# Hospital prices in Rome, GA

407 procedures with a price published by one of the 7 hospitals within 35 miles of Rome, 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/rome

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 | 7 | $108 | $200 | $460 | https://clearcharge.org/price/ga/rome/prenatal-ultrasound |
| Fetal non-stress test | 59025 | 6 | $198 | $931 | $3,795 | https://clearcharge.org/price/ga/rome/fetal-non-stress-test |
| Vaginal delivery, with prenatal and postpartum care | 59400 | 5 | $1,922 | $2,322 | $5,302 | https://clearcharge.org/price/ga/rome/vaginal-delivery-with-prenatal-and-postpartum-care |
| C-section delivery, with prenatal and postpartum care | 59510 | 5 | $1,922 | $2,562 | $5,302 | https://clearcharge.org/price/ga/rome/c-section-delivery-with-prenatal-and-postpartum-care |
| Vaginal delivery after a previous caesarean | 59610 | 5 | $1,922 | $2,441 | $5,302 | https://clearcharge.org/price/ga/rome/vaginal-delivery-after-a-previous-caesarean |

## Imaging & Radiology

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| MRI, brain, without contrast | 70551 | 7 | $180 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mri-brain-without-contrast |
| MRI, brain, with and without contrast | 70553 | 7 | $298 | $544 | $1,771 | https://clearcharge.org/price/ga/rome/mri-brain-with-and-without-contrast |
| MRI, lower spine, without contrast | 72148 | 7 | $172 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mri-lower-spine-without-contrast |
| MRI, knee, without contrast | 73721 | 7 | $197 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mri-knee-without-contrast |
| X-ray, chest, 2 views | 71046 | 7 | $32 | $90 | $332 | https://clearcharge.org/price/ga/rome/x-ray-chest-2-views |
| CT scan, abdomen and pelvis, without contrast | 74176 | 7 | $145 | $260 | $1,765 | https://clearcharge.org/price/ga/rome/ct-scan-abdomen-and-pelvis-without-contrast |
| Mammogram, screening, both breasts | 77067 | 7 | $95 | $139 | $252 | https://clearcharge.org/price/ga/rome/mammogram-screening-both-breasts |
| X-ray, facial bones | 70150 | 7 | $47 | $163 | $224 | https://clearcharge.org/price/ga/rome/x-ray-facial-bones |
| X-ray, nasal bones | 70160 | 7 | $41 | $136 | $244 | https://clearcharge.org/price/ga/rome/x-ray-nasal-bones |
| X-ray, sinuses | 70220 | 7 | $38 | $136 | $368 | https://clearcharge.org/price/ga/rome/x-ray-sinuses |
| X-ray, skull, limited | 70250 | 7 | $38 | $121 | $295 | https://clearcharge.org/price/ga/rome/x-ray-skull-limited |
| Panoramic dental X-ray | 70355 | 7 | $13 | $88 | $136 | https://clearcharge.org/price/ga/rome/panoramic-dental-x-ray |
| X-ray, soft tissues of the neck | 70360 | 7 | $31 | $109 | $136 | https://clearcharge.org/price/ga/rome/x-ray-soft-tissues-of-the-neck |
| CT scan, head, without contrast | 70450 | 7 | $94 | $163 | $1,390 | https://clearcharge.org/price/ga/rome/ct-scan-head-without-contrast |
| CT scan, head, with contrast | 70460 | 7 | $135 | $273 | $1,488 | https://clearcharge.org/price/ga/rome/ct-scan-head-with-contrast |
| CT scan, head, with and without contrast | 70470 | 7 | $161 | $273 | $1,574 | https://clearcharge.org/price/ga/rome/ct-scan-head-with-and-without-contrast |
| CT scan, eye socket and inner ear, without contrast | 70480 | 7 | $108 | $163 | $1,409 | https://clearcharge.org/price/ga/rome/ct-scan-eye-socket-and-inner-ear-without-contrast |
| CT scan, eye socket and inner ear, with contrast | 70481 | 7 | $180 | $273 | $1,519 | https://clearcharge.org/price/ga/rome/ct-scan-eye-socket-and-inner-ear-with-contrast |
| CT scan, face and jaw, without contrast | 70486 | 7 | $108 | $163 | $1,525 | https://clearcharge.org/price/ga/rome/ct-scan-face-and-jaw-without-contrast |
| CT scan, face and jaw, with contrast | 70487 | 7 | $140 | $273 | $1,426 | https://clearcharge.org/price/ga/rome/ct-scan-face-and-jaw-with-contrast |
| CT scan, soft tissues of the neck, without contrast | 70490 | 7 | $108 | $163 | $1,411 | https://clearcharge.org/price/ga/rome/ct-scan-soft-tissues-of-the-neck-without-contrast |
| CT scan, soft tissues of the neck, with contrast | 70491 | 7 | $169 | $273 | $1,445 | https://clearcharge.org/price/ga/rome/ct-scan-soft-tissues-of-the-neck-with-contrast |
| CT angiogram, head | 70496 | 7 | $181 | $274 | $1,679 | https://clearcharge.org/price/ga/rome/ct-angiogram-head |
| CT angiogram, neck | 70498 | 7 | $181 | $274 | $1,684 | https://clearcharge.org/price/ga/rome/ct-angiogram-neck |
| MRI, eye socket, face and neck, with and without contrast | 70543 | 7 | $335 | $544 | $1,948 | https://clearcharge.org/price/ga/rome/mri-eye-socket-face-and-neck-with-and-without-contrast |
| MR angiogram, head, without contrast | 70544 | 7 | $225 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mr-angiogram-head-without-contrast |
| MR angiogram, neck, without contrast | 70547 | 7 | $225 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mr-angiogram-neck-without-contrast |
| MR angiogram, neck, with and without contrast | 70549 | 7 | $363 | $544 | $1,851 | https://clearcharge.org/price/ga/rome/mr-angiogram-neck-with-and-without-contrast |
| MRI, brain, with contrast | 70552 | 7 | $229 | $448 | $1,754 | https://clearcharge.org/price/ga/rome/mri-brain-with-contrast |
| X-ray, chest, 1 view | 71045 | 7 | $24 | $90 | $207 | https://clearcharge.org/price/ga/rome/x-ray-chest-1-view |
| X-ray, chest, 3 views | 71047 | 7 | $40 | $108 | $277 | https://clearcharge.org/price/ga/rome/x-ray-chest-3-views |
| X-ray, ribs, one side | 71100 | 7 | $36 | $102 | $280 | https://clearcharge.org/price/ga/rome/x-ray-ribs-one-side |
| X-ray, ribs one side, with chest | 71101 | 7 | $41 | $163 | $347 | https://clearcharge.org/price/ga/rome/x-ray-ribs-one-side-with-chest |
| X-ray, ribs both sides, with chest | 71111 | 7 | $51 | $163 | $447 | https://clearcharge.org/price/ga/rome/x-ray-ribs-both-sides-with-chest |
| CT scan, chest, without contrast | 71250 | 7 | $108 | $163 | $1,432 | https://clearcharge.org/price/ga/rome/ct-scan-chest-without-contrast |
| CT scan, chest, with contrast | 71260 | 7 | $158 | $273 | $1,487 | https://clearcharge.org/price/ga/rome/ct-scan-chest-with-contrast |
| CT scan, chest, with and without contrast | 71270 | 7 | $181 | $273 | $1,534 | https://clearcharge.org/price/ga/rome/ct-scan-chest-with-and-without-contrast |
| CT scan, chest, low-dose lung cancer screening | 71271 | 7 | $107 | $138 | $556 | https://clearcharge.org/price/ga/rome/ct-scan-chest-low-dose-lung-cancer-screening |
| CT angiogram, chest | 71275 | 7 | $181 | $277 | $1,688 | https://clearcharge.org/price/ga/rome/ct-angiogram-chest |
| X-ray, spine, single view | 72020 | 7 | $23 | $109 | $144 | https://clearcharge.org/price/ga/rome/x-ray-spine-single-view |
| X-ray, neck spine, 2-3 views | 72040 | 7 | $40 | $136 | $223 | https://clearcharge.org/price/ga/rome/x-ray-neck-spine-2-3-views |
| X-ray, neck spine, 4-5 views | 72050 | 7 | $57 | $163 | $476 | https://clearcharge.org/price/ga/rome/x-ray-neck-spine-4-5-views |
| X-ray, mid-back spine, 2 views | 72070 | 7 | $32 | $107 | $223 | https://clearcharge.org/price/ga/rome/x-ray-mid-back-spine-2-views |
| X-ray, mid-back spine, 3 views | 72072 | 7 | $40 | $163 | $333 | https://clearcharge.org/price/ga/rome/x-ray-mid-back-spine-3-views |
| X-ray, mid and lower back spine, 2 views | 72080 | 7 | $34 | $136 | $203 | https://clearcharge.org/price/ga/rome/x-ray-mid-and-lower-back-spine-2-views |
| X-ray, entire spine, 1 view | 72081 | 7 | $42 | $111 | $316 | https://clearcharge.org/price/ga/rome/x-ray-entire-spine-1-view |
| X-ray, entire spine, 2-3 views | 72082 | 7 | $76 | $183 | $262 | https://clearcharge.org/price/ga/rome/x-ray-entire-spine-2-3-views |
| X-ray, lower back spine, 2-3 views | 72100 | 7 | $40 | $157 | $280 | https://clearcharge.org/price/ga/rome/x-ray-lower-back-spine-2-3-views |
| X-ray, lower back spine, 4 or more views | 72110 | 7 | $54 | $163 | $403 | https://clearcharge.org/price/ga/rome/x-ray-lower-back-spine-4-or-more-views |
| X-ray, lower back spine, bending views | 72120 | 7 | $42 | $142 | $231 | https://clearcharge.org/price/ga/rome/x-ray-lower-back-spine-bending-views |
| CT scan, neck spine, without contrast | 72125 | 7 | $108 | $163 | $1,375 | https://clearcharge.org/price/ga/rome/ct-scan-neck-spine-without-contrast |
| CT scan, mid-back spine, without contrast | 72128 | 7 | $108 | $163 | $1,476 | https://clearcharge.org/price/ga/rome/ct-scan-mid-back-spine-without-contrast |
| CT scan, lower back spine, without contrast | 72131 | 7 | $108 | $163 | $1,376 | https://clearcharge.org/price/ga/rome/ct-scan-lower-back-spine-without-contrast |
| CT scan, lower back spine, with contrast | 72132 | 7 | $158 | $448 | $1,429 | https://clearcharge.org/price/ga/rome/ct-scan-lower-back-spine-with-contrast |
| MRI, neck spine, without contrast | 72141 | 7 | $171 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mri-neck-spine-without-contrast |
| MRI, mid-back spine, without contrast | 72146 | 7 | $171 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mri-mid-back-spine-without-contrast |
| MRI, neck spine, with and without contrast | 72156 | 7 | $299 | $544 | $1,787 | https://clearcharge.org/price/ga/rome/mri-neck-spine-with-and-without-contrast |
| MRI, mid-back spine, with and without contrast | 72157 | 7 | $300 | $544 | $1,838 | https://clearcharge.org/price/ga/rome/mri-mid-back-spine-with-and-without-contrast |
| MRI, lower back spine, with and without contrast | 72158 | 7 | $298 | $544 | $1,844 | https://clearcharge.org/price/ga/rome/mri-lower-back-spine-with-and-without-contrast |
| X-ray, pelvis | 72170 | 7 | $27 | $119 | $226 | https://clearcharge.org/price/ga/rome/x-ray-pelvis |
| X-ray, pelvis, 3 or more views | 72190 | 7 | $42 | $110 | $207 | https://clearcharge.org/price/ga/rome/x-ray-pelvis-3-or-more-views |
| CT scan, pelvis, without contrast | 72192 | 7 | $108 | $163 | $1,441 | https://clearcharge.org/price/ga/rome/ct-scan-pelvis-without-contrast |
| CT scan, pelvis, with contrast | 72193 | 7 | $181 | $273 | $1,521 | https://clearcharge.org/price/ga/rome/ct-scan-pelvis-with-contrast |
| MRI, pelvis, without contrast | 72195 | 7 | $225 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mri-pelvis-without-contrast |
| MRI, pelvis, with and without contrast | 72197 | 7 | $328 | $544 | $1,844 | https://clearcharge.org/price/ga/rome/mri-pelvis-with-and-without-contrast |
| X-ray, sacroiliac joints | 72202 | 7 | $40 | $121 | $163 | https://clearcharge.org/price/ga/rome/x-ray-sacroiliac-joints |
| X-ray, tailbone | 72220 | 7 | $34 | $136 | $256 | https://clearcharge.org/price/ga/rome/x-ray-tailbone |
| X-ray, collarbone | 73000 | 7 | $34 | $124 | $195 | https://clearcharge.org/price/ga/rome/x-ray-collarbone |
| X-ray, shoulder, 1 view | 73020 | 7 | $20 | $89 | $136 | https://clearcharge.org/price/ga/rome/x-ray-shoulder-1-view |
| X-ray, shoulder, 2 or more views | 73030 | 7 | $36 | $113 | $265 | https://clearcharge.org/price/ga/rome/x-ray-shoulder-2-or-more-views |
| X-ray, upper arm bone | 73060 | 7 | $34 | $115 | $226 | https://clearcharge.org/price/ga/rome/x-ray-upper-arm-bone |
| X-ray, elbow, 2 views | 73070 | 7 | $30 | $127 | $157 | https://clearcharge.org/price/ga/rome/x-ray-elbow-2-views |
| X-ray, elbow, 3 or more views | 73080 | 7 | $34 | $121 | $257 | https://clearcharge.org/price/ga/rome/x-ray-elbow-3-or-more-views |
| X-ray, forearm | 73090 | 7 | $30 | $112 | $240 | https://clearcharge.org/price/ga/rome/x-ray-forearm |
| X-ray, wrist, 2 views | 73100 | 7 | $36 | $110 | $158 | https://clearcharge.org/price/ga/rome/x-ray-wrist-2-views |
| X-ray, wrist, 3 or more views | 73110 | 7 | $46 | $119 | $301 | https://clearcharge.org/price/ga/rome/x-ray-wrist-3-or-more-views |
| X-ray, hand, 2 views | 73120 | 7 | $32 | $112 | $182 | https://clearcharge.org/price/ga/rome/x-ray-hand-2-views |
| X-ray, hand, 3 or more views | 73130 | 7 | $40 | $119 | $272 | https://clearcharge.org/price/ga/rome/x-ray-hand-3-or-more-views |
| X-ray, finger | 73140 | 7 | $44 | $112 | $179 | https://clearcharge.org/price/ga/rome/x-ray-finger |
| CT scan, arm, without contrast | 73200 | 7 | $108 | $163 | $1,342 | https://clearcharge.org/price/ga/rome/ct-scan-arm-without-contrast |
| CT scan, arm, with contrast | 73201 | 7 | $205 | $430 | $1,429 | https://clearcharge.org/price/ga/rome/ct-scan-arm-with-contrast |
| MRI, arm, without contrast | 73218 | 7 | $246 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mri-arm-without-contrast |
| MRI, joint of the arm, without contrast | 73221 | 7 | $198 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mri-joint-of-the-arm-without-contrast |
| MRI, joint of the arm, with contrast | 73222 | 7 | $330 | $964 | $2,084 | https://clearcharge.org/price/ga/rome/mri-joint-of-the-arm-with-contrast |
| X-ray, hip, one side, 1 view | 73501 | 7 | $34 | $90 | $163 | https://clearcharge.org/price/ga/rome/x-ray-hip-one-side-1-view |
| X-ray, hip, one side, 2-3 views | 73502 | 7 | $51 | $133 | $277 | https://clearcharge.org/price/ga/rome/x-ray-hip-one-side-2-3-views |
| X-ray, both hips, 2 views | 73521 | 7 | $42 | $112 | $284 | https://clearcharge.org/price/ga/rome/x-ray-both-hips-2-views |
| X-ray, both hips, 3-4 views | 73522 | 7 | $55 | $146 | $357 | https://clearcharge.org/price/ga/rome/x-ray-both-hips-3-4-views |
| X-ray, thigh bone, 2 or more views | 73552 | 7 | $37 | $144 | $197 | https://clearcharge.org/price/ga/rome/x-ray-thigh-bone-2-or-more-views |
| X-ray, knee, 1-2 views | 73560 | 7 | $36 | $112 | $144 | https://clearcharge.org/price/ga/rome/x-ray-knee-1-2-views |
| X-ray, knee, 3 views | 73562 | 7 | $44 | $122 | $152 | https://clearcharge.org/price/ga/rome/x-ray-knee-3-views |
| X-ray, knee, 4 or more views | 73564 | 7 | $50 | $163 | $333 | https://clearcharge.org/price/ga/rome/x-ray-knee-4-or-more-views |
| X-ray, lower leg | 73590 | 7 | $33 | $113 | $250 | https://clearcharge.org/price/ga/rome/x-ray-lower-leg |
| X-ray, ankle, 2 views | 73600 | 7 | $34 | $109 | $153 | https://clearcharge.org/price/ga/rome/x-ray-ankle-2-views |
| X-ray, ankle, 3 or more views | 73610 | 7 | $39 | $125 | $209 | https://clearcharge.org/price/ga/rome/x-ray-ankle-3-or-more-views |
| X-ray, foot, 2 views | 73620 | 7 | $29 | $110 | $149 | https://clearcharge.org/price/ga/rome/x-ray-foot-2-views |
| X-ray, foot, 3 or more views | 73630 | 7 | $36 | $120 | $273 | https://clearcharge.org/price/ga/rome/x-ray-foot-3-or-more-views |
| X-ray, heel | 73650 | 7 | $29 | $100 | $226 | https://clearcharge.org/price/ga/rome/x-ray-heel |
| X-ray, toe | 73660 | 7 | $31 | $97 | $168 | https://clearcharge.org/price/ga/rome/x-ray-toe |
| CT scan, leg, without contrast | 73700 | 7 | $108 | $163 | $1,344 | https://clearcharge.org/price/ga/rome/ct-scan-leg-without-contrast |
| CT scan, leg, with contrast | 73701 | 7 | $158 | $273 | $1,426 | https://clearcharge.org/price/ga/rome/ct-scan-leg-with-contrast |
| CT angiogram, leg | 73706 | 7 | $181 | $330 | $1,587 | https://clearcharge.org/price/ga/rome/ct-angiogram-leg |
| MRI, leg, without contrast | 73718 | 7 | $224 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mri-leg-without-contrast |
| X-ray, abdomen, 1 view | 74018 | 7 | $30 | $95 | $297 | https://clearcharge.org/price/ga/rome/x-ray-abdomen-1-view |
| X-ray, abdomen, 2 views | 74019 | 7 | $36 | $145 | $312 | https://clearcharge.org/price/ga/rome/x-ray-abdomen-2-views |
| X-ray, abdomen, 3 or more views | 74021 | 7 | $42 | $178 | $322 | https://clearcharge.org/price/ga/rome/x-ray-abdomen-3-or-more-views |
| CT scan, abdomen, without contrast | 74150 | 7 | $108 | $163 | $1,447 | https://clearcharge.org/price/ga/rome/ct-scan-abdomen-without-contrast |
| CT scan, abdomen, with contrast | 74160 | 7 | $181 | $273 | $1,524 | https://clearcharge.org/price/ga/rome/ct-scan-abdomen-with-contrast |
| CT scan, abdomen, with and without contrast | 74170 | 7 | $181 | $273 | $1,606 | https://clearcharge.org/price/ga/rome/ct-scan-abdomen-with-and-without-contrast |
| CT angiogram, abdomen and pelvis | 74174 | 7 | $363 | $462 | $1,537 | https://clearcharge.org/price/ga/rome/ct-angiogram-abdomen-and-pelvis |
| CT scan, abdomen and pelvis, with contrast | 74177 | 7 | $304 | $439 | $2,194 | https://clearcharge.org/price/ga/rome/ct-scan-abdomen-and-pelvis-with-contrast |
| CT scan, abdomen and pelvis, with and without contrast | 74178 | 7 | $343 | $544 | $2,265 | https://clearcharge.org/price/ga/rome/ct-scan-abdomen-and-pelvis-with-and-without-contrast |
| MRI, abdomen, without contrast | 74181 | 7 | $180 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mri-abdomen-without-contrast |
| MRI, abdomen, with and without contrast | 74183 | 7 | $330 | $544 | $1,824 | https://clearcharge.org/price/ga/rome/mri-abdomen-with-and-without-contrast |
| Swallowing study, video X-ray | 74230 | 7 | $133 | $207 | $405 | https://clearcharge.org/price/ga/rome/swallowing-study-video-x-ray |
| Upper GI series (barium swallow) | 74240 | 7 | $114 | $273 | $347 | https://clearcharge.org/price/ga/rome/upper-gi-series-barium-swallow |
| Upper GI series with air contrast | 74246 | 7 | $130 | $273 | $435 | https://clearcharge.org/price/ga/rome/upper-gi-series-with-air-contrast |
| Small bowel X-ray series | 74250 | 7 | $113 | $207 | $328 | https://clearcharge.org/price/ga/rome/small-bowel-x-ray-series |
| Cardiac MRI, with contrast | 75561 | 7 | $337 | $363 | $1,754 | https://clearcharge.org/price/ga/rome/cardiac-mri-with-contrast |
| Heart CT calcium score | 75571 | 7 | $87 | $103 | $221 | https://clearcharge.org/price/ga/rome/heart-ct-calcium-score |
| CT scan, heart, with contrast | 75572 | 7 | $207 | $363 | $1,104 | https://clearcharge.org/price/ga/rome/ct-scan-heart-with-contrast |
| CT angiogram, heart arteries | 75574 | 7 | $298 | $381 | $1,011 | https://clearcharge.org/price/ga/rome/ct-angiogram-heart-arteries |
| Angiogram, artery of one arm or leg | 75710 | 7 | $93 | $3,113 | $4,922 | https://clearcharge.org/price/ga/rome/angiogram-artery-of-one-arm-or-leg |
| X-ray, infant, chest and abdomen | 76010 | 7 | $29 | $96 | $167 | https://clearcharge.org/price/ga/rome/x-ray-infant-chest-and-abdomen |
| Ultrasound, brain (through the skull) | 76506 | 7 | $105 | $187 | $405 | https://clearcharge.org/price/ga/rome/ultrasound-brain-through-the-skull |
| Ultrasound, soft tissues of the head and neck | 76536 | 7 | $107 | $190 | $412 | https://clearcharge.org/price/ga/rome/ultrasound-soft-tissues-of-the-head-and-neck |
| Ultrasound, chest | 76604 | 7 | $43 | $163 | $314 | https://clearcharge.org/price/ga/rome/ultrasound-chest |
| Ultrasound, breast, complete | 76641 | 7 | $93 | $183 | $418 | https://clearcharge.org/price/ga/rome/ultrasound-breast-complete |
| Ultrasound, breast, limited | 76642 | 7 | $72 | $148 | $325 | https://clearcharge.org/price/ga/rome/ultrasound-breast-limited |
| Ultrasound, abdomen, complete | 76700 | 7 | $107 | $177 | $497 | https://clearcharge.org/price/ga/rome/ultrasound-abdomen-complete |
| Ultrasound, abdomen, limited | 76705 | 7 | $82 | $163 | $556 | https://clearcharge.org/price/ga/rome/ultrasound-abdomen-limited |
| Ultrasound, kidneys and back of the abdomen, complete | 76770 | 7 | $101 | $168 | $547 | https://clearcharge.org/price/ga/rome/ultrasound-kidneys-and-back-of-the-abdomen-complete |
| Ultrasound, kidneys and back of the abdomen, limited | 76775 | 7 | $46 | $163 | $514 | https://clearcharge.org/price/ga/rome/ultrasound-kidneys-and-back-of-the-abdomen-limited |
| Pregnancy ultrasound, before 14 weeks | 76801 | 7 | $96 | $163 | $430 | https://clearcharge.org/price/ga/rome/pregnancy-ultrasound-before-14-weeks |
| Pregnancy ultrasound, limited | 76815 | 7 | $69 | $163 | $347 | https://clearcharge.org/price/ga/rome/pregnancy-ultrasound-limited |
| Pregnancy ultrasound, transvaginal | 76817 | 7 | $78 | $163 | $275 | https://clearcharge.org/price/ga/rome/pregnancy-ultrasound-transvaginal |
| Fetal wellbeing scan with non-stress test | 76818 | 7 | $96 | $163 | $316 | https://clearcharge.org/price/ga/rome/fetal-wellbeing-scan-with-non-stress-test |
| Transvaginal ultrasound | 76830 | 7 | $108 | $196 | $443 | https://clearcharge.org/price/ga/rome/transvaginal-ultrasound |
| Pelvic ultrasound, complete | 76856 | 7 | $100 | $164 | $386 | https://clearcharge.org/price/ga/rome/pelvic-ultrasound-complete |
| Pelvic ultrasound, limited | 76857 | 7 | $37 | $163 | $293 | https://clearcharge.org/price/ga/rome/pelvic-ultrasound-limited |
| Ultrasound, scrotum | 76870 | 7 | $96 | $163 | $556 | https://clearcharge.org/price/ga/rome/ultrasound-scrotum |
| Ultrasound, joint or limb, limited | 76882 | 7 | $44 | $163 | $278 | https://clearcharge.org/price/ga/rome/ultrasound-joint-or-limb-limited |
| Ultrasound, infant hips | 76885 | 7 | $87 | $137 | $421 | https://clearcharge.org/price/ga/rome/ultrasound-infant-hips |
| Ultrasound guidance for placing an IV line | 76937 | 7 | $35 | $57 | $742 | https://clearcharge.org/price/ga/rome/ultrasound-guidance-for-placing-an-iv-line |
| Diagnostic mammogram, one breast | 77065 | 7 | $79 | $121 | $252 | https://clearcharge.org/price/ga/rome/diagnostic-mammogram-one-breast |
| Diagnostic mammogram, both breasts | 77066 | 7 | $102 | $154 | $267 | https://clearcharge.org/price/ga/rome/diagnostic-mammogram-both-breasts |
| Bone age X-ray | 77072 | 7 | $23 | $163 | $223 | https://clearcharge.org/price/ga/rome/bone-age-x-ray |
| Whole-body bone survey X-ray | 77075 | 7 | $101 | $165 | $404 | https://clearcharge.org/price/ga/rome/whole-body-bone-survey-x-ray |
| Joint survey X-ray, 2 or more joints | 77077 | 7 | $42 | $108 | $207 | https://clearcharge.org/price/ga/rome/joint-survey-x-ray-2-or-more-joints |
| Bone density scan (DEXA), spine and hip | 77080 | 7 | $42 | $151 | $217 | https://clearcharge.org/price/ga/rome/bone-density-scan-dexa-spine-and-hip |
| Bone density scan (DEXA), wrist, heel or finger | 77081 | 7 | $31 | $87 | $136 | https://clearcharge.org/price/ga/rome/bone-density-scan-dexa-wrist-heel-or-finger |
| Nuclear stress test, heart blood flow | 78452 | 7 | $480 | $1,341 | $2,115 | https://clearcharge.org/price/ga/rome/nuclear-stress-test-heart-blood-flow |
| X-ray, chest, 4 or more views | 71048 | 6 | $43 | $112 | $207 | https://clearcharge.org/price/ga/rome/x-ray-chest-4-or-more-views |
| Bile duct X-ray during surgery | 74300 | 5 | $19 | $33 | $1,089 | https://clearcharge.org/price/ga/rome/bile-duct-x-ray-during-surgery |

## Orthopedics

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| MRI, knee, without contrast | 73721 | 7 | $197 | $372 | $1,754 | https://clearcharge.org/price/ga/rome/mri-knee-without-contrast |
| Large joint injection or fluid drainage | 20610 | 7 | $258 | $607 | $2,444 | https://clearcharge.org/price/ga/rome/large-joint-injection-or-fluid-drainage |
| Knee arthroscopy with meniscus repair | 29881 | 5 | $3,161 | $3,257 | $4,531 | https://clearcharge.org/price/ga/rome/knee-arthroscopy-with-meniscus-repair |
| Shoulder joint dye injection for imaging | 23350 | 5 | $139 | $1,087 | $3,795 | https://clearcharge.org/price/ga/rome/shoulder-joint-dye-injection-for-imaging |
| Shoulder bone shaving (keyhole surgery) | 29826 | 5 | $153 | $2,395 | $3,108 | https://clearcharge.org/price/ga/rome/shoulder-bone-shaving-keyhole-surgery |

## Heart & Vascular

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Echocardiogram with Doppler | 93306 | 6 | $557 | $1,635 | $3,455 | https://clearcharge.org/price/ga/rome/echocardiogram-with-doppler |
| Cardiac stress test | 93017 | 6 | $225 | $646 | $2,409 | https://clearcharge.org/price/ga/rome/cardiac-stress-test |
| Cardiac catheterization, left heart, with angiography | 93458 | 6 | $3,203 | $6,046 | $12,547 | https://clearcharge.org/price/ga/rome/cardiac-catheterization-left-heart-with-angiography |
| Transesophageal echocardiogram (TEE), complete | 93312 | 6 | $551 | $1,106 | $3,096 | https://clearcharge.org/price/ga/rome/transesophageal-echocardiogram-tee-complete |
| Left heart catheterization with ventriculogram | 93452 | 6 | $3,203 | $5,063 | $11,383 | https://clearcharge.org/price/ga/rome/left-heart-catheterization-with-ventriculogram |
| EKG (electrocardiogram), tracing only | 93005 | 6 | $60 | $173 | $431 | https://clearcharge.org/price/ga/rome/ekg-electrocardiogram-tracing-only |
| Follow-up heart ultrasound (echocardiogram) | 93308 | 6 | $245 | $635 | $856 | https://clearcharge.org/price/ga/rome/follow-up-heart-ultrasound-echocardiogram |
| Neck artery ultrasound (carotid), both sides | 93880 | 6 | $260 | $501 | $1,915 | https://clearcharge.org/price/ga/rome/neck-artery-ultrasound-carotid-both-sides |
| Artery ultrasound, arms and legs | 93923 | 6 | $154 | $236 | $1,322 | https://clearcharge.org/price/ga/rome/artery-ultrasound-arms-and-legs |
| Vein ultrasound, both arms or both legs | 93970 | 6 | $260 | $531 | $1,497 | https://clearcharge.org/price/ga/rome/vein-ultrasound-both-arms-or-both-legs |
| Vein ultrasound, one arm or leg | 93971 | 6 | $114 | $275 | $1,198 | https://clearcharge.org/price/ga/rome/vein-ultrasound-one-arm-or-leg |
| Abdominal, pelvic or scrotal artery ultrasound | 93975 | 6 | $260 | $543 | $1,268 | https://clearcharge.org/price/ga/rome/abdominal-pelvic-or-scrotal-artery-ultrasound |
| Heart event monitor, hook-up and instruction | 93270 | 5 | $39 | $103 | $460 | https://clearcharge.org/price/ga/rome/heart-event-monitor-hook-up-and-instruction |
| Heart blood-flow Doppler study | 93320 | 5 | $51 | $542 | $1,070 | https://clearcharge.org/price/ga/rome/heart-blood-flow-doppler-study |
| Follow-up heart blood-flow Doppler study | 93321 | 5 | $25 | $147 | $740 | https://clearcharge.org/price/ga/rome/follow-up-heart-blood-flow-doppler-study |
| Heart ultrasound with colour blood-flow imaging | 93325 | 5 | $23 | $537 | $830 | https://clearcharge.org/price/ga/rome/heart-ultrasound-with-colour-blood-flow-imaging |

## Lab & Pathology

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Complete blood count (CBC) with differential | 85025 | 7 | $8 | $12 | $141 | https://clearcharge.org/price/ga/rome/complete-blood-count-cbc-with-differential |
| Complete blood count (CBC), no differential | 85027 | 7 | $7 | $10 | $94 | https://clearcharge.org/price/ga/rome/complete-blood-count-cbc-no-differential |
| Rapid strep test (in-office) | 87880 | 7 | $17 | $27 | $95 | https://clearcharge.org/price/ga/rome/rapid-strep-test-in-office |
| Strep test (molecular/PCR) | 87651 | 7 | $31 | $39 | $77 | https://clearcharge.org/price/ga/rome/strep-test-molecular-pcr |
| HIV test, lab (antigen and antibody) | 87389 | 7 | $23 | $33 | $59 | https://clearcharge.org/price/ga/rome/hiv-test-lab-antigen-and-antibody |
| C. diff toxin test (antigen) | 87324 | 7 | $12 | $18 | $35 | https://clearcharge.org/price/ga/rome/c-diff-toxin-test-antigen |
| Basic metabolic panel (with ionized calcium) | 80047 | 7 | $14 | $19 | $142 | https://clearcharge.org/price/ga/rome/basic-metabolic-panel-with-ionized-calcium |
| Basic metabolic panel | 80048 | 7 | $9 | $13 | $198 | https://clearcharge.org/price/ga/rome/basic-metabolic-panel |
| Electrolyte panel | 80051 | 7 | $7 | $11 | $72 | https://clearcharge.org/price/ga/rome/electrolyte-panel |
| Comprehensive metabolic panel | 80053 | 7 | $11 | $16 | $298 | https://clearcharge.org/price/ga/rome/comprehensive-metabolic-panel |
| Obstetric blood panel | 80055 | 7 | $48 | $65 | $161 | https://clearcharge.org/price/ga/rome/obstetric-blood-panel |
| Lipid panel (cholesterol) | 80061 | 7 | $14 | $20 | $186 | https://clearcharge.org/price/ga/rome/lipid-panel-cholesterol |
| Kidney function panel | 80069 | 7 | $9 | $13 | $132 | https://clearcharge.org/price/ga/rome/kidney-function-panel |
| Acute hepatitis panel | 80074 | 7 | $49 | $71 | $200 | https://clearcharge.org/price/ga/rome/acute-hepatitis-panel |
| Liver function panel | 80076 | 7 | $8 | $12 | $196 | https://clearcharge.org/price/ga/rome/liver-function-panel |
| Gentamicin blood level | 80170 | 7 | $17 | $25 | $99 | https://clearcharge.org/price/ga/rome/gentamicin-blood-level |
| Lithium blood level | 80178 | 7 | $7 | $10 | $44 | https://clearcharge.org/price/ga/rome/lithium-blood-level |
| Phenytoin blood level | 80185 | 7 | $14 | $20 | $117 | https://clearcharge.org/price/ga/rome/phenytoin-blood-level |
| Vancomycin blood level | 80202 | 7 | $14 | $20 | $107 | https://clearcharge.org/price/ga/rome/vancomycin-blood-level |
| Drug screen, laboratory analyzer | 80307 | 7 | $63 | $93 | $172 | https://clearcharge.org/price/ga/rome/drug-screen-laboratory-analyzer |
| Urinalysis with microscope, manual | 81000 | 7 | $4 | $4 | $12 | https://clearcharge.org/price/ga/rome/urinalysis-with-microscope-manual |
| Urinalysis with microscope, automated | 81001 | 7 | $3 | $5 | $92 | https://clearcharge.org/price/ga/rome/urinalysis-with-microscope-automated |
| Urinalysis without microscope, manual | 81002 | 7 | $3 | $5 | $19 | https://clearcharge.org/price/ga/rome/urinalysis-without-microscope-manual |
| Urinalysis without microscope, automated | 81003 | 7 | $2 | $4 | $45 | https://clearcharge.org/price/ga/rome/urinalysis-without-microscope-automated |
| Urine pregnancy test | 81025 | 7 | $9 | $14 | $94 | https://clearcharge.org/price/ga/rome/urine-pregnancy-test |
| Ketones, blood | 82010 | 7 | $8 | $13 | $84 | https://clearcharge.org/price/ga/rome/ketones-blood |
| Microalbumin, urine | 82043 | 7 | $6 | $9 | $55 | https://clearcharge.org/price/ga/rome/microalbumin-urine |
| Alpha-fetoprotein (AFP), blood | 82105 | 7 | $17 | $25 | $45 | https://clearcharge.org/price/ga/rome/alpha-fetoprotein-afp-blood |
| Beta-2 microglobulin | 82232 | 7 | $17 | $22 | $54 | https://clearcharge.org/price/ga/rome/beta-2-microglobulin |
| Bilirubin, total | 82247 | 7 | $5 | $8 | $43 | https://clearcharge.org/price/ga/rome/bilirubin-total |
| Bilirubin, direct | 82248 | 7 | $5 | $8 | $73 | https://clearcharge.org/price/ga/rome/bilirubin-direct |
| Vitamin D level | 82306 | 7 | $30 | $44 | $169 | https://clearcharge.org/price/ga/rome/vitamin-d-level |
| Calcium, total | 82310 | 7 | $5 | $8 | $85 | https://clearcharge.org/price/ga/rome/calcium-total |
| Calcium, ionized | 82330 | 7 | $14 | $21 | $85 | https://clearcharge.org/price/ga/rome/calcium-ionized |
| Chloride, urine | 82436 | 7 | $6 | $8 | $42 | https://clearcharge.org/price/ga/rome/chloride-urine |
| Cortisol, total | 82533 | 7 | $17 | $24 | $53 | https://clearcharge.org/price/ga/rome/cortisol-total |
| Creatine kinase (CK), total | 82550 | 7 | $7 | $10 | $74 | https://clearcharge.org/price/ga/rome/creatine-kinase-ck-total |
| Creatine kinase MB (heart muscle enzyme) | 82553 | 7 | $12 | $17 | $262 | https://clearcharge.org/price/ga/rome/creatine-kinase-mb-heart-muscle-enzyme |
| Creatinine, blood | 82565 | 7 | $5 | $8 | $43 | https://clearcharge.org/price/ga/rome/creatinine-blood |
| Creatinine, urine | 82570 | 7 | $5 | $8 | $56 | https://clearcharge.org/price/ga/rome/creatinine-urine |
| Vitamin B12 | 82607 | 7 | $16 | $23 | $108 | https://clearcharge.org/price/ga/rome/vitamin-b12 |
| Vitamin D, active form | 82652 | 7 | $40 | $58 | $165 | https://clearcharge.org/price/ga/rome/vitamin-d-active-form |
| Erythropoietin | 82668 | 7 | $19 | $26 | $51 | https://clearcharge.org/price/ga/rome/erythropoietin |
| Estriol | 82677 | 7 | $25 | $33 | $86 | https://clearcharge.org/price/ga/rome/estriol |
| Ferritin (iron stores) | 82728 | 7 | $14 | $20 | $129 | https://clearcharge.org/price/ga/rome/ferritin-iron-stores |
| Fetal fibronectin (preterm labor test) | 82731 | 7 | $65 | $88 | $295 | https://clearcharge.org/price/ga/rome/fetal-fibronectin-preterm-labor-test |
| Folate (folic acid) | 82746 | 7 | $15 | $22 | $116 | https://clearcharge.org/price/ga/rome/folate-folic-acid |
| Immunoglobulin level (IgA, IgD, IgG or IgM) | 82784 | 7 | $10 | $14 | $57 | https://clearcharge.org/price/ga/rome/immunoglobulin-level-iga-igd-igg-or-igm |
| Arterial blood gas | 82803 | 7 | $26 | $39 | $136 | https://clearcharge.org/price/ga/rome/arterial-blood-gas |
| Glucose, blood | 82947 | 7 | $4 | $6 | $47 | https://clearcharge.org/price/ga/rome/glucose-blood |
| GGT (liver enzyme) | 82977 | 7 | $7 | $11 | $67 | https://clearcharge.org/price/ga/rome/ggt-liver-enzyme |
| Hemoglobin A1c (3-month blood sugar) | 83036 | 7 | $10 | $15 | $66 | https://clearcharge.org/price/ga/rome/hemoglobin-a1c-3-month-blood-sugar |
| Hemoglobin, plasma | 83051 | 7 | $7 | $11 | $64 | https://clearcharge.org/price/ga/rome/hemoglobin-plasma |
| Iron, blood | 83540 | 7 | $7 | $10 | $62 | https://clearcharge.org/price/ga/rome/iron-blood |
| Iron binding capacity | 83550 | 7 | $9 | $13 | $80 | https://clearcharge.org/price/ga/rome/iron-binding-capacity |
| Lactic acid | 83605 | 7 | $12 | $17 | $87 | https://clearcharge.org/price/ga/rome/lactic-acid |
| Lactate dehydrogenase (LDH) | 83615 | 7 | $6 | $9 | $36 | https://clearcharge.org/price/ga/rome/lactate-dehydrogenase-ldh |
| Lactoferrin, stool | 83630 | 7 | $20 | $30 | $70 | https://clearcharge.org/price/ga/rome/lactoferrin-stool |
| Lead blood level | 83655 | 7 | $12 | $18 | $34 | https://clearcharge.org/price/ga/rome/lead-blood-level |
| Lipase (pancreas enzyme) | 83690 | 7 | $7 | $10 | $139 | https://clearcharge.org/price/ga/rome/lipase-pancreas-enzyme |
| Magnesium | 83735 | 7 | $7 | $10 | $60 | https://clearcharge.org/price/ga/rome/magnesium |
| BNP (heart failure blood test) | 83880 | 7 | $40 | $53 | $96 | https://clearcharge.org/price/ga/rome/bnp-heart-failure-blood-test |
| Parathyroid hormone (PTH) | 83970 | 7 | $43 | $62 | $136 | https://clearcharge.org/price/ga/rome/parathyroid-hormone-pth |
| Phosphorus, blood | 84100 | 7 | $5 | $7 | $38 | https://clearcharge.org/price/ga/rome/phosphorus-blood |
| PAMG-1 test for ruptured membranes | 84112 | 7 | $88 | $133 | $216 | https://clearcharge.org/price/ga/rome/pamg-1-test-for-ruptured-membranes |
| Potassium, blood | 84132 | 7 | $5 | $7 | $42 | https://clearcharge.org/price/ga/rome/potassium-blood |
| Potassium, urine | 84133 | 7 | $5 | $7 | $65 | https://clearcharge.org/price/ga/rome/potassium-urine |
| Procalcitonin (bacterial infection marker) | 84145 | 7 | $27 | $41 | $408 | https://clearcharge.org/price/ga/rome/procalcitonin-bacterial-infection-marker |
| PSA, total (prostate blood test) | 84153 | 7 | $19 | $28 | $129 | https://clearcharge.org/price/ga/rome/psa-total-prostate-blood-test |
| PSA, free (prostate blood test) | 84154 | 7 | $19 | $28 | $92 | https://clearcharge.org/price/ga/rome/psa-free-prostate-blood-test |
| Protein, total, blood | 84155 | 7 | $4 | $6 | $66 | https://clearcharge.org/price/ga/rome/protein-total-blood |
| Protein, urine | 84156 | 7 | $4 | $6 | $66 | https://clearcharge.org/price/ga/rome/protein-urine |
| Protein, total, other fluid | 84157 | 7 | $4 | $6 | $64 | https://clearcharge.org/price/ga/rome/protein-total-other-fluid |
| Sodium, blood | 84295 | 7 | $5 | $7 | $41 | https://clearcharge.org/price/ga/rome/sodium-blood |
| Sodium, urine | 84300 | 7 | $5 | $8 | $48 | https://clearcharge.org/price/ga/rome/sodium-urine |
| Testosterone, free | 84402 | 7 | $26 | $38 | $80 | https://clearcharge.org/price/ga/rome/testosterone-free |
| Testosterone, total | 84403 | 7 | $27 | $39 | $95 | https://clearcharge.org/price/ga/rome/testosterone-total |
| Vitamin B1 (thiamine) | 84425 | 7 | $22 | $32 | $75 | https://clearcharge.org/price/ga/rome/vitamin-b1-thiamine |
| Thyroid hormone T4, total | 84436 | 7 | $7 | $10 | $100 | https://clearcharge.org/price/ga/rome/thyroid-hormone-t4-total |
| Thyroid hormone T4, free | 84439 | 7 | $9 | $14 | $125 | https://clearcharge.org/price/ga/rome/thyroid-hormone-t4-free |
| TSH (thyroid stimulating hormone) | 84443 | 7 | $17 | $25 | $112 | https://clearcharge.org/price/ga/rome/tsh-thyroid-stimulating-hormone |
| Thyroid hormone T3, total | 84480 | 7 | $15 | $21 | $110 | https://clearcharge.org/price/ga/rome/thyroid-hormone-t3-total |
| Thyroid hormone T3, free | 84481 | 7 | $17 | $25 | $58 | https://clearcharge.org/price/ga/rome/thyroid-hormone-t3-free |
| Troponin (heart attack blood test) | 84484 | 7 | $12 | $19 | $141 | https://clearcharge.org/price/ga/rome/troponin-heart-attack-blood-test |
| Urea nitrogen, urine | 84540 | 7 | $6 | $8 | $57 | https://clearcharge.org/price/ga/rome/urea-nitrogen-urine |
| Uric acid, blood | 84550 | 7 | $5 | $7 | $90 | https://clearcharge.org/price/ga/rome/uric-acid-blood |
| Pregnancy blood test, quantitative (hCG) | 84702 | 7 | $15 | $24 | $173 | https://clearcharge.org/price/ga/rome/pregnancy-blood-test-quantitative-hcg |
| Pregnancy blood test, yes/no (hCG) | 84703 | 7 | $8 | $11 | $104 | https://clearcharge.org/price/ga/rome/pregnancy-blood-test-yes-no-hcg |
| Hematocrit | 85014 | 7 | $2 | $4 | $17 | https://clearcharge.org/price/ga/rome/hematocrit |
| Hemoglobin | 85018 | 7 | $2 | $4 | $17 | https://clearcharge.org/price/ga/rome/hemoglobin |
| Reticulocyte count | 85045 | 7 | $4 | $6 | $14 | https://clearcharge.org/price/ga/rome/reticulocyte-count |
| Antithrombin III activity | 85300 | 7 | $12 | $16 | $42 | https://clearcharge.org/price/ga/rome/antithrombin-iii-activity |
| Protein S, total | 85305 | 7 | $12 | $16 | $43 | https://clearcharge.org/price/ga/rome/protein-s-total |
| Activated clotting time | 85347 | 7 | $4 | $6 | $24 | https://clearcharge.org/price/ga/rome/activated-clotting-time |
| D-dimer (blood clot test) | 85379 | 7 | $10 | $15 | $96 | https://clearcharge.org/price/ga/rome/d-dimer-blood-clot-test |
| Fibrinogen activity | 85384 | 7 | $10 | $15 | $49 | https://clearcharge.org/price/ga/rome/fibrinogen-activity |
| Blood clotting screen | 85390 | 7 | $7 | $17 | $45 | https://clearcharge.org/price/ga/rome/blood-clotting-screen |
| Blood clotting and clot-breakdown tests | 85397 | 7 | $31 | $42 | $68 | https://clearcharge.org/price/ga/rome/blood-clotting-and-clot-breakdown-tests |
| Heparin blood level | 85520 | 7 | $13 | $18 | $48 | https://clearcharge.org/price/ga/rome/heparin-blood-level |
| Platelet aggregation study | 85576 | 7 | $26 | $34 | $55 | https://clearcharge.org/price/ga/rome/platelet-aggregation-study |
| Prothrombin time (PT/INR) | 85610 | 7 | $4 | $7 | $39 | https://clearcharge.org/price/ga/rome/prothrombin-time-pt-inr |
| Sedimentation rate (ESR), automated | 85652 | 7 | $3 | $4 | $44 | https://clearcharge.org/price/ga/rome/sedimentation-rate-esr-automated |
| Partial thromboplastin time (PTT) | 85730 | 7 | $6 | $9 | $62 | https://clearcharge.org/price/ga/rome/partial-thromboplastin-time-ptt |
| Allergy blood test, single allergen | 86003 | 7 | $5 | $8 | $15 | https://clearcharge.org/price/ga/rome/allergy-blood-test-single-allergen |
| Antinuclear antibody (ANA) | 86038 | 7 | $12 | $18 | $87 | https://clearcharge.org/price/ga/rome/antinuclear-antibody-ana |
| C-reactive protein (inflammation marker) | 86140 | 7 | $5 | $8 | $89 | https://clearcharge.org/price/ga/rome/c-reactive-protein-inflammation-marker |
| Beta-2 glycoprotein antibody | 86146 | 7 | $26 | $35 | $56 | https://clearcharge.org/price/ga/rome/beta-2-glycoprotein-antibody |
| Phospholipid antibody | 86148 | 7 | $16 | $22 | $35 | https://clearcharge.org/price/ga/rome/phospholipid-antibody |
| Complement antigen | 86160 | 7 | $12 | $18 | $43 | https://clearcharge.org/price/ga/rome/complement-antigen |
| Double-stranded DNA antibody | 86225 | 7 | $14 | $21 | $49 | https://clearcharge.org/price/ga/rome/double-stranded-dna-antibody |
| Extractable nuclear antigen antibody | 86235 | 7 | $18 | $27 | $58 | https://clearcharge.org/price/ga/rome/extractable-nuclear-antigen-antibody |
| Fluorescent antibody screen | 86255 | 7 | $12 | $18 | $51 | https://clearcharge.org/price/ga/rome/fluorescent-antibody-screen |
| Tumor marker CA 15-3 | 86300 | 7 | $21 | $28 | $53 | https://clearcharge.org/price/ga/rome/tumor-marker-ca-15-3 |
| Tumor marker CA 125 | 86304 | 7 | $21 | $31 | $74 | https://clearcharge.org/price/ga/rome/tumor-marker-ca-125 |
| Mononucleosis screen (heterophile antibody) | 86308 | 7 | $5 | $8 | $73 | https://clearcharge.org/price/ga/rome/mononucleosis-screen-heterophile-antibody |
| Antibody blood test | 86317 | 7 | $15 | $22 | $67 | https://clearcharge.org/price/ga/rome/antibody-blood-test |
| Immunofixation electrophoresis | 86334 | 7 | $23 | $33 | $79 | https://clearcharge.org/price/ga/rome/immunofixation-electrophoresis |
| Rheumatoid factor | 86431 | 7 | $6 | $9 | $73 | https://clearcharge.org/price/ga/rome/rheumatoid-factor |
| TB blood test (interferon release) | 86480 | 7 | $64 | $93 | $183 | https://clearcharge.org/price/ga/rome/tb-blood-test-interferon-release |
| Syphilis screening test | 86592 | 7 | $4 | $6 | $43 | https://clearcharge.org/price/ga/rome/syphilis-screening-test |
| Hepatitis B core antibody, total | 86704 | 7 | $12 | $16 | $40 | https://clearcharge.org/price/ga/rome/hepatitis-b-core-antibody-total |
| Hepatitis B surface antibody | 86706 | 7 | $11 | $16 | $85 | https://clearcharge.org/price/ga/rome/hepatitis-b-surface-antibody |
| Mumps antibody | 86735 | 7 | $13 | $20 | $86 | https://clearcharge.org/price/ga/rome/mumps-antibody |
| Rubella antibody | 86762 | 7 | $15 | $22 | $52 | https://clearcharge.org/price/ga/rome/rubella-antibody |
| Measles antibody | 86765 | 7 | $13 | $19 | $40 | https://clearcharge.org/price/ga/rome/measles-antibody |
| Syphilis confirmatory test | 86780 | 7 | $14 | $20 | $47 | https://clearcharge.org/price/ga/rome/syphilis-confirmatory-test |
| Chickenpox/shingles antibody | 86787 | 7 | $13 | $19 | $46 | https://clearcharge.org/price/ga/rome/chickenpox-shingles-antibody |
| Hepatitis C antibody | 86803 | 7 | $15 | $21 | $111 | https://clearcharge.org/price/ga/rome/hepatitis-c-antibody |
| Red blood cell antibody screen | 86850 | 7 | $15 | $53 | $100 | https://clearcharge.org/price/ga/rome/red-blood-cell-antibody-screen |
| Direct Coombs test | 86880 | 7 | $8 | $47 | $87 | https://clearcharge.org/price/ga/rome/direct-coombs-test |
| Blood crossmatch, antiglobulin | 86922 | 7 | $21 | $169 | $191 | https://clearcharge.org/price/ga/rome/blood-crossmatch-antiglobulin |
| Blood crossmatch, electronic | 86923 | 7 | $16 | $169 | $191 | https://clearcharge.org/price/ga/rome/blood-crossmatch-electronic |
| Specimen concentration for culture | 87015 | 7 | $7 | $10 | $30 | https://clearcharge.org/price/ga/rome/specimen-concentration-for-culture |
| Stool culture, each additional organism | 87046 | 7 | $10 | $14 | $87 | https://clearcharge.org/price/ga/rome/stool-culture-each-additional-organism |
| Urine culture with colony count | 87086 | 7 | $8 | $12 | $91 | https://clearcharge.org/price/ga/rome/urine-culture-with-colony-count |
| Infection test by DNA analysis | 87150 | 7 | $26 | $39 | $57 | https://clearcharge.org/price/ga/rome/infection-test-by-dna-analysis |
| Hepatitis B surface antigen | 87340 | 7 | $11 | $16 | $95 | https://clearcharge.org/price/ga/rome/hepatitis-b-surface-antigen |
| Influenza A antigen test | 87400 | 7 | $14 | $19 | $42 | https://clearcharge.org/price/ga/rome/influenza-a-antigen-test |
| Strep A antigen test | 87430 | 7 | $17 | $25 | $62 | https://clearcharge.org/price/ga/rome/strep-a-antigen-test |
| Candida DNA test | 87481 | 7 | $31 | $39 | $101 | https://clearcharge.org/price/ga/rome/candida-dna-test |
| Chlamydia DNA test | 87491 | 7 | $36 | $53 | $173 | https://clearcharge.org/price/ga/rome/chlamydia-dna-test |
| Gonorrhea DNA test | 87591 | 7 | $36 | $53 | $155 | https://clearcharge.org/price/ga/rome/gonorrhea-dna-test |
| HPV test, high-risk types | 87624 | 7 | $31 | $48 | $77 | https://clearcharge.org/price/ga/rome/hpv-test-high-risk-types |
| Trichomonas DNA test | 87661 | 7 | $36 | $53 | $101 | https://clearcharge.org/price/ga/rome/trichomonas-dna-test |
| Pap smear, automated screening | 88175 | 7 | $27 | $36 | $87 | https://clearcharge.org/price/ga/rome/pap-smear-automated-screening |
| Special tissue stain, each extra test | 88341 | 7 | $57 | $89 | $249 | https://clearcharge.org/price/ga/rome/special-tissue-stain-each-extra-test |
| Special tissue stain, first test | 88342 | 7 | $101 | $177 | $308 | https://clearcharge.org/price/ga/rome/special-tissue-stain-first-test |
| Rapid HIV test (point-of-care) | 87806 | 6 | $33 | $39 | $49 | https://clearcharge.org/price/ga/rome/rapid-hiv-test-point-of-care |
| White blood cell differential, manual | 85007 | 6 | $4 | $6 | $23 | https://clearcharge.org/price/ga/rome/white-blood-cell-differential-manual |

## Neurology & Pain Management

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Spinal tap (lumbar puncture), diagnostic | 62270 | 7 | $552 | $1,075 | $2,646 | https://clearcharge.org/price/ga/rome/spinal-tap-lumbar-puncture-diagnostic |
| Lower back spinal injection with imaging guidance | 62323 | 7 | $690 | $1,012 | $4,448 | https://clearcharge.org/price/ga/rome/lower-back-spinal-injection-with-imaging-guidance |
| Femoral nerve block injection | 64447 | 7 | $683 | $1,949 | $4,448 | https://clearcharge.org/price/ga/rome/femoral-nerve-block-injection |
| Nerve block injection, other nerve | 64450 | 7 | $258 | $791 | $3,524 | https://clearcharge.org/price/ga/rome/nerve-block-injection-other-nerve |
| Lower back spinal injection | 62322 | 6 | $878 | $2,434 | $4,448 | https://clearcharge.org/price/ga/rome/lower-back-spinal-injection |
| Lower back nerve root injection | 64483 | 6 | $659 | $1,708 | $3,453 | https://clearcharge.org/price/ga/rome/lower-back-nerve-root-injection |
| Upper or mid back facet joint injection | 64490 | 6 | $659 | $1,949 | $4,448 | https://clearcharge.org/price/ga/rome/upper-or-mid-back-facet-joint-injection |
| Lower back facet joint injection | 64493 | 6 | $509 | $1,949 | $4,448 | https://clearcharge.org/price/ga/rome/lower-back-facet-joint-injection |
| Nerve burning for spine joint pain (radiofrequency) | 64635 | 6 | $1,926 | $2,988 | $7,469 | https://clearcharge.org/price/ga/rome/nerve-burning-for-spine-joint-pain-radiofrequency |
| Sleep study (polysomnography) | 95810 | 5 | $894 | $1,871 | $3,213 | https://clearcharge.org/price/ga/rome/sleep-study-polysomnography |
| Sleep study with CPAP titration | 95811 | 5 | $894 | $1,871 | $3,695 | https://clearcharge.org/price/ga/rome/sleep-study-with-cpap-titration |
| Abdominal wall nerve block (TAP block) | 64488 | 5 | $112 | $1,878 | $4,804 | https://clearcharge.org/price/ga/rome/abdominal-wall-nerve-block-tap-block |
| Home sleep study | 95800 | 5 | $159 | $236 | $1,836 | https://clearcharge.org/price/ga/rome/home-sleep-study |
| Brain wave test (EEG), awake and drowsy | 95816 | 5 | $225 | $307 | $1,297 | https://clearcharge.org/price/ga/rome/brain-wave-test-eeg-awake-and-drowsy |

## Digestive Health

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Colonoscopy with biopsy | 45380 | 7 | $1,163 | $2,219 | $3,127 | https://clearcharge.org/price/ga/rome/colonoscopy-with-biopsy |
| Colonoscopy with polyp removal (snare) | 45385 | 7 | $1,163 | $2,219 | $3,313 | https://clearcharge.org/price/ga/rome/colonoscopy-with-polyp-removal-snare |
| Colonoscopy with ultrasound | 45391 | 7 | $1,163 | $2,219 | $3,127 | https://clearcharge.org/price/ga/rome/colonoscopy-with-ultrasound |
| Colonoscopy, diagnostic | 45378 | 6 | $899 | $2,219 | $2,500 | https://clearcharge.org/price/ga/rome/colonoscopy-diagnostic |
| Upper endoscopy (EGD) with biopsy | 43239 | 6 | $925 | $2,219 | $3,127 | https://clearcharge.org/price/ga/rome/upper-endoscopy-egd-with-biopsy |
| Upper endoscopy (EGD), diagnostic | 43235 | 6 | $925 | $1,708 | $3,342 | https://clearcharge.org/price/ga/rome/upper-endoscopy-egd-diagnostic |
| Gallbladder removal (laparoscopic) | 47562 | 5 | $2,514 | $5,799 | $6,472 | https://clearcharge.org/price/ga/rome/gallbladder-removal-laparoscopic |
| Tonsil and adenoid removal, under age 12 | 42820 | 5 | $2,514 | $5,833 | $6,337 | https://clearcharge.org/price/ga/rome/tonsil-and-adenoid-removal-under-age-12 |
| Groin hernia repair, age 5 and over | 49505 | 5 | $3,439 | $3,547 | $4,531 | https://clearcharge.org/price/ga/rome/groin-hernia-repair-age-5-and-over |

## Eye Care

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Laser treatment for clouding after cataract surgery | 66821 | 6 | $541 | $1,060 | $2,219 | https://clearcharge.org/price/ga/rome/laser-treatment-for-clouding-after-cataract-surgery |
| Cataract removal with lens implant | 66984 | 5 | $2,222 | $2,452 | $5,567 | https://clearcharge.org/price/ga/rome/cataract-removal-with-lens-implant |

## Ear, Nose & Throat

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Speech or language therapy session | 92507 | 6 | $69 | $81 | $331 | https://clearcharge.org/price/ga/rome/speech-or-language-therapy-session |
| Speech and language evaluation | 92523 | 6 | $66 | $234 | $412 | https://clearcharge.org/price/ga/rome/speech-and-language-evaluation |
| Swallowing therapy session | 92526 | 6 | $72 | $84 | $331 | https://clearcharge.org/price/ga/rome/swallowing-therapy-session |
| Swallowing evaluation | 92610 | 6 | $60 | $157 | $412 | https://clearcharge.org/price/ga/rome/swallowing-evaluation |
| Swallowing evaluation with X-ray | 92611 | 6 | $83 | $168 | $412 | https://clearcharge.org/price/ga/rome/swallowing-evaluation-with-x-ray |
| Speech fluency evaluation | 92521 | 5 | $123 | $141 | $345 | https://clearcharge.org/price/ga/rome/speech-fluency-evaluation |

## Urology

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Prostate biopsy | 55700 | 5 | $2,016 | $2,219 | $2,738 | https://clearcharge.org/price/ga/rome/prostate-biopsy |
| Prostate removal with lymph nodes (keyhole surgery) | 55866 | 5 | $10,144 | $10,797 | $14,494 | https://clearcharge.org/price/ga/rome/prostate-removal-with-lymph-nodes-keyhole-surgery |

## Skin, Breast & Wound Care

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Abscess drainage | 10060 | 7 | $138 | $306 | $1,895 | https://clearcharge.org/price/ga/rome/abscess-drainage |
| Needle drainage of a cyst, abscess or blood collection | 10160 | 7 | $129 | $619 | $5,962 | https://clearcharge.org/price/ga/rome/needle-drainage-of-a-cyst-abscess-or-blood-collection |
| Stitches for a face or neck cut, 2.6 to 5 cm | 12013 | 7 | $202 | $507 | $3,795 | https://clearcharge.org/price/ga/rome/stitches-for-a-face-or-neck-cut-2-6-to-5-cm |
| Fine needle biopsy with ultrasound guidance | 10005 | 6 | $715 | $2,240 | $4,448 | https://clearcharge.org/price/ga/rome/fine-needle-biopsy-with-ultrasound-guidance |
| Breast lump removal | 19120 | 5 | $2,514 | $3,776 | $4,329 | https://clearcharge.org/price/ga/rome/breast-lump-removal |

## Respiratory & Lung

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Pulmonary rehabilitation session | 94625 | 6 | $58 | $64 | $299 | https://clearcharge.org/price/ga/rome/pulmonary-rehabilitation-session |
| Pulmonary rehabilitation session with monitoring | 94626 | 6 | $58 | $64 | $299 | https://clearcharge.org/price/ga/rome/pulmonary-rehabilitation-session-with-monitoring |
| Chest physiotherapy session | 94668 | 6 | $73 | $139 | $235 | https://clearcharge.org/price/ga/rome/chest-physiotherapy-session |

## Blood & Immune System

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Bone marrow biopsy and aspiration | 38222 | 6 | $2,789 | $3,140 | $5,347 | https://clearcharge.org/price/ga/rome/bone-marrow-biopsy-and-aspiration |

## Physical & Occupational Therapy

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Ultrasound therapy, 15 minutes | 97035 | 6 | $13 | $37 | $228 | https://clearcharge.org/price/ga/rome/ultrasound-therapy-15-minutes |
| Therapeutic exercise, 15 minutes | 97110 | 6 | $28 | $36 | $215 | https://clearcharge.org/price/ga/rome/therapeutic-exercise-15-minutes |
| Neuromuscular retraining, 15 minutes | 97112 | 6 | $30 | $36 | $210 | https://clearcharge.org/price/ga/rome/neuromuscular-retraining-15-minutes |
| Walking and gait training, 15 minutes | 97116 | 6 | $27 | $36 | $212 | https://clearcharge.org/price/ga/rome/walking-and-gait-training-15-minutes |
| Cognitive therapy, first 15 minutes | 97129 | 6 | $20 | $48 | $215 | https://clearcharge.org/price/ga/rome/cognitive-therapy-first-15-minutes |
| Cognitive therapy, each extra 15 minutes | 97130 | 6 | $19 | $37 | $210 | https://clearcharge.org/price/ga/rome/cognitive-therapy-each-extra-15-minutes |
| Hands-on manual therapy, 15 minutes | 97140 | 6 | $25 | $36 | $266 | https://clearcharge.org/price/ga/rome/hands-on-manual-therapy-15-minutes |
| Physical therapy evaluation, low complexity | 97161 | 6 | $42 | $98 | $379 | https://clearcharge.org/price/ga/rome/physical-therapy-evaluation-low-complexity |
| Physical therapy evaluation, moderate complexity | 97162 | 6 | $94 | $105 | $383 | https://clearcharge.org/price/ga/rome/physical-therapy-evaluation-moderate-complexity |
| Physical therapy evaluation, high complexity | 97163 | 6 | $91 | $141 | $412 | https://clearcharge.org/price/ga/rome/physical-therapy-evaluation-high-complexity |
| Physical therapy re-evaluation | 97164 | 6 | $49 | $67 | $327 | https://clearcharge.org/price/ga/rome/physical-therapy-re-evaluation |
| Occupational therapy evaluation, low complexity | 97165 | 6 | $70 | $100 | $379 | https://clearcharge.org/price/ga/rome/occupational-therapy-evaluation-low-complexity |
| Occupational therapy evaluation, moderate complexity | 97166 | 6 | $94 | $107 | $412 | https://clearcharge.org/price/ga/rome/occupational-therapy-evaluation-moderate-complexity |
| Occupational therapy evaluation, high complexity | 97167 | 6 | $94 | $141 | $412 | https://clearcharge.org/price/ga/rome/occupational-therapy-evaluation-high-complexity |
| Therapy using everyday activities, 15 minutes | 97530 | 6 | $33 | $37 | $215 | https://clearcharge.org/price/ga/rome/therapy-using-everyday-activities-15-minutes |
| Self-care and daily living training, 15 minutes | 97535 | 6 | $30 | $45 | $242 | https://clearcharge.org/price/ga/rome/self-care-and-daily-living-training-15-minutes |
| Wheelchair training, 15 minutes | 97542 | 6 | $29 | $36 | $113 | https://clearcharge.org/price/ga/rome/wheelchair-training-15-minutes |
| Negative pressure wound therapy, small wound | 97605 | 6 | $131 | $209 | $422 | https://clearcharge.org/price/ga/rome/negative-pressure-wound-therapy-small-wound |
| Negative pressure wound therapy, large wound | 97606 | 6 | $183 | $422 | $444 | https://clearcharge.org/price/ga/rome/negative-pressure-wound-therapy-large-wound |
| Orthotic fitting and training, first visit | 97760 | 6 | $43 | $49 | $215 | https://clearcharge.org/price/ga/rome/orthotic-fitting-and-training-first-visit |
| Mechanical traction therapy | 97012 | 5 | $13 | $15 | $210 | https://clearcharge.org/price/ga/rome/mechanical-traction-therapy |
| Iontophoresis therapy, 15 minutes | 97033 | 5 | $17 | $20 | $269 | https://clearcharge.org/price/ga/rome/iontophoresis-therapy-15-minutes |
| Pool (aquatic) therapy with exercise, 15 minutes | 97113 | 5 | $34 | $37 | $210 | https://clearcharge.org/price/ga/rome/pool-aquatic-therapy-with-exercise-15-minutes |
| Occupational therapy re-evaluation | 97168 | 5 | $64 | $73 | $327 | https://clearcharge.org/price/ga/rome/occupational-therapy-re-evaluation |

## Radiation Therapy

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Custom radiation treatment device | 77334 | 7 | $91 | $380 | $2,108 | https://clearcharge.org/price/ga/rome/custom-radiation-treatment-device |
| Complex radiation treatment session | 77412 | 6 | $259 | $582 | $2,686 | https://clearcharge.org/price/ga/rome/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 | 6 | $214 | $316 | $405 | https://clearcharge.org/price/ga/rome/iv-infusion-therapy-up-to-1-hour |
| Chemotherapy injection under the skin or into muscle | 96401 | 6 | $70 | $79 | $404 | https://clearcharge.org/price/ga/rome/chemotherapy-injection-under-the-skin-or-into-muscle |
| IV chemotherapy, up to 1 hour | 96413 | 6 | $310 | $360 | $833 | https://clearcharge.org/price/ga/rome/iv-chemotherapy-up-to-1-hour |
| Flushing an implanted drug port | 96523 | 6 | $60 | $66 | $234 | https://clearcharge.org/price/ga/rome/flushing-an-implanted-drug-port |
| Hormone therapy injection under the skin or into muscle | 96402 | 5 | $70 | $79 | $374 | https://clearcharge.org/price/ga/rome/hormone-therapy-injection-under-the-skin-or-into-muscle |
| Extended IV chemotherapy | 96416 | 5 | $327 | $360 | $924 | https://clearcharge.org/price/ga/rome/extended-iv-chemotherapy |

## Inpatient Stays (DRG)

| Procedure | Code | Hospitals | Cheapest tenth | Typical | Dearest tenth | URL |
|---|---|---|---|---|---|---|
| Heart valve surgery with cardiac catheterisation (with major complications) | 216 | 6 | $73,785 | $86,074 | $250,910 | https://clearcharge.org/price/ga/rome/heart-valve-surgery-with-cardiac-catheterisation-with-major |
| Hip or knee replacement (no major complications) | 470 | 6 | $16,622 | $19,009 | $49,023 | https://clearcharge.org/price/ga/rome/hip-or-knee-replacement-no-major-complications |
| Neck spinal fusion (no complications) | 473 | 6 | $20,169 | $23,236 | $61,547 | https://clearcharge.org/price/ga/rome/neck-spinal-fusion-no-complications |
| Uterus or ovary surgery, non-cancer (no complications) | 743 | 6 | $10,916 | $12,986 | $31,164 | https://clearcharge.org/price/ga/rome/uterus-or-ovary-surgery-non-cancer-no-complications |