Hospital Pensacola-Ferry Pass-Brent, FL

Baptist Health Care

Baptist Health Care in Pensacola, FL publishes cash prices for 274 common procedures listed here, from its own machine-readable price file updated Dec 23, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 251 of 253 procedures and above it for 2. By typical cash price it ranks #5 of 151 Florida hospitals and #2 of 6 hospitals in the Pensacola, FL area, cheapest first. Click a procedure to compare it with other hospitals nearby.

123 Baptist Way, Pensacola, FL 32503 Collected Sep 27, 2026 Source price file (850) 434-4011

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 100093 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPLETE => 3 VIEWS UNILATERAL	$129.15	$861.00	$129.15–$861.00	78% below	85%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XRAY ANKLE COMPLETE => 3 VIEWS BILATERAL	$193.80	$1,292.00	$146.00–$1,292.00	—	85%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE COMPLETE => 3 VIEWS UNILATERAL	$129.15	$861.00	$129.15–$861.00	—	85%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXT ART STDY BIL LTD =<2 LVLS	$255.90	$1,706.00	$69.97–$611.00	72% below	85%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 EXTREMITY ARTERY UPPER/LOWER BILAT LIMITED =< 2	$255.90	$1,706.00	$192.78–$1,706.00	—	85%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXT ART STDY UNIL LTD =<2 LVLS	$255.90	$1,706.00	$192.78–$1,706.00	—	85%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXT ART STDY BIL LTD =<2 LVLS	$255.90	$1,706.00	$255.90–$1,706.00	—	85%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CONTRAST XRAY ESOPHAGUS	$451.20	$3,008.00	$35.69–$516.00	55% below	85%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CONTRAST XRAY ESOPHAGUS	$451.20	$3,008.00	$451.20–$3,008.00	—	85%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$1,151.25	$7,675.00	$1,151.25–$7,675.00	61% below	85%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY	$1,151.25	$7,675.00	$1,151.25–$7,675.00	—	85%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE	$264.90	$1,766.00	$264.90–$1,766.00	54% below	85%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST BILATERAL COMPLETE	$397.35	$2,649.00	$299.34–$2,649.00	—	85%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE	$264.90	$1,766.00	$264.90–$1,766.00	—	85%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED	$249.45	$1,663.00	$249.45–$1,663.00	46% below	85%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST BILATERAL LIMITED	$374.25	$2,495.00	$281.94–$2,495.00	—	85%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED	$249.45	$1,663.00	$249.45–$1,663.00	—	85%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO CONTRAST	$1,425.00	$9,500.00	$178.69–$1,684.00	70% below	85%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/WO CONTRAST	$1,425.00	$9,500.00	$1,425.00–$9,500.00	—	85%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$1,650.00	$11,000.00	$253.62–$1,684.00	18% below	85%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE	$1,650.00	$11,000.00	$1,650.00–$11,000.00	—	85%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM	$38.85	$259.00	$38.85–$259.00	92% below	85%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM	$38.85	$259.00	$29.27–$259.00	—	85%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST	$1,800.00	$12,000.00	$205.85–$1,684.00	73% below	85%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST	$1,800.00	$12,000.00	$1,800.00–$12,000.00	—	85%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS WITH CONTRAST	$2,100.00	$14,000.00	$205.85–$1,684.00	72% below	85%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS WITH CONTRAST	$2,100.00	$14,000.00	$2,100.00–$14,000.00	—	85%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST	$2,400.00	$16,000.00	$205.85–$1,684.00	71% below	85%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST	$2,400.00	$16,000.00	$2,400.00–$16,000.00	—	85%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN CT WITH CONTRAST	$915.00	$6,100.00	$915.00–$6,100.00	80% below	85%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN CT WITH CONTRAST	$915.00	$6,100.00	$915.00–$6,100.00	—	85%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN CT W/O CONTRAST	$870.00	$5,800.00	$68.33–$1,684.00	79% below	85%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN CT W/O CONTRAST	$870.00	$5,800.00	$870.00–$5,800.00	—	85%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$903.75	$6,025.00	$903.75–$6,025.00	71% below	85%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$903.75	$6,025.00	$903.75–$6,025.00	—	85%
CT scan of the head or brain, no contrast dye CPT 70450 BRAIN CT W/O CONTRAST	$696.00	$4,640.00	$106.74–$1,684.00	79% below	85%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST	$696.00	$4,640.00	$696.00–$4,640.00	79% below	85%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST	$696.00	$4,640.00	$696.00–$4,640.00	—	85%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 BRAIN CT W/O CONTRAST	$696.00	$4,640.00	$696.00–$4,640.00	—	85%
CT scan of the head with contrast CPT 70460 BRAIN CT W/CONTRAST	$915.00	$6,100.00	$915.00–$6,100.00	76% below	85%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN WITH CONTRAST	$915.00	$6,100.00	$915.00–$6,100.00	76% below	85%
CT scan of the head with contrast inpatient CPT 70460 BRAIN CT W/CONTRAST	$915.00	$6,100.00	$915.00–$6,100.00	—	85%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN WITH CONTRAST	$915.00	$6,100.00	$915.00–$6,100.00	—	85%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/WO CONTRAST	$960.00	$6,400.00	$178.69–$1,684.00	78% below	85%
CT scan of the head without and with contrast CPT 70470 BRAIN CT W/WO CONTRAST	$960.00	$6,400.00	$178.69–$1,684.00	78% below	85%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/WO CONTRAST	$960.00	$6,400.00	$960.00–$6,400.00	—	85%
CT scan of the head without and with contrast inpatient CPT 70470 BRAIN CT W/WO CONTRAST	$960.00	$6,400.00	$960.00–$6,400.00	—	85%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$1,200.00	$8,000.00	$1,200.00–$8,000.00	67% below	85%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$1,200.00	$8,000.00	$1,200.00–$8,000.00	—	85%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$1,200.00	$8,000.00	$1,200.00–$8,000.00	69% below	85%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$1,200.00	$8,000.00	$1,200.00–$8,000.00	—	85%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIC WITH CONTRAST	$915.00	$6,100.00	$915.00–$6,100.00	78% below	85%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIC WITH CONTRAST	$915.00	$6,100.00	$915.00–$6,100.00	—	85%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUP SCAN CAROTID ART CMP BILAT	$396.60	$2,644.00	$106.00–$611.00	—	85%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUP SCAN CAROTID ART CMP BILAT	$396.60	$2,644.00	$396.60–$2,644.00	—	85%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID ULTRASOUND BILATERAL	$396.60	$2,644.00	$298.77–$2,644.00	—	85%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX EXTRACRANIAL ARTERIES BILATERAL	$396.60	$2,644.00	$298.77–$2,644.00	—	85%
Chest X-ray, 2 views CPT 71046 XRAY CHEST 2 VIEWS	$177.75	$1,185.00	$177.75–$1,185.00	65% below	85%
Chest X-ray, 2 views inpatient CPT 71046 XRAY CHEST 2 VIEWS	$177.75	$1,185.00	$133.91–$1,185.00	—	85%
Chest X-ray, single view CPT 71045 XRAY CHEST SINGLE VIEW	$109.65	$731.00	$35.69–$406.00	76% below	85%
Chest X-ray, single view inpatient CPT 71045 XRAY CHEST SINGLE VIEW	$109.65	$731.00	$109.65–$731.00	—	85%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$335.55	$2,237.00	$106.00–$611.00	74% below	85%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE	$335.55	$2,237.00	$335.55–$2,237.00	—	85%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXASCAN 1/MORE CENTRAL SITES	$90.45	$603.00	$48.44–$516.00	87% below	85%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXASCAN 1/MORE CENTRAL SITES	$90.45	$603.00	$90.45–$603.00	—	85%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXASCAN => 1 CENTRAL SITES	$90.45	$603.00	$68.14–$603.00	—	85%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB DETAILED SINGLE FETUS	$160.50	$1,070.00	$120.91–$1,070.00	—	85%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 THORAX CT W/O CONTRAST	$825.00	$5,500.00	$825.00–$5,500.00	78% below	85%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST	$825.00	$5,500.00	$825.00–$5,500.00	78% below	85%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST	$825.00	$5,500.00	$825.00–$5,500.00	—	85%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 THORAX CT W/O CONTRAST	$825.00	$5,500.00	$825.00–$5,500.00	—	85%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX WITH CONTRAST	$855.00	$5,700.00	$855.00–$5,700.00	81% below	85%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 THORAX CT W/CONTRAST	$855.00	$5,700.00	$855.00–$5,700.00	81% below	85%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 THORAX CT W/CONTRAST	$855.00	$5,700.00	$855.00–$5,700.00	—	85%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX WITH CONTRAST	$855.00	$5,700.00	$855.00–$5,700.00	—	85%
Diagnostic mammogram, both breasts CPT 77066 MAMMO DIAG DIGITAL W/CAD BIL	$159.60	$1,064.00	$30.07–$406.00	61% below	85%
Diagnostic mammogram, both breasts CPT 77066 MAMMO DIAG DIGITAL BIL RECALL	$159.60	$1,064.00	$30.07–$406.00	61% below	85%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAGNOSTIC DIGITAL W/CAD BILATERAL	$159.60	$1,064.00	$120.23–$1,064.00	—	85%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAGNOSTIC DIGITAL BILATERAL RECALL	$159.60	$1,064.00	$120.23–$1,064.00	—	85%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMO DIAG DIGITAL W/CAD BIL	$159.60	$1,064.00	$159.60–$1,064.00	—	85%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMO DIAG DIGITAL BIL RECALL	$159.60	$1,064.00	$159.60–$1,064.00	—	85%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG DIGITAL UNI RECALL	$103.50	$690.00	$30.07–$406.00	76% below	85%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG DIGITAL W/CAD UNI	$103.50	$690.00	$30.07–$406.00	76% below	85%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIAG DIGITAL W/CAD UNI	$103.50	$690.00	$103.50–$690.00	—	85%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIAG DIGITAL UNI RECALL	$103.50	$690.00	$103.50–$690.00	—	85%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC DIGITAL W/CAD UNILATERAL	$103.50	$690.00	$77.97–$690.00	—	85%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC DIGITAL UNILATERAL RECALL	$103.50	$690.00	$77.97–$690.00	—	85%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LOWER EXTREMITY ART/GRAFTS COMPLETE BILAT	$329.25	$2,195.00	$106.00–$611.00	—	85%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP SCAN LOW EXT ART CMPT BIL	$329.25	$2,195.00	$106.00–$611.00	86% below	85%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LOWER EXTREMITY ART/GRAFTS COMPLETE BILAT	$329.25	$2,195.00	$329.25–$2,195.00	—	85%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUP SCAN LOW EXT ART CMPT BIL	$329.25	$2,195.00	$329.25–$2,195.00	—	85%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXTREMITY VEINS COMPLETE BILATERAL	$351.45	$2,343.00	$351.45–$2,343.00	—	85%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUP SCAN EXT VEIN CMPT BILAT	$351.45	$2,343.00	$106.00–$611.00	—	85%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS ULTRASOUND BILATERAL	$351.45	$2,343.00	$351.45–$2,343.00	—	85%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX EXTREMITY VEINS COMPLETE BILATERAL	$351.45	$2,343.00	$351.45–$2,343.00	—	85%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS ULTRASOUND BILATERAL	$351.45	$2,343.00	$351.45–$2,343.00	—	85%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUP SCAN EXT VEIN CMPT BILAT	$351.45	$2,343.00	$351.45–$2,343.00	—	85%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D W/DOPPLER COLOR FLOW	$1,200.00	$8,000.00	$301.28–$1,939.00	67% below	85%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D W/DOPPLER COLOR FLOW	$1,200.00	$8,000.00	$1,200.00–$8,000.00	—	85%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$780.15	$5,201.00	$236.93–$605.02	63% below	85%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$780.15	$5,201.00	$780.15–$5,201.00	—	85%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLP STUDY UNATTENDED	$191.25	$1,275.00	$191.25–$1,275.00	65% below	85%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLP STUDY UNATTENDED	$191.25	$1,275.00	$191.25–$1,275.00	—	85%
Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS UNILATERAL	$134.25	$895.00	$35.69–$516.00	73% below	85%
Knee X-ray, 3 views inpatient both sides CPT 73562 XRAY KNEE 3 VIEWS BILATERAL	$201.45	$1,343.00	$151.76–$1,343.00	—	85%
Knee X-ray, 3 views inpatient one side CPT 73562 XRAY KNEE 3 VIEWS UNILATERAL	$134.25	$895.00	$134.25–$895.00	—	85%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED	$470.40	$3,136.00	$69.97–$611.00	65% below	85%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMINAL LTD APPENDIX ONLY	$470.40	$3,136.00	$470.40–$3,136.00	65% below	85%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED	$470.40	$3,136.00	$470.40–$3,136.00	—	85%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMINAL LTD APPENDIX ONLY	$470.40	$3,136.00	$470.40–$3,136.00	—	85%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LTD APPENDIX ONLY	$470.40	$3,136.00	$354.37–$3,136.00	—	85%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW-DOSE CT FOR LUNG CANCER SCREENING	$188.40	$1,256.00	$188.40–$1,256.00	79% below	85%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOW-DOSE CT FOR LUNG CANCER SCREENING	$188.40	$1,256.00	$188.40–$1,256.00	—	85%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT LOWER EXTREM W/O CON	$795.60	$5,304.00	$153.86–$2,164.00	61% below	85%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LOW EXT JOINT BILAT W/O	$1,193.40	$7,956.00	$899.03–$7,956.00	—	85%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MODIFIED MRI LOWEXT JOINT W/O	$795.60	$5,304.00	$599.35–$5,304.00	—	85%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JOINT LOWER EXTREM W/O CON	$795.60	$5,304.00	$795.60–$5,304.00	—	85%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LOW EXTREM W/WO CONT	$918.00	$6,120.00	$918.00–$6,120.00	72% below	85%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI LOW EXT JT W/WO BILAT	$1,377.00	$9,180.00	$1,037.34–$9,180.00	—	85%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JOINT LOW EXTREM W/WO CONT	$918.00	$6,120.00	$918.00–$6,120.00	—	85%
MRI of the abdomen without contrast CPT 74181 MRCP	$649.65	$4,331.00	$153.86–$2,164.00	82% below	85%
MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CONTRAST	$649.65	$4,331.00	$153.86–$2,164.00	82% below	85%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD W/O CONTRAST	$649.65	$4,331.00	$649.65–$4,331.00	—	85%
MRI of the abdomen without contrast inpatient CPT 74181 MRCP	$649.65	$4,331.00	$649.65–$4,331.00	—	85%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO CONT	$780.30	$5,202.00	$780.30–$5,202.00	85% below	85%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/WO CONT	$780.30	$5,202.00	$780.30–$5,202.00	—	85%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/BRAIN STEM WO CON	$716.10	$4,774.00	$153.86–$2,164.00	81% below	85%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN/BRAIN STEM WO CON	$716.10	$4,774.00	$716.10–$4,774.00	—	85%
MRI of the brain, no contrast dye inpatient CPT 70551 MODIFIED MRI BRAIN	$716.10	$4,774.00	$539.46–$4,774.00	—	85%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$860.70	$5,738.00	$860.70–$5,738.00	84% below	85%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST	$860.70	$5,738.00	$860.70–$5,738.00	—	85%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WITHOUT CONTRAST	$918.00	$6,120.00	$153.86–$2,164.00	76% below	85%
MRI of the lower back, no contrast dye inpatient CPT 72148 MODIFIED MRI LUMBAR SPINE	$918.00	$6,120.00	$691.56–$6,120.00	—	85%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WITHOUT CONTRAST	$918.00	$6,120.00	$918.00–$6,120.00	—	85%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W/WO CONTRAST	$1,224.00	$8,160.00	$1,224.00–$8,160.00	81% below	85%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W/WO CONTRAST	$1,224.00	$8,160.00	$1,224.00–$8,160.00	—	85%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC WITHOUT CONTRAST	$918.00	$6,120.00	$153.86–$2,164.00	77% below	85%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC WITHOUT CONTRAST	$918.00	$6,120.00	$918.00–$6,120.00	—	85%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MODIFIED MRI THORACIC SPINE	$918.00	$6,120.00	$691.56–$6,120.00	—	85%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/WO CONTRAST	$1,224.00	$8,160.00	$1,224.00–$8,160.00	78% below	85%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W/WO CONTRAST	$1,224.00	$8,160.00	$1,224.00–$8,160.00	—	85%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL WITHOUT CONTRAST	$918.00	$6,120.00	$153.86–$2,164.00	76% below	85%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MODIFIED MRI CERVICAL SPINE	$918.00	$6,120.00	$691.56–$6,120.00	—	85%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL WITHOUT CONTRAST	$918.00	$6,120.00	$918.00–$6,120.00	—	85%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONT	$1,071.00	$7,140.00	$258.73–$2,164.00	78% below	85%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONT	$1,071.00	$7,140.00	$1,071.00–$7,140.00	—	85%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT	$975.45	$6,503.00	$153.86–$2,164.00	71% below	85%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONT	$975.45	$6,503.00	$975.45–$6,503.00	—	85%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPPER EXT W/O CONT	$1,086.30	$7,242.00	$153.86–$2,164.00	51% below	85%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI JOINT UPPER EXT W/O CONT	$1,086.30	$7,242.00	$1,086.30–$7,242.00	—	85%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXTREM JOINT BIL W/O	$1,629.45	$10,863.00	$1,227.52–$10,863.00	—	85%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$2,887.50	$19,250.00	$2,887.50–$19,250.00	56% below	85%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT	$2,887.50	$19,250.00	$2,887.50–$19,250.00	—	85%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL TO MID THIGH	$2,520.00	$16,800.00	$1,898.40–$16,800.00	—	85%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NONOBS LIMITED/FU	$171.30	$1,142.00	$69.97–$611.00	82% below	85%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NONOBSTETRICAL LIMITED/FOLLOWUP	$171.30	$1,142.00	$171.30–$1,142.00	82% below	85%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NONOBS LIMITED/FU	$171.30	$1,142.00	$171.30–$1,142.00	—	85%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NONOBSTETRICAL LIMITED/FOLLOWUP	$171.30	$1,142.00	$171.30–$1,142.00	—	85%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NONOBS COMPLETE	$332.40	$2,216.00	$332.40–$2,216.00	77% below	85%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NONOBSTETRICAL COMPLETE	$332.40	$2,216.00	$332.40–$2,216.00	77% below	85%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NONOBS COMPLETE	$332.40	$2,216.00	$332.40–$2,216.00	—	85%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NONOBSTETRICAL COMPLETE	$332.40	$2,216.00	$332.40–$2,216.00	—	85%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB W/IMAGE DOC => 14 WKS TRANSABD SING/1ST GEST	$127.05	$847.00	$64.16–$2,100.00	90% below	85%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB W/IMAGE DOC => 14 WKS TRANSABD SING/1ST GEST	$127.05	$847.00	$127.05–$847.00	—	85%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB<14WKS SINGLE FETUS	$151.20	$1,008.00	$151.20–$1,008.00	83% below	85%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 WEEKS SINGLE FETUS	$151.20	$1,008.00	$151.20–$1,008.00	83% below	85%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB<14WKS SINGLE FETUS	$151.20	$1,008.00	$151.20–$1,008.00	—	85%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 WEEKS SINGLE FETUS	$151.20	$1,008.00	$151.20–$1,008.00	—	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB W/IMAGE LIMITED => 1 FETUS	$217.80	$1,452.00	$64.16–$611.00	68% below	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 L&D FETAL U/S FOR MATURITY ONL	$217.80	$1,452.00	$64.16–$611.00	68% below	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 L&D PLACENTAL LOCALIZ ONLY	$217.80	$1,452.00	$217.80–$1,452.00	68% below	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 L&D FETAL VIABILITY	$217.80	$1,452.00	$217.80–$1,452.00	68% below	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 L&D FETAL POSITION ONLY	$217.80	$1,452.00	$217.80–$1,452.00	68% below	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED	$217.80	$1,452.00	$217.80–$1,452.00	68% below	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB W/IMAGE DOC LIMITED => 1 FETUS	$217.80	$1,452.00	$217.80–$1,452.00	68% below	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 L&D FETAL VIABILITY	$217.80	$1,452.00	$217.80–$1,452.00	—	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 L&D FETAL U/S FOR MATURITY ONL	$217.80	$1,452.00	$217.80–$1,452.00	—	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 L&D PLACENTAL LOCALIZ ONLY	$217.80	$1,452.00	$217.80–$1,452.00	—	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB W/IMAGE LIMITED => 1 FETUS	$217.80	$1,452.00	$217.80–$1,452.00	—	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB W/IMAGE DOC LIMITED => 1 FETUS	$217.80	$1,452.00	$217.80–$1,452.00	—	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED	$217.80	$1,452.00	$217.80–$1,452.00	—	85%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 L&D FETAL POSITION ONLY	$217.80	$1,452.00	$217.80–$1,452.00	—	85%
Screening mammogram, both breasts CPT 77067 MAMMO SCREEN DIGITAL W/CAD BIL	$107.85	$719.00	$30.07–$406.00	73% below	85%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN DIGITAL W/CAD BILATERAL	$107.85	$719.00	$81.25–$719.00	—	85%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO SCREEN DIGITAL W/CAD UNI	$107.85	$719.00	$81.25–$719.00	—	85%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO SCREEN DIGITAL W/CAD BIL	$107.85	$719.00	$107.85–$719.00	—	85%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN DIGITAL W/CAD UNILATERAL	$107.85	$719.00	$81.25–$719.00	—	85%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER COMPLETE => 2 VIEWS UNILATERAL	$188.70	$1,258.00	$188.70–$1,258.00	71% below	85%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XRAY SHOULDER COMPLETE => 2 VIEWS BILATERAL	$283.05	$1,887.00	$213.23–$1,887.00	—	85%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY SHOULDER COMPLETE => 2 VIEWS UNILATERAL	$188.70	$1,258.00	$188.70–$1,258.00	—	85%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 2D TTE STRESS W/O CONTRAST ECG	$549.45	$3,663.00	$301.28–$1,939.00	78% below	85%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 2D TTE STRESS W/O CONTRAST ECG	$549.45	$3,663.00	$549.45–$3,663.00	—	85%
Swallow study (modified barium swallow, video X-ray) CPT 74230 VIDEO ESOPHAGRAM	$243.30	$1,622.00	$243.30–$1,622.00	79% below	85%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 VIDEO ESOPHAGRAM	$243.30	$1,622.00	$243.30–$1,622.00	—	85%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NONOBSTETRICAL	$148.80	$992.00	$148.80–$992.00	87% below	85%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB	$148.80	$992.00	$148.80–$992.00	87% below	85%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NONOBSTETRICAL	$148.80	$992.00	$148.80–$992.00	—	85%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON-OB	$148.80	$992.00	$148.80–$992.00	—	85%
Transvaginal ultrasound during pregnancy CPT 76817 US OB W/IMAGE DOC TRANSVAGINAL	$64.20	$428.00	$64.20–$428.00	94% below	85%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$64.20	$428.00	$64.20–$428.00	94% below	85%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$64.20	$428.00	$64.20–$428.00	—	85%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB W/IMAGE DOC TRANSVAGINAL	$64.20	$428.00	$64.20–$428.00	—	85%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$638.40	$4,256.00	$638.40–$4,256.00	70% below	85%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE	$638.40	$4,256.00	$638.40–$4,256.00	—	85%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS	$410.55	$2,737.00	$410.55–$2,737.00	65% below	85%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS	$410.55	$2,737.00	$410.55–$2,737.00	—	85%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK SOFT TISSUES THYROID	$200.40	$1,336.00	$200.40–$1,336.00	82% below	85%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID SCAN	$200.40	$1,336.00	$200.40–$1,336.00	82% below	85%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 NECK &/OR HEAD SOFT TISS U/S	$200.40	$1,336.00	$69.97–$611.00	82% below	85%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK SOFT TISSUES THYROID	$200.40	$1,336.00	$200.40–$1,336.00	—	85%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 NECK &/OR HEAD SOFT TISS U/S	$200.40	$1,336.00	$200.40–$1,336.00	—	85%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 THYROID SCAN	$200.40	$1,336.00	$200.40–$1,336.00	—	85%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI UPPER SINGLE CONTRAST	$230.10	$1,534.00	$74.61–$516.00	81% below	85%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI UPPER SINGLE CONTRAST	$230.10	$1,534.00	$230.10–$1,534.00	—	85%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP SCAN EXT VEIN UNILATERAL	$276.45	$1,843.00	$69.97–$611.00	68% below	85%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS ULTRASOUND UNILATERAL	$276.45	$1,843.00	$276.45–$1,843.00	68% below	85%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX EXTREMITY VEINS LIMITED/UNILATERAL	$276.45	$1,843.00	$276.45–$1,843.00	68% below	85%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUP SCAN EXT VEIN UNILATERAL	$276.45	$1,843.00	$276.45–$1,843.00	—	85%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS ULTRASOUND UNILATERAL	$276.45	$1,843.00	$276.45–$1,843.00	—	85%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX EXTREMITY VEINS LIMITED/UNILATERAL	$276.45	$1,843.00	$276.45–$1,843.00	—	85%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPLETE => 3 VIEWS UNILATERAL	$233.40	$1,556.00	$233.40–$1,556.00	59% below	85%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XRAY WRIST COMPLETE => 3 VIEWS BILATERAL	$350.10	$2,334.00	$263.74–$2,334.00	—	85%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST COMPLETE => 3 VIEWS UNILATERAL	$233.40	$1,556.00	$233.40–$1,556.00	—	85%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP 2 OR 3 VIEWS UNILATERAL	$125.25	$835.00	$125.25–$835.00	78% below	85%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY HIP 2 OR 3 VIEWS UNILATERAL	$125.25	$835.00	$125.25–$835.00	—	85%
X-ray of the abdomen, 1 view CPT 74018 XRAY ABDOMEN SINGLE VIEW	$122.85	$819.00	$35.69–$516.00	79% below	85%
X-ray of the abdomen, 1 view inpatient CPT 74018 XRAY ABDOMEN 1 VIEW	$24.90	$166.00	$18.76–$166.00	—	85%
X-ray of the abdomen, 1 view inpatient CPT 74018 XRAY ABDOMEN SINGLE VIEW	$122.85	$819.00	$92.55–$819.00	—	85%
X-ray of the ankle, 2 views one side CPT 73600 XRAY ANKLE 2 VIEWS UNILATERAL	$124.50	$830.00	$35.69–$516.00	70% below	85%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 XRAY ANKLE 2 VIEWS BILATERAL	$186.75	$1,245.00	$140.69–$1,245.00	—	85%
X-ray of the ankle, 2 views inpatient CPT 73600 XRAY ANKLE 2 VIEWS	$24.90	$166.00	$18.76–$166.00	—	85%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XRAY ANKLE 2 VIEWS UNILATERAL	$124.50	$830.00	$124.50–$830.00	—	85%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 3RD => 2 VIEWS RIGHT	$149.70	$998.00	$112.77–$998.00	—	85%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY THUMB LEFT => 2 VIEWS LEFT	$149.70	$998.00	$112.77–$998.00	—	85%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 3RD => 2 VIEWS LEFT	$149.70	$998.00	$112.77–$998.00	—	85%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 4TH => 2 VIEWS LEFT	$149.70	$998.00	$112.77–$998.00	—	85%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 5TH => 2 VIEWS LEFT	$149.70	$998.00	$112.77–$998.00	—	85%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY THUMB LEFT => 2 VIEWS RIGHT	$149.70	$998.00	$112.77–$998.00	—	85%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 2ND => 2 VIEWS RIGHT	$149.70	$998.00	$112.77–$998.00	—	85%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 2ND => 2 VIEWS LEFT	$149.70	$998.00	$112.77–$998.00	—	85%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 4TH => 2 VIEWS RIGHT	$149.70	$998.00	$112.77–$998.00	—	85%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 5TH => 2 VIEWS RIGHT	$149.70	$998.00	$112.77–$998.00	—	85%
X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS UNILATERAL	$129.75	$865.00	$35.69–$516.00	70% below	85%
X-ray of the foot, 2 views inpatient both sides CPT 73620 XRAY FOOT 2 VIEWS BILATERAL	$194.70	$1,298.00	$146.67–$1,298.00	—	85%
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 2 VIEWS BILATERAL	$194.70	$1,298.00	$146.67–$1,298.00	—	85%
X-ray of the foot, 2 views inpatient one side CPT 73620 XRAY FOOT 2 VIEWS UNILATERAL	$129.75	$865.00	$129.75–$865.00	—	85%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPLETE => 3 VIEWS UNILATERAL	$144.75	$965.00	$144.75–$965.00	74% below	85%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XRAY FOOT COMPLETE => 3 VIEWS BILATERAL	$217.20	$1,448.00	$163.62–$1,448.00	—	85%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XRAY FOOT COMPLETE => 3 VIEWS UNILATERAL	$144.75	$965.00	$144.75–$965.00	—	85%
X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND => 3 VIEWS UNILATERAL	$193.35	$1,289.00	$193.35–$1,289.00	67% below	85%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XRAY HAND => 3 VIEWS BILATERAL	$290.10	$1,934.00	$218.54–$1,934.00	—	85%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY HAND => 3 VIEWS UNILATERAL	$193.35	$1,289.00	$193.35–$1,289.00	—	85%
X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS UNILATERAL	$119.40	$796.00	$119.40–$796.00	76% below	85%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XRAY KNEE 1 OR 2 VIEWS BILATERAL	$179.10	$1,194.00	$134.92–$1,194.00	—	85%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS UNILATERAL	$119.40	$796.00	$119.40–$796.00	—	85%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY SPINE LUMBOSACRAL 2 OR 3 VIEWS	$225.15	$1,501.00	$225.15–$1,501.00	74% below	85%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XRAY SPINE LUMBOSACRAL 2 OR 3 VIEWS	$225.15	$1,501.00	$225.15–$1,501.00	—	85%
X-ray of the lower back, 4 or more views CPT 72110 XRAY SPINE LUMBOSACRAL => 4 VIEWS	$333.45	$2,223.00	$333.45–$2,223.00	74% below	85%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XRAY SPINE LUMBOSACRAL => 4 VIEWS	$333.45	$2,223.00	$333.45–$2,223.00	—	85%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY SPINE THORACIC 2 VIEWS	$159.90	$1,066.00	$35.69–$516.00	78% below	85%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEW	$159.90	$1,066.00	$159.90–$1,066.00	78% below	85%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XRAY SPINE THORACIC 2 VIEWS	$159.90	$1,066.00	$159.90–$1,066.00	—	85%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEW	$159.90	$1,066.00	$159.90–$1,066.00	—	85%
X-ray of the nasal bones, 3 or more views CPT 70160 XRAY NASAL BONES COMPLETE => 3 VIEWS	$129.90	$866.00	$35.69–$516.00	83% below	85%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XRAY NASAL BONES COMPLETE => 3 VIEWS	$129.90	$866.00	$129.90–$866.00	—	85%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS	$159.00	$1,060.00	$159.00–$1,060.00	79% below	85%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY SPINE CERVICAL 2 OR 3 VIEWS	$159.00	$1,060.00	$35.69–$516.00	79% below	85%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS	$159.00	$1,060.00	$159.00–$1,060.00	—	85%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XRAY SPINE CERVICAL 2 OR 3 VIEWS	$159.00	$1,060.00	$159.00–$1,060.00	—	85%
X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS 1 OR 2 VIEWS	$114.15	$761.00	$114.15–$761.00	85% below	85%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XRAY PELVIS 1 OR 2 VIEWS	$114.15	$761.00	$114.15–$761.00	—	85%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SACRUM/COCCYX => 2 VIEWS	$282.60	$1,884.00	$282.60–$1,884.00	63% below	85%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XRAY SACRUM AND COCCYX => 2 VIEWS	$24.90	$166.00	$18.76–$166.00	—	85%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XRAY SACRUM/COCCYX => 2 VIEWS	$282.60	$1,884.00	$282.60–$1,884.00	—	85%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$10.65	$71.00	$10.65–$71.00	79% below	85%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT)	$10.65	$71.00	$10.65–$71.00	—	85%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$11.40	$76.00	$11.40–$76.00	82% below	85%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)	$11.40	$76.00	$11.40–$76.00	—	85%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE	$68.85	$459.00	$4.80–$426.00	64% below	85%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE	$68.85	$459.00	$68.85–$459.00	—	85%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (SCREEN)	$18.15	$121.00	$18.15–$121.00	40% below	85%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB (SCREEN)	$18.15	$121.00	$18.15–$121.00	—	85%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE SHM	$25.05	$167.00	$25.05–$167.00	89% below	85%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE BNP	$44.70	$298.00	$44.70–$298.00	80% below	85%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE SHM	$25.05	$167.00	$25.05–$167.00	—	85%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE BNP	$44.70	$298.00	$44.70–$298.00	—	85%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC CALCIUM TOTAL	$27.00	$180.00	$4.80–$426.00	93% below	85%
Basic metabolic panel (blood test) CPT 80048 BASIC METOBOLIC CALCIUM TOTAL	$27.00	$180.00	$4.80–$426.00	93% below	85%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC CALCIUM TOTAL	$27.00	$180.00	$27.00–$180.00	—	85%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METOBOLIC CALCIUM TOTAL	$27.00	$180.00	$27.00–$180.00	—	85%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 MUSCLE BIOPSY (UAB)	$158.10	$1,054.00	$20.90–$426.00	26% above	85%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEV IV SURG PATH GROSS & MICRO	$158.10	$1,054.00	$158.10–$1,054.00	26% above	85%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEV IV SURG PATH GROSS & MICRO	$158.10	$1,054.00	$158.10–$1,054.00	—	85%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 MUSCLE BIOPSY (UAB)	$158.10	$1,054.00	$158.10–$1,054.00	—	85%
Blood culture for bacteria CPT 87040 BLOOD CULTURE BACT AEROBIC	$111.75	$745.00	$111.75–$745.00	72% below	85%
Blood culture for bacteria CPT 87040 BLOOD CULTURE & ARD	$111.75	$745.00	$5.23–$426.00	72% below	85%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE & ARD	$111.75	$745.00	$111.75–$745.00	—	85%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE BACT AEROBIC	$111.75	$745.00	$111.75–$745.00	—	85%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CL VENOUS BLD BY VENIPUNCTURE IP/OP	$1.95	$13.00	$1.95–$13.00	91% below	85%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CL VENOUS BLD BY VENI QUEST	$2.25	$15.00	$2.25–$15.00	90% below	85%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$4.05	$27.00	$4.05–$27.00	82% below	85%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CL VENOUS BLD BY VENIPUNCTURE IP/OP	$1.95	$13.00	$1.95–$13.00	—	85%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CL VENOUS BLD BY VENI QUEST	$2.25	$15.00	$2.25–$15.00	—	85%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$4.05	$27.00	$4.05–$27.00	—	85%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLD NOT REAGENT	$6.00	$40.00	$2.89–$426.00	90% below	85%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLD NOT REAGENT	$6.00	$40.00	$6.00–$40.00	—	85%
Blood lead test CPT 83655 LEAD URINE	$4.74	$31.61	$6.44–$426.00	65% below	85%
Blood lead test CPT 83655 LEAD BLOOD INDUSTRIAL	$5.55	$37.00	$6.44–$426.00	59% below	85%
Blood lead test inpatient CPT 83655 LEAD URINE	$4.74	$31.61	$4.74–$31.61	—	85%
Blood lead test inpatient CPT 83655 LEAD BLOOD INDUSTRIAL	$5.55	$37.00	$5.55–$37.00	—	85%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE	$82.50	$550.00	$82.50–$550.00	39% below	85%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE	$82.50	$550.00	$82.50–$550.00	—	85%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$37.35	$249.00	$37.35–$249.00	49% below	85%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CL-ABO/RH	$37.35	$249.00	$37.35–$249.00	49% below	85%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 T & S ABO	$37.35	$249.00	$37.35–$249.00	49% below	85%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 T & S BLOOD TYPING ABO	$37.35	$249.00	$37.35–$249.00	49% below	85%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CL BLOOD TYPING ABO	$37.35	$249.00	$2.30–$426.00	49% below	85%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CL BLOOD TYPING ABO	$37.35	$249.00	$37.35–$249.00	—	85%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 T & S ABO	$37.35	$249.00	$37.35–$249.00	—	85%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CL-ABO/RH	$37.35	$249.00	$37.35–$249.00	—	85%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 T & S BLOOD TYPING ABO	$37.35	$249.00	$37.35–$249.00	—	85%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$37.35	$249.00	$37.35–$249.00	—	85%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$28.95	$193.00	$5.18–$426.00	69% below	85%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$28.95	$193.00	$28.95–$193.00	—	85%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$46.35	$309.00	$5.97–$426.00	28% below	85%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$46.35	$309.00	$46.35–$309.00	—	85%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$40.95	$273.00	$5.97–$426.00	59% below	85%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$40.95	$273.00	$40.95–$273.00	—	85%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 AMPLIFIED DNA/RNA PROBE TECHNIQUE	$23.10	$154.00	$23.10–$154.00	72% below	85%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID SCREENING TEST (RAPID)	$23.10	$154.00	$17.40–$154.00	—	85%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 AMPLIFIED DNA/RNA PROBE TECHNIQUE	$23.10	$154.00	$23.10–$154.00	—	85%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE	$32.40	$216.00	$30.81–$426.00	58% below	85%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE	$32.40	$216.00	$32.40–$216.00	—	85%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$27.60	$184.00	$27.60–$184.00	82% below	85%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$27.60	$184.00	$27.60–$184.00	—	85%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$20.55	$137.00	$20.55–$137.00	73% below	85%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$20.55	$137.00	$20.55–$137.00	—	85%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$29.55	$197.00	$3.16–$426.00	77% below	85%
Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED	$29.55	$197.00	$29.55–$197.00	—	85%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$36.00	$240.00	$36.00–$240.00	94% below	85%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$36.00	$240.00	$36.00–$240.00	—	85%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER ASSAY QUANTITATIVE	$38.25	$255.00	$38.25–$255.00	87% below	85%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER ASSAY QUANTITATIVE	$38.25	$255.00	$38.25–$255.00	—	85%
Estradiol blood test CPT 82670 ESTRADIOL FREE	$12.90	$86.00	$12.90–$86.00	69% below	85%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$13.05	$87.00	$13.05–$87.00	69% below	85%
Estradiol blood test CPT 82670 ESTRADIOL	$17.25	$115.00	$7.02–$426.00	59% below	85%
Estradiol blood test inpatient CPT 82670 ESTRADIOL FREE	$12.90	$86.00	$12.90–$86.00	—	85%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL	$13.05	$87.00	$13.05–$87.00	—	85%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$17.25	$115.00	$17.25–$115.00	—	85%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$14.85	$99.00	$14.85–$99.00	80% below	85%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$14.85	$99.00	$14.85–$99.00	—	85%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$43.35	$289.00	$6.40–$426.00	75% below	85%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$43.35	$289.00	$43.35–$289.00	—	85%
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SERUM	$23.25	$155.00	$6.40–$426.00	86% below	85%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID) SERUM	$23.25	$155.00	$23.25–$155.00	—	85%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE(T3) FREE	$24.45	$163.00	$7.02–$426.00	74% below	85%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE(T3) FREE	$24.45	$163.00	$24.45–$163.00	—	85%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE	$28.95	$193.00	$7.02–$426.00	70% below	85%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE	$28.95	$193.00	$28.95–$193.00	—	85%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$52.50	$350.00	$39.55–$350.00	79% below	85%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$52.50	$350.00	$39.55–$350.00	—	85%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE/POST PRANDIAL	$5.40	$36.00	$2.89–$426.00	94% below	85%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE/POST PRANDIAL	$5.40	$36.00	$5.40–$36.00	—	85%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE/3 SPECIMENS	$40.65	$271.00	$6.40–$426.00	71% below	85%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE/3 SPECIMENS	$40.65	$271.00	$40.65–$271.00	—	85%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA AMP PROBE	$32.40	$216.00	$30.81–$426.00	37% below	85%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE DNA AMP PROBE	$32.40	$216.00	$32.40–$216.00	—	85%
H. pylori antibody blood test CPT 86677 H PYLORI AB	$9.15	$61.00	$5.97–$426.00	74% below	85%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB	$9.15	$61.00	$9.15–$61.00	—	85%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 & 2 AB SCREEN	$15.00	$100.00	$5.97–$426.00	71% below	85%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 & 2 AB SCREEN	$15.00	$100.00	$15.00–$100.00	—	85%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AG/HIV1 AND 2 AB	$12.75	$85.00	$5.23–$426.00	85% below	85%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AG/HIV 1 AND 2 AB	$12.75	$85.00	$5.23–$426.00	85% below	85%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 AG/HIV1 AND 2 AB	$12.75	$85.00	$12.75–$85.00	—	85%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 AG/HIV 1 AND 2 AB	$12.75	$85.00	$12.75–$85.00	—	85%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$18.00	$120.00	$18.00–$120.00	78% below	85%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$18.00	$120.00	$18.00–$120.00	—	85%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$17.70	$118.00	$17.70–$118.00	69% below	85%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$17.70	$118.00	$17.70–$118.00	—	85%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF AG DET ENZ IM	$11.70	$78.00	$11.70–$78.00	76% below	85%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF AG DET ENZ IM	$11.70	$78.00	$11.70–$78.00	—	85%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$10.95	$73.00	$10.95–$73.00	81% below	85%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$10.95	$73.00	$10.95–$73.00	—	85%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA BRANCHED	$35.73	$238.18	$30.81–$426.00	74% below	85%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS RNA BRANCHED	$35.73	$238.18	$35.73–$238.18	—	85%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTION PROT HI SENSITIVITY	$36.90	$246.00	$5.97–$426.00	42% below	85%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTION PROT HI SENSITIVITY	$36.90	$246.00	$36.90–$246.00	—	85%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$25.20	$168.00	$7.02–$426.00	52% below	85%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$25.20	$168.00	$25.20–$168.00	—	85%
Iron blood test (serum iron) CPT 83540 IRON (FE)	$11.40	$76.00	$2.89–$426.00	84% below	85%
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE QUANT	$15.00	$100.00	$2.89–$426.00	79% below	85%
Iron blood test (serum iron) inpatient CPT 83540 IRON (FE)	$11.40	$76.00	$11.40–$76.00	—	85%
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE QUANT	$15.00	$100.00	$15.00–$100.00	—	85%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$15.30	$102.00	$15.30–$102.00	88% below	85%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$15.30	$102.00	$15.30–$102.00	—	85%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$50.40	$336.00	$4.80–$426.00	90% below	85%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$50.40	$336.00	$50.40–$336.00	—	85%
LH (luteinizing hormone) test CPT 83002 LH	$22.65	$151.00	$22.65–$151.00	69% below	85%
LH (luteinizing hormone) test inpatient CPT 83002 LH	$22.65	$151.00	$22.65–$151.00	—	85%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$40.95	$273.00	$2.89–$426.00	46% below	85%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$40.95	$273.00	$40.95–$273.00	—	85%
Liver function blood test panel CPT 80076 HEPATIC PANEL	$18.00	$120.00	$18.00–$120.00	95% below	85%
Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL	$18.00	$120.00	$18.00–$120.00	—	85%
Magnesium blood test CPT 83735 MAGNESIUM	$17.55	$117.00	$2.89–$426.00	23% above	85%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$17.55	$117.00	$17.55–$117.00	—	85%
Measles (rubeola) antibody test CPT 86765 ANTIBODY RUBEOLA	$17.70	$118.00	$5.97–$426.00	24% below	85%
Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY RUBEOLA	$17.70	$118.00	$17.70–$118.00	—	85%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) RAPID	$18.90	$126.00	$14.24–$126.00	—	85%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$85.95	$573.00	$85.95–$573.00	55% below	85%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$85.95	$573.00	$85.95–$573.00	—	85%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$28.80	$192.00	$28.80–$192.00	53% below	85%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$28.80	$192.00	$28.80–$192.00	—	85%
Parathyroid hormone (PTH) blood test CPT 83970 N-PTH (PARATHYROID HORMONE)	$96.30	$642.00	$96.30–$642.00	11% below	85%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 N-PTH (PARATHYROID HORMONE)	$96.30	$642.00	$96.30–$642.00	—	85%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$7.68	$51.17	$2.34–$426.00	83% below	85%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN (PTT) PARTIAL	$26.25	$175.00	$2.34–$426.00	41% below	85%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$7.68	$51.17	$7.68–$51.17	—	85%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN (PTT) PARTIAL	$26.25	$175.00	$26.25–$175.00	—	85%
Progesterone blood test CPT 84144 PROGESTERONE	$13.95	$93.00	$7.02–$426.00	77% below	85%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$13.95	$93.00	$13.95–$93.00	—	85%
Prolactin blood test CPT 84146 PROLACTIN	$42.15	$281.00	$42.15–$281.00	39% below	85%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$42.15	$281.00	$42.15–$281.00	—	85%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$19.65	$131.00	$2.34–$426.00	52% below	85%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$19.65	$131.00	$19.65–$131.00	—	85%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TOX SCREEN-MULTIPLE DRUGS	$36.90	$246.00	$7.33–$426.00	63% below	85%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 TOX SCREEN-MULTIPLE DRUGS	$36.90	$246.00	$36.90–$246.00	—	85%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A OR B ANTIGEN EACH	$15.90	$106.00	$5.23–$426.00	89% below	85%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B INF AGT AG DETECT	$15.90	$106.00	$5.23–$426.00	89% below	85%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A INF AGT AG DETECT	$15.90	$106.00	$5.23–$426.00	89% below	85%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B ANTIGEN	$15.90	$106.00	$15.90–$106.00	89% below	85%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A	$15.90	$106.00	$5.23–$426.00	89% below	85%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B	$15.90	$106.00	$5.23–$426.00	89% below	85%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B ANTIGEN	$15.90	$106.00	$15.90–$106.00	—	85%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A OR B ANTIGEN EACH	$15.90	$106.00	$15.90–$106.00	—	85%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A	$15.90	$106.00	$15.90–$106.00	—	85%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B INF AGT AG DETECT	$15.90	$106.00	$15.90–$106.00	—	85%
Rapid flu test (influenza antigen) inpatient CPT 87804 SCREENING TEST FOR INFLUENZA (FLU) RAPID	$15.90	$106.00	$11.98–$106.00	—	85%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A INF AGT AG DETECT	$15.90	$106.00	$15.90–$106.00	—	85%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B	$15.90	$106.00	$15.90–$106.00	—	85%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP A	$30.60	$204.00	$30.60–$204.00	78% below	85%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP A	$30.60	$204.00	$30.60–$204.00	—	85%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (RF) QUANT	$25.35	$169.00	$5.67–$426.00	6% below	85%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR (RF) QUANT	$25.35	$169.00	$25.35–$169.00	—	85%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$16.80	$112.00	$5.97–$426.00	11% below	85%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$16.80	$112.00	$16.80–$112.00	—	85%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT/STOOL SCREENING	$46.35	$309.00	$2.89–$426.00	36% below	85%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT/ STOOL SCREENING	$46.35	$309.00	$2.89–$426.00	36% below	85%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT/STOOL SCREENING	$46.35	$309.00	$46.35–$309.00	—	85%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT/ STOOL SCREENING	$46.35	$309.00	$46.35–$309.00	—	85%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT FECAL HEMOGLOBIN	$9.00	$60.00	$6.40–$426.00	87% below	85%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLOOD OCCULT FECAL HEMOGLOBIN	$9.00	$60.00	$9.00–$60.00	—	85%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$9.00	$60.00	$4.27–$426.00	58% below	85%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$9.00	$60.00	$9.00–$60.00	—	85%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$18.60	$124.00	$7.02–$426.00	49% below	85%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$18.60	$124.00	$18.60–$124.00	—	85%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$36.60	$244.00	$7.02–$426.00	77% below	85%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$36.60	$244.00	$36.60–$244.00	—	85%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECHNIQUE	$16.35	$109.00	$16.35–$109.00	73% below	85%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS, AMPLIFIED PROBE TECHNIQUE	$16.80	$112.00	$30.81–$426.00	73% below	85%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECHNIQUE	$16.35	$109.00	$16.35–$109.00	—	85%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS, AMPLIFIED PROBE TECHNIQUE	$16.80	$112.00	$16.80–$112.00	—	85%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$10.65	$71.00	$10.65–$71.00	93% below	85%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD	$10.65	$71.00	$10.65–$71.00	—	85%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/MICROSCOPY	$10.95	$73.00	$10.95–$73.00	94% below	85%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/MICROSCOPY	$10.95	$73.00	$10.95–$73.00	—	85%
Urinalysis without microscope exam, automated CPT 81003 URINE PH AUTO W/O MICROSCOPY	$28.50	$190.00	$28.50–$190.00	76% below	85%
Urinalysis without microscope exam, automated CPT 81003 URINE BIOCHEMICAL TEST	$28.50	$190.00	$28.50–$190.00	76% below	85%
Urinalysis without microscope exam, automated CPT 81003 URINE PH	$28.50	$190.00	$28.50–$190.00	76% below	85%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICROSCOPY	$28.50	$190.00	$28.50–$190.00	76% below	85%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICROSCOPY	$28.50	$190.00	$28.50–$190.00	—	85%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE BIOCHEMICAL TEST	$28.50	$190.00	$28.50–$190.00	—	85%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE PH	$28.50	$190.00	$28.50–$190.00	—	85%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE PH AUTO W/O MICROSCOPY	$28.50	$190.00	$28.50–$190.00	—	85%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE QUANT COLONY CT	$36.45	$243.00	$36.45–$243.00	87% below	85%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE QUANT COLONY CT	$36.45	$243.00	$36.45–$243.00	—	85%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12-LAB	$25.05	$167.00	$7.02–$426.00	85% below	85%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12-LAB	$25.05	$167.00	$25.05–$167.00	—	85%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$27.00	$180.00	$14.86–$426.00	45% below	85%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$27.00	$180.00	$27.00–$180.00	—	85%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$36.90	$246.00	$36.90–$246.00	64% below	85%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$36.90	$246.00	$36.90–$246.00	—	85%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Balloon dilation of the maxillary sinus opening, one side CPT 31295 NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS	$987.30	$6,582.00	$987.30–$6,582.00	87% below	85%
Balloon dilation of the maxillary sinus opening, one side inpatient both sides CPT 31295 NASAL/SINUS NDSC SURG W/DIL MAXILLARY SINUS BILAT	$1,974.60	$13,164.00	$1,487.53–$13,164.00	—	85%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS	$987.30	$6,582.00	$743.77–$6,582.00	—	85%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BR BX W/DVICE PLACE STEREO 1ST	$1,200.00	$8,000.00	$1,200.00–$8,000.00	67% below	85%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BR BX W/DVICE PLACE STEREO 1ST	$1,200.00	$8,000.00	$1,200.00–$8,000.00	—	85%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL TX DISTAL FIBULAR FX W/O MANIPULATION	$55.50	$370.00	$240.79–$2,825.00	92% below	85%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED DISTAL FIBULAT FACTURE LAT MALLS W/O MANJ	$143.25	$955.00	$143.25–$955.00	81% below	85%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED DISTAL FIBULAT FACTURE LAT MALLS W/O MANJ	$143.25	$955.00	$143.25–$955.00	—	85%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TX METATARSAL FX W/O MANIPULATION EACH	$98.25	$655.00	$240.79–$2,825.00	87% below	85%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CL TX METATARSAL FX W/O MANIPULATION EACH	$98.25	$655.00	$98.25–$655.00	—	85%
Cardiac catheterization with coronary angiogram CPT 93458 L CATH ART/VENT ANGIO IMG S&I	$4,500.00	$30,000.00	$1,588.63–$16,393.00	70% below	85%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L CATH ART/VENT ANGIO IMG S&I	$4,500.00	$30,000.00	$4,500.00–$30,000.00	—	85%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$349.80	$2,332.00	$416.84–$1,939.00	85% below	85%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECT EXTERNAL	$349.80	$2,332.00	$349.80–$2,332.00	85% below	85%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$349.80	$2,332.00	$349.80–$2,332.00	—	85%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECT EXTERNAL	$349.80	$2,332.00	$349.80–$2,332.00	—	85%
Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL SURGERY	$301.05	$2,007.00	$226.79–$2,007.00	—	85%
Catheter ablation for atrial fibrillation CPT 93656 COMP EP & ABLATE AFIB PULM VEIN W/ICE/3D	$9,000.00	$60,000.00	$10,917.63–$36,937.55	82% below	85%
Catheter ablation for atrial fibrillation inpatient CPT 93656 COMP EP & ABLATE AFIB PULM VEIN W/ICE/3D	$9,000.00	$60,000.00	$9,000.00–$60,000.00	—	85%
Cervical biopsy CPT 57500 BIOPSY CERVIX SINGLE/MULTIPLE W/WO FULGURATION	$106.50	$710.00	$335.68–$4,049.00	95% below	85%
Cervical biopsy inpatient CPT 57500 BIOPSY CERVIX SINGLE/MULTIPLE W/WO FULGURATION	$106.50	$710.00	$80.23–$710.00	—	85%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK	$306.90	$2,046.00	$1,267.06–$5,913.00	87% below	85%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISE CLAMP/DEVICE W/REG DORSAL PENILE/RING	$640.20	$4,268.00	$640.20–$4,268.00	73% below	85%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK	$306.90	$2,046.00	$306.90–$2,046.00	—	85%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISE CLAMP/DEVICE W/REG DORSAL PENILE/RING	$640.20	$4,268.00	$640.20–$4,268.00	—	85%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT FRACTURE RADIUS/ULNA	$154.50	$1,030.00	$154.50–$1,030.00	74% below	85%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TX DISTAL RADIAL FX W/O MANIPULATION	$154.50	$1,030.00	$240.79–$2,825.00	74% below	85%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TREATMENT FRACTURE RADIUS/ULNA	$154.50	$1,030.00	$154.50–$1,030.00	—	85%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY CERVIX W/BX & ENDOCERVICAL CURETTAGE	$45.75	$305.00	$305.00–$2,825.00	94% below	85%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY CERVIX W/BX & ENDOCERVICAL CURETTAGE	$45.75	$305.00	$45.75–$305.00	—	85%
Coronary stent placement, one artery CPT 92928 PRQ CORON STENT SNGL	$3,300.00	$22,000.00	$5,484.20–$20,534.00	87% below	85%
Coronary stent placement, one artery inpatient CPT 92928 PRQ CORON STENT SNGL	$3,300.00	$22,000.00	$3,300.00–$22,000.00	—	85%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$93.00	$620.00	$93.00–$620.00	94% below	85%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$93.00	$620.00	$70.06–$620.00	—	85%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE DX&/THER NONOBSTETRIC	$1,156.95	$7,713.00	$1,521.98–$7,626.00	80% below	85%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION AND CURETTAGE DX&/THER NONOBSTETRIC	$1,156.95	$7,713.00	$1,156.95–$7,713.00	—	85%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALIGNANT INITIAL LESION	$29.25	$195.00	$29.25–$195.00	91% below	85%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALIGNANT 1ST LESION	$29.25	$195.00	$22.04–$195.00	—	85%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALIGNANT INITIAL LESION	$29.25	$195.00	$29.25–$195.00	—	85%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 TYMPANOSTOMY GENERAL ANESTHESIA	$225.00	$1,500.00	$169.50–$1,500.00	—	85%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA	$74.25	$495.00	$118.91–$2,937.00	93% below	85%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA	$74.25	$495.00	$55.94–$495.00	—	85%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMP CERUMEN IRR/LAV UNI	$10.65	$71.00	$10.65–$71.00	96% below	85%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMP CERUMEN IRR/LAV UNI	$10.65	$71.00	$10.65–$71.00	—	85%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMP CERUMEN IRR/LAV BIL	$16.05	$107.00	$12.09–$107.00	—	85%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERUMEN INSTRUMENTATION UNI	$22.50	$150.00	$22.50–$150.00	88% below	85%
Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMP CERUMEN INSTRUMENT UNILATERAL	$17.85	$119.00	$17.85–$119.00	91% below	85%
Earwax removal with instruments, one ear inpatient both sides CPT 69210 REMOVE IMP CERUMEN INSTRUMENT BILATERAL	$26.85	$179.00	$20.23–$179.00	—	85%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED CERUMEN INSTRUMENTATION BIL	$19.50	$130.00	$14.69–$130.00	—	85%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED CERUMEN INSTRUMENTATION UNI	$22.50	$150.00	$22.50–$150.00	—	85%
Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVE IMP CERUMEN INSTRUMENT UNILATERAL	$17.85	$119.00	$17.85–$119.00	—	85%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATION	$127.50	$850.00	$127.50–$850.00	96% below	85%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATION	$127.50	$850.00	$96.05–$850.00	—	85%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAM-INJECTION	$347.85	$2,319.00	$262.05–$2,319.00	17% below	85%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAM-INJECTION	$347.85	$2,319.00	$262.05–$2,319.00	—	85%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SKIN ABCESS SMPL/SNGL	$54.75	$365.00	$112.01–$2,825.00	92% below	85%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE OR SINGLE	$184.80	$1,232.00	$184.80–$1,232.00	74% below	85%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SKIN ABCESS SMPL/SNGL	$54.75	$365.00	$54.75–$365.00	—	85%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE OR SINGLE	$184.80	$1,232.00	$184.80–$1,232.00	—	85%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT SINGLE TENDON SHEATH/LIGAMENT/APONEUROSIS	$44.25	$295.00	$44.25–$295.00	93% below	85%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 NJECT SINGLE TENDON SHEATH/LIGAMENT/APONEUROSIS	$44.25	$295.00	$33.34–$295.00	—	85%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASP/INJ MAJOR JT W/O US	$101.55	$677.00	$101.55–$677.00	87% below	85%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIRATE/INJECT MAJOR JT W/O US	$101.55	$677.00	$101.55–$677.00	87% below	85%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASPIRATE/INJECT MAJOR JT W/O US	$101.55	$677.00	$101.55–$677.00	—	85%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASP/INJ MAJOR JT W/O US	$101.55	$677.00	$101.55–$677.00	—	85%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ MAJOR JT BIL W/O US	$152.40	$1,016.00	$114.81–$1,016.00	—	85%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASP/INJ INTERMEDIATE JT W/O US	$44.25	$295.00	$159.12–$2,825.00	94% below	85%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT (INTERMED) ASPIR-INJ	$77.70	$518.00	$159.12–$2,825.00	89% below	85%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASP OR INJ MD	$77.70	$518.00	$77.70–$518.00	89% below	85%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient both sides CPT 20605 DRAIN/INJ INTERMED JT BILAT	$116.55	$777.00	$87.80–$777.00	—	85%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASP/INJ INTERMEDIATE JT W/O US	$44.25	$295.00	$33.34–$295.00	—	85%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASP OR INJ MD	$77.70	$518.00	$77.70–$518.00	—	85%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 JOINT (INTERMED) ASPIR-INJ	$77.70	$518.00	$77.70–$518.00	—	85%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$70.80	$472.00	$70.80–$472.00	85% below	85%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASP OR INJ SML	$82.80	$552.00	$82.80–$552.00	82% below	85%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASP/INJ SMALL JT W	$44.25	$295.00	$33.34–$295.00	—	85%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$70.80	$472.00	$70.80–$472.00	—	85%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASP OR INJ SML	$82.80	$552.00	$82.80–$552.00	—	85%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR LAC INTERMED SCLP/EXT =<2.5 CM	$54.00	$360.00	$54.00–$360.00	95% below	85%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC RPR INT SCLP/EXT =<2.5 CM	$226.95	$1,513.00	$251.40–$8,860.00	78% below	85%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LACERATION REPAIR MED/LAYERED	$226.95	$1,513.00	$226.95–$1,513.00	78% below	85%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR LAC INTERMED SCLP/EXT =<2.5 CM	$54.00	$360.00	$40.68–$360.00	—	85%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAC RPR INT SCLP/EXT =<2.5 CM	$226.95	$1,513.00	$226.95–$1,513.00	—	85%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LACERATION REPAIR MED/LAYERED	$226.95	$1,513.00	$226.95–$1,513.00	—	85%
Left heart catheterization, diagnostic CPT 93452 L CATH W/INJ VENT IMG S&I	$3,446.70	$22,978.00	$1,588.63–$16,393.00	65% below	85%
Left heart catheterization, diagnostic inpatient CPT 93452 L CATH W/INJ VENT IMG S&I	$3,446.70	$22,978.00	$3,446.70–$22,978.00	—	85%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISE BENIGN TRUNK/EXT =< 0.5 CM	$102.00	$680.00	$276.95–$4,049.00	94% below	85%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISE BENIGN TRUNK/EXT =< 0.5 CM	$102.00	$680.00	$76.84–$680.00	—	85%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISE BENIGN FACE/EARS/EYELIDS =< 0.5 CM	$102.00	$680.00	$276.95–$4,049.00	94% below	85%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISE BENIGN FACE/EARS/EYELIDS =< 0.5 CM	$102.00	$680.00	$76.84–$680.00	—	85%
Nail removal (partial or complete), one nail CPT 11730 REMOVE NAIL PART OR CMPLT SNGL	$26.40	$176.00	$26.40–$176.00	95% below	85%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVE NAIL PART OR CMPLT SNGL	$26.40	$176.00	$26.40–$176.00	—	85%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVE NAIL PART OR CMPLT SNG	$29.25	$195.00	$22.04–$195.00	—	85%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES AGENT OCCIP NRV	$189.45	$1,263.00	$189.45–$1,263.00	81% below	85%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES AGENT OCCIP NRV	$189.45	$1,263.00	$189.45–$1,263.00	—	85%
Pacemaker implant (dual chamber) CPT 33208 INSERT NEW OR REPLACE PM W/ATRIAL/VENT LEAD RS&I	$2,706.45	$18,043.00	$5,079.14–$16,393.00	87% below	85%
Pacemaker implant (dual chamber) CPT 33208 INSERT/REPLACE PM ATR/VEN RS&I	$2,706.45	$18,043.00	$5,079.14–$15,757.33	87% below	85%
Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT NEW OR REPLACE PM W/ATRIAL/VENT LEAD RS&I	$2,706.45	$18,043.00	$2,706.45–$18,043.00	—	85%
Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT/REPLACE PM ATR/VEN RS&I	$2,706.45	$18,043.00	$2,706.45–$18,043.00	—	85%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS DX/THER W/IMAGING GUIDANCE	$994.80	$6,632.00	$994.80–$6,632.00	48% below	85%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS DX/THER W/IMAGING GUIDANCE	$994.80	$6,632.00	$994.80–$6,632.00	—	85%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISE INGROWN TOENAIL	$180.45	$1,203.00	$180.45–$1,203.00	86% below	85%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISE INGROWN TOENAIL	$180.45	$1,203.00	$180.45–$1,203.00	—	85%
Prostate biopsy CPT 55700 NEEDLE BIOPSY PROSTATE	$1,410.60	$9,404.00	$1,410.60–$9,404.00	57% below	85%
Prostate biopsy inpatient CPT 55700 NEEDLE BIOPSY PROSTATE	$1,410.60	$9,404.00	$1,410.60–$9,404.00	—	85%
Removal of a breast lump, open surgery CPT 19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$541.20	$3,608.00	$541.20–$3,608.00	87% below	85%
Removal of a breast lump, open surgery inpatient CPT 19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$541.20	$3,608.00	$541.20–$3,608.00	—	85%
Removal of a foreign object under the skin, simple CPT 10120 INCISE/REMOVE FOREIGN BODY SUBQ SIMPLE	$87.15	$581.00	$87.15–$581.00	91% below	85%
Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY INCISION/REMOVE SUBQ COMPLICATED	$87.15	$581.00	$112.01–$2,937.00	91% below	85%
Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY REM/WOUND EXPLORE	$87.15	$581.00	$87.15–$581.00	91% below	85%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FOREIGN BODY INCISION/REMOVE SUBQ COMPLICATED	$87.15	$581.00	$87.15–$581.00	—	85%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISE/REMOVE FOREIGN BODY SUBQ SIMPLE	$87.15	$581.00	$87.15–$581.00	—	85%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FOREIGN BODY REM/WOUND EXPLORE	$87.15	$581.00	$87.15–$581.00	—	85%
Short arm cast (elbow to hand) CPT 29075 APPLY CAST SHORT ARM	$39.00	$260.00	$126.95–$2,825.00	95% below	85%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY CAST SHORT ARM	$39.00	$260.00	$29.38–$260.00	—	85%
Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT SHORT ARM STATIC	$29.25	$195.00	$29.25–$195.00	92% below	85%
Short arm splint (forearm and hand) CPT 29125 APP SH AR SPL F/AR HND STA UNI	$153.15	$1,021.00	$153.15–$1,021.00	60% below	85%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT SHORT ARM STATIC	$29.25	$195.00	$29.25–$195.00	—	85%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SHORT ARM SPLINT STATIC IP	$153.15	$1,021.00	$115.37–$1,021.00	—	85%
Short arm splint (forearm and hand) inpatient CPT 29125 APP SH AR SPL F/AR HND STA UNI	$153.15	$1,021.00	$153.15–$1,021.00	—	85%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SH AR SPL F/AR HND STA BIL	$229.80	$1,532.00	$173.12–$1,532.00	—	85%
Short arm splint (forearm and hand) inpatient CPT 29125 APP SH AR SPL F/AR HND STA BIL	$229.80	$1,532.00	$173.12–$1,532.00	—	85%
Short leg cast (below the knee) CPT 29405 APPLY CAST SHORT LEG	$39.00	$260.00	$39.00–$260.00	94% below	85%
Short leg cast (below the knee) inpatient CPT 29405 APPLY CAST SHORT LEG	$39.00	$260.00	$29.38–$260.00	—	85%
Short leg splint (calf to foot) CPT 29515 APPLY SPLINT SHORT LEG	$22.50	$150.00	$22.50–$150.00	95% below	85%
Short leg splint (calf to foot) CPT 29515 APPLY SPLINT SHORT LEG CALF-FOOT	$25.50	$170.00	$25.50–$170.00	94% below	85%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPL CALF-FT UNI	$160.20	$1,068.00	$160.20–$1,068.00	65% below	85%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SPLINT SHORT LEG	$22.50	$150.00	$16.95–$150.00	—	85%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SPLINT SHORT LEG CALF-FOOT	$25.50	$170.00	$25.50–$170.00	—	85%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPL CALF-FT UNI	$160.20	$1,068.00	$160.20–$1,068.00	—	85%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPL CALF-FT BIL	$240.30	$1,602.00	$181.03–$1,602.00	—	85%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR LAC SIMPLE SCALP/NECK/EXT =<2.5 CM	$42.00	$280.00	$121.96–$2,825.00	92% below	85%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION REPAIR SIMPLE =<2.5 CM	$302.55	$2,017.00	$302.55–$2,017.00	40% below	85%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR LAC SIMPLE SCALP/NECK/EXT =<2.5CM	$29.25	$195.00	$22.04–$195.00	—	85%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR LAC SIMPLE SCALP/NECK/EXT =<2.5 CM	$42.00	$280.00	$42.00–$280.00	—	85%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LACERATION REPAIR SIMPLE =<2.5 CM	$302.55	$2,017.00	$302.55–$2,017.00	—	85%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN 1ST LESION	$180.45	$1,203.00	$180.45–$1,203.00	76% below	85%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY SKIN 1ST LESION	$180.45	$1,203.00	$180.45–$1,203.00	—	85%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXCISE MALIGNANT TRUNK/EXT =< 0.5 CM	$102.00	$680.00	$76.84–$680.00	—	85%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS FIBROCUTANEOUS =< 15	$29.25	$195.00	$29.25–$195.00	93% below	85%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG 1-15 LESNS	$108.15	$721.00	$108.15–$721.00	76% below	85%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS FIBROCUTANEOUS =< 15	$29.25	$195.00	$29.25–$195.00	—	85%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAG 1-15 LESNS	$108.15	$721.00	$108.15–$721.00	—	85%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$284.55	$1,897.00	$284.55–$1,897.00	81% below	85%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$284.55	$1,897.00	$284.55–$1,897.00	—	85%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR LAC SIMPLE SCALP/NECK/EXT =>2.6 CM	$51.00	$340.00	$121.96–$2,825.00	91% below	85%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LACERATION REP SIMPLE =>2.6 CM	$314.40	$2,096.00	$314.40–$2,096.00	44% below	85%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC REPAIR SIMPLE SCALP/NECK/EXT 2.6 CM-7.5 CM	$314.40	$2,096.00	$121.96–$2,825.00	44% below	85%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR LAC SIMPLE SCALP/NECK/EXT =>2.6 CM	$51.00	$340.00	$51.00–$340.00	—	85%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LACERATION REP SIMPLE =>2.6 CM	$314.40	$2,096.00	$314.40–$2,096.00	—	85%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC REPAIR SIMPLE SCALP/NECK/EXT 2.6 CM-7.5 CM	$314.40	$2,096.00	$314.40–$2,096.00	—	85%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR LAC SIMPLE FACE/EARS/EYELIDS =< 2.5 CM	$42.00	$280.00	$42.00–$280.00	91% below	85%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC REPAIR SIMPLE FACE/EARS/EYELIDS =< 2.5 CM	$283.50	$1,890.00	$283.50–$1,890.00	39% below	85%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR LAC SIMPLE FACE/EARS/EYELIDS =< 2.5 CM	$42.00	$280.00	$42.00–$280.00	—	85%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC REPAIR SIMPLE FACE/EARS/EYELIDS =< 2.5 CM	$283.50	$1,890.00	$283.50–$1,890.00	—	85%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN TAG 1ST LESION	$29.25	$195.00	$195.00–$2,825.00	94% below	85%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY SKIN TAG 1ST LESION	$29.25	$195.00	$22.04–$195.00	—	85%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NDL/CATH W IMAGE	$993.15	$6,621.00	$620.60–$8,860.00	48% below	85%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS NDL/CATH W IMAGE	$993.15	$6,621.00	$993.15–$6,621.00	—	85%
Trigger finger release surgery inpatient CPT 26055 INCISE FINGER TENDON SHEATH	$226.50	$1,510.00	$170.63–$1,510.00	—	85%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSCL	$93.45	$623.00	$93.45–$623.00	88% below	85%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 NJECT SINGLE/MULTI TRIGGER POINTS 1-2 MUSCLES	$44.25	$295.00	$33.34–$295.00	—	85%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1-2 MUSCL	$93.45	$623.00	$93.45–$623.00	—	85%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID	$238.65	$1,591.00	$851.55–$4,770.00	93% below	85%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BR BX W/DEVICE PLACE US 1ST	$1,650.00	$11,000.00	$1,650.00–$11,000.00	54% below	85%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID	$238.65	$1,591.00	$179.78–$1,591.00	—	85%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BR BX W/DEVICE PLACE US 1ST	$1,650.00	$11,000.00	$1,650.00–$11,000.00	—	85%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNILATERAL/BILATERAL	$295.50	$1,970.00	$295.50–$1,970.00	—	85%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNILATERAL/BILATERAL	$295.50	$1,970.00	$222.61–$1,970.00	—	85%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	$490.65	$3,271.00	$1,697.09–$7,626.00	93% below	85%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	$490.65	$3,271.00	$490.65–$3,271.00	—	85%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN =< 14 LESIONS	$29.25	$195.00	$29.25–$195.00	93% below	85%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN =< 14 LESIONS	$29.25	$195.00	$22.04–$195.00	—	85%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN =< 14 LESIONS0	$29.25	$195.00	$22.04–$195.00	—	85%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ TISSUE =<20 SQCM	$57.00	$380.00	$251.40–$2,937.00	94% below	85%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE =<20 SQCM	$1,179.75	$7,865.00	$1,179.75–$7,865.00	21% above	85%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TISSUE =<20 SQCM	$57.00	$380.00	$57.00–$380.00	—	85%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE =<20 SQCM	$1,179.75	$7,865.00	$1,179.75–$7,865.00	—	85%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSE BLOOD OR BLOOD PRODUCTS	$285.00	$1,900.00	$285.00–$1,900.00	78% below	85%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSE BLOOD OR BLOOD PRODUCTS	$285.00	$1,900.00	$285.00–$1,900.00	—	85%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RESPIRATORY FLOW VOLUME LOOP	$30.75	$205.00	$23.17–$205.00	—	85%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INITIAL 16-90 MIN	$94.95	$633.00	$94.95–$633.00	90% below	85%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INITIAL 16-90 MIN	$94.95	$633.00	$94.95–$633.00	—	85%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMP AUDIOMETRY THRESHOLD EVAL AND SPEECH RECOG	$23.25	$155.00	$51.21–$235.58	92% below	85%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMP AUDIOMETRY THRESHOLD EVAL AND SPEECH RECOG	$23.25	$155.00	$17.52–$155.00	—	85%
Critical care, first 30 to 74 minutes CPT 99291 LEVEL 6 CRITICAL CARE 30-74 MIN	$1,043.25	$6,955.00	$1,043.25–$6,955.00	79% below	85%
Critical care, first 30 to 74 minutes inpatient CPT 99291 LEVEL 6 CRITICAL CARE 30-74 MIN	$1,043.25	$6,955.00	$1,043.25–$6,955.00	—	85%
Critical care, first 30 to 74 minutes inpatient CPT 99291 LEVEL 6 CRITICAL CARE 30-74 MIN W/MODIFIER	$1,043.25	$6,955.00	$785.92–$6,955.00	—	85%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$140.70	$938.00	$140.70–$938.00	92% below	85%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$140.70	$938.00	$140.70–$938.00	—	85%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG12LEAD TRACING ONLY-ROUTINE	$99.75	$665.00	$16.69–$406.00	76% below	85%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING ONLY ER	$99.75	$665.00	$99.75–$665.00	76% below	85%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING ONLY	$99.75	$665.00	$75.15–$665.00	—	85%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING ONLY ER	$99.75	$665.00	$99.75–$665.00	—	85%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG12LEAD TRACING ONLY-ROUTINE	$99.75	$665.00	$99.75–$665.00	—	85%
Electroconvulsive therapy (ECT), one session CPT 90870 TIME ECT INITIAL 1/2 HR	$239.70	$1,598.00	$239.70–$1,598.00	84% below	85%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 TIME ECT INITIAL 1/2 HR	$239.70	$1,598.00	$239.70–$1,598.00	—	85%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 ED VISIT MD PRESENCE NOT REQUIRED	$120.00	$800.00	$120.00–$800.00	76% below	85%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 ED VISIT MD PRESENCE NOT REQ W/MODIFIER	$120.00	$800.00	$90.40–$800.00	—	85%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 ED VISIT MD PRESENCE NOT REQUIRED	$120.00	$800.00	$120.00–$800.00	—	85%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 ED VISIT STRAIGHTFORWARD DECISION	$330.00	$2,200.00	$330.00–$2,200.00	64% below	85%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 ED VISIT STRAIGHTFORWARD DECISION W/MOD	$330.00	$2,200.00	$248.60–$2,200.00	—	85%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 ED VISIT STRAIGHTFORWARD DECISION	$330.00	$2,200.00	$330.00–$2,200.00	—	85%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 ED VISIT LOW LEVEL DECISION	$555.00	$3,700.00	$555.00–$3,700.00	64% below	85%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 ED VISIT LOW LEVEL DECISION W/MODIFIER	$555.00	$3,700.00	$418.10–$3,700.00	—	85%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 ED VISIT LOW LEVEL DECISION	$555.00	$3,700.00	$555.00–$3,700.00	—	85%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 ED VISIT MODERATE LEVEL DECISION	$825.00	$5,500.00	$825.00–$5,500.00	66% below	85%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 ED VISIT MODERATE LEVEL DECISION	$825.00	$5,500.00	$825.00–$5,500.00	—	85%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 ED VISIT MODERATE LEVEL DECISION W/MOD	$825.00	$5,500.00	$621.50–$5,500.00	—	85%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 ED VISIT HIGH LEVEL DECISION	$945.00	$6,300.00	$945.00–$6,300.00	71% below	85%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 ED VISIT HIGH LEVEL DECISION W/MODIFIER	$945.00	$6,300.00	$711.90–$6,300.00	—	85%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 ED VISIT HIGH LEVEL DECISION	$945.00	$6,300.00	$945.00–$6,300.00	—	85%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS ECHO GXT AUTO ENTRY	$750.00	$5,000.00	$109.67–$1,939.00	59% below	85%
Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMACOLOGIC STRESS SESTAMIBI	$750.00	$5,000.00	$109.67–$1,939.00	59% below	85%
Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL GXT	$750.00	$5,000.00	$109.67–$1,939.00	59% below	85%
Exercise stress test, tracing only, the hospital charge CPT 93017 GXT PHARMALOGIC STRESS ECHO	$750.00	$5,000.00	$109.67–$1,939.00	59% below	85%
Exercise stress test, tracing only, the hospital charge CPT 93017 SESTAMIBI STRESS TEST GXT	$750.00	$5,000.00	$109.67–$1,939.00	59% below	85%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS ECHO -GXT- AUTO ENTRY	$750.00	$5,000.00	$565.00–$5,000.00	—	85%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL GXT	$750.00	$5,000.00	$750.00–$5,000.00	—	85%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS ECHO GXT AUTO ENTRY	$750.00	$5,000.00	$750.00–$5,000.00	—	85%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 SESTAMIBI STRESS TEST GXT	$750.00	$5,000.00	$750.00–$5,000.00	—	85%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PHARMACOLOGIC STRESS SESTAMIBI	$750.00	$5,000.00	$750.00–$5,000.00	—	85%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 GXT PHARMALOGIC STRESS ECHO	$750.00	$5,000.00	$750.00–$5,000.00	—	85%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL-GXT	$750.00	$5,000.00	$565.00–$5,000.00	—	85%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 SESTAMIBI STRESS TEST- GXT	$750.00	$5,000.00	$565.00–$5,000.00	—	85%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION ONLY 31 MIN-1 HOUR	$107.25	$715.00	$107.25–$715.00	84% below	85%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION ONLY 31 MIN-1 HOUR	$107.25	$715.00	$107.25–$715.00	—	85%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL UP TO 1 HR	$93.90	$626.00	$93.90–$626.00	88% below	85%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL UP TO 1HR	$93.90	$626.00	$93.90–$626.00	88% below	85%
IV infusion of a medicine, first hour CPT 96365 IV INF CARDIAC INITIAL 16-90	$93.90	$626.00	$93.90–$626.00	88% below	85%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL UP TO 1HR	$93.90	$626.00	$93.90–$626.00	—	85%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF CARDIAC INITIAL 16-90	$93.90	$626.00	$93.90–$626.00	—	85%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL UP TO 1 HOUR	$93.90	$626.00	$70.74–$626.00	—	85%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL UP TO 1 HR	$93.90	$626.00	$93.90–$626.00	—	85%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJECTION RHOGAM	$28.65	$191.00	$33.15–$107.16	84% below	85%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC IM/SUBQ	$28.65	$191.00	$28.65–$191.00	84% below	85%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NJECTION THERAPEUTIC IM/SUBQ	$10.50	$70.00	$7.91–$70.00	—	85%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJECTION RHOGAM	$28.65	$191.00	$28.65–$191.00	—	85%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION THERAPEUTIC IM/SUBQ	$28.65	$191.00	$28.65–$191.00	—	85%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN PACE	$26.40	$176.00	$19.89–$176.00	—	85%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN BY PTA	$26.40	$176.00	$19.89–$176.00	—	85%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN IP	$26.40	$176.00	$19.89–$176.00	—	85%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN BMP9	$26.40	$176.00	$19.89–$176.00	—	85%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN BY PTA BMP9	$26.40	$176.00	$19.89–$176.00	—	85%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN BY PTA IP	$26.40	$176.00	$19.89–$176.00	—	85%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN	$26.40	$176.00	$19.89–$176.00	—	85%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN BY PTA PACE	$26.40	$176.00	$19.89–$176.00	—	85%
New patient office visit, about 30 minutes CPT 99203 OUTPATIENT VISIT E&M NEW 30-44 MINUTES	$44.55	$297.00	$33.56–$297.00	91% below	85%
New patient office visit, about 30 minutes inpatient CPT 99203 TELEHEALTH - OUTPATIENT VISIT E&M NEW 30-44 MINS	$44.55	$297.00	$33.56–$297.00	—	85%
New patient office visit, about 30 minutes inpatient CPT 99203 OUTPATIENT VISIT E&M NEW 30-44 MINUTES	$44.55	$297.00	$33.56–$297.00	—	85%
New patient office visit, about 45 minutes CPT 99204 OUTPATIENT VISIT E&M NEW 45-59 MINUTES	$75.15	$501.00	$56.61–$501.00	89% below	85%
New patient office visit, about 45 minutes inpatient CPT 99204 OUTPATIENT VISIT E&M NEW 45-59 MINUTES	$75.15	$501.00	$56.61–$501.00	—	85%
New patient office visit, about 45 minutes inpatient CPT 99204 TELEHEALTH - OUTPATIENT VISIT E&M NEW 45-59 MINS	$75.15	$501.00	$56.61–$501.00	—	85%
New patient office visit, about 60 minutes CPT 99205 OUTPATIENT VISIT E&M NEW 60-74 MINUTES	$127.35	$849.00	$95.94–$849.00	83% below	85%
New patient office visit, about 60 minutes inpatient CPT 99205 OUTPATIENT VISIT E&M NEW 60-74 MINUTES	$127.35	$849.00	$95.94–$849.00	—	85%
New patient office visit, about 60 minutes inpatient CPT 99205 TELEHEALTH-OUTPATIENT VISIT E&M NEW 60-74 MINUTES	$127.35	$849.00	$95.94–$849.00	—	85%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPATIENT VISIT E&M NEW 15-29 MINUTES	$40.95	$273.00	$30.85–$273.00	85% below	85%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OUTPATIENT VISIT E&M NEW 15-29 MINUTES	$40.95	$273.00	$30.85–$273.00	—	85%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 TELEHEALTH - OUTPATIENT VISIT E&M NEW 15-29 MINS	$40.95	$273.00	$30.85–$273.00	—	85%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRITION THERAPY INITIAL INDIVID PER 15 MINS	$16.20	$108.00	$16.20–$108.00	81% below	85%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRITION THERAPY INITIAL INDIVID PER 15 MINS	$16.20	$108.00	$16.20–$108.00	—	85%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 30 MINS PACE	$33.75	$225.00	$25.43–$225.00	—	85%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 30 MINS BMP9	$33.75	$225.00	$25.43–$225.00	—	85%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 30 MINS IP	$33.75	$225.00	$25.43–$225.00	—	85%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 30 MINS	$33.75	$225.00	$25.43–$225.00	—	85%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MINS PACE	$47.25	$315.00	$35.60–$315.00	—	85%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MINS IP	$47.25	$315.00	$35.60–$315.00	—	85%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MINS BMP9	$47.25	$315.00	$35.60–$315.00	—	85%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MINS	$47.25	$315.00	$35.60–$315.00	—	85%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 20 MINS	$33.75	$225.00	$25.43–$225.00	—	85%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 20 MINS PACE	$33.75	$225.00	$25.43–$225.00	—	85%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 20 MINS BMP9	$33.75	$225.00	$25.43–$225.00	—	85%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 20 MINS IP	$33.75	$225.00	$25.43–$225.00	—	85%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY 30 MINS IP	$40.50	$270.00	$30.51–$270.00	—	85%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY 30 MINS BMP9	$40.50	$270.00	$30.51–$270.00	—	85%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY 30 MINS PACE	$40.50	$270.00	$30.51–$270.00	—	85%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY 30 MINS	$40.50	$270.00	$30.51–$270.00	—	85%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES BY PTA	$19.65	$131.00	$14.80–$131.00	—	85%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES	$19.65	$131.00	$14.80–$131.00	—	85%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES BY PTA IP	$19.65	$131.00	$14.80–$131.00	—	85%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MIN IP	$19.65	$131.00	$14.80–$131.00	—	85%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES BMP9	$19.65	$131.00	$14.80–$131.00	—	85%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES BY PTA BMP9	$19.65	$131.00	$14.80–$131.00	—	85%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15 MIN PACE	$19.65	$131.00	$14.80–$131.00	—	85%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES BY PTA PACE	$19.65	$131.00	$14.80–$131.00	—	85%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES PACE	$19.65	$131.00	$14.80–$131.00	—	85%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15 MIN	$19.65	$131.00	$14.80–$131.00	—	85%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES IP	$19.65	$131.00	$14.80–$131.00	—	85%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN	$22.05	$147.00	$22.70–$55.59	86% below	85%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN BY PTA BMP9	$27.00	$180.00	$20.34–$180.00	—	85%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN BY PTA	$27.00	$180.00	$20.34–$180.00	—	85%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN BY PTA IP	$27.00	$180.00	$20.34–$180.00	—	85%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN PACE	$27.00	$180.00	$20.34–$180.00	—	85%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN	$27.00	$180.00	$20.34–$180.00	—	85%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN IP	$27.00	$180.00	$20.34–$180.00	—	85%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN BMP9	$27.00	$180.00	$20.34–$180.00	—	85%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN BY PTA PACE	$27.00	$180.00	$20.34–$180.00	—	85%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACCO CESSATION VISIT INTERMED 4-10 MINS	$13.20	$88.00	$14.31–$2,100.00	79% below	85%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBACCO CESSATION VISIT INTERMED 4-10 MINS	$13.20	$88.00	$13.20–$88.00	—	85%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPATIENT VISIT E&M EST 40-54 MINUTES	$64.50	$430.00	$48.59–$430.00	90% below	85%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OUTPATIENT VISIT E&M EST 40-54 MINUTES	$64.50	$430.00	$48.59–$430.00	—	85%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TELEHEALTH - OUTPATIENT VISIT E&M EST 40-54 MINS	$64.50	$430.00	$48.59–$430.00	—	85%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPATIENT VISIT E&M EST 20-29 MINUTES	$41.70	$278.00	$31.41–$278.00	88% below	85%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT E&M EST 20-29 MINS (CATH CHEST EVAL)	$41.70	$278.00	$31.41–$278.00	88% below	85%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP VISIT E&M EST 20-29 MINS (CATH CHEST EVAL)	$41.70	$278.00	$31.41–$278.00	—	85%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OUTPATIENT VISIT E&M EST 20-29 MINUTES	$41.70	$278.00	$31.41–$278.00	—	85%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TELEHEALTH - OUTPATIENT VISIT E&M EST 20-29 MINS	$41.70	$278.00	$31.41–$278.00	—	85%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPATIENT VISIT E&M EST 30-39 MINUTES	$52.20	$348.00	$39.32–$348.00	90% below	85%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TELEHEALTH - OUTPATIENT VISIT E&M EST 30-39 MINS	$52.20	$348.00	$39.32–$348.00	—	85%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OUTPATIENT VISIT E&M EST 30-39 MINUTES	$52.20	$348.00	$39.32–$348.00	—	85%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUTPATIENT VISIT E&M EST 10-19 MINUTES	$33.15	$221.00	$24.97–$221.00	90% below	85%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OUTPATIENT VISIT E&M EST 10-19 MINUTES	$33.15	$221.00	$24.97–$221.00	—	85%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TELEHEALTH - OUTPATIENT VISIT E&M EST 10-19 MINS	$33.15	$221.00	$24.97–$221.00	—	85%
Speech and language evaluation inpatient CPT 92523 EVAL SPEECH PROD W/COMP IP	$74.40	$496.00	$56.05–$496.00	—	85%
Speech and language evaluation inpatient CPT 92523 EVAL SPEECH PROD W/COMP BMP9	$74.40	$496.00	$56.05–$496.00	—	85%
Speech and language evaluation inpatient CPT 92523 EVAL SPEECH PROD W/COMP	$74.40	$496.00	$56.05–$496.00	—	85%
Speech and language evaluation inpatient CPT 92523 EVAL SPEECH SOUND PRODUCTION W/EVAL LANG COMP/EXP	$74.40	$496.00	$56.05–$496.00	—	85%
Speech therapy session, individual inpatient CPT 92507 TREAT SP LANG VOICE AUD INDIV BMP9	$71.25	$475.00	$53.68–$475.00	—	85%
Speech therapy session, individual inpatient CPT 92507 TREAT SP LANG VOICE AUD INDIV IP	$71.25	$475.00	$53.68–$475.00	—	85%
Speech therapy session, individual inpatient CPT 92507 TREAT SP LANG VOICE AUD INDIV	$71.25	$475.00	$53.68–$475.00	—	85%
Speech therapy session, individual inpatient CPT 92507 TREAT SPEECH LANG VOICE AUDITORY INDIVIDUAL	$71.25	$475.00	$53.68–$475.00	—	85%
Spirometry (breathing test) CPT 94010 SPIROMETRY/PFT	$80.55	$537.00	$37.25–$406.00	76% below	85%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY GRAPHIC RECORD	$23.25	$155.00	$17.52–$155.00	—	85%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY/PFT	$80.55	$537.00	$80.55–$537.00	—	85%
Spirometry before and after a bronchodilator CPT 94060 PRE/POST SPIROMETRY W/DILATOR	$140.70	$938.00	$67.94–$468.87	84% below	85%
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE/POST SPIROMETRY W/DILATOR	$140.70	$938.00	$140.70–$938.00	—	85%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15MIN BY PTA	$19.95	$133.00	$15.03–$133.00	—	85%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY 15 MIN	$19.95	$133.00	$15.03–$133.00	—	85%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN PACE	$19.95	$133.00	$15.03–$133.00	—	85%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES 15 MIN IP	$19.95	$133.00	$15.03–$133.00	—	85%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN BMP9	$19.95	$133.00	$15.03–$133.00	—	85%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN IP	$19.95	$133.00	$15.03–$133.00	—	85%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN BY PTA IP	$19.95	$133.00	$15.03–$133.00	—	85%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15MIN	$19.95	$133.00	$15.03–$133.00	—	85%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN BY PTA PACE	$19.95	$133.00	$15.03–$133.00	—	85%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY 15 MIN PACE	$19.95	$133.00	$15.03–$133.00	—	85%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15MIN BY PTA BMP9	$19.95	$133.00	$15.03–$133.00	—	85%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$37.05	$247.00	$37.05–$247.00	89% below	85%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$37.05	$247.00	$45.83–$426.00	89% below	85%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$37.05	$247.00	$37.05–$247.00	—	85%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$37.05	$247.00	$37.05–$247.00	—	85%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine 0.5 mL injection	$247.95	$1,653.00	$826.50	22% below	85%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine 0.5 mL injection	$247.95	$1,653.00	$78.90–$94.68	22% below	85%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine 0.5 mL injection	$247.95	$1,653.00	$826.50	—	85%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine 0.5 mL injection	$247.95	$1,653.00	$186.79–$1,653.00	—	85%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine inactivated preservative-free trivalent suspension	$49.80	$332.00	$37.52–$332.00	39% below	85%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine inactivated preservative-free trivalent suspension	$49.80	$332.00	$166.00	39% below	85%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine inactivated preservative-free trivalent suspension	$49.80	$332.00	$37.52–$332.00	—	85%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine inactivated preservative-free trivalent suspension	$49.80	$332.00	$166.00	—	85%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 50 units/1 mL injection	$124.05	$827.00	$413.50	28% below	85%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 50 units/1 mL injection	$124.05	$827.00	$93.45–$827.00	28% below	85%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 1440 units/mL preservative free SUSP	$136.65	$911.00	$455.50	21% below	85%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 1440 units/mL preservative free SUSP	$136.65	$911.00	$16.34–$19.61	21% below	85%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 50 units/1 mL injection	$124.05	$827.00	$413.50	—	85%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 50 units/1 mL injection	$124.05	$827.00	$93.45–$827.00	—	85%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 1440 units/mL preservative free SUSP	$136.65	$911.00	$102.94–$911.00	—	85%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 1440 units/mL preservative free SUSP	$136.65	$911.00	$455.50	—	85%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL injection	$146.85	$979.00	$110.63–$979.00	35% below	85%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL injection	$146.85	$979.00	$16.34–$19.61	35% below	85%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL injection	$146.85	$979.00	$110.63–$979.00	—	85%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL injection	$146.85	$979.00	$110.63–$979.00	—	85%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vac 0.5 mL injection MENVEO	$237.30	$1,582.00	$178.77–$1,582.00	54% below	85%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vac 0.5 mL injection MENVEO	$237.30	$1,582.00	$178.77–$1,582.00	54% below	85%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vac 0.5 mL injection MENACTRA	$240.60	$1,604.00	$78.90–$94.68	54% below	85%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vac 0.5 mL injection MENACTRA	$240.60	$1,604.00	$181.25–$1,604.00	54% below	85%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vac 0.5 mL injection MENVEO	$237.30	$1,582.00	$178.77–$1,582.00	—	85%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vac 0.5 mL injection MENVEO	$237.30	$1,582.00	$178.77–$1,582.00	—	85%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vac 0.5 mL injection MENACTRA	$240.60	$1,604.00	$181.25–$1,604.00	—	85%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vac 0.5 mL injection MENACTRA	$240.60	$1,604.00	$181.25–$1,604.00	—	85%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL injection	$195.75	$1,305.00	$147.47–$1,305.00	50% below	85%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL injection	$195.75	$1,305.00	$133.32–$652.50	50% below	85%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL injection	$195.75	$1,305.00	$133.32–$652.50	—	85%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL injection	$195.75	$1,305.00	$147.47–$1,305.00	—	85%
Rabies vaccine, one dose CPT 90675 rabies vaccine 2.5 units/1 mL (RABAVERT) injection	$315.00	$2,100.00	$78.90–$468.05	75% below	85%
Rabies vaccine, one dose CPT 90675 rabies vaccine 2.5 units/1 mL (RABAVERT) injection	$315.00	$2,100.00	$315.00–$2,100.00	75% below	85%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine 2.5 units/1 mL (RABAVERT) injection	$315.00	$2,100.00	$315.00–$2,100.00	—	85%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine 2.5 units/1 mL (RABAVERT) injection	$315.00	$2,100.00	$315.00–$2,100.00	—	85%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine (Shingrix) inactivated adjuvanted PDWI	$315.00	$2,100.00	$78.90–$94.68	9% below	85%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine (Shingrix) inactivated adjuvanted PDWI	$315.00	$2,100.00	$1,050.00	9% below	85%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine (Shingrix) inactivated adjuvanted PDWI	$315.00	$2,100.00	$237.30–$2,100.00	—	85%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine (Shingrix) inactivated adjuvanted PDWI	$315.00	$2,100.00	$1,050.00	—	85%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 typhoid vaccine inactivated 0.5 mL injection	$136.50	$910.00	$16.34–$19.61	47% below	85%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 typhoid vaccine inactivated 0.5 mL injection	$136.50	$910.00	$102.83–$910.00	47% below	85%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 typhoid vaccine inactivated 0.5 mL injection	$136.50	$910.00	$102.83–$910.00	—	85%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 typhoid vaccine inactivated 0.5 mL injection	$136.50	$910.00	$102.83–$910.00	—	85%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN INITIAL VAC	$8.25	$55.00	$8.25–$55.00	93% below	85%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN INITIAL VACCINATION	$31.05	$207.00	$25.58–$107.16	75% below	85%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION IMMUNIZATION 1 VACCINE	$31.05	$207.00	$31.05–$207.00	75% below	85%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN INITIAL VAC	$8.25	$55.00	$8.25–$55.00	—	85%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN INITIAL VACCINATION	$31.05	$207.00	$31.05–$207.00	—	85%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION IMMUNIZATION 1 VACCINE	$31.05	$207.00	$31.05–$207.00	—	85%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADDL VAC	$10.50	$70.00	$7.91–$70.00	91% below	85%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADDL VACCINATION	$10.50	$70.00	$25.58–$30.70	91% below	85%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION IMMUNIZATION EA ADDL VACCINE	$33.30	$222.00	$25.09–$222.00	72% below	85%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA ADDL VACCINATION	$10.50	$70.00	$7.91–$70.00	—	85%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA ADDL VAC	$10.50	$70.00	$7.91–$70.00	—	85%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMINISTRATION IMMUNIZATION EA ADDL VACCINE	$33.30	$222.00	$25.09–$222.00	—	85%

Source file: https://baptisthealthcare.pt.panaceainc.com/MRFDownload/baptisthealthcare/baptist