South Lake Hospital
South Lake Hospital in Clermont, FL publishes cash prices for 405 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 293 of 396 procedures and above it for 69. By typical cash price it ranks #39 of 171 Florida hospitals and #4 of 13 hospitals in the Orlando, FL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
1900 Don Wickham Dr, Clermont, FL 34711,22316 US Hwy. 27, Leesburg, FL 34748,16966 Cagan Ridge Blvd., Clermont, FL 34714 Collected Sep 29, 2026 Source price file Check a bill from this hospital (352) 394-4071
Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 100051 · CMS hospital register NPI 1336221019
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
South Lake Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Hb Ct Abdomen W/O & W/Dye - Ct Abdomen W Wo Contrast | $2,031.60 | $5,079.00 | — | 49% below | 60% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Hb Ct Abdomen W/O & W/Dye - Ct Abdomen W Wo Contrast | $2,031.60 | $5,079.00 | — | — | 60% |
| Abdominal X-ray, 2 views CPT 74019 Hb Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw Poster W Decubitus | $275.60 | $689.00 | — | 57% below | 60% |
| Abdominal X-ray, 2 views inpatient CPT 74019 Hb Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw Poster W Decubitus | $275.60 | $689.00 | — | — | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Hb X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Left | $369.60 | $924.00 | — | 40% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Hb X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right | $369.60 | $924.00 | — | 40% below | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Hb X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Left | $369.60 | $924.00 | — | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Hb X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views Right | $369.60 | $924.00 | — | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Hb Upr/L Xtremity Art 2 Levels - Limited Bilat Non Inv Physio Study | $393.20 | $983.00 | — | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Hb Upr/L Xtremity Art 2 Levels - Limited Bilat Non Inv Physio Study | $393.20 | $983.00 | — | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Hb Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Right Wo Iv Contrast | $1,095.20 | $2,738.00 | — | 53% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Hb Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Left Wo Iv Contrast | $1,095.20 | $2,738.00 | — | 53% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Hb Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Right Wo Iv Contrast | $1,095.20 | $2,738.00 | — | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Hb Ct Scan Upper Extremity W/O Dye - Ct Upper Ext Left Wo Iv Contrast | $1,095.20 | $2,738.00 | — | — | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Hb Esophagram - Fl Esophagus Barium Swallow | $547.20 | $1,368.00 | — | 35% below | 60% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hb Esophagram - Fl Esophagus Barium Swallow | $547.20 | $1,368.00 | — | — | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Hb Bone Imaging, Whole Body - Nm Bone Whole Body | $790.40 | $1,976.00 | — | 69% below | 60% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hb Bone Imaging, Whole Body - Nm Bone Whole Body | $790.40 | $1,976.00 | — | — | 60% |
| Breast ultrasound, complete, one breast both sides CPT 76641 Hb Ultrasound Breast Complete - Us Breast Bilateral Complete | $754.00 | $1,885.00 | — | — | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 Hb Ultrasound Breast Complete - Us Breast Right Complete | $376.80 | $942.00 | — | 35% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 Hb Ultrasound Breast Complete - Us Breast Left Complete | $376.80 | $942.00 | — | 35% below | 60% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 Hb Ultrasound Breast Complete - Us Breast Bilateral Complete | $754.00 | $1,885.00 | — | — | 60% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hb Ultrasound Breast Complete - Us Breast Left Complete | $376.80 | $942.00 | — | — | 60% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hb Ultrasound Breast Complete - Us Breast Right Complete | $376.80 | $942.00 | — | — | 60% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Hb Ultrasound Breast Limited - Us Breast Bilateral Limited | $754.00 | $1,885.00 | — | — | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hb Ultrasound Breast Limited - Us Breast Right Limited | $376.80 | $942.00 | — | 28% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hb Ultrasound Breast Limited - Us Breast Left Limited | $376.80 | $942.00 | — | 28% below | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 Hb Ultrasound Breast Limited - Us Breast Bilateral Limited | $754.00 | $1,885.00 | — | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hb Ultrasound Breast Limited - Us Breast Left Limited | $376.80 | $942.00 | — | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hb Ultrasound Breast Limited - Us Breast Right Limited | $376.80 | $942.00 | — | — | 60% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hb Ct Angio Abd&Pelv W/O&W/Dye - Ct Angiogram Abdomen Pelvis W Contrast | $2,854.40 | $7,136.00 | — | 52% below | 60% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Hb Ct Angio Abd&Pelv W/O&W/Dye - Ct Angiogram Abdomen Pelvis W Contrast | $2,854.40 | $7,136.00 | — | — | 60% |
| CT angiography (CTA) of the head CPT 70496 Hb Ct Angio,Head Combo - Ct Head Angio W And Wo Iv Contrast | $2,031.60 | $5,079.00 | — | 43% below | 60% |
| CT angiography (CTA) of the head CPT 70496 Hb Ct Angio,Head Combo-Ct Head Angio W And Wo Iv Contrast Viz Ai | $5,258.00 | $13,145.00 | — | 49% above | 60% |
| CT angiography (CTA) of the head inpatient CPT 70496 Hb Ct Angio,Head Combo - Ct Head Angio W And Wo Iv Contrast | $2,031.60 | $5,079.00 | — | — | 60% |
| CT angiography (CTA) of the head inpatient CPT 70496 Hb Ct Angio,Head Combo-Ct Head Angio W And Wo Iv Contrast Viz Ai | $5,258.00 | $13,145.00 | — | — | 60% |
| CT angiography (CTA) of the neck CPT 70498 Hb Ct Angio,Neck Combo - Ct Neck Angio W And Wo Iv Contrast | $2,031.60 | $5,079.00 | — | 52% below | 60% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Hb Ct Angio,Neck Combo - Ct Neck Angio W And Wo Iv Contrast | $2,031.60 | $5,079.00 | — | — | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hb Ct Angio, Chest, Combo, Incl Image - Ct Chest Angio W And Wo Iv Cont | $2,031.60 | $5,079.00 | — | 55% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hb Ct Angio, Chest, Combo, Incl Image - Ct Chest Angio W And Wo Iv Cont | $2,031.60 | $5,079.00 | — | — | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hb Ct Angio Hrt W/3D Image - Ct Ccta Heart W Wo Cont Coronaries & Funct | $680.80 | $1,702.00 | — | 65% below | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hb Ct Angio Hrt W/3D Image - Ct Ccta Heart W Wo Cont Coronaries & Funct | $680.80 | $1,702.00 | — | — | 60% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hb Ct Hrt W/O Dye W/Ca Test - Ct Heart Calcium Scoring Wo Contrast | $20.00 | $50.00 | — | 96% below | 60% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hb Ct Hrt W/O Dye W/Ca Test - Ct Heart Calcium Scoring Wo Contrast | $20.00 | $50.00 | — | — | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hb Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast | $1,752.80 | $4,382.00 | — | 68% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hb Ct Abd & Pelvis W/O Contrast - Ct Abdomen Pelvis Wo Contrast | $1,752.80 | $4,382.00 | — | — | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hb Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast | $2,581.60 | $6,454.00 | — | 57% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hb Ct Abd & Pelv W/Contrast - Ct Abdomen Pelvis W Contrast | $2,581.60 | $6,454.00 | — | — | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hb Ct Abd & Pelv 1/> Regns - Ct Abdomen Pelvis W Wo Contrast | $2,854.40 | $7,136.00 | — | 59% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hb Ct Abd & Pelv 1/> Regns - Ct Abdomen Pelvis W Wo Contrast | $2,854.40 | $7,136.00 | — | — | 60% |
| CT scan of the abdomen with contrast CPT 74160 Hb Ct Abdomen W/Dye - Ct Abdomen W Contrast | $1,804.80 | $4,512.00 | — | 47% below | 60% |
| CT scan of the abdomen with contrast inpatient CPT 74160 Hb Ct Abdomen W/Dye - Ct Abdomen W Contrast | $1,804.80 | $4,512.00 | — | — | 60% |
| CT scan of the abdomen without contrast CPT 74150 Hb Ct Abdomen W/O Dye - Ct Abdomen Wo Contrast | $1,095.20 | $2,738.00 | — | 66% below | 60% |
| CT scan of the abdomen without contrast inpatient CPT 74150 Hb Ct Abdomen W/O Dye - Ct Abdomen Wo Contrast | $1,095.20 | $2,738.00 | — | — | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Hb Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Wo Contrast | $1,095.20 | $2,738.00 | — | 62% below | 60% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hb Ct Scan,Maxillofacial W/O Contrast - Ct Sinus Wo Contrast | $1,095.20 | $2,738.00 | — | — | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 Hb Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast | $1,095.20 | $2,738.00 | — | 64% below | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hb Ct Scan,Head/Brain,W/O Contrast Matl - Ct Head Wo Contrast | $1,095.20 | $2,738.00 | — | — | 60% |
| CT scan of the head with contrast CPT 70460 Hb Ct Scan Head Contrast - Ct Head W Contrast | $1,804.80 | $4,512.00 | — | 52% below | 60% |
| CT scan of the head with contrast inpatient CPT 70460 Hb Ct Scan Head Contrast - Ct Head W Contrast | $1,804.80 | $4,512.00 | — | — | 60% |
| CT scan of the head without and with contrast CPT 70470 Hb Ct Scan Head Combo - Ct Head W Wo Contrast | $2,031.60 | $5,079.00 | — | 54% below | 60% |
| CT scan of the head without and with contrast inpatient CPT 70470 Hb Ct Scan Head Combo - Ct Head W Wo Contrast | $2,031.60 | $5,079.00 | — | — | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hb Ct Scan,Lumbar Spine,W/O Contrast - Ct Lumbar Spine Wo Contrast | $1,095.20 | $2,738.00 | — | 67% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hb Ct Scan,Lumbar Spine,W/O Contrast - Ct Lumbar Spine Wo Contrast | $1,095.20 | $2,738.00 | — | — | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hb Ct Scan,Cervical Spine,W/O Contrast - Ct Cervical Spine Wo Contrast | $1,095.20 | $2,738.00 | — | 68% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hb Ct Scan,Cervical Spine,W/O Contrast - Ct Cervical Spine Wo Contrast | $1,095.20 | $2,738.00 | — | — | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 Hb Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast | $1,804.80 | $4,512.00 | — | 58% below | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hb Ct Scan Of Pelvis Contrast - Ct Pelvis W Contrast | $1,804.80 | $4,512.00 | — | — | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hb Duplex Scan Extracranial,Bilat - Carotid Duplex | $632.00 | $1,580.00 | — | — | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Hb Duplex Scan Extracranial,Bilat - Carotid Duplex | $632.00 | $1,580.00 | — | — | 60% |
| Chest CT scan without and with contrast CPT 71270 Hb Cat Scan Of Chest Combo - Ct Chest W Wo Contrast | $2,031.60 | $5,079.00 | — | 49% below | 60% |
| Chest CT scan without and with contrast inpatient CPT 71270 Hb Cat Scan Of Chest Combo - Ct Chest W Wo Contrast | $2,031.60 | $5,079.00 | — | — | 60% |
| Chest X-ray, 2 views CPT 71046 Hb Radiologic Exam Chest 2 Views - Xr Chest 2 Views | $298.40 | $746.00 | — | 40% below | 60% |
| Chest X-ray, 2 views inpatient CPT 71046 Hb Radiologic Exam Chest 2 Views - Xr Chest 2 Views | $298.40 | $746.00 | — | — | 60% |
| Chest X-ray, single view CPT 71045 Hb Radiologic Exam Chest Single View - Xr Chest 1 View | $259.60 | $649.00 | — | 38% below | 60% |
| Chest X-ray, single view inpatient CPT 71045 Hb Radiologic Exam Chest Single View - Xr Chest 1 View | $259.60 | $649.00 | — | — | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Hb X-Ray Clavicle - Xr Clavicle Right | $281.60 | $704.00 | — | 49% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Hb X-Ray Clavicle - Xr Clavicle Left | $281.60 | $704.00 | — | 49% below | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Hb X-Ray Clavicle - Xr Clavicle Left | $281.60 | $704.00 | — | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Hb X-Ray Clavicle - Xr Clavicle Right | $281.60 | $704.00 | — | — | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hb Us Retroperitnl Abd,Complete | $804.00 | $2,010.00 | — | 37% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hb Us Retroperitnl Abd,Complete | $804.00 | $2,010.00 | — | — | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hb Dxa Bone Density Axial - Dexa Bone Density | $494.00 | $1,235.00 | — | 19% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hb Dxa Bone Density Axial - Dexa Bone Density | $494.00 | $1,235.00 | — | — | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hb Dxa Bone Density/Peripheral - Dexa Bone Density Extremity | $255.60 | $639.00 | — | 9% below | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hb Dxa Bone Density/Peripheral - Dexa Bone Density Extremity | $255.60 | $639.00 | — | — | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hb Ob Us Detailed Sngl Fetus - Us Ob Detail Fetal Anat Sing Or 1St Gest | $922.80 | $2,307.00 | — | at median | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hb Ob Us Detailed Sngl Fetus - Us Ob Detail Fetal Anat Sing Or 1St Gest | $922.80 | $2,307.00 | — | — | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hb Ct Scan,Thorax,W/O Contrast - Ct Chest Wo Contrast | $1,095.20 | $2,738.00 | — | 62% below | 60% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hb Ct Scan,Thorax,W/O Contrast - Ct Chest Wo Contrast | $1,095.20 | $2,738.00 | — | — | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hb Cat Scan Of Chest Contrast - Ct Chest W Contrast | $1,804.80 | $4,512.00 | — | 53% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hb Cat Scan Of Chest Contrast - Ct Chest W Contrast | $1,804.80 | $4,512.00 | — | — | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hb Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral | $499.20 | $1,248.00 | — | — | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hb Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral | $499.20 | $1,248.00 | — | — | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 Hb Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Left | $397.20 | $993.00 | — | 9% below | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 Hb Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Right | $397.20 | $993.00 | — | 9% below | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Hb Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Left | $397.20 | $993.00 | — | — | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Hb Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic Right | $397.20 | $993.00 | — | — | 60% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Hb Duplex Lo Extrem Art/Gfts Bilat - Cv Us Doppler Arterial Legs Bilateral | $632.00 | $1,580.00 | — | — | 60% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Hb Duplex Lo Extrem Art/Gfts Bilat - Cv Us Doppler Arterial Legs Bilateral | $632.00 | $1,580.00 | — | — | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hb Vasc Duplex Extrem Venous,Bilat | $632.00 | $1,580.00 | — | — | 60% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hb Vasc Duplex Extrem Venous,Bilat | $632.00 | $1,580.00 | — | — | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hb Tte W/Doppler Complete - Tte Complete | $1,754.80 | $4,387.00 | — | 48% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hb Tte W/Doppler Complete - Tte Complete W/ Contrast | $2,825.20 | $7,063.00 | — | 16% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hb Tte W/Doppler Complete - Tte Complete | $1,754.80 | $4,387.00 | — | — | 60% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hb Tte W/Doppler Complete - Tte Complete W/ Contrast | $2,825.20 | $7,063.00 | — | — | 60% |
| Elbow X-ray, 2 views one side CPT 73070 Hb X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right | $278.40 | $696.00 | — | 45% below | 60% |
| Elbow X-ray, 2 views one side CPT 73070 Hb X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Left | $278.40 | $696.00 | — | 45% below | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Hb X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right | $278.40 | $696.00 | — | — | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Hb X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Left | $278.40 | $696.00 | — | — | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Hb X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right | $307.60 | $769.00 | — | 49% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Hb X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Left | $307.60 | $769.00 | — | 49% below | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Hb X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Left | $307.60 | $769.00 | — | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Hb X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Right | $307.60 | $769.00 | — | — | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Hb Ct Scan,Orbit/Sella/Post Fossa/Ear,W/O - Ct Orbits/Sella Wo Iv Cont | $1,095.20 | $2,738.00 | — | 58% below | 60% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Hb Ct Scan,Orbit/Sella/Post Fossa/Ear,W/O - Ct Orbits/Sella Wo Iv Cont | $1,095.20 | $2,738.00 | — | — | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Hb X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views | $472.40 | $1,181.00 | — | 38% below | 60% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Hb X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views | $472.40 | $1,181.00 | — | — | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Hb X-Ray Forearm 2 Vw - Xr Forearm 2 Views Left | $266.40 | $666.00 | — | 53% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Hb X-Ray Forearm 2 Vw - Xr Forearm 2 Views Right | $266.40 | $666.00 | — | 53% below | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Hb X-Ray Forearm 2 Vw - Xr Forearm 2 Views Right | $266.40 | $666.00 | — | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Hb X-Ray Forearm 2 Vw - Xr Forearm 2 Views Left | $266.40 | $666.00 | — | — | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hb Hepatobiliary Syst Imaging Including Gallbladder - Nm Liver Function | $790.40 | $1,976.00 | — | 61% below | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hb Hepatobiliary Syst Imaging Including Gallbladder - Nm Liver Function | $790.40 | $1,976.00 | — | — | 60% |
| Hand X-ray, 2 views one side CPT 73120 Hb X-Ray Hand 2 Vw - Xr Hand 1-2 Views Left | $368.00 | $920.00 | — | 29% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 Hb X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right | $368.00 | $920.00 | — | 29% below | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Hb X-Ray Hand 2 Vw - Xr Hand 1-2 Views Left | $368.00 | $920.00 | — | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Hb X-Ray Hand 2 Vw - Xr Hand 1-2 Views Right | $368.00 | $920.00 | — | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Hb X-Ray Heel - Xr Calcaneus 2 Views Right | $272.80 | $682.00 | — | 45% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Hb X-Ray Heel - Xr Calcaneus 2 Views Left | $272.80 | $682.00 | — | 45% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Hb X-Ray Heel - Xr Calcaneus 2 Views Left | $272.80 | $682.00 | — | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Hb X-Ray Heel - Xr Calcaneus 2 Views Right | $272.80 | $682.00 | — | — | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hb Sleep Study, Unattended, Simul Record Hr/O2 Sat/Resp Flow/Resp Eff | $404.00 | $1,010.00 | — | 45% below | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hb Sleep Study, Unattended, Simul Record Hr/O2 Sat/Resp Flow/Resp Eff | $404.00 | $1,010.00 | — | — | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hb Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $2,487.60 | $6,219.00 | — | 52% below | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hb Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $2,487.60 | $6,219.00 | — | — | 60% |
| Knee X-ray, 3 views one side CPT 73562 Hb X-Ray Knee 3 View - Xr Knee 3 Views Left | $321.60 | $804.00 | — | 53% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 Hb X-Ray Knee 3 View - Xr Knee 3 Views Right | $321.60 | $804.00 | — | 53% below | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Hb X-Ray Knee 3 View - Xr Knee 3 Views Left | $321.60 | $804.00 | — | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Hb X-Ray Knee 3 View - Xr Knee 3 Views Right | $321.60 | $804.00 | — | — | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Hb X-Ray Knee 4+ View - Xr Knee 4+ Views Right | $368.00 | $920.00 | — | 52% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Hb X-Ray Knee 4+ View - Xr Knee 4+ Views Left | $368.00 | $920.00 | — | 52% below | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Hb X-Ray Knee 4+ View - Xr Knee 4+ Views Left | $368.00 | $920.00 | — | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Hb X-Ray Knee 4+ View - Xr Knee 4+ Views Right | $368.00 | $920.00 | — | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Hb Ct Scan Lower Extremity W/O Dye - Ct Lower Ext Left Wo Iv Contrast | $1,095.20 | $2,738.00 | — | 59% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Hb Ct Scan Lower Extremity W/O Dye - Ct Lower Ext Right Wo Iv Contrast | $1,095.20 | $2,738.00 | — | 59% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Hb Ct Scan Lower Extremity W/O Dye - Ct Lower Ext Left Wo Iv Contrast | $1,095.20 | $2,738.00 | — | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Hb Ct Scan Lower Extremity W/O Dye - Ct Lower Ext Right Wo Iv Contrast | $1,095.20 | $2,738.00 | — | — | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hb Chg Us, Abdomen Limited | $754.80 | $1,887.00 | — | 33% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hb Chg Us, Abdomen Limited | $754.80 | $1,887.00 | — | — | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hb Chg Us,Extremity,Nonvascular,Real-Time Image,Limited | $494.80 | $1,237.00 | — | 22% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hb Chg Us,Extremity,Nonvascular,Real-Time Image,Limited | $494.80 | $1,237.00 | — | — | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hb Ldct For Lung Ca Screen - Ldct Lung Screening-No Contrast | $443.20 | $1,108.00 | — | 39% below | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hb Ldct For Lung Ca Screen - Ldct Lung Screening-No Contrast | $443.20 | $1,108.00 | — | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Hb X-Ray Tib + Fib, 2Vw - Xr Tibia Fibula 2 Views Left | $307.60 | $769.00 | — | 51% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Hb X-Ray Tib + Fib, 2Vw - Xr Tibia Fibula 2 Views Right | $307.60 | $769.00 | — | 51% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Hb X-Ray Tib + Fib, 2Vw - Xr Tibia Fibula 2 Views Right | $307.60 | $769.00 | — | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Hb X-Ray Tib + Fib, 2Vw - Xr Tibia Fibula 2 Views Left | $307.60 | $769.00 | — | — | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 Hb Mr Angio, Head - Mr Head Angio Wo Iv Contrast | $1,360.00 | $3,400.00 | — | 54% below | 60% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hb Mr Angio, Head - Mr Head Angio Wo Iv Contrast | $1,360.00 | $3,400.00 | — | — | 60% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Hb Mri Breast W&W/O Cont Bilat | $2,214.80 | $5,537.00 | — | — | 60% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Hb Mri Breast W&W/O Cont Bilat | $2,214.80 | $5,537.00 | — | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Hb Mri Lower Extremity Joint - Right Wo Contrast | $1,360.00 | $3,400.00 | — | 61% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Hb Mri Lower Extremity Joint - Left Wo Contrast | $1,360.00 | $3,400.00 | — | 61% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Hb Mri Lower Extremity Joint - Right Wo Contrast | $1,360.00 | $3,400.00 | — | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Hb Mri Lower Extremity Joint - Left Wo Contrast | $1,360.00 | $3,400.00 | — | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Hb Mri Lower Extremity Joint - Right W&Wo Contrst | $2,214.80 | $5,537.00 | — | 55% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Hb Mri Lower Extremity Joint - Left W&Wo Contrst | $2,214.80 | $5,537.00 | — | 55% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Hb Mri Lower Extremity Joint - Left W&Wo Contrst | $2,214.80 | $5,537.00 | — | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Hb Mri Lower Extremity Joint - Right W&Wo Contrst | $2,214.80 | $5,537.00 | — | — | 60% |
| MRI of the abdomen without contrast CPT 74181 Hb Mri, Abdomen (Mri) - Mri Abdomen Wo Contrast | $1,360.00 | $3,400.00 | — | 61% below | 60% |
| MRI of the abdomen without contrast inpatient CPT 74181 Hb Mri, Abdomen (Mri) - Mri Abdomen Wo Contrast | $1,360.00 | $3,400.00 | — | — | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Hb Mri, Abdomen, Combo - Mri Abdomen W Wo Contrast | $2,214.80 | $5,537.00 | — | 48% below | 60% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hb Mri, Abdomen, Combo - Mri Abdomen W Wo Contrast | $2,214.80 | $5,537.00 | — | — | 60% |
| MRI of the brain, no contrast dye CPT 70551 Hb Mri Brain - Mri Brain Wo Contrast | $1,360.00 | $3,400.00 | — | 61% below | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hb Mri Brain - Mri Brain Wo Contrast | $1,360.00 | $3,400.00 | — | — | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 Hb Mri Brain Combo - Mri Brain W Wo Contrast | $2,214.80 | $5,537.00 | — | 55% below | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hb Mri Brain Combo - Mri Brain W Wo Contrast | $2,214.80 | $5,537.00 | — | — | 60% |
| MRI of the lower back, no contrast dye CPT 72148 Hb Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast | $1,360.00 | $3,400.00 | — | 63% below | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hb Mri, Lumbar Spine - Mri Lumbar Spine Wo Contrast | $1,360.00 | $3,400.00 | — | — | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Hb Mri, Lumbar Spine Combo - Mri Lumbar Spine W Wo Contrast | $2,214.80 | $5,537.00 | — | 55% below | 60% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hb Mri, Lumbar Spine Combo - Mri Lumbar Spine W Wo Contrast | $2,214.80 | $5,537.00 | — | — | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hb Mri, Dorsal Spine - Mri Thoracic Spine Wo Contrast | $1,360.00 | $3,400.00 | — | 64% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hb Mri, Dorsal Spine - Mri Thoracic Spine Wo Contrast | $1,360.00 | $3,400.00 | — | — | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Hb Mri, Cerv Spine Combo - Mri Cervical Spine W Wo Contrast | $2,214.80 | $5,537.00 | — | 54% below | 60% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hb Mri, Cerv Spine Combo - Mri Cervical Spine W Wo Contrast | $2,214.80 | $5,537.00 | — | — | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Hb Mri, Cerv Spine - Mri Cervical Spine Wo Contrast | $1,360.00 | $3,400.00 | — | 64% below | 60% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hb Mri, Cerv Spine - Mri Cervical Spine Wo Contrast | $1,360.00 | $3,400.00 | — | — | 60% |
| MRI of the pelvis without and with contrast CPT 72197 Hb Mri, Pelvis, Combo - Mri Pelvis W Wo Contrast | $2,214.80 | $5,537.00 | — | 40% below | 60% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Hb Mri, Pelvis, Combo - Mri Pelvis W Wo Contrast | $2,214.80 | $5,537.00 | — | — | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 Hb Mri, Pelvis, W/O Contrast - Mri Pelvis Wo Contrast | $1,360.00 | $3,400.00 | — | 58% below | 60% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Hb Mri, Pelvis, W/O Contrast - Mri Pelvis Wo Contrast | $1,360.00 | $3,400.00 | — | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Hb Mri Upper Extremity Joint - Left Wo Contrast | $1,360.00 | $3,400.00 | — | 59% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Hb Mri Upper Extremity Joint - Right Wo Contrast | $1,360.00 | $3,400.00 | — | 59% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Hb Mri Upper Extremity Joint - Right Wo Contrast | $1,360.00 | $3,400.00 | — | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Hb Mri Upper Extremity Joint - Left Wo Contrast | $1,360.00 | $3,400.00 | — | — | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hb Radex Spine Cervical 4 Or 5 Views - Xr Cervical Spine Comp 4-5 Views | $422.80 | $1,057.00 | — | 52% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Hb Radex Spine Cervical 4 Or 5 Views - Xr Cervical Spine Comp 4-5 Views | $422.80 | $1,057.00 | — | — | 60% |
| Neck soft tissue CT scan with contrast CPT 70491 Hb Ct Neck Tissue Contrast - Ct Soft Tissue Neck W Contrast | $1,804.80 | $4,512.00 | — | 46% below | 60% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Hb Ct Neck Tissue Contrast - Ct Soft Tissue Neck W Contrast | $1,804.80 | $4,512.00 | — | — | 60% |
| Neck soft tissue CT scan without contrast CPT 70490 Hb Ct Scan,Soft Tissue Neck,W/O Contrast - Ct Soft Tissue Neck Wo Cont | $1,095.20 | $2,738.00 | — | 63% below | 60% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Hb Ct Scan,Soft Tissue Neck,W/O Contrast - Ct Soft Tissue Neck Wo Cont | $1,095.20 | $2,738.00 | — | — | 60% |
| Neck soft tissue X-ray CPT 70360 Hb X-Ray Neck Soft Tissue - Xr Neck Soft Tissue | $263.20 | $658.00 | — | 53% below | 60% |
| Neck soft tissue X-ray inpatient CPT 70360 Hb X-Ray Neck Soft Tissue - Xr Neck Soft Tissue | $263.20 | $658.00 | — | — | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hb Ht Muscle Image Spect Mult - Nm Heart Perfusion Spect Stress &/Or Rest | $2,731.20 | $6,828.00 | — | 50% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hb Ht Muscle Image Spect Mult - Nm Heart Perfusion Spect Stress &/Or Rest | $2,731.20 | $6,828.00 | — | — | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hb Pet Image W/Ct Skull-Thigh - Pt/Ct Bone Skull Base To Mid Thigh | $6,718.40 | $16,796.00 | — | 17% above | 60% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hb Pet Image W/Ct Skull-Thigh - Pt/Ct Bone Skull Base To Mid Thigh | $6,718.40 | $16,796.00 | — | — | 60% |
| Pelvic CT scan without contrast CPT 72192 Hb Ct Scan,Pelvis,W/O Contrast - Ct Pelvis Wo Contrast | $1,095.20 | $2,738.00 | — | 64% below | 60% |
| Pelvic CT scan without contrast inpatient CPT 72192 Hb Ct Scan,Pelvis,W/O Contrast - Ct Pelvis Wo Contrast | $1,095.20 | $2,738.00 | — | — | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hb Sono Pelvis Limited - Us Pelvis Limited | $547.20 | $1,368.00 | — | 38% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hb Sono Pelvis Limited - Us Pelvis Limited | $547.20 | $1,368.00 | — | — | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hb Echo,Pelvic (Nonobstetric) - Us Pelvis | $754.80 | $1,887.00 | — | 43% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hb Echo,Pelvic (Nonobstetric) - Us Pelvis | $754.80 | $1,887.00 | — | — | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hb Chg Us, Ob >/= 14 Wks, Sngl Fetus | $807.20 | $2,018.00 | — | 1% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hb Chg Us, Ob >/= 14 Wks, Sngl Fetus | $807.20 | $2,018.00 | — | — | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hb Chg Us, Ob < 14 Wks, Single Fetus | $754.80 | $1,887.00 | — | at median | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hb Chg Us, Ob < 14 Wks, Single Fetus | $754.80 | $1,887.00 | — | — | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hb Chg Us,Pregnant Uterus,Limited, 1/> Fetuses | $646.40 | $1,616.00 | — | at median | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hb Chg Us,Pregnant Uterus,Limited, 1/> Fetuses | $646.40 | $1,616.00 | — | — | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 Hb X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Left | $306.00 | $765.00 | — | 48% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 Hb X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right | $306.00 | $765.00 | — | 48% below | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Hb X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right | $306.00 | $765.00 | — | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Hb X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Left | $306.00 | $765.00 | — | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hb X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Rt W/ Chest Anteroposterior | $422.80 | $1,057.00 | — | 38% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hb X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior | $422.80 | $1,057.00 | — | 38% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hb X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Rt W/ Chest Anteroposterior | $422.80 | $1,057.00 | — | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hb X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior | $422.80 | $1,057.00 | — | — | 60% |
| Screening mammogram, both breasts both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Left | $92.80 | $232.00 | — | — | 60% |
| Screening mammogram, both breasts both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral | $92.80 | $232.00 | — | — | 60% |
| Screening mammogram, both breasts both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Right | $92.80 | $232.00 | — | — | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Right | $92.80 | $232.00 | — | — | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral | $92.80 | $232.00 | — | — | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hb Scr Mammo Bi Incl Cad - Mammo Breast Screening Left | $92.80 | $232.00 | — | — | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Hb X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Left | $727.60 | $1,819.00 | — | at median | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Hb X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right | $727.60 | $1,819.00 | — | at median | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Hb X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Left | $727.60 | $1,819.00 | — | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Hb X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views Right | $727.60 | $1,819.00 | — | — | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Hb X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views | $381.20 | $953.00 | — | 56% below | 60% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hb X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views | $381.20 | $953.00 | — | — | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 Hb X-Ray Skull <4 Vw - Xr Skull 1-3 Views | $422.80 | $1,057.00 | — | 34% below | 60% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Hb X-Ray Skull <4 Vw - Xr Skull 1-3 Views | $422.80 | $1,057.00 | — | — | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 Hb Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $2,487.60 | $6,219.00 | — | 53% below | 60% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hb Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $2,487.60 | $6,219.00 | — | — | 60% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hb Rest/Stress Echo W/Continuous Ecg Monitor | $2,086.00 | $5,215.00 | — | 22% below | 60% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Hb Rest/Stress Echo W/Continuous Ecg Monitor With Contrast | $2,825.20 | $7,063.00 | — | 6% above | 60% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Hb Rest/Stress Echo W/Continuous Ecg Monitor | $2,086.00 | $5,215.00 | — | — | 60% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Hb Rest/Stress Echo W/Continuous Ecg Monitor With Contrast | $2,825.20 | $7,063.00 | — | — | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Hb Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech | $547.20 | $1,368.00 | — | 44% below | 60% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hb Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech | $547.20 | $1,368.00 | — | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Hb Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt | $307.60 | $769.00 | — | 42% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Hb Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Rt | $307.60 | $769.00 | — | 42% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Hb Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Lt | $307.60 | $769.00 | — | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Hb Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Rt | $307.60 | $769.00 | — | — | 60% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Hb Ct Scan,Thoracic Spine,W/O Contrast - Ct Thoracic Spine Wo Contrast | $1,095.20 | $2,738.00 | — | 64% below | 60% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Hb Ct Scan,Thoracic Spine,W/O Contrast - Ct Thoracic Spine Wo Contrast | $1,095.20 | $2,738.00 | — | — | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 Hb X-Ray Toe(S) - Xr Toes 2+ Views Left | $227.60 | $569.00 | — | 53% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 Hb X-Ray Toe(S) - Xr Toes 2+ Views Right | $227.60 | $569.00 | — | 53% below | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Hb X-Ray Toe(S) - Xr Toes 2+ Views Right | $227.60 | $569.00 | — | — | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Hb X-Ray Toe(S) - Xr Toes 2+ Views Left | $227.60 | $569.00 | — | — | 60% |
| Transvaginal pelvic ultrasound CPT 76830 Hb Us Endovaginal Sono Non-Ob | $754.80 | $1,887.00 | — | 25% below | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hb Us Endovaginal Sono Non-Ob | $754.80 | $1,887.00 | — | — | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 Hb Chg Us,Pregnant Uterus,Transvaginal | $646.40 | $1,616.00 | — | 29% below | 60% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hb Chg Us,Pregnant Uterus,Transvaginal | $646.40 | $1,616.00 | — | — | 60% |
| Ultrasound of the abdomen, complete CPT 76700 Hb Us, Abdom,B-Scan &/Or Real Time,Complete - Us Abdomen Complete | $804.00 | $2,010.00 | — | 48% below | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hb Us, Abdom,B-Scan &/Or Real Time,Complete - Us Abdomen Complete | $804.00 | $2,010.00 | — | — | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 Hb Chg Echo,Scrotum & Contents | $754.80 | $1,887.00 | — | 30% below | 60% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Hb Chg Echo,Scrotum & Contents | $754.80 | $1,887.00 | — | — | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hb Us, Head/Neck Tissues,Real Time - Us Head Neck Soft Tissue | $754.80 | $1,887.00 | — | 35% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hb Us, Head/Neck Tissues,Real Time - Us Head Neck Soft Tissue | $754.80 | $1,887.00 | — | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hb X-Ray Upper Gi Delay W/O Kub - Fl Upper Gi Without Kub | $806.80 | $2,017.00 | — | 29% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hb X-Ray Upper Gi Delay W/O Kub - Fl Upper Gi Without Kub | $806.80 | $2,017.00 | — | — | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Hb X-Ray Humerus - 2 Views Xr Humerus Left | $307.60 | $769.00 | — | 47% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Hb X-Ray Humerus - 2 Views Xr Humerus Right | $307.60 | $769.00 | — | 47% below | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Hb X-Ray Humerus - 2 Views Xr Humerus Right | $307.60 | $769.00 | — | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Hb X-Ray Humerus - 2 Views Xr Humerus Left | $307.60 | $769.00 | — | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hb Duplex Extrem Venous,Uni Or Ltd - Us Doppler Venous Arm Left | $539.20 | $1,348.00 | — | 37% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hb Duplex Extrem Venous,Uni Or Ltd - Cv Us Doppler Venous Leg Left | $539.20 | $1,348.00 | — | 37% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hb Duplex Extrem Venous,Uni Or Ltd - Cv Us Doppler Venous Leg Right | $539.20 | $1,348.00 | — | 37% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hb Duplex Extrem Venous,Uni Or Ltd - Us Doppler Venous Arm Right | $539.20 | $1,348.00 | — | 37% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hb Duplex Extrem Venous,Uni Or Ltd - Us Doppler Venous Arm Right | $539.20 | $1,348.00 | — | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hb Duplex Extrem Venous,Uni Or Ltd - Us Doppler Venous Arm Left | $539.20 | $1,348.00 | — | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hb Duplex Extrem Venous,Uni Or Ltd - Cv Us Doppler Venous Leg Left | $539.20 | $1,348.00 | — | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hb Duplex Extrem Venous,Uni Or Ltd - Cv Us Doppler Venous Leg Right | $539.20 | $1,348.00 | — | — | 60% |
| Wrist X-ray, 2 views one side CPT 73100 Hb X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Left | $288.80 | $722.00 | — | 53% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 Hb X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right | $288.80 | $722.00 | — | 53% below | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Hb X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Right | $288.80 | $722.00 | — | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Hb X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Left | $288.80 | $722.00 | — | — | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Hb X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Left | $300.40 | $751.00 | — | 58% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Hb X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right | $300.40 | $751.00 | — | 58% below | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Hb X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Left | $300.40 | $751.00 | — | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Hb X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views Right | $300.40 | $751.00 | — | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hb X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 Or 3 Vw Right | $353.60 | $884.00 | — | 39% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hb X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 Or 3 Vw Left | $353.60 | $884.00 | — | 39% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hb X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 Or 3 Vw Left | $353.60 | $884.00 | — | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hb X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 Or 3 Vw Right | $353.60 | $884.00 | — | — | 60% |
| X-ray of the abdomen, 1 view CPT 74018 Hb Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View | $230.00 | $575.00 | — | 53% below | 60% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Hb Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View | $230.00 | $575.00 | — | — | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 Hb X-Ray Ankle 2 Vw - Xr Ankle 2 Views Left | $308.40 | $771.00 | — | 37% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 Hb X-Ray Ankle 2 Vw - Xr Ankle 2 Views Right | $308.40 | $771.00 | — | 37% below | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Hb X-Ray Ankle 2 Vw - Xr Ankle 2 Views Left | $308.40 | $771.00 | — | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Hb X-Ray Ankle 2 Vw - Xr Ankle 2 Views Right | $308.40 | $771.00 | — | — | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Hb X-Ray Exam Of Finger(S) - Xr Fingers 2+ Views Left | $248.80 | $622.00 | — | 47% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Hb X-Ray Exam Of Finger(S) - Xr Fingers 2+ Views Right | $248.80 | $622.00 | — | 47% below | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Hb X-Ray Exam Of Finger(S) - Xr Fingers 2+ Views Right | $248.80 | $622.00 | — | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Hb X-Ray Exam Of Finger(S) - Xr Fingers 2+ Views Left | $248.80 | $622.00 | — | — | 60% |
| X-ray of the foot, 2 views one side CPT 73620 Hb X-Ray Foot 2 Vw - Xr Foot 1-2 Views Left | $263.60 | $659.00 | — | 46% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 Hb X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right | $263.60 | $659.00 | — | 46% below | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Hb X-Ray Foot 2 Vw - Xr Foot 1-2 Views Left | $263.60 | $659.00 | — | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Hb X-Ray Foot 2 Vw - Xr Foot 1-2 Views Right | $263.60 | $659.00 | — | — | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Hb X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right | $266.40 | $666.00 | — | 56% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Hb X-Ray Foot 3+ Vw - Xr Foot 3+ Views Left | $266.40 | $666.00 | — | 56% below | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Hb X-Ray Foot 3+ Vw - Xr Foot 3+ Views Left | $266.40 | $666.00 | — | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Hb X-Ray Foot 3+ Vw - Xr Foot 3+ Views Right | $266.40 | $666.00 | — | — | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hb X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right | $441.60 | $1,104.00 | — | 30% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hb X-Ray Hand 3+ Vw - Xr Hand 3+ Views Left | $441.60 | $1,104.00 | — | 30% below | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hb X-Ray Hand 3+ Vw - Xr Hand 3+ Views Left | $441.60 | $1,104.00 | — | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hb X-Ray Hand 3+ Vw - Xr Hand 3+ Views Right | $441.60 | $1,104.00 | — | — | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Hb X-Ray Knee 1 Or 2 View - Xr Knee 1-2 Views Left | $307.60 | $769.00 | — | 49% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Hb X-Ray Knee 1 Or 2 View - Xr Knee 1-2 Views Right | $307.60 | $769.00 | — | 49% below | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Hb X-Ray Knee 1 Or 2 View - Xr Knee 1-2 Views Left | $307.60 | $769.00 | — | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Hb X-Ray Knee 1 Or 2 View - Xr Knee 1-2 Views Right | $307.60 | $769.00 | — | — | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hb X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views | $422.80 | $1,057.00 | — | 39% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hb X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views | $422.80 | $1,057.00 | — | — | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 Hb X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views | $470.80 | $1,177.00 | — | 58% below | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hb X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views | $470.80 | $1,177.00 | — | — | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hb X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views | $422.80 | $1,057.00 | — | 32% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hb X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views | $422.80 | $1,057.00 | — | — | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Hb X-Ray Nasal Bones - Xr Nasal Bones 3+ Views | $288.40 | $721.00 | — | 55% below | 60% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hb X-Ray Nasal Bones - Xr Nasal Bones 3+ Views | $288.40 | $721.00 | — | — | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hb Radex Spine Cervical 2 Or 3 Views - Xr Cervical Spine 2-3 Views | $422.80 | $1,057.00 | — | 39% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hb Radex Spine Cervical 2 Or 3 Views - Xr Cervical Spine 2-3 Views | $422.80 | $1,057.00 | — | — | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Hb X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views | $422.80 | $1,057.00 | — | 32% below | 60% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hb X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views | $422.80 | $1,057.00 | — | — | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hb X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views | $313.60 | $784.00 | — | 52% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hb X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views | $313.60 | $784.00 | — | — | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Hb Acth-Ref | $151.20 | $378.00 | — | 232% above | 60% |
| ACTH blood test inpatient CPT 82024 Hb Acth-Ref | $151.20 | $378.00 | — | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hb Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $4.40 | $11.00 | — | 89% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hb Alanine Amino (Alt) (Sgpt)-(Fibro)-Exc | $19.20 | $48.00 | — | 51% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hb Alanine Amino (Alt) (Sgot)-Ref | $20.40 | $51.00 | — | 48% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hb Alanine Amino (Alt) (Sgpt)-(Flfft)-Exc | $21.20 | $53.00 | — | 46% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hb Alanine Amino (Alt) (Sgpt)-(Nash)-Exc | $25.20 | $63.00 | — | 36% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hb Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $4.40 | $11.00 | — | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hb Alanine Amino (Alt) (Sgpt)-(Fibro)-Exc | $19.20 | $48.00 | — | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hb Alanine Amino (Alt) (Sgot)-Ref | $20.40 | $51.00 | — | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hb Alanine Amino (Alt) (Sgpt)-(Flfft)-Exc | $21.20 | $53.00 | — | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hb Alanine Amino (Alt) (Sgpt)-(Nash)-Exc | $25.20 | $63.00 | — | — | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Hb Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) | $4.40 | $11.00 | — | 92% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Hb Ast-(Nash)-Exc | $24.00 | $60.00 | — | 56% below | 60% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hb Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) | $4.40 | $11.00 | — | — | 60% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hb Ast-(Nash)-Exc | $24.00 | $60.00 | — | — | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hb Hepatitis Panel,Acute | $38.40 | $96.00 | — | 76% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hb Acute Hepatitis Profile-Ref | $55.45 | $138.62 | — | 66% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hb Hepatitis Panel,Acute | $38.40 | $96.00 | — | — | 60% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hb Acute Hepatitis Profile-Ref | $55.45 | $138.62 | — | — | 60% |
| Albumin blood test CPT 82040 Hb Albumin Serum-(81271)-Exc | $3.60 | $9.00 | — | 79% below | 60% |
| Albumin blood test CPT 82040 Hb Assay Of Serum Albumin - Albumin | $4.00 | $10.00 | — | 76% below | 60% |
| Albumin blood test CPT 82040 Hb Albumin, Serum-Ref | $8.00 | $20.00 | — | 53% below | 60% |
| Albumin blood test CPT 82040 Hb Assay Of Albumin (Lnbai)-Exc | $41.60 | $104.00 | — | 146% above | 60% |
| Albumin blood test inpatient CPT 82040 Hb Albumin Serum-(81271)-Exc | $3.60 | $9.00 | — | — | 60% |
| Albumin blood test inpatient CPT 82040 Hb Assay Of Serum Albumin - Albumin | $4.00 | $10.00 | — | — | 60% |
| Albumin blood test inpatient CPT 82040 Hb Albumin, Serum-Ref | $8.00 | $20.00 | — | — | 60% |
| Albumin blood test inpatient CPT 82040 Hb Assay Of Albumin (Lnbai)-Exc | $41.60 | $104.00 | — | — | 60% |
| Aldosterone blood test CPT 82088 Hb Aldosterone (Serum)-Ref | $15.42 | $38.56 | — | 45% below | 60% |
| Aldosterone blood test CPT 82088 Hb Aldosterone-Ref | $156.80 | $392.00 | — | 461% above | 60% |
| Aldosterone blood test inpatient CPT 82088 Hb Aldosterone (Serum)-Ref | $15.42 | $38.56 | — | — | 60% |
| Aldosterone blood test inpatient CPT 82088 Hb Aldosterone-Ref | $156.80 | $392.00 | — | — | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hb Assay Alkal Phosphatase - Alkaline Phosphatase | $4.40 | $11.00 | — | 90% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hb Alkaline Phosphatase Serum-(Alki)-Exc | $9.60 | $24.00 | — | 78% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hb Phosphatase Alkaline-Ref | $12.40 | $31.00 | — | 72% below | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hb Assay Alkal Phosphatase - Alkaline Phosphatase | $4.40 | $11.00 | — | — | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hb Alkaline Phosphatase Serum-(Alki)-Exc | $9.60 | $24.00 | — | — | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hb Phosphatase Alkaline-Ref | $12.40 | $31.00 | — | — | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hb Allergen, Ige | $4.40 | $11.00 | — | 44% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hb Allergen,Ige-Ref | $6.80 | $17.00 | — | 13% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hb Tree Allergy Panel 81886-Ref | $33.60 | $84.00 | — | 331% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hb Food Allergy Panel (81874)-Ref | $92.40 | $231.00 | — | 1085% above | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hb Allergen, Ige | $4.40 | $11.00 | — | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hb Allergen,Ige-Ref | $6.80 | $17.00 | — | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hb Tree Allergy Panel 81886-Ref | $33.60 | $84.00 | — | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hb Food Allergy Panel (81874)-Ref | $92.40 | $231.00 | — | — | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Afp Maternal Screen-Ref | $10.00 | $25.00 | — | 70% below | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Alpha-Fetoprotein Serum (8004) Genzyme-Exc | $13.20 | $33.00 | — | 61% below | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Afp Tumor | $13.60 | $34.00 | — | 60% below | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Alpha-Fetoprotein Serum | $13.60 | $34.00 | — | 60% below | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Msafp-Ref | $25.60 | $64.00 | — | 24% below | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Afp (Afp Quad Screen)-Ref | $26.40 | $66.00 | — | 22% below | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Alpha-Fetoprotein Serum-(Inter Scrn)-(8026)-Exc | $47.20 | $118.00 | — | 40% above | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Afp Maternal Screen-Ref | $10.00 | $25.00 | — | — | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Alpha-Fetoprotein Serum (8004) Genzyme-Exc | $13.20 | $33.00 | — | — | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Afp Tumor | $13.60 | $34.00 | — | — | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Alpha-Fetoprotein Serum | $13.60 | $34.00 | — | — | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Msafp-Ref | $25.60 | $64.00 | — | — | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Afp (Afp Quad Screen)-Ref | $26.40 | $66.00 | — | — | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Alpha-Fetoprotein Serum-(Inter Scrn)-(8026)-Exc | $47.20 | $118.00 | — | — | 60% |
| Ammonia blood test CPT 82140 Hb Assay Of Ammonia - Ammonia | $12.00 | $30.00 | — | 89% below | 60% |
| Ammonia blood test CPT 82140 Hb Ammonium,24Hr, Urine (Sup24)-Exc | $13.60 | $34.00 | — | 88% below | 60% |
| Ammonia blood test CPT 82140 Hb Ammonium, 24Hr, U - Ref | $131.60 | $329.00 | — | 15% above | 60% |
| Ammonia blood test inpatient CPT 82140 Hb Assay Of Ammonia - Ammonia | $12.00 | $30.00 | — | — | 60% |
| Ammonia blood test inpatient CPT 82140 Hb Ammonium,24Hr, Urine (Sup24)-Exc | $13.60 | $34.00 | — | — | 60% |
| Ammonia blood test inpatient CPT 82140 Hb Ammonium, 24Hr, U - Ref | $131.60 | $329.00 | — | — | 60% |
| Amylase blood test CPT 82150 Hb Assay Of Amylase - Amylase Blood, Urine, Body Fluid | $5.20 | $13.00 | — | 83% below | 60% |
| Amylase blood test CPT 82150 Hb Amylase,Pancreatic-Ref | $14.40 | $36.00 | — | 54% below | 60% |
| Amylase blood test CPT 82150 Hb Amylase (91821)-Exc | $36.40 | $91.00 | — | 16% above | 60% |
| Amylase blood test inpatient CPT 82150 Hb Assay Of Amylase - Amylase Blood, Urine, Body Fluid | $5.20 | $13.00 | — | — | 60% |
| Amylase blood test inpatient CPT 82150 Hb Amylase,Pancreatic-Ref | $14.40 | $36.00 | — | — | 60% |
| Amylase blood test inpatient CPT 82150 Hb Amylase (91821)-Exc | $36.40 | $91.00 | — | — | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hb Cyclic Citrullntd Prptid Ab-Ref | $10.40 | $26.00 | — | 62% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hb Cyclic Citrullinated Peptide | $10.40 | $26.00 | — | 62% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hb Cyclic Citrullinated Pep Ab,S-(Ctdc)-Exc | $14.40 | $36.00 | — | 47% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hb Cyclic Citrullinated Peptide-Ref | $16.80 | $42.00 | — | 38% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hb Cyclic Citrulinate Pept Ab-Ref | $30.80 | $77.00 | — | 13% above | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hb Cyclic Citrullinated Peptide | $10.40 | $26.00 | — | — | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hb Cyclic Citrullntd Prptid Ab-Ref | $10.40 | $26.00 | — | — | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hb Cyclic Citrullinated Pep Ab,S-(Ctdc)-Exc | $14.40 | $36.00 | — | — | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hb Cyclic Citrullinated Peptide-Ref | $16.80 | $42.00 | — | — | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hb Cyclic Citrulinate Pept Ab-Ref | $30.80 | $77.00 | — | — | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hb Ana Panel-Ref | $9.20 | $23.00 | — | 68% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hb Antinuclear Antibodies - Ana (Antinuclear Antibodies) | $10.00 | $25.00 | — | 65% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hb Antinuclear Ab, S-(Ctdc)-Exc | $13.60 | $34.00 | — | 53% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hb Antinuclear Ab (800004)-Ref | $35.20 | $88.00 | — | 22% above | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hb Ana Panel-Ref | $9.20 | $23.00 | — | — | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hb Antinuclear Antibodies - Ana (Antinuclear Antibodies) | $10.00 | $25.00 | — | — | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hb Antinuclear Ab, S-(Ctdc)-Exc | $13.60 | $34.00 | — | — | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hb Antinuclear Ab (800004)-Ref | $35.20 | $88.00 | — | — | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hb Natriuretic Peptide-Ref | $30.50 | $76.24 | — | 82% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hb Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp) | $31.60 | $79.00 | — | 81% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hb Natriuretic Peptide-Poct Bhsp | $102.40 | $256.00 | — | 38% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hb Natriuretic Peptide-Ref | $30.50 | $76.24 | — | — | 60% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hb Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp) | $31.60 | $79.00 | — | — | 60% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hb Natriuretic Peptide-Poct Bhsp | $102.40 | $256.00 | — | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Culture Id-Ref | $8.40 | $21.00 | — | 89% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Culture Id-Ref | $8.40 | $21.00 | — | — | 60% |
| Bilirubin blood test, total CPT 82247 Hb Bilirubin Total - Bilirubin Total | $4.40 | $11.00 | — | 81% below | 60% |
| Bilirubin blood test, total CPT 82247 Hb Bilirubin, Total (Fibro)-Exc | $18.00 | $45.00 | — | 24% below | 60% |
| Bilirubin blood test, total CPT 82247 Hb Bilirubin, Total-(Flfft)-Exc | $20.00 | $50.00 | — | 15% below | 60% |
| Bilirubin blood test, total CPT 82247 Hb Bilirubin (Nash)-Exc | $23.20 | $58.00 | — | 2% below | 60% |
| Bilirubin blood test, total CPT 82247 Hb Bilirubin Total - Bilirubin Total, Cord Blood | $51.60 | $129.00 | — | 118% above | 60% |
| Bilirubin blood test, total CPT 82247 Hb Bilirubin Level Direct, Bf (Mayo)-Ref | $65.66 | $164.16 | — | 178% above | 60% |
| Bilirubin blood test, total inpatient CPT 82247 Hb Bilirubin Total - Bilirubin Total | $4.40 | $11.00 | — | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 Hb Bilirubin, Total (Fibro)-Exc | $18.00 | $45.00 | — | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 Hb Bilirubin, Total-(Flfft)-Exc | $20.00 | $50.00 | — | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 Hb Bilirubin (Nash)-Exc | $23.20 | $58.00 | — | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 Hb Bilirubin Total - Bilirubin Total, Cord Blood | $51.60 | $129.00 | — | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 Hb Bilirubin Level Direct, Bf (Mayo)-Ref | $65.66 | $164.16 | — | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hb Tissue Exam By Pathologist Level Iv (Caris)-Ref | $26.30 | $65.76 | — | 77% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hb Level Iv Surgical Path-Ref | $108.00 | $270.00 | — | 7% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hb Level 4 Gross And Microscopic, Rb- Ref | $256.00 | $640.00 | — | 120% above | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hb Tissue Exam By Pathologist Level Iv (Caris)-Ref | $26.30 | $65.76 | — | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hb Level Iv Surgical Path-Ref | $108.00 | $270.00 | — | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hb Level 4 Gross And Microscopic, Rb- Ref | $256.00 | $640.00 | — | — | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hb Chg Collection Venous Blood,Venipuncture - Draw Charge | $7.60 | $19.00 | — | 60% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hb Chg Collection Venous Blood,Venipuncture - Draw Charge | $7.60 | $19.00 | — | — | 60% |
| Blood glucose (sugar) test CPT 82947 Hb Assay Quantitative,Blood Glucose - Glucose Random | $3.20 | $8.00 | — | 93% below | 60% |
| Blood glucose (sugar) test CPT 82947 Hb Glucose-(Nash)-Exc | $18.40 | $46.00 | — | 59% below | 60% |
| Blood glucose (sugar) test CPT 82947 Hb Glucose - Ref | $30.00 | $75.00 | — | 33% below | 60% |
| Blood glucose (sugar) test CPT 82947 Hb Assay Quantitative,Blood Glucose - Poct Glucometer-Poct | $37.60 | $94.00 | — | 16% below | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 Hb Assay Quantitative,Blood Glucose - Glucose Random | $3.20 | $8.00 | — | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 Hb Glucose-(Nash)-Exc | $18.40 | $46.00 | — | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 Hb Glucose - Ref | $30.00 | $75.00 | — | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 Hb Assay Quantitative,Blood Glucose - Poct Glucometer-Poct | $37.60 | $94.00 | — | — | 60% |
| Blood lead test CPT 83655 Hb Assay Of Lead-(15080)-Exc | $5.20 | $13.00 | — | 52% below | 60% |
| Blood lead test CPT 83655 Hb Assay Of Lead Urine (8633)-Exc | $10.00 | $25.00 | — | 8% below | 60% |
| Blood lead test CPT 83655 Hb Lead-Blood-Ref | $10.66 | $26.66 | — | 2% below | 60% |
| Blood lead test CPT 83655 Hb Lead, Ur-Ref | $11.60 | $29.00 | — | 7% above | 60% |
| Blood lead test CPT 83655 Hb Lead-Urine-Ref | $12.40 | $31.00 | — | 14% above | 60% |
| Blood lead test CPT 83655 Hb Lead, Bld-Ref | $12.80 | $32.00 | — | 18% above | 60% |
| Blood lead test inpatient CPT 83655 Hb Assay Of Lead-(15080)-Exc | $5.20 | $13.00 | — | — | 60% |
| Blood lead test inpatient CPT 83655 Hb Assay Of Lead Urine (8633)-Exc | $10.00 | $25.00 | — | — | 60% |
| Blood lead test inpatient CPT 83655 Hb Lead-Blood-Ref | $10.66 | $26.66 | — | — | 60% |
| Blood lead test inpatient CPT 83655 Hb Lead, Ur-Ref | $11.60 | $29.00 | — | — | 60% |
| Blood lead test inpatient CPT 83655 Hb Lead-Urine-Ref | $12.40 | $31.00 | — | — | 60% |
| Blood lead test inpatient CPT 83655 Hb Lead, Bld-Ref | $12.80 | $32.00 | — | — | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hb Chorionic Gonadotropin, Qual - Hcg Qualitative Urine Poct | $125.60 | $314.00 | — | at median | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hb Chorionic Gonadotropin, Qual - Hcg Qualitative Urine Poct | $125.60 | $314.00 | — | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hb Abo (Oneblood)-Ref | $21.46 | $53.64 | — | 55% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hb Abo- Ref | $96.40 | $241.00 | — | 103% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hb Abo (Oneblood)-Ref | $21.46 | $53.64 | — | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hb Abo- Ref | $96.40 | $241.00 | — | — | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 Hb Assay Urea Nitrogen, Quan - Pre-Dialysis Bun (Blood Urea Nitrogen) | $3.20 | $8.00 | — | 93% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 Hb Assay Urea Nitrogen, Quan - Post-Dialysis Bun (Blood Urea Nitrogen) | $3.20 | $8.00 | — | 93% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 Hb Assay Urea Nitrogen, Quan - Blood Urea Nitrogen | $3.20 | $8.00 | — | 93% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 Hb Bun-Body Fluid-Ref | $11.85 | $29.62 | — | 74% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 Hb Assay Urea Nitrogen, Quan - Poct Urea (Bun) | $32.00 | $80.00 | — | 29% below | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hb Assay Urea Nitrogen, Quan - Pre-Dialysis Bun (Blood Urea Nitrogen) | $3.20 | $8.00 | — | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hb Assay Urea Nitrogen, Quan - Blood Urea Nitrogen | $3.20 | $8.00 | — | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hb Assay Urea Nitrogen, Quan - Post-Dialysis Bun (Blood Urea Nitrogen) | $3.20 | $8.00 | — | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hb Bun-Body Fluid-Ref | $11.85 | $29.62 | — | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hb Assay Urea Nitrogen, Quan - Poct Urea (Bun) | $32.00 | $80.00 | — | — | 60% |
| C-peptide blood test CPT 84681 Hb C-Peptide-Ref | $9.60 | $24.00 | — | 74% below | 60% |
| C-peptide blood test CPT 84681 Hb Assay Of C-Peptide - C-Peptide | $16.80 | $42.00 | — | 54% below | 60% |
| C-peptide blood test CPT 84681 Hb C-Peptide (Endo Sc)-Ref | $62.40 | $156.00 | — | 70% above | 60% |
| C-peptide blood test inpatient CPT 84681 Hb C-Peptide-Ref | $9.60 | $24.00 | — | — | 60% |
| C-peptide blood test inpatient CPT 84681 Hb Assay Of C-Peptide - C-Peptide | $16.80 | $42.00 | — | — | 60% |
| C-peptide blood test inpatient CPT 84681 Hb C-Peptide (Endo Sc)-Ref | $62.40 | $156.00 | — | — | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hb C-Reactive Protein (Fibdd)-Exc | $15.20 | $38.00 | — | 79% below | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hb Crp-Ref | $22.80 | $57.00 | — | 69% below | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hb C-Reactive Protein (Fibdd)-Exc | $15.20 | $38.00 | — | — | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hb Crp-Ref | $22.80 | $57.00 | — | — | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Hb C Diff Pcr | $30.00 | $75.00 | — | 74% below | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Hb C. Difficile Toxin Pcr,Feces - (Cdpcr) Mayo-Ref | $482.64 | $1,206.60 | — | 325% above | 60% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hb C Diff Pcr | $30.00 | $75.00 | — | — | 60% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hb C. Difficile Toxin Pcr,Feces - (Cdpcr) Mayo-Ref | $482.64 | $1,206.60 | — | — | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 Hb Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9 | $16.80 | $42.00 | — | 69% below | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 Hb Cancer Antigen 19-9 (800100)-Ref | $94.80 | $237.00 | — | 72% above | 60% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hb Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9 | $16.80 | $42.00 | — | — | 60% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hb Cancer Antigen 19-9 (800100)-Ref | $94.80 | $237.00 | — | — | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hb Immunoassay, Tumor Antigen, Ca 125 - Ca 125 | $16.80 | $42.00 | — | 80% below | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hb Cancer Antigen 125 (800101)-Ref | $82.40 | $206.00 | — | at median | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hb Immunoassay Tumor Ca 125-Ref | $229.20 | $573.00 | — | 177% above | 60% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hb Immunoassay, Tumor Antigen, Ca 125 - Ca 125 | $16.80 | $42.00 | — | — | 60% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hb Cancer Antigen 125 (800101)-Ref | $82.40 | $206.00 | — | — | 60% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hb Immunoassay Tumor Ca 125-Ref | $229.20 | $573.00 | — | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hb Rapid Covid-19 | $41.20 | $103.00 | — | 53% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hb Poct Rapid Covid-19 | $41.20 | $103.00 | — | 53% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hb Covid-19 Rev Trans Poct-Pcr | $41.20 | $103.00 | — | 53% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hb Covid-19 Rev Trans-Pcr | $41.20 | $103.00 | — | 53% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hb Sars Cov 2 Rna, Pcr | $41.20 | $103.00 | — | 53% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hb Covid-19-Ref | $58.00 | $145.00 | — | 34% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hb Covid-19 Rev Trans Pcr-Ref | $58.00 | $145.00 | — | 34% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hb Covid-19 Rev Trans-Pcr | $41.20 | $103.00 | — | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hb Rapid Covid-19 | $41.20 | $103.00 | — | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hb Poct Rapid Covid-19 | $41.20 | $103.00 | — | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hb Sars Cov 2 Rna, Pcr | $41.20 | $103.00 | — | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hb Covid-19 Rev Trans Poct-Pcr | $41.20 | $103.00 | — | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hb Covid-19-Ref | $58.00 | $145.00 | — | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hb Covid-19 Rev Trans Pcr-Ref | $58.00 | $145.00 | — | — | 60% |
| Calcium blood test, total CPT 82310 Hb Assay Of Calcium, Total - Calcium | $4.40 | $11.00 | — | 91% below | 60% |
| Calcium blood test, total CPT 82310 Hb Urine, Calcium | $4.40 | $11.00 | — | 91% below | 60% |
| Calcium blood test, total CPT 82310 Hb Assay Of Calcium, Total - Calcium-Ref | $8.00 | $20.00 | — | 84% below | 60% |
| Calcium blood test, total inpatient CPT 82310 Hb Urine, Calcium | $4.40 | $11.00 | — | — | 60% |
| Calcium blood test, total inpatient CPT 82310 Hb Assay Of Calcium, Total - Calcium | $4.40 | $11.00 | — | — | 60% |
| Calcium blood test, total inpatient CPT 82310 Hb Assay Of Calcium, Total - Calcium-Ref | $8.00 | $20.00 | — | — | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Hb Cea, Peritoneal Fluid | $15.20 | $38.00 | — | 87% below | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Hb Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen) | $15.20 | $38.00 | — | 87% below | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Hb Cea,Pancreatic Cyst-Ref | $128.00 | $320.00 | — | 9% above | 60% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hb Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen) | $15.20 | $38.00 | — | — | 60% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hb Cea, Peritoneal Fluid | $15.20 | $38.00 | — | — | 60% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hb Cea,Pancreatic Cyst-Ref | $128.00 | $320.00 | — | — | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 Hb Varicella-Zoster - Varicella Zoster Igg | $10.40 | $26.00 | — | 43% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 Hb Varicella-Zoster Virus Igm, Serum | $10.40 | $26.00 | — | 43% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 Hb Varicella Igm-Ref | $11.61 | $29.02 | — | 36% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 Hb Varicella Zoster Ab-Igg-Ref | $18.80 | $47.00 | — | 3% above | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 Hb Varicella-Zoster Antibody-(Fenap)-Exc | $42.40 | $106.00 | — | 133% above | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hb Varicella-Zoster Virus Igm, Serum | $10.40 | $26.00 | — | — | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hb Varicella-Zoster - Varicella Zoster Igg | $10.40 | $26.00 | — | — | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hb Varicella Igm-Ref | $11.61 | $29.02 | — | — | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hb Varicella Zoster Ab-Igg-Ref | $18.80 | $47.00 | — | — | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hb Varicella-Zoster Antibody-(Fenap)-Exc | $42.40 | $106.00 | — | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hb Chlamydia Tracho Amp Probe-Ref | $20.35 | $50.88 | — | 52% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hb Chlamydia Dna Amplified Probe | $28.40 | $71.00 | — | 32% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hb Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr | $28.40 | $71.00 | — | 32% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hb Chlamydia Tracho Amp Probe-Ref | $20.35 | $50.88 | — | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hb Chlamydia Dna Amplified Probe | $28.40 | $71.00 | — | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hb Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr | $28.40 | $71.00 | — | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Lipid Panel | $10.80 | $27.00 | — | 89% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Lipid Panel (Lmpp)-Exc | $15.20 | $38.00 | — | 85% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Lipid Panel-Ref | $17.60 | $44.00 | — | 83% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Lipid Panel | $10.80 | $27.00 | — | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Lipid Panel (Lmpp)-Exc | $15.20 | $38.00 | — | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Lipid Panel-Ref | $17.60 | $44.00 | — | — | 60% |
| Complete blood count (CBC) with differential CPT 85025 Hb Complete Cbc & Auto Diff Wbc - Additional Charge | $6.40 | $16.00 | — | 91% below | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hb Complete Cbc & Auto Diff Wbc - Additional Charge | $6.40 | $16.00 | — | — | 60% |
| Complete blood count (CBC), no differential CPT 85027 Hb Complete Cbc - Cbc | $5.20 | $13.00 | — | 95% below | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hb Complete Cbc - Cbc | $5.20 | $13.00 | — | — | 60% |
| Cortisol blood test, total CPT 82533 Hb Total Cortisol - Acth Stimulation Baseline | $13.20 | $33.00 | — | 79% below | 60% |
| Cortisol blood test, total CPT 82533 Hb Cortisol, Saliva | $13.20 | $33.00 | — | 79% below | 60% |
| Cortisol blood test, total CPT 82533 Hb Total Cortisol - Acth Stimulation 30 Minutes | $13.20 | $33.00 | — | 79% below | 60% |
| Cortisol blood test, total CPT 82533 Hb Total Cortisol - Acth Stimulation 1 Hour | $13.20 | $33.00 | — | 79% below | 60% |
| Cortisol blood test, total CPT 82533 Hb Total Cortisol - Cortisol | $13.20 | $33.00 | — | 79% below | 60% |
| Cortisol blood test, total CPT 82533 Hb Cortisol,Total-Ref | $14.77 | $36.92 | — | 77% below | 60% |
| Cortisol blood test, total CPT 82533 Hb Cortisol, Saliva-Ref | $16.40 | $41.00 | — | 75% below | 60% |
| Cortisol blood test, total CPT 82533 Hb Cah Prof 3,Cortisol Total-Ref | $23.20 | $58.00 | — | 64% below | 60% |
| Cortisol blood test, total inpatient CPT 82533 Hb Total Cortisol - Acth Stimulation 30 Minutes | $13.20 | $33.00 | — | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 Hb Total Cortisol - Acth Stimulation Baseline | $13.20 | $33.00 | — | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 Hb Total Cortisol - Acth Stimulation 1 Hour | $13.20 | $33.00 | — | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 Hb Total Cortisol - Cortisol | $13.20 | $33.00 | — | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 Hb Cortisol, Saliva | $13.20 | $33.00 | — | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 Hb Cortisol,Total-Ref | $14.77 | $36.92 | — | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 Hb Cortisol, Saliva-Ref | $16.40 | $41.00 | — | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 Hb Cah Prof 3,Cortisol Total-Ref | $23.20 | $58.00 | — | — | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 Hb Assay Of Ck (Cpk) - Ck | $5.60 | $14.00 | — | 92% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 Hb Creatine Kinase Total-Ref | $8.40 | $21.00 | — | 89% below | 60% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hb Assay Of Ck (Cpk) - Ck | $5.60 | $14.00 | — | — | 60% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hb Creatine Kinase Total-Ref | $8.40 | $21.00 | — | — | 60% |
| Creatinine blood test CPT 82565 Hb Creatinine | $4.40 | $11.00 | — | 92% below | 60% |
| Creatinine blood test CPT 82565 Hb Creatinine With Egfr, S-Ref | $6.40 | $16.00 | — | 88% below | 60% |
| Creatinine blood test CPT 82565 Hb Assay Of Creatinine - Creatinine Serum-Poct | $50.80 | $127.00 | — | 7% below | 60% |
| Creatinine blood test inpatient CPT 82565 Hb Creatinine | $4.40 | $11.00 | — | — | 60% |
| Creatinine blood test inpatient CPT 82565 Hb Creatinine With Egfr, S-Ref | $6.40 | $16.00 | — | — | 60% |
| Creatinine blood test inpatient CPT 82565 Hb Assay Of Creatinine - Creatinine Serum-Poct | $50.80 | $127.00 | — | — | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hb Cmv Antibody - Cmv Igg | $11.60 | $29.00 | — | 59% below | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hb Cmv Igg Avidity - Ref | $55.60 | $139.00 | — | 99% above | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hb Cytomegalovirus Ab, Igg (800030)-Ref | $90.80 | $227.00 | — | 224% above | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hb Cmv Antibody - Cmv Igg | $11.60 | $29.00 | — | — | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hb Cmv Igg Avidity - Ref | $55.60 | $139.00 | — | — | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hb Cytomegalovirus Ab, Igg (800030)-Ref | $90.80 | $227.00 | — | — | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 Hb D-Dimer, Quant - Ref | $24.80 | $62.00 | — | 87% below | 60% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Hb D-Dimer, Quant - Ref | $24.80 | $62.00 | — | — | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Hb Dehydroepiandrosterone-Sulfate - Dhea-Sulfate-Ref | $9.60 | $24.00 | — | 79% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Hb Dehydroepiandrosterone Sulfate (Dhea-S) | $18.00 | $45.00 | — | 60% below | 60% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hb Dehydroepiandrosterone-Sulfate - Dhea-Sulfate-Ref | $9.60 | $24.00 | — | — | 60% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hb Dehydroepiandrosterone Sulfate (Dhea-S) | $18.00 | $45.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Confirmed Drug Abuse Panel-Ref | $20.40 | $51.00 | — | 68% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Drug Scrn Prescription/Otc-Ref | $28.75 | $71.88 | — | 55% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Drugs Of Abuse Scr,Mecon 5-Ref | $28.98 | $72.44 | — | 54% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Drugs Of Abuse Screen 10 Mayo-Ref | $32.00 | $80.00 | — | 50% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Drug Screen,Pres/Otc,Urine-Ref | $34.82 | $87.06 | — | 45% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Single Drug Class, Ea-Ref | $48.00 | $120.00 | — | 25% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Drug Screen,Presumptive-Ref | $48.00 | $120.00 | — | 25% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Drug Test Presumptive | $50.00 | $125.00 | — | 21% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Salicylate | $50.00 | $125.00 | — | 21% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Drug Screen, Prescription/Otc, S-Ref | $55.20 | $138.00 | — | 13% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Pain Clinic Drug Screen, Urine | $72.40 | $181.00 | — | 14% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Hypoglycemic Agent Scr-Ref | $80.00 | $200.00 | — | 26% above | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Confirmed Drug Abuse Panel-Ref | $20.40 | $51.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Drug Scrn Prescription/Otc-Ref | $28.75 | $71.88 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Drugs Of Abuse Scr,Mecon 5-Ref | $28.98 | $72.44 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Drugs Of Abuse Screen 10 Mayo-Ref | $32.00 | $80.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Drug Screen,Pres/Otc,Urine-Ref | $34.82 | $87.06 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Single Drug Class, Ea-Ref | $48.00 | $120.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Drug Screen,Presumptive-Ref | $48.00 | $120.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Salicylate | $50.00 | $125.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Drug Test Presumptive | $50.00 | $125.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Drug Screen, Prescription/Otc, S-Ref | $55.20 | $138.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Pain Clinic Drug Screen, Urine | $72.40 | $181.00 | — | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Hypoglycemic Agent Scr-Ref | $80.00 | $200.00 | — | — | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hb Ebv Ab Panel Vca Igm-Ref | $6.40 | $16.00 | — | 78% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hb Ebv Ab Panel,Vca Igg-Ref | $6.40 | $16.00 | — | 78% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hb Ebv Vca Igg/Igm Ab, S-(Sebv)-Exc | $11.60 | $29.00 | — | 60% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hb Epstein-Barr Viral Capsid | $14.80 | $37.00 | — | 49% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hb Epstein Barr Virus Panel (800033)-Ref | $73.20 | $183.00 | — | 154% above | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hb Ebv Ab Panel Vca Igm-Ref | $6.40 | $16.00 | — | — | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hb Ebv Ab Panel,Vca Igg-Ref | $6.40 | $16.00 | — | — | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hb Ebv Vca Igg/Igm Ab, S-(Sebv)-Exc | $11.60 | $29.00 | — | — | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hb Epstein-Barr Viral Capsid | $14.80 | $37.00 | — | — | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hb Epstein Barr Virus Panel (800033)-Ref | $73.20 | $183.00 | — | — | 60% |
| Estradiol blood test CPT 82670 Hb Assay Of Estradiol - Estradiol | $22.40 | $56.00 | — | 31% below | 60% |
| Estradiol blood test CPT 82670 Hb Hb Estradiol (Endo), Serum-Ref | $95.20 | $238.00 | — | 193% above | 60% |
| Estradiol blood test CPT 82670 Hb Estradiol,Mass Spec-Ref | $95.20 | $238.00 | — | 193% above | 60% |
| Estradiol blood test inpatient CPT 82670 Hb Assay Of Estradiol - Estradiol | $22.40 | $56.00 | — | — | 60% |
| Estradiol blood test inpatient CPT 82670 Hb Hb Estradiol (Endo), Serum-Ref | $95.20 | $238.00 | — | — | 60% |
| Estradiol blood test inpatient CPT 82670 Hb Estradiol,Mass Spec-Ref | $95.20 | $238.00 | — | — | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 Hb Fsh- Ref | $9.60 | $24.00 | — | 85% below | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 Hb Fsh | $15.20 | $38.00 | — | 76% below | 60% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hb Fsh- Ref | $9.60 | $24.00 | — | — | 60% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hb Fsh | $15.20 | $38.00 | — | — | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Hb Calprotectin | $16.00 | $40.00 | — | 87% below | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Hb Calprotectin,Stool - Ref | $78.52 | $196.30 | — | 34% below | 60% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hb Calprotectin | $16.00 | $40.00 | — | — | 60% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hb Calprotectin,Stool - Ref | $78.52 | $196.30 | — | — | 60% |
| Ferritin blood test (iron stores) CPT 82728 Hb Assay Of Ferritin - Ferritin | $11.20 | $28.00 | — | 91% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 Hb Ferritin-Ref | $12.00 | $30.00 | — | 90% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 Hb Ferritin, Serum-(Thev1)-Exc | $17.60 | $44.00 | — | 86% below | 60% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Hb Assay Of Ferritin - Ferritin | $11.20 | $28.00 | — | — | 60% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Hb Ferritin-Ref | $12.00 | $30.00 | — | — | 60% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Hb Ferritin, Serum-(Thev1)-Exc | $17.60 | $44.00 | — | — | 60% |
| Fibrinogen blood test CPT 85384 Hb Fibrinogen, Activity - Fibrinogen,Quantitative | $8.00 | $20.00 | — | 90% below | 60% |
| Fibrinogen blood test CPT 85384 Hb Fibrinogen; Activity-Ref | $20.40 | $51.00 | — | 74% below | 60% |
| Fibrinogen blood test CPT 85384 Hb Teg A-Fibrinogen Activity | $55.20 | $138.00 | — | 30% below | 60% |
| Fibrinogen blood test inpatient CPT 85384 Hb Fibrinogen, Activity - Fibrinogen,Quantitative | $8.00 | $20.00 | — | — | 60% |
| Fibrinogen blood test inpatient CPT 85384 Hb Fibrinogen; Activity-Ref | $20.40 | $51.00 | — | — | 60% |
| Fibrinogen blood test inpatient CPT 85384 Hb Teg A-Fibrinogen Activity | $55.20 | $138.00 | — | — | 60% |
| Folate (folic acid) blood test CPT 82746 Hb Folate, Serum (Mayo)-Ref | $9.10 | $22.74 | — | 93% below | 60% |
| Folate (folic acid) blood test CPT 82746 Hb Blood Folic Acid Serum - Folate | $12.00 | $30.00 | — | 90% below | 60% |
| Folate (folic acid) blood test inpatient CPT 82746 Hb Folate, Serum (Mayo)-Ref | $9.10 | $22.74 | — | — | 60% |
| Folate (folic acid) blood test inpatient CPT 82746 Hb Blood Folic Acid Serum - Folate | $12.00 | $30.00 | — | — | 60% |
| Free T3 thyroid hormone test CPT 84481 Hb Triiodothyronine Free Assay (Ft-3) - T3 Free | $13.60 | $34.00 | — | 78% below | 60% |
| Free T3 thyroid hormone test CPT 84481 Hb Free T3(Serum)-Ref | $14.00 | $35.00 | — | 78% below | 60% |
| Free T3 thyroid hormone test CPT 84481 Hb T3, Free (800092)-Ref | $79.20 | $198.00 | — | 27% above | 60% |
| Free T3 thyroid hormone test CPT 84481 Hb Free Assay (Ft-3) - Ref | $86.40 | $216.00 | — | 38% above | 60% |
| Free T3 thyroid hormone test inpatient CPT 84481 Hb Triiodothyronine Free Assay (Ft-3) - T3 Free | $13.60 | $34.00 | — | — | 60% |
| Free T3 thyroid hormone test inpatient CPT 84481 Hb Free T3(Serum)-Ref | $14.00 | $35.00 | — | — | 60% |
| Free T3 thyroid hormone test inpatient CPT 84481 Hb T3, Free (800092)-Ref | $79.20 | $198.00 | — | — | 60% |
| Free T3 thyroid hormone test inpatient CPT 84481 Hb Free Assay (Ft-3) - Ref | $86.40 | $216.00 | — | — | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hb Assay Of Free Thyroxine - T4 Free | $7.60 | $19.00 | — | 91% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hb Free Thyroxine-Ref | $18.49 | $46.22 | — | 78% below | 60% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hb Assay Of Free Thyroxine - T4 Free | $7.60 | $19.00 | — | — | 60% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hb Free Thyroxine-Ref | $18.49 | $46.22 | — | — | 60% |
| Free testosterone test CPT 84402 Hb Assay Of Testosterone-(Tgrp)-Exc | $12.00 | $30.00 | — | 57% below | 60% |
| Free testosterone test CPT 84402 Hb Testosterone Free-Ref | $36.00 | $90.00 | — | 29% above | 60% |
| Free testosterone test inpatient CPT 84402 Hb Assay Of Testosterone-(Tgrp)-Exc | $12.00 | $30.00 | — | — | 60% |
| Free testosterone test inpatient CPT 84402 Hb Testosterone Free-Ref | $36.00 | $90.00 | — | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hb Assay Of Ggt - Gamma Gt | $6.00 | $15.00 | — | 87% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hb Glutamyltransferase, Gamma-(Fibro)-Exc | $26.00 | $65.00 | — | 44% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hb Glutamyltransferase, Gamma-Ref | $27.60 | $69.00 | — | 40% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hb Assay Of Ggt-(Flfft)-Exc | $28.80 | $72.00 | — | 38% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hb Glutamyltransferase-(Nash)-Exc | $34.00 | $85.00 | — | 26% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hb Assay Of Ggt - Gamma Gt | $6.00 | $15.00 | — | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hb Glutamyltransferase, Gamma-(Fibro)-Exc | $26.00 | $65.00 | — | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hb Glutamyltransferase, Gamma-Ref | $27.60 | $69.00 | — | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hb Assay Of Ggt-(Flfft)-Exc | $28.80 | $72.00 | — | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hb Glutamyltransferase-(Nash)-Exc | $34.00 | $85.00 | — | — | 60% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hb General Health Panel | $29.60 | $74.00 | — | 80% below | 60% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Hb General Health Panel | $29.60 | $74.00 | — | — | 60% |
| Glucose tolerance test, 3 samples CPT 82951 Hb Glucose Tolerance Test (Gtt) - Bundled Charge | $10.40 | $26.00 | — | 92% below | 60% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Hb Glucose Tolerance Test (Gtt) - Bundled Charge | $10.40 | $26.00 | — | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hb N. Gonorrhea Amp Prob Tech-Ref | $22.00 | $55.00 | — | 47% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hb Gc Dna By Pcr | $28.40 | $71.00 | — | 32% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hb N. Gonorrhea Amp Prob Tech-Ref | $22.00 | $55.00 | — | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hb Gc Dna By Pcr | $28.40 | $71.00 | — | — | 60% |
| H. pylori stool antigen test CPT 87338 Hb Iaad Ia Hpylori Stool - H Pylori Antigen Stool | $11.60 | $29.00 | — | 76% below | 60% |
| H. pylori stool antigen test CPT 87338 Hb H.Pylori Ag, Stool-Ref | $44.00 | $110.00 | — | 7% below | 60% |
| H. pylori stool antigen test inpatient CPT 87338 Hb Iaad Ia Hpylori Stool - H Pylori Antigen Stool | $11.60 | $29.00 | — | — | 60% |
| H. pylori stool antigen test inpatient CPT 87338 Hb H.Pylori Ag, Stool-Ref | $44.00 | $110.00 | — | — | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hb Hiv Quant Test | $68.40 | $171.00 | — | 38% below | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hb Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant By Pcr-Ref | $73.60 | $184.00 | — | 33% below | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hb Hiv-1 Rna,Quantification-Ref | $76.33 | $190.82 | — | 31% below | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hb Hiv-1 Rna Pcr Quant-Ref | $79.20 | $198.00 | — | 28% below | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hb Hiv1 Rna Quant W/Reflx Geno/Pheno-Ref | $721.60 | $1,804.00 | — | 552% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hb Hiv Quant Test | $68.40 | $171.00 | — | — | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hb Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant By Pcr-Ref | $73.60 | $184.00 | — | — | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hb Hiv-1 Rna,Quantification-Ref | $76.33 | $190.82 | — | — | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hb Hiv-1 Rna Pcr Quant-Ref | $79.20 | $198.00 | — | — | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hb Hiv1 Rna Quant W/Reflx Geno/Pheno-Ref | $721.60 | $1,804.00 | — | — | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hb Hiv-1/Hiv-2 Differentiation | $11.20 | $28.00 | — | 77% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hb Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 And 2 Screen | $11.20 | $28.00 | — | 77% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hb Types 1/2 Ab-Combined-Ref | $14.80 | $37.00 | — | 70% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hb Viracor Hiv-1/2 Plus O Eia (P1034)-Exc | $29.60 | $74.00 | — | 40% below | 60% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hb Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 And 2 Screen | $11.20 | $28.00 | — | — | 60% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hb Hiv-1/Hiv-2 Differentiation | $11.20 | $28.00 | — | — | 60% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hb Types 1/2 Ab-Combined-Ref | $14.80 | $37.00 | — | — | 60% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hb Viracor Hiv-1/2 Plus O Eia (P1034)-Exc | $29.60 | $74.00 | — | — | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hb Hiv Antigen/ Antibody | $19.60 | $49.00 | — | 75% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hb Hiv-1/-2 Ag And Ab Screen-Ref | $28.00 | $70.00 | — | 64% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hb Hiv Antigen/ Antibody | $19.60 | $49.00 | — | — | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hb Hiv-1/-2 Ag And Ab Screen-Ref | $28.00 | $70.00 | — | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hb Glycosylated Hemoglobin Test - Hemoglobin A1C | $8.00 | $20.00 | — | 88% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hb Hemoglobin A1C, B (Mayo)-Ref | $8.00 | $20.00 | — | 88% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hb Glycosylated Hemoglobin Test - Hemoglobin A1C | $8.00 | $20.00 | — | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hb Hemoglobin A1C, B (Mayo)-Ref | $8.00 | $20.00 | — | — | 60% |
| Hemoglobin blood test CPT 85018 Hb Hemoglobin - Poct | $38.80 | $97.00 | — | 29% below | 60% |
| Hemoglobin blood test inpatient CPT 85018 Hb Hemoglobin - Poct | $38.80 | $97.00 | — | — | 60% |
| Hepatitis B core antibody test (total) CPT 86704 Hb Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total | $10.00 | $25.00 | — | 72% below | 60% |
| Hepatitis B core antibody test (total) CPT 86704 Hb Viracor Hbc Total Ab Eia-Ref | $29.60 | $74.00 | — | 17% below | 60% |
| Hepatitis B core antibody test (total) CPT 86704 Hb Viracor Hepatitis B Core Ab (P1034)-Exc | $29.60 | $74.00 | — | 17% below | 60% |
| Hepatitis B core antibody test (total) CPT 86704 Hb Hepatitis B Core Ab,Total(800049)-Ref | $130.40 | $326.00 | — | 266% above | 60% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hb Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total | $10.00 | $25.00 | — | — | 60% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hb Viracor Hbc Total Ab Eia-Ref | $29.60 | $74.00 | — | — | 60% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hb Viracor Hepatitis B Core Ab (P1034)-Exc | $29.60 | $74.00 | — | — | 60% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hb Hepatitis B Core Ab,Total(800049)-Ref | $130.40 | $326.00 | — | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hb Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody | $8.80 | $22.00 | — | 80% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hb Hbs Antibody, S-Ref | $9.81 | $24.52 | — | 78% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hb Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody | $8.80 | $22.00 | — | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hb Hbs Antibody, S-Ref | $9.81 | $24.52 | — | — | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hb Hepatitis B Surface Ag | $8.40 | $21.00 | — | 77% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hb Hepatitis B Surface Ag-Ref | $16.00 | $40.00 | — | 55% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hb Viracor Hbsag Eia (P1034)-Exc | $20.00 | $50.00 | — | 44% below | 60% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hb Hepatitis B Surface Ag | $8.40 | $21.00 | — | — | 60% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hb Hepatitis B Surface Ag-Ref | $16.00 | $40.00 | — | — | 60% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hb Viracor Hbsag Eia (P1034)-Exc | $20.00 | $50.00 | — | — | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hb Hcv Ab Scrn -Ref | $11.60 | $29.00 | — | 75% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hb Hepatitis C Ab Test - Hepatitis C Antibody | $11.60 | $29.00 | — | 75% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hb Viracor Hcv Ab Eia (P1034)-Exc | $29.60 | $74.00 | — | 37% below | 60% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hb Hcv Ab Scrn -Ref | $11.60 | $29.00 | — | — | 60% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hb Hepatitis C Ab Test - Hepatitis C Antibody | $11.60 | $29.00 | — | — | 60% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hb Viracor Hcv Ab Eia (P1034)-Exc | $29.60 | $74.00 | — | — | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hb Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr | $34.40 | $86.00 | — | 70% below | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hb Hcv Rna Detect/Quant, S-Mayo-Ref | $74.24 | $185.60 | — | 34% below | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hb Hcv Rna, Pcr, Quant-Ref | $110.40 | $276.00 | — | 2% below | 60% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hb Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr | $34.40 | $86.00 | — | — | 60% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hb Hcv Rna Detect/Quant, S-Mayo-Ref | $74.24 | $185.60 | — | — | 60% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hb Hcv Rna, Pcr, Quant-Ref | $110.40 | $276.00 | — | — | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hb Hsv Type 1 Ab, Igg, S (Hsvg)-Exc | $6.00 | $15.00 | — | 74% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hb Herpes Simplex 1-Igm-Ref | $8.00 | $20.00 | — | 66% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hb Hsv 1 Igg | $10.80 | $27.00 | — | 54% below | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hb Hsv Type 1 Ab, Igg, S (Hsvg)-Exc | $6.00 | $15.00 | — | — | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hb Herpes Simplex 1-Igm-Ref | $8.00 | $20.00 | — | — | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hb Hsv 1 Igg | $10.80 | $27.00 | — | — | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hb Herpes Simplex 2-Ref | $8.00 | $20.00 | — | 76% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hb Hsv Type 2 Ab, Igg, S (Hsvg)-Exc | $8.80 | $22.00 | — | 73% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hb Hsv 2 Igg | $15.60 | $39.00 | — | 53% below | 60% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hb Herpes Simplex 2-Ref | $8.00 | $20.00 | — | — | 60% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hb Hsv Type 2 Ab, Igg, S (Hsvg)-Exc | $8.80 | $22.00 | — | — | 60% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hb Hsv 2 Igg | $15.60 | $39.00 | — | — | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hb C-Reactive Protein,High Sensitivity - High Sensitivity Crp | $10.40 | $26.00 | — | 75% below | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hb Crp High Sensitivity- Ref | $12.00 | $30.00 | — | 72% below | 60% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hb C-Reactive Protein,High Sensitivity - High Sensitivity Crp | $10.40 | $26.00 | — | — | 60% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hb Crp High Sensitivity- Ref | $12.00 | $30.00 | — | — | 60% |
| Homocysteine blood test CPT 83090 Hb Assay Of Homocystine - Homocysteine | $14.40 | $36.00 | — | 73% below | 60% |
| Homocysteine blood test CPT 83090 Hb Homocysteine (Ser)-Ref | $20.40 | $51.00 | — | 62% below | 60% |
| Homocysteine blood test CPT 83090 Hb Homocysteine (Ur)-Ref | $82.40 | $206.00 | — | 54% above | 60% |
| Homocysteine blood test inpatient CPT 83090 Hb Assay Of Homocystine - Homocysteine | $14.40 | $36.00 | — | — | 60% |
| Homocysteine blood test inpatient CPT 83090 Hb Homocysteine (Ser)-Ref | $20.40 | $51.00 | — | — | 60% |
| Homocysteine blood test inpatient CPT 83090 Hb Homocysteine (Ur)-Ref | $82.40 | $206.00 | — | — | 60% |
| Insulin blood test CPT 83525 Hb Assay Of Insulin,Total - Insulin, Total | $9.20 | $23.00 | — | 64% below | 60% |
| Insulin blood test CPT 83525 Hb Insulin, Total, S-(Insft)-Exc | $16.80 | $42.00 | — | 33% below | 60% |
| Insulin blood test CPT 83525 Hb Insulin (Endo Sc)-Ref | $17.60 | $44.00 | — | 30% below | 60% |
| Insulin blood test CPT 83525 Hb Insulin-Ref | $39.20 | $98.00 | — | 55% above | 60% |
| Insulin blood test inpatient CPT 83525 Hb Assay Of Insulin,Total - Insulin, Total | $9.20 | $23.00 | — | — | 60% |
| Insulin blood test inpatient CPT 83525 Hb Insulin, Total, S-(Insft)-Exc | $16.80 | $42.00 | — | — | 60% |
| Insulin blood test inpatient CPT 83525 Hb Insulin (Endo Sc)-Ref | $17.60 | $44.00 | — | — | 60% |
| Insulin blood test inpatient CPT 83525 Hb Insulin-Ref | $39.20 | $98.00 | — | — | 60% |
| Iron blood test (serum iron) CPT 83540 Hb Assay Of Iron - Iron | $5.20 | $13.00 | — | 90% below | 60% |
| Iron blood test (serum iron) CPT 83540 Hb Iron-Ref | $27.20 | $68.00 | — | 50% below | 60% |
| Iron blood test (serum iron) CPT 83540 Hb Iron, Liver Tissue-Ref | $39.60 | $99.00 | — | 27% below | 60% |
| Iron blood test (serum iron) inpatient CPT 83540 Hb Assay Of Iron - Iron | $5.20 | $13.00 | — | — | 60% |
| Iron blood test (serum iron) inpatient CPT 83540 Hb Iron-Ref | $27.20 | $68.00 | — | — | 60% |
| Iron blood test (serum iron) inpatient CPT 83540 Hb Iron, Liver Tissue-Ref | $39.60 | $99.00 | — | — | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 Hb Uibc | $7.20 | $18.00 | — | 92% below | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 Hb Iron Binding Capacity | $7.20 | $18.00 | — | 92% below | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 Hb Iron Binding Cap-Ref | $36.80 | $92.00 | — | 59% below | 60% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Hb Uibc | $7.20 | $18.00 | — | — | 60% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Hb Iron Binding Capacity | $7.20 | $18.00 | — | — | 60% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Hb Iron Binding Cap-Ref | $36.80 | $92.00 | — | — | 60% |
| LH (luteinizing hormone) test CPT 83002 Hb Lh Serum | $15.20 | $38.00 | — | 76% below | 60% |
| LH (luteinizing hormone) test CPT 83002 Hb Luteinizing(Endo), Hormone- Ref | $56.80 | $142.00 | — | 10% below | 60% |
| LH (luteinizing hormone) test CPT 83002 Hb Lh, Pediatrics, S - Ref | $123.60 | $309.00 | — | 96% above | 60% |
| LH (luteinizing hormone) test inpatient CPT 83002 Hb Lh Serum | $15.20 | $38.00 | — | — | 60% |
| LH (luteinizing hormone) test inpatient CPT 83002 Hb Luteinizing(Endo), Hormone- Ref | $56.80 | $142.00 | — | — | 60% |
| LH (luteinizing hormone) test inpatient CPT 83002 Hb Lh, Pediatrics, S - Ref | $123.60 | $309.00 | — | — | 60% |
| Lactate (lactic acid) blood test CPT 83605 Hb Lactate-Ref | $8.46 | $21.14 | — | 89% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 Hb Assay Of Lactic Acid - Lactate | $9.60 | $24.00 | — | 87% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 Hb Assay Of Lactic Acid - Lactic Acid, Venous, Whole Blood | $9.60 | $24.00 | — | 87% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 Hb Assay Of Lactic Acid - Lactate Csf | $9.60 | $24.00 | — | 87% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 Hb Assay Of Lactic Acid - Poct Lactic Acid (Lactate) | $45.60 | $114.00 | — | 39% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 Hb Assay Of Lactic Acid - Lactic Acid, Venous-Poct | $56.40 | $141.00 | — | 24% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 Hb Assay Of Lactic Acid - Lactic Acid, Arterial-Poct | $56.40 | $141.00 | — | 24% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 Hb Assay Of Lactic Acid - Lactic Acid, Arterial, Whole Blood | $56.40 | $141.00 | — | 24% below | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hb Lactate-Ref | $8.46 | $21.14 | — | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hb Assay Of Lactic Acid - Lactate Csf | $9.60 | $24.00 | — | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hb Assay Of Lactic Acid - Lactate | $9.60 | $24.00 | — | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hb Assay Of Lactic Acid - Lactic Acid, Venous, Whole Blood | $9.60 | $24.00 | — | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hb Assay Of Lactic Acid - Poct Lactic Acid (Lactate) | $45.60 | $114.00 | — | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hb Assay Of Lactic Acid - Lactic Acid, Arterial-Poct | $56.40 | $141.00 | — | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hb Assay Of Lactic Acid - Lactic Acid, Arterial, Whole Blood | $56.40 | $141.00 | — | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hb Assay Of Lactic Acid - Lactic Acid, Venous-Poct | $56.40 | $141.00 | — | — | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hb Ldh | $5.20 | $13.00 | — | 90% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hb Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase Fl | $5.20 | $13.00 | — | 90% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hb Lactate (Ld) (Ldh) Enzyme-(8679)-Exc | $9.20 | $23.00 | — | 83% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hb Ldh, Fluid-Ref | $55.60 | $139.00 | — | 4% above | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hb Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase Fl | $5.20 | $13.00 | — | — | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hb Ldh | $5.20 | $13.00 | — | — | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hb Lactate (Ld) (Ldh) Enzyme-(8679)-Exc | $9.20 | $23.00 | — | — | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hb Ldh, Fluid-Ref | $55.60 | $139.00 | — | — | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 Hb Lipase, Fluid | $5.60 | $14.00 | — | 90% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 Hb Assay Of Lipase - Lipase | $5.60 | $14.00 | — | 90% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 Hb Lipase, Fluid-Ref | $23.60 | $59.00 | — | 59% below | 60% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hb Assay Of Lipase - Lipase | $5.60 | $14.00 | — | — | 60% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hb Lipase, Fluid | $5.60 | $14.00 | — | — | 60% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hb Lipase, Fluid-Ref | $23.60 | $59.00 | — | — | 60% |
| Lyme disease antibody test CPT 86618 Hb Lyme Disease Serology,Ser-Ref | $11.23 | $28.08 | — | 57% below | 60% |
| Lyme disease antibody test CPT 86618 Hb Lyme Ab, Modified 2-Tier, Eia, S-Ref | $12.00 | $30.00 | — | 54% below | 60% |
| Lyme disease antibody test CPT 86618 Hb Lyme Cns Infection Igg Rflx-Ref | $12.54 | $31.34 | — | 52% below | 60% |
| Lyme disease antibody test CPT 86618 Hb Lyme Disease Antibody, Csf-Ref | $32.40 | $81.00 | — | 24% above | 60% |
| Lyme disease antibody test CPT 86618 Hb Lyme Disease Serology, S-(Ticks)-Exc | $93.60 | $234.00 | — | 259% above | 60% |
| Lyme disease antibody test CPT 86618 Hb Lyme Disease Antibody-(Lnbai)-Exc | $136.80 | $342.00 | — | 425% above | 60% |
| Lyme disease antibody test inpatient CPT 86618 Hb Lyme Disease Serology,Ser-Ref | $11.23 | $28.08 | — | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 Hb Lyme Ab, Modified 2-Tier, Eia, S-Ref | $12.00 | $30.00 | — | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 Hb Lyme Cns Infection Igg Rflx-Ref | $12.54 | $31.34 | — | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 Hb Lyme Disease Antibody, Csf-Ref | $32.40 | $81.00 | — | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 Hb Lyme Disease Serology, S-(Ticks)-Exc | $93.60 | $234.00 | — | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 Hb Lyme Disease Antibody-(Lnbai)-Exc | $136.80 | $342.00 | — | — | 60% |
| Magnesium blood test CPT 83735 Hb Assay Of Magnesium - Magnesium 24Hr Urine | $5.60 | $14.00 | — | 58% below | 60% |
| Magnesium blood test CPT 83735 Hb Assay Of Magnesium - Magnesium | $5.60 | $14.00 | — | 58% below | 60% |
| Magnesium blood test CPT 83735 Hb Assay Of Magnesium - Magnesium Urine | $5.60 | $14.00 | — | 58% below | 60% |
| Magnesium blood test CPT 83735 Hb Magnesium, Urine (Sup24)-Exc | $6.00 | $15.00 | — | 55% below | 60% |
| Magnesium blood test CPT 83735 Hb Assay Of Magnesium-Ref | $6.00 | $15.00 | — | 55% below | 60% |
| Magnesium blood test CPT 83735 Hb Magnesium, Stool-Ref | $21.20 | $53.00 | — | 60% above | 60% |
| Magnesium blood test CPT 83735 Hb Magnesium,Rbc-Ref | $42.40 | $106.00 | — | 220% above | 60% |
| Magnesium blood test CPT 83735 Hb Magnesium,Rbc-Arup-Ref | $50.00 | $125.00 | — | 277% above | 60% |
| Magnesium blood test inpatient CPT 83735 Hb Assay Of Magnesium - Magnesium | $5.60 | $14.00 | — | — | 60% |
| Magnesium blood test inpatient CPT 83735 Hb Assay Of Magnesium - Magnesium 24Hr Urine | $5.60 | $14.00 | — | — | 60% |
| Magnesium blood test inpatient CPT 83735 Hb Assay Of Magnesium - Magnesium Urine | $5.60 | $14.00 | — | — | 60% |
| Magnesium blood test inpatient CPT 83735 Hb Assay Of Magnesium-Ref | $6.00 | $15.00 | — | — | 60% |
| Magnesium blood test inpatient CPT 83735 Hb Magnesium, Urine (Sup24)-Exc | $6.00 | $15.00 | — | — | 60% |
| Magnesium blood test inpatient CPT 83735 Hb Magnesium, Stool-Ref | $21.20 | $53.00 | — | — | 60% |
| Magnesium blood test inpatient CPT 83735 Hb Magnesium,Rbc-Ref | $42.40 | $106.00 | — | — | 60% |
| Magnesium blood test inpatient CPT 83735 Hb Magnesium,Rbc-Arup-Ref | $50.00 | $125.00 | — | — | 60% |
| Measles (rubeola) antibody test CPT 86765 Hb Rubeola - Rubeola Antibody Igg | $10.40 | $26.00 | — | 61% below | 60% |
| Measles (rubeola) antibody test CPT 86765 Hb Rubeola Igg Ifa-Ref | $11.60 | $29.00 | — | 56% below | 60% |
| Measles (rubeola) antibody test CPT 86765 Hb Rubeola (Measles) Igm-Ref | $11.90 | $29.76 | — | 55% below | 60% |
| Measles (rubeola) antibody test CPT 86765 Hb Measles (Rubeola) Ab Igm, S-(Rogm)-Exc | $14.80 | $37.00 | — | 44% below | 60% |
| Measles (rubeola) antibody test CPT 86765 Hb Measles (Rubeola) Ab Igg, S-(Rogm)-Exc | $14.80 | $37.00 | — | 44% below | 60% |
| Measles (rubeola) antibody test CPT 86765 Hb Rubeola Antibody-(Fenap)-Exc | $42.40 | $106.00 | — | 60% above | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 Hb Rubeola - Rubeola Antibody Igg | $10.40 | $26.00 | — | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 Hb Rubeola Igg Ifa-Ref | $11.60 | $29.00 | — | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 Hb Rubeola (Measles) Igm-Ref | $11.90 | $29.76 | — | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 Hb Measles (Rubeola) Ab Igg, S-(Rogm)-Exc | $14.80 | $37.00 | — | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 Hb Measles (Rubeola) Ab Igm, S-(Rogm)-Exc | $14.80 | $37.00 | — | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 Hb Rubeola Antibody-(Fenap)-Exc | $42.40 | $106.00 | — | — | 60% |
| Mumps immunity blood test CPT 86735 Hb Mumps - Mumps Igg Antibody | $10.80 | $27.00 | — | 34% below | 60% |
| Mumps immunity blood test CPT 86735 Hb Mem Ab,Mumps-Ref | $11.96 | $29.90 | — | 26% below | 60% |
| Mumps immunity blood test CPT 86735 Hb Mumps Abs Igm, Quant-Ref | $12.80 | $32.00 | — | 21% below | 60% |
| Mumps immunity blood test CPT 86735 Hb Mumps Abs Igg, Quant-Ref | $18.40 | $46.00 | — | 13% above | 60% |
| Mumps immunity blood test CPT 86735 Hb Mumps Antibody-(Fenap)-Exc | $43.20 | $108.00 | — | 166% above | 60% |
| Mumps immunity blood test inpatient CPT 86735 Hb Mumps - Mumps Igg Antibody | $10.80 | $27.00 | — | — | 60% |
| Mumps immunity blood test inpatient CPT 86735 Hb Mem Ab,Mumps-Ref | $11.96 | $29.90 | — | — | 60% |
| Mumps immunity blood test inpatient CPT 86735 Hb Mumps Abs Igm, Quant-Ref | $12.80 | $32.00 | — | — | 60% |
| Mumps immunity blood test inpatient CPT 86735 Hb Mumps Abs Igg, Quant-Ref | $18.40 | $46.00 | — | — | 60% |
| Mumps immunity blood test inpatient CPT 86735 Hb Mumps Antibody-(Fenap)-Exc | $43.20 | $108.00 | — | — | 60% |
| Obstetric blood test panel CPT 80055 Hb Obstetric Panel | $38.40 | $96.00 | — | 73% below | 60% |
| Obstetric blood test panel inpatient CPT 80055 Hb Obstetric Panel | $38.40 | $96.00 | — | — | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hb Assay Of Psa, Free-(Psaft)-Exc | $8.00 | $20.00 | — | 74% below | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hb Free Psa | $14.80 | $37.00 | — | 53% below | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hb Psa, Free (800066)-Ref | $29.20 | $73.00 | — | 7% below | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hb Free Psa-Ref | $32.80 | $82.00 | — | 5% above | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hb Assay Of Psa, Free-(Psaft)-Exc | $8.00 | $20.00 | — | — | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hb Free Psa | $14.80 | $37.00 | — | — | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hb Psa, Free (800066)-Ref | $29.20 | $73.00 | — | — | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hb Free Psa-Ref | $32.80 | $82.00 | — | — | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hb Assay Of Psa, Total-(Psaft)-Exc | $8.00 | $20.00 | — | 86% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hb Prostate Specific Antigen,Total - Psa | $14.80 | $37.00 | — | 74% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hb Psa,Ultrasensitive-Ref | $108.80 | $272.00 | — | 94% above | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hb Assay Of Psa, Total-(Psaft)-Exc | $8.00 | $20.00 | — | — | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hb Prostate Specific Antigen,Total - Psa | $14.80 | $37.00 | — | — | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hb Psa,Ultrasensitive-Ref | $108.80 | $272.00 | — | — | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hb Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer | $16.40 | $41.00 | — | 68% below | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hb Gyn Thinprep +Hpv Cytology -Ref | $38.80 | $97.00 | — | 25% below | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hb Thinprep Diagnostic Hpv Reflex -Dthpv (Mayo)-Ref | $64.00 | $160.00 | — | 24% above | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hb Thinprep Screen Hpv Reflex-Sthpv (Mayo)-Ref | $64.00 | $160.00 | — | 24% above | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hb Thinprep W/Hpv Co-Test-Screen-Stpco (Mayo)-Ref | $64.00 | $160.00 | — | 24% above | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hb Thinprep W/Hpv Co-Test-Diagnostic- Dtpco (Mayo)-Ref | $64.00 | $160.00 | — | 24% above | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hb Thinprep Screen -Tprps (Mayo)-Ref | $64.00 | $160.00 | — | 24% above | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hb Thinprep Diagnostic-Tprpd (Mayo)-Ref | $64.00 | $160.00 | — | 24% above | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hb Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer | $16.40 | $41.00 | — | — | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hb Gyn Thinprep +Hpv Cytology -Ref | $38.80 | $97.00 | — | — | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hb Thinprep Screen -Tprps (Mayo)-Ref | $64.00 | $160.00 | — | — | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hb Thinprep W/Hpv Co-Test-Screen-Stpco (Mayo)-Ref | $64.00 | $160.00 | — | — | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hb Thinprep Screen Hpv Reflex-Sthpv (Mayo)-Ref | $64.00 | $160.00 | — | — | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hb Thinprep Diagnostic Hpv Reflex -Dthpv (Mayo)-Ref | $64.00 | $160.00 | — | — | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hb Thinprep Diagnostic-Tprpd (Mayo)-Ref | $64.00 | $160.00 | — | — | 60% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hb Thinprep W/Hpv Co-Test-Diagnostic- Dtpco (Mayo)-Ref | $64.00 | $160.00 | — | — | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 Hb Parathyroid Hormone-Ref | $14.80 | $37.00 | — | 85% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 Hb Assay Of Parathormone - Pth Intact | $33.20 | $83.00 | — | 66% below | 60% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hb Parathyroid Hormone-Ref | $14.80 | $37.00 | — | — | 60% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hb Assay Of Parathormone - Pth Intact | $33.20 | $83.00 | — | — | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Aptt Heparin Therapy | $5.20 | $13.00 | — | 86% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Thromboplas Time Partial - Aptt | $5.20 | $13.00 | — | 86% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Ptt-Ref | $24.00 | $60.00 | — | 38% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Kaolin Clot Time (Kct)-Ref | $26.40 | $66.00 | — | 31% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Inhibitor Screen-Ref | $100.00 | $250.00 | — | 160% above | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Vonwillebrand Disease Panel-Ref | $334.40 | $836.00 | — | 771% above | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Aptt Heparin Therapy | $5.20 | $13.00 | — | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Thromboplas Time Partial - Aptt | $5.20 | $13.00 | — | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Ptt-Ref | $24.00 | $60.00 | — | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Kaolin Clot Time (Kct)-Ref | $26.40 | $66.00 | — | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Inhibitor Screen-Ref | $100.00 | $250.00 | — | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Vonwillebrand Disease Panel-Ref | $334.40 | $836.00 | — | — | 60% |
| Phosphorus (phosphate) blood test CPT 84100 Hb Assay Of Inorganic Phosphorus - Phosphorus | $4.00 | $10.00 | — | 93% below | 60% |
| Phosphorus (phosphate) blood test CPT 84100 Hb Phosphorus, Fluid-Ref | $23.20 | $58.00 | — | 62% below | 60% |
| Phosphorus (phosphate) blood test CPT 84100 Hb Electrolyte Panel Stool-Ref | $105.60 | $264.00 | — | 73% above | 60% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Hb Assay Of Inorganic Phosphorus - Phosphorus | $4.00 | $10.00 | — | — | 60% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Hb Phosphorus, Fluid-Ref | $23.20 | $58.00 | — | — | 60% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Hb Electrolyte Panel Stool-Ref | $105.60 | $264.00 | — | — | 60% |
| Potassium blood test CPT 84132 Hb Assay Of Serum Potassium - Potassium | $4.00 | $10.00 | — | 94% below | 60% |
| Potassium blood test CPT 84132 Hb Poct Potassium-Poct | $32.40 | $81.00 | — | 51% below | 60% |
| Potassium blood test inpatient CPT 84132 Hb Assay Of Serum Potassium - Potassium | $4.00 | $10.00 | — | — | 60% |
| Potassium blood test inpatient CPT 84132 Hb Poct Potassium-Poct | $32.40 | $81.00 | — | — | 60% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Hb Fetal Chrom Aneuploidy-Ref | $319.20 | $798.00 | — | 18% below | 60% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Hb Fetal Chrom Aneuploidy-Ref | $319.20 | $798.00 | — | — | 60% |
| Progesterone blood test CPT 84144 Hb Assay Of Progesterone - Progesterone | $16.80 | $42.00 | — | 64% below | 60% |
| Progesterone blood test CPT 84144 Hb Progesterone-Ref | $32.40 | $81.00 | — | 31% below | 60% |
| Progesterone blood test inpatient CPT 84144 Hb Assay Of Progesterone - Progesterone | $16.80 | $42.00 | — | — | 60% |
| Progesterone blood test inpatient CPT 84144 Hb Progesterone-Ref | $32.40 | $81.00 | — | — | 60% |
| Prolactin blood test CPT 84146 Hb Prolactin, Pituitary Macroadenoma-Ref | $12.40 | $31.00 | — | 81% below | 60% |
| Prolactin blood test CPT 84146 Hb Prolactin, Pituitary Macroadenoma | $15.60 | $39.00 | — | 76% below | 60% |
| Prolactin blood test CPT 84146 Hb Assay Of Prolactin - Prolactin | $15.60 | $39.00 | — | 76% below | 60% |
| Prolactin blood test inpatient CPT 84146 Hb Prolactin, Pituitary Macroadenoma-Ref | $12.40 | $31.00 | — | — | 60% |
| Prolactin blood test inpatient CPT 84146 Hb Prolactin, Pituitary Macroadenoma | $15.60 | $39.00 | — | — | 60% |
| Prolactin blood test inpatient CPT 84146 Hb Assay Of Prolactin - Prolactin | $15.60 | $39.00 | — | — | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hb Prothrombin Time - Protime-Inr | $3.60 | $9.00 | — | 90% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hb Prothrombin Time-Ref | $8.80 | $22.00 | — | 76% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hb Prothrombin Time - Protime-Inr-Poct | $58.80 | $147.00 | — | 62% above | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Prothrombin Time - Protime-Inr | $3.60 | $9.00 | — | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Prothrombin Time-Ref | $8.80 | $22.00 | — | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Prothrombin Time - Protime-Inr-Poct | $58.80 | $147.00 | — | — | 60% |
| Rapid flu test (influenza antigen) CPT 87804 Hb Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu | $13.60 | $34.00 | — | 89% below | 60% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Hb Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu | $13.60 | $34.00 | — | — | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hb Group A Strep Screen | $13.60 | $34.00 | — | 88% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hb Group A Strep Screen | $13.60 | $34.00 | — | — | 60% |
| Renin blood test CPT 84244 Hb Renin-Ref | $10.98 | $27.44 | — | 45% below | 60% |
| Renin blood test CPT 84244 Hb Renin Activity,Plasma-Ref | $14.40 | $36.00 | — | 28% below | 60% |
| Renin blood test inpatient CPT 84244 Hb Renin-Ref | $10.98 | $27.44 | — | — | 60% |
| Renin blood test inpatient CPT 84244 Hb Renin Activity,Plasma-Ref | $14.40 | $36.00 | — | — | 60% |
| Rh blood typing CPT 86901 Hb Rh-Ref | $21.46 | $53.64 | — | 49% below | 60% |
| Rh blood typing inpatient CPT 86901 Hb Rh-Ref | $21.46 | $53.64 | — | — | 60% |
| Rheumatoid factor (RF) test CPT 86431 Hb Rheumatoid Factor Iga | $4.80 | $12.00 | — | 80% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 Hb Rheumatoid Factor Igm | $4.80 | $12.00 | — | 80% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 Hb Rheumatoid Factor, Quant - Rheumatoid Factor | $4.80 | $12.00 | — | 80% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 Hb Rheumatoid Factor-Ref | $13.20 | $33.00 | — | 46% below | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hb Rheumatoid Factor Iga | $4.80 | $12.00 | — | — | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hb Rheumatoid Factor Igm | $4.80 | $12.00 | — | — | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hb Rheumatoid Factor, Quant - Rheumatoid Factor | $4.80 | $12.00 | — | — | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hb Rheumatoid Factor-Ref | $13.20 | $33.00 | — | — | 60% |
| Rubella antibody test (immunity check) CPT 86762 Hb Rubella Igg Antibody | $11.60 | $29.00 | — | 38% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 Hb Rubella - Rubella Antibody, Igm | $11.60 | $29.00 | — | 38% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 Hb Rubella Igm Antibody-Arup-Ref | $15.20 | $38.00 | — | 19% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 Hb Rubella Ab, Igg-Ref | $20.80 | $52.00 | — | 10% above | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hb Rubella Igg Antibody | $11.60 | $29.00 | — | — | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hb Rubella - Rubella Antibody, Igm | $11.60 | $29.00 | — | — | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hb Rubella Igm Antibody-Arup-Ref | $15.20 | $38.00 | — | — | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hb Rubella Ab, Igg-Ref | $20.80 | $52.00 | — | — | 60% |
| Sodium blood test CPT 84295 Hb Assay Of Serum Sodium - Sodium | $4.00 | $10.00 | — | 94% below | 60% |
| Sodium blood test CPT 84295 Hb Assay Of Serum Sodium - Sodium-Poct | $27.60 | $69.00 | — | 59% below | 60% |
| Sodium blood test inpatient CPT 84295 Hb Assay Of Serum Sodium - Sodium | $4.00 | $10.00 | — | — | 60% |
| Sodium blood test inpatient CPT 84295 Hb Assay Of Serum Sodium - Sodium-Poct | $27.60 | $69.00 | — | — | 60% |
| Stool ova and parasites exam CPT 87177 Hb Ova And Parasites Smears - Ova And Parasite Examination | $7.20 | $18.00 | — | 83% below | 60% |
| Stool ova and parasites exam CPT 87177 Hb Ova & Parasites Smears-Ref | $8.00 | $20.00 | — | 81% below | 60% |
| Stool ova and parasites exam CPT 87177 Hb Ova & Parasites Smears-(Foape)-Exc | $8.00 | $20.00 | — | 81% below | 60% |
| Stool ova and parasites exam inpatient CPT 87177 Hb Ova And Parasites Smears - Ova And Parasite Examination | $7.20 | $18.00 | — | — | 60% |
| Stool ova and parasites exam inpatient CPT 87177 Hb Ova & Parasites Smears-Ref | $8.00 | $20.00 | — | — | 60% |
| Stool ova and parasites exam inpatient CPT 87177 Hb Ova & Parasites Smears-(Foape)-Exc | $8.00 | $20.00 | — | — | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hb Stool Occult Blood Multiple | $3.60 | $9.00 | — | 93% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hb Occult Blood Feces - Poct Occult Blood Stool | $27.20 | $68.00 | — | 49% below | 60% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hb Stool Occult Blood Multiple | $3.60 | $9.00 | — | — | 60% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hb Occult Blood Feces - Poct Occult Blood Stool | $27.20 | $68.00 | — | — | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hb Blood, Stool | $12.80 | $32.00 | — | 74% below | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hb Fecal Immunochemical Test | $12.80 | $32.00 | — | 74% below | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hb Occult Bld Fh Immunoassay-Ref | $86.80 | $217.00 | — | 73% above | 60% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hb Fecal Immunochemical Test | $12.80 | $32.00 | — | — | 60% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hb Blood, Stool | $12.80 | $32.00 | — | — | 60% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hb Occult Bld Fh Immunoassay-Ref | $86.80 | $217.00 | — | — | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Antibody Treponema Pallidum - T. Pallidum Confirmatory | $10.80 | $27.00 | — | 26% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Total Syphilis | $10.80 | $27.00 | — | 26% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Antibody Treponema Pallidum - Fta Antibodies, Igg And Igm | $10.80 | $27.00 | — | 26% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Syphilis Igg Ab W/Reflex Rpr-Ref | $31.20 | $78.00 | — | 114% above | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Treponema Pallidium - Ref | $67.60 | $169.00 | — | 363% above | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Antibody Treponema Pallidum - T. Pallidum Confirmatory | $10.80 | $27.00 | — | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Antibody Treponema Pallidum - Fta Antibodies, Igg And Igm | $10.80 | $27.00 | — | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Total Syphilis | $10.80 | $27.00 | — | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Syphilis Igg Ab W/Reflex Rpr-Ref | $31.20 | $78.00 | — | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Treponema Pallidium - Ref | $67.60 | $169.00 | — | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hb Syphilis Test Non Treponemal Antibody Qual | $3.60 | $9.00 | — | 82% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hb Treponema Pallidum (Vdrl), S, With Reflex To Titer (Arup)-Ref | $10.80 | $27.00 | — | 45% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hb Viracor Rpr Syphilis Screen (P1034)-Exc | $16.80 | $42.00 | — | 15% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hb Rapid Plasma Reagin,S-Ref | $106.00 | $265.00 | — | 435% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hb Syphilis Test Non Treponemal Antibody Qual | $3.60 | $9.00 | — | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hb Treponema Pallidum (Vdrl), S, With Reflex To Titer (Arup)-Ref | $10.80 | $27.00 | — | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hb Viracor Rpr Syphilis Screen (P1034)-Exc | $16.80 | $42.00 | — | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hb Rapid Plasma Reagin,S-Ref | $106.00 | $265.00 | — | — | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hb Quantiferon-Tb Gold Plus,B-Ref | $37.60 | $94.00 | — | 39% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hb M Tuberculosis Quantiferon | $49.60 | $124.00 | — | 19% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hb Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Tb Test | $49.60 | $124.00 | — | 19% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hb Quantiferon-Tb Gold Plus,B-Ref | $37.60 | $94.00 | — | — | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hb M Tuberculosis Quantiferon | $49.60 | $124.00 | — | — | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hb Tb Test, Cell Mediated Antigen Response,Gamma Interfron - Tb Test | $49.60 | $124.00 | — | — | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hb Assay Of Total Testosterone-(Ttbs)-Exc | $8.40 | $21.00 | — | 72% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hb Assay Of Total Testosterone-(Tgrp)-Exc | $12.00 | $30.00 | — | 60% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hb Testosterone, Total Only (Ttfb)-Exc | $12.00 | $30.00 | — | 60% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hb Assay Of Total Testosterone - Testosterone | $20.80 | $52.00 | — | 31% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hb Testosterone Total-Ref | $22.00 | $55.00 | — | 27% below | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hb Assay Of Total Testosterone-(Ttbs)-Exc | $8.40 | $21.00 | — | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hb Testosterone, Total Only (Ttfb)-Exc | $12.00 | $30.00 | — | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hb Assay Of Total Testosterone-(Tgrp)-Exc | $12.00 | $30.00 | — | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hb Assay Of Total Testosterone - Testosterone | $20.80 | $52.00 | — | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hb Testosterone Total-Ref | $22.00 | $55.00 | — | — | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hb Microsomal Antibody - Thyroid Peroxidase Antibody | $12.00 | $30.00 | — | 12% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hb Thyroperoxidase(Tpo) Ab-Ref | $12.00 | $30.00 | — | 12% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hb Liver/Kidney Microsomal Ab-Ref | $13.06 | $32.66 | — | 4% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hb Thyroperoxidase Antibody-(110215)-Exc | $18.80 | $47.00 | — | 38% above | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hb Thyroid Microsomal Ab-Ref | $19.20 | $48.00 | — | 41% above | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hb Thyroperoxidase(Tpo) Ab-Ref | $12.00 | $30.00 | — | — | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hb Microsomal Antibody - Thyroid Peroxidase Antibody | $12.00 | $30.00 | — | — | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hb Liver/Kidney Microsomal Ab-Ref | $13.06 | $32.66 | — | — | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hb Thyroperoxidase Antibody-(110215)-Exc | $18.80 | $47.00 | — | — | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hb Thyroid Microsomal Ab-Ref | $19.20 | $48.00 | — | — | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hb Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $13.60 | $34.00 | — | 89% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hb Tsh 3Rd Generation-Ref | $32.40 | $81.00 | — | 74% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hb Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $13.60 | $34.00 | — | — | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hb Tsh 3Rd Generation-Ref | $32.40 | $81.00 | — | — | 60% |
| Total IgE blood test CPT 82785 Hb Immunoglobulin E- Ref | $12.40 | $31.00 | — | 48% below | 60% |
| Total IgE blood test CPT 82785 Hb Assay Of Gammaglobulin Ige - Immunoglobulin Ige | $13.20 | $33.00 | — | 44% below | 60% |
| Total IgE blood test CPT 82785 Hb Immunoglobulin E (Ige), S-Ref | $14.00 | $35.00 | — | 41% below | 60% |
| Total IgE blood test inpatient CPT 82785 Hb Immunoglobulin E- Ref | $12.40 | $31.00 | — | — | 60% |
| Total IgE blood test inpatient CPT 82785 Hb Assay Of Gammaglobulin Ige - Immunoglobulin Ige | $13.20 | $33.00 | — | — | 60% |
| Total IgE blood test inpatient CPT 82785 Hb Immunoglobulin E (Ige), S-Ref | $14.00 | $35.00 | — | — | 60% |
| Total cholesterol blood test CPT 82465 Hb Assay, Bld/Serum Cholesterol - Cholesterol Total | $3.60 | $9.00 | — | 88% below | 60% |
| Total cholesterol blood test CPT 82465 Hb Cholesterol-(Nash)-Exc | $20.40 | $51.00 | — | 30% below | 60% |
| Total cholesterol blood test CPT 82465 Hb Cholesterol, Total-Ref | $42.40 | $106.00 | — | 47% above | 60% |
| Total cholesterol blood test inpatient CPT 82465 Hb Assay, Bld/Serum Cholesterol - Cholesterol Total | $3.60 | $9.00 | — | — | 60% |
| Total cholesterol blood test inpatient CPT 82465 Hb Cholesterol-(Nash)-Exc | $20.40 | $51.00 | — | — | 60% |
| Total cholesterol blood test inpatient CPT 82465 Hb Cholesterol, Total-Ref | $42.40 | $106.00 | — | — | 60% |
| Total thyroxine (T4) blood test CPT 84436 Hb T7 - (T3U,T4,Fti) | $5.60 | $14.00 | — | 94% below | 60% |
| Total thyroxine (T4) blood test CPT 84436 Hb Assay Of Total Thyroxine - T4 (Thyroid Hormone) | $5.60 | $14.00 | — | 94% below | 60% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Hb Assay Of Total Thyroxine - T4 (Thyroid Hormone) | $5.60 | $14.00 | — | — | 60% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Hb T7 - (T3U,T4,Fti) | $5.60 | $14.00 | — | — | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 Hb Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone) | $11.60 | $29.00 | — | 85% below | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 Hb Assay Triodothyronine (T3)-Ref | $20.40 | $51.00 | — | 74% below | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 Hb Triiodothyronine T3, Total-Ref | $34.00 | $85.00 | — | 56% below | 60% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Hb Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone) | $11.60 | $29.00 | — | — | 60% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Hb Assay Triodothyronine (T3)-Ref | $20.40 | $51.00 | — | — | 60% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Hb Triiodothyronine T3, Total-Ref | $34.00 | $85.00 | — | — | 60% |
| Transferrin blood test CPT 84466 Hb Transferrin, S-Ref | $9.30 | $23.24 | — | 88% below | 60% |
| Transferrin blood test CPT 84466 Hb Assay Of Transferrin - Transferrin | $10.40 | $26.00 | — | 87% below | 60% |
| Transferrin blood test inpatient CPT 84466 Hb Transferrin, S-Ref | $9.30 | $23.24 | — | — | 60% |
| Transferrin blood test inpatient CPT 84466 Hb Assay Of Transferrin - Transferrin | $10.40 | $26.00 | — | — | 60% |
| Trichomonas test (NAAT) CPT 87661 Hb Trichomonas Vaginalis, Amplied Probe Technique | $28.40 | $71.00 | — | 42% below | 60% |
| Trichomonas test (NAAT) CPT 87661 Hb Trichomonas Vaginalis Dna/Rna, Amplified Probe Tech | $28.40 | $71.00 | — | 42% below | 60% |
| Trichomonas test (NAAT) CPT 87661 Hb Trichomonas Vaginalis | $28.40 | $71.00 | — | 42% below | 60% |
| Trichomonas test (NAAT) CPT 87661 Hb Trichomonas Vag Amp Rna -Ref | $100.40 | $251.00 | — | 105% above | 60% |
| Trichomonas test (NAAT) inpatient CPT 87661 Hb Trichomonas Vaginalis Dna/Rna, Amplified Probe Tech | $28.40 | $71.00 | — | — | 60% |
| Trichomonas test (NAAT) inpatient CPT 87661 Hb Trichomonas Vaginalis, Amplied Probe Technique | $28.40 | $71.00 | — | — | 60% |
| Trichomonas test (NAAT) inpatient CPT 87661 Hb Trichomonas Vaginalis | $28.40 | $71.00 | — | — | 60% |
| Trichomonas test (NAAT) inpatient CPT 87661 Hb Trichomonas Vag Amp Rna -Ref | $100.40 | $251.00 | — | — | 60% |
| Triglycerides blood test CPT 84478 Hb Assay Of Triglycerides - Triglycerides Body Fluid | $4.80 | $12.00 | — | 85% below | 60% |
| Triglycerides blood test CPT 84478 Hb Assay Of Triglycerides - Triglycerides | $4.80 | $12.00 | — | 85% below | 60% |
| Triglycerides blood test CPT 84478 Hb Triglycerides, Body Fluid | $4.80 | $12.00 | — | 85% below | 60% |
| Triglycerides blood test CPT 84478 Hb Triglycerides-Ref | $6.40 | $16.00 | — | 80% below | 60% |
| Triglycerides blood test CPT 84478 Hb Triglycerides-(Nash)-Exc | $26.80 | $67.00 | — | 15% below | 60% |
| Triglycerides blood test inpatient CPT 84478 Hb Assay Of Triglycerides - Triglycerides | $4.80 | $12.00 | — | — | 60% |
| Triglycerides blood test inpatient CPT 84478 Hb Assay Of Triglycerides - Triglycerides Body Fluid | $4.80 | $12.00 | — | — | 60% |
| Triglycerides blood test inpatient CPT 84478 Hb Triglycerides, Body Fluid | $4.80 | $12.00 | — | — | 60% |
| Triglycerides blood test inpatient CPT 84478 Hb Triglycerides-Ref | $6.40 | $16.00 | — | — | 60% |
| Triglycerides blood test inpatient CPT 84478 Hb Triglycerides-(Nash)-Exc | $26.80 | $67.00 | — | — | 60% |
| Troponin test, quantitative CPT 84484 Hb Assay Of Troponin, Quant - Troponin I | $10.00 | $25.00 | — | 93% below | 60% |
| Troponin test, quantitative CPT 84484 Hb Troponin, Qnt-Ref | $44.00 | $110.00 | — | 71% below | 60% |
| Troponin test, quantitative inpatient CPT 84484 Hb Assay Of Troponin, Quant - Troponin I | $10.00 | $25.00 | — | — | 60% |
| Troponin test, quantitative inpatient CPT 84484 Hb Troponin, Qnt-Ref | $44.00 | $110.00 | — | — | 60% |
| Urinalysis without microscope exam, automated CPT 81003 Hb Urinalysis, Auto, W/O Scope - Urinalysis Chem-Poct | $83.60 | $209.00 | — | at median | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hb Urinalysis, Auto, W/O Scope - Urinalysis Chem-Poct | $83.60 | $209.00 | — | — | 60% |
| Urinalysis without microscope exam, manual CPT 81002 Hb Urine Non-Automated | $2.80 | $7.00 | — | 86% below | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hb Urine Non-Automated | $2.80 | $7.00 | — | — | 60% |
| Urine culture for bacteria, with colony count CPT 87086 Hb Urine Culture,Quant Colony Cnt | $6.80 | $17.00 | — | 96% below | 60% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Hb Urine Culture,Quant Colony Cnt | $6.80 | $17.00 | — | — | 60% |
| Urine microalbumin (albumin) test CPT 82043 Hb Microalbumin | $4.80 | $12.00 | — | 83% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 Hb Microalbumin(Urine)-Ref | $5.20 | $13.00 | — | 82% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 Hb Microalbuminuria -24 Ur-Ref | $22.00 | $55.00 | — | 22% below | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Hb Microalbumin | $4.80 | $12.00 | — | — | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Hb Microalbumin(Urine)-Ref | $5.20 | $13.00 | — | — | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Hb Microalbuminuria -24 Ur-Ref | $22.00 | $55.00 | — | — | 60% |
| Urine pregnancy test, read by color change CPT 81025 Hb Urine Pregnancy Test, Visual Clr Comparison Mthd | $7.20 | $18.00 | — | 94% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 Hb Chorionic Gonadotropin Qual- Hcg Qualitative Urine | $94.00 | $235.00 | — | 25% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 Hb Chorionic Gonadotropin Qual- Hcg Qualitative Urine Poct | $110.80 | $277.00 | — | 12% below | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hb Urine Pregnancy Test, Visual Clr Comparison Mthd | $7.20 | $18.00 | — | — | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hb Chorionic Gonadotropin Qual- Hcg Qualitative Urine | $94.00 | $235.00 | — | — | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hb Chorionic Gonadotropin Qual- Hcg Qualitative Urine Poct | $110.80 | $277.00 | — | — | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Hb Vitamin B-12 - Vitamin B12 | $12.40 | $31.00 | — | 90% below | 60% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hb Vitamin B-12 - Vitamin B12 | $12.40 | $31.00 | — | — | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hb Vitamin D | $24.00 | $60.00 | — | 48% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hb Vitamin D | $24.00 | $60.00 | — | — | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hb Dihydroxyvitamin D 1,25 - Ref | $15.19 | $37.98 | — | 61% below | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hb Vitd 1,25-Dihydroxyms-Ref | $118.80 | $297.00 | — | 209% above | 60% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Hb Dihydroxyvitamin D 1,25 - Ref | $15.19 | $37.98 | — | — | 60% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Hb Vitd 1,25-Dihydroxyms-Ref | $118.80 | $297.00 | — | — | 60% |
| Zinc blood test CPT 84630 Hb Zinc, Serum-Ref | $9.20 | $23.00 | — | 38% below | 60% |
| Zinc blood test CPT 84630 Hb Zinc, Urine-Ref | $25.20 | $63.00 | — | 69% above | 60% |
| Zinc blood test CPT 84630 Hb Zinc,Red Blood Cells,Arup-Ref | $51.20 | $128.00 | — | 242% above | 60% |
| Zinc blood test CPT 84630 Hb Zinc, Red Blood Cell-Ref | $80.80 | $202.00 | — | 440% above | 60% |
| Zinc blood test inpatient CPT 84630 Hb Zinc, Serum-Ref | $9.20 | $23.00 | — | — | 60% |
| Zinc blood test inpatient CPT 84630 Hb Zinc, Urine-Ref | $25.20 | $63.00 | — | — | 60% |
| Zinc blood test inpatient CPT 84630 Hb Zinc,Red Blood Cells,Arup-Ref | $51.20 | $128.00 | — | — | 60% |
| Zinc blood test inpatient CPT 84630 Hb Zinc, Red Blood Cell-Ref | $80.80 | $202.00 | — | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Gondadotropin Chorionic Quant (8004) Genzyme-Exc | $12.00 | $30.00 | — | 80% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Csf Beta Hcg Quant | $12.40 | $31.00 | — | 79% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Chorionic Gonadotropin, Quant - Hcg Quantitative Blood | $12.40 | $31.00 | — | 79% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Chorionic Gonadotropin Test (8026)-Exc | $12.40 | $31.00 | — | 79% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Hcg Tumor Marker (800087)-Ref | $21.20 | $53.00 | — | 64% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Beta Hcg Quantitative, Csf -Ref | $34.40 | $86.00 | — | 42% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Chorionic Gonadotropin-Ref | $39.60 | $99.00 | — | 33% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Gondadotropin Chorionic Quant (8004) Genzyme-Exc | $12.00 | $30.00 | — | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Chorionic Gonadotropin, Quant - Hcg Quantitative Blood | $12.40 | $31.00 | — | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Chorionic Gonadotropin Test (8026)-Exc | $12.40 | $31.00 | — | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Csf Beta Hcg Quant | $12.40 | $31.00 | — | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Hcg Tumor Marker (800087)-Ref | $21.20 | $53.00 | — | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Beta Hcg Quantitative, Csf -Ref | $34.40 | $86.00 | — | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Chorionic Gonadotropin-Ref | $39.60 | $99.00 | — | — | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine both sides CPT 64615 Hb Chemodenervation Of Muscle Facial/Trigem/Cerv Bilateral | $748.00 | $1,870.00 | — | — | 60% |
| Botox injections for chronic migraine inpatient both sides CPT 64615 Hb Chemodenervation Of Muscle Facial/Trigem/Cerv Bilateral | $748.00 | $1,870.00 | — | — | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Hb Bx Breast W Device 1St Lesion Stereotactic Guide - Right | $3,558.00 | $8,895.00 | — | at median | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Hb Bx Breast W Device 1St Lesion Stereotactic Guide - Left | $3,558.00 | $8,895.00 | — | at median | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 Hb Bx Breast W Device 1St Lesion Stereotactic Guide - Left | $3,558.00 | $8,895.00 | — | — | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 Hb Bx Breast W Device 1St Lesion Stereotactic Guide - Right | $3,558.00 | $8,895.00 | — | — | 60% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hb Closed Rx Dist Fibula Fx | $735.20 | $1,838.00 | — | at median | 60% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hb Closed Rx Dist Fibula Fx | $735.20 | $1,838.00 | — | — | 60% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Hb Treat Metatarsal Fracture | $735.20 | $1,838.00 | — | at median | 60% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Hb Treat Metatarsal Fracture | $735.20 | $1,838.00 | — | — | 60% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 Hb Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography | $7,454.80 | $18,637.00 | — | 39% below | 60% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Hb Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography | $7,454.80 | $18,637.00 | — | — | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hb Cardioversion Electric Ext - Cardioversion External | $2,581.60 | $6,454.00 | — | 23% above | 60% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hb Cardioversion Electric Ext - Cardioversion External | $2,581.60 | $6,454.00 | — | — | 60% |
| Carpal tunnel release, open surgery CPT 64721 Hb Median Nerve Carpal Tunnel | $2,874.00 | $7,185.00 | — | 31% below | 60% |
| Carpal tunnel release, open surgery inpatient CPT 64721 Hb Median Nerve Carpal Tunnel | $2,874.00 | $7,185.00 | — | — | 60% |
| Catheter ablation for atrial fibrillation CPT 93656 Hb Ep Ephys Evl Trnsptl Tx-Ablate Atrial Fib Isolat Pulm Vein | $49,632.00 | $124,080.00 | — | at median | 60% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Hb Ep Ephys Evl Trnsptl Tx-Ablate Atrial Fib Isolat Pulm Vein | $49,632.00 | $124,080.00 | — | — | 60% |
| Cervical biopsy CPT 57500 Hb Biopsy Cervix, 1 Or More, Or Excision Of Lesion | $1,997.20 | $4,993.00 | — | at median | 60% |
| Cervical biopsy inpatient CPT 57500 Hb Biopsy Cervix, 1 Or More, Or Excision Of Lesion | $1,997.20 | $4,993.00 | — | — | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Hb Circumcision | $3,948.40 | $9,871.00 | — | 224% above | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Hb Circumcision | $3,948.40 | $9,871.00 | — | — | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hb Closed Rx Dist Rad/Ulna Fx | $557.60 | $1,394.00 | — | at median | 60% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hb Closed Rx Dist Rad/Ulna Fx | $557.60 | $1,394.00 | — | — | 60% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Hb Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower) | $3,344.00 | $8,360.00 | — | at median | 60% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Hb Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux - Endo Us (Lower) | $3,344.00 | $8,360.00 | — | — | 60% |
| Colonoscopy with polyp removal CPT 45385 Hb Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq - Colonoscopy | $3,597.60 | $8,994.00 | — | at median | 60% |
| Colonoscopy with polyp removal inpatient CPT 45385 Hb Colsc Flx W/Rmvl Of Tumor Polyp Lesion Snare Tq - Colonoscopy | $3,597.60 | $8,994.00 | — | — | 60% |
| Colonoscopy with tissue sample CPT 45380 Hb Colonoscopy W/Biopsy Single/Multiple - Colonoscopy | $3,597.60 | $8,994.00 | — | at median | 60% |
| Colonoscopy with tissue sample inpatient CPT 45380 Hb Colonoscopy W/Biopsy Single/Multiple - Colonoscopy | $3,597.60 | $8,994.00 | — | — | 60% |
| Colonoscopy, diagnostic CPT 45378 Hb Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy | $3,344.00 | $8,360.00 | — | 11% above | 60% |
| Colonoscopy, diagnostic inpatient CPT 45378 Hb Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy | $3,344.00 | $8,360.00 | — | — | 60% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Hb Colposcopy W/Scope Leep | $4,499.20 | $11,248.00 | — | at median | 60% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Hb Colposcopy W/Scope Leep | $4,499.20 | $11,248.00 | — | — | 60% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Hb Colposc,Cervix W/Adj Vag,W/Bx & Curretag | $1,173.60 | $2,934.00 | — | 67% above | 60% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Hb Colposc,Cervix W/Adj Vag,W/Bx & Curretag | $1,173.60 | $2,934.00 | — | — | 60% |
| Coronary stent placement, one artery CPT 92928 Hb Prq Trluml Coronary Stent W/Angio One Art/Brnch - Ld | $25,806.40 | $64,516.00 | — | 10% above | 60% |
| Coronary stent placement, one artery CPT 92928 Hb Prq Trluml Coronary Stent W/Angio One Art/Brnch - Rc | $25,806.40 | $64,516.00 | — | 10% above | 60% |
| Coronary stent placement, one artery CPT 92928 Hb Prq Trluml Coronary Stent W/Angio One Art/Brnch - Ri | $25,806.40 | $64,516.00 | — | 10% above | 60% |
| Coronary stent placement, one artery CPT 92928 Hb Prq Trluml Coronary Stent W/Angio One Art/Brnch - Lm | $25,806.40 | $64,516.00 | — | 10% above | 60% |
| Coronary stent placement, one artery CPT 92928 Hb Prq Trluml Coronary Stent W/Angio One Art/Brnch - Lc | $25,806.40 | $64,516.00 | — | 10% above | 60% |
| Coronary stent placement, one artery inpatient CPT 92928 Hb Prq Trluml Coronary Stent W/Angio One Art/Brnch - Ld | $25,806.40 | $64,516.00 | — | — | 60% |
| Coronary stent placement, one artery inpatient CPT 92928 Hb Prq Trluml Coronary Stent W/Angio One Art/Brnch - Ri | $25,806.40 | $64,516.00 | — | — | 60% |
| Coronary stent placement, one artery inpatient CPT 92928 Hb Prq Trluml Coronary Stent W/Angio One Art/Brnch - Rc | $25,806.40 | $64,516.00 | — | — | 60% |
| Coronary stent placement, one artery inpatient CPT 92928 Hb Prq Trluml Coronary Stent W/Angio One Art/Brnch - Lm | $25,806.40 | $64,516.00 | — | — | 60% |
| Coronary stent placement, one artery inpatient CPT 92928 Hb Prq Trluml Coronary Stent W/Angio One Art/Brnch - Lc | $25,806.40 | $64,516.00 | — | — | 60% |
| Cystoscopy with ureteral stent placement CPT 52332 Hb Cystoscopy W/Insert Ureteral Stent | $4,878.00 | $12,195.00 | — | at median | 60% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 Hb Cystoscopy W/Insert Ureteral Stent | $4,878.00 | $12,195.00 | — | — | 60% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hb Cystourethroscopy | $1,465.20 | $3,663.00 | — | 24% below | 60% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hb Cystourethroscopy | $1,465.20 | $3,663.00 | — | — | 60% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Hb Dilation/Curettage,Diagnostic | $7,201.20 | $18,003.00 | — | 62% above | 60% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Hb Dilation/Curettage,Diagnostic | $7,201.20 | $18,003.00 | — | — | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hb Destroy Premalig Lesion 1St | $493.20 | $1,233.00 | — | 74% above | 60% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Hb Destroy Premalig Lesion 1St | $493.20 | $1,233.00 | — | — | 60% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Hb Tympanostomy-Insertion Of Ventilating Ear Tube | $1,072.00 | $2,680.00 | — | at median | 60% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Hb Tympanostomy-Insertion Of Ventilating Ear Tube | $1,072.00 | $2,680.00 | — | — | 60% |
| Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 Hb Removal Impacted Cerumen Irrigation/Lvg Bilateral | $773.20 | $1,933.00 | — | — | 60% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Hb Removal Impacted Cerumen Irrigation/Lvg Unilat | $386.80 | $967.00 | — | 105% above | 60% |
| Earwax removal by irrigation (rinsing), one ear inpatient both sides CPT 69209 Hb Removal Impacted Cerumen Irrigation/Lvg Bilateral | $773.20 | $1,933.00 | — | — | 60% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Hb Removal Impacted Cerumen Irrigation/Lvg Unilat | $386.80 | $967.00 | — | — | 60% |
| Earwax removal with instruments, one ear both sides CPT 69210 Hb Removal Impacted Cerumen Instrumentation Bilateral | $386.40 | $966.00 | — | — | 60% |
| Earwax removal with instruments, one ear one side CPT 69210 Hb Removal Impacted Cerumen Instrumentation Unilat | $193.60 | $484.00 | — | 4% below | 60% |
| Earwax removal with instruments, one ear inpatient both sides CPT 69210 Hb Removal Impacted Cerumen Instrumentation Bilateral | $386.40 | $966.00 | — | — | 60% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Hb Removal Impacted Cerumen Instrumentation Unilat | $193.60 | $484.00 | — | — | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hb Biopsy Of Uterus Lining | $663.20 | $1,658.00 | — | 49% above | 60% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hb Biopsy Of Uterus Lining | $663.20 | $1,658.00 | — | — | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hb Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $3,207.60 | $8,019.00 | — | 45% above | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hb Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $3,207.60 | $8,019.00 | — | — | 60% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Hb Inject Intravitreal Pharmcologic | $946.80 | $2,367.00 | — | 14% above | 60% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Hb Inject Intravitreal Pharmcologic | $946.80 | $2,367.00 | — | — | 60% |
| Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 Hb Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1St Level (Bilateral) | $3,095.60 | $7,739.00 | — | — | 60% |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 Hb Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1St Level (Right) | $3,095.60 | $7,739.00 | — | 38% above | 60% |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 Hb Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1St Level (Left) | $3,095.60 | $7,739.00 | — | 38% above | 60% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 Hb Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1St Level (Bilateral) | $3,095.60 | $7,739.00 | — | — | 60% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 Hb Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1St Level (Left) | $3,095.60 | $7,739.00 | — | — | 60% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 Hb Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1St Level (Right) | $3,095.60 | $7,739.00 | — | — | 60% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hb Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa If Pfrmd - Endoscopy Sigmoid | $2,801.60 | $7,004.00 | — | at median | 60% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Hb Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa If Pfrmd - Endoscopy Sigmoid | $2,801.60 | $7,004.00 | — | — | 60% |
| Hammertoe correction surgery CPT 28285 Hb Repair Of Hammertoe | $4,636.80 | $11,592.00 | — | at median | 60% |
| Hammertoe correction surgery inpatient CPT 28285 Hb Repair Of Hammertoe | $4,636.80 | $11,592.00 | — | — | 60% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hb Banding Hemorrhoid Internal By Rubberband - Simple | $3,400.40 | $8,501.00 | — | 98% above | 60% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hb Banding Hemorrhoid Internal By Rubberband - Simple | $3,400.40 | $8,501.00 | — | — | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hb Cath/Inject Hysterosalpingogram | $421.20 | $1,053.00 | — | at median | 60% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hb Cath/Inject Hysterosalpingogram | $421.20 | $1,053.00 | — | — | 60% |
| IUD insertion (the device itself billed separately) CPT 58300 Hb Insert Intrauterine Device | $874.80 | $2,187.00 | — | at median | 60% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Hb Insert Intrauterine Device | $874.80 | $2,187.00 | — | — | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hb Drain Skin Abscess Simple | $599.60 | $1,499.00 | — | at median | 60% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hb Drain Skin Abscess Simple | $599.60 | $1,499.00 | — | — | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hb Inject Tendon Sheath/Ligament | $844.40 | $2,111.00 | — | 51% above | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hb Inject Tendon Sheath/Ligament | $844.40 | $2,111.00 | — | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hb Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us | $1,185.20 | $2,963.00 | — | 77% above | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hb Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us | $1,185.20 | $2,963.00 | — | — | 60% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hb Insert Drug Implant Device | $735.20 | $1,838.00 | — | 134% above | 60% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Hb Insert Drug Implant Device | $735.20 | $1,838.00 | — | — | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hb Intermed Jt Asp &/Or Inject | $1,131.60 | $2,829.00 | — | 98% above | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hb Intermed Jt Asp &/Or Inject | $1,131.60 | $2,829.00 | — | — | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hb Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us | $935.60 | $2,339.00 | — | 70% above | 60% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hb Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us | $935.60 | $2,339.00 | — | — | 60% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Hb Laparoscopy Fundoplasty | $18,407.60 | $46,019.00 | — | at median | 60% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 Hb Laparoscopy Fundoplasty | $18,407.60 | $46,019.00 | — | — | 60% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hb Yag Post/Laser Capsulotomy | $1,294.40 | $3,236.00 | — | at median | 60% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Hb Yag Post/Laser Capsulotomy | $1,294.40 | $3,236.00 | — | — | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hb Repr Intrmd S/A/T/E 2.5Cm/< | $968.80 | $2,422.00 | — | at median | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hb Repr Intrmd S/A/T/E 2.5Cm/< | $968.80 | $2,422.00 | — | — | 60% |
| Left heart catheterization, diagnostic one side CPT 93452 Hb Cath Left Heart Cath Inject Vetriculography, Image Supervise/Interp | $6,894.00 | $17,235.00 | — | 39% below | 60% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Hb Cath Left Heart Cath Inject Vetriculography, Image Supervise/Interp | $6,894.00 | $17,235.00 | — | — | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hb Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $4,186.40 | $10,466.00 | — | 78% above | 60% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hb Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $4,186.40 | $10,466.00 | — | — | 60% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hb Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $3,182.80 | $7,957.00 | — | 45% above | 60% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hb Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $3,182.80 | $7,957.00 | — | — | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hb Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level | $2,203.20 | $5,508.00 | — | 1% above | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hb Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level | $2,203.20 | $5,508.00 | — | — | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hb Excise Benign Skin Lesion<.5Cm | $1,810.40 | $4,526.00 | — | at median | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hb Excise Benign Skin Lesion<.5Cm | $1,810.40 | $4,526.00 | — | — | 60% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hb Exc Face-Mm B9+Marg 0.5 Cm/< | $1,810.40 | $4,526.00 | — | 58% above | 60% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Hb Exc Face-Mm B9+Marg 0.5 Cm/< | $1,810.40 | $4,526.00 | — | — | 60% |
| Nail removal (partial or complete), one nail CPT 11730 Hb Avulsion Of Nail Plate | $496.80 | $1,242.00 | — | at median | 60% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Hb Avulsion Of Nail Plate | $496.80 | $1,242.00 | — | — | 60% |
| Occipital nerve block (injection for headaches) one side CPT 64405 Hb Inject Nerv Blck,Great Occiptl - Left | $1,001.20 | $2,503.00 | — | 11% above | 60% |
| Occipital nerve block (injection for headaches) one side CPT 64405 Hb Inject Nerv Blck,Great Occiptl - Right | $1,001.20 | $2,503.00 | — | 11% above | 60% |
| Occipital nerve block (injection for headaches) inpatient one side CPT 64405 Hb Inject Nerv Blck,Great Occiptl - Left | $1,001.20 | $2,503.00 | — | — | 60% |
| Occipital nerve block (injection for headaches) inpatient one side CPT 64405 Hb Inject Nerv Blck,Great Occiptl - Right | $1,001.20 | $2,503.00 | — | — | 60% |
| Pacemaker implant (dual chamber) CPT 33208 Hb Pp New Or Repl W/Trans Av Lead | $25,078.80 | $62,697.00 | — | 27% above | 60% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Hb Pp New Or Repl W/Trans Av Lead | $25,078.80 | $62,697.00 | — | — | 60% |
| Paracentesis with imaging guidance CPT 49083 Hb Abdom Paracentesis Dx/Ther W Imaging Guidance | $2,006.00 | $5,015.00 | — | 30% above | 60% |
| Paracentesis with imaging guidance inpatient CPT 49083 Hb Abdom Paracentesis Dx/Ther W Imaging Guidance | $2,006.00 | $5,015.00 | — | — | 60% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hb Removal Of Nail Bed | $1,309.20 | $3,273.00 | — | 12% above | 60% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hb Removal Of Nail Bed | $1,309.20 | $3,273.00 | — | — | 60% |
| Prostate biopsy CPT 55700 Hb Biopsy Of Prostate,Needle/Punch | $5,788.40 | $14,471.00 | — | 8% above | 60% |
| Prostate biopsy inpatient CPT 55700 Hb Biopsy Of Prostate,Needle/Punch | $5,788.40 | $14,471.00 | — | — | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hb Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $3,380.80 | $8,452.00 | — | at median | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Hb Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $3,380.80 | $8,452.00 | — | — | 60% |
| Removal of a breast lump, open surgery CPT 19120 Hb Excise Breast Cyst | $3,535.20 | $8,838.00 | — | 12% below | 60% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Hb Excise Breast Cyst | $3,535.20 | $8,838.00 | — | — | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 Hb Remove Foreign Body Simple | $850.80 | $2,127.00 | — | 13% below | 60% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Hb Remove Foreign Body Simple | $850.80 | $2,127.00 | — | — | 60% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Hb Colorectal Cancer Screening - Not Meeting Criteria For High Risk | $3,328.00 | $8,320.00 | — | 3% above | 60% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Hb Colorectal Cancer Screening - Not Meeting Criteria For High Risk | $3,328.00 | $8,320.00 | — | — | 60% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hb Colonoscopy Screen, Colorectal Screen - Colonoscopy | $3,328.00 | $8,320.00 | — | 7% above | 60% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hb Colonoscopy Screen, Colorectal Screen - Colonoscopy | $3,328.00 | $8,320.00 | — | — | 60% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Hb Lithotripsy Xtrcorp Shock Wave | $5,707.20 | $14,268.00 | — | 69% below | 60% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Hb Lithotripsy Xtrcorp Shock Wave | $5,707.20 | $14,268.00 | — | — | 60% |
| Short arm cast (elbow to hand) CPT 29075 Hb Apply Forearm Cast | $735.20 | $1,838.00 | — | 18% above | 60% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hb Apply Forearm Cast | $735.20 | $1,838.00 | — | — | 60% |
| Short arm splint (forearm and hand) CPT 29125 Hb Apply Forearm Splint,Static | $383.60 | $959.00 | — | at median | 60% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hb Apply Forearm Splint,Static | $383.60 | $959.00 | — | — | 60% |
| Short leg cast (below the knee) CPT 29405 Hb Apply Short Leg Cast | $557.60 | $1,394.00 | — | 6% below | 60% |
| Short leg cast (below the knee) inpatient CPT 29405 Hb Apply Short Leg Cast | $557.60 | $1,394.00 | — | — | 60% |
| Short leg splint (calf to foot) CPT 29515 Hb Apply Lower Leg Splint | $198.00 | $495.00 | — | 52% below | 60% |
| Short leg splint (calf to foot) inpatient CPT 29515 Hb Apply Lower Leg Splint | $198.00 | $495.00 | — | — | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hb Repair Superf Wound 2.5Cm Or < | $502.80 | $1,257.00 | — | at median | 60% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hb Repair Superf Wound 2.5Cm Or < | $502.80 | $1,257.00 | — | — | 60% |
| Skin biopsy, punch, one lesion CPT 11104 Hb Punch Bx Skin/Subq 1St Lesion | $1,030.00 | $2,575.00 | — | 26% above | 60% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Hb Punch Bx Skin/Subq 1St Lesion | $1,030.00 | $2,575.00 | — | — | 60% |
| Skin tag removal, up to 15 tags CPT 11200 Hb Removal Of Soft Tissue Digits | $442.80 | $1,107.00 | — | 6% above | 60% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Hb Removal Of Soft Tissue Digits | $442.80 | $1,107.00 | — | — | 60% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hb Spinal Puncture,Lumbar,Diagnostic | $2,424.00 | $6,060.00 | — | 95% above | 60% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hb Spinal Puncture,Lumbar,Diagnostic | $2,424.00 | $6,060.00 | — | — | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hb Repair Superf Wound 2.6-7.5Cm | $502.80 | $1,257.00 | — | 13% below | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hb Repair Superf Wound 2.6-7.5Cm | $502.80 | $1,257.00 | — | — | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hb Repr Super F/E/E/N/L/M 2.5Cm&< | $492.80 | $1,232.00 | — | 2% above | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hb Repr Super F/E/E/N/L/M 2.5Cm&< | $492.80 | $1,232.00 | — | — | 60% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hb Tangential Bx Skn/Subq 1St Les | $1,030.00 | $2,575.00 | — | 67% above | 60% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hb Tangential Bx Skn/Subq 1St Les | $1,030.00 | $2,575.00 | — | — | 60% |
| Thoracentesis with imaging guidance both sides CPT 32555 Hb Thoracentesis Needle/Cath Pleura W/Imaging Bilateral | $3,890.40 | $9,726.00 | — | — | 60% |
| Thoracentesis with imaging guidance CPT 32555 Hb Thoracentesis Needle/Cath Pleura W/Imaging | $3,112.00 | $7,780.00 | — | 66% above | 60% |
| Thoracentesis with imaging guidance inpatient both sides CPT 32555 Hb Thoracentesis Needle/Cath Pleura W/Imaging Bilateral | $3,890.40 | $9,726.00 | — | — | 60% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hb Thoracentesis Needle/Cath Pleura W/Imaging | $3,112.00 | $7,780.00 | — | — | 60% |
| Trigger finger release surgery CPT 26055 Hb Tendon Sheath Incision | $2,281.60 | $5,704.00 | — | 31% below | 60% |
| Trigger finger release surgery inpatient CPT 26055 Hb Tendon Sheath Incision | $2,281.60 | $5,704.00 | — | — | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hb Inject Trigger Point, 1 Or 2 | $849.20 | $2,123.00 | — | 37% above | 60% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hb Inject Trigger Point, 1 Or 2 | $849.20 | $2,123.00 | — | — | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Hb Bx Breast W Device 1St Lesion Ultrasound Guide - Left | $3,558.00 | $8,895.00 | — | 1% above | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Hb Bx Breast W Device 1St Lesion Ultrasound Guide - Right | $3,558.00 | $8,895.00 | — | 1% above | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Hb Bx Breast W Device 1St Lesion Ultrasound Guide - Right | $3,558.00 | $8,895.00 | — | — | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Hb Bx Breast W Device 1St Lesion Ultrasound Guide - Left | $3,558.00 | $8,895.00 | — | — | 60% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Hb Gastroscopy W/Esoph Dilation | $2,091.20 | $5,228.00 | — | 26% below | 60% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Hb Gastroscopy W/Esoph Dilation | $2,091.20 | $5,228.00 | — | — | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hb Gastroscopy W Biopsy | $2,140.40 | $5,351.00 | — | 31% below | 60% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hb Gastroscopy W Biopsy | $2,140.40 | $5,351.00 | — | — | 60% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Hb Gastroscopy Scope W/Submuc Inj | $1,601.20 | $4,003.00 | — | 37% below | 60% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Hb Gastroscopy Scope W/Submuc Inj | $1,601.20 | $4,003.00 | — | — | 60% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Hb Egd Removal Tumor Polyp/Other Lesion Snare Tech - Egd | $2,091.20 | $5,228.00 | — | 24% below | 60% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Hb Egd Removal Tumor Polyp/Other Lesion Snare Tech - Egd | $2,091.20 | $5,228.00 | — | — | 60% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Hb Egd Insert Guide Wire Dilator Passage Esophagus - Egd | $1,976.80 | $4,942.00 | — | 16% below | 60% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Hb Egd Insert Guide Wire Dilator Passage Esophagus - Egd | $1,976.80 | $4,942.00 | — | — | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hb Gastroscopy Diag | $2,294.00 | $5,735.00 | — | at median | 60% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hb Gastroscopy Diag | $2,294.00 | $5,735.00 | — | — | 60% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Hb Gastroscopy W/Drain Cyst | $3,806.00 | $9,515.00 | — | 39% below | 60% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Hb Gastroscopy W/Drain Cyst | $3,806.00 | $9,515.00 | — | — | 60% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Hb Vasectomy Uni/Bi Spx W/Postop Semen Exams | $5,018.40 | $12,546.00 | — | — | 60% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Hb Vasectomy Uni/Bi Spx W/Postop Semen Exams | $5,018.40 | $12,546.00 | — | — | 60% |
| Vein ablation, radiofrequency, first vein one side CPT 36475 Hb Endovenous Rf, 1St Vein - Right | $7,274.80 | $18,187.00 | — | 16% above | 60% |
| Vein ablation, radiofrequency, first vein one side CPT 36475 Hb Endovenous Rf, 1St Vein - Left | $7,274.80 | $18,187.00 | — | 16% above | 60% |
| Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 Hb Endovenous Rf, 1St Vein - Left | $7,274.80 | $18,187.00 | — | — | 60% |
| Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 Hb Endovenous Rf, 1St Vein - Right | $7,274.80 | $18,187.00 | — | — | 60% |
| Wart removal, up to 14 warts CPT 17110 Hb Destruction Benign Lesions Up To 14 | $557.60 | $1,394.00 | — | 85% above | 60% |
| Wart removal, up to 14 warts inpatient CPT 17110 Hb Destruction Benign Lesions Up To 14 | $557.60 | $1,394.00 | — | — | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hb Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm | $951.60 | $2,379.00 | — | 15% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hb Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm | $951.60 | $2,379.00 | — | — | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Hb Blood Transfusion Service | $1,314.80 | $3,287.00 | — | 19% above | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hb Blood Transfusion Service | $1,314.80 | $3,287.00 | — | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hb Mdi Instr./1St Tx | $439.20 | $1,098.00 | — | 69% above | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hb Inhalation Treatment Subseq | $439.20 | $1,098.00 | — | 69% above | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 Hb Rt Mdi/Dpi | $439.20 | $1,098.00 | — | 69% above | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 Hb Rt Inhalation Treatment | $439.20 | $1,098.00 | — | 69% above | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hb Mdi Instr./1St Tx | $439.20 | $1,098.00 | — | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hb Inhalation Treatment Subseq | $439.20 | $1,098.00 | — | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 Hb Rt Inhalation Treatment | $439.20 | $1,098.00 | — | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 Hb Rt Mdi/Dpi | $439.20 | $1,098.00 | — | — | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 Hb Chemother. Iv Infusion Initial, 1St Hour | $1,004.00 | $2,510.00 | — | 3% above | 60% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Hb Chemother. Iv Infusion Initial, 1St Hour | $1,004.00 | $2,510.00 | — | — | 60% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hb Comprehensive Hearing Test | $286.00 | $715.00 | — | at median | 60% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Hb Comprehensive Hearing Test | $286.00 | $715.00 | — | — | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 Hb Critical Care First Hour | $3,820.40 | $9,551.00 | — | 22% below | 60% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hb Critical Care First Hour | $3,820.40 | $9,551.00 | — | — | 60% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Hb Eeg,W/Awake & Drowsy Record - Eeg Awake Or Drowsy | $677.20 | $1,693.00 | — | 55% below | 60% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hb Eeg,W/Awake & Drowsy Record - Eeg Awake Or Drowsy | $677.20 | $1,693.00 | — | — | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hb Electrocardiogram, Tracing | $279.20 | $698.00 | — | 24% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hb Electrocardiogram, Tracing | $279.20 | $698.00 | — | — | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hb Emergency Department Level 1 Visit Limited/Minor Prob | $283.20 | $708.00 | — | 43% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hb Emergency Department Level 1 Visit Limited/Minor Prob | $283.20 | $708.00 | — | — | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hb Emergency Department Level 2 Visit Low/Moder Severity | $454.40 | $1,136.00 | — | 50% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hb Emergency Department Level 2 Visit Low/Moder Severity | $454.40 | $1,136.00 | — | — | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hb Emergency Department Level 3 Visit Moderate Severity | $1,276.80 | $3,192.00 | — | 22% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hb Emergency Department Level 3 Visit Moderate Severity | $1,276.80 | $3,192.00 | — | — | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hb Emergency Department Level 4 Visit High/Urgent Severity | $2,125.60 | $5,314.00 | — | 14% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hb Emergency Department Level 4 Visit High/Urgent Severity | $2,125.60 | $5,314.00 | — | — | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hb Emergency Department Level 5 Visit High Severity&Threat Func | $3,124.40 | $7,811.00 | — | 9% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hb Emergency Department Level 5 Visit High Severity&Threat Func | $3,124.40 | $7,811.00 | — | — | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hb Cardiac Stress Tst,Tracing Only | $868.80 | $2,172.00 | — | 42% below | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hb Cardiac Stress Tst,Tracing Only | $868.80 | $2,172.00 | — | — | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hb Iv Infusion, Hydration, 31-60 Min | $359.20 | $898.00 | — | 36% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hb Iv Infusion, Hydration, 31-60 Min | $359.20 | $898.00 | — | — | 60% |
| IV infusion of a medicine, first hour CPT 96365 Hb Iv Infusion, Therap/Proph/Diagnost,Initial,1St Hour | $520.00 | $1,300.00 | — | 21% below | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Hb Iv Infusion, Therap/Proph/Diagnost,Initial,1St Hour | $520.00 | $1,300.00 | — | — | 60% |
| IV push of a medicine, first drug CPT 96374 Hb Injection,Therap/Proph/Diagnost, Iv Push, Initial Drug | $278.00 | $695.00 | — | 13% below | 60% |
| IV push of a medicine, first drug inpatient CPT 96374 Hb Injection,Therap/Proph/Diagnost, Iv Push, Initial Drug | $278.00 | $695.00 | — | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hb Injection,Therap/Proph/Diagnost, Im Or Subcut | $135.20 | $338.00 | — | 25% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hb Injection,Therap/Proph/Diagnost, Im Or Subcut | $135.20 | $338.00 | — | — | 60% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hb Nerve Conduction Studies 7-8 Studies | $1,507.20 | $3,768.00 | — | 41% above | 60% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Hb Nerve Conduction Studies 7-8 Studies | $1,507.20 | $3,768.00 | — | — | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 Hb Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min | $95.60 | $239.00 | — | 35% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 Hb Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min | $95.60 | $239.00 | — | 35% below | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hb Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min | $95.60 | $239.00 | — | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hb Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min | $95.60 | $239.00 | — | — | 60% |
| New patient office visit, about 30 minutes CPT 99203 Hb Office/Outpatient New | $102.40 | $256.00 | — | 77% below | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Hb Office/Outpatient New | $102.40 | $256.00 | — | — | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hb New Patient Level 2 | $58.40 | $146.00 | — | 78% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hb New Patient Level 2 | $58.40 | $146.00 | — | — | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hb Med Nutr Ther, 1St, Indiv, Ea 15 Min | $58.40 | $146.00 | — | 12% below | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hb Med Nutr Ther, 1St, Indiv, Ea 15 Min | $58.40 | $146.00 | — | — | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 Hb Ot Occupational Therapy Eval Low Complex 30 Mins | $212.40 | $531.00 | — | 55% below | 60% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Hb Ot Occupational Therapy Eval Low Complex 30 Mins | $212.40 | $531.00 | — | — | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hb Pt Physical Therapy Evaluation High Complex 45 Mins | $212.40 | $531.00 | — | 60% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hb Pt Physical Therapy Evaluation High Complex 45 Mins | $212.40 | $531.00 | — | — | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hb Pt Physical Therapy Evaluation Low Complex 20 Mins | $212.40 | $531.00 | — | 53% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hb Pt Physical Therapy Evaluation Low Complex 20 Mins | $212.40 | $531.00 | — | — | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hb Pt Physical Therapy Evaluation Mod Complex 30 Mins | $212.40 | $531.00 | — | 53% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hb Pt Physical Therapy Evaluation Mod Complex 30 Mins | $212.40 | $531.00 | — | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hb Ot Manual Ther Tech,1+Regions,Ea 15 Min | $95.60 | $239.00 | — | 26% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hb Pt Manual Ther Tech,1+Regions,Ea 15 Min | $95.60 | $239.00 | — | 26% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hb Pt Manual Ther Tech,1+Regions,Ea 15 Min | $95.60 | $239.00 | — | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hb Ot Manual Ther Tech,1+Regions,Ea 15 Min | $95.60 | $239.00 | — | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Ot Therapeutic Exercises | $95.60 | $239.00 | — | 34% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Pt Therapeutic Exercises | $95.60 | $239.00 | — | 34% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Pt Therapeutic Exercises | $95.60 | $239.00 | — | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Ot Therapeutic Exercises | $95.60 | $239.00 | — | — | 60% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hb Tobacco Use Cessation Intermediate 3-10 Minutes | $50.00 | $125.00 | — | 20% below | 60% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hb Tobacco Use Cessation Intermediate 3-10 Minutes | $50.00 | $125.00 | — | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hb Office/Outpatient Established | $102.40 | $256.00 | — | 71% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hb Office/Outpatient Established | $102.40 | $256.00 | — | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hb Established Patient Level 2 | $58.40 | $146.00 | — | 83% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hb Established Patient Level 2 | $58.40 | $146.00 | — | — | 60% |
| Speech and language evaluation CPT 92523 Hb Speech Sound Lang Comprehen | $271.20 | $678.00 | — | 54% below | 60% |
| Speech and language evaluation inpatient CPT 92523 Hb Speech Sound Lang Comprehen | $271.20 | $678.00 | — | — | 60% |
| Speech therapy session, individual CPT 92507 Hb Speech Lang Treatment | $251.60 | $629.00 | — | 30% below | 60% |
| Speech therapy session, individual inpatient CPT 92507 Hb Speech Lang Treatment | $251.60 | $629.00 | — | — | 60% |
| Spirometry (breathing test) CPT 94010 Hb Pft Spirometry | $334.00 | $835.00 | — | 11% above | 60% |
| Spirometry (breathing test) CPT 94010 Hb Spirometry W/O Bronchodilator | $334.00 | $835.00 | — | 11% above | 60% |
| Spirometry (breathing test) inpatient CPT 94010 Hb Spirometry W/O Bronchodilator | $334.00 | $835.00 | — | — | 60% |
| Spirometry (breathing test) inpatient CPT 94010 Hb Pft Spirometry | $334.00 | $835.00 | — | — | 60% |
| Spirometry before and after a bronchodilator CPT 94060 Hb Pft Spiro P&P Bronch | $566.40 | $1,416.00 | — | 37% below | 60% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Hb Pft Spiro P&P Bronch | $566.40 | $1,416.00 | — | — | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hb Ot Therapeut Actvity Direct Pt Contact Each 15 Min | $95.60 | $239.00 | — | 36% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hb Pt Therapeut Actvity Direct Pt Contact Each 15 Min | $95.60 | $239.00 | — | 36% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hb Rec Therapy Activity 15 Min | $106.00 | $265.00 | — | 29% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hb Rec Therapeut Actvity Direct Pt Contact Each 15 Min | $106.00 | $265.00 | — | 29% below | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hb Pt Therapeut Actvity Direct Pt Contact Each 15 Min | $95.60 | $239.00 | — | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hb Ot Therapeut Actvity Direct Pt Contact Each 15 Min | $95.60 | $239.00 | — | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hb Rec Therapeut Actvity Direct Pt Contact Each 15 Min | $106.00 | $265.00 | — | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hb Rec Therapy Activity 15 Min | $106.00 | $265.00 | — | — | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hb Phlebotomy | $267.20 | $668.00 | — | 14% below | 60% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hb Phlebotomy | $267.20 | $668.00 | — | — | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 NDC Description Not Available | $743.20 | $1,858.00 | — | 231% above | 60% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 NDC Description Not Available | $743.20 | $1,858.00 | — | — | 60% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01) | $921.86 | $2,304.64 | — | 224% above | 60% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01) | $921.86 | $2,304.64 | — | — | 60% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Daptacel: 10 Vial In 1 Package (49281-286-10) / .5 Ml In 1 Vial (49281-286-58) | $299.60 | $748.99 | — | 204% above | 60% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Daptacel: 10 Vial In 1 Package (49281-286-10) / .5 Ml In 1 Vial (49281-286-58) | $299.60 | $748.99 | — | — | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 NDC Description Not Available | $10.45 | $26.13 | — | 86% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41) | $222.80 | $557.01 | — | 201% above | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 NDC Description Not Available | $10.45 | $26.13 | — | — | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41) | $222.80 | $557.01 | — | — | 60% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01) | $1,359.48 | $3,398.70 | — | 44% above | 60% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01) | $1,359.48 | $3,398.70 | — | — | 60% |
| Hepatitis A vaccine, adult dose CPT 90632 Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43) | $566.59 | $1,416.48 | — | 228% above | 60% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43) | $566.59 | $1,416.48 | — | — | 60% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Havrix: 10 Syringe In 1 Carton (58160-825-52) / .5 Ml In 1 Syringe (58160-825-43) | $331.72 | $829.30 | — | 237% above | 60% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Havrix: 10 Syringe In 1 Carton (58160-825-52) / .5 Ml In 1 Syringe (58160-825-43) | $331.72 | $829.30 | — | — | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B: 10 Syringe In 1 Carton (58160-821-52) / 1 Ml In 1 Syringe (58160-821-43) | $459.39 | $1,148.48 | — | 83% above | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B: 10 Vial In 1 Carton (58160-821-11) / 1 Ml In 1 Vial (58160-821-01) | $494.21 | $1,235.52 | — | 97% above | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Engerix-B: 10 Syringe In 1 Carton (58160-821-52) / 1 Ml In 1 Syringe (58160-821-43) | $459.39 | $1,148.48 | — | — | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Engerix-B: 10 Vial In 1 Carton (58160-821-11) / 1 Ml In 1 Vial (58160-821-01) | $494.21 | $1,235.52 | — | — | 60% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43) | $210.43 | $526.07 | — | 109% above | 60% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43) | $210.43 | $526.07 | — | — | 60% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Pedvaxhib: 10 Vial, Single-Dose In 1 Carton (0006-4897-00) / .5 Ml In 1 Vial, Single-Dose (0006-4897-01) | $284.28 | $710.70 | — | 242% above | 60% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Pedvaxhib: 10 Vial, Single-Dose In 1 Carton (0006-4897-00) / .5 Ml In 1 Vial, Single-Dose (0006-4897-01) | $284.28 | $710.70 | — | — | 60% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hiberix: 1 Kit In 1 Carton (58160-726-15) * .5 Ml In 1 Vial (58160-816-03) * .85 Ml In 1 Syringe (58160-817-02) | $88.88 | $222.19 | — | 41% above | 60% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hiberix: 1 Kit In 1 Carton (58160-818-11) * 10 Vial In 1 Carton (58160-816-05) / .5 Ml In 1 Vial (58160-816-01) * 10 Vial In 1 Package (58160-817-05) / .85 Ml In 1 Vial (58160-817-01) | $116.40 | $291.00 | — | 85% above | 60% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Acthib: 1 Kit In 1 Carton (49281-545-03) * .5 Ml In 1 Vial, Single-Dose (49281-547-58) * .6 Ml In 1 Vial, Single-Dose (49281-546-58) | $217.81 | $544.53 | — | 247% above | 60% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Hiberix: 1 Kit In 1 Carton (58160-726-15) * .5 Ml In 1 Vial (58160-816-03) * .85 Ml In 1 Syringe (58160-817-02) | $88.88 | $222.19 | — | — | 60% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Hiberix: 1 Kit In 1 Carton (58160-818-11) * 10 Vial In 1 Carton (58160-816-05) / .5 Ml In 1 Vial (58160-816-01) * 10 Vial In 1 Package (58160-817-05) / .85 Ml In 1 Vial (58160-817-01) | $116.40 | $291.00 | — | — | 60% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Acthib: 1 Kit In 1 Carton (49281-545-03) * .5 Ml In 1 Vial, Single-Dose (49281-547-58) * .6 Ml In 1 Vial, Single-Dose (49281-546-58) | $217.81 | $544.53 | — | — | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-123-65) / .7 mL in 1 SYRINGE, GLASS (49281-123-88) | $463.20 | $1,158.00 | — | 66% above | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 NDC Description Not Available | $463.20 | $1,158.00 | — | 66% above | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 NDC Description Not Available | $463.20 | $1,158.00 | — | — | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High-Dose Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-123-65) / .7 mL in 1 SYRINGE, GLASS (49281-123-88) | $463.20 | $1,158.00 | — | — | 60% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01) | $603.40 | $1,508.50 | — | 215% above | 60% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01) | $603.40 | $1,508.50 | — | — | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 NDC Description Not Available | $34.80 | $87.00 | — | 94% below | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01) | $871.37 | $2,178.43 | — | 54% above | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03) | $871.70 | $2,179.25 | — | 54% above | 60% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 NDC Description Not Available | $34.80 | $87.00 | — | — | 60% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01) | $871.37 | $2,178.43 | — | — | 60% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03) | $871.70 | $2,179.25 | — | — | 60% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero: 10 Syringe In 1 Carton (58160-976-20) / .5 Ml In 1 Syringe (58160-976-02) | $1,132.17 | $2,830.42 | — | 53% above | 60% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Bexsero: 10 Syringe In 1 Carton (58160-976-20) / .5 Ml In 1 Syringe (58160-976-02) | $1,132.17 | $2,830.42 | — | — | 60% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13: 1 Syringe In 1 Carton (0005-1971-05) / .5 Ml In 1 Syringe (0005-1971-01) | $1,142.40 | $2,856.00 | — | 96% above | 60% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Prevnar 13: 1 Syringe In 1 Carton (0005-1971-05) / .5 Ml In 1 Syringe (0005-1971-01) | $1,142.40 | $2,856.00 | — | — | 60% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Vaxneuvance: 1 Syringe, Glass In 1 Carton (0006-4329-02) / .5 Ml In 1 Syringe, Glass (0006-4329-01) | $692.49 | $1,731.22 | — | 10% below | 60% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Vaxneuvance: 10 Syringe, Glass In 1 Carton (0006-4329-03) / .5 Ml In 1 Syringe, Glass (0006-4329-01) | $1,133.00 | $2,832.50 | — | 47% above | 60% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 Vaxneuvance: 1 Syringe, Glass In 1 Carton (0006-4329-02) / .5 Ml In 1 Syringe, Glass (0006-4329-01) | $692.49 | $1,731.22 | — | — | 60% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 Vaxneuvance: 10 Syringe, Glass In 1 Carton (0006-4329-03) / .5 Ml In 1 Syringe, Glass (0006-4329-01) | $1,133.00 | $2,832.50 | — | — | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01) | $944.18 | $2,360.45 | — | 1% below | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01) | $944.18 | $2,360.45 | — | — | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23: 10 Syringe, Glass In 1 Carton (0006-4837-03) / .5 Ml In 1 Syringe, Glass (0006-4837-01) | $695.20 | $1,738.00 | — | 75% above | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23: 10 Vial, Single-Dose In 1 Carton (0006-4943-00) / .5 Ml In 1 Vial, Single-Dose (0006-4943-01) | $695.20 | $1,738.00 | — | 75% above | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23: 10 Syringe, Glass In 1 Carton (0006-4837-03) / .5 Ml In 1 Syringe, Glass (0006-4837-01) | $695.20 | $1,738.00 | — | — | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23: 10 Vial, Single-Dose In 1 Carton (0006-4943-00) / .5 Ml In 1 Vial, Single-Dose (0006-4943-01) | $695.20 | $1,738.00 | — | — | 60% |
| Polio vaccine, inactivated (IPV) CPT 90713 Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78) | $524.33 | $1,310.82 | — | 432% above | 60% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78) | $524.33 | $1,310.82 | — | — | 60% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) | $1,391.10 | $3,477.76 | — | 99% above | 60% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) | $1,391.10 | $3,477.76 | — | — | 60% |
| Rabies vaccine, one dose CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01) | $1,688.44 | $4,221.11 | — | 43% above | 60% |
| Rabies vaccine, one dose CPT 90675 IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01) | $1,767.20 | $4,418.00 | — | 50% above | 60% |
| Rabies vaccine, one dose CPT 90675 Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58) | $1,850.80 | $4,626.99 | — | 57% above | 60% |
| Rabies vaccine, one dose CPT 90675 NDC Description Not Available | $1,851.74 | $4,629.34 | — | 57% above | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01) | $1,688.44 | $4,221.11 | — | — | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01) | $1,767.20 | $4,418.00 | — | — | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58) | $1,850.80 | $4,626.99 | — | — | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 NDC Description Not Available | $1,851.74 | $4,629.34 | — | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tdvax: 10 Vial, Single-Dose In 1 Carton (14362-0111-4) / .5 Ml In 1 Vial, Single-Dose (14362-0111-3) | $230.80 | $577.00 | — | 58% above | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tdvax: 10 Vial, Single-Dose In 1 Carton (13533-131-01) / .5 Ml In 1 Vial, Single-Dose (13533-131-00) | $275.60 | $689.00 | — | 88% above | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac: 10 Syringe In 1 Package (50090-2062-0) / .5 Ml In 1 Syringe (50090-2062-1) | $357.90 | $894.75 | — | 144% above | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88) | $359.04 | $897.61 | — | 145% above | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58) | $361.49 | $903.72 | — | 147% above | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tdvax: 10 Vial, Single-Dose In 1 Carton (14362-0111-4) / .5 Ml In 1 Vial, Single-Dose (14362-0111-3) | $230.80 | $577.00 | — | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tdvax: 10 Vial, Single-Dose In 1 Carton (13533-131-01) / .5 Ml In 1 Vial, Single-Dose (13533-131-00) | $275.60 | $689.00 | — | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac: 10 Syringe In 1 Package (50090-2062-0) / .5 Ml In 1 Syringe (50090-2062-1) | $357.90 | $894.75 | — | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88) | $359.04 | $897.61 | — | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58) | $361.49 | $903.72 | — | — | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix: 10 Vial In 1 Carton (58160-842-11) / .5 Ml In 1 Vial (58160-842-01) | $376.38 | $940.95 | — | 84% above | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43) | $376.79 | $941.97 | — | 85% above | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58) | $395.93 | $989.83 | — | 94% above | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 NDC Description Not Available | $407.06 | $1,017.64 | — | 99% above | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix: 10 Syringe In 1 Carton (50090-1377-0) / .5 Ml In 1 Syringe (50090-1377-2) | $430.94 | $1,077.36 | — | 111% above | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix: 10 Vial In 1 Carton (58160-842-11) / .5 Ml In 1 Vial (58160-842-01) | $376.38 | $940.95 | — | — | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43) | $376.79 | $941.97 | — | — | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58) | $395.93 | $989.83 | — | — | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 NDC Description Not Available | $407.06 | $1,017.64 | — | — | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix: 10 Syringe In 1 Carton (50090-1377-0) / .5 Ml In 1 Syringe (50090-1377-2) | $430.94 | $1,077.36 | — | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Admin Vaccine Hepatitis B Sing | $123.20 | $308.00 | — | 3% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Admin Vaccine Single Influenza | $123.20 | $308.00 | — | 3% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Admin Vaccine Pneumococcal Sgl | $123.20 | $308.00 | — | 3% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Immun Admin Im/Sq One Vac | $123.20 | $308.00 | — | 3% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Admin Vaccine Single Influenza | $123.20 | $308.00 | — | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Immun Admin Im/Sq One Vac | $123.20 | $308.00 | — | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Admin Vaccine Pneumococcal Sgl | $123.20 | $308.00 | — | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Admin Vaccine Hepatitis B Sing | $123.20 | $308.00 | — | — | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hb Immuniz,Admin,Each Addl | $123.20 | $308.00 | — | 13% above | 60% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hb Immuniz,Admin,Each Addl | $123.20 | $308.00 | — | — | 60% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Hb Extraction Erupted Tooth Or Exposed Root | $1,387.60 | $3,469.00 | — | at median | 60% |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 Hb Extraction Erupted Tooth Or Exposed Root | $1,387.60 | $3,469.00 | — | — | 60% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://HospitalPriceDisclosure.com/download.aspx?pi=bMxquK2F0SAP1VuYiDuxgw*-*