Hospital

Ascension Sacred Heart Gulf

Listed in its price file as “Sacred Heart Health System, Inc.”.

Ascension Sacred Heart Gulf in Joe, FL publishes cash prices for 295 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 260 of 294 procedures and above it for 33. By typical cash price it ranks #22 of 171 Florida hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

3801 US-98 Port St Joe FL 32456 Collected Sep 22, 2026 Source price file Check a bill from this hospital (850) 229-5600

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 100313 · CMS hospital register NPI 1083941678

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Ascension Sacred Heart Gulf is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O THEN W/ CONTRAST	$1,313.20	$3,283.00	$393.89–$570.04	67% below	60%
Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS	$232.00	$580.00	$77.15–$235.69	64% below	60%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS BILAT	$606.40	$1,516.00	$82.80–$833.80	—	60%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS BILAT	$606.40	$1,516.00	$82.80–$833.80	—	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS RT	$303.20	$758.00	$82.80–$416.90	51% below	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS LT	$303.20	$758.00	$82.80–$416.90	51% below	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS RT	$303.20	$758.00	$82.80–$416.90	51% below	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS LT	$303.20	$758.00	$82.80–$416.90	51% below	60%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS BILAT	$606.40	$1,516.00	$82.80–$833.80	—	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS RT	$303.20	$758.00	$82.80–$416.90	—	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS LT	$303.20	$758.00	$82.80–$416.90	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US DOPPLER ARTERIAL EXT LMTD BIL	$373.60	$934.00	$480.00	39% below	60%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CON LT	$1,421.20	$3,553.00	$235.69–$1,954.15	40% below	60%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CON LT	$1,421.20	$3,553.00	$235.69–$1,954.15	40% below	60%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST RT	$1,421.20	$3,553.00	$235.69–$1,954.15	40% below	60%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST RT	$1,421.20	$3,553.00	$235.69–$1,954.15	40% below	60%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST RT	$1,421.20	$3,553.00	$235.69–$1,954.15	—	60%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O CON LT	$1,421.20	$3,553.00	$235.69–$1,954.15	—	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XRAY ESOPHAGUS BARIUM SWALLOW	$348.40	$871.00	$210.08–$393.89	59% below	60%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN-TOTAL BODY	$2,358.00	$5,895.00	$837.54–$884.18	7% below	60%
Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE LEFT	$247.60	$619.00	$224.73–$340.45	57% below	60%
Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE RIGHT	$247.60	$619.00	$224.73–$340.45	57% below	60%
Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE LEFT	$247.60	$619.00	$224.73–$340.45	57% below	60%
Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE RIGHT	$247.60	$619.00	$224.73–$340.45	57% below	60%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE RIGHT	$247.60	$619.00	$224.73–$340.45	—	60%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE LEFT	$247.60	$619.00	$224.73–$340.45	—	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED LEFT	$247.60	$619.00	$170.64–$340.45	52% below	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED RIGHT	$247.60	$619.00	$170.64–$340.45	52% below	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED RIGHT	$247.60	$619.00	$170.64–$340.45	52% below	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED LEFT	$247.60	$619.00	$170.64–$340.45	52% below	60%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED RIGHT	$247.60	$619.00	$170.64–$340.45	—	60%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED LEFT	$247.60	$619.00	$170.64–$340.45	—	60%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIOGRAPHY ABD/PELVIS CONTRAST	$3,413.60	$8,534.00	$824.45–$936.74	42% below	60%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD	$2,039.20	$5,098.00	$393.89–$1,319.00	42% below	60%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W/POST PROC W/LVO	$2,039.20	$5,098.00	$393.89–$1,319.00	42% below	60%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK	$2,140.40	$5,351.00	$393.89–$1,319.00	49% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST NON-CORONARY	$1,460.80	$3,652.00	$393.89–$570.04	67% below	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HEART/ARTERIES/ GRAFTS	$507.20	$1,268.00	$393.89–$570.04	74% below	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD - PELVIS W/O CONTRAST	$1,460.80	$3,652.00	$356.56–$525.31	74% below	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD - PELVIS WITH CONTRAST	$1,460.80	$3,652.00	$746.92–$824.45	76% below	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD - PELV W/O THEN W/ CON	$1,460.80	$3,652.00	$824.45–$847.18	79% below	60%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST	$1,310.40	$3,276.00	$393.89–$569.48	62% below	60%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$924.00	$2,310.00	$235.69–$283.34	71% below	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL AREA W/O CONTRAST	$1,196.80	$2,992.00	$235.69–$1,319.00	58% below	60%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$1,273.60	$3,184.00	$235.69–$1,319.00	58% below	60%
CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN WITH CONTRAST	$1,460.80	$3,652.00	$393.89–$1,319.00	61% below	60%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O THEN W/ CONTRAST	$1,460.80	$3,652.00	$393.89–$1,319.00	67% below	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$1,246.00	$3,115.00	$235.69–$331.78	62% below	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$1,382.40	$3,456.00	$235.69–$334.03	59% below	60%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST	$1,382.80	$3,457.00	$393.89–$569.48	68% below	60%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DUPLEX EXTRACRANIAL ARTERIES BIL	$640.00	$1,600.00	$480.00	74% below	60%
Chest CT scan without and with contrast CPT 71270 CT THORAX W/O THEN W/ CONTRAST	$1,460.80	$3,652.00	$393.89–$516.55	63% below	60%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$201.60	$504.00	$69.27–$194.81	59% below	60%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$175.20	$438.00	$52.37–$194.81	58% below	60%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 XRAY CLAVICLE COMPLETE BILAT	$533.60	$1,334.00	$72.63–$733.70	—	60%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 XRAY CLAVICLE COMPLETE BILAT	$533.60	$1,334.00	$72.63–$733.70	—	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE RT	$266.80	$667.00	$72.63–$366.85	52% below	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE LT	$266.80	$667.00	$72.63–$366.85	52% below	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE RT	$266.80	$667.00	$72.63–$366.85	52% below	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE LT	$266.80	$667.00	$72.63–$366.85	52% below	60%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 XRAY CLAVICLE COMPLETE BILAT	$533.60	$1,334.00	$72.63–$733.70	—	60%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE COMPLETE RT	$266.80	$667.00	$72.63–$366.85	—	60%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE COMPLETE LT	$266.80	$667.00	$72.63–$366.85	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$265.60	$664.00	$235.69–$242.78	79% below	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL SKELETON	$74.40	$186.00	$94.05	88% below	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY AXIAL 1/> SITES	$181.20	$453.00	$94.05–$235.69	70% below	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY APPENDICULAR 1/>	$71.20	$178.00	$70.39	75% below	60%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 SS-SS-US PREGNANCY DETAILED SGL	$114.00	$285.00	$263.57	88% below	60%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED SGLE FETUS	$441.20	$1,103.00	$263.57–$525.31	52% below	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST	$1,287.20	$3,218.00	$235.69–$317.13	56% below	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX WITH CONTRAST	$1,213.60	$3,034.00	$393.89–$423.03	68% below	60%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BILATERAL	$509.20	$1,273.00	$247.55–$376.83	—	60%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL LEFT	$346.00	$865.00	$193.03–$475.75	20% below	60%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL RIGHT	$346.00	$865.00	$193.03–$475.75	20% below	60%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL LEFT	$346.00	$865.00	$193.03–$475.75	20% below	60%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL RIGHT	$346.00	$865.00	$193.03–$475.75	20% below	60%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNILATERAL RIGHT	$346.00	$865.00	$193.03–$475.75	—	60%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNILATERAL LEFT	$346.00	$865.00	$193.03–$475.75	—	60%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX ART EXT LOWR BIL	$498.00	$1,245.00	$480.00	76% below	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXTREMITY BIL	$604.80	$1,512.00	$480.00	67% below	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO ADULT COMPL W/DOPPLER	$2,470.80	$6,177.00	$1,678.00	26% below	60%
Elbow X-ray, 2 views both sides CPT 73070 XRAY ELBOW 2 VIEWS BILAT	$570.80	$1,427.00	$63.62–$784.85	—	60%
Elbow X-ray, 2 views both sides CPT 73070 XRAY ELBOW 2 VIEWS BILAT	$570.80	$1,427.00	$63.62–$784.85	—	60%
Elbow X-ray, 2 views CPT 73070 XRAY ELBOW 2 VIEWS	$26.40	$66.00	$63.62	95% below	60%
Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS RT	$285.60	$714.00	$63.62–$392.70	43% below	60%
Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS RT	$285.60	$714.00	$63.62–$392.70	43% below	60%
Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS LT	$285.60	$714.00	$63.62–$392.70	43% below	60%
Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS LT	$285.60	$714.00	$63.62–$392.70	43% below	60%
Elbow X-ray, 2 views inpatient both sides CPT 73070 XRAY ELBOW 2 VIEWS BILAT	$570.80	$1,427.00	$63.62–$784.85	—	60%
Elbow X-ray, 2 views inpatient one side CPT 73070 XRAY ELBOW 2 VIEWS LT	$285.60	$714.00	$63.62–$392.70	—	60%
Elbow X-ray, 2 views inpatient one side CPT 73070 XRAY ELBOW 2 VIEWS RT	$285.60	$714.00	$63.62–$392.70	—	60%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS BILAT	$762.00	$1,905.00	$70.39–$1,047.75	—	60%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS BILAT	$762.00	$1,905.00	$70.39–$1,047.75	—	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS LT	$321.20	$803.00	$70.39–$441.65	46% below	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS LT	$321.20	$803.00	$70.39–$441.65	46% below	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS RT	$321.20	$803.00	$70.39–$441.65	46% below	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS RT	$321.20	$803.00	$70.39–$441.65	46% below	60%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS BILAT	$762.00	$1,905.00	$70.39–$1,047.75	—	60%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS LT	$321.20	$803.00	$70.39–$441.65	—	60%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS RT	$321.20	$803.00	$70.39–$441.65	—	60%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR OR FOSSA W/O CONTRAST	$1,384.40	$3,461.00	$235.69–$1,319.00	47% below	60%
Facial bones X-ray, complete, 3 or more views CPT 70150 XRAY FACIAL BONES MINIMUM 3 VIEWS	$409.20	$1,023.00	$103.06–$235.69	46% below	60%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XRAY FOREARM 2 VIEWS BILAT	$548.00	$1,370.00	$64.75–$753.50	—	60%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XRAY FOREARM 2 VIEWS BILAT	$548.00	$1,370.00	$64.75–$753.50	—	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS RT	$273.60	$684.00	$64.75–$376.20	52% below	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS RT	$273.60	$684.00	$64.75–$376.20	52% below	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS LT	$273.60	$684.00	$64.75–$376.20	52% below	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS LT	$273.60	$684.00	$64.75–$376.20	52% below	60%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XRAY FOREARM 2 VIEWS BILAT	$548.00	$1,370.00	$64.75–$753.50	—	60%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM 2 VIEWS RT	$273.60	$684.00	$64.75–$376.20	—	60%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM 2 VIEWS LT	$273.60	$684.00	$64.75–$376.20	—	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYS IMAGE W/O GBEF	$2,187.60	$5,469.00	$884.18–$943.44	7% above	60%
Hand X-ray, 2 views both sides CPT 73120 XRAY HAND 2 VIEWS BILAT	$520.40	$1,301.00	$69.27–$715.55	—	60%
Hand X-ray, 2 views both sides CPT 73120 XRAY HAND 2 VIEWS BILAT	$520.40	$1,301.00	$69.27–$715.55	—	60%
Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS LT	$260.40	$651.00	$69.27–$358.05	50% below	60%
Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS RT	$260.40	$651.00	$69.27–$358.05	50% below	60%
Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS LT	$260.40	$651.00	$69.27–$358.05	50% below	60%
Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS RT	$260.40	$651.00	$69.27–$358.05	50% below	60%
Hand X-ray, 2 views inpatient both sides CPT 73120 XRAY HAND 2 VIEWS BILAT	$520.40	$1,301.00	$69.27–$715.55	—	60%
Hand X-ray, 2 views inpatient one side CPT 73120 XRAY HAND 2 VIEWS RT	$260.40	$651.00	$69.27–$358.05	—	60%
Hand X-ray, 2 views inpatient one side CPT 73120 XRAY HAND 2 VIEWS LT	$260.40	$651.00	$69.27–$358.05	—	60%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XRAY CALCANEUS MIN 2 VIEWS BILAT	$590.80	$1,477.00	$63.62–$812.35	—	60%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XRAY CALCANEUS MIN 2 VIEWS BILAT	$590.80	$1,477.00	$63.62–$812.35	—	60%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XRAY HEEL/CALCANEUS MIN 2 VIEWS	$26.40	$66.00	$63.62	95% below	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS MIN 2 VIEWS RT	$295.20	$738.00	$63.62–$405.90	40% below	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS MIN 2 VIEWS RT	$295.20	$738.00	$63.62–$405.90	40% below	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS MIN 2 VIEWS LT	$295.20	$738.00	$63.62–$405.90	40% below	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS MIN 2 VIEWS LT	$295.20	$738.00	$63.62–$405.90	40% below	60%
Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 XRAY CALCANEUS MIN 2 VIEWS BILAT	$590.80	$1,477.00	$63.62–$812.35	—	60%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XRAY CALCANEUS MIN 2 VIEWS LT	$295.20	$738.00	$63.62–$405.90	—	60%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XRAY CALCANEUS MIN 2 VIEWS RT	$295.20	$738.00	$63.62–$405.90	—	60%
Knee X-ray, 3 views both sides CPT 73562 XRAY KNEE 3 VIEWS BILAT	$548.00	$1,370.00	$94.05–$753.50	—	60%
Knee X-ray, 3 views both sides CPT 73562 XRAY KNEE 3 VIEWS BILAT	$548.00	$1,370.00	$94.05–$753.50	—	60%
Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS RT	$273.60	$684.00	$94.05–$376.20	60% below	60%
Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS LT	$273.60	$684.00	$94.05–$376.20	60% below	60%
Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS LT	$273.60	$684.00	$94.05–$376.20	60% below	60%
Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS RT	$273.60	$684.00	$94.05–$376.20	60% below	60%
Knee X-ray, 3 views inpatient both sides CPT 73562 XRAY KNEE 3 VIEWS BILAT	$548.00	$1,370.00	$94.05–$753.50	—	60%
Knee X-ray, 3 views inpatient one side CPT 73562 XRAY KNEE 3 VIEWS RT	$273.60	$684.00	$94.05–$376.20	—	60%
Knee X-ray, 3 views inpatient one side CPT 73562 XRAY KNEE 3 VIEWS LT	$273.60	$684.00	$94.05–$376.20	—	60%
Knee X-ray, complete, 4 or more views both sides CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS BILAT	$720.80	$1,802.00	$103.06–$991.10	—	60%
Knee X-ray, complete, 4 or more views both sides CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS BILAT	$720.80	$1,802.00	$103.06–$991.10	—	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR MORE VIEWS RT	$360.40	$901.00	$103.06–$495.55	53% below	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR MORE VIEWS RT	$360.40	$901.00	$103.06–$495.55	53% below	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR MORE VIEWS LT	$360.40	$901.00	$103.06–$495.55	53% below	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR MORE VIEWS LT	$360.40	$901.00	$103.06–$495.55	53% below	60%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS BILAT	$720.80	$1,802.00	$103.06–$991.10	—	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE COMPL 4 OR MORE VIEWS RT	$360.40	$901.00	$103.06–$495.55	—	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE COMPL 4 OR MORE VIEWS LT	$360.40	$901.00	$103.06–$495.55	—	60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST LT	$1,152.40	$2,881.00	$235.69–$1,584.55	56% below	60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST RT	$1,152.40	$2,881.00	$235.69–$1,584.55	56% below	60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST LT	$1,152.40	$2,881.00	$235.69–$1,584.55	56% below	60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST RT	$1,152.40	$2,881.00	$235.69–$1,584.55	56% below	60%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST RT	$1,152.40	$2,881.00	$235.69–$1,584.55	—	60%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST LT	$1,152.40	$2,881.00	$235.69–$1,584.55	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED	$377.20	$943.00	$196.58–$235.69	67% below	60%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON-VASC LIMITED	$146.40	$366.00	$104.18–$235.69	77% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LNG CANCER SCR W/O CON	$1,313.20	$3,283.00	$235.69–$1,319.00	80% above	60%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS BIL	$588.00	$1,470.00	$71.51–$808.50	7% below	60%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS BIL	$588.00	$1,470.00	$71.51–$808.50	7% below	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS RT	$294.40	$736.00	$71.51–$404.80	53% below	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS LT	$294.40	$736.00	$71.51–$404.80	53% below	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS RT	$294.40	$736.00	$71.51–$404.80	53% below	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS LT	$294.40	$736.00	$71.51–$404.80	53% below	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS BIL	$588.00	$1,470.00	$71.51–$808.50	—	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS LT	$294.40	$736.00	$71.51–$404.80	—	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS RT	$294.40	$736.00	$71.51–$404.80	—	60%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST	$895.20	$2,238.00	$525.31	69% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON RT	$1,009.60	$2,524.00	$510.31–$1,388.20	71% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON LT	$1,009.60	$2,524.00	$510.31–$1,388.20	71% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON RT	$1,009.60	$2,524.00	$510.31–$1,388.20	71% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON LT	$1,009.60	$2,524.00	$510.31–$1,388.20	71% below	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON RT	$1,009.60	$2,524.00	$510.31–$1,388.20	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON LT	$1,009.60	$2,524.00	$510.31–$1,388.20	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LWR EXT JNT W-W/O CON BIL	$1,414.80	$3,537.00	$824.45–$1,945.35	71% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LWR EXT JNT W-W/O CON BIL	$1,414.80	$3,537.00	$824.45–$1,945.35	71% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O-W/CON RT	$1,414.80	$3,537.00	$824.45–$1,945.35	71% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O-W/CON LT	$1,414.80	$3,537.00	$824.45–$1,945.35	71% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O-W/CON RT	$1,414.80	$3,537.00	$824.45–$1,945.35	71% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O-W/CON LT	$1,414.80	$3,537.00	$824.45–$1,945.35	71% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LWR EXT JNT W-W/O CON BIL	$1,414.80	$3,537.00	$824.45–$1,945.35	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANY JNT LWR EXT W/O-W/CON LT	$1,414.80	$3,537.00	$824.45–$1,945.35	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANY JNT LWR EXT W/O-W/CON RT	$1,414.80	$3,537.00	$824.45–$1,945.35	—	60%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$1,009.60	$2,524.00	$480.48–$525.31	71% below	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O THEN W/ CONTRAST	$1,066.80	$2,667.00	$824.45–$892.25	75% below	60%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$895.20	$2,238.00	$525.31–$1,678.00	74% below	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O THEN W/ CONTRAST	$1,009.60	$2,524.00	$824.45–$1,678.00	79% below	60%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CON	$1,009.60	$2,524.00	$452.33–$525.31	73% below	60%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O THEN W/ CON	$1,009.60	$2,524.00	$798.73–$824.45	80% below	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O CONTRAST	$1,009.60	$2,524.00	$451.21–$525.31	73% below	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/O THEN W/ CON	$1,539.20	$3,848.00	$800.98–$824.45	68% below	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O CONTRAST	$1,009.60	$2,524.00	$451.21–$525.31	73% below	60%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O THEN W/ CONTRAST	$1,066.80	$2,667.00	$824.45–$890.01	71% below	60%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$1,009.60	$2,524.00	$525.31–$610.60	69% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JT UPR EXTREMT W/O CON RT	$1,009.60	$2,524.00	$510.31–$1,388.20	69% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JT UPR EXTREMT W/O CON RT	$1,009.60	$2,524.00	$510.31–$1,388.20	69% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JNT UPR EXTREM W/O CON LT	$1,009.60	$2,524.00	$510.31–$1,388.20	69% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JNT UPR EXTREM W/O CON LT	$1,009.60	$2,524.00	$510.31–$1,388.20	69% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ANY JNT UPR EXTREM W/O CON LT	$1,009.60	$2,524.00	$510.31–$1,388.20	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ANY JT UPR EXTREMT W/O CON RT	$1,009.60	$2,524.00	$510.31–$1,388.20	—	60%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XRAY CERVICAL SPINE 4 OR 5 VIEWS	$417.20	$1,043.00	$116.59–$235.69	53% below	60%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE WITH CONTRAST	$1,042.80	$2,607.00	$393.89–$1,319.00	69% below	60%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE W/O CONTRAST	$1,110.00	$2,775.00	$235.69–$1,319.00	63% below	60%
Neck soft tissue X-ray CPT 70360 XRAY NECK SOFT TISSUE	$277.60	$694.00	$68.14–$194.81	50% below	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIAC PERFUSION IMAG SPECT MULTI	$4,977.60	$12,444.00	$1,264.99–$3,044.09	10% below	60%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$1,009.20	$2,523.00	$235.69–$287.83	67% below	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED OR F/U NON-OB	$255.20	$638.00	$76.03–$235.69	71% below	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE	$698.00	$1,745.00	$235.69–$239.38	48% below	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >OR=14 WKS 1ST GESTATION	$294.80	$737.00	$235.69–$286.70	64% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 WEEKS 1ST GESTATION	$232.00	$580.00	$230.37–$235.69	69% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR MORE FETUSES	$158.80	$397.00	$163.91–$235.69	75% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR MORE FETUSES	$158.80	$397.00	$163.91–$235.69	75% below	60%
Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS RT	$129.20	$323.00	$77.15–$194.81	78% below	60%
Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS LT	$129.20	$323.00	$77.15–$194.81	78% below	60%
Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS LT	$129.20	$323.00	$77.15–$194.81	78% below	60%
Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS RT	$129.20	$323.00	$77.15–$194.81	78% below	60%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS LT	$129.20	$323.00	$77.15–$194.81	—	60%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS RT	$129.20	$323.00	$77.15–$194.81	—	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V LT	$362.80	$907.00	$87.28–$498.85	47% below	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V LT	$362.80	$907.00	$87.28–$498.85	47% below	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V RT	$362.80	$907.00	$87.28–$498.85	47% below	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V RT	$362.80	$907.00	$87.28–$498.85	47% below	60%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V LT	$362.80	$907.00	$87.28–$498.85	—	60%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V RT	$362.80	$907.00	$87.28–$498.85	—	60%
Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO BILATERAL INCL CAD	$415.20	$1,038.00	$204.08	—	60%
Screening mammogram, both breasts CPT 77067 MG MAMMO SCRN BIL-RED SVC	$415.20	$1,038.00	$204.08–$570.90	4% above	60%
Screening mammogram, both breasts CPT 77067 MG MAMMO SCRN BIL-RED SVC	$415.20	$1,038.00	$204.08–$570.90	4% above	60%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO BIL INCL CAD RIGHT	$415.20	$1,038.00	$204.08–$570.90	4% above	60%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO BIL INCL CAD LEFT	$415.20	$1,038.00	$204.08–$570.90	4% above	60%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO BIL INCL CAD RIGHT	$415.20	$1,038.00	$204.08–$570.90	4% above	60%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO BIL INCL CAD LEFT	$415.20	$1,038.00	$204.08–$570.90	4% above	60%
Screening mammogram, both breasts inpatient CPT 77067 MG MAMMO SCRN BIL-RED SVC	$415.20	$1,038.00	$204.08–$570.90	—	60%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO BIL INCL CAD RIGHT	$415.20	$1,038.00	$204.08–$570.90	—	60%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO BIL INCL CAD LEFT	$415.20	$1,038.00	$204.08–$570.90	—	60%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER COMPLETE 2+ VIEWS BI	$580.40	$1,451.00	$74.91–$798.05	—	60%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER COMPLETE 2+ VIEWS BI	$580.40	$1,451.00	$74.91–$798.05	—	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER COMPL MIN 2 VIEW RT	$315.20	$788.00	$74.91–$433.40	57% below	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER COMPL MIN 2 VIEW RT	$315.20	$788.00	$74.91–$433.40	57% below	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER MIN 2 VIEW LT	$315.20	$788.00	$74.91–$433.40	57% below	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER MIN 2 VIEW LT	$315.20	$788.00	$74.91–$433.40	57% below	60%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR SHOULDER COMPLETE 2+ VIEWS BI	$580.40	$1,451.00	$74.91–$798.05	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY SHOULDER MIN 2 VIEW LT	$315.20	$788.00	$74.91–$433.40	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY SHOULDER COMPL MIN 2 VIEW RT	$315.20	$788.00	$74.91–$433.40	—	60%
Sinus X-ray, complete, 3 or more views CPT 70220 XRAY SINUSES PARANASAL MIN 3 VIEWS	$465.20	$1,163.00	$80.52–$194.81	46% below	60%
Skull X-ray, fewer than 4 views CPT 70250 XRAY SKULL LESS THAN 4 VIEWS	$248.80	$622.00	$80.52–$235.69	61% below	60%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO W/ECG MONITOR - SUPERVI	$2,434.80	$6,087.00	$1,678.00	8% below	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOW FNCT CINE/VIDEO	$564.40	$1,411.00	$326.14–$393.89	42% below	60%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XRAY FEMUR 2+ VIEWS BILAT	$322.00	$805.00	$80.52–$442.75	—	60%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XRAY FEMUR 2+ VIEWS BILAT	$322.00	$805.00	$80.52–$442.75	—	60%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XRAY FEMUR 2+ VIEWS	$100.00	$250.00	$80.52–$194.81	81% below	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2+ VIEWS RT	$160.80	$402.00	$80.52–$221.10	69% below	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2+ VIEWS LT	$160.80	$402.00	$80.52–$221.10	69% below	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2+ VIEWS RT	$160.80	$402.00	$80.52–$221.10	69% below	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2+ VIEWS LT	$160.80	$402.00	$80.52–$221.10	69% below	60%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XRAY FEMUR 2+ VIEWS BILAT	$322.00	$805.00	$80.52–$442.75	—	60%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XRAY FEMUR 2+ VIEWS LT	$160.80	$402.00	$80.52–$221.10	—	60%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XRAY FEMUR 2+ VIEWS RT	$160.80	$402.00	$80.52–$221.10	—	60%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST	$1,413.60	$3,534.00	$235.69–$334.03	53% below	60%
Toe X-ray, 2 or more views CPT 73660 XRAY TOE(S) MIN 2 VIEWS	$28.00	$70.00	$68.14	94% below	60%
Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) MIN 2 VIEWS LT	$190.80	$477.00	$68.14–$262.35	61% below	60%
Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) MIN 2 VIEWS RT	$190.80	$477.00	$68.14–$262.35	61% below	60%
Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) MIN 2 VIEWS LT	$190.80	$477.00	$68.14–$262.35	61% below	60%
Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) MIN 2 VIEWS RT	$190.80	$477.00	$68.14–$262.35	61% below	60%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE(S) MIN 2 VIEWS LT	$190.80	$477.00	$68.14–$262.35	—	60%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE(S) MIN 2 VIEWS RT	$190.80	$477.00	$68.14–$262.35	—	60%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB	$393.20	$983.00	$235.69–$281.06	61% below	60%
Transvaginal ultrasound during pregnancy CPT 76817 US OBSTETRIC TRANSVAGINAL	$144.40	$361.00	$185.29–$235.69	84% below	60%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$736.00	$1,840.00	$235.69–$260.80	52% below	60%
Ultrasound of the abdomen, complete CPT 76700 US ABD R-T W/IMAGE DOCUMENTATION	$754.00	$1,885.00	$235.69–$260.80	51% below	60%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM - CONTENTS	$570.00	$1,425.00	$232.62–$235.69	47% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE OF HEAD - NECK	$485.20	$1,213.00	$235.69–$278.82	58% below	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W/SGL CONT W/KUB DELAY FLM	$222.00	$555.00	$252.91–$393.89	80% below	60%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR HUMERUS 2+ VIEWS BILATERAL	$566.40	$1,416.00	$72.63–$778.80	—	60%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR HUMERUS 2+ VIEWS BILATERAL	$566.40	$1,416.00	$72.63–$778.80	—	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS MIN 2 VIEWS RT	$283.20	$708.00	$72.63–$389.40	51% below	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS MIN 2 VIEWS LT	$283.20	$708.00	$72.63–$389.40	51% below	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS MIN 2 VIEWS RT	$283.20	$708.00	$72.63–$389.40	51% below	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS MIN 2 VIEWS LT	$283.20	$708.00	$72.63–$389.40	51% below	60%
Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 XR HUMERUS 2+ VIEWS BILATERAL	$566.40	$1,416.00	$72.63–$778.80	—	60%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XRAY HUMERUS MIN 2 VIEWS RT	$283.20	$708.00	$72.63–$389.40	—	60%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XRAY HUMERUS MIN 2 VIEWS LT	$283.20	$708.00	$72.63–$389.40	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX VENOUS EXT UNI/LMTD	$388.80	$972.00	$480.00	55% below	60%
Wrist X-ray, 2 views both sides CPT 73100 XRAY WRIST 2 VIEWS BILAT	$554.00	$1,385.00	$77.15–$761.75	—	60%
Wrist X-ray, 2 views both sides CPT 73100 XRAY WRIST 2 VIEWS BILAT	$554.00	$1,385.00	$77.15–$761.75	—	60%
Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS RT	$276.40	$691.00	$77.15–$380.05	55% below	60%
Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS LT	$276.40	$691.00	$77.15–$380.05	55% below	60%
Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS LT	$276.40	$691.00	$77.15–$380.05	55% below	60%
Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS RT	$276.40	$691.00	$77.15–$380.05	55% below	60%
Wrist X-ray, 2 views inpatient both sides CPT 73100 XRAY WRIST 2 VIEWS BILAT	$554.00	$1,385.00	$77.15–$761.75	—	60%
Wrist X-ray, 2 views inpatient one side CPT 73100 XRAY WRIST 2 VIEWS RT	$276.40	$691.00	$77.15–$380.05	—	60%
Wrist X-ray, 2 views inpatient one side CPT 73100 XRAY WRIST 2 VIEWS LT	$276.40	$691.00	$77.15–$380.05	—	60%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS BILAT	$637.20	$1,593.00	$95.17–$876.15	—	60%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS BILAT	$637.20	$1,593.00	$95.17–$876.15	—	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS LT	$318.80	$797.00	$95.17–$438.35	55% below	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS RT	$318.80	$797.00	$95.17–$438.35	55% below	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS LT	$318.80	$797.00	$95.17–$438.35	55% below	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS RT	$318.80	$797.00	$95.17–$438.35	55% below	60%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS BILAT	$637.20	$1,593.00	$95.17–$876.15	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS LT	$318.80	$797.00	$95.17–$438.35	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS RT	$318.80	$797.00	$95.17–$438.35	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILATERAL 2-3 VIEWS	$100.00	$250.00	$107.58–$194.81	83% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW LT	$160.80	$402.00	$107.58–$221.10	72% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW RT	$160.80	$402.00	$107.58–$221.10	72% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW LT	$160.80	$402.00	$107.58–$221.10	72% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW RT	$160.80	$402.00	$107.58–$221.10	72% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW LT	$160.80	$402.00	$107.58–$221.10	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW RT	$160.80	$402.00	$107.58–$221.10	—	60%
X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$228.80	$572.00	$63.62–$194.81	54% below	60%
X-ray of the ankle, 2 views both sides CPT 73600 X-RAY ANKLE 2 VIEWS BILAT	$243.60	$609.00	$73.75–$334.95	—	60%
X-ray of the ankle, 2 views both sides CPT 73600 X-RAY ANKLE 2 VIEWS BILAT	$243.60	$609.00	$73.75–$334.95	—	60%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY ANKLE 2 VIEWS RT	$122.00	$305.00	$73.75–$194.81	75% below	60%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY ANKLE 2 VIEWS LT	$122.00	$305.00	$73.75–$194.81	75% below	60%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY ANKLE 2 VIEWS RT	$122.00	$305.00	$73.75–$194.81	75% below	60%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY ANKLE 2 VIEWS LT	$122.00	$305.00	$73.75–$194.81	75% below	60%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 X-RAY ANKLE 2 VIEWS BILAT	$243.60	$609.00	$73.75–$334.95	—	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY ANKLE 2 VIEWS RT	$122.00	$305.00	$73.75–$194.81	—	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY ANKLE 2 VIEWS LT	$122.00	$305.00	$73.75–$194.81	—	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) MIN 2 VIEWS LT	$264.80	$662.00	$90.68–$364.10	44% below	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) MIN 2 VIEWS LT	$264.80	$662.00	$90.68–$364.10	44% below	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) MIN 2 VIEWS RT	$264.80	$662.00	$90.68–$364.10	44% below	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) MIN 2 VIEWS RT	$264.80	$662.00	$90.68–$364.10	44% below	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER(S) MIN 2 VIEWS LT	$264.80	$662.00	$90.68–$364.10	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER(S) MIN 2 VIEWS RT	$264.80	$662.00	$90.68–$364.10	—	60%
X-ray of the foot, 2 views both sides CPT 73620 XRAY FOOT 2 VIEWS BILAT	$483.20	$1,208.00	$63.62–$664.40	—	60%
X-ray of the foot, 2 views both sides CPT 73620 XRAY FOOT 2 VIEWS BILAT	$483.20	$1,208.00	$63.62–$664.40	—	60%
X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS LT	$242.00	$605.00	$63.62–$332.75	51% below	60%
X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS RT	$242.00	$605.00	$63.62–$332.75	51% below	60%
X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS RT	$242.00	$605.00	$63.62–$332.75	51% below	60%
X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS LT	$242.00	$605.00	$63.62–$332.75	51% below	60%
X-ray of the foot, 2 views inpatient both sides CPT 73620 XRAY FOOT 2 VIEWS BILAT	$483.20	$1,208.00	$63.62–$664.40	—	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 XRAY FOOT 2 VIEWS RT	$242.00	$605.00	$63.62–$332.75	—	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 XRAY FOOT 2 VIEWS LT	$242.00	$605.00	$63.62–$332.75	—	60%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS BILAT	$550.40	$1,376.00	$77.15–$756.80	—	60%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS BILAT	$550.40	$1,376.00	$77.15–$756.80	—	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS RT	$275.20	$688.00	$77.15–$378.40	54% below	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS RT	$275.20	$688.00	$77.15–$378.40	54% below	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS LT	$275.20	$688.00	$77.15–$378.40	54% below	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS LT	$275.20	$688.00	$77.15–$378.40	54% below	60%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS BILAT	$550.40	$1,376.00	$77.15–$756.80	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS RT	$275.20	$688.00	$77.15–$378.40	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS LT	$275.20	$688.00	$77.15–$378.40	—	60%
X-ray of the hand, 3 or more views both sides CPT 73130 XRAY HAND MIN 3 VIEWS BILAT	$600.40	$1,501.00	$82.80–$825.55	—	60%
X-ray of the hand, 3 or more views both sides CPT 73130 XRAY HAND MIN 3 VIEWS BILAT	$600.40	$1,501.00	$82.80–$825.55	—	60%
X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND MIN 3 VIEWS RT	$300.40	$751.00	$82.80–$413.05	53% below	60%
X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND MIN 3 VIEWS RT	$300.40	$751.00	$82.80–$413.05	53% below	60%
X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND MIN 3 VIEWS LT	$300.40	$751.00	$82.80–$413.05	53% below	60%
X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND MIN 3 VIEWS LT	$300.40	$751.00	$82.80–$413.05	53% below	60%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XRAY HAND MIN 3 VIEWS BILAT	$600.40	$1,501.00	$82.80–$825.55	—	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY HAND MIN 3 VIEWS RT	$300.40	$751.00	$82.80–$413.05	—	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY HAND MIN 3 VIEWS LT	$300.40	$751.00	$82.80–$413.05	—	60%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILATERAL	$527.20	$1,318.00	$79.40–$724.90	—	60%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILATERAL	$527.20	$1,318.00	$79.40–$724.90	—	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS LT	$261.20	$653.00	$79.40–$359.15	57% below	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS RT	$261.20	$653.00	$79.40–$359.15	57% below	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS LT	$261.20	$653.00	$79.40–$359.15	57% below	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS RT	$261.20	$653.00	$79.40–$359.15	57% below	60%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILATERAL	$527.20	$1,318.00	$79.40–$724.90	—	60%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS LT	$261.20	$653.00	$79.40–$359.15	—	60%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS RT	$261.20	$653.00	$79.40–$359.15	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY LUMBOSACRAL SPINE 2 OR 3 VIEWS	$226.80	$567.00	$85.04–$235.69	67% below	60%
X-ray of the lower back, 4 or more views CPT 72110 XRAY LUMBOSACRAL SPINE MIN 4 VIEWS	$462.80	$1,157.00	$112.07–$235.69	59% below	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY THORACIC SPINE 2 VIEWS	$227.20	$568.00	$68.14–$235.69	63% below	60%
X-ray of the nasal bones, 3 or more views CPT 70160 XRAY NASAL BONES COMPL MIN 3 VIEWS	$256.40	$641.00	$87.28–$194.81	60% below	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY EXAM NECK SPINE 2-3 VIEWS	$91.20	$228.00	$85.04–$194.81	87% below	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS 1 OR 2 VIEWS	$282.40	$706.00	$62.50–$235.69	54% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SACRUM-COCCYX MIN 2 VW	$292.40	$731.00	$71.51–$194.81	55% below	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
ACTH blood test CPT 82024 ACTH PLASMA LCB	$64.31	$160.77	$38.62–$145.28	41% above	60%
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH)	$87.78	$219.45	$38.62–$145.28	92% above	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALPHA 2 MACROGLOBULIN FIBROMETER	$16.69	$41.73	$5.30–$20.40	58% below	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$61.77	$154.43	$5.30–$20.40	57% above	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 FIBROSIS METAVIR CLASSIFICATION	$16.69	$41.73	$5.18–$19.12	69% below	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$67.20	$168.00	$5.18–$19.12	23% above	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS	$74.38	$185.96	$47.63–$179.68	54% below	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$284.95	$712.38	$47.63–$179.68	76% above	60%
Albumin blood test CPT 82040 SERUM ALBUMIN ARUP	$4.80	$12.00	$4.95	72% below	60%
Albumin blood test CPT 82040 ALBUMIN SERUM	$6.93	$17.33	$4.95–$13.61	59% below	60%
Albumin blood test CPT 82040 ALBUMIN-SERUM	$32.96	$82.39	$4.95–$19.12	95% above	60%
Aldosterone blood test CPT 82088 ALDOSTERONE	$75.37	$188.43	$40.75–$152.92	170% above	60%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE-ALK	$66.04	$165.09	$5.18–$19.12	51% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 1 ARUP	$2.19	$5.47	$5.22	72% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 3 ARUP	$2.19	$5.47	$5.22	72% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 2 ARUP	$2.19	$5.47	$5.22	72% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ITCYPREIGE ARUP	$5.91	$14.78	$5.22–$14.36	24% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BAYIGE ARUP	$5.91	$14.78	$5.22–$14.36	24% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MULREDIGE ARUP	$5.91	$14.78	$5.22–$14.36	24% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BL LOC ARUP	$8.48	$21.19	$5.22–$19.12	9% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CLADO IGG ARUP	$8.55	$21.38	$5.22–$19.12	10% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OCCUPAT P ANHYDRI IGE ARUP	$8.61	$21.53	$5.22–$19.12	10% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 C - ALLERG SPEC IGE XTRC EA SERUM	$8.80	$22.00	$5.22–$19.12	13% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD ALPHAGAL ARUP	$18.00	$45.00	$5.22–$19.12	131% above	60%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$29.40	$73.50	$16.77–$62.44	13% below	60%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN(AFP); SERUM	$32.34	$80.85	$16.77–$62.44	4% below	60%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT TUMOR MARKER	$51.65	$129.13	$16.77–$62.44	53% above	60%
Alpha-fetoprotein (AFP) blood test CPT 82105 C - ALPHA FETOPROTEIN SERUM	$173.13	$432.82	$16.77–$62.44	414% above	60%
Ammonia blood test CPT 82140 AMMONIA	$44.52	$111.31	$14.57–$54.80	61% below	60%
Amylase blood test CPT 82150 AMYLASE	$10.16	$25.41	$6.48–$24.24	68% below	60%
Amylase blood test CPT 82150 AMYLASE-SERUM	$42.37	$105.93	$6.48–$24.24	35% above	60%
Amylase blood test CPT 82150 AMYLASE-URINE	$48.08	$120.21	$6.48–$24.24	53% above	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED (CCP) AB IGG	$21.56	$53.91	$12.95–$48.44	21% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$22.18	$55.44	$12.09–$45.88	23% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCREEN	$52.35	$130.88	$12.09–$45.88	81% above	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$48.63	$121.57	$39.26–$107.97	71% below	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEP TRMNL PRO BRAIN	$65.36	$163.39	$39.26–$147.84	61% below	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$119.49	$298.73	$39.26–$147.84	28% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ANY OTHE	$15.71	$39.27	$8.62–$31.88	79% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATH TIP	$132.54	$331.34	$8.62–$31.88	78% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY	$137.73	$344.32	$8.62–$31.88	84% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPINAL FLUID CULTURE	$143.90	$359.76	$8.62–$31.88	93% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID	$162.20	$405.49	$8.62–$31.88	117% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT-NP	$184.69	$461.72	$8.62–$31.88	147% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL	$184.69	$461.72	$8.62–$31.88	147% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SKIN	$184.69	$461.72	$8.62–$31.88	147% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR	$184.69	$461.72	$8.62–$31.88	147% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE	$184.69	$461.72	$8.62–$31.88	147% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE	$184.69	$461.72	$8.62–$31.88	147% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$227.45	$568.62	$8.62–$31.88	205% above	60%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (TOTAL CA)	$16.63	$41.58	$8.46–$31.88	95% below	60%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$44.95	$112.37	$8.46–$31.88	86% below	60%
Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN	$9.24	$23.10	$5.02–$19.12	61% below	60%
Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN NICU	$42.13	$105.33	$5.02–$19.12	78% above	60%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$45.39	$113.48	$5.02–$19.12	92% above	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY AP TECH NEO	$24.40	$61.00	$49.47	79% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY AP NEO	$39.60	$99.00	$49.47–$84.01	66% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM PATHOLOGIST NEPHROPATH	$128.40	$321.00	$49.47–$133.20	10% above	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 AP SURG LEVEL IV PATH EXAM	$165.60	$414.00	$49.47–$133.20	42% above	60%
Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTERIA	$31.42	$78.54	$10.32–$38.24	91% below	60%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FR BACTERIA	$172.83	$432.07	$10.32–$38.24	49% below	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE FOR BLOOD COLLECTION	$76.00	$190.00	$3.00	301% above	60%
Blood glucose (sugar) test CPT 82947 .GLUCOSE BASELINE	$7.28	$18.19	$3.93–$15.32	84% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE:QUANTITA	$7.39	$18.48	$3.93–$15.32	84% below	60%
Blood glucose (sugar) test CPT 82947 C-CREATININE SERUM	$15.12	$37.81	$3.93–$15.32	66% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE ISTAT	$15.84	$39.59	$3.93–$15.32	65% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE-BLOOD	$17.90	$44.76	$3.93–$15.32	60% below	60%
Blood lead test CPT 83655 LEAD	$22.18	$55.44	$12.11–$45.88	104% above	60%
Blood lead test CPT 83655 C - LEAD ANALYSIS	$26.64	$66.61	$12.11–$45.88	145% above	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG QUAL	$19.40	$48.51	$7.52–$28.04	85% below	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG TEST- URINE QUAL	$105.03	$262.57	$7.52–$28.04	16% below	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$47.51	$118.77	$2.99–$11.48	at median	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO CONFIRMATION	$51.36	$128.40	$2.99–$11.48	8% above	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING; ABO	$54.78	$136.96	$2.99–$11.48	15% above	60%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANTITATIVE	$5.66	$14.15	$3.95–$10.86	87% below	60%
Blood urea nitrogen (BUN) test CPT 84520 BUN DIALYSIS VENOUS	$7.28	$18.20	$3.95–$15.32	84% below	60%
Blood urea nitrogen (BUN) test CPT 84520 BUN SLOW PUMP	$7.28	$18.20	$3.95–$15.32	84% below	60%
Blood urea nitrogen (BUN) test CPT 84520 BUN DIALYSIS ARTERIAL	$7.28	$18.20	$3.95–$15.32	84% below	60%
Blood urea nitrogen (BUN) test CPT 84520 ALANINE AMINOTRANSFERASE FIBROMETER	$16.69	$41.73	$3.95–$15.32	63% below	60%
Blood urea nitrogen (BUN) test CPT 84520 BUN QUANT	$43.60	$109.00	$3.95–$15.32	3% below	60%
C-peptide blood test CPT 84681 C-PEPTIDE	$39.27	$98.18	$20.81–$77.76	7% above	60%
C-peptide blood test CPT 84681 C - PEPTIDE	$80.25	$200.63	$20.81–$77.76	119% above	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$7.41	$18.53	$5.18–$14.24	90% below	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 QUANT. C.R.P.	$124.69	$311.72	$5.18–$19.12	72% above	60%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN GENE AMPL PROBE	$114.44	$286.11	$37.27–$140.16	1% above	60%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNO TUMOR ANT CA 19-9	$29.22	$73.06	$20.81–$57.23	47% below	60%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 (CARBOHYDRATE ANTIGEN 19-9)	$85.43	$213.57	$20.81–$77.76	55% above	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR ANTIGEN QUA CA125	$29.22	$73.06	$20.81–$57.23	65% below	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR MARKER CA125	$134.22	$335.56	$20.81–$77.76	62% above	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 SARS COV2 BY NAAT LOW TPUT	$85.43	$213.57	$35.09	3% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID RAPID NAAT	$85.43	$213.57	$35.09	3% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 SARS COV2 BY NAAT LOW TPUT	$85.43	$213.57	$35.09	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID RAPID NAAT	$85.43	$213.57	$35.09	—	60%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$7.39	$18.48	$5.16–$14.19	85% below	60%
Calcium blood test, total CPT 82310 CALCIUM-SERUM TOTAL	$71.48	$178.69	$5.16–$19.12	45% above	60%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$38.81	$97.02	$18.96–$71.36	67% below	60%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA-EIA	$98.60	$246.51	$18.96–$71.36	16% below	60%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER	$26.80	$66.99	$12.88–$48.44	47% above	60%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER	$42.21	$105.52	$12.88–$48.44	132% above	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH AMP PROB	$42.68	$106.71	$35.09–$96.50	2% above	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS AMPLIF PROBE	$80.64	$201.59	$35.09–$132.52	92% above	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPOFIT BY NMR2	$11.77	$29.43	$13.39	88% below	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL ARUP	$12.00	$30.00	$13.39	88% below	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$82.25	$205.62	$13.39–$50.96	19% below	60%
Complete blood count (CBC) with differential CPT 85025 CBC W/ PLATELET - AUTO DIFF WBC	$11.55	$28.88	$7.77–$21.37	83% below	60%
Complete blood count (CBC) with differential CPT 85025 CBC W PLATELET AUTO DIFF	$67.07	$167.68	$7.77–$29.32	1% below	60%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED W/ PLATELET	$9.66	$24.15	$6.47–$17.79	90% below	60%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED W- PLATLET	$21.70	$54.26	$6.47–$24.24	78% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL NICU	$43.50	$108.75	$10.56–$39.52	91% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$46.40	$115.99	$10.56–$39.52	90% below	60%
Cortisol blood test, total CPT 82533 CORTISOL SALIVA ARUP	$9.90	$24.75	$16.30	85% below	60%
Cortisol blood test, total CPT 82533 CORTISOL; TOTAL	$23.35	$58.38	$16.30–$44.83	64% below	60%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$99.76	$249.40	$16.30–$61.16	55% above	60%
Creatine kinase (CK) blood test, total CPT 82550 CPK;TOTAL	$9.66	$24.15	$6.51–$17.90	87% below	60%
Creatine kinase (CK) blood test, total CPT 82550 CK CPK TOTAL INITIAL	$69.94	$174.85	$6.51–$24.24	6% below	60%
Creatinine blood test CPT 82565 CREATININE;BLOOD	$7.34	$18.35	$5.12–$14.08	87% below	60%
Creatinine blood test CPT 82565 POC CREATININE WHOLE BLOOD	$8.52	$21.29	$5.12–$19.12	84% below	60%
Creatinine blood test CPT 82565 CREATININE-BLOOD	$31.68	$79.21	$5.12–$19.12	42% below	60%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEG RLAB	$6.55	$16.38	$14.39	77% below	60%
Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY CMV	$37.42	$93.56	$14.39–$53.52	34% above	60%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AVIDITY ARUP	$54.80	$137.00	$14.39–$53.52	96% above	60%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV-IGG-ACUTE AB	$92.70	$231.76	$14.39–$53.52	231% above	60%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE	$56.01	$140.02	$10.18–$38.24	72% below	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$31.85	$79.62	$22.23–$61.13	29% below	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S (DEHYDROEPIANDROSTERONE SULF	$111.78	$279.46	$22.23–$84.12	148% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL UMBILCAL CORD QUAL ARUP	$43.40	$108.50	$62.14	32% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TEMAZEPAM AND METABOLITE QUANT ARUP	$59.20	$148.00	$62.14	7% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 G HBUTYRIC URIN SCREN N REFLEX ARUP	$66.00	$165.00	$62.14	4% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 G HBUTYRIC SERU SCREN N REFLEX ARUP	$66.00	$165.00	$62.14	4% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE SCREEN URINE QUAL	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMP CHEM ANLYZR LCO	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN SERUM	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATES SERUM LEVEL	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAUMA TOX SCREEN MULTI CLASS	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM MULTI CLASS	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN ER ONLY	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OB DRUG SCREEN 4 PANEL URINE	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE 10 PANEL	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE SCREEN URINE QUAL	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE SCREEN URINE QUALITATIVE	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 METHAQUALONE SCREEN URINE QUAL	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE SCREEN URINE QUAL	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATE SCREEN QUALITATIVE	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID SCREEN URINE QUAL	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PHENCYCLIDINE SCREEN URINE QUAL	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PROPOXPHENE SCREEN QUALITATIVE	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES CONF SERUM MEDTOX	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN TLC URINE APERIAN	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINES CONF SERUM MEDTOX	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCRN 9 W-CONF MECON	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN UMB CORD	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CONFIRMATION SHH PRE-EM	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ECSTASY URINE	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR PER DOS	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MLT CLASS NATL ACCTS	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MLT NON DOT ALL PANELS	$78.00	$195.00	$62.14–$170.88	22% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MLT CLASS RAPID 5 PANEL	$78.00	$195.00	$62.14–$170.88	22% above	60%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANE	$10.63	$26.57	$7.01–$19.28	95% below	60%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL	$31.43	$78.57	$7.01–$26.76	86% below	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY;EPSTEIN-BARR VIRAL CAPSID	$36.50	$91.25	$18.14–$68.80	27% above	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY EBV VIRAL CAPSID IGG	$59.92	$149.80	$18.14–$68.80	108% above	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY EBV VIRAL CAPSID IGM	$59.92	$149.80	$18.14–$68.80	108% above	60%
Estradiol blood test CPT 82670 ESTRADIOL LEVEL	$40.03	$100.07	$27.94–$76.83	23% above	60%
Estradiol blood test CPT 82670 C - ESTRADIOL	$229.75	$574.38	$27.94–$104.48	608% above	60%
Estradiol blood test CPT 82670 ESTRADIOL	$236.06	$590.15	$27.94–$104.48	627% above	60%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$26.62	$66.55	$18.58–$51.09	58% below	60%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM-FSH	$194.08	$485.19	$18.58–$70.08	208% above	60%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN ARUP	$56.22	$140.56	$19.63–$73.92	53% below	60%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$151.22	$378.06	$13.63–$50.96	22% above	60%
Fibrinogen blood test CPT 85384 FIBRINOGEN;ACTIV	$15.71	$39.27	$9.72–$36.96	80% below	60%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$52.20	$130.49	$9.72–$36.96	34% below	60%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$21.06	$52.66	$14.70–$40.42	83% below	60%
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$104.71	$261.78	$14.70–$54.80	17% below	60%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE; TOTAL	$22.52	$56.31	$16.94–$46.59	64% below	60%
Free T3 thyroid hormone test CPT 84481 FREE T3	$49.75	$124.37	$16.94–$63.72	20% below	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4(FREE THYRONI	$18.48	$46.20	$9.02–$34.40	78% below	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 (THYROXINE)	$156.86	$392.14	$9.02–$34.40	87% above	60%
Free testosterone test CPT 84402 ASSAY TESTOSTERO	$38.64	$96.60	$25.47–$95.60	38% above	60%
Free testosterone test CPT 84402 C - ASSAY OF FREE TESTOST SERUM	$42.40	$106.00	$25.47–$95.60	52% above	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$10.31	$25.78	$7.20–$19.80	78% below	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASPARTATE AMINOTRANSFERASE FIBROMET	$16.69	$41.73	$7.20–$26.76	64% below	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 G GLUTAMYL TRANSFERASE-GT	$46.94	$117.36	$7.20–$26.76	1% above	60%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$95.02	$237.54	$47.28–$152.92	36% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE	$7.86	$19.64	$4.75–$17.84	89% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 2 HR POSTPRANDIAL GLUCOSE	$48.25	$120.63	$4.75–$17.84	32% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTATIONAL GLUCOSE SCREENING	$48.25	$120.63	$4.75–$17.84	32% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE CHALLENGE TEST	$48.25	$120.63	$4.75–$17.84	32% below	60%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE (GTT) 3 SPECIMENS	$18.44	$46.10	$12.87–$35.39	85% below	60%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE (3 SPECIMENS)	$50.52	$126.31	$12.87–$48.44	60% below	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHOEAE NEISSER AMP	$42.68	$106.71	$35.09–$96.50	3% above	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMPLIFIED PROBE	$80.64	$201.59	$35.09–$132.52	94% above	60%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYL	$20.79	$51.98	$16.85–$46.34	37% below	60%
H. pylori antibody blood test CPT 86677 H.PYLORI IGG ANTIBODY	$55.22	$138.06	$16.85–$63.72	67% above	60%
H. pylori stool antigen test CPT 87338 H. PYLORI STOOL ANTIGEN (EIA)	$102.82	$257.06	$14.38–$53.52	117% above	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD RNA QUANT	$100.95	$252.37	$85.10–$234.03	9% below	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV I RNA PCR QUANTITATIVE	$265.06	$662.66	$85.10–$319.84	140% above	60%
HIV-1 and HIV-2 antibody test CPT 86703 ANTIBODY HIV-1 - HIV-2 SNGL RESULT	$24.95	$62.37	$13.71–$50.96	50% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 - HIV-2 ANTIBODY SNGL RESULT	$76.45	$191.13	$24.08–$90.48	2% below	60%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA TISSUE TESTING NEO	$164.00	$410.00	$35.09–$132.52	351% above	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN; GLYCOSYLATED (A1C)	$13.90	$34.76	$9.71–$26.70	80% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED (A1C)	$207.28	$518.20	$9.71–$36.96	198% above	60%
Hemoglobin blood test CPT 85018 C-HEMOGLOBIN	$5.08	$12.71	$2.37–$8.92	91% below	60%
Hemoglobin blood test CPT 85018 BLOOD COUNT;HEMO	$5.54	$13.86	$2.37–$8.92	90% below	60%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$7.06	$17.66	$2.37–$8.92	87% below	60%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIB	$22.18	$55.44	$12.05–$45.88	38% below	60%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY	$77.61	$194.03	$12.05–$45.88	118% above	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$77.61	$194.03	$10.74–$40.80	76% above	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$14.80	$37.01	$10.33–$28.41	59% below	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIG	$32.22	$80.55	$10.33–$38.24	10% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTI	$20.44	$51.11	$14.27–$39.24	56% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$40.92	$102.30	$14.27–$53.52	12% below	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANT	$61.36	$153.41	$42.84–$117.81	46% below	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR RNA QUANTITATIVE	$333.45	$833.62	$42.84–$160.56	195% above	60%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 AB IGG CSF ARUP	$8.43	$21.08	$13.19	64% below	60%
Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY;HERPES	$34.65	$86.63	$13.19–$49.72	48% above	60%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES TYPE 1 ANTIBODIES	$58.56	$146.41	$13.19–$49.72	150% above	60%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 AB IGG CSF ARUP	$8.43	$21.08	$19.35	74% below	60%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES TYPE 2 ANTIBODIES	$58.56	$146.41	$19.35–$72.64	77% above	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY (HSCRP)	$18.54	$46.36	$12.95–$35.61	56% below	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY C REACTIVE PROTEIN	$68.59	$171.47	$12.95–$48.44	62% above	60%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTINE	$24.16	$60.41	$17.92–$49.28	55% below	60%
Homocysteine blood test CPT 83090 HOMOCYSTEINE QUANT	$69.04	$172.61	$17.92–$67.56	29% above	60%
Insulin blood test CPT 83525 INSULIN;TOTAL	$27.72	$69.30	$11.43–$43.36	10% above	60%
Insulin blood test CPT 83525 TOTAL INSULIN	$42.00	$104.99	$11.43–$43.36	66% above	60%
Iron blood test (serum iron) CPT 83540 IRON	$9.27	$23.18	$6.47–$17.79	83% below	60%
Iron blood test (serum iron) CPT 83540 IRON LIVER ARUP	$22.09	$55.22	$6.47–$24.24	60% below	60%
Iron blood test (serum iron) CPT 83540 IRON-SERUM	$63.79	$159.47	$6.47–$24.24	17% above	60%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$12.53	$31.32	$8.74–$24.04	86% below	60%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY ONLY	$63.79	$159.47	$8.74–$33.16	29% below	60%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$27.73	$69.33	$8.68–$33.16	93% below	60%
LH (luteinizing hormone) test CPT 83002 LH PEDIATRIC < 7 YRS OLD ARUP	$21.36	$53.40	$18.52–$50.93	66% below	60%
LH (luteinizing hormone) test CPT 83002 LH	$26.52	$66.31	$18.52–$50.93	58% below	60%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH)	$203.74	$509.36	$18.52–$70.08	223% above	60%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL VEIN	$19.26	$48.15	$11.57–$43.36	74% below	60%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL ART	$19.26	$48.15	$11.57–$43.36	74% below	60%
Lactate (lactic acid) blood test CPT 83605 LACTATE LACTIC A	$22.18	$55.44	$11.57–$43.36	70% below	60%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$58.14	$145.34	$11.57–$43.36	22% below	60%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID REPEAT	$58.14	$145.34	$11.57–$43.36	22% below	60%
Lactate (lactic acid) blood test CPT 83605 C-LACTIC ACID	$59.53	$148.82	$11.57–$43.36	20% below	60%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$24.82	$62.06	$6.04–$22.96	54% below	60%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$59.92	$149.80	$6.89–$25.52	3% above	60%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL NICU	$45.53	$113.82	$8.17–$30.60	80% below	60%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$48.68	$121.70	$8.17–$30.60	79% below	60%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI C6 PEP AB ARUP	$26.04	$65.10	$17.03–$63.72	4% above	60%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI AB (LYME DZ)	$48.97	$122.43	$17.03–$63.72	96% above	60%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI(LYME DISEASE)	$53.99	$134.98	$17.03–$63.72	116% above	60%
Magnesium blood test CPT 83735 MAGNESIUM RBC ARUP	$5.39	$13.48	$6.70	59% below	60%
Magnesium blood test CPT 83735 IONIZED MAGNESIUM	$12.37	$30.92	$6.70–$25.52	7% below	60%
Magnesium blood test CPT 83735 MAGNESIUM	$46.14	$115.36	$6.70–$25.52	248% above	60%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES BY EIA	$22.08	$55.19	$12.88–$48.44	16% below	60%
Measles (rubeola) antibody test CPT 86765 RUBEOLA	$31.42	$78.54	$12.88–$48.44	19% above	60%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTI	$9.70	$24.26	$5.18–$19.12	94% below	60%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$76.68	$191.69	$5.18–$19.12	55% below	60%
Mumps immunity blood test CPT 86735 ANTIBODY MUMPS	$25.20	$63.00	$13.05–$49.72	55% above	60%
Mumps immunity blood test CPT 86735 MUMPS IGG ANTIBODY	$80.64	$201.59	$13.05–$49.72	396% above	60%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$35.11	$87.78	$47.81	76% below	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$26.35	$65.87	$18.39–$50.57	16% below	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$65.67	$164.18	$18.39–$68.80	110% above	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA	$26.35	$65.87	$18.39–$50.57	53% below	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPEC ANTIGEN(PSA) TOTAL	$77.49	$193.72	$18.39–$68.80	38% above	60%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY PARATHORM	$34.86	$87.15	$41.28	65% below	60%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE	$59.13	$147.82	$41.28–$113.52	40% below	60%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$138.66	$346.64	$41.28–$155.44	41% above	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT;PLASMA OR WH	$12.48	$31.19	$6.01–$22.96	68% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$99.05	$247.62	$6.01–$22.96	158% above	60%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORG	$6.93	$17.33	$4.74–$13.04	89% below	60%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS-SERUM	$37.36	$93.40	$4.74–$17.84	39% below	60%
Potassium blood test CPT 84132 POTASSIUM; SERUM	$6.58	$16.46	$4.76–$13.09	90% below	60%
Potassium blood test CPT 84132 POTASSIUM ISTAT	$15.84	$39.59	$4.76–$17.84	76% below	60%
Potassium blood test CPT 84132 C-POTASSIUM SERUM	$18.02	$45.05	$4.76–$17.84	73% below	60%
Potassium blood test CPT 84132 POTASSIUM-SERUM	$20.72	$51.80	$4.76–$17.84	69% below	60%
Progesterone blood test CPT 84144 PROGESTERONE	$134.06	$335.15	$20.86–$79.00	185% above	60%
Prolactin blood test CPT 84146 PROLACTIN	$46.20	$115.50	$19.38–$72.64	29% below	60%
Prolactin blood test CPT 84146 .ROLACTIN	$219.06	$547.66	$19.38–$72.64	238% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$32.98	$82.45	$4.29–$16.56	9% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 C - PROTHROMBIN TIME	$163.92	$409.81	$4.29–$16.56	350% above	60%
Rapid flu test (influenza antigen) CPT 87804 FLU RAPID TEST	$17.18	$42.95	$16.55	86% below	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 QUICK STREP GROUP A ASSAY W/ OPTIC	$17.18	$42.95	$16.53	85% below	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID GROUP A STREP SCREE	$32.81	$82.02	$16.53–$62.44	71% below	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN	$71.60	$179.00	$16.53–$62.44	37% below	60%
Rh blood typing CPT 86901 WEAK D TYPING	$14.80	$37.00	$2.99–$11.48	65% below	60%
Rh blood typing CPT 86901 BLOOD TYPING; RH(D)	$18.40	$46.01	$2.99–$11.48	56% below	60%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTO	$11.55	$28.88	$5.67–$21.68	53% below	60%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR-QUANT.	$115.08	$287.70	$5.67–$21.68	372% above	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$20.62	$51.56	$14.39–$39.57	9% above	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA-ACUTE	$160.00	$400.01	$14.39–$53.52	749% above	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE ERYTHRO	$8.78	$21.95	$2.70–$10.20	92% below	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE WESTERGREN AUTOMATED	$10.14	$25.36	$2.70–$10.20	91% below	60%
Sodium blood test CPT 84295 SODIUM;SERUM	$6.93	$17.33	$4.81–$13.23	90% below	60%
Sodium blood test CPT 84295 SODIUM ISTAT	$15.84	$39.59	$4.81–$17.84	76% below	60%
Sodium blood test CPT 84295 C-GLUCOSE BLOOD	$18.16	$45.39	$4.81–$17.84	73% below	60%
Sodium blood test CPT 84295 C-SODIUM SERUM	$18.16	$45.39	$4.81–$17.84	73% below	60%
Sodium blood test CPT 84295 SODIUM-SERUM	$24.40	$60.99	$4.81–$17.84	64% below	60%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE	$18.02	$45.05	$8.90–$33.16	57% below	60%
Stool ova and parasites exam CPT 87177 OVA CYSTS PARASITES	$30.75	$76.87	$8.90–$33.16	26% below	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCULT 1-3 QUALITATIVE SCREEN	$6.93	$17.33	$4.38–$16.56	87% below	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SCREENING	$35.21	$88.02	$4.38–$16.56	34% below	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT 1-3 SIMULT	$12.60	$31.50	$15.92	75% below	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT EIA 1-3 STOOLS	$56.07	$140.17	$15.92–$59.92	12% above	60%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY TREPONEMA PALLIDUM	$43.66	$109.14	$13.24–$49.72	199% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL (SYPH)	$7.86	$19.64	$4.27–$16.56	60% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUALITATIVE	$34.32	$85.80	$4.27–$16.56	73% above	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS	$103.19	$257.98	$61.98–$233.20	68% above	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE;TOT	$73.92	$184.80	$25.81–$96.84	146% above	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE	$76.18	$190.46	$25.81–$96.84	154% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 URTICARIA ACTIVITY WTHYROAB 3 ARUP	$11.64	$29.10	$14.55	14% below	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB IGG	$24.22	$60.56	$14.55–$54.80	78% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIB	$26.46	$66.15	$14.55–$54.80	95% above	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 URTICARIA ACTIVITY WTHYROAB 2 ARUP	$11.64	$29.10	$16.80	91% below	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH)	$25.41	$63.53	$16.80–$46.20	80% below	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE-TSH	$131.88	$329.70	$16.80–$63.72	6% above	60%
Total IgE blood test CPT 82785 IMMUGLOBULIN IGE	$23.60	$58.99	$16.46–$45.27	at median	60%
Total IgE blood test CPT 82785 IGE	$88.70	$221.75	$16.46–$62.44	275% above	60%
Total cholesterol blood test CPT 82465 CHOLESTEROL SERU	$6.23	$15.57	$4.35–$11.96	78% below	60%
Total cholesterol blood test CPT 82465 CHOLESTEROL-SERUM TOTAL	$40.78	$101.96	$4.35–$16.56	41% above	60%
Total thyroxine (T4) blood test CPT 84436 T-4 TOTAL	$10.63	$26.57	$6.87–$25.52	88% below	60%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$83.60	$209.01	$6.87–$25.52	8% below	60%
Total triiodothyronine (T3) blood test CPT 84480 T3 RIA	$39.27	$98.18	$14.18–$53.52	49% below	60%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL (TT3)	$149.51	$373.77	$14.18–$53.52	92% above	60%
Transferrin blood test CPT 84466 ASSAY TRANSFERRI	$30.96	$77.39	$12.76–$48.44	60% below	60%
Transferrin blood test CPT 84466 TRANSFERRIN	$46.22	$115.54	$12.76–$48.44	40% below	60%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF PROBE	$98.44	$246.10	$35.09–$132.52	101% above	60%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$8.23	$20.58	$5.74–$15.79	74% below	60%
Triglycerides blood test CPT 84478 VAP TRIGLYCERIDESL ARUP	$11.00	$27.50	$5.74–$21.68	65% below	60%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$36.08	$90.19	$5.74–$21.68	14% above	60%
Troponin test, quantitative CPT 84484 TROPONIN I QUANTITATIVE	$36.04	$90.09	$12.47–$47.16	76% below	60%
Troponin test, quantitative CPT 84484 TROPONIN I QUANTITATIVE SUBSEQUENT	$89.65	$224.12	$12.47–$47.16	40% below	60%
Troponin test, quantitative CPT 84484 TROPONIN I QUANTITATIVE INITIAL	$89.65	$224.12	$12.47–$47.16	40% below	60%
Uric acid blood test CPT 84550 URIC ACID	$7.86	$19.64	$4.52–$16.56	91% below	60%
Uric acid blood test CPT 84550 URIC ACID-SERUM	$40.08	$100.21	$4.52–$16.56	52% below	60%
Urinalysis with microscope exam, automated CPT 81001 URINE DIPSTICK/TAB; AUTO W/ MICRO	$4.54	$11.34	$3.17–$8.72	97% below	60%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTOMATED MAC MIC	$18.53	$46.33	$3.17–$11.48	89% below	60%
Urinalysis with microscope exam, automated CPT 81001 UA AUTOMATED W-MICRO	$59.48	$148.70	$3.17–$11.48	64% below	60%
Urinalysis with microscope exam, manual CPT 81000 URINE DIPSTIC/TAB NON-AUTO W/ MICRO	$4.54	$11.34	$4.02–$11.05	89% below	60%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICR DIPSTK/TAB	$3.21	$8.03	$2.25–$6.19	96% below	60%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY-URINE	$11.93	$29.83	$2.25–$8.92	86% below	60%
Urinalysis without microscope exam, automated CPT 81003 OCCULT BLOOD-URINE	$24.85	$62.13	$2.25–$8.92	70% below	60%
Urinalysis without microscope exam, automated CPT 81003 PH URINE	$36.09	$90.22	$2.25–$8.92	57% below	60%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK ONLY	$45.98	$114.94	$2.25–$8.92	45% below	60%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTIC/TAB NON-AUTO NO MICRO	$3.67	$9.17	$3.48	82% below	60%
Urinalysis without microscope exam, manual CPT 81002 REDUCING SUBSTANCES - URINE	$13.52	$33.81	$3.48–$12.76	33% below	60%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE	$14.78	$36.96	$8.07–$30.60	91% below	60%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COLONY COUNT	$60.17	$150.43	$8.07–$30.60	65% below	60%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN MICRO URINE QUANTITATIVE	$11.55	$28.88	$5.78–$21.68	59% below	60%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN-QUANTITATIVE	$21.47	$53.67	$5.78–$21.68	24% below	60%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST VISUAL COMPAR	$9.06	$22.66	$8.61	93% below	60%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$22.18	$55.44	$15.08–$41.47	82% below	60%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12	$116.82	$292.04	$15.08–$57.36	5% below	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D2-D3 ESO	$49.33	$123.32	$29.60–$110.88	7% above	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY INCLU FRAC(S)	$52.21	$130.52	$29.60–$110.88	14% above	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25 HYDROXY	$72.11	$180.28	$29.60–$110.88	57% above	60%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25	$31.92	$79.80	$38.50	17% below	60%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 1 25 DIHYDROXYVITAMIN D ESO	$71.22	$178.05	$38.50–$145.28	85% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC(HCG) QUANT	$33.73	$84.32	$15.05–$56.08	43% below	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANT BETA HCG	$159.56	$398.91	$15.05–$56.08	170% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 C - AFP PLUS HCG	$809.14	$2,022.84	$15.05–$56.08	1271% above	60%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF UP TO 1HR SINGLE/INITI	$244.00	$610.00	$299.72	75% below	60%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1HR SNGL/INIITIAL	$244.00	$610.00	$299.72	75% below	60%
Critical care, first 30 to 74 minutes CPT 99291 E/R VISIT-CRITICAL CARE	$2,854.00	$7,135.00	$1,838.00–$6,560.00	41% below	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/R VISIT-MINOR SERVICE	$284.40	$711.00	$303.00–$601.00	43% below	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/R LEVEL 1 WITH PROCEDURE	$284.40	$711.00	$303.00–$601.00	43% below	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor one side CPT 99281 ED LEFT AMA	$284.40	$711.00	$303.00–$601.00	43% below	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/R LEVEL 2 WITH PROCEDURE	$407.60	$1,019.00	$501.00–$839.00	55% below	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/R VISIT-LOW SEVERITY	$407.60	$1,019.00	$501.00–$839.00	55% below	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/R LEVEL 3 WITH PROCEDURE	$752.00	$1,880.00	$537.00–$1,820.00	54% below	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/R VISIT-MODERATE SEVERITY	$752.00	$1,880.00	$537.00–$1,820.00	54% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/R LEVEL 4 WITH PROCEDURE	$1,386.00	$3,465.00	$1,223.00–$3,318.00	44% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/R VISIT-HIGH SEVERITY	$1,386.00	$3,465.00	$1,223.00–$3,318.00	44% below	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/R LEVEL 5 WITH PROCEDURE	$1,778.00	$4,445.00	$1,404.00–$4,088.00	48% below	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/R VISIT-LIFE THREATENING	$1,778.00	$4,445.00	$1,404.00–$4,088.00	48% below	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 GXT W/W/OUT RADIOPHARMACEUTICAL	$1,453.20	$3,633.00	$1,678.00	3% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INITIAL 31 MIN - 1 HR	$459.20	$1,148.00	$347.64	18% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL 31 MIN TO 1 HR	$505.20	$1,263.00	$347.64	10% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 OT-NEUROMUSCULAR REEDUCATION EA 15	$77.20	$193.00	$148.00	48% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 OT-NEUROMUSCLAR REEDUCATION EA 15	$77.20	$193.00	$148.00	48% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 PT-NEUROMUSCULAR REEDUCATION EA 15	$77.20	$193.00	$148.00	48% below	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT-NEUROMUSCULAR REEDUCATION EA 15	$77.20	$193.00	$148.00	—	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT-NEUROMUSCLAR REEDUCATION EA 15	$77.20	$193.00	$148.00	—	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT-NEUROMUSCULAR REEDUCATION EA 15	$77.20	$193.00	$148.00	—	60%
Occupational therapy evaluation, low complexity CPT 97165 OCCUP THERAPY EVAL LOW COMPLEX	$152.00	$380.00	$148.00–$209.00	68% below	60%
Occupational therapy evaluation, low complexity CPT 97165 OCCUPATIONAL THERAPY EVAL LOW COMP	$152.00	$380.00	$148.00–$209.00	68% below	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUP THERAPY EVAL LOW COMPLEX	$152.00	$380.00	$148.00–$209.00	—	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUPATIONAL THERAPY EVAL LOW COMP	$152.00	$380.00	$148.00–$209.00	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVAL HIGH COMP	$196.00	$490.00	$148.00–$269.50	63% below	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVAL HIGH COMPLEX	$196.00	$490.00	$148.00–$269.50	63% below	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVAL HIGH COMP	$196.00	$490.00	$148.00–$269.50	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVAL HIGH COMPLEX	$196.00	$490.00	$148.00–$269.50	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL LOW COMP	$196.00	$490.00	$148.00–$269.50	56% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEX	$196.00	$490.00	$148.00–$269.50	56% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVAL LOW COMP	$196.00	$490.00	$148.00–$269.50	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEX	$196.00	$490.00	$148.00–$269.50	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVAL MOD COMP	$196.00	$490.00	$148.00–$269.50	56% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEX	$196.00	$490.00	$148.00–$269.50	56% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVAL MOD COMP	$196.00	$490.00	$148.00–$269.50	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEX	$196.00	$490.00	$148.00–$269.50	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-JOINT MOBILIZATION	$72.00	$180.00	$99.00–$148.00	44% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT-JOINT MOBILIZATION EA 15MIN	$72.00	$180.00	$99.00–$148.00	44% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-MANUAL THERAPY EA 15 MIN	$72.00	$180.00	$99.00–$148.00	44% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT-MANUAL THERAPY EA 15 MIN	$72.00	$180.00	$99.00–$148.00	44% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT-JOINT MOBILIZATION	$72.00	$180.00	$99.00–$148.00	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT-MANUAL THERAPY EA 15 MIN	$72.00	$180.00	$99.00–$148.00	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT-JOINT MOBILIZATION EA 15MIN	$72.00	$180.00	$99.00–$148.00	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT-MANUAL THERAPY EA 15 MIN	$72.00	$180.00	$99.00–$148.00	—	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAPEUTIC EXERCISE EA 15 MIN	$75.60	$189.00	$148.00	48% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA-THERAPEUTIC EXERCISE EA 15 MIN	$75.60	$189.00	$148.00	48% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 COTA-THERAPEUTIC EXERCISE EA 15 MIN	$75.60	$189.00	$148.00	48% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-THERAPEUTIC EXERCISE EA 15 MIN	$75.60	$189.00	$148.00	48% below	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA-THERAPEUTIC EXERCISE EA 15 MIN	$75.60	$189.00	$148.00	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT-THERAPEUTIC EXERCISE EA 15 MIN	$75.60	$189.00	$148.00	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT-THERAPEUTIC EXERCISE EA 15 MIN	$75.60	$189.00	$148.00	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 COTA-THERAPEUTIC EXERCISE EA 15 MIN	$75.60	$189.00	$148.00	—	60%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFC CONSULT MOD	$182.40	$456.00	$80.00	300% above	60%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHENSION	$240.00	$600.00	$148.00	59% below	60%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHENSION	$240.00	$600.00	$148.00	—	60%
Speech therapy session, individual CPT 92507 ST SPEECH THERAPY	$100.80	$252.00	$148.00	72% below	60%
Speech therapy session, individual CPT 92507 SPEECH THERAPY LANG/VOICE/COM/AUDIT	$100.80	$252.00	$148.00	72% below	60%
Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY LANG/VOICE/COM/AUDIT	$100.80	$252.00	$148.00	—	60%
Speech therapy session, individual inpatient CPT 92507 ST SPEECH THERAPY	$100.80	$252.00	$148.00	—	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 COTA-THERAPEUTIC ACTIVIT EA 15 MIN	$79.20	$198.00	$108.90–$148.00	47% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 PTA-THERAPEUTIC ACTIVITIE EA 15 MIN	$79.20	$198.00	$108.90–$148.00	47% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT-THERAPEUTIC ACTIVITIES EA 15 MIN	$79.20	$198.00	$108.90–$148.00	47% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT-THERAPEUTIC ACTIVITIES EA 15 MIN	$79.20	$198.00	$108.90–$148.00	47% below	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA-THERAPEUTIC ACTIVITIE EA 15 MIN	$79.20	$198.00	$108.90–$148.00	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT-THERAPEUTIC ACTIVITIES EA 15 MIN	$79.20	$198.00	$108.90–$148.00	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT-THERAPEUTIC ACTIVITIES EA 15 MIN	$79.20	$198.00	$108.90–$148.00	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 COTA-THERAPEUTIC ACTIVIT EA 15 MIN	$79.20	$198.00	$108.90–$148.00	—	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50MCG/.5ML +12YR MDRNA	$179.92	$449.80	$238.23–$266.72	20% below	60%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCOV2 VAC 30MCG T-S -12YR PFZR	$173.64	$434.10	$229.74–$257.24	28% below	60%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE IM &LT;7 YEARS AGE	$19.87	$49.67	$48.39	80% below	60%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX 0.5ML DTAP VACC AGE < 7YRS	$43.62	$109.04	$48.39–$58.91	56% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE PF TRIVALENT 0.5ML 2024-25	$24.56	$61.40	$33.15–$36.88	67% below	60%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACC 20MCG/0.5ML	$174.18	$435.45	$248.03–$292.97	49% below	60%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VACCINE 3 DOSE PEDS/ADOL IM	$21.34	$53.34	$46.89–$52.26	79% below	60%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B VACC (ACTHIB) 0.5ML INJ	$63.88	$159.70	$20.25–$26.05	2% above	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR INJ .5CC	$76.20	$190.49	$155.39–$187.75	60% below	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENOMUNE IM INJ 0.5ML	$186.16	$465.41	$264.35–$306.16	67% below	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE 0.5ML VL	$231.24	$578.10	$264.35–$306.16	59% below	60%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR-13 INJ IM SYRINGE	$281.60	$704.01	$380.40–$425.68	52% below	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL VAC IM 20VAL 0.5ML	$359.73	$899.33	$439.43–$516.29	62% below	60%
Polio vaccine, inactivated (IPV) CPT 90713 IPOL 0.5ML INJ	$85.88	$214.71	$75.15–$88.32	13% below	60%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 BEYFORTUS 100MG/1ML SYRINGE	$924.26	$2,310.66	$873.18–$1,101.14	28% below	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50MG/0.5ML	$715.19	$1,787.97	$873.18	55% below	60%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IMOVAX INJ	$373.78	$934.45	$524.16–$695.37	68% below	60%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM 2.5U/ML	$428.31	$1,070.77	$524.16–$695.37	64% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC INJ 0.5ML	$65.64	$164.10	$56.03–$67.73	55% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE IM 7 YEARS OR OLDER	$29.57	$73.92	$64.47	86% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX PF(TDAP)IM AGE 7+YRS 0.5ML	$55.08	$137.70	$64.47–$79.62	73% below	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://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/fl-csv/300577249_sacred-heart-health-system-inc_standardcharges.csv