Atrium Health Navicent Rehabilitation Hospital
Listed in its price file as “Central Georgia Rehabilitation LLC”.
Atrium Health Navicent Rehabilitation Hospital in Macon, GA publishes cash prices for 207 common procedures listed here, from its own machine-readable price file updated Oct 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Georgia median for 7 of 10 procedures and below it for 3. Select a procedure to compare it with other hospitals nearby.
3351 Northside Drive, Macon, GA 31210 Collected Nov 4, 2026 Source price file Check a bill from this hospital
Some prices here are not compared
Atrium Health Navicent Rehabilitation Hospital is an inpatient rehabilitation hospital. Its price file also lists scans, lab tests and procedures, but these are generally provided to its own inpatients, not booked by outside patients, so they are not compared with other hospitals here. Only its physical, occupational and speech therapy prices are compared.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC DX ANKLE 3+ VW | $178.50 | $357.00 | $28.25–$712.00 | — | 50% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC DX ANKLE 3+ VW | $178.50 | $357.00 | $182.07–$332.01 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIAL BILAT | $558.00 | $1,116.00 | $243.77–$1,037.88 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIAL BILAT | $558.00 | $1,116.00 | $569.16–$1,037.88 | — | 50% |
| Chest X-ray, 2 views CPT 71046 HC DX EXAM CHEST 2 VIEWS | $280.00 | $560.00 | $21.43–$712.00 | — | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 HC DX EXAM CHEST 2 VIEWS | $280.00 | $560.00 | $285.60–$520.80 | — | 50% |
| Chest X-ray, single view CPT 71045 HC DX EXAM CHEST SINGLE VIEW | $269.00 | $538.00 | $11.72–$712.00 | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 HC DX EXAM CHEST SINGLE VIEW | $269.00 | $538.00 | $274.38–$500.34 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERIT B-SCAN/REAL TIME COMPLETE | $223.00 | $446.00 | $106.81–$939.00 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERIT B-SCAN/REAL TIME COMPLETE | $223.00 | $446.00 | $227.46–$414.78 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC LOWER ARTERIAL DUPLEX BILATERAL | $627.50 | $1,255.00 | $243.77–$1,167.15 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC LOWER ARTERIAL DUPLEX BILATERAL | $627.50 | $1,255.00 | $640.05–$1,167.15 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US EXTREMITY VEIN MAP BILATERAL | $596.50 | $1,193.00 | $243.77–$1,109.49 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US EXTREMITY VEIN MAP BILATERAL | $596.50 | $1,193.00 | $608.43–$1,109.49 | — | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC DX FOREARM 2 VW | $183.50 | $367.00 | $22.38–$712.00 | — | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC DX FOREARM 2 VW | $183.50 | $367.00 | $187.17–$341.31 | — | 50% |
| Hand X-ray, 2 views CPT 73120 HC DX HAND 2 VW | $178.50 | $357.00 | $22.01–$712.00 | — | 50% |
| Hand X-ray, 2 views inpatient CPT 73120 HC DX HAND 2 VW | $178.50 | $357.00 | $182.07–$332.01 | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG | $436.00 | $872.00 | $12.48–$939.00 | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG | $436.00 | $872.00 | $444.72–$810.96 | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC (NONOBSTETRIC) | $329.00 | $658.00 | $101.21–$939.00 | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC (NONOBSTETRIC) | $329.00 | $658.00 | $335.58–$611.94 | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC DX SHOULDER 2+ VW | $464.50 | $929.00 | $23.84–$863.97 | — | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC DX SHOULDER 2+ VW | $464.50 | $929.00 | $473.79–$863.97 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC DX FEMUR MINIMUM 2 VIEWS | $221.00 | $442.00 | $24.74–$712.00 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC DX FEMUR MINIMUM 2 VIEWS | $221.00 | $442.00 | $225.42–$411.06 | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE | $306.00 | $612.00 | $106.81–$939.00 | — | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE | $306.00 | $612.00 | $312.12–$569.16 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS UNI OR LTD | $404.00 | $808.00 | $106.81–$999.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS UNI OR LTD | $404.00 | $808.00 | $412.08–$751.44 | — | 50% |
| Wrist X-ray, 2 views CPT 73100 HC DX WRIST 2 VW | $184.50 | $369.00 | $26.04–$712.00 | — | 50% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC DX WRIST 2 VW | $184.50 | $369.00 | $188.19–$343.17 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC DX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $256.00 | $512.00 | $32.47–$712.00 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC DX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $256.00 | $512.00 | $261.12–$476.16 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 HC DX ABDOMEN 1 VIEW | $175.50 | $351.00 | $19.88–$712.00 | — | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC DX ABDOMEN 1 VIEW | $175.50 | $351.00 | $179.01–$326.43 | — | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC DX FOOT 3+ VW | $178.50 | $357.00 | $26.41–$712.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC DX FOOT 3+ VW | $178.50 | $357.00 | $182.07–$332.01 | — | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC DX KNEE 1 OR 2 VIEW | $178.50 | $357.00 | $24.58–$712.00 | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC DX KNEE 1 OR 2 VIEW | $178.50 | $357.00 | $182.07–$332.01 | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS | $284.00 | $568.00 | $37.40–$712.00 | — | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS | $284.00 | $568.00 | $289.68–$528.24 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC DX PELVIS 1/2 VW | $199.50 | $399.00 | $22.38–$712.00 | — | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC DX PELVIS 1/2 VW | $199.50 | $399.00 | $203.49–$371.07 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ASSAY OF ACTH | $168.50 | $337.00 | $22.67–$313.41 | — | 50% |
| ACTH blood test inpatient CPT 82024 HC ASSAY OF ACTH | $168.50 | $337.00 | $171.87–$313.41 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT | $61.00 | $122.00 | $3.11–$113.46 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT | $61.00 | $122.00 | $62.22–$113.46 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT | $61.50 | $123.00 | $3.03–$114.39 | — | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT | $61.50 | $123.00 | $62.73–$114.39 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE BUNDLED CHARGE | $288.50 | $577.00 | $27.95–$536.61 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE BUNDLED CHARGE | $288.50 | $577.00 | $294.27–$536.61 | — | 50% |
| Albumin blood test CPT 82040 HC ASSAY OF ALBUMIN SERUM PLASMA OR WHOLE BLOOD | $52.00 | $104.00 | $2.91–$96.72 | — | 50% |
| Albumin blood test inpatient CPT 82040 HC ASSAY OF ALBUMIN SERUM PLASMA OR WHOLE BLOOD | $52.00 | $104.00 | $53.04–$96.72 | — | 50% |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE | $212.50 | $425.00 | $23.91–$395.25 | — | 50% |
| Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE | $212.50 | $425.00 | $216.75–$395.25 | — | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKALINE PHOSPHATASE | $67.00 | $134.00 | $3.04–$124.62 | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKALINE PHOSPHATASE | $67.00 | $134.00 | $68.34–$124.62 | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TESTING SPEC IGE | $42.00 | $84.00 | $3.07–$78.12 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TESTING SPEC IGE | $42.00 | $84.00 | $42.84–$78.12 | — | 50% |
| Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA | $72.50 | $145.00 | $8.55–$134.85 | — | 50% |
| Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA | $72.50 | $145.00 | $73.95–$134.85 | — | 50% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE | $98.00 | $196.00 | $3.81–$182.28 | — | 50% |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE | $98.00 | $196.00 | $99.96–$182.28 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA | $85.50 | $171.00 | $7.09–$159.03 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA | $85.50 | $171.00 | $87.21–$159.03 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE B-TYPE (BNP) | $204.50 | $409.00 | $19.92–$380.37 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE B-TYPE (BNP) | $204.50 | $409.00 | $208.59–$380.37 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHER SOURCE | $41.50 | $83.00 | $5.05–$77.19 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHER SOURCE | $41.50 | $83.00 | $42.33–$77.19 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE | $102.50 | $205.00 | $4.97–$190.65 | — | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE | $102.50 | $205.00 | $104.55–$190.65 | — | 50% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $44.00 | $88.00 | $2.95–$81.84 | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $44.00 | $88.00 | $44.88–$81.84 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH LEVEL IV | $116.50 | $233.00 | $10.36–$216.69 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH LEVEL IV | $116.50 | $233.00 | $118.83–$216.69 | — | 50% |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $65.50 | $131.00 | $6.06–$121.83 | — | 50% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $65.50 | $131.00 | $66.81–$121.83 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE COLLECTION VENOUS BLOOD | $4.67 | $9.34 | $1.26–$13.54 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE COLLECTION VENOUS BLOOD | $4.67 | $9.34 | $4.76–$8.69 | — | 50% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE BLOOD GLUCOSE | $58.50 | $117.00 | $2.30–$108.81 | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE BLOOD GLUCOSE | $58.50 | $117.00 | $59.67–$108.81 | — | 50% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD | $43.50 | $87.00 | $7.10–$80.91 | — | 50% |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD | $43.50 | $87.00 | $44.37–$80.91 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $48.50 | $97.00 | $1.75–$197.10 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $48.50 | $97.00 | $49.47–$90.21 | — | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN QUAN | $28.00 | $56.00 | $2.31–$52.08 | — | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN QUAN | $28.00 | $56.00 | $28.56–$52.08 | — | 50% |
| C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE | $85.00 | $170.00 | $12.21–$158.10 | — | 50% |
| C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE | $85.00 | $170.00 | $86.70–$158.10 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN CRP | $104.50 | $209.00 | $3.04–$194.37 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN CRP | $104.50 | $209.00 | $106.59–$194.37 | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC AMP PROBE CLOSTRIDIUM | $70.50 | $141.00 | $21.11–$131.13 | — | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC AMP PROBE CLOSTRIDIUM | $70.50 | $141.00 | $71.91–$131.13 | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 | $109.50 | $219.00 | $12.21–$203.67 | — | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 | $109.50 | $219.00 | $111.69–$203.67 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 NUCLEIC ACID TEST | $133.00 | $266.00 | $21.55–$247.38 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 NUCLEIC ACID TEST | $133.00 | $266.00 | $135.66–$247.38 | — | 50% |
| Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM TOTAL | $48.50 | $97.00 | $3.02–$90.21 | — | 50% |
| Calcium blood test, total inpatient CPT 82310 HC ASSAY OF CALCIUM TOTAL | $48.50 | $97.00 | $49.47–$90.21 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH DNA AMP PROBE | $84.00 | $168.00 | $20.60–$156.24 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH DNA AMP PROBE | $84.00 | $168.00 | $85.68–$156.24 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL BUNDLED CHARGE | $88.00 | $176.00 | $7.86–$163.68 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL BUNDLED CHARGE | $88.00 | $176.00 | $89.76–$163.68 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC AUTO DIFF WBC | $84.50 | $169.00 | $4.56–$157.17 | — | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC AUTO DIFF WBC | $84.50 | $169.00 | $86.19–$157.17 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC | $61.50 | $123.00 | $3.80–$114.39 | — | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC | $61.50 | $123.00 | $62.73–$114.39 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE | $114.00 | $228.00 | $6.20–$212.04 | — | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE | $114.00 | $228.00 | $116.28–$212.04 | — | 50% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL | $132.50 | $265.00 | $9.57–$246.45 | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL | $132.50 | $265.00 | $135.15–$246.45 | — | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CREATINE KINAS CPK TOTAL | $53.50 | $107.00 | $3.82–$99.51 | — | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC ASSAY OF CREATINE KINAS CPK TOTAL | $53.50 | $107.00 | $54.57–$99.51 | — | 50% |
| Creatinine blood test CPT 82565 HC ASSAY OF CREATININE | $47.00 | $94.00 | $3.01–$87.42 | — | 50% |
| Creatinine blood test inpatient CPT 82565 HC ASSAY OF CREATININE | $47.00 | $94.00 | $47.94–$87.42 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS D-DIMER QUANTITATIVE | $114.00 | $228.00 | $5.97–$212.04 | — | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS D-DIMER QUANTITATIVE | $114.00 | $228.00 | $116.28–$212.04 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 10 | $33.50 | $67.00 | $20.10–$90.10 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 7 | $61.00 | $122.00 | $33.52–$113.46 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG PROFILE URINE 9 DRUG CLASSES IA WITH MS CONFIRMATION | $171.00 | $342.00 | $33.52–$318.06 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 10 | $33.50 | $67.00 | $34.17–$62.31 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 7 | $61.00 | $122.00 | $62.22–$113.46 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG PROFILE URINE 9 DRUG CLASSES IA WITH MS CONFIRMATION | $171.00 | $342.00 | $174.42–$318.06 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL BUNDLED CHARGE | $45.50 | $91.00 | $4.12–$84.63 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL BUNDLED CHARGE | $45.50 | $91.00 | $46.41–$84.63 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FOLLICLE STIM HORMONE FSH | $89.00 | $178.00 | $10.91–$165.54 | — | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FOLLICLE STIM HORMONE FSH | $89.00 | $178.00 | $90.78–$165.54 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN | $387.50 | $775.00 | $11.52–$720.75 | — | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN | $387.50 | $775.00 | $395.25–$720.75 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN | $22.00 | $44.00 | $7.99–$40.92 | — | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN | $22.00 | $44.00 | $22.44–$40.92 | — | 50% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY | $69.50 | $139.00 | $4.99–$129.27 | — | 50% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY | $69.50 | $139.00 | $70.89–$129.27 | — | 50% |
| Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM | $115.00 | $230.00 | $8.63–$213.90 | — | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM | $115.00 | $230.00 | $117.30–$213.90 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY T3 FREE | $171.00 | $342.00 | $9.94–$318.06 | — | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY T3 FREE | $171.00 | $342.00 | $174.42–$318.06 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE T4 | $113.00 | $226.00 | $5.29–$210.18 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE T4 | $113.00 | $226.00 | $115.26–$210.18 | — | 50% |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE TOTAL FREE | $84.50 | $169.00 | $14.94–$157.17 | — | 50% |
| Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE TOTAL FREE | $84.50 | $169.00 | $86.19–$157.17 | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT GGTP | $69.00 | $138.00 | $4.23–$128.34 | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC ASSAY OF GGT GGTP | $69.00 | $138.00 | $70.38–$128.34 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB | $84.00 | $168.00 | $20.60–$156.24 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMP PROB | $84.00 | $168.00 | $85.68–$156.24 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC EIA QL HIV-1 HIV-2 ANTIBODY | $114.00 | $228.00 | $14.33–$212.04 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC EIA QL HIV-1 HIV-2 ANTIBODY | $114.00 | $228.00 | $116.28–$212.04 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C | $68.50 | $137.00 | $5.70–$127.41 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C | $68.50 | $137.00 | $69.87–$127.41 | — | 50% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $27.50 | $55.00 | $1.39–$51.15 | — | 50% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $27.50 | $55.00 | $28.05–$51.15 | — | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL | $73.00 | $146.00 | $7.07–$135.78 | — | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL | $73.00 | $146.00 | $74.46–$135.78 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $68.50 | $137.00 | $6.30–$127.41 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $68.50 | $137.00 | $69.87–$127.41 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN | $68.50 | $137.00 | $6.06–$127.41 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN | $68.50 | $137.00 | $69.87–$127.41 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY TEST | $68.50 | $137.00 | $8.37–$127.41 | — | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY TEST | $68.50 | $137.00 | $69.87–$127.41 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION | $359.50 | $719.00 | $25.14–$668.67 | — | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION | $359.50 | $719.00 | $366.69–$668.67 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 ANTIBODY | $41.00 | $82.00 | $7.74–$76.26 | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 ANTIBODY | $41.00 | $82.00 | $41.82–$76.26 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 ANTIBODY | $49.00 | $98.00 | $11.36–$91.14 | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 ANTIBODY | $49.00 | $98.00 | $49.98–$91.14 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN CRP HIGH SENSITIVITY | $86.00 | $172.00 | $7.60–$159.96 | — | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN CRP HIGH SENSITIVITY | $86.00 | $172.00 | $87.72–$159.96 | — | 50% |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL | $73.00 | $146.00 | $6.71–$135.78 | — | 50% |
| Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN TOTAL | $73.00 | $146.00 | $74.46–$135.78 | — | 50% |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON | $93.50 | $187.00 | $3.80–$173.91 | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON | $93.50 | $187.00 | $95.37–$173.91 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST | $53.50 | $107.00 | $5.13–$99.51 | — | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST | $53.50 | $107.00 | $54.57–$99.51 | — | 50% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL BUNDLED CHARGE | $168.50 | $337.00 | $5.09–$313.41 | — | 50% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL BUNDLED CHARGE | $168.50 | $337.00 | $171.87–$313.41 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE LH | $89.00 | $178.00 | $10.87–$165.54 | — | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE LH | $89.00 | $178.00 | $90.78–$165.54 | — | 50% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID | $84.50 | $169.00 | $6.27–$157.17 | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID | $84.50 | $169.00 | $86.19–$157.17 | — | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE LDH | $64.00 | $128.00 | $3.54–$119.04 | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE LDH | $64.00 | $128.00 | $65.28–$119.04 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE | $81.50 | $163.00 | $4.04–$151.59 | — | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE | $81.50 | $163.00 | $83.13–$151.59 | — | 50% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL BUNDLED CHARGE | $126.50 | $253.00 | $4.80–$235.29 | — | 50% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL BUNDLED CHARGE | $126.50 | $253.00 | $129.03–$235.29 | — | 50% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY | $68.50 | $137.00 | $10.00–$127.41 | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY | $68.50 | $137.00 | $69.87–$127.41 | — | 50% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM | $66.50 | $133.00 | $3.93–$123.69 | — | 50% |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM | $66.50 | $133.00 | $67.83–$123.69 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $86.00 | $172.00 | $10.79–$159.96 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $86.00 | $172.00 | $87.72–$159.96 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE PTH INTACT | $89.50 | $179.00 | $24.22–$166.47 | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE PTH INTACT | $89.50 | $179.00 | $91.29–$166.47 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL | $61.00 | $122.00 | $3.52–$113.46 | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL | $61.00 | $122.00 | $62.22–$113.46 | — | 50% |
| Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS | $52.50 | $105.00 | $2.78–$97.65 | — | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS | $52.50 | $105.00 | $53.55–$97.65 | — | 50% |
| Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM | $36.50 | $73.00 | $2.70–$67.89 | — | 50% |
| Potassium blood test inpatient CPT 84132 HC ASSAY OF SERUM POTASSIUM | $36.50 | $73.00 | $37.23–$67.89 | — | 50% |
| Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE | $101.00 | $202.00 | $12.24–$187.86 | — | 50% |
| Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE | $101.00 | $202.00 | $103.02–$187.86 | — | 50% |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN | $91.00 | $182.00 | $11.37–$169.26 | — | 50% |
| Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN | $91.00 | $182.00 | $92.82–$169.26 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $62.00 | $124.00 | $2.31–$115.32 | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $62.00 | $124.00 | $63.24–$115.32 | — | 50% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA ANTIGEN A B SCREEN | $56.50 | $113.00 | $7.04–$105.09 | — | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA ANTIGEN A B SCREEN | $56.50 | $113.00 | $57.63–$105.09 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC | $51.00 | $102.00 | $7.04–$94.86 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC | $51.00 | $102.00 | $52.02–$94.86 | — | 50% |
| Renin blood test CPT 84244 HC ASSAY OF RENIN | $82.50 | $165.00 | $12.91–$153.45 | — | 50% |
| Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN | $82.50 | $165.00 | $84.15–$153.45 | — | 50% |
| Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH | $49.50 | $99.00 | $3.05–$92.07 | — | 50% |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH | $49.50 | $99.00 | $50.49–$92.07 | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT | $65.50 | $131.00 | $3.33–$121.83 | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT | $65.50 | $131.00 | $66.81–$121.83 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SEDIMENTATION RATE AUTOMATED | $38.00 | $76.00 | $1.58–$70.68 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SEDIMENTATION RATE AUTOMATED | $38.00 | $76.00 | $38.76–$70.68 | — | 50% |
| Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM | $33.50 | $67.00 | $2.82–$62.31 | — | 50% |
| Sodium blood test inpatient CPT 84295 HC ASSAY OF SERUM SODIUM | $33.50 | $67.00 | $34.17–$62.31 | — | 50% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS | $48.50 | $97.00 | $5.22–$90.21 | — | 50% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS | $48.50 | $97.00 | $49.47–$90.21 | — | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT BY PEROXID FECES | $21.00 | $42.00 | $1.91–$39.06 | — | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT BY PEROXID FECES | $21.00 | $42.00 | $21.42–$39.06 | — | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM | $86.50 | $173.00 | $7.97–$160.89 | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM | $86.50 | $173.00 | $88.23–$160.89 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL | $45.00 | $90.00 | $2.50–$83.70 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL | $45.00 | $90.00 | $45.90–$83.70 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE GAMMA INTERFRON | $177.50 | $355.00 | $36.37–$330.15 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE GAMMA INTERFRON | $177.50 | $355.00 | $181.05–$330.15 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE | $87.50 | $175.00 | $15.15–$162.75 | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE | $87.50 | $175.00 | $89.25–$162.75 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY | $89.50 | $179.00 | $8.54–$166.47 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY | $89.50 | $179.00 | $91.29–$166.47 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIMULATING HORMONE | $118.50 | $237.00 | $9.86–$220.41 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIMULATING HORMONE | $118.50 | $237.00 | $120.87–$220.41 | — | 50% |
| Total cholesterol blood test CPT 82465 HC ASSAY BLOOD SERUM CHOLESTEROL | $44.00 | $88.00 | $2.55–$81.84 | — | 50% |
| Total cholesterol blood test inpatient CPT 82465 HC ASSAY BLOOD SERUM CHOLESTEROL | $44.00 | $88.00 | $44.88–$81.84 | — | 50% |
| Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE T4 | $60.50 | $121.00 | $4.04–$112.53 | — | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF TOTAL THYROXINE T4 | $60.50 | $121.00 | $61.71–$112.53 | — | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY T3 | $86.00 | $172.00 | $8.32–$159.96 | — | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY T3 | $86.00 | $172.00 | $87.72–$159.96 | — | 50% |
| Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN | $92.00 | $184.00 | $7.49–$171.12 | — | 50% |
| Transferrin blood test inpatient CPT 84466 HC ASSAY OF TRANSFERRIN | $92.00 | $184.00 | $93.84–$171.12 | — | 50% |
| Trichomonas test (NAAT) CPT 87661 HC NUCLEIC ACID TRICHOMON AMP PROBE | $81.00 | $162.00 | $20.11–$150.66 | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC NUCLEIC ACID TRICHOMON AMP PROBE | $81.00 | $162.00 | $82.62–$150.66 | — | 50% |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES | $55.00 | $110.00 | $3.38–$102.30 | — | 50% |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES | $55.00 | $110.00 | $56.10–$102.30 | — | 50% |
| Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANT | $158.00 | $316.00 | $5.78–$293.88 | — | 50% |
| Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN QUANT | $158.00 | $316.00 | $161.16–$293.88 | — | 50% |
| Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID | $48.50 | $97.00 | $2.65–$90.21 | — | 50% |
| Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID | $48.50 | $97.00 | $49.47–$90.21 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE MICRO | $36.00 | $72.00 | $1.86–$66.96 | — | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE MICRO | $36.00 | $72.00 | $36.72–$66.96 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $24.00 | $48.00 | $1.32–$44.64 | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $24.00 | $48.00 | $24.48–$44.64 | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE, COLONY COUNT | $52.50 | $105.00 | $4.74–$97.65 | — | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE, COLONY COUNT | $52.50 | $105.00 | $53.55–$97.65 | — | 50% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE | $56.00 | $112.00 | $3.40–$104.16 | — | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE | $56.00 | $112.00 | $57.12–$104.16 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $65.50 | $131.00 | $3.71–$121.83 | — | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST | $65.50 | $131.00 | $66.81–$121.83 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $115.00 | $230.00 | $8.85–$213.90 | — | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 | $115.00 | $230.00 | $117.30–$213.90 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VITAMIN D 25 | $66.00 | $132.00 | $17.37–$122.76 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC ASSAY OF VITAMIN D 25 | $66.00 | $132.00 | $67.32–$122.76 | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY DIHYDROXYVITAMIN D VITAMIN D1 | $120.50 | $241.00 | $22.59–$224.13 | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC ASSAY DIHYDROXYVITAMIN D VITAMIN D1 | $120.50 | $241.00 | $122.91–$224.13 | — | 50% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC | $66.00 | $132.00 | $6.68–$122.76 | — | 50% |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC | $66.00 | $132.00 | $67.32–$122.76 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN HCG QUANTITATIVE BLOOD | $123.50 | $247.00 | $8.83–$229.71 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN HCG QUANTITATIVE BLOOD | $123.50 | $247.00 | $125.97–$229.71 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine both sides CPT 64615 HC CHEMO DENERVATION MUSCLE FACIAL NERV BILAT | $1,445.00 | $2,890.00 | $313.60–$5,756.44 | — | 50% |
| Botox injections for chronic migraine inpatient both sides CPT 64615 HC CHEMO DENERVATION MUSCLE FACIAL NERV BILAT | $1,445.00 | $2,890.00 | $1,473.90–$2,687.70 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT SINGLE TENDON SHEATH/LIGAMENT | $459.50 | $919.00 | $275.70–$5,756.44 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECT SINGLE TENDON SHEATH/LIGAMENT | $459.50 | $919.00 | $468.69–$854.67 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT W/O US GUID | $193.00 | $386.00 | $115.80–$5,756.44 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS MAJOR JOINT W/O US GUID | $193.00 | $386.00 | $196.86–$358.98 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS INTERMED JOINT W/O US | $305.00 | $610.00 | $183.00–$5,756.44 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS INTERMED JOINT W/O US | $305.00 | $610.00 | $311.10–$567.30 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS SMALL JOINT W/O US GUID | $399.50 | $799.00 | $239.70–$5,756.44 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS SMALL JOINT W/O US GUID | $399.50 | $799.00 | $407.49–$743.07 | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ EPI SUBAR LUM/SAC W/IMAGE | $1,269.50 | $2,539.00 | $721.17–$5,756.44 | — | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ EPI SUBAR LUM/SAC W/IMAGE | $1,269.50 | $2,539.00 | $1,294.89–$2,361.27 | — | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $606.50 | $1,213.00 | $363.90–$5,756.44 | — | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $606.50 | $1,213.00 | $618.63–$1,128.09 | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECT NERVE BLOCK GREATER OCCIPITAL | $297.50 | $595.00 | $178.50–$5,756.44 | — | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT NERVE BLOCK GREATER OCCIPITAL | $297.50 | $595.00 | $303.45–$553.35 | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVAL FOREIGN BODY SIMPLE | $75.50 | $151.00 | $45.30–$5,756.44 | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVAL FOREIGN BODY SIMPLE | $75.50 | $151.00 | $77.01–$140.43 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLICATION SHORT ARM SPLINT | $184.00 | $368.00 | $110.40–$5,756.44 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLICATION SHORT ARM SPLINT | $184.00 | $368.00 | $187.68–$342.24 | — | 50% |
| Short leg splint (calf to foot) CPT 29515 HC PT APPLICATION OF SHORT LEG SPLINT | $107.50 | $215.00 | $64.50–$294.00 | — | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC PT APPLICATION OF SHORT LEG SPLINT | $107.50 | $215.00 | $109.65–$199.95 | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $261.50 | $523.00 | $156.90–$5,756.44 | — | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $261.50 | $523.00 | $266.73–$486.39 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $358.00 | $716.00 | $214.80–$4,453.06 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $358.00 | $716.00 | $365.16–$665.88 | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIG POINT(S) 1-2 MUSCLES | $219.50 | $439.00 | $131.70–$5,756.44 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIG POINT(S) 1-2 MUSCLES | $219.50 | $439.00 | $223.89–$408.27 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM | $490.00 | $980.00 | $294.00–$5,756.44 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM | $490.00 | $980.00 | $499.80–$911.40 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE | $624.50 | $1,249.00 | $374.70–$1,161.57 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE | $624.50 | $1,249.00 | $636.99–$1,161.57 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT SUBSQ | $142.00 | $284.00 | $85.20–$347.00 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT | $142.00 | $284.00 | $85.20–$347.00 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT SUBSQ | $142.00 | $284.00 | $144.84–$264.12 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT | $142.00 | $284.00 | $144.84–$264.12 | — | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE/DROWSY | $603.50 | $1,207.00 | $220.60–$1,122.51 | — | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE/DROWSY | $603.50 | $1,207.00 | $615.57–$1,122.51 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING | $141.50 | $283.00 | $60.27–$320.00 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM TRACING | $141.50 | $283.00 | $144.33–$263.19 | — | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST TRACING ONLY | $430.50 | $861.00 | $220.60–$1,024.00 | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST TRACING ONLY | $430.50 | $861.00 | $439.11–$800.73 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION IM OR SUBCUT | $28.50 | $57.00 | $17.10–$611.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION IM OR SUBCUT | $28.50 | $57.00 | $29.07–$53.01 | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 | $315.50 | $631.00 | $189.30–$1,581.00 | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 | $315.50 | $631.00 | $321.81–$586.83 | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN | $67.50 | $135.00 | $31.10–$294.00 | 3% above | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN | $67.50 | $135.00 | $31.10–$294.00 | 3% above | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN | $67.50 | $135.00 | $68.85–$125.55 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN | $67.50 | $135.00 | $68.85–$125.55 | — | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $242.00 | $484.00 | $95.33–$450.12 | 42% above | 50% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $242.00 | $484.00 | $246.84–$450.12 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $249.00 | $498.00 | $92.95–$463.14 | 19% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $249.00 | $498.00 | $253.98–$463.14 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $242.00 | $484.00 | $92.95–$450.12 | 38% above | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $242.00 | $484.00 | $246.84–$450.12 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $245.50 | $491.00 | $92.95–$456.63 | 39% above | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $245.50 | $491.00 | $250.41–$456.63 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THER TECH 1+REGIONS EA 15 MIN | $67.50 | $135.00 | $26.38–$294.00 | 31% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THER TECH 1+REGIONS EA 15 MIN | $67.50 | $135.00 | $26.38–$294.00 | 31% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THER TECH 1+REGIONS EA 15 MIN | $67.50 | $135.00 | $68.85–$125.55 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THER TECH 1+REGIONS EA 15 MIN | $67.50 | $135.00 | $68.85–$125.55 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES | $76.50 | $153.00 | $27.64–$294.00 | 1% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES | $76.50 | $153.00 | $27.64–$294.00 | 1% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC RECREATION IND TIMED | $101.50 | $203.00 | $27.64–$188.79 | 34% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES | $76.50 | $153.00 | $78.03–$142.29 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES | $76.50 | $153.00 | $78.03–$142.29 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC RECREATION IND TIMED | $101.50 | $203.00 | $103.53–$188.79 | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $30.00 | $60.00 | $18.00–$831.00 | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $30.00 | $60.00 | $30.60–$55.80 | — | 50% |
| Speech and language evaluation CPT 92523 HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $270.50 | $541.00 | $162.30–$503.13 | 11% above | 50% |
| Speech and language evaluation inpatient CPT 92523 HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $270.50 | $541.00 | $275.91–$503.13 | — | 50% |
| Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY INDIVIDUAL | $73.00 | $146.00 | $43.80–$294.00 | 47% below | 50% |
| Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY INDIVIDUAL | $73.00 | $146.00 | $74.46–$135.78 | — | 50% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY BREATHING CAPACITY TEST | $151.50 | $303.00 | $90.90–$1,216.00 | — | 50% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY BREATHING CAPACITY TEST | $151.50 | $303.00 | $154.53–$281.79 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC TRAINING INDIVIDUAL THERAPY | $67.50 | $135.00 | $32.97–$611.00 | 6% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $67.50 | $135.00 | $32.97–$294.00 | 6% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $67.50 | $135.00 | $32.97–$294.00 | 6% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC ST THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $67.50 | $135.00 | $32.97–$294.00 | 6% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC TRAINING INDIVIDUAL THERAPY | $67.50 | $135.00 | $68.85–$125.55 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $67.50 | $135.00 | $68.85–$125.55 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC ST THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $67.50 | $135.00 | $68.85–$125.55 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $67.50 | $135.00 | $68.85–$125.55 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $98.00 | $196.00 | $58.80–$182.28 | — | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC MODERNA SARSCOV2 VAC 50 MCG/0.5ML IM | $115.50 | $231.00 | $69.30–$214.83 | — | 50% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $98.00 | $196.00 | $66.64–$182.28 | — | 50% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC MODERNA SARSCOV2 VAC 50 MCG/0.5ML IM | $115.50 | $231.00 | $78.54–$214.83 | — | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE | $98.00 | $196.00 | $58.80–$235.01 | — | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM | $98.00 | $196.00 | $58.80–$235.01 | — | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM | $98.00 | $196.00 | $66.64–$182.28 | — | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VACC 2025-2026 (12 YRS UP) (PFIZER)(PF) 30 MCG/0.3 ML IM SYRINGE | $98.00 | $196.00 | $66.64–$182.28 | — | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $1,072.48 | $2,144.95 | $225.59–$1,994.80 | — | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $1,072.48 | $2,144.95 | $729.28–$1,994.80 | — | 50% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE | $305.55 | $611.10 | $83.74–$568.32 | — | 50% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE | $305.55 | $611.10 | $207.77–$568.32 | — | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $140.48 | $280.95 | $39.51–$261.28 | — | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $179.60 | $359.20 | $39.51–$334.06 | — | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE | $140.48 | $280.95 | $95.52–$261.28 | — | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $179.60 | $359.20 | $122.13–$334.06 | — | 50% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $380.60 | $761.20 | $126.97–$707.92 | — | 50% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B-DP(A)T-POLIO VACC (PF) 10 MCG-25LF-25 MCG-10LF/0.5 ML IM SYRINGE | $380.60 | $761.20 | $258.81–$707.92 | — | 50% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT | $678.40 | $1,356.80 | $156.93–$1,261.82 | — | 50% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT | $678.40 | $1,356.80 | $461.31–$1,261.82 | — | 50% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $20.00 | $40.00 | $12.00–$124.97 | — | 50% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2024(18YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $37.50 | $75.00 | $22.50–$124.97 | — | 50% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $20.00 | $40.00 | $13.60–$37.20 | — | 50% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2024(18YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $37.50 | $75.00 | $25.50–$69.75 | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $20.00 | $40.00 | $12.00–$37.20 | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $20.00 | $40.00 | $12.00–$37.20 | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $20.00 | $40.00 | $13.60–$37.20 | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $20.00 | $40.00 | $13.60–$37.20 | — | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION | $1,194.83 | $2,389.65 | $378.97–$2,222.37 | — | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $1,767.28 | $3,534.55 | $378.97–$3,287.13 | — | 50% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION | $1,194.83 | $2,389.65 | $812.48–$2,222.37 | — | 50% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE | $1,767.28 | $3,534.55 | $1,201.75–$3,287.13 | — | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $599.93 | $1,199.85 | $171.17–$1,115.86 | — | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $599.93 | $1,199.85 | $407.95–$1,115.86 | — | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $397.95 | $795.90 | $70.54–$740.19 | — | 50% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $397.95 | $795.90 | $270.61–$740.19 | — | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE | $175.68 | $351.35 | $49.14–$326.76 | — | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $178.10 | $356.20 | $49.14–$331.27 | — | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION | $179.28 | $358.55 | $49.14–$333.45 | — | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE | $175.68 | $351.35 | $119.46–$326.76 | — | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE | $178.10 | $356.20 | $121.11–$331.27 | — | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION | $179.28 | $358.55 | $121.91–$333.45 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP | $225.43 | $450.85 | $70.38–$419.29 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE | $236.10 | $472.20 | $70.38–$439.15 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $289.20 | $578.40 | $70.38–$537.91 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $289.20 | $578.40 | $70.38–$537.91 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP | $225.43 | $450.85 | $153.29–$419.29 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE | $236.10 | $472.20 | $160.55–$439.15 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $289.20 | $578.40 | $196.66–$537.91 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $289.20 | $578.40 | $196.66–$537.91 | — | 50% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE | $450.50 | $901.00 | $160.28–$837.93 | — | 50% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $792.33 | $1,584.65 | $160.28–$1,473.72 | — | 50% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE | $450.50 | $901.00 | $306.34–$837.93 | — | 50% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $792.33 | $1,584.65 | $538.78–$1,473.72 | — | 50% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN | $176.55 | $353.10 | $40.71–$328.38 | — | 50% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPH B POLYSAC CONJ-MENING (PF) 7.5 MCG/0.5 ML INTRAMUSCULAR SOLN | $176.55 | $353.10 | $120.05–$328.38 | — | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $80.78 | $161.55 | $17.55–$150.24 | — | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $73.63 | $147.25 | $50.07–$136.94 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $22.50–$124.97 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $22.50–$124.97 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $25.50–$69.75 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $37.50 | $75.00 | $25.50–$69.75 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT | $470.68 | $941.35 | $126.72–$875.46 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $496.10 | $992.20 | $126.72–$922.75 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT | $470.68 | $941.35 | $320.06–$875.46 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $496.10 | $992.20 | $337.35–$922.75 | — | 50% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT | $1,581.18 | $3,162.35 | $369.94–$2,940.99 | — | 50% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT | $1,581.18 | $3,162.35 | $1,075.20–$2,940.99 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $634.23 | $1,268.45 | $209.37–$1,179.66 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $634.23 | $1,268.45 | $209.37–$1,179.66 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $634.23 | $1,268.45 | $209.37–$1,179.66 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $634.23 | $1,268.45 | $431.27–$1,179.66 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION | $634.23 | $1,268.45 | $431.27–$1,179.66 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $634.23 | $1,268.45 | $431.27–$1,179.66 | — | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $928.18 | $1,856.35 | $297.96–$1,726.41 | — | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $928.18 | $1,856.35 | $631.16–$1,726.41 | — | 50% |
| Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $863.13 | $1,726.25 | $253.38–$1,605.41 | — | 50% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $863.13 | $1,726.25 | $586.93–$1,605.41 | — | 50% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP | $1,600.23 | $3,200.45 | $0.01–$2,976.42 | — | 50% |
| Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 SMALLPOX,MPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP | $1,600.23 | $3,200.45 | $1,088.15–$2,976.42 | — | 50% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 FLU VAC TV LIVE 24-25(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY | $15.00 | $30.00 | $9.00–$31.19 | — | 50% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 FLU VAC TV LIVE 25-26(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY | $15.00 | $30.00 | $9.00–$31.19 | — | 50% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 FLU VAC TV LIVE 24-25(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY | $15.00 | $30.00 | $10.20–$27.90 | — | 50% |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 FLU VAC TV LIVE 25-26(2-49YRS) 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY | $15.00 | $30.00 | $10.20–$27.90 | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,199.98 | $2,399.95 | $298.04–$2,231.95 | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,199.98 | $2,399.95 | $815.98–$2,231.95 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $571.48 | $1,142.95 | $133.47–$1,062.94 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $635.90 | $1,271.80 | $133.47–$1,182.77 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE | $571.48 | $1,142.95 | $388.60–$1,062.94 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $635.90 | $1,271.80 | $432.41–$1,182.77 | — | 50% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $2,586.43 | $5,172.85 | $57.30–$4,810.75 | — | 50% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $2,586.43 | $5,172.85 | $1,758.77–$4,810.75 | — | 50% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $2,704.18 | $5,408.35 | $1,622.51–$5,029.77 | — | 50% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $3,681.00 | $7,362.00 | $2,208.60–$6,846.66 | — | 50% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE | $2,704.18 | $5,408.35 | $1,838.84–$5,029.77 | — | 50% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HC RSV MONOCLONAL ANTB SEASONAL DOSE 1ML IM USE | $3,681.00 | $7,362.00 | $2,503.08–$6,846.66 | — | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE | $1,840.50 | $3,681.00 | $1,104.30–$3,423.33 | — | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $2,704.18 | $5,408.35 | $1,622.51–$5,029.77 | — | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE | $1,840.50 | $3,681.00 | $1,251.54–$3,423.33 | — | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $2,704.18 | $5,408.35 | $1,838.84–$5,029.77 | — | 50% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $1,108.00 | $2,216.00 | $664.80–$2,060.88 | — | 50% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $1,380.98 | $2,761.95 | $828.59–$2,568.61 | — | 50% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | $1,108.00 | $2,216.00 | $753.44–$2,060.88 | — | 50% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $1,381.00 | $2,762.00 | $939.08–$2,568.66 | — | 50% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $977.00 | $1,954.00 | $586.20–$1,817.22 | — | 50% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE | $977.00 | $1,954.00 | $664.36–$1,817.22 | — | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $1,778.50 | $3,557.00 | $322.76–$3,308.01 | — | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $2,239.15 | $4,478.30 | $322.76–$4,164.82 | — | 50% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $1,778.50 | $3,557.00 | $1,209.38–$3,308.01 | — | 50% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $2,239.15 | $4,478.30 | $1,522.62–$4,164.82 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION | $1,028.50 | $2,057.00 | $258.61–$1,913.01 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ADJUVANT AS01B (PF), COMPONENT VIAL 1 OF 2 INTRAMUSCULAR SUSPENSION | $1,028.50 | $2,057.00 | $258.61–$1,913.01 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $1,028.50 | $2,057.00 | $258.61–$1,913.01 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE | $1,127.28 | $2,254.55 | $258.61–$2,096.73 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $1,028.50 | $2,057.00 | $699.38–$1,913.01 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ADJUVANT AS01B (PF), COMPONENT VIAL 1 OF 2 INTRAMUSCULAR SUSPENSION | $1,028.50 | $2,057.00 | $699.38–$1,913.01 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOP E VACCINE (VIAL 2 OF 2) 50 MCG IM SUSPENSION | $1,028.50 | $2,057.00 | $699.38–$1,913.01 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACCINE-AS01B ADJ(PF) 50 MCG/0.5 ML IM SYRINGE | $1,127.28 | $2,254.55 | $766.55–$2,096.73 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $258.88 | $517.75 | $18.83–$481.51 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $258.88 | $517.75 | $18.83–$481.51 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $258.88 | $517.75 | $176.04–$481.51 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $258.88 | $517.75 | $176.04–$481.51 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP | $229.73 | $459.45 | $39.09–$427.29 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $231.65 | $463.30 | $39.09–$430.87 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $298.55 | $597.10 | $39.09–$555.30 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE | $298.55 | $597.10 | $39.09–$555.30 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP | $229.73 | $459.45 | $156.21–$427.29 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $231.65 | $463.30 | $157.52–$430.87 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP | $298.55 | $597.10 | $203.01–$555.30 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE | $298.55 | $597.10 | $203.01–$555.30 | — | 50% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $876.28 | $1,752.55 | $118.88–$1,629.87 | — | 50% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $876.28 | $1,752.55 | $595.87–$1,629.87 | — | 50% |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE | $408.95 | $817.90 | $139.91–$760.65 | — | 50% |
| Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 TYPHOID VACCINE,LIVE,ATTENUATED 2 BILLION UNIT CAPSULE,DELAYED RELEASE | $408.95 | $817.90 | $278.09–$760.65 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUN ADMIN SINGLE | $15.00 | $30.00 | $9.00–$75.03 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUN ADMIN SINGLE | $15.00 | $30.00 | $15.30–$27.90 | — | 50% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.