | $906 | $2,255 | https://clearcharge.org/price/ga/mri-lower-back-spine-with-and-without-contrast |
| X-ray, hand, 2 views | 73120 | 109 | $52 | $109 | $310 | https://clearcharge.org/price/ga/x-ray-hand-2-views |
| MRI, joint of the arm, without contrast | 73221 | 109 | $245 | $655 | $1,920 | https://clearcharge.org/price/ga/mri-joint-of-the-arm-without-contrast |
| X-ray, hip, one side, 2-3 views | 73502 | 109 | $78 | $118 | $318 | https://clearcharge.org/price/ga/x-ray-hip-one-side-2-3-views |
| X-ray, knee, 3 views | 73562 | 109 | $69 | $112 | $381 | https://clearcharge.org/price/ga/x-ray-knee-3-views |
| CT scan, leg, with contrast | 73701 | 109 | $177 | $429 | $1,342 | https://clearcharge.org/price/ga/ct-scan-leg-with-contrast |
| Pregnancy ultrasound, limited | 76815 | 109 | $100 | $138 | $345 | https://clearcharge.org/price/ga/pregnancy-ultrasound-limited |
| MRI, knee, without contrast | 73721 | 108 | $245 | $640 | $1,863 | https://clearcharge.org/price/ga/mri-knee-without-contrast |
| MRI, pelvis, without contrast | 72195 | 108 | $242 | $610 | $1,839 | https://clearcharge.org/price/ga/mri-pelvis-without-contrast |
| MRI, pelvis, with and without contrast | 72197 | 108 | $358 | $901 | $2,256 | https://clearcharge.org/price/ga/mri-pelvis-with-and-without-contrast |
| MRI, arm, without contrast | 73218 | 108 | $269 | $687 | $1,833 | https://clearcharge.org/price/ga/mri-arm-without-contrast |
| X-ray, knee, 4 or more views | 73564 | 108 | $79 | $128 | $429 | https://clearcharge.org/price/ga/x-ray-knee-4-or-more-views |
| MRI, leg, without contrast | 73718 | 108 | $245 | $654 | $1,828 | https://clearcharge.org/price/ga/mri-leg-without-contrast |
| MRI, abdomen, without contrast | 74181 | 108 | $242 | $592 | $1,865 | https://clearcharge.org/price/ga/mri-abdomen-without-contrast |
| MRI, abdomen, with and without contrast | 74183 | 108 | $356 | $936 | $2,260 | https://clearcharge.org/price/ga/mri-abdomen-with-and-without-contrast |
| Pregnancy ultrasound, before 14 weeks | 76801 | 108 | $103 | $171 | $410 | https://clearcharge.org/price/ga/pregnancy-ultrasound-before-14-weeks |
| MRI, eye socket, face and neck, with and without contrast | 70543 | 107 | $356 | $877 | $2,256 | https://clearcharge.org/price/ga/mri-eye-socket-face-and-neck-with-and-without-contrast |
| MR angiogram, neck, without contrast | 70547 | 107 | $241 | $582 | $2,260 | https://clearcharge.org/price/ga/mr-angiogram-neck-without-contrast |
| MRI, brain, with contrast | 70552 | 107 | $343 | $782 | $2,246 | https://clearcharge.org/price/ga/mri-brain-with-contrast |
| MRI, mid-back spine, with and without contrast | 72157 | 107 | $356 | $906 | $2,182 | https://clearcharge.org/price/ga/mri-mid-back-spine-with-and-without-contrast |
| X-ray, sacroiliac joints | 72202 | 107 | $62 | $116 | $341 | https://clearcharge.org/price/ga/x-ray-sacroiliac-joints |
| Ultrasound, breast, complete | 76641 | 107 | $105 | $210 | $510 | https://clearcharge.org/price/ga/ultrasound-breast-complete |
| Ultrasound, breast, limited | 76642 | 107 | $86 | $156 | $439 | https://clearcharge.org/price/ga/ultrasound-breast-limited |
| CT scan, chest, low-dose lung cancer screening | 71271 | 106 | $105 | $187 | $577 | https://clearcharge.org/price/ga/ct-scan-chest-low-dose-lung-cancer-screening |
| CT scan, lower back spine, with contrast | 72132 | 106 | $306 | $487 | $1,440 | https://clearcharge.org/price/ga/ct-scan-lower-back-spine-with-contrast |
| Ultrasound, kidneys and back of the abdomen, limited | 76775 | 106 | $100 | $187 | $416 | https://clearcharge.org/price/ga/ultrasound-kidneys-and-back-of-the-abdomen-limited |
| Pelvic ultrasound, limited | 76857 | 106 | $97 | $137 | $307 | https://clearcharge.org/price/ga/pelvic-ultrasound-limited |
| X-ray, spine, single view | 72020 | 105 | $37 | $91 | $258 | https://clearcharge.org/price/ga/x-ray-spine-single-view |
| X-ray, both hips, 2 views | 73521 | 105 | $67 | $114 | $390 | https://clearcharge.org/price/ga/x-ray-both-hips-2-views |
| Diagnostic mammogram, one breast | 77065 | 105 | $79 | $169 | $325 | https://clearcharge.org/price/ga/diagnostic-mammogram-one-breast |
| Diagnostic mammogram, both breasts | 77066 | 105 | $100 | $199 | $423 | https://clearcharge.org/price/ga/diagnostic-mammogram-both-breasts |
| X-ray, shoulder, 1 view | 73020 | 104 | $33 | $92 | $251 | https://clearcharge.org/price/ga/x-ray-shoulder-1-view |
| CT angiogram, leg | 73706 | 104 | $190 | $521 | $1,703 | https://clearcharge.org/price/ga/ct-angiogram-leg |
| Swallowing study, video X-ray | 74230 | 104 | $135 | $222 | $506 | https://clearcharge.org/price/ga/swallowing-study-video-x-ray |
| Mammogram, screening, both breasts | 77067 | 103 | $84 | $147 | $292 | https://clearcharge.org/price/ga/mammogram-screening-both-breasts |
| X-ray, ribs, one side | 71100 | 103 | $57 | $97 | $308 | https://clearcharge.org/price/ga/x-ray-ribs-one-side |
| Small bowel X-ray series | 74250 | 103 | $159 | $254 | $698 | https://clearcharge.org/price/ga/small-bowel-x-ray-series |
| X-ray, mid-back spine, 2 views | 72070 | 102 | $51 | $109 | $325 | https://clearcharge.org/price/ga/x-ray-mid-back-spine-2-views |
| X-ray, hip, one side, 1 view | 73501 | 102 | $52 | $92 | $257 | https://clearcharge.org/price/ga/x-ray-hip-one-side-1-view |
| Bone density scan (DEXA), spine and hip | 77080 | 102 | $64 | $144 | $521 | https://clearcharge.org/price/ga/bone-density-scan-dexa-spine-and-hip |
| MR angiogram, neck, with and without contrast | 70549 | 101 | $348 | $859 | $2,367 | https://clearcharge.org/price/ga/mr-angiogram-neck-with-and-without-contrast |
| X-ray, chest, 3 views | 71047 | 100 | $64 | $104 | $300 | https://clearcharge.org/price/ga/x-ray-chest-3-views |
| MRI, joint of the arm, with contrast | 73222 | 100 | $684 | $932 | $2,260 | https://clearcharge.org/price/ga/mri-joint-of-the-arm-with-contrast |
| Upper GI series with air contrast | 74246 | 99 | $161 | $299 | $785 | https://clearcharge.org/price/ga/upper-gi-series-with-air-contrast |
| X-ray, entire spine, 1 view | 72081 | 98 | $66 | $100 | $283 | https://clearcharge.org/price/ga/x-ray-entire-spine-1-view |
| X-ray, entire spine, 2-3 views | 72082 | 98 | $101 | $163 | $333 | https://clearcharge.org/price/ga/x-ray-entire-spine-2-3-views |
| Upper GI series (barium swallow) | 74240 | 98 | $155 | $281 | $599 | https://clearcharge.org/price/ga/upper-gi-series-barium-swallow |
| X-ray, infant, chest and abdomen | 76010 | 98 | $46 | $89 | $230 | https://clearcharge.org/price/ga/x-ray-infant-chest-and-abdomen |
| Nuclear stress test, heart blood flow | 78452 | 98 | $570 | $1,512 | $3,519 | https://clearcharge.org/price/ga/nuclear-stress-test-heart-blood-flow |
| X-ray, pelvis, 3 or more views | 72190 | 96 | $66 | $120 | $323 | https://clearcharge.org/price/ga/x-ray-pelvis-3-or-more-views |
| X-ray, chest, 4 or more views | 71048 | 94 | $68 | $113 | $305 | https://clearcharge.org/price/ga/x-ray-chest-4-or-more-views |
| X-ray, mid and lower back spine, 2 views | 72080 | 92 | $54 | $100 | $364 | https://clearcharge.org/price/ga/x-ray-mid-and-lower-back-spine-2-views |
| Ultrasound guidance for placing an IV line | 76937 | 92 | $35 | $132 | $614 | https://clearcharge.org/price/ga/ultrasound-guidance-for-placing-an-iv-line |
| Bile duct X-ray during surgery | 74300 | 91 | $32 | $184 | $904 | https://clearcharge.org/price/ga/bile-duct-x-ray-during-surgery |
| X-ray, both hips, 3-4 views | 73522 | 89 | $87 | $136 | $326 | https://clearcharge.org/price/ga/x-ray-both-hips-3-4-views |
| Heart CT calcium score | 75571 | 89 | $82 | $141 | $425 | https://clearcharge.org/price/ga/heart-ct-calcium-score |
| Ultrasound, brain (through the skull) | 76506 | 85 | $105 | $198 | $481 | https://clearcharge.org/price/ga/ultrasound-brain-through-the-skull |
| Bone density scan (DEXA), wrist, heel or finger | 77081 | 85 | $48 | $91 | $271 | https://clearcharge.org/price/ga/bone-density-scan-dexa-wrist-heel-or-finger |
| X-ray, lower back spine, bending views | 72120 | 84 | $65 | $112 | $428 | https://clearcharge.org/price/ga/x-ray-lower-back-spine-bending-views |
| Fetal wellbeing scan with non-stress test | 76818 | 84 | $103 | $185 | $375 | https://clearcharge.org/price/ga/fetal-wellbeing-scan-with-non-stress-test |
| Ultrasound, infant hips | 76885 | 84 | $90 | $163 | $471 | https://clearcharge.org/price/ga/ultrasound-infant-hips |
| X-ray, abdomen, 3 or more views | 74021 | 82 | $66 | $114 | $321 | https://clearcharge.org/price/ga/x-ray-abdomen-3-or-more-views |
| CT angiogram, heart arteries | 75574 | 82 | $322 | $567 | $1,128 | https://clearcharge.org/price/ga/ct-angiogram-heart-arteries |
| Angiogram, artery of one arm or leg | 75710 | 81 | $150 | $2,822 | $6,180 | https://clearcharge.org/price/ga/angiogram-artery-of-one-arm-or-leg |
| CT scan, heart, with contrast | 75572 | 78 | $274 | $453 | $1,182 | https://clearcharge.org/price/ga/ct-scan-heart-with-contrast |
| Panoramic dental X-ray | 70355 | 73 | $19 | $91 | $208 | https://clearcharge.org/price/ga/panoramic-dental-x-ray |
| Cardiac MRI, with contrast | 75561 | 72 | $325 | $635 | $1,828 | https://clearcharge.org/price/ga/cardiac-mri-with-contrast |
| Joint survey X-ray, 2 or more joints | 77077 | 68 | $59 | $112 | $275 | https://clearcharge.org/price/ga/joint-survey-x-ray-2-or-more-joints |

## Orthopedics

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| MRI, knee, without contrast | 73721 | 108 | $245 | $640 | $1,863 | https://clearcharge.org/price/ga/mri-knee-without-contrast |
| Large joint injection or fluid drainage | 20610 | 108 | $198 | $611 | $2,572 | https://clearcharge.org/price/ga/large-joint-injection-or-fluid-drainage |
| Shoulder joint dye injection for imaging | 23350 | 83 | $115 | $1,021 | $3,028 | https://clearcharge.org/price/ga/shoulder-joint-dye-injection-for-imaging |
| Knee arthroscopy with meniscus repair | 29881 | 63 | $2,241 | $4,531 | $7,696 | https://clearcharge.org/price/ga/knee-arthroscopy-with-meniscus-repair |
| Shoulder bone shaving (keyhole surgery) | 29826 | 58 | $180 | $3,442 | $12,763 | https://clearcharge.org/price/ga/shoulder-bone-shaving-keyhole-surgery |

## Heart & Vascular

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| EKG (electrocardiogram), tracing only | 93005 | 112 | $54 | $105 | $431 | https://clearcharge.org/price/ga/ekg-electrocardiogram-tracing-only |
| Vein ultrasound, one arm or leg | 93971 | 112 | $106 | $251 | $1,175 | https://clearcharge.org/price/ga/vein-ultrasound-one-arm-or-leg |
| Neck artery ultrasound (carotid), both sides | 93880 | 111 | $216 | $401 | $1,901 | https://clearcharge.org/price/ga/neck-artery-ultrasound-carotid-both-sides |
| Vein ultrasound, both arms or both legs | 93970 | 111 | $216 | $401 | $1,485 | https://clearcharge.org/price/ga/vein-ultrasound-both-arms-or-both-legs |
| Echocardiogram with Doppler | 93306 | 109 | $397 | $875 | $3,445 | https://clearcharge.org/price/ga/echocardiogram-with-doppler |
| Abdominal, pelvic or scrotal artery ultrasound | 93975 | 105 | $228 | $434 | $1,327 | https://clearcharge.org/price/ga/abdominal-pelvic-or-scrotal-artery-ultrasound |
| Artery ultrasound, arms and legs | 93923 | 100 | $191 | $302 | $1,313 | https://clearcharge.org/price/ga/artery-ultrasound-arms-and-legs |
| Follow-up heart ultrasound (echocardiogram) | 93308 | 98 | $213 | $350 | $895 | https://clearcharge.org/price/ga/follow-up-heart-ultrasound-echocardiogram |
| Cardiac stress test | 93017 | 97 | $212 | $475 | $2,409 | https://clearcharge.org/price/ga/cardiac-stress-test |
| Transesophageal echocardiogram (TEE), complete | 93312 | 85 | $365 | $934 | $3,130 | https://clearcharge.org/price/ga/transesophageal-echocardiogram-tee-complete |
| Cardiac catheterization, left heart, with angiography | 93458 | 77 | $2,956 | $5,890 | $12,547 | https://clearcharge.org/price/ga/cardiac-catheterization-left-heart-with-angiography |
| Heart ultrasound with colour blood-flow imaging | 93325 | 74 | $20 | $406 | $846 | https://clearcharge.org/price/ga/heart-ultrasound-with-colour-blood-flow-imaging |
| Cardiac rehabilitation session with heart monitoring | 93798 | 72 | $115 | $196 | $342 | https://clearcharge.org/price/ga/cardiac-rehabilitation-session-with-heart-monitoring |
| Left heart catheterization with ventriculogram | 93452 | 71 | $2,957 | $5,723 | $11,383 | https://clearcharge.org/price/ga/left-heart-catheterization-with-ventriculogram |
| Heart blood-flow Doppler study | 93320 | 70 | $41 | $385 | $1,100 | https://clearcharge.org/price/ga/heart-blood-flow-doppler-study |
| Heart event monitor, hook-up and instruction | 93270 | 68 | $39 | $191 | $524 | https://clearcharge.org/price/ga/heart-event-monitor-hook-up-and-instruction |
| Follow-up heart blood-flow Doppler study | 93321 | 63 | $17 | $246 | $771 | https://clearcharge.org/price/ga/follow-up-heart-blood-flow-doppler-study |
| Extended heart rhythm monitor, 7-15 days | 93246 | 61 | $38 | $67 | $310 | https://clearcharge.org/price/ga/extended-heart-rhythm-monitor-7-15-days |
| Exercise stress test | 93015 | 12 | $67 | $181 | $789 | https://clearcharge.org/price/ga/exercise-stress-test |

## Lab & Pathology

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Complete blood count (CBC) with differential | 85025 | 114 | $8 | $16 | $96 | https://clearcharge.org/price/ga/complete-blood-count-cbc-with-differential |
| Lipid panel (cholesterol) | 80061 | 114 | $14 | $27 | $165 | https://clearcharge.org/price/ga/lipid-panel-cholesterol |
| Vitamin D level | 82306 | 114 | $30 | $53 | $167 | https://clearcharge.org/price/ga/vitamin-d-level |
| Vitamin B12 | 82607 | 114 | $15 | $27 | $120 | https://clearcharge.org/price/ga/vitamin-b12 |
| Hemoglobin A1c (3-month blood sugar) | 83036 | 114 | $10 | $18 | $74 | https://clearcharge.org/price/ga/hemoglobin-a1c-3-month-blood-sugar |
| Lipase (pancreas enzyme) | 83690 | 114 | $7 | $15 | $135 | https://clearcharge.org/price/ga/lipase-pancreas-enzyme |
| Magnesium | 83735 | 114 | $7 | $13 | $62 | https://clearcharge.org/price/ga/magnesium |
| BNP (heart failure blood test) | 83880 | 114 | $40 | $68 | $201 | https://clearcharge.org/price/ga/bnp-heart-failure-blood-test |
| Testosterone, total | 84403 | 114 | $26 | $49 | $160 | https://clearcharge.org/price/ga/testosterone-total |
| Thyroid hormone T4, free | 84439 | 114 | $9 | $20 | $97 | https://clearcharge.org/price/ga/thyroid-hormone-t4-free |
| Drug screen, laboratory analyzer | 80307 | 113 | $62 | $90 | $216 | https://clearcharge.org/price/ga/drug-screen-laboratory-analyzer |
| Bilirubin, total | 82247 | 113 | $5 | $9 | $63 | https://clearcharge.org/price/ga/bilirubin-total |
| Creatinine, urine | 82570 | 113 | $5 | $11 | $51 | https://clearcharge.org/price/ga/creatinine-urine |
| Ferritin (iron stores) | 82728 | 113 | $14 | $24 | $131 | https://clearcharge.org/price/ga/ferritin-iron-stores |
| Folate (folic acid) | 82746 | 113 | $15 | $26 | $119 | https://clearcharge.org/price/ga/folate-folic-acid |
| Glucose, blood | 82947 | 113 | $4 | $9 | $51 | https://clearcharge.org/price/ga/glucose-blood |
| GGT (liver enzyme) | 82977 | 113 | $7 | $13 | $69 | https://clearcharge.org/price/ga/ggt-liver-enzyme |
| Iron, blood | 83540 | 113 | $7 | $12 | $96 | https://clearcharge.org/price/ga/iron-blood |
| Lactate dehydrogenase (LDH) | 83615 | 113 | $6 | $11 | $69 | https://clearcharge.org/price/ga/lactate-dehydrogenase-ldh |
| Potassium, blood | 84132 | 113 | $5 | $8 | $48 | https://clearcharge.org/price/ga/potassium-blood |
| Thyroid hormone T4, total | 84436 | 113 | $7 | $13 | $98 | https://clearcharge.org/price/ga/thyroid-hormone-t4-total |
| Troponin (heart attack blood test) | 84484 | 113 | $13 | $23 | $161 | https://clearcharge.org/price/ga/troponin-heart-attack-blood-test |
| Uric acid, blood | 84550 | 113 | $5 | $11 | $65 | https://clearcharge.org/price/ga/uric-acid-blood |
| Prothrombin time (PT/INR) | 85610 | 113 | $4 | $8 | $40 | https://clearcharge.org/price/ga/prothrombin-time-pt-inr |
| Partial thromboplastin time (PTT) | 85730 | 113 | $6 | $13 | $70 | https://clearcharge.org/price/ga/partial-thromboplastin-time-ptt |
| Basic metabolic panel | 80048 | 112 | $9 | $15 | $164 | https://clearcharge.org/price/ga/basic-metabolic-panel |
| Comprehensive metabolic panel | 80053 | 112 | $11 | $20 | $282 | https://clearcharge.org/price/ga/comprehensive-metabolic-panel |
| Liver function panel | 80076 | 112 | $8 | $18 | $195 | https://clearcharge.org/price/ga/liver-function-panel |
| Lithium blood level | 80178 | 112 | $7 | $15 | $93 | https://clearcharge.org/price/ga/lithium-blood-level |
| Phenytoin blood level | 80185 | 112 | $14 | $24 | $138 | https://clearcharge.org/price/ga/phenytoin-blood-level |
| Vancomycin blood level | 80202 | 112 | $14 | $24 | $158 | https://clearcharge.org/price/ga/vancomycin-blood-level |
| Microalbumin, urine | 82043 | 112 | $6 | $11 | $88 | https://clearcharge.org/price/ga/microalbumin-urine |
| Cortisol, total | 82533 | 112 | $17 | $31 | $152 | https://clearcharge.org/price/ga/cortisol-total |
| Creatinine, blood | 82565 | 112 | $5 | $9 | $48 | https://clearcharge.org/price/ga/creatinine-blood |
| Immunoglobulin level (IgA, IgD, IgG or IgM) | 82784 | 112 | $9 | $18 | $115 | https://clearcharge.org/price/ga/immunoglobulin-level-iga-igd-igg-or-igm |
| Lactic acid | 83605 | 112 | $12 | $21 | $116 | https://clearcharge.org/price/ga/lactic-acid |
| Lead blood level | 83655 | 112 | $12 | $22 | $83 | https://clearcharge.org/price/ga/lead-blood-level |
| Parathyroid hormone (PTH) | 83970 | 112 | $42 | $74 | $217 | https://clearcharge.org/price/ga/parathyroid-hormone-pth |
| TSH (thyroid stimulating hormone) | 84443 | 112 | $17 | $30 | $108 | https://clearcharge.org/price/ga/tsh-thyroid-stimulating-hormone |
| Thyroid hormone T3, total | 84480 | 112 | $14 | $25 | $161 | https://clearcharge.org/price/ga/thyroid-hormone-t3-total |
| Pregnancy blood test, yes/no (hCG) | 84703 | 112 | $8 | $13 | $119 | https://clearcharge.org/price/ga/pregnancy-blood-test-yes-no-hcg |
| Hemoglobin | 85018 | 112 | $2 | $4 | $31 | https://clearcharge.org/price/ga/hemoglobin |
| C-reactive protein (inflammation marker) | 86140 | 112 | $5 | $9 | $88 | https://clearcharge.org/price/ga/c-reactive-protein-inflammation-marker |
| Complement antigen | 86160 | 112 | $12 | $26 | $127 | https://clearcharge.org/price/ga/complement-antigen |
| Double-stranded DNA antibody | 86225 | 112 | $14 | $25 | $109 | https://clearcharge.org/price/ga/double-stranded-dna-antibody |
| Syphilis screening test | 86592 | 112 | $4 | $9 | $52 | https://clearcharge.org/price/ga/syphilis-screening-test |
| Hepatitis B surface antibody | 86706 | 112 | $11 | $25 | $134 | https://clearcharge.org/price/ga/hepatitis-b-surface-antibody |
| Chlamydia DNA test | 87491 | 112 | $35 | $60 | $166 | https://clearcharge.org/price/ga/chlamydia-dna-test |
| Acute hepatitis panel | 80074 | 111 | $49 | $88 | $336 | https://clearcharge.org/price/ga/acute-hepatitis-panel |
| Alpha-fetoprotein (AFP), blood | 82105 | 111 | $17 | $32 | $134 | https://clearcharge.org/price/ga/alpha-fetoprotein-afp-blood |
| Bilirubin, direct | 82248 | 111 | $5 | $9 | $67 | https://clearcharge.org/price/ga/bilirubin-direct |
| Creatine kinase (CK), total | 82550 | 111 | $7 | $12 | $66 | https://clearcharge.org/price/ga/creatine-kinase-ck-total |
| Phosphorus, blood | 84100 | 111 | $5 | $8 | $48 | https://clearcharge.org/price/ga/phosphorus-blood |
| Protein, urine | 84156 | 111 | $4 | $8 | $89 | https://clearcharge.org/price/ga/protein-urine |
| Sodium, blood | 84295 | 111 | $5 | $8 | $56 | https://clearcharge.org/price/ga/sodium-blood |
| Sodium, urine | 84300 | 111 | $5 | $9 | $55 | https://clearcharge.org/price/ga/sodium-urine |
| Vitamin B1 (thiamine) | 84425 | 111 | $22 | $38 | $133 | https://clearcharge.org/price/ga/vitamin-b1-thiamine |
| Pregnancy blood test, quantitative (hCG) | 84702 | 111 | $15 | $27 | $173 | https://clearcharge.org/price/ga/pregnancy-blood-test-quantitative-hcg |
| Fluorescent antibody screen | 86255 | 111 | $12 | $27 | $97 | https://clearcharge.org/price/ga/fluorescent-antibody-screen |
| Mononucleosis screen (heterophile antibody) | 86308 | 111 | $5 | $11 | $107 | https://clearcharge.org/price/ga/mononucleosis-screen-heterophile-antibody |
| TB blood test (interferon release) | 86480 | 111 | $63 | $97 | $221 | https://clearcharge.org/price/ga/tb-blood-test-interferon-release |
| Hepatitis B surface antigen | 87340 | 111 | $11 | $19 | $102 | https://clearcharge.org/price/ga/hepatitis-b-surface-antigen |
| Electrolyte panel | 80051 | 110 | $7 | $13 | $97 | https://clearcharge.org/price/ga/electrolyte-panel |
| Kidney function panel | 80069 | 110 | $9 | $16 | $142 | https://clearcharge.org/price/ga/kidney-function-panel |
| Calcium, total | 82310 | 110 | $5 | $11 | $51 | https://clearcharge.org/price/ga/calcium-total |
| PSA, total (prostate blood test) | 84153 | 110 | $19 | $33 | $92 | https://clearcharge.org/price/ga/psa-total-prostate-blood-test |
| Protein, total, blood | 84155 | 110 | $4 | $8 | $63 | https://clearcharge.org/price/ga/protein-total-blood |
| Thyroid hormone T3, free | 84481 | 110 | $17 | $37 | $127 | https://clearcharge.org/price/ga/thyroid-hormone-t3-free |
| Hematocrit | 85014 | 110 | $2 | $5 | $31 | https://clearcharge.org/price/ga/hematocrit |
| D-dimer (blood clot test) | 85379 | 110 | $10 | $18 | $146 | https://clearcharge.org/price/ga/d-dimer-blood-clot-test |
| Allergy blood test, single allergen | 86003 | 110 | $5 | $10 | $46 | https://clearcharge.org/price/ga/allergy-blood-test-single-allergen |
| Antinuclear antibody (ANA) | 86038 | 110 | $12 | $27 | $112 | https://clearcharge.org/price/ga/antinuclear-antibody-ana |
| Extractable nuclear antigen antibody | 86235 | 110 | $18 | $36 | $132 | https://clearcharge.org/price/ga/extractable-nuclear-antigen-antibody |
| Chickenpox/shingles antibody | 86787 | 110 | $13 | $24 | $86 | https://clearcharge.org/price/ga/chickenpox-shingles-antibody |
| Gonorrhea DNA test | 87591 | 110 | $35 | $62 | $162 | https://clearcharge.org/price/ga/gonorrhea-dna-test |
| Complete blood count (CBC), no differential | 85027 | 109 | $7 | $12 | $82 | https://clearcharge.org/price/ga/complete-blood-count-cbc-no-differential |
| Urinalysis without microscope, automated | 81003 | 109 | $2 | $4 | $48 | https://clearcharge.org/price/ga/urinalysis-without-microscope-automated |
| Calcium, ionized | 82330 | 109 | $14 | $24 | $106 | https://clearcharge.org/price/ga/calcium-ionized |
| Vitamin D, active form | 82652 | 109 | $39 | $69 | $245 | https://clearcharge.org/price/ga/vitamin-d-active-form |
| Arterial blood gas | 82803 | 109 | $27 | $46 | $177 | https://clearcharge.org/price/ga/arterial-blood-gas |
| Iron binding capacity | 83550 | 109 | $9 | $16 | $90 | https://clearcharge.org/price/ga/iron-binding-capacity |
| Potassium, urine | 84133 | 109 | $5 | $8 | $60 | https://clearcharge.org/price/ga/potassium-urine |
| Testosterone, free | 84402 | 109 | $26 | $46 | $196 | https://clearcharge.org/price/ga/testosterone-free |
| Hepatitis B core antibody, total | 86704 | 109 | $12 | $22 | $136 | https://clearcharge.org/price/ga/hepatitis-b-core-antibody-total |
| Mumps antibody | 86735 | 109 | $13 | $27 | $87 | https://clearcharge.org/price/ga/mumps-antibody |
| Rubella antibody | 86762 | 109 | $15 | $26 | $79 | https://clearcharge.org/price/ga/rubella-antibody |
| Hepatitis C antibody | 86803 | 109 | $14 | $26 | $111 | https://clearcharge.org/price/ga/hepatitis-c-antibody |
| Urinalysis with microscope, automated | 81001 | 108 | $3 | $7 | $88 | https://clearcharge.org/price/ga/urinalysis-with-microscope-automated |
| Chloride, urine | 82436 | 108 | $6 | $10 | $45 | https://clearcharge.org/price/ga/chloride-urine |
| PSA, free (prostate blood test) | 84154 | 108 | $19 | $33 | $117 | https://clearcharge.org/price/ga/psa-free-prostate-blood-test |
| Tumor marker CA 125 | 86304 | 108 | $21 | $38 | $152 | https://clearcharge.org/price/ga/tumor-marker-ca-125 |
| Antibody blood test | 86317 | 108 | $15 | $26 | $91 | https://clearcharge.org/price/ga/antibody-blood-test |
| Red blood cell antibody screen | 86850 | 108 | $15 | $49 | $137 | https://clearcharge.org/price/ga/red-blood-cell-antibody-screen |
| Direct Coombs test | 86880 | 108 | $8 | $43 | $79 | https://clearcharge.org/price/ga/direct-coombs-test |
| Gentamicin blood level | 80170 | 107 | $17 | $29 | $160 | https://clearcharge.org/price/ga/gentamicin-blood-level |
| Immunofixation electrophoresis | 86334 | 107 | $23 | $40 | $233 | https://clearcharge.org/price/ga/immunofixation-electrophoresis |
| Syphilis confirmatory test | 86780 | 107 | $14 | $27 | $88 | https://clearcharge.org/price/ga/syphilis-confirmatory-test |
| Blood crossmatch, antiglobulin | 86922 | 107 | $80 | $151 | $303 | https://clearcharge.org/price/ga/blood-crossmatch-antiglobulin |
| Creatine kinase MB (heart muscle enzyme) | 82553 | 106 | $12 | $25 | $172 | https://clearcharge.org/price/ga/creatine-kinase-mb-heart-muscle-enzyme |
| Fibrinogen activity | 85384 | 106 | $10 | $17 | $92 | https://clearcharge.org/price/ga/fibrinogen-activity |
| Rheumatoid factor | 86431 | 106 | $6 | $11 | $88 | https://clearcharge.org/price/ga/rheumatoid-factor |
| Erythropoietin | 82668 | 105 | $19 | $34 | $142 | https://clearcharge.org/price/ga/erythropoietin |
| Protein, total, other fluid | 84157 | 105 | $4 | $7 | $72 | https://clearcharge.org/price/ga/protein-total-other-fluid |
| Tumor marker CA 15-3 | 86300 | 105 | $21 | $37 | $100 | https://clearcharge.org/price/ga/tumor-marker-ca-15-3 |
| HIV test, lab (antigen and antibody) | 87389 | 104 | $24 | $43 | $177 | https://clearcharge.org/price/ga/hiv-test-lab-antigen-and-antibody |
| C. diff toxin test (antigen) | 87324 | 104 | $12 | $21 | $107 | https://clearcharge.org/price/ga/c-diff-toxin-test-antigen |
| Procalcitonin (bacterial infection marker) | 84145 | 104 | $28 | $48 | $245 | https://clearcharge.org/price/ga/procalcitonin-bacterial-infection-marker |
| Beta-2 glycoprotein antibody | 86146 | 104 | $26 | $45 | $128 | https://clearcharge.org/price/ga/beta-2-glycoprotein-antibody |
| Measles antibody | 86765 | 104 | $13 | $25 | $96 | https://clearcharge.org/price/ga/measles-antibody |
| Beta-2 microglobulin | 82232 | 103 | $16 | $29 | $104 | https://clearcharge.org/price/ga/beta-2-microglobulin |
| Urea nitrogen, urine | 84540 | 103 | $6 | $10 | $49 | https://clearcharge.org/price/ga/urea-nitrogen-urine |
| Antithrombin III activity | 85300 | 103 | $12 | $22 | $182 | https://clearcharge.org/price/ga/antithrombin-iii-activity |
| Stool culture, each additional organism | 87046 | 103 | $10 | $17 | $82 | https://clearcharge.org/price/ga/stool-culture-each-additional-organism |
| Special tissue stain, first test | 88342 | 103 | $100 | $167 | $315 | https://clearcharge.org/price/ga/special-tissue-stain-first-test |
| Urine pregnancy test | 81025 | 101 | $9 | $16 | $85 | https://clearcharge.org/price/ga/urine-pregnancy-test |
| Protein S, total | 85305 | 101 | $12 | $26 | $170 | https://clearcharge.org/price/ga/protein-s-total |
| Rapid strep test (in-office) | 87880 | 100 | $17 | $23 | $97 | https://clearcharge.org/price/ga/rapid-strep-test-in-office |
| Ketones, blood | 82010 | 100 | $8 | $15 | $80 | https://clearcharge.org/price/ga/ketones-blood |
| Specimen concentration for culture | 87015 | 100 | $7 | $12 | $49 | https://clearcharge.org/price/ga/specimen-concentration-for-culture |
| Trichomonas DNA test | 87661 | 100 | $35 | $56 | $144 | https://clearcharge.org/price/ga/trichomonas-dna-test |
| Urinalysis without microscope, manual | 81002 | 99 | $3 | $6 | $52 | https://clearcharge.org/price/ga/urinalysis-without-microscope-manual |
| Reticulocyte count | 85045 | 99 | $4 | $8 | $76 | https://clearcharge.org/price/ga/reticulocyte-count |
| Urine culture with colony count | 87086 | 97 | $8 | $18 | $158 | https://clearcharge.org/price/ga/urine-culture-with-colony-count |
| Heparin blood level | 85520 | 96 | $13 | $25 | $256 | https://clearcharge.org/price/ga/heparin-blood-level |
| Special tissue stain, each extra test | 88341 | 96 | $44 | $97 | $193 | https://clearcharge.org/price/ga/special-tissue-stain-each-extra-test |
| Estriol | 82677 | 90 | $25 | $44 | $101 | https://clearcharge.org/price/ga/estriol |
| Lactoferrin, stool | 83630 | 90 | $20 | $35 | $106 | https://clearcharge.org/price/ga/lactoferrin-stool |
| Sedimentation rate (ESR), automated | 85652 | 90 | $3 | $5 | $71 | https://clearcharge.org/price/ga/sedimentation-rate-esr-automated |
| Phospholipid antibody | 86148 | 90 | $16 | $29 | $70 | https://clearcharge.org/price/ga/phospholipid-antibody |
| Strep test (molecular/PCR) | 87651 | 87 | $35 | $46 | $93 | https://clearcharge.org/price/ga/strep-test-molecular-pcr |
| Fetal fibronectin (preterm labor test) | 82731 | 85 | $66 | $111 | $512 | https://clearcharge.org/price/ga/fetal-fibronectin-preterm-labor-test |
| White blood cell differential, manual | 85007 | 85 | $4 | $6 | $34 | https://clearcharge.org/price/ga/white-blood-cell-differential-manual |
| Hemoglobin, plasma | 83051 | 84 | $7 | $13 | $104 | https://clearcharge.org/price/ga/hemoglobin-plasma |
| PAMG-1 test for ruptured membranes | 84112 | 84 | $98 | $126 | $216 | https://clearcharge.org/price/ga/pamg-1-test-for-ruptured-membranes |
| Blood clotting and clot-breakdown tests | 85397 | 84 | $31 | $53 | $167 | https://clearcharge.org/price/ga/blood-clotting-and-clot-breakdown-tests |
| Infection test by DNA analysis | 87150 | 82 | $36 | $53 | $85 | https://clearcharge.org/price/ga/infection-test-by-dna-analysis |
| Activated clotting time | 85347 | 81 | $4 | $7 | $38 | https://clearcharge.org/price/ga/activated-clotting-time |
| HPV test, high-risk types | 87624 | 80 | $35 | $51 | $113 | https://clearcharge.org/price/ga/hpv-test-high-risk-types |
| Platelet aggregation study | 85576 | 79 | $25 | $43 | $166 | https://clearcharge.org/price/ga/platelet-aggregation-study |
| Influenza A antigen test | 87400 | 79 | $14 | $24 | $46 | https://clearcharge.org/price/ga/influenza-a-antigen-test |
| Urinalysis with microscope, manual | 81000 | 78 | $4 | $7 | $43 | https://clearcharge.org/price/ga/urinalysis-with-microscope-manual |
| Basic metabolic panel (with ionized calcium) | 80047 | 75 | $14 | $23 | $201 | https://clearcharge.org/price/ga/basic-metabolic-panel-with-ionized-calcium |
| Obstetric blood panel | 80055 | 74 | $48 | $76 | $164 | https://clearcharge.org/price/ga/obstetric-blood-panel |
| Strep A antigen test | 87430 | 73 | $17 | $28 | $56 | https://clearcharge.org/price/ga/strep-a-antigen-test |
| Blood crossmatch, electronic | 86923 | 72 | $100 | $152 | $350 | https://clearcharge.org/price/ga/blood-crossmatch-electronic |
| Candida DNA test | 87481 | 72 | $35 | $52 | $109 | https://clearcharge.org/price/ga/candida-dna-test |
| Pap smear, automated screening | 88175 | 72 | $27 | $36 | $64 | https://clearcharge.org/price/ga/pap-smear-automated-screening |
| Blood clotting screen | 85390 | 68 | $15 | $17 | $64 | https://clearcharge.org/price/ga/blood-clotting-screen |
| Rapid HIV test (point-of-care) | 87806 | 47 | $33 | $34 | $135 | https://clearcharge.org/price/ga/rapid-hiv-test-point-of-care |

## Neurology & Pain Management

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Spinal tap (lumbar puncture), diagnostic | 62270 | 104 | $342 | $1,246 | $2,783 | https://clearcharge.org/price/ga/spinal-tap-lumbar-puncture-diagnostic |
| Nerve block injection, other nerve | 64450 | 99 | $366 | $1,326 | $3,546 | https://clearcharge.org/price/ga/nerve-block-injection-other-nerve |
| Femoral nerve block injection | 64447 | 89 | $699 | $1,681 | $4,329 | https://clearcharge.org/price/ga/femoral-nerve-block-injection |
| Lower back nerve root injection | 64483 | 89 | $757 | $1,707 | $3,735 | https://clearcharge.org/price/ga/lower-back-nerve-root-injection |
| Lower back facet joint injection | 64493 | 88 | $788 | $1,945 | $4,369 | https://clearcharge.org/price/ga/lower-back-facet-joint-injection |
| Sleep study (polysomnography) | 95810 | 87 | $858 | $1,535 | $2,785 | https://clearcharge.org/price/ga/sleep-study-polysomnography |
| Sleep study with CPAP titration | 95811 | 87 | $859 | $1,490 | $3,084 | https://clearcharge.org/price/ga/sleep-study-with-cpap-titration |
| Brain wave test (EEG), awake and drowsy | 95816 | 86 | $207 | $368 | $1,326 | https://clearcharge.org/price/ga/brain-wave-test-eeg-awake-and-drowsy |
| Lower back spinal injection with imaging guidance | 62323 | 83 | $716 | $2,098 | $4,297 | https://clearcharge.org/price/ga/lower-back-spinal-injection-with-imaging-guidance |
| Lower back spinal injection | 62322 | 82 | $832 | $1,867 | $4,041 | https://clearcharge.org/price/ga/lower-back-spinal-injection |
| Upper or mid back facet joint injection | 64490 | 82 | $787 | $2,275 | $4,336 | https://clearcharge.org/price/ga/upper-or-mid-back-facet-joint-injection |
| Nerve burning for spine joint pain (radiofrequency) | 64635 | 78 | $1,776 | $3,152 | $5,175 | https://clearcharge.org/price/ga/nerve-burning-for-spine-joint-pain-radiofrequency |
| Repositioning treatment for vertigo (Epley maneuver) | 95992 | 74 | $31 | $85 | $331 | https://clearcharge.org/price/ga/repositioning-treatment-for-vertigo-epley-maneuver |
| Home sleep study | 95800 | 72 | $207 | $383 | $1,834 | https://clearcharge.org/price/ga/home-sleep-study |
| EEG monitoring, 12-26 hours, without video | 95708 | 64 | $380 | $783 | $3,681 | https://clearcharge.org/price/ga/eeg-monitoring-12-26-hours-without-video |
| Abdominal wall nerve block (TAP block) | 64488 | 59 | $1,117 | $3,690 | $7,088 | https://clearcharge.org/price/ga/abdominal-wall-nerve-block-tap-block |
| Nerve monitoring during surgery, each 15 minutes | 95940 | 34 | $31 | $205 | $217 | https://clearcharge.org/price/ga/nerve-monitoring-during-surgery-each-15-minutes |

## Digestive Health

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Upper endoscopy (EGD) with biopsy | 43239 | 92 | $681 | $2,106 | $3,848 | https://clearcharge.org/price/ga/upper-endoscopy-egd-with-biopsy |
| Upper endoscopy (EGD), diagnostic | 43235 | 92 | $608 | $1,786 | $3,869 | https://clearcharge.org/price/ga/upper-endoscopy-egd-diagnostic |
| Colonoscopy with biopsy | 45380 | 90 | $687 | $2,246 | $3,806 | https://clearcharge.org/price/ga/colonoscopy-with-biopsy |
| Colonoscopy with polyp removal (snare) | 45385 | 90 | $749 | $2,246 | $3,782 | https://clearcharge.org/price/ga/colonoscopy-with-polyp-removal-snare |
| Gallbladder removal (laparoscopic) | 47562 | 69 | $905 | $5,799 | $10,582 | https://clearcharge.org/price/ga/gallbladder-removal-laparoscopic |
| Colonoscopy, diagnostic | 45378 | 68 | $414 | $1,746 | $3,349 | https://clearcharge.org/price/ga/colonoscopy-diagnostic |
| Groin hernia repair, age 5 and over | 49505 | 67 | $1,250 | $3,547 | $7,481 | https://clearcharge.org/price/ga/groin-hernia-repair-age-5-and-over |
| Colonoscopy with ultrasound | 45391 | 63 | $1,184 | $3,011 | $4,085 | https://clearcharge.org/price/ga/colonoscopy-with-ultrasound |
| Tonsil and adenoid removal, under age 12 | 42820 | 53 | $1,556 | $5,997 | $7,557 | https://clearcharge.org/price/ga/tonsil-and-adenoid-removal-under-age-12 |

## Behavioral & Mental Health

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Individual therapy session, 60 minutes | 90837 | 48 | $156 | $302 | $408 | https://clearcharge.org/price/ga/individual-therapy-session-60-minutes |
| Psychotherapy, 30 minutes | 90832 | 48 | $71 | $184 | $408 | https://clearcharge.org/price/ga/psychotherapy-30-minutes |
| Individual therapy session, 45 minutes | 90834 | 46 | $129 | $230 | $408 | https://clearcharge.org/price/ga/individual-therapy-session-45-minutes |
| Family therapy with the patient, 50 minutes | 90847 | 46 | $145 | $235 | $408 | https://clearcharge.org/price/ga/family-therapy-with-the-patient-50-minutes |
| Family therapy without the patient, 50 minutes | 90846 | 44 | $157 | $302 | $408 | https://clearcharge.org/price/ga/family-therapy-without-the-patient-50-minutes |
| Psychiatric diagnostic evaluation | 90791 | 43 | $159 | $193 | $409 | https://clearcharge.org/price/ga/psychiatric-diagnostic-evaluation |
| Group therapy | 90853 | 40 | $55 | $124 | $238 | https://clearcharge.org/price/ga/group-therapy |

## Eye Care

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Laser treatment for clouding after cataract surgery | 66821 | 61 | $545 | $1,131 | $3,942 | https://clearcharge.org/price/ga/laser-treatment-for-clouding-after-cataract-surgery |
| Cataract removal with lens implant | 66984 | 61 | $1,437 | $4,178 | $6,861 | https://clearcharge.org/price/ga/cataract-removal-with-lens-implant |

## Ear, Nose & Throat

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Speech or language therapy session | 92507 | 102 | $78 | $106 | $326 | https://clearcharge.org/price/ga/speech-or-language-therapy-session |
| Speech and language evaluation | 92523 | 102 | $197 | $261 | $422 | https://clearcharge.org/price/ga/speech-and-language-evaluation |
| Swallowing therapy session | 92526 | 101 | $82 | $112 | $349 | https://clearcharge.org/price/ga/swallowing-therapy-session |
| Swallowing evaluation | 92610 | 101 | $60 | $126 | $419 | https://clearcharge.org/price/ga/swallowing-evaluation |
| Swallowing evaluation with X-ray | 92611 | 98 | $89 | $165 | $569 | https://clearcharge.org/price/ga/swallowing-evaluation-with-x-ray |
| Speech fluency evaluation | 92521 | 88 | $129 | $175 | $367 | https://clearcharge.org/price/ga/speech-fluency-evaluation |
| Communication device evaluation and prescription | 92605 | 19 | $83 | $110 | $520 | https://clearcharge.org/price/ga/communication-device-evaluation-and-prescription |

## Urology

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Prostate biopsy | 55700 | 55 | $1,654 | $3,137 | $5,726 | https://clearcharge.org/price/ga/prostate-biopsy |
| Prostate removal with lymph nodes (keyhole surgery) | 55866 | 50 | $7,662 | $10,928 | $17,263 | https://clearcharge.org/price/ga/prostate-removal-with-lymph-nodes-keyhole-surgery |

## Skin, Breast & Wound Care

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Abscess drainage | 10060 | 113 | $139 | $316 | $2,076 | https://clearcharge.org/price/ga/abscess-drainage |
| Needle drainage of a cyst, abscess or blood collection | 10160 | 105 | $172 | $757 | $5,320 | https://clearcharge.org/price/ga/needle-drainage-of-a-cyst-abscess-or-blood-collection |
| Stitches for a face or neck cut, 2.6 to 5 cm | 12013 | 104 | $155 | $366 | $1,927 | https://clearcharge.org/price/ga/stitches-for-a-face-or-neck-cut-2-6-to-5-cm |
| Fine needle biopsy with ultrasound guidance | 10005 | 94 | $654 | $1,508 | $3,843 | https://clearcharge.org/price/ga/fine-needle-biopsy-with-ultrasound-guidance |
| Breast lump removal | 19120 | 64 | $869 | $3,960 | $6,611 | https://clearcharge.org/price/ga/breast-lump-removal |

## Respiratory & Lung

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Breathing treatment (nebuliser or inhaler) | 94640 | 104 | $74 | $225 | $386 | https://clearcharge.org/price/ga/breathing-treatment-nebuliser-or-inhaler |
| Chest physiotherapy session | 94668 | 103 | $69 | $139 | $240 | https://clearcharge.org/price/ga/chest-physiotherapy-session |
| Pulmonary rehabilitation session | 94625 | 86 | $55 | $105 | $389 | https://clearcharge.org/price/ga/pulmonary-rehabilitation-session |
| Pulmonary rehabilitation session with monitoring | 94626 | 82 | $57 | $102 | $303 | https://clearcharge.org/price/ga/pulmonary-rehabilitation-session-with-monitoring |
| Blood oxygen measurement, repeated readings | 94761 | 53 | $5 | $100 | $145 | https://clearcharge.org/price/ga/blood-oxygen-measurement-repeated-readings |

## Blood & Immune System

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Bone marrow biopsy and aspiration | 38222 | 75 | $2,418 | $3,284 | $5,494 | https://clearcharge.org/price/ga/bone-marrow-biopsy-and-aspiration |

## Physical & Occupational Therapy

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Therapeutic exercise, 15 minutes | 97110 | 107 | $28 | $53 | $198 | https://clearcharge.org/price/ga/therapeutic-exercise-15-minutes |
| Hands-on manual therapy, 15 minutes | 97140 | 107 | $29 | $57 | $258 | https://clearcharge.org/price/ga/hands-on-manual-therapy-15-minutes |
| Neuromuscular retraining, 15 minutes | 97112 | 105 | $34 | $52 | $187 | https://clearcharge.org/price/ga/neuromuscular-retraining-15-minutes |
| Walking and gait training, 15 minutes | 97116 | 105 | $28 | $44 | $190 | https://clearcharge.org/price/ga/walking-and-gait-training-15-minutes |
| Therapy using everyday activities, 15 minutes | 97530 | 105 | $33 | $57 | $193 | https://clearcharge.org/price/ga/therapy-using-everyday-activities-15-minutes |
| Self-care and daily living training, 15 minutes | 97535 | 105 | $31 | $46 | $211 | https://clearcharge.org/price/ga/self-care-and-daily-living-training-15-minutes |
| Physical therapy evaluation, low complexity | 97161 | 104 | $94 | $137 | $408 | https://clearcharge.org/price/ga/physical-therapy-evaluation-low-complexity |
| Physical therapy evaluation, moderate complexity | 97162 | 104 | $94 | $134 | $413 | https://clearcharge.org/price/ga/physical-therapy-evaluation-moderate-complexity |
| Ultrasound therapy, 15 minutes | 97035 | 103 | $15 | $37 | $194 | https://clearcharge.org/price/ga/ultrasound-therapy-15-minutes |
| Physical therapy evaluation, high complexity | 97163 | 103 | $95 | $141 | $419 | https://clearcharge.org/price/ga/physical-therapy-evaluation-high-complexity |
| Occupational therapy evaluation, low complexity | 97165 | 103 | $96 | $140 | $408 | https://clearcharge.org/price/ga/occupational-therapy-evaluation-low-complexity |
| Physical therapy re-evaluation | 97164 | 102 | $65 | $90 | $329 | https://clearcharge.org/price/ga/physical-therapy-re-evaluation |
| Negative pressure wound therapy, small wound | 97605 | 102 | $86 | $209 | $427 | https://clearcharge.org/price/ga/negative-pressure-wound-therapy-small-wound |
| Occupational therapy evaluation, moderate complexity | 97166 | 100 | $103 | $144 | $426 | https://clearcharge.org/price/ga/occupational-therapy-evaluation-moderate-complexity |
| Orthotic fitting and training, first visit | 97760 | 99 | $43 | $62 | $215 | https://clearcharge.org/price/ga/orthotic-fitting-and-training-first-visit |
| Occupational therapy evaluation, high complexity | 97167 | 98 | $97 | $147 | $426 | https://clearcharge.org/price/ga/occupational-therapy-evaluation-high-complexity |
| Mechanical traction therapy | 97012 | 97 | $15 | $31 | $194 | https://clearcharge.org/price/ga/mechanical-traction-therapy |
| Iontophoresis therapy, 15 minutes | 97033 | 97 | $20 | $37 | $219 | https://clearcharge.org/price/ga/iontophoresis-therapy-15-minutes |
| Wheelchair training, 15 minutes | 97542 | 96 | $31 | $44 | $105 | https://clearcharge.org/price/ga/wheelchair-training-15-minutes |
| Negative pressure wound therapy, large wound | 97606 | 95 | $154 | $417 | $727 | https://clearcharge.org/price/ga/negative-pressure-wound-therapy-large-wound |
| Occupational therapy re-evaluation | 97168 | 92 | $71 | $97 | $330 | https://clearcharge.org/price/ga/occupational-therapy-re-evaluation |
| Cognitive therapy, first 15 minutes | 97129 | 91 | $20 | $43 | $194 | https://clearcharge.org/price/ga/cognitive-therapy-first-15-minutes |
| Cognitive therapy, each extra 15 minutes | 97130 | 86 | $19 | $38 | $192 | https://clearcharge.org/price/ga/cognitive-therapy-each-extra-15-minutes |
| Pool (aquatic) therapy with exercise, 15 minutes | 97113 | 71 | $36 | $50 | $194 | https://clearcharge.org/price/ga/pool-aquatic-therapy-with-exercise-15-minutes |
| Compression therapy (vasopneumatic device) | 97016 | 62 | $12 | $14 | $60 | https://clearcharge.org/price/ga/compression-therapy-vasopneumatic-device |

## Radiation Therapy

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Custom radiation treatment device | 77334 | 74 | $198 | $407 | $2,129 | https://clearcharge.org/price/ga/custom-radiation-treatment-device |
| Complex radiation treatment session | 77412 | 73 | $430 | $582 | $2,718 | https://clearcharge.org/price/ga/complex-radiation-treatment-session |

## Anesthesia & Other Medical Services

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| IV infusion therapy, up to 1 hour | 96365 | 107 | $166 | $260 | $508 | https://clearcharge.org/price/ga/iv-infusion-therapy-up-to-1-hour |
| Flushing an implanted drug port | 96523 | 102 | $54 | $87 | $237 | https://clearcharge.org/price/ga/flushing-an-implanted-drug-port |
| IV chemotherapy, up to 1 hour | 96413 | 87 | $310 | $480 | $897 | https://clearcharge.org/price/ga/iv-chemotherapy-up-to-1-hour |
| Chemotherapy injection under the skin or into muscle | 96401 | 83 | $72 | $132 | $409 | https://clearcharge.org/price/ga/chemotherapy-injection-under-the-skin-or-into-muscle |
| Hormone therapy injection under the skin or into muscle | 96402 | 78 | $70 | $120 | $408 | https://clearcharge.org/price/ga/hormone-therapy-injection-under-the-skin-or-into-muscle |
| Extended IV chemotherapy | 96416 | 68 | $320 | $538 | $924 | https://clearcharge.org/price/ga/extended-iv-chemotherapy |
| Genetic counselling | 96040 | 2 | $53 | $121 | $121 | https://clearcharge.org/price/ga/genetic-counselling |

## Inpatient Stays (DRG)

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Hip or knee replacement (no major complications) | 470 | 85 | $8,458 | $17,003 | $31,483 | https://clearcharge.org/price/ga/hip-or-knee-replacement-no-major-complications |
| Uterus or ovary surgery, non-cancer (no complications) | 743 | 84 | $6,539 | $11,778 | $19,247 | https://clearcharge.org/price/ga/uterus-or-ovary-surgery-non-cancer-no-complications |
| Neck spinal fusion (no complications) | 473 | 80 | $13,129 | $21,105 | $32,656 | https://clearcharge.org/price/ga/neck-spinal-fusion-no-complications |
| Heart valve surgery with cardiac catheterisation (with major complications) | 216 | 77 | $64,855 | $76,817 | $115,768 | https://clearcharge.org/price/ga/heart-valve-surgery-with-cardiac-catheterisation-with-major |
| Back spinal fusion (no major complications) | 460 | 33 | $6,294 | $38,620 | $120,566 | https://clearcharge.org/price/ga/back-spinal-fusion-no-major-complications |