H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.
H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. in Tampa, FL publishes cash prices for 34 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
12902 USF Magnolia Drive, Tampa, FL, 33612 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 COMPUTED TOMOGRAPHY ABDOMEN AND PELVIS WITH CONTRAST MATERIAL | $5,512.50 | $11,025.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS WITH CONTRAST | $5,512.50 | $11,025.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W CONTRAST | $5,512.50 | $11,025.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS WITH CONTRAST | $5,512.50 | $11,025.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W CONTRAST | $5,512.50 | $11,025.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 COMPUTED TOMOGRAPHY ABDOMEN AND PELVIS WITH CONTRAST MATERIAL | $5,512.50 | $11,025.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WITHOUT CONTRAST | $2,280.00 | $4,560.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HEAD W/O CONTRAST | $2,280.00 | $4,560.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 COMPUTED TOMOGRAPHY HEAD OR BRAIN WITHOUT CONTRAST MATERIAL | $2,280.00 | $4,560.00 | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 COMPUTED TOMOGRAPHY HEAD OR BRAIN WITHOUT CONTRAST MATERIAL | $2,280.00 | $4,560.00 | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD W/O CONTRAST | $2,280.00 | $4,560.00 | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WITHOUT CONTRAST | $2,280.00 | $4,560.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 COMPUTED TOMOGRAPHY PELVIS WITH CONTRAST MATERIAL | $2,285.00 | $4,570.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT - PELVIS W/CONTRAST | $2,285.00 | $4,570.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $2,285.00 | $4,570.00 | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT - PELVIS W/CONTRAST | $2,285.00 | $4,570.00 | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 COMPUTED TOMOGRAPHY PELVIS WITH CONTRAST MATERIAL | $2,285.00 | $4,570.00 | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $2,285.00 | $4,570.00 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA-DX MAMMO INCL CAD BILAT | $291.50 | $583.00 | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA-DX MAMMO INCL CAD BILAT | $291.50 | $583.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MA-DX MAMMO TO INCL CAD UNILAT RT | $243.50 | $487.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MA-DX MAMMO TO INCL CAD UNILAT LT | $243.50 | $487.00 | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA-DX MAMMO TO INCL CAD UNILAT LT | $243.50 | $487.00 | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA-DX MAMMO TO INCL CAD UNILAT RT | $243.50 | $487.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIAL RT | $2,347.50 | $4,695.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIAL LT | $2,347.50 | $4,695.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-LOWER EXT JOINT W/O CON LT | $2,347.50 | $4,695.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-LOWER EXT JOINT W/O CON RT | $2,347.50 | $4,695.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIAL LT | $2,347.50 | $4,695.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-LOWER EXT JOINT W/O CON LT | $2,347.50 | $4,695.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-LOWER EXT JOINT W/O CON RT | $2,347.50 | $4,695.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIAL RT | $2,347.50 | $4,695.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI-JOINT LOWER W/WO CONTRA | $3,912.50 | $7,825.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT AND WITH CONTRAST MATERIALS | $3,912.50 | $7,825.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIALS FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES LT | $3,912.50 | $7,825.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIALS FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES RT | $3,912.50 | $7,825.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT AND WITH CONTRAST MATERIALS | $3,912.50 | $7,825.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI-JOINT LOWER W/WO CONTRA | $3,912.50 | $7,825.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIALS FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES RT | $3,912.50 | $7,825.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MAGNETIC RESONANCE EG PROTON IMAGING ANY JOINT OF LOWER EXTREMITY WITHOUT CONTRAST MATERIALS FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES LT | $3,912.50 | $7,825.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $2,964.00 | $5,928.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 MAGNETIC RESONANCE EG PROTON IMAGING BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST MATERIAL | $2,964.00 | $5,928.00 | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MAGNETIC RESONANCE EG PROTON IMAGING BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST MATERIAL | $2,964.00 | $5,928.00 | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $2,964.00 | $5,928.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $4,042.00 | $8,084.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL AND FURTHER SEQUENCES | $4,042.00 | $8,084.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MAGNETIC RESONANCE EG PROTON IMAGING BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES | $4,042.00 | $8,084.00 | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MAGNETIC RESONANCE EG PROTON IMAGING BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIALS AND FURTHER SEQUENCES | $4,042.00 | $8,084.00 | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN INCLUDING BRAIN STEM WITHOUT CONTRAST MATERIAL FOLLOWED BY CONTRAST MATERIAL AND FURTHER SEQUENCES | $4,042.00 | $8,084.00 | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST | $4,042.00 | $8,084.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MAGNETIC RESONANCE IMAGING SPINAL CANAL AND CONTENTS LUMBAR WITHOUT CONTRAST MATERIAL | $2,045.50 | $4,091.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI-L-SPINE W/O CONTRAST | $2,045.50 | $4,091.00 | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-L-SPINE W/O CONTRAST | $2,045.50 | $4,091.00 | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MAGNETIC RESONANCE IMAGING SPINAL CANAL AND CONTENTS LUMBAR WITHOUT CONTRAST MATERIAL | $2,045.50 | $4,091.00 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MA-SCR MAMMO BILAT INCL CAD | $235.00 | $470.00 | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MA-SCR MAMMO BILAT INCL CAD | $235.00 | $470.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB | $2,305.00 | $4,610.00 | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON OB | $2,305.00 | $4,610.00 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMINAL ULTRASOUND | $1,809.00 | $3,618.00 | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMINAL ULTRASOUND | $1,809.00 | $3,618.00 | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL 4 VIEWS | $730.50 | $1,461.00 | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBOSACRAL 4 VIEWS | $730.50 | $1,461.00 | 50% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $76.00 | $152.00 | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL, OUTSIDE FACILITY | $76.00 | $152.00 | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA | $76.00 | $152.00 | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL, OUTSIDE FACILITY | $76.00 | $152.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $299.50 | $599.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL, OUTSIDE FACILITY | $299.50 | $599.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL, OUTSIDE FACILITY | $299.50 | $599.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $299.50 | $599.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W AUTO DIFF WBC | $206.00 | $412.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC PLT W DIFF AUTOMATED, OUTSIDE FACILITY | $206.00 | $412.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $206.00 | $412.00 | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $206.00 | $412.00 | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W AUTO DIFF WBC | $206.00 | $412.00 | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC PLT W DIFF AUTOMATED, OUTSIDE FACILITY | $206.00 | $412.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $15.50 | $31.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $15.50 | $31.00 | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED | $15.50 | $31.00 | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTOMATED | $15.50 | $31.00 | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $427.00 | $854.00 | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL, OUTSIDE FACILITY | $427.00 | $854.00 | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL, OUTSIDE FACILITY | $427.00 | $854.00 | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL | $427.00 | $854.00 | 50% |
| Kidney function blood test panel CPT 80069 RENAL PANEL, OUTSIDE FACILITY | $211.50 | $423.00 | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $211.50 | $423.00 | 50% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $211.50 | $423.00 | 50% |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL, OUTSIDE FACILITY | $211.50 | $423.00 | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL, OUTSIDE FACILITY | $221.50 | $443.00 | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $221.50 | $443.00 | 50% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL, OUTSIDE FACILITY | $221.50 | $443.00 | 50% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $221.50 | $443.00 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $40.50 | $81.00 | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $40.50 | $81.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total PSA Only | $38.50 | $77.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA SENSITIVE | $38.50 | $77.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Screen | $148.00 | $296.00 | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA SENSITIVE | $38.50 | $77.00 | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total PSA Only | $38.50 | $77.00 | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Screen | $148.00 | $296.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT D HEPARIN REFLEX BILL | $33.50 | $67.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT, OUTSIDE FACILITY | $33.50 | $67.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PTT | $33.50 | $67.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA OR WHOLE BLOOD | $33.50 | $67.00 | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT D HEPARIN REFLEX BILL | $33.50 | $67.00 | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA OR WHOLE BLOOD | $33.50 | $67.00 | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT, OUTSIDE FACILITY | $33.50 | $67.00 | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PTT | $33.50 | $67.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $33.50 | $67.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME, OUTSIDE FACILITY | $33.50 | $67.00 | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME, OUTSIDE FACILITY | $33.50 | $67.00 | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $33.50 | $67.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $237.00 | $474.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH with HAMA Treatment | $237.00 | $474.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, OUTSIDE FACILITY | $237.00 | $474.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH with HAMA Treatment | $237.00 | $474.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH, OUTSIDE FACILITY | $237.00 | $474.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $237.00 | $474.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $201.00 | $402.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W MICRO, OUTSIDE FACILITY | $201.00 | $402.00 | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE | $201.00 | $402.00 | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W MICRO, OUTSIDE FACILITY | $201.00 | $402.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $54.50 | $109.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE; pH | $54.50 | $109.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS , OUTSIDE FACILITY | $54.50 | $109.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE | $54.50 | $109.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS , OUTSIDE FACILITY | $54.50 | $109.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE; pH | $54.50 | $109.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $32.00 | $64.00 | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $32.00 | $64.00 | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ DX/THER INTERLAMINAR EPIDURAL SUBARACHNOID LUMBAR SACRAL W/O IMG GUIDANCE | $980.50 | $1,961.00 | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ DX/THER INTERLAMINAR EPIDURAL SUBARACHNOID LUMBAR SACRAL W/O IMG GUIDANCE | $980.50 | $1,961.00 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION ANESTHETIC/STEROID; LUMBAR SINGLE LEVEL | $891.50 | $1,783.00 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJECTION ANESTHETIC/STEROID; LUMBAR SINGLE LEVEL | $891.50 | $1,783.00 | 50% |
| Prostate biopsy CPT 55700 BIOPSY PROSTATE NEEDLE /PUNCH SINGLE OR MULTIPLE ANY APPROACH M | $1,718.50 | $3,437.00 | 50% |
| Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NEEDLE /PUNCH SINGLE OR MULTIPLE ANY APPROACH M | $1,718.50 | $3,437.00 | 50% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION OF CYST FIBROADENOMA OR OTHER BENIGN OR MALIGNANT TUMOR ABERRANT BREAST TISSUE DUCT LESION NIPPLE OR AREOLAR LESION OPEN MALE OR FEMALE 1 OR MORE LESIONS | $4,668.00 | $9,336.00 | 50% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST ONE OR MORE LESION | $4,668.00 | $9,336.00 | 50% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION OF CYST FIBROADENOMA OR OTHER BENIGN OR MALIGNANT TUMOR ABERRANT BREAST TISSUE DUCT LESION NIPPLE OR AREOLAR LESION OPEN MALE OR FEMALE 1 OR MORE LESIONS | $4,668.00 | $9,336.00 | 50% |
| Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST ONE OR MORE LESION | $4,668.00 | $9,336.00 | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-THERAPEUTIC EX EA 15 MIN | $118.50 | $237.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAPEUTIC PROCEDURE ONE OR MORE AREAS EACH 15 MINUTES; THERAPEUTIC EXERCISES TO DEVELOP STRENGTH AND ENDURANCE RANGE OF MOTION AND FLEXIBILITY | $118.50 | $237.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAPEUTIC EX 15 MIN | $118.50 | $237.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EX EA 15 MIN | $118.50 | $237.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EX 15 MIN | $118.50 | $237.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EX 15 MIN | $118.50 | $237.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT-THERAPEUTIC EX EA 15 MIN | $118.50 | $237.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT-THERAPEUTIC EX 15 MIN | $118.50 | $237.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTIC PROCEDURE ONE OR MORE AREAS EACH 15 MINUTES; THERAPEUTIC EXERCISES TO DEVELOP STRENGTH AND ENDURANCE RANGE OF MOTION AND FLEXIBILITY | $118.50 | $237.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EX EA 15 MIN | $118.50 | $237.00 | 50% |