Hialeah Hospital
Listed in its price file as “Hsa Hh LLC”.
Hialeah Hospital in Hialeah, FL publishes cash prices for 366 common procedures listed here, from its own machine-readable price file updated Feb 21, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 301 of 361 procedures and above it for 54. By typical cash price it ranks #22 of 151 Florida hospitals and #4 of 36 hospitals in the Miami, FL area, cheapest first. Click a procedure to compare it with other hospitals nearby.
651 E 25th St, Hialeah FL 33013 Collected Sep 27, 2026 Source price file (305) 693-6100
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 100053 · 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 CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS BIL | $1,898.24 | $1,898.24 | $13.82–$1,898.24 | 217% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS LT | $1,265.49 | $1,265.49 | $13.82–$1,265.49 | 111% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS RT | $1,265.49 | $1,265.49 | $13.82–$1,265.49 | 111% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS BIL | $1,898.24 | $1,898.24 | $1,100.98–$1,898.24 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS RT | $1,265.49 | $1,265.49 | $733.98–$1,265.49 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 X-RAY EXAM ANKLE 3+ VIEWS LT | $1,265.49 | $1,265.49 | $733.98–$1,265.49 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $136.72 | $1,151.04 | $95.70–$541.27 | 85% below | 88% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $1,151.04 | $1,151.04 | $34.53–$1,151.04 | 24% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $1,151.04 | $1,151.04 | $667.60–$1,151.04 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM | $180.24 | $1,697.13 | $126.17–$480.27 | 82% below | 89% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM | $1,697.13 | $1,697.13 | $33.72–$1,697.13 | 70% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHOGRAM | $1,697.13 | $1,697.13 | $984.34–$1,697.13 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE/JOINT; WB | $410.79 | $2,987.69 | $287.55–$1,626.32 | 86% below | 86% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE/JOINT; WB | $2,987.69 | $2,987.69 | $89.63–$2,987.69 | 2% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE/JOINT; WB | $2,987.69 | $2,987.69 | $1,732.86–$2,987.69 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE BIL | $1,084.01 | $1,084.01 | $32.52–$1,084.01 | 87% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE LT | $722.67 | $722.67 | $21.68–$722.67 | 25% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE RT | $722.67 | $722.67 | $21.68–$722.67 | 25% above | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BREAST COMPLETE BIL | $1,084.01 | $1,084.01 | $628.73–$1,084.01 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE LT | $722.67 | $722.67 | $419.15–$722.67 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE RT | $722.67 | $722.67 | $419.15–$722.67 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED BIL | $388.62 | $388.62 | $11.66–$388.62 | 16% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED RT | $259.08 | $259.08 | $7.77–$259.08 | 44% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED LT | $259.08 | $259.08 | $7.77–$259.08 | 44% below | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED BIL | $388.62 | $388.62 | $225.40–$388.62 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED LT | $259.08 | $259.08 | $150.27–$259.08 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED RT | $259.08 | $259.08 | $150.27–$259.08 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $180.24 | $8,828.00 | $126.17–$480.27 | 96% below | 98% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $8,828.00 | $8,828.00 | $160.70–$8,828.00 | 87% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST | $8,828.00 | $8,828.00 | $5,120.24–$8,828.00 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $358.49 | $4,620.51 | $250.94–$1,013.74 | 82% below | 92% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $4,620.51 | $4,620.51 | $138.62–$4,620.51 | 131% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE | $4,620.51 | $4,620.51 | $2,679.90–$4,620.51 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $89.43 | $2,203.98 | $62.60–$238.29 | 82% below | 96% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $2,203.98 | $2,203.98 | $24.70–$2,203.98 | 332% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST | $2,203.98 | $2,203.98 | $1,278.31–$2,203.98 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS | $245.18 | $16,191.81 | $171.63–$666.65 | 96% below | 98% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS | $16,191.81 | $16,191.81 | $128.84–$16,191.81 | 143% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS | $16,191.81 | $16,191.81 | $9,391.25–$16,191.81 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELV W/CONTRAST | $358.49 | $19,423.66 | $250.94–$1,013.74 | 95% below | 98% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELV W/CONTRAST | $19,423.66 | $19,423.66 | $256.50–$19,423.66 | 161% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELV W/CONTRAST | $19,423.66 | $19,423.66 | $11,265.72–$19,423.66 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV 1/> REGNS | $358.49 | $18,223.07 | $250.94–$1,013.74 | 96% below | 98% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV 1/> REGNS | $18,223.07 | $18,223.07 | $258.00–$18,223.07 | 118% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELV 1/> REGNS | $18,223.07 | $18,223.07 | $10,569.38–$18,223.07 | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABD W CONTRAST | $180.24 | $8,534.33 | $126.17–$480.27 | 96% below | 98% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD W CONTRAST | $8,534.33 | $8,534.33 | $160.56–$8,534.33 | 90% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W CONTRAST | $8,534.33 | $8,534.33 | $4,949.91–$8,534.33 | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABD WO CONTRAST | $6,851.03 | $6,851.03 | $98.07–$6,851.03 | 65% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO CONTRAST | $6,851.03 | $6,851.03 | $3,973.60–$6,851.03 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT - MF WO CONTR | $8,200.16 | $8,200.16 | $98.07–$8,200.16 | 167% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT - MF WO CONTR | $8,200.16 | $8,200.16 | $4,756.09–$8,200.16 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT - HEAD/BRAIN WO CONTRAST | $9,882.99 | $9,882.99 | $83.63–$9,882.99 | 196% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT - HEAD/BRAIN WO CONTRAST | $9,882.99 | $9,882.99 | $5,732.13–$9,882.99 | — | — |
| CT scan of the head with contrast CPT 70460 CT - HEAD/BRAIN W CONTRAST | $180.24 | $9,374.00 | $126.17–$480.27 | 95% below | 98% |
| CT scan of the head with contrast CPT 70460 CT - HEAD/BRAIN W CONTRAST | $9,374.00 | $9,374.00 | $121.04–$9,374.00 | 144% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT - HEAD/BRAIN W CONTRAST | $9,374.00 | $9,374.00 | $5,436.92–$9,374.00 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT - HEAD/BRAIN W/WO CONTRAST | $180.24 | $11,690.56 | $126.17–$480.27 | 96% below | 98% |
| CT scan of the head without and with contrast CPT 70470 CT - HEAD/BRAIN W/WO CONTRAST | $11,690.56 | $11,690.56 | $145.59–$11,690.56 | 165% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT - HEAD/BRAIN W/WO CONTRAST | $11,690.56 | $11,690.56 | $6,780.52–$11,690.56 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LS WO CONTRAST | $8,125.30 | $8,125.30 | $98.07–$8,125.30 | 124% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LS WO CONTRAST | $8,125.30 | $8,125.30 | $4,712.67–$8,125.30 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SPINE WO CONTR | $8,908.59 | $8,908.59 | $98.07–$8,908.59 | 127% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV SPINE WO CONTR | $8,908.59 | $8,908.59 | $5,166.98–$8,908.59 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS; W CONTR | $180.24 | $8,811.30 | $126.17–$480.27 | 96% below | 98% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS; W CONTR | $8,811.30 | $8,811.30 | $160.56–$8,811.30 | 109% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS; W CONTR | $8,811.30 | $8,811.30 | $5,110.55–$8,811.30 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX SCAN; BILAT | $245.18 | $3,312.51 | $171.63–$666.65 | — | 93% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX SCAN; BILAT | $3,312.51 | $3,312.51 | $99.38–$3,312.51 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DUPLEX SCAN; BILAT | $3,312.51 | $3,312.51 | $1,921.26–$3,312.51 | — | — |
| Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2 VIEWS | $89.43 | $1,407.19 | $62.60–$238.29 | 83% below | 94% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $89.43 | $1,407.19 | $62.60–$238.29 | 83% below | 94% |
| Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2 VIEWS | $1,407.19 | $1,407.19 | $26.72–$1,407.19 | 175% above | — |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $1,407.19 | $1,407.19 | $26.72–$1,407.19 | 175% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $1,407.19 | $1,407.19 | $816.17–$1,407.19 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST X-RAY 2 VIEWS | $1,407.19 | $1,407.19 | $816.17–$1,407.19 | — | — |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $89.43 | $1,228.43 | $62.60–$238.29 | 81% below | 93% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $1,228.43 | $1,228.43 | $19.70–$1,228.43 | 164% above | — |
| Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW | $1,228.43 | $1,228.43 | $712.49–$1,228.43 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $107.42 | $2,444.87 | $75.19–$286.26 | 92% below | 96% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $2,444.87 | $2,444.87 | $54.09–$2,444.87 | 87% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP | $2,444.87 | $2,444.87 | $1,418.02–$2,444.87 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BN DENSITY AXIAL 1+SITE | $106.99 | $764.09 | $74.89–$286.26 | 85% below | 86% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BN DENSITY AXIAL 1+SITE | $764.09 | $764.09 | $22.92–$764.09 | 9% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BN DENSITY AXIAL 1+SITE | $764.09 | $764.09 | $443.17–$764.09 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BN DENSTY/PERIPH 1+SITE | $89.06 | $860.01 | $62.34–$238.29 | 80% below | 90% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BN DENSTY/PERIPH 1+SITE | $860.01 | $860.01 | $18.68–$860.01 | 91% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BN DENSTY/PERIPH 1+SITE | $860.01 | $860.01 | $498.81–$860.01 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS | $245.18 | $1,447.52 | $171.63–$666.65 | 77% below | 83% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS | $1,447.52 | $1,447.52 | $43.43–$1,447.52 | 38% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SNGL FETUS | $1,447.52 | $1,447.52 | $839.56–$1,447.52 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX; WO CONTRAST | $6,306.61 | $6,306.61 | $98.07–$6,306.61 | 65% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX; WO CONTRAST | $6,306.61 | $6,306.61 | $3,657.83–$6,306.61 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX; W CONTRAST | $180.24 | $9,061.58 | $126.17–$480.27 | 96% below | 98% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX; W CONTRAST | $9,061.58 | $9,061.58 | $142.86–$9,061.58 | 101% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX; W CONTRAST | $9,061.58 | $9,061.58 | $5,255.72–$9,061.58 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $114.22 | $1,199.00 | $64.76–$1,199.00 | — | 90% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $1,199.00 | $1,199.00 | $35.97–$1,199.00 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI | $1,199.00 | $1,199.00 | $695.42–$1,199.00 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI RT | $954.84 | $954.84 | $28.65–$954.84 | 121% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI LT | $954.84 | $954.84 | $28.65–$954.84 | 121% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI LT | $954.84 | $954.84 | $553.81–$954.84 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI RT | $954.84 | $954.84 | $553.81–$954.84 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LE ART/BPG; BILAT | $245.18 | $2,986.60 | $171.63–$666.65 | — | 92% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LE ART/BPG; BILAT | $2,986.60 | $2,986.60 | $89.60–$2,986.60 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LE ART/BPG; BILAT | $2,986.60 | $2,986.60 | $1,732.23–$2,986.60 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXT VEINS; BILAT | $245.18 | $2,464.49 | $171.63–$666.65 | — | 90% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXT VEINS; BILAT | $2,464.49 | $2,464.49 | $73.93–$2,464.49 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX EXT VEINS; BILAT | $2,464.49 | $2,464.49 | $1,429.40–$2,464.49 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $561.48 | $8,257.84 | $393.04–$1,740.44 | 85% below | 93% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $8,257.84 | $8,257.84 | $154.39–$8,257.84 | 127% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE | $8,257.84 | $8,257.84 | $4,789.55–$8,257.84 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $410.79 | $2,789.31 | $287.55–$1,626.32 | 80% below | 85% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $2,789.31 | $2,789.31 | $83.68–$2,789.31 | 34% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $2,789.31 | $2,789.31 | $1,617.80–$2,789.31 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YR CPAP 4/> PARM | $20,221.68 | $20,221.68 | $600.36–$20,221.68 | 237% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOM 6/>YR CPAP 4/> PARM | $20,221.68 | $20,221.68 | $11,728.57–$20,221.68 | — | — |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 BIL | $1,806.68 | $1,806.68 | $15.28–$1,806.68 | 258% above | — |
| Knee X-ray, 3 views one side CPT 73562 X-RAY EXAM OF KNEE 3 LT | $1,204.45 | $1,204.45 | $15.28–$1,204.45 | 139% above | — |
| Knee X-ray, 3 views one side CPT 73562 X-RAY EXAM OF KNEE 3 RT | $1,204.45 | $1,204.45 | $15.28–$1,204.45 | 139% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 X-RAY EXAM OF KNEE 3 BIL | $1,806.68 | $1,806.68 | $1,047.87–$1,806.68 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 X-RAY EXAM OF KNEE 3 LT | $1,204.45 | $1,204.45 | $698.58–$1,204.45 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 X-RAY EXAM OF KNEE 3 RT | $1,204.45 | $1,204.45 | $698.58–$1,204.45 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $107.42 | $3,251.47 | $75.19–$286.26 | 92% below | 97% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $3,251.47 | $3,251.47 | $40.26–$3,251.47 | 143% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN | $3,251.47 | $3,251.47 | $1,885.85–$3,251.47 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LDCT FOR LUNG CA SCREEN | $106.99 | $1,591.40 | $74.89–$286.26 | 88% below | 93% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LDCT FOR LUNG CA SCREEN | $1,591.40 | $1,591.40 | $47.74–$1,591.40 | 73% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LDCT FOR LUNG CA SCREEN | $1,591.40 | $1,591.40 | $923.01–$1,591.40 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI - LE JNT WO CONTR BIL | $7,091.00 | $7,091.00 | $181.67–$7,091.00 | 251% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI - LE JNT WO CONTR LT | $4,727.33 | $4,727.33 | $141.82–$4,727.33 | 134% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI - LE JNT WO CONTR RT | $4,727.33 | $4,727.33 | $141.82–$4,727.33 | 134% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI - LE JNT WO CONTR BIL | $7,091.00 | $7,091.00 | $4,112.78–$7,091.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI - LE JNT WO CONTR LT | $4,727.33 | $4,727.33 | $2,741.85–$4,727.33 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI - LE JNT WO CONTR RT | $4,727.33 | $4,727.33 | $2,741.85–$4,727.33 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JNT W&WO CONTR BIL | $12,617.30 | $12,617.30 | $319.19–$12,617.30 | 281% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE JNT W&WO CONTR LT | $8,411.53 | $8,411.53 | $252.35–$8,411.53 | 154% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE JNT W&WO CONTR RT | $8,411.53 | $8,411.53 | $252.35–$8,411.53 | 154% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LE JNT W&WO CONTR BIL | $12,617.30 | $12,617.30 | $7,318.03–$12,617.30 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE JNT W&WO CONTR LT | $8,411.53 | $8,411.53 | $4,878.69–$8,411.53 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE JNT W&WO CONTR RT | $8,411.53 | $8,411.53 | $4,878.69–$8,411.53 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST | $245.18 | $2,641.07 | $171.63–$666.65 | 93% below | 91% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST | $2,641.07 | $2,641.07 | $79.23–$2,641.07 | 28% below | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CONTRAST | $2,641.07 | $2,641.07 | $1,531.82–$2,641.07 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & WO CONTRAST | $358.49 | $4,869.03 | $250.94–$1,013.74 | 93% below | 93% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & WO CONTRAST | $4,869.03 | $4,869.03 | $146.07–$4,869.03 | 7% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & WO CONTRAST | $4,869.03 | $4,869.03 | $2,824.04–$4,869.03 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $245.18 | $5,344.27 | $171.63–$666.65 | 94% below | 95% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $5,344.27 | $5,344.27 | $160.33–$5,344.27 | 41% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $5,344.27 | $5,344.27 | $3,099.68–$5,344.27 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & WO CONTRAST | $358.49 | $7,261.58 | $250.94–$1,013.74 | 93% below | 95% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & WO CONTRAST | $7,261.58 | $7,261.58 | $217.85–$7,261.58 | 35% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & WO CONTRAST | $7,261.58 | $7,261.58 | $4,211.72–$7,261.58 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CONTR | $245.18 | $7,023.96 | $171.63–$666.65 | 94% below | 97% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CONTR | $7,023.96 | $7,023.96 | $160.81–$7,023.96 | 85% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CONTR | $7,023.96 | $7,023.96 | $4,073.90–$7,023.96 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMB SPINE W & WO CONTR | $358.49 | $9,588.73 | $250.94–$1,013.74 | 94% below | 96% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMB SPINE W & WO CONTR | $9,588.73 | $9,588.73 | $283.40–$9,588.73 | 49% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMB SPINE W & WO CONTR | $9,588.73 | $9,588.73 | $5,561.46–$9,588.73 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CONTR | $245.18 | $3,886.94 | $171.63–$666.65 | 94% below | 94% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CONTR | $3,886.94 | $3,886.94 | $116.61–$3,886.94 | 1% below | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO CONTR | $3,886.94 | $3,886.94 | $2,254.43–$3,886.94 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV SPINE W & WO CONTR | $358.49 | $10,687.45 | $250.94–$1,013.74 | 94% below | 97% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV SPINE W & WO CONTR | $10,687.45 | $10,687.45 | $284.19–$10,687.45 | 91% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERV SPINE W & WO CONTR | $10,687.45 | $10,687.45 | $6,198.72–$10,687.45 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERV; WO CONTR | $245.18 | $5,069.59 | $171.63–$666.65 | 94% below | 95% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERV; WO CONTR | $5,069.59 | $5,069.59 | $152.09–$5,069.59 | 32% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERV; WO CONTR | $5,069.59 | $5,069.59 | $2,940.36–$5,069.59 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & WO CONTRAST | $358.49 | $3,122.85 | $250.94–$1,013.74 | 93% below | 89% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & WO CONTRAST | $3,122.85 | $3,122.85 | $93.69–$3,122.85 | 36% below | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & WO CONTRAST | $3,122.85 | $3,122.85 | $1,811.25–$3,122.85 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST | $245.18 | $1,602.30 | $171.63–$666.65 | 93% below | 85% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST | $1,602.30 | $1,602.30 | $48.07–$1,602.30 | 52% below | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST | $1,602.30 | $1,602.30 | $929.33–$1,602.30 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI U EXTR ANY JNT WO CONT BIL | $4,887.02 | $4,887.02 | $146.61–$4,887.02 | 120% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI U EXTR ANY JNT WO CONT RT | $3,258.01 | $3,258.01 | $97.74–$3,258.01 | 47% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI U EXTR ANY JNT WO CONT LT | $3,258.01 | $3,258.01 | $97.74–$3,258.01 | 47% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI U EXTR ANY JNT WO CONT BIL | $4,887.02 | $4,887.02 | $2,834.47–$4,887.02 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI U EXTR ANY JNT WO CONT LT | $3,258.01 | $3,258.01 | $1,889.65–$3,258.01 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI U EXTR ANY JNT WO CONT RT | $3,258.01 | $3,258.01 | $1,889.65–$3,258.01 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $1,330.34 | $7,330.25 | $931.24–$5,266.75 | 80% below | 82% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $7,330.25 | $7,330.25 | $219.91–$7,330.25 | 11% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT | $7,330.25 | $7,330.25 | $4,251.55–$7,330.25 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $107.42 | $2,604.01 | $75.19–$286.26 | 89% below | 96% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $2,604.01 | $2,604.01 | $28.29–$2,604.01 | 167% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED | $2,604.01 | $2,604.01 | $1,510.33–$2,604.01 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $107.42 | $3,886.94 | $75.19–$286.26 | 92% below | 97% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $3,886.94 | $3,886.94 | $45.11–$3,886.94 | 174% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE | $3,886.94 | $3,886.94 | $2,254.43–$3,886.94 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $107.42 | $1,052.94 | $75.19–$286.26 | 91% below | 90% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $1,052.94 | $1,052.94 | $31.59–$1,052.94 | 14% below | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >= 14 WKS SNGL FETUS | $1,052.94 | $1,052.94 | $610.71–$1,052.94 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $107.42 | $1,528.18 | $75.19–$286.26 | 88% below | 93% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $1,528.18 | $1,528.18 | $45.85–$1,528.18 | 73% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS | $1,528.18 | $1,528.18 | $886.34–$1,528.18 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1+ FETUS(S) | $107.42 | $1,972.90 | $75.19–$286.26 | 84% below | 95% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1+ FETUS(S) | $1,972.90 | $1,972.90 | $37.11–$1,972.90 | 193% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED 1+ FETUS(S) | $1,972.90 | $1,972.90 | $1,144.28–$1,972.90 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $93.51 | $1,199.00 | $62.82–$1,199.00 | — | 92% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD RED SVC | $1,199.00 | $1,199.00 | $35.97–$1,199.00 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $1,199.00 | $1,199.00 | $35.97–$1,199.00 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD | $1,199.00 | $1,199.00 | $695.42–$1,199.00 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD RED SVC | $1,199.00 | $1,199.00 | $695.42–$1,199.00 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY SHOULDER 2+ VIEWS BIL | $3,597.00 | $3,597.00 | $14.31–$3,597.00 | 458% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY SHOULDER 2+ VIEWS RT | $2,398.00 | $2,398.00 | $14.31–$2,398.00 | 272% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY SHOULDER 2+ VIEWS LT | $2,398.00 | $2,398.00 | $14.31–$2,398.00 | 272% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-RAY SHOULDER 2+ VIEWS BIL | $3,597.00 | $3,597.00 | $2,086.26–$3,597.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X-RAY SHOULDER 2+ VIEWS LT | $2,398.00 | $2,398.00 | $1,390.84–$2,398.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 X-RAY SHOULDER 2+ VIEWS RT | $2,398.00 | $2,398.00 | $1,390.84–$2,398.00 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $13,085.45 | $13,085.45 | $392.56–$13,085.45 | 128% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $13,085.45 | $13,085.45 | $7,589.56–$13,085.45 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FCN W CINE/VIDEO | $180.24 | $2,261.75 | $126.17–$480.27 | 84% below | 92% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FCN W CINE/VIDEO | $2,261.75 | $2,261.75 | $35.65–$2,261.75 | 99% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FCN W CINE/VIDEO | $2,261.75 | $2,261.75 | $1,311.81–$2,261.75 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 NON-OB TRANSVAG US | $107.42 | $1,951.10 | $75.19–$286.26 | 90% below | 94% |
| Transvaginal pelvic ultrasound CPT 76830 NON-OB TRANSVAG US | $1,951.10 | $1,951.10 | $44.87–$1,951.10 | 75% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 NON-OB TRANSVAG US | $1,951.10 | $1,951.10 | $1,131.64–$1,951.10 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL OB US | $107.42 | $1,650.26 | $75.19–$286.26 | 89% below | 93% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL OB US | $1,650.26 | $1,650.26 | $39.05–$1,650.26 | 63% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL OB US | $1,650.26 | $1,650.26 | $957.15–$1,650.26 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $107.42 | $3,559.94 | $75.19–$286.26 | 95% below | 97% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $3,559.94 | $3,559.94 | $54.33–$3,559.94 | 67% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOM COMPLETE | $3,559.94 | $3,559.94 | $2,064.77–$3,559.94 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS | $107.42 | $1,931.48 | $75.19–$286.26 | 91% below | 94% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS | $1,931.48 | $1,931.48 | $45.11–$1,931.48 | 67% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS | $1,931.48 | $1,931.48 | $1,120.26–$1,931.48 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $107.42 | $1,240.42 | $75.19–$286.26 | 90% below | 91% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $1,240.42 | $1,240.42 | $37.21–$1,240.42 | 11% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK | $1,240.42 | $1,240.42 | $719.44–$1,240.42 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $180.24 | $1,309.09 | $126.17–$480.27 | 85% below | 86% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $1,309.09 | $1,309.09 | $39.27–$1,309.09 | 11% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $1,309.09 | $1,309.09 | $759.27–$1,309.09 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXT VEINS; UNIL/LIMIT | $107.42 | $2,613.82 | $75.19–$286.26 | 87% below | 96% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXT VEINS; UNIL/LIMIT | $2,613.82 | $2,613.82 | $78.41–$2,613.82 | 205% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX EXT VEINS; UNIL/LIMIT | $2,613.82 | $2,613.82 | $1,516.02–$2,613.82 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM WRIST 3+ VIEWS BIL | $2,100.98 | $2,100.98 | $14.31–$2,100.98 | 265% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY EXAM WRIST 3+ VIEWS RT | $1,400.65 | $1,400.65 | $14.31–$1,400.65 | 143% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY EXAM WRIST 3+ VIEWS LT | $1,400.65 | $1,400.65 | $14.31–$1,400.65 | 143% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-RAY EXAM WRIST 3+ VIEWS BIL | $2,100.98 | $2,100.98 | $1,218.57–$2,100.98 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X-RAY EXAM WRIST 3+ VIEWS LT | $1,400.65 | $1,400.65 | $812.38–$1,400.65 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 X-RAY EXAM WRIST 3+ VIEWS RT | $1,400.65 | $1,400.65 | $812.38–$1,400.65 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $89.43 | $1,335.25 | $62.60–$238.29 | 84% below | 93% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWSLT | $1,335.25 | $1,335.25 | $28.80–$1,335.25 | 140% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $1,335.25 | $1,335.25 | $28.80–$1,335.25 | 140% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWSRT | $1,335.25 | $1,335.25 | $28.80–$1,335.25 | 140% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWSLT | $1,335.25 | $1,335.25 | $774.44–$1,335.25 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWSRT | $1,335.25 | $1,335.25 | $774.44–$1,335.25 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $1,335.25 | $1,335.25 | $774.44–$1,335.25 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $89.43 | $1,192.46 | $62.60–$238.29 | 84% below | 93% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $1,192.46 | $1,192.46 | $24.38–$1,192.46 | 107% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $1,192.46 | $1,192.46 | $691.63–$1,192.46 | — | — |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM ANKLE 2 VIEWS BIL | $2,217.06 | $2,217.06 | $12.37–$2,217.06 | 436% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY EXAM ANKLE 2 VIEWS RT | $1,478.04 | $1,478.04 | $12.37–$1,478.04 | 258% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY EXAM ANKLE 2 VIEWS LT | $1,478.04 | $1,478.04 | $12.37–$1,478.04 | 258% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 X-RAY EXAM ANKLE 2 VIEWS BIL | $2,217.06 | $2,217.06 | $1,285.89–$2,217.06 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY EXAM ANKLE 2 VIEWS RT | $1,478.04 | $1,478.04 | $857.26–$1,478.04 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY EXAM ANKLE 2 VIEWS LT | $1,478.04 | $1,478.04 | $857.26–$1,478.04 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY OF FINGER(S) 2+ VWS BIL | $1,587.59 | $1,587.59 | $11.88–$1,587.59 | 251% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER(S) 2+ VWS LT | $1,058.39 | $1,058.39 | $11.88–$1,058.39 | 134% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER(S) 2+ VWS RT | $1,058.39 | $1,058.39 | $11.88–$1,058.39 | 134% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-RAY OF FINGER(S) 2+ VWS BIL | $1,587.59 | $1,587.59 | $920.80–$1,587.59 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X-RAY OF FINGER(S) 2+ VWS LT | $1,058.39 | $1,058.39 | $613.87–$1,058.39 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X-RAY OF FINGER(S) 2+ VWS RT | $1,058.39 | $1,058.39 | $613.87–$1,058.39 | — | — |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM FOOT; 2 VIEWS BIL | $1,587.59 | $1,587.59 | $12.37–$1,587.59 | 265% above | — |
| X-ray of the foot, 2 views one side CPT 73620 X-RAY EXAM FOOT; 2 VIEWS LT | $1,058.39 | $1,058.39 | $12.37–$1,058.39 | 143% above | — |
| X-ray of the foot, 2 views one side CPT 73620 X-RAY EXAM FOOT; 2 VIEWS RT | $1,058.39 | $1,058.39 | $12.37–$1,058.39 | 143% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 X-RAY EXAM FOOT; 2 VIEWS BIL | $1,587.59 | $1,587.59 | $920.80–$1,587.59 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 X-RAY EXAM FOOT; 2 VIEWS LT | $1,058.39 | $1,058.39 | $613.87–$1,058.39 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 X-RAY EXAM FOOT; 2 VIEWS RT | $1,058.39 | $1,058.39 | $613.87–$1,058.39 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS BIL | $2,727.18 | $2,727.18 | $13.58–$2,727.18 | 386% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS LT | $1,818.12 | $1,818.12 | $13.58–$1,818.12 | 224% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS RT | $1,818.12 | $1,818.12 | $13.58–$1,818.12 | 224% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS BIL | $2,727.18 | $2,727.18 | $1,581.76–$2,727.18 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS RT | $1,818.12 | $1,818.12 | $1,054.51–$1,818.12 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 X-RAY EXAM FOOT; 3+ VIEWS LT | $1,818.12 | $1,818.12 | $1,054.51–$1,818.12 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM HAND 3+ VIEWS BIL | $2,915.21 | $2,915.21 | $13.58–$2,915.21 | 402% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 X-RAY EXAM HAND 3+ VIEWS LT | $89.43 | $1,943.47 | $62.60–$238.29 | 85% below | 95% |
| X-ray of the hand, 3 or more views one side CPT 73130 X-RAY EXAM HAND 3+ VIEWS LT | $1,943.47 | $1,943.47 | $13.58–$1,943.47 | 235% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 X-RAY EXAM HAND 3+ VIEWS RT | $1,943.47 | $1,943.47 | $13.58–$1,943.47 | 235% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 X-RAY EXAM HAND 3+ VIEWS BIL | $2,915.21 | $2,915.21 | $1,690.82–$2,915.21 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 X-RAY EXAM HAND 3+ VIEWS LT | $1,943.47 | $1,943.47 | $1,127.21–$1,943.47 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 X-RAY EXAM HAND 3+ VIEWS RT | $1,943.47 | $1,943.47 | $1,127.21–$1,943.47 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 BIL | $1,698.77 | $1,698.77 | $13.09–$1,698.77 | 244% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 RT | $1,132.51 | $1,132.51 | $13.09–$1,132.51 | 129% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 LT | $1,132.51 | $1,132.51 | $13.09–$1,132.51 | 129% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 BIL | $1,698.77 | $1,698.77 | $985.29–$1,698.77 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 RT | $1,132.51 | $1,132.51 | $656.86–$1,132.51 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 LT | $1,132.51 | $1,132.51 | $656.86–$1,132.51 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER SPINE 2-3 VW | $107.42 | $2,262.84 | $75.19–$286.26 | 88% below | 95% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER SPINE 2-3 VW | $2,262.84 | $2,262.84 | $17.47–$2,262.84 | 163% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY OF LOWER SPINE 2-3 VW | $2,262.84 | $2,262.84 | $1,312.45–$2,262.84 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER SPINE 4+ VW | $107.42 | $3,207.87 | $75.19–$286.26 | 92% below | 97% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER SPINE 4+ VW | $3,207.87 | $3,207.87 | $24.01–$3,207.87 | 149% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY OF LOWER SPINE 4+ VW | $3,207.87 | $3,207.87 | $1,860.56–$3,207.87 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORACIC SPINE 2 VW | $107.42 | $1,059.48 | $75.19–$286.26 | 85% below | 90% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORACIC SPINE 2 VW | $1,059.48 | $1,059.48 | $16.01–$1,059.48 | 46% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY EXAM THORACIC SPINE 2 VW | $1,059.48 | $1,059.48 | $614.50–$1,059.48 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM NASAL BONES 3+ VWS | $89.43 | $518.84 | $62.60–$238.29 | 88% below | 83% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM NASAL BONES 3+ VWS | $518.84 | $518.84 | $13.58–$518.84 | 31% below | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-RAY EXAM NASAL BONES 3+ VWS | $518.84 | $518.84 | $300.93–$518.84 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $89.43 | $737.93 | $62.60–$238.29 | 88% below | 88% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $737.93 | $737.93 | $16.01–$737.93 | 2% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $737.93 | $737.93 | $428.00–$737.93 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS 1-2 VIEWS | $107.42 | $1,425.72 | $75.19–$286.26 | 86% below | 92% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS 1-2 VIEWS | $1,425.72 | $1,425.72 | $12.61–$1,425.72 | 89% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY EXAM OF PELVIS 1-2 VIEWS | $1,425.72 | $1,425.72 | $826.92–$1,425.72 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF TAILBONE 2+ VW | $89.43 | $578.79 | $62.60–$238.29 | 88% below | 85% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF TAILBONE 2+ VW | $578.79 | $578.79 | $14.31–$578.79 | 24% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-RAY OF TAILBONE 2+ VW | $578.79 | $578.79 | $335.70–$578.79 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE; ALANINE AMINO | $5.19 | $325.91 | $2.60–$325.91 | 90% below | 98% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL TRANSFERASE; ALANINE AMINO | $5.19 | $325.91 | $2.60–$325.91 | 90% below | 98% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE; ALANINE AMINO | $325.91 | $325.91 | $2.60–$325.91 | 533% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL TRANSFERASE; ALANINE AMINO | $325.91 | $325.91 | $2.60–$325.91 | 533% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE; ALANINE AMINO | $325.91 | $325.91 | $189.03–$325.91 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL TRANSFERASE; ALANINE AMINO | $325.91 | $325.91 | $189.03–$325.91 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 RL AST OR SGOT | $5.08 | $312.83 | $2.54–$312.83 | 92% below | 98% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST OR SGOT | $5.08 | $312.83 | $2.54–$312.83 | 92% below | 98% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 RL AST OR SGOT | $312.83 | $312.83 | $2.54–$312.83 | 386% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST OR SGOT | $312.83 | $312.83 | $2.54–$312.83 | 386% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL AST OR SGOT | $312.83 | $312.83 | $181.44–$312.83 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST OR SGOT | $312.83 | $312.83 | $181.44–$312.83 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $46.68 | $166.77 | $21.31–$166.77 | 75% below | 72% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 RL ACUTE HEPATITIS PANEL | $46.68 | $166.77 | $21.31–$166.77 | 75% below | 72% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $166.77 | $166.77 | $5.00–$166.77 | 12% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 RL ACUTE HEPATITIS PANEL | $166.77 | $166.77 | $5.00–$166.77 | 12% below | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 RL ACUTE HEPATITIS PANEL | $166.77 | $166.77 | $96.73–$166.77 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $166.77 | $166.77 | $96.73–$166.77 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLG SPEC IGE CRUDE XTRC EA | $5.12 | $55.59 | $2.56–$55.59 | 47% below | 91% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLG SPEC IGE CRUDE XTRC EA | $55.59 | $55.59 | $1.67–$55.59 | 479% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALLG SPEC IGE CRUDE XTRC EA | $55.59 | $55.59 | $32.24–$55.59 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL CCP ANTIBODY | $12.69 | $42.35 | $5.41–$42.35 | 54% below | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL CCP ANTIBODY | $42.35 | $42.35 | $1.27–$42.35 | 55% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL CCP ANTIBODY | $42.35 | $42.35 | $24.56–$42.35 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 RL ANTINUCLEAR AB (ANA) | $11.85 | $480.69 | $5.93–$480.69 | 61% below | 98% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (ANA); | $11.85 | $480.69 | $5.93–$480.69 | 61% below | 98% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (ANA); | $480.69 | $480.69 | $5.93–$480.69 | 1481% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 RL ANTINUCLEAR AB (ANA) | $480.69 | $480.69 | $5.93–$480.69 | 1481% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL ANTINUCLEAR AB (ANA) | $480.69 | $480.69 | $278.80–$480.69 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB (ANA); | $480.69 | $480.69 | $278.80–$480.69 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $38.47 | $149.33 | $19.08–$149.33 | 83% below | 74% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL B-TYPE NATRIURETIC PEPTIDE | $38.47 | $149.33 | $19.08–$149.33 | 83% below | 74% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL B-TYPE NATRIURETIC PEPTIDE | $149.33 | $149.33 | $4.48–$149.33 | 33% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $149.33 | $149.33 | $4.48–$149.33 | 33% below | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RL B-TYPE NATRIURETIC PEPTIDE | $149.33 | $149.33 | $86.61–$149.33 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE | $149.33 | $149.33 | $86.61–$149.33 | — | — |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $2,787.13 | $2,787.13 | $4.15–$2,787.13 | 589% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA | $2,787.13 | $2,787.13 | $1,616.54–$2,787.13 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOG LVL 4 | $53.55 | $998.44 | $37.48–$211.99 | 57% below | 95% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOG LVL 4 | $998.44 | $998.44 | $29.95–$998.44 | 693% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOG LVL 4 | $998.44 | $998.44 | $579.10–$998.44 | — | — |
| Blood culture for bacteria CPT 87040 AEROB BACTERIAL BLOOD CULTURE | $1,133.60 | $1,133.60 | $5.06–$1,133.60 | 188% above | — |
| Blood culture for bacteria inpatient CPT 87040 AEROB BACTERIAL BLOOD CULTURE | $1,133.60 | $1,133.60 | $657.49–$1,133.60 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $9.15 | $174.40 | $2.70–$174.40 | 59% below | 95% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $9.15 | — | $4.58–$50,000.00 | 59% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $174.40 | $174.40 | $2.70–$174.40 | 679% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $174.40 | $174.40 | $101.15–$174.40 | — | — |
| Blood glucose (sugar) test CPT 82947 RL GLUCOSE; QUAN BLOOD | $3.85 | $348.80 | $1.93–$348.80 | 94% below | 99% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE; QUAN BLOOD | $3.85 | $348.80 | $1.93–$348.80 | 94% below | 99% |
| Blood glucose (sugar) test CPT 82947 RL GLUCOSE; QUAN BLOOD | $348.80 | $348.80 | $1.93–$348.80 | 474% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE; QUAN BLOOD | $348.80 | $348.80 | $1.93–$348.80 | 474% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 RL GLUCOSE; QUAN BLOOD | $348.80 | $348.80 | $202.30–$348.80 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE; QUAN BLOOD | $348.80 | $348.80 | $202.30–$348.80 | — | — |
| Blood lead test CPT 83655 RL LEAD | $10.05 | $10.26 | $1.31–$22.06 | 26% below | 2% |
| Blood lead test CPT 83655 RL LEAD | $10.26 | $10.26 | $0.31–$22.06 | 25% below | — |
| Blood lead test inpatient CPT 83655 RL LEAD | $10.26 | $10.26 | $5.95–$10.26 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG; QUAL | $7.37 | $439.27 | $3.68–$439.27 | 95% below | 98% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG; QUAL | $439.27 | $439.27 | $3.68–$439.27 | 225% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG; QUAL | $439.27 | $439.27 | $254.78–$439.27 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $136.72 | $196.20 | $95.70–$541.27 | 86% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $196.20 | $196.20 | $2.46–$196.20 | 167% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO | $196.20 | $196.20 | $113.80–$196.20 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $5.08 | $392.40 | $2.54–$392.40 | 95% below | 99% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RL C-REACTIVE PROTEIN | $5.08 | $392.40 | $2.54–$392.40 | 95% below | 99% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RL C-REACTIVE PROTEIN | $392.40 | $392.40 | $2.54–$392.40 | 314% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $392.40 | $392.40 | $2.54–$392.40 | 314% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $392.40 | $392.40 | $227.59–$392.40 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 RL C-REACTIVE PROTEIN | $392.40 | $392.40 | $227.59–$392.40 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $36.52 | $109.00 | $13.93–$109.00 | 71% below | 66% |
| C. difficile toxin gene test (stool PCR) CPT 87493 RL C DIFF AMPLIFIED PROBE | $36.52 | $109.00 | $13.93–$109.00 | 71% below | 66% |
| C. difficile toxin gene test (stool PCR) CPT 87493 RL C DIFF AMPLIFIED PROBE | $109.00 | $109.00 | $3.27–$109.00 | 12% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $109.00 | $109.00 | $3.27–$109.00 | 12% below | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE | $109.00 | $109.00 | $63.22–$109.00 | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 RL C DIFF AMPLIFIED PROBE | $109.00 | $109.00 | $63.22–$109.00 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 RL IMMUNOASSAY CA 19-9 | $20.39 | $171.13 | $10.20–$171.13 | 68% below | 88% |
| CA 19-9 blood test (tumor marker) CPT 86301 IA QUANT; CA 19-9 | $20.39 | $171.13 | $10.20–$171.13 | 68% below | 88% |
| CA 19-9 blood test (tumor marker) CPT 86301 RL IMMUNOASSAY CA 19-9 | $171.13 | $171.13 | $5.13–$171.13 | 165% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 IA QUANT; CA 19-9 | $171.13 | $171.13 | $5.13–$171.13 | 165% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IA QUANT; CA 19-9 | $171.13 | $171.13 | $99.26–$171.13 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 RL IMMUNOASSAY CA 19-9 | $171.13 | $171.13 | $99.26–$171.13 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 RL IMMUNOASSAY CA 125 | $20.39 | $175.49 | $10.20–$175.49 | 79% below | 88% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IA QUANT; CA 125 | $20.39 | $175.49 | $10.20–$175.49 | 79% below | 88% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 RL IMMUNOASSAY CA 125 | $175.49 | $175.49 | $5.26–$175.49 | 77% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IA QUANT; CA 125 | $175.49 | $175.49 | $5.26–$175.49 | 77% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 RL IMMUNOASSAY CA 125 | $175.49 | $175.49 | $101.78–$175.49 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA QUANT; CA 125 | $175.49 | $175.49 | $101.78–$175.49 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2/19 (COVID19) | $50.28 | $218.00 | $25.15–$218.00 | 38% below | 77% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COV-19 AMP PRB HGH THRUPUT | $50.28 | $148.24 | $18.95–$148.24 | 38% below | 66% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL SARS-CoV2/19-nCoV (COVID19) | $50.28 | $66.49 | $8.50–$110.32 | 38% below | 24% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL SARS-CoV2/19-nCoV (COVID19) | $66.49 | $66.49 | $1.99–$110.32 | 18% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COV-19 AMP PRB HGH THRUPUT | $148.24 | $148.24 | $4.45–$148.24 | 83% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2/19 (COVID19) | $218.00 | $218.00 | $6.54–$218.00 | 169% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL SARS-CoV2/19-nCoV (COVID19) | $66.49 | $66.49 | $38.56–$66.49 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COV-19 AMP PRB HGH THRUPUT | $148.24 | $148.24 | $85.98–$148.24 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV2/19 (COVID19) | $218.00 | $218.00 | $126.44–$218.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL CHLAMYDIA T AMPLIF NA PROBE | $34.39 | $222.36 | $17.20–$222.36 | 56% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMPLIF NA PROBE | $34.39 | $114.74 | $14.66–$114.74 | 56% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMPLIF NA PROBE | $114.74 | $114.74 | $3.44–$114.74 | 47% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL CHLAMYDIA T AMPLIF NA PROBE | $222.36 | $222.36 | $6.67–$222.36 | 186% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T AMPLIF NA PROBE | $114.74 | $114.74 | $66.55–$114.74 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL CHLAMYDIA T AMPLIF NA PROBE | $222.36 | $222.36 | $128.97–$222.36 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL LIPID PANEL | $13.12 | $2,544.06 | $6.57–$2,544.06 | 92% below | 99% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $13.12 | $2,544.06 | $6.57–$2,544.06 | 92% below | 99% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL LIPID PANEL | $2,544.06 | $2,544.06 | $6.57–$2,544.06 | 1521% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $2,544.06 | $2,544.06 | $6.57–$2,544.06 | 1521% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $2,544.06 | $2,544.06 | $1,475.55–$2,544.06 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 RL LIPID PANEL | $2,544.06 | $2,544.06 | $1,475.55–$2,544.06 | — | — |
| Complete blood count (CBC) with differential CPT 85025 COMPL CBC W PLT W AUTOM DIFF | $7.61 | $1,196.82 | $3.81–$1,196.82 | 90% below | 99% |
| Complete blood count (CBC) with differential CPT 85025 COMPL CBC W PLT W AUTOM DIFF | $1,196.82 | $1,196.82 | $3.81–$1,196.82 | 1467% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPL CBC W PLT W AUTOM DIFF | $1,196.82 | $1,196.82 | $694.16–$1,196.82 | — | — |
| Complete blood count (CBC), no differential CPT 85027 COMPL AUTOM CBC W PLT | $6.34 | $728.12 | $3.18–$728.12 | 95% below | 99% |
| Complete blood count (CBC), no differential CPT 85027 COMPL AUTOM CBC W PLT | $728.12 | $728.12 | $3.18–$728.12 | 477% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPL AUTOM CBC W PLT | $728.12 | $728.12 | $422.31–$728.12 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $4,562.74 | $4,562.74 | $5.17–$4,562.74 | 714% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL | $4,562.74 | $4,562.74 | $2,646.39–$4,562.74 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER - QUAN | $9.98 | $166.77 | $4.99–$166.77 | 97% below | 94% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER - QUAN | $166.77 | $166.77 | $4.99–$166.77 | 43% below | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER - QUAN | $166.77 | $166.77 | $96.73–$166.77 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $21.79 | $27.28 | $3.49–$47.79 | 54% below | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 RL DEHYDOEPIANDROSTERONE SLFTE | $21.79 | $27.28 | $3.49–$47.79 | 54% below | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 RL DEHYDOEPIANDROSTERONE SLFTE | $27.28 | $27.28 | $0.82–$47.79 | 43% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $27.28 | $27.28 | $0.82–$47.79 | 43% below | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $27.28 | $27.28 | $15.82–$27.28 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 RL DEHYDOEPIANDROSTERONE SLFTE | $27.28 | $27.28 | $15.82–$27.28 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FSH | $10.28 | $10.49 | $1.34–$33.44 | 86% below | 2% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FSH | $10.49 | $10.49 | $0.31–$28.00 | 86% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 RL GONADOTROPIN;FSH | $18.21 | $60.75 | $7.76–$60.75 | 75% below | 70% |
| FSH (follicle-stimulating hormone) test CPT 83001 RL GONADOTROPIN;FSH | $60.75 | $60.75 | $1.82–$60.75 | 18% below | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN; FSH | $10.49 | $10.49 | $6.08–$10.49 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 RL GONADOTROPIN;FSH | $60.75 | $60.75 | $35.23–$60.75 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 RL ASSAY FOR CALPROTECTIN FECL | $19.24 | $64.19 | $8.20–$64.19 | 85% below | 70% |
| Fecal calprotectin (stool inflammation test) CPT 83993 RL ASSAY FOR CALPROTECTIN FECL | $64.19 | $64.19 | $1.93–$64.19 | 49% below | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL ASSAY FOR CALPROTECTIN FECL | $64.19 | $64.19 | $37.23–$64.19 | — | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $13.36 | $252.88 | $6.68–$252.88 | 92% below | 95% |
| Ferritin blood test (iron stores) CPT 82728 RL FERRITIN | $13.36 | $252.88 | $6.68–$252.88 | 92% below | 95% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $252.88 | $252.88 | $6.68–$252.88 | 44% above | — |
| Ferritin blood test (iron stores) CPT 82728 RL FERRITIN | $252.88 | $252.88 | $6.68–$252.88 | 44% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 RL FERRITIN | $252.88 | $252.88 | $146.67–$252.88 | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $252.88 | $252.88 | $146.67–$252.88 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM | $14.41 | $264.87 | $7.20–$264.87 | 91% below | 95% |
| Folate (folic acid) blood test CPT 82746 RL FOLIC ACID | $14.41 | $264.87 | $7.20–$264.87 | 91% below | 95% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM | $264.87 | $264.87 | $7.20–$264.87 | 62% above | — |
| Folate (folic acid) blood test CPT 82746 RL FOLIC ACID | $264.87 | $264.87 | $7.20–$264.87 | 62% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID; SERUM | $264.87 | $264.87 | $153.62–$264.87 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 RL FOLIC ACID | $264.87 | $264.87 | $153.62–$264.87 | — | — |
| Free T3 thyroid hormone test CPT 84481 T3; FREE | $16.60 | $30.86 | $3.94–$36.42 | 83% below | 46% |
| Free T3 thyroid hormone test CPT 84481 T3; FREE | $30.86 | $30.86 | $0.93–$36.42 | 68% below | — |
| Free T3 thyroid hormone test CPT 84481 RL FREE T3 | $55.62 | $55.62 | $1.67–$55.62 | 42% below | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3; FREE | $30.86 | $30.86 | $17.90–$30.86 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 RL FREE T3 | $55.62 | $55.62 | $32.26–$55.62 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE | $8.84 | $51.23 | $4.42–$51.23 | 91% below | 83% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 RL T-4 (THYROXINE), FREE | $8.84 | $51.23 | $4.42–$51.23 | 91% below | 83% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 RL T-4 (THYROXINE), FREE | $51.23 | $51.23 | $1.54–$51.23 | 46% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE | $51.23 | $51.23 | $1.54–$51.23 | 46% below | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE | $51.23 | $51.23 | $29.71–$51.23 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 RL T-4 (THYROXINE), FREE | $51.23 | $51.23 | $29.71–$51.23 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 3 SPECM | $12.61 | $504.67 | $6.31–$504.67 | 91% below | 98% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 3 SPECM | $504.67 | $504.67 | $6.31–$504.67 | 256% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST 3 SPECM | $504.67 | $504.67 | $292.71–$504.67 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL NEISSERIA AMPLIF NA PROBE | $34.39 | $287.76 | $17.20–$287.76 | 33% below | 88% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIF NA PROBE | $34.39 | $287.76 | $17.20–$287.76 | 33% below | 88% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIF NA PROBE | $287.76 | $287.76 | $8.63–$287.76 | 459% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL NEISSERIA AMPLIF NA PROBE | $287.76 | $287.76 | $8.63–$287.76 | 459% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA AMPLIF NA PROBE | $287.76 | $287.76 | $166.90–$287.76 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 RL NEISSERIA AMPLIF NA PROBE | $287.76 | $287.76 | $166.90–$287.76 | — | — |
| H. pylori antibody blood test CPT 86677 RL HELICOBACTER PYLORI ANTIBDS | $16.51 | $62.13 | $7.94–$62.13 | 52% below | 73% |
| H. pylori antibody blood test CPT 86677 RL HELICOBACTER PYLORI ANTIBDS | $62.13 | $62.13 | $1.86–$62.13 | 79% above | — |
| H. pylori antibody blood test inpatient CPT 86677 RL HELICOBACTER PYLORI ANTIBDS | $62.13 | $62.13 | $36.04–$62.13 | — | — |
| H. pylori stool antigen test CPT 87338 RL HELICOBACTR PYLOR ANTG FECS | $14.09 | $25.90 | $3.31–$30.92 | 72% below | 46% |
| H. pylori stool antigen test CPT 87338 RL HPYLORI STOOL IA | $14.09 | $25.90 | $3.31–$30.92 | 72% below | 46% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL IA | $14.09 | $33.27 | $4.25–$33.27 | 72% below | 58% |
| H. pylori stool antigen test CPT 87338 RL HPYLORI STOOL IA | $25.90 | $25.90 | $0.78–$30.92 | 49% below | — |
| H. pylori stool antigen test CPT 87338 RL HELICOBACTR PYLOR ANTG FECS | $25.90 | $25.90 | $0.78–$30.92 | 49% below | — |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL IA | $33.27 | $33.27 | $1.00–$33.27 | 35% below | — |
| H. pylori stool antigen test inpatient CPT 87338 RL HPYLORI STOOL IA | $25.90 | $25.90 | $15.02–$25.90 | — | — |
| H. pylori stool antigen test inpatient CPT 87338 RL HELICOBACTR PYLOR ANTG FECS | $25.90 | $25.90 | $15.02–$25.90 | — | — |
| H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL IA | $33.27 | $33.27 | $19.30–$33.27 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV-1 RNA QUANTATVE PCR CSF | $83.40 | $103.01 | $13.16–$182.96 | 27% below | 19% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV-1 RNA BY PCR QUANT | $83.40 | $103.01 | $13.16–$182.96 | 27% below | 19% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $83.40 | $103.01 | $13.16–$182.96 | 27% below | 19% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $103.01 | $103.01 | $3.09–$182.96 | 10% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV-1 RNA QUANTATVE PCR CSF | $103.01 | $103.01 | $3.09–$182.96 | 10% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV-1 RNA BY PCR QUANT | $103.01 | $103.01 | $3.09–$182.96 | 10% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL HIV-1 RNA QUANTATVE PCR CSF | $103.01 | $103.01 | $59.75–$103.01 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL HIV-1 RNA BY PCR QUANT | $103.01 | $103.01 | $59.75–$103.01 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $103.01 | $103.01 | $59.75–$103.01 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $23.60 | $78.48 | $10.03–$78.48 | 72% below | 70% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RL HIV-1 AG W/HIV-1 & HIV-2 AB | $23.60 | $78.48 | $10.03–$78.48 | 72% below | 70% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $78.48 | $78.48 | $2.35–$78.48 | 6% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RL HIV-1 AG W/HIV-1 & HIV-2 AB | $78.48 | $78.48 | $2.35–$78.48 | 6% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $78.48 | $78.48 | $45.52–$78.48 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 RL HIV-1 AG W/HIV-1 & HIV-2 AB | $78.48 | $78.48 | $45.52–$78.48 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL GLYCOSYLATED HEMOGLOBIN TST | $9.52 | $134.07 | $4.76–$134.07 | 88% below | 93% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL HEMOGLOBIN A1C | $9.52 | $134.07 | $4.76–$134.07 | 88% below | 93% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $9.52 | $134.07 | $4.76–$134.07 | 88% below | 93% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL GLYCOSYLATED HEMOGLOBIN TST | $134.07 | $134.07 | $4.02–$134.07 | 68% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL HEMOGLOBIN A1C | $134.07 | $134.07 | $4.02–$134.07 | 68% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $134.07 | $134.07 | $4.02–$134.07 | 68% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RL HEMOGLOBIN A1C | $134.07 | $134.07 | $77.76–$134.07 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $134.07 | $134.07 | $77.76–$134.07 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 RL GLYCOSYLATED HEMOGLOBIN TST | $134.07 | $134.07 | $77.76–$134.07 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 RL HEPATITIS B SURFACE AB | $10.53 | $47.96 | $5.26–$47.96 | 82% below | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 AB: HBSAB | $10.53 | $47.96 | $5.26–$47.96 | 82% below | 78% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 RL HEPATITIS B SURFACE AB | $47.96 | $47.96 | $1.44–$47.96 | 17% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 AB: HBSAB | $47.96 | $47.96 | $1.44–$47.96 | 17% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 AB: HBSAB | $47.96 | $47.96 | $27.82–$47.96 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 RL HEPATITIS B SURFACE AB | $47.96 | $47.96 | $27.82–$47.96 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 RL HEPATITIS B SURFACE ANTIGEN | $10.12 | $31.61 | $4.04–$31.61 | 79% below | 68% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $10.12 | $31.61 | $4.04–$31.61 | 79% below | 68% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 RL HEPATITIS B SURFACE ANTIGEN | $31.61 | $31.61 | $0.95–$31.61 | 34% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $31.61 | $31.61 | $0.95–$31.61 | 34% below | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 RL HEPATITIS B SURFACE ANTIGEN | $31.61 | $31.61 | $18.33–$31.61 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA | $31.61 | $31.61 | $18.33–$31.61 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 RL HEPATITIS C ANTIBODY | $13.98 | $62.13 | $7.00–$62.13 | 75% below | 77% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $13.98 | $62.13 | $7.00–$62.13 | 75% below | 77% |
| Hepatitis C antibody blood test (screening) CPT 86803 RL HEPATITIS C ANTIBODY | $62.13 | $62.13 | $1.86–$62.13 | 10% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $62.13 | $62.13 | $1.86–$62.13 | 10% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $62.13 | $62.13 | $36.04–$62.13 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 RL HEPATITIS C ANTIBODY | $62.13 | $62.13 | $36.04–$62.13 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 RL HEPATITIS C VIRUS RNA | $41.98 | $163.50 | $20.90–$163.50 | 69% below | 74% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $41.98 | $163.50 | $20.90–$163.50 | 69% below | 74% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $163.50 | $163.50 | $4.91–$163.50 | 21% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 RL HEPATITIS C VIRUS RNA | $163.50 | $163.50 | $4.91–$163.50 | 21% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $163.50 | $163.50 | $94.83–$163.50 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 RL HEPATITIS C VIRUS RNA | $163.50 | $163.50 | $94.83–$163.50 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 AB; HSV 1 | $12.93 | $14.90 | $1.90–$28.36 | 42% below | 13% |
| Herpes blood test, HSV-1 antibody CPT 86695 RL HERPES SIMPLEX TYPE 1 | $12.93 | $14.90 | $1.90–$28.36 | 42% below | 13% |
| Herpes blood test, HSV-1 antibody CPT 86695 AB; HSV 1 | $14.90 | $14.90 | $0.45–$28.36 | 33% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 RL HERPES SIMPLEX TYPE 1 | $14.90 | $14.90 | $0.45–$28.36 | 33% below | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL HERPES SIMPLEX TYPE 1 | $14.90 | $14.90 | $8.64–$14.90 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 AB; HSV 1 | $14.90 | $14.90 | $8.64–$14.90 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 AB; HSV TYPE 2 | $14.60 | $14.90 | $1.90–$34.84 | 50% below | 2% |
| Herpes blood test, HSV-2 antibody CPT 86696 RL HERPES SIMPLEX TYPE 2 | $14.60 | $14.90 | $1.90–$34.84 | 50% below | 2% |
| Herpes blood test, HSV-2 antibody CPT 86696 RL HERPES SIMPLEX TYPE 2 | $14.90 | $14.90 | $0.45–$32.03 | 49% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 AB; HSV TYPE 2 | $14.90 | $14.90 | $0.45–$32.03 | 49% below | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL HERPES SIMPLEX TYPE 2 | $14.90 | $14.90 | $8.64–$14.90 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB; HSV TYPE 2 | $14.90 | $14.90 | $8.64–$14.90 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $12.69 | $118.81 | $6.35–$118.81 | 80% below | 89% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $118.81 | $118.81 | $3.56–$118.81 | 86% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS | $118.81 | $118.81 | $68.91–$118.81 | — | — |
| Homocysteine blood test CPT 83090 RL HOMOCYSTEINE, TOTAL | $17.56 | $144.97 | $8.78–$144.97 | 66% below | 88% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $17.56 | $144.97 | $8.78–$144.97 | 66% below | 88% |
| Homocysteine blood test CPT 83090 RL HOMOCYSTEINE, TOTAL | $144.97 | $144.97 | $4.35–$144.97 | 177% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $144.97 | $144.97 | $4.35–$144.97 | 177% above | — |
| Homocysteine blood test inpatient CPT 83090 RL HOMOCYSTEINE, TOTAL | $144.97 | $144.97 | $84.08–$144.97 | — | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $144.97 | $144.97 | $84.08–$144.97 | — | — |
| Insulin blood test CPT 83525 INSULIN; TOTAL | $11.20 | $28.61 | $3.66–$28.61 | 64% below | 61% |
| Insulin blood test CPT 83525 RL INSULIN | $11.20 | $28.61 | $3.66–$28.61 | 64% below | 61% |
| Insulin blood test CPT 83525 RL INSULIN; TOTAL | $11.20 | $28.61 | $3.66–$28.61 | 64% below | 61% |
| Insulin blood test CPT 83525 INSULIN; TOTAL | $28.61 | $28.61 | $0.86–$28.61 | 9% below | — |
| Insulin blood test CPT 83525 RL INSULIN | $28.61 | $28.61 | $0.86–$28.61 | 9% below | — |
| Insulin blood test CPT 83525 RL INSULIN; TOTAL | $28.61 | $28.61 | $0.86–$28.61 | 9% below | — |
| Insulin blood test inpatient CPT 83525 RL INSULIN; TOTAL | $28.61 | $28.61 | $16.59–$28.61 | — | — |
| Insulin blood test inpatient CPT 83525 RL INSULIN | $28.61 | $28.61 | $16.59–$28.61 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN; TOTAL | $28.61 | $28.61 | $16.59–$28.61 | — | — |
| Iron blood test (serum iron) CPT 83540 IRON | $6.34 | $357.52 | $3.18–$357.52 | 91% below | 98% |
| Iron blood test (serum iron) CPT 83540 RL IRON | $6.34 | $357.52 | $3.18–$357.52 | 91% below | 98% |
| Iron blood test (serum iron) CPT 83540 IRON | $357.52 | $357.52 | $3.18–$357.52 | 391% above | — |
| Iron blood test (serum iron) CPT 83540 RL IRON | $357.52 | $357.52 | $3.18–$357.52 | 391% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 RL IRON | $357.52 | $357.52 | $207.36–$357.52 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $357.52 | $357.52 | $207.36–$357.52 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $8.57 | $377.14 | $4.28–$377.14 | 93% below | 98% |
| Iron-binding capacity (TIBC) test CPT 83550 RL IRON BINDING CAPACITY,TOTAL | $8.57 | $377.14 | $4.28–$377.14 | 93% below | 98% |
| Iron-binding capacity (TIBC) test CPT 83550 RL IRON BINDING CAPACITY,TOTAL | $377.14 | $377.14 | $4.28–$377.14 | 193% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $377.14 | $377.14 | $4.28–$377.14 | 193% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 RL IRON BINDING CAPACITY,TOTAL | $377.14 | $377.14 | $218.74–$377.14 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $377.14 | $377.14 | $218.74–$377.14 | — | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $635.47 | $635.47 | $4.25–$635.47 | 27% above | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $635.47 | $635.47 | $368.57–$635.47 | — | — |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LUTEINIZING HORMN | $10.28 | $10.49 | $1.34–$33.34 | 86% below | 2% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LUTEINIZING HORMN | $10.49 | $10.49 | $0.31–$29.00 | 86% below | — |
| LH (luteinizing hormone) test CPT 83002 RL LUTEINIZING HORMONE | $18.15 | $60.56 | $7.74–$60.56 | 75% below | 70% |
| LH (luteinizing hormone) test CPT 83002 RL LUTEINIZING HORMONE | $60.56 | $60.56 | $1.82–$60.56 | 18% below | — |
| LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN LUTEINIZING HORMN | $10.49 | $10.49 | $6.08–$10.49 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 RL LUTEINIZING HORMONE | $60.56 | $60.56 | $35.12–$60.56 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 RL LIPASE | $6.75 | $566.80 | $3.38–$566.80 | 91% below | 99% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $6.75 | $566.80 | $3.38–$566.80 | 91% below | 99% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $566.80 | $566.80 | $3.38–$566.80 | 648% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 RL LIPASE | $566.80 | $566.80 | $3.38–$566.80 | 648% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 RL LIPASE | $566.80 | $566.80 | $328.74–$566.80 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $566.80 | $566.80 | $328.74–$566.80 | — | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $1,883.52 | $1,883.52 | $4.01–$1,883.52 | 391% above | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $1,883.52 | $1,883.52 | $1,092.44–$1,883.52 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $6.57 | $315.01 | $3.28–$315.01 | 54% below | 98% |
| Magnesium blood test CPT 83735 RL MAGNESIUM | $6.57 | $315.01 | $3.28–$315.01 | 54% below | 98% |
| Magnesium blood test CPT 83735 RL MAGNESIUM | $315.01 | $315.01 | $3.28–$315.01 | 2103% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $315.01 | $315.01 | $3.28–$315.01 | 2103% above | — |
| Magnesium blood test inpatient CPT 83735 RL MAGNESIUM | $315.01 | $315.01 | $182.71–$315.01 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $315.01 | $315.01 | $182.71–$315.01 | — | — |
| Measles (rubeola) antibody test CPT 86765 RL RUBEOLA IGG | $12.62 | $30.21 | $3.86–$30.21 | 46% below | 58% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $12.62 | $30.21 | $3.86–$30.21 | 46% below | 58% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $30.21 | $30.21 | $0.91–$30.21 | 30% above | — |
| Measles (rubeola) antibody test CPT 86765 RL RUBEOLA IGG | $30.21 | $30.21 | $0.91–$30.21 | 30% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG | $30.21 | $30.21 | $17.52–$30.21 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RL RUBEOLA IGG | $30.21 | $30.21 | $17.52–$30.21 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 QUAL HETEROPHILE AB | $275.77 | $275.77 | $2.54–$275.77 | 41% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 QUAL HETEROPHILE AB | $275.77 | $275.77 | $159.95–$275.77 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA; TOTAL | $18.02 | $116.63 | $9.02–$116.63 | 70% below | 85% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 RL PSA; TOTAL | $18.02 | $116.63 | $9.02–$116.63 | 70% below | 85% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 RL PSA; TOTAL | $116.63 | $116.63 | $3.50–$116.63 | 92% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA; TOTAL | $116.63 | $116.63 | $3.50–$116.63 | 92% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 RL PSA; TOTAL | $116.63 | $116.63 | $67.65–$116.63 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA; TOTAL | $116.63 | $116.63 | $67.65–$116.63 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 RL CP CERV/VAG; ATL; MANL SCRN | $19.85 | $60.71 | $7.76–$60.71 | 42% below | 67% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 RL CP CERV/VAG; ATL; MANL SCRN | $60.71 | $60.71 | $1.82–$60.71 | 76% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 RL CP CERV/VAG; ATL; MANL SCRN | $60.71 | $60.71 | $35.21–$60.71 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 RL PARATHYROID HORMONE INTACT | $40.45 | $57.77 | $7.38–$88.75 | 63% below | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE | $40.45 | $57.77 | $7.38–$88.75 | 63% below | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 RL PARATHYROID HORMONE INTACT | $57.77 | $57.77 | $1.73–$88.75 | 47% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE | $57.77 | $57.77 | $1.73–$88.75 | 47% below | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 RL PARATHYROID HORMONE INTACT | $57.77 | $57.77 | $33.51–$57.77 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE | $57.77 | $57.77 | $33.51–$57.77 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 RL PTT (LAC) | $5.89 | $464.34 | $2.95–$464.34 | 87% below | 99% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT; PLASMA OR WHOLE BLOOD. | $5.89 | $464.34 | $2.95–$464.34 | 87% below | 99% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 RL PTT (LAC) | $464.34 | $464.34 | $2.95–$464.34 | 935% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT; PLASMA OR WHOLE BLOOD. | $464.34 | $464.34 | $2.95–$464.34 | 935% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL PTT (LAC) | $464.34 | $464.34 | $269.32–$464.34 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT; PLASMA OR WHOLE BLOOD. | $464.34 | $464.34 | $269.32–$464.34 | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE ASSAY | $12.33 | $12.58 | $1.61–$37.54 | 80% below | 2% |
| Progesterone blood test CPT 84144 RL PROGESTERONE | $12.33 | $12.58 | $1.61–$37.54 | 80% below | 2% |
| Progesterone blood test CPT 84144 RL PROGESTERONE | $12.58 | $12.58 | $0.38–$31.00 | 79% below | — |
| Progesterone blood test CPT 84144 PROGESTERONE ASSAY | $12.58 | $12.58 | $0.38–$31.00 | 79% below | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE ASSAY | $12.58 | $12.58 | $7.30–$12.58 | — | — |
| Progesterone blood test inpatient CPT 84144 RL PROGESTERONE | $12.58 | $12.58 | $7.30–$12.58 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN ASSAY | $14.39 | $14.68 | $1.88–$34.88 | 79% below | 2% |
| Prolactin blood test CPT 84146 PROLACTIN ASSAY | $14.68 | $14.68 | $0.44–$36.00 | 79% below | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN ASSAY | $14.68 | $14.68 | $8.51–$14.68 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME; | $4.20 | $516.66 | $2.11–$516.66 | 90% below | 99% |
| Prothrombin time (PT/INR) clotting test CPT 85610 RL PROTIME/INR | $4.20 | $516.66 | $2.11–$516.66 | 90% below | 99% |
| Prothrombin time (PT/INR) clotting test CPT 85610 RL PROTIME/INR | $516.66 | $516.66 | $2.11–$516.66 | 1168% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME; | $516.66 | $516.66 | $2.11–$516.66 | 1168% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL PROTIME/INR | $516.66 | $516.66 | $299.66–$516.66 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME; | $516.66 | $516.66 | $299.66–$516.66 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA W DO | $16.22 | $140.61 | $8.11–$140.61 | 88% below | 88% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA W DO | $140.61 | $140.61 | $4.22–$140.61 | at median | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA W DO | $140.61 | $140.61 | $81.55–$140.61 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $16.20 | $379.32 | $8.10–$379.32 | 88% below | 96% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $379.32 | $379.32 | $8.10–$379.32 | 178% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC | $379.32 | $379.32 | $220.01–$379.32 | — | — |
| Rheumatoid factor (RF) test CPT 86431 RL QUAN RHEUM FACTOR | $5.56 | $400.03 | $2.78–$400.03 | 79% below | 99% |
| Rheumatoid factor (RF) test CPT 86431 QUAN RHEUM FACTOR | $5.56 | $400.03 | $2.78–$400.03 | 79% below | 99% |
| Rheumatoid factor (RF) test CPT 86431 RL QUAN RHEUM FACTOR | $400.03 | $400.03 | $2.78–$400.03 | 1382% above | — |
| Rheumatoid factor (RF) test CPT 86431 QUAN RHEUM FACTOR | $400.03 | $400.03 | $2.78–$400.03 | 1382% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RL QUAN RHEUM FACTOR | $400.03 | $400.03 | $232.02–$400.03 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 QUAN RHEUM FACTOR | $400.03 | $400.03 | $232.02–$400.03 | — | — |
| Rubella antibody test (immunity check) CPT 86762 RL RUBELLA IGG | $14.10 | $139.52 | $7.06–$139.52 | 25% below | 90% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $14.10 | $139.52 | $7.06–$139.52 | 25% below | 90% |
| Rubella antibody test (immunity check) CPT 86762 RL RUBELLA IGG | $139.52 | $139.52 | $4.19–$139.52 | 640% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $139.52 | $139.52 | $4.19–$139.52 | 640% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG | $139.52 | $139.52 | $80.92–$139.52 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RL RUBELLA IGG | $139.52 | $139.52 | $80.92–$139.52 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 AUTOM ERYTHROCYTE SED RATE | $8.83 | $8.83 | $0.26–$8.83 | 92% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 AUTOM ERYTHROCYTE SED RATE | $8.83 | $8.83 | $5.12–$8.83 | — | — |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES DIR SMR W ID | $8.72 | $975.55 | $4.36–$975.55 | 82% below | 99% |
| Stool ova and parasites exam CPT 87177 RL OVA & PARASITE DIR SMR W ID | $8.72 | $975.55 | $4.36–$975.55 | 82% below | 99% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES DIR SMR W ID | $975.55 | $975.55 | $4.36–$975.55 | 1941% above | — |
| Stool ova and parasites exam CPT 87177 RL OVA & PARASITE DIR SMR W ID | $975.55 | $975.55 | $4.36–$975.55 | 1941% above | — |
| Stool ova and parasites exam inpatient CPT 87177 RL OVA & PARASITE DIR SMR W ID | $975.55 | $975.55 | $565.82–$975.55 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES DIR SMR W ID | $975.55 | $975.55 | $565.82–$975.55 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $4.29 | $141.70 | $2.15–$141.70 | 94% below | 97% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $141.70 | $141.70 | $2.15–$141.70 | 97% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES | $141.70 | $141.70 | $82.19–$141.70 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN | $4.18 | $226.72 | $2.10–$226.72 | 80% below | 98% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL VDRL (CSF) | $4.18 | $226.72 | $2.10–$226.72 | 80% below | 98% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL RAPID PLASMA REAGIN | $4.18 | $226.72 | $2.10–$226.72 | 80% below | 98% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN | $226.72 | $226.72 | $2.10–$226.72 | 960% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL VDRL (CSF) | $226.72 | $226.72 | $2.10–$226.72 | 960% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL RAPID PLASMA REAGIN | $226.72 | $226.72 | $2.10–$226.72 | 960% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGIN | $226.72 | $226.72 | $131.50–$226.72 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL VDRL (CSF) | $226.72 | $226.72 | $131.50–$226.72 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL RAPID PLASMA REAGIN | $226.72 | $226.72 | $131.50–$226.72 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL TB TEST, CELL IMMUN MEASURE | $42.73 | $43.60 | $5.57–$111.56 | 35% below | 2% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $42.73 | $43.60 | $5.57–$111.56 | 35% below | 2% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $43.60 | $43.60 | $1.31–$93.74 | 34% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL TB TEST, CELL IMMUN MEASURE | $43.60 | $43.60 | $1.31–$93.74 | 34% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL TB TEST, CELL IMMUN MEASURE | $43.60 | $43.60 | $25.29–$43.60 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE | $43.60 | $43.60 | $25.29–$43.60 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB EACH | $14.26 | $30.21 | $3.86–$31.28 | 9% below | 53% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 RL MICROSOMAL AB EACH | $14.26 | $30.21 | $3.86–$31.28 | 9% below | 53% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 RL MICROSOMAL AB EACH | $30.21 | $30.21 | $0.91–$31.28 | 94% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB EACH | $30.21 | $30.21 | $0.91–$31.28 | 94% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB EACH | $30.21 | $30.21 | $17.52–$30.21 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL MICROSOMAL AB EACH | $30.21 | $30.21 | $17.52–$30.21 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL THYROID STIMULATING HORMONE | $16.46 | $491.59 | $8.23–$491.59 | 90% below | 97% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $16.46 | $491.59 | $8.23–$491.59 | 90% below | 97% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL THYROID STIMULATING HORMONE | $491.59 | $491.59 | $8.23–$491.59 | 207% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $491.59 | $491.59 | $8.23–$491.59 | 207% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $491.59 | $491.59 | $285.12–$491.59 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 RL THYROID STIMULATING HORMONE | $491.59 | $491.59 | $285.12–$491.59 | — | — |
| Trichomonas test (NAAT) CPT 87661 RL TRICHOMONAS VAGINALIS AMPLF | $34.39 | $105.27 | $13.45–$105.27 | 44% below | 67% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $34.39 | $114.74 | $14.66–$114.74 | 44% below | 70% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $114.74 | $114.74 | $3.44–$114.74 | 88% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $114.74 | $114.74 | $66.55–$114.74 | — | — |
| Uric acid blood test CPT 84550 URIC ACID; BLOOD | $356.43 | $356.43 | $2.21–$356.43 | 144% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID; BLOOD | $356.43 | $356.43 | $206.73–$356.43 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 AUTOM URINE DIP W MICRO | $487.23 | $487.23 | $1.56–$487.23 | 172% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 AUTOM URINE DIP W MICRO | $487.23 | $487.23 | $282.59–$487.23 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 AUTOM URINALYSIS WO MICRO | $404.39 | $404.39 | $1.11–$404.39 | 234% above | — |
| Urinalysis without microscope exam, automated CPT 81003 RL AUTOM URINALYSIS WO MICRO | $404.39 | $404.39 | $1.11–$404.39 | 234% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 RL AUTOM URINALYSIS WO MICRO | $404.39 | $404.39 | $234.55–$404.39 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 AUTOM URINALYSIS WO MICRO | $404.39 | $404.39 | $234.55–$404.39 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK | $3.41 | $207.10 | $1.71–$207.10 | 87% below | 98% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK | $207.10 | $207.10 | $1.71–$207.10 | 701% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK | $207.10 | $207.10 | $120.12–$207.10 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE-TEST EXCHANGE | $7.91 | $1,249.14 | $3.96–$1,249.14 | 97% below | 99% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE-TEST EXCHANGE | $1,249.14 | $1,249.14 | $3.96–$1,249.14 | 352% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE-TEST EXCHANGE | $1,249.14 | $1,249.14 | $724.50–$1,249.14 | — | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL COLOR | $8.44 | $692.15 | $4.22–$692.15 | 95% below | 99% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL COLOR | $692.15 | $692.15 | $3.80–$692.15 | 343% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY VISUAL COLOR | $692.15 | $692.15 | $401.45–$692.15 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 RL VITAMIN B12 | $14.78 | $253.97 | $7.39–$253.97 | 91% below | 94% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 LEVEL | $14.78 | $253.97 | $7.39–$253.97 | 91% below | 94% |
| Vitamin B12 (cobalamin) blood test CPT 82607 RL VITAMIN B12 | $253.97 | $253.97 | $7.39–$253.97 | 56% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 LEVEL | $253.97 | $253.97 | $7.39–$253.97 | 56% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 LEVEL | $253.97 | $253.97 | $147.30–$253.97 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 RL VITAMIN B12 | $253.97 | $253.97 | $147.30–$253.97 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $29.01 | $220.18 | $14.50–$220.18 | 41% below | 87% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL VITAMIN D, 25-HYDROXY | $29.01 | $220.18 | $14.50–$220.18 | 41% below | 87% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL VITAMIN D, 25-HYDROXY | $220.18 | $220.18 | $6.61–$220.18 | 346% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $220.18 | $220.18 | $6.61–$220.18 | 346% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 RL VITAMIN D, 25-HYDROXY | $220.18 | $220.18 | $127.70–$220.18 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $220.18 | $220.18 | $127.70–$220.18 | — | — |
| Zinc blood test CPT 84630 RL ZINC | $11.16 | $11.86 | $1.52–$24.49 | 25% below | 6% |
| Zinc blood test CPT 84630 RL ZINC | $11.86 | $11.86 | $0.36–$24.49 | 21% below | — |
| Zinc blood test inpatient CPT 84630 RL ZINC | $11.86 | $11.86 | $6.88–$11.86 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL HCG; QUAN | $14.75 | $633.29 | $7.38–$633.29 | 86% below | 98% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG; QUAN | $14.75 | $633.29 | $7.38–$633.29 | 86% below | 98% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL HCG, QUANT INTACT | $14.75 | $581.00 | $7.38–$581.00 | 86% below | 97% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL HCG; QUAN | $633.29 | $633.29 | $7.38–$633.29 | 514% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG; QUAN | $633.29 | $633.29 | $7.38–$633.29 | 514% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG; QUAN | $633.29 | $633.29 | $367.31–$633.29 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 RL HCG; QUAN | $633.29 | $633.29 | $367.31–$633.29 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $3,406.86 | — | $2,384.80–$13,487.58 | 21% below | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL | $13,173.75 | — | $9,221.63–$52,228.87 | 38% below | — |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $6,652.30 | — | $4,656.61–$26,336.06 | at median | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AID ACL RPR/AGMNTJ | $7,456.27 | — | $5,219.39–$29,518.91 | 72% below | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $7,456.27 | — | $5,219.39–$29,518.91 | 67% below | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS | $7,252.04 | — | $5,076.43–$28,710.35 | 5% below | — |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $315.41 | — | $220.79–$1,248.70 | 27% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $1,697.13 | — | $1,187.99–$6,718.86 | 53% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LES STRTCTC RT | $1,697.13 | $4,477.44 | $1,187.99–$6,718.86 | 53% below | 62% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LES STRTCTC LT | $3,947.22 | $3,947.22 | $118.42–$3,947.22 | 9% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LES STRTCTC RT | $4,477.44 | $4,477.44 | $126.00–$4,477.44 | 24% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST 1ST LES STRTCTC LT | $3,947.22 | $3,947.22 | $2,289.39–$3,947.22 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST 1ST LES STRTCTC RT | $4,477.44 | $4,477.44 | $2,596.92–$4,477.44 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $253.47 | — | $177.43–$1,003.48 | 66% below | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLTX METATARSAL FX WO MNP EA | $253.47 | — | $177.43–$1,003.48 | 66% below | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO | $3,362.21 | — | $2,353.55–$13,310.79 | 65% below | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS | $3,362.21 | — | $2,353.55–$13,310.79 | 41% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $679.17 | $953.75 | $475.42–$2,688.76 | 71% below | 29% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $953.75 | $953.75 | $58.46–$953.75 | 59% below | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT | $953.75 | $953.75 | $553.17–$953.75 | — | — |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $2,006.56 | — | $1,404.59–$7,943.86 | 51% below | — |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $2,371.45 | — | $1,660.02–$9,388.43 | 47% below | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $946.44 | — | $662.51–$3,746.91 | 53% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $2,148.01 | — | $1,503.61–$8,503.88 | 25% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $2,148.01 | — | $1,503.61–$8,503.88 | 10% below | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $716.52 | — | $501.56–$2,836.65 | at median | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO | $253.47 | — | $177.43–$1,003.48 | 58% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DIS RADFX/EPYS WO MN BIL | $2,437.79 | $2,437.79 | $149.44–$2,437.79 | 307% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLTX DIS RADFX/EPYS WO MN LT | $1,625.19 | $1,625.19 | $99.62–$2,031.00 | 172% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLTX DIS RADFX/EPYS WO MN RT | $1,625.19 | $1,625.19 | $99.62–$2,031.00 | 172% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLTX DIS RADFX/EPYS WO MN BIL | $2,437.79 | $2,437.79 | $1,413.92–$2,437.79 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 CLTX DIS RADFX/EPYS WO MN LT | $1,625.19 | $1,625.19 | $942.61–$1,625.19 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 CLTX DIS RADFX/EPYS WO MN RT | $1,625.19 | $1,625.19 | $942.61–$1,625.19 | — | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US | $1,229.64 | — | $860.75–$4,868.03 | 63% below | — |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $1,229.64 | — | $860.75–$4,868.03 | 66% below | — |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $1,229.64 | — | $860.75–$4,868.03 | 66% below | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $955.60 | — | $668.92–$3,783.16 | 69% below | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP | $3,326.37 | — | $2,328.46–$13,168.90 | 26% below | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE | $313.13 | — | $219.19–$1,239.67 | 56% below | — |
| Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP | $2,371.45 | — | $1,660.02–$9,388.43 | 44% below | — |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $3,622.16 | — | $2,535.51–$14,339.93 | 26% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $716.52 | — | $501.56–$2,836.65 | 51% below | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C DIAG OR THERAP NOT OB | $3,326.37 | $8,339.82 | $2,328.46–$13,168.90 | 41% below | 60% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $3,326.37 | — | $2,328.46–$13,168.90 | 41% below | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C DIAG OR THERAP NOT OB | $8,339.82 | $8,339.82 | $177.00–$8,339.82 | 47% above | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C DIAG OR THERAP NOT OB | $8,339.82 | $8,339.82 | $4,837.10–$8,339.82 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $206.17 | — | $144.32–$816.20 | 39% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $1,594.37 | — | $1,116.06–$6,311.98 | 81% below | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $554.20 | — | $387.94–$2,194.05 | 48% below | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $60.61 | — | $42.43–$239.99 | 79% below | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTD EAR WAX UNI BIL | $1,221.35 | $1,221.35 | $57.83–$2,107.00 | 319% above | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTD EAR WAX UNI LT | $814.23 | $814.23 | $49.91–$2,107.00 | 179% above | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTD EAR WAX UNI RT | $814.23 | $814.23 | $49.91–$2,107.00 | 179% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTD EAR WAX UNI BIL | $1,221.35 | $1,221.35 | $708.38–$1,221.35 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVE IMPACTD EAR WAX UNI RT | $814.23 | $814.23 | $472.25–$814.23 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVE IMPACTD EAR WAX UNI LT | $814.23 | $814.23 | $472.25–$814.23 | — | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $60.61 | $814.23 | $42.43–$239.99 | 69% below | 93% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $814.23 | $814.23 | $49.91–$2,107.00 | 320% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI | $814.23 | $814.23 | $472.25–$814.23 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $207.74 | — | $145.42–$822.46 | 58% below | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $7,252.04 | — | $5,076.43–$28,710.35 | 31% below | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $7,252.04 | — | $5,076.43–$28,710.35 | 44% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $3,831.14 | — | $2,681.80–$15,167.22 | 66% below | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $7,252.04 | — | $5,076.43–$28,710.35 | 43% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $725.35 | — | $507.75–$2,871.60 | 72% below | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG | $339.41 | — | $237.59–$1,343.71 | 56% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $908.86 | — | $636.20–$3,598.10 | 64% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARVRT F JNT L/S 1 LEV BIL | $8,853.53 | $8,853.53 | $126.00–$8,853.53 | 255% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ PARVRT F JNT L/S 1 LEV RT | $5,902.35 | $5,902.35 | $126.00–$5,902.35 | 137% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ PARVRT F JNT L/S 1 LEV LT | $5,902.35 | $5,902.35 | $126.00–$5,902.35 | 137% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARVRT F JNT L/S 1 LEV BIL | $8,853.53 | $8,853.53 | $5,135.05–$8,853.53 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ PARVRT F JNT L/S 1 LEV LT | $5,902.35 | $5,902.35 | $3,423.36–$5,902.35 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ PARVRT F JNT L/S 1 LEV RT | $5,902.35 | $5,902.35 | $3,423.36–$5,902.35 | — | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $6,652.30 | — | $4,656.61–$26,336.06 | 57% below | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $6,652.30 | — | $4,656.61–$26,336.06 | 56% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $3,679.12 | — | $2,575.38–$14,565.39 | 54% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $955.60 | — | $668.92–$3,783.16 | 66% below | — |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $6,212.21 | — | $4,348.55–$24,593.73 | 57% below | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $6,212.21 | — | $4,348.55–$24,593.73 | 53% below | — |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $3,362.21 | — | $2,353.55–$13,310.79 | 27% below | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $955.60 | — | $668.92–$3,783.16 | 71% below | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $2,852.18 | — | $1,996.53–$11,291.61 | 49% below | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY | $13,173.75 | — | $9,221.63–$52,228.87 | 52% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROGR/SIS CONTR/SALINE INJ | $392.40 | $392.40 | $11.77–$3,000.00 | 7% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROGR/SIS CONTR/SALINE INJ | $392.40 | $392.40 | $227.59–$392.40 | — | — |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $5,140.37 | — | $3,598.26–$20,350.40 | 49% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $3,326.37 | — | $2,328.46–$13,168.90 | 42% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL | $206.17 | $814.23 | $144.32–$816.20 | 71% below | 75% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $206.17 | — | $144.32–$816.20 | 71% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL | $814.23 | $814.23 | $24.43–$3,000.00 | 15% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL | $814.23 | $814.23 | $472.25–$814.23 | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $3,679.12 | — | $2,575.38–$14,565.39 | 67% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT | $315.41 | — | $220.79–$1,248.70 | 52% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $315.41 | — | $220.79–$1,248.70 | 60% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRN/INJ MAJ JNT/BRSA WO US BIL | $2,435.06 | $2,435.06 | $73.05–$3,000.00 | 206% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRN/INJ MAJ JNT/BRSA WO US RT | $1,623.37 | $1,623.37 | $48.70–$3,000.00 | 104% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRN/INJ MAJ JNT/BRSA WO US LT | $1,623.37 | $1,623.37 | $48.70–$3,000.00 | 104% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRN/INJ MAJ JNT/BRSA WO US BIL | $2,435.06 | $2,435.06 | $1,412.33–$2,435.06 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 DRN/INJ MAJ JNT/BRSA WO US RT | $1,623.37 | $1,623.37 | $941.55–$1,623.37 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 DRN/INJ MAJ JNT/BRSA WO US LT | $1,623.37 | $1,623.37 | $941.55–$1,623.37 | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $136.72 | — | $95.70–$541.27 | 57% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $315.41 | — | $220.79–$1,248.70 | 57% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $315.41 | — | $220.79–$1,248.70 | 32% below | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHRS KNE SRG MNISC RPR M/L | $3,362.21 | — | $2,353.55–$13,310.79 | 79% below | — |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SRG MNISECTMY M/L | $3,362.21 | — | $2,353.55–$13,310.79 | 78% below | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNE SRG MNISECTMY M&L | $3,362.21 | — | $2,353.55–$13,310.79 | 48% below | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRS KNEE SURG DBRDMT/SHVG | $3,362.21 | — | $2,353.55–$13,310.79 | 69% below | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $6,212.21 | — | $4,348.55–$24,593.73 | 43% below | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $10,913.22 | — | $7,639.25–$43,243.09 | 41% below | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $10,913.22 | — | $7,639.25–$43,243.09 | 34% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $10,913.22 | — | $7,639.25–$43,243.09 | 39% below | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $6,212.21 | — | $4,348.55–$24,593.73 | at median | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $6,212.21 | — | $4,348.55–$24,593.73 | 58% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $6,212.21 | — | $4,348.55–$24,593.73 | 38% below | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $565.16 | — | $395.61–$2,237.44 | 56% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REPAIR S/A/T/EXT | $417.73 | $1,625.19 | $292.41–$1,653.72 | 59% below | 74% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $417.73 | — | $292.41–$1,653.72 | 59% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REPAIR S/A/T/EXT | $1,625.19 | $1,625.19 | $99.62–$2,686.00 | 59% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD WND REPAIR S/A/T/EXT | $1,625.19 | $1,625.19 | $942.61–$1,625.19 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $725.35 | $3,858.60 | $507.75–$2,871.60 | 72% below | 81% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $3,858.60 | $3,858.60 | $115.76–$3,858.60 | 46% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC | $3,858.60 | $3,858.60 | $2,237.99–$3,858.60 | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $908.86 | $1,585.95 | $636.20–$3,598.10 | 60% below | 43% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,585.95 | $1,585.95 | $97.22–$2,899.00 | 30% below | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,585.95 | $1,585.95 | $919.85–$1,585.95 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $908.86 | — | $636.20–$3,598.10 | 59% below | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 LAMOT DCMPRN NRV RT 1 LMBR | $7,456.27 | — | $5,219.39–$29,518.91 | 45% below | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR | $7,456.27 | — | $5,219.39–$29,518.91 | 45% below | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR | $17,978.72 | — | $12,585.10–$71,329.08 | 11% below | — |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $4,023.39 | — | $2,816.37–$15,928.31 | 65% below | — |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $6,823.24 | — | $4,776.27–$27,012.77 | 72% below | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $3,326.37 | — | $2,328.46–$13,168.90 | 16% below | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G | $759.45 | — | $531.61–$3,006.60 | 27% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $727.66 | — | $509.36–$2,880.73 | 60% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $727.66 | — | $509.36–$2,880.73 | 60% below | — |
| Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP; SGL | $206.17 | $814.23 | $144.32–$816.20 | 59% below | 75% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE 1 | $206.17 | — | $144.32–$816.20 | 59% below | — |
| Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP; SGL | $814.23 | $814.23 | $49.91–$2,031.00 | 64% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 SPL AVULSE NP; SGL | $814.23 | $814.23 | $472.25–$814.23 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $315.41 | — | $220.79–$1,248.70 | 68% below | — |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $10,731.22 | — | $7,511.85–$42,519.60 | 48% below | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $932.00 | $3,242.75 | $652.40–$3,689.69 | 51% below | 71% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $3,242.75 | $3,242.75 | $97.28–$3,242.75 | 71% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING | $3,242.75 | $3,242.75 | $1,880.79–$3,242.75 | — | — |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $13,173.75 | — | $9,221.63–$52,228.87 | 37% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $417.73 | $1,585.95 | $292.41–$1,653.72 | 67% below | 74% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL&NAIL MATRIX | $417.73 | — | $292.41–$1,653.72 | 67% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $1,585.95 | $1,585.95 | $97.22–$2,686.00 | 25% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED | $1,585.95 | $1,585.95 | $919.85–$1,585.95 | — | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $10,913.22 | — | $7,639.25–$43,243.09 | 65% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $2,006.56 | — | $1,404.59–$7,943.86 | 45% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT BIL | $8,972.88 | $8,972.88 | $126.00–$8,972.88 | 148% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTROY LUMB/SAC FACET JNT RT | $5,981.92 | $5,981.92 | $126.00–$5,981.92 | 65% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTROY LUMB/SAC FACET JNT LT | $5,981.92 | $5,981.92 | $126.00–$5,981.92 | 65% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JNT BIL | $8,972.88 | $8,972.88 | $5,204.27–$8,972.88 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 DESTROY LUMB/SAC FACET JNT RT | $5,981.92 | $5,981.92 | $3,469.51–$5,981.92 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 DESTROY LUMB/SAC FACET JNT LT | $5,981.92 | $5,981.92 | $3,469.51–$5,981.92 | — | — |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $4,023.39 | — | $2,816.37–$15,928.31 | at median | — |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $417.73 | — | $292.41–$1,653.72 | 57% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ; SMPL | $417.73 | $814.23 | $292.41–$1,653.72 | 57% below | 49% |
| Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ; SMPL | $814.23 | $814.23 | $49.91–$2,686.00 | 16% below | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FB SQ; SMPL | $814.23 | $814.23 | $472.25–$814.23 | — | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $6,212.21 | — | $4,348.55–$24,593.73 | 52% below | — |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $3,406.86 | — | $2,384.80–$13,487.58 | 70% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $3,622.16 | — | $2,535.51–$14,339.93 | 80% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY XTRCORP SHOCK WAVE | $3,622.16 | $16,293.32 | $2,535.51–$14,339.93 | 80% below | 78% |
| Short arm cast (elbow to hand) CPT 29075 APPL CST ELBW FNGR SHORT ARM | $287.41 | — | $201.19–$1,137.83 | 61% below | — |
| Short arm cast (elbow to hand) CPT 29075 APPLY SHORT ARM CAST BIL | $2,437.79 | $2,437.79 | $149.44–$2,437.79 | 232% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 APPLY SHORT ARM CAST LT | $1,625.19 | $1,625.19 | $99.62–$2,031.00 | 121% above | — |
| Short arm cast (elbow to hand) one side CPT 29075 APPLY SHORT ARM CAST RT | $1,625.19 | $1,625.19 | $99.62–$2,031.00 | 121% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY SHORT ARM CAST BIL | $2,437.79 | $2,437.79 | $1,413.92–$2,437.79 | — | — |
| Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLY SHORT ARM CAST LT | $1,625.19 | $1,625.19 | $942.61–$1,625.19 | — | — |
| Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLY SHORT ARM CAST RT | $1,625.19 | $1,625.19 | $942.61–$1,625.19 | — | — |
| Short arm splint (forearm and hand) CPT 29125 APPL SHORT ARM SPLINT STATIC | $136.72 | — | $95.70–$541.27 | 64% below | — |
| Short arm splint (forearm and hand) CPT 29125 APPL SHT ARM SPLINT STATIC BIL | $136.72 | $541.74 | $95.70–$541.27 | 64% below | 75% |
| Short arm splint (forearm and hand) CPT 29125 APPL SHT ARM SPLINT STATIC BIL | $541.74 | $541.74 | $33.21–$2,107.00 | 41% above | — |
| Short arm splint (forearm and hand) one side CPT 29125 APPL SHT ARM SPLINT STATIC LT | $361.16 | $361.16 | $22.14–$2,107.00 | 6% below | — |
| Short arm splint (forearm and hand) one side CPT 29125 APPL SHT ARM SPLINT STATIC RT | $361.16 | $361.16 | $22.14–$2,107.00 | 6% below | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPL SHT ARM SPLINT STATIC BIL | $541.74 | $541.74 | $314.21–$541.74 | — | — |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 APPL SHT ARM SPLINT STATIC LT | $361.16 | $361.16 | $209.47–$361.16 | — | — |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 APPL SHT ARM SPLINT STATIC RT | $361.16 | $361.16 | $209.47–$361.16 | — | — |
| Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST | $287.41 | — | $201.19–$1,137.83 | 56% below | — |
| Short leg cast (below the knee) CPT 29405 APPLY SH LEG CAST BIL | $2,437.79 | $2,437.79 | $149.44–$2,437.79 | 271% above | — |
| Short leg cast (below the knee) one side CPT 29405 APPLY SH LEG CAST RT | $1,625.19 | $1,625.19 | $99.62–$2,031.00 | 148% above | — |
| Short leg cast (below the knee) one side CPT 29405 APPLY SH LEG CAST LT | $2,437.79 | $2,437.79 | $149.44–$2,437.79 | 271% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 APPLY SH LEG CAST BIL | $2,437.79 | $2,437.79 | $1,413.92–$2,437.79 | — | — |
| Short leg cast (below the knee) inpatient one side CPT 29405 APPLY SH LEG CAST RT | $1,625.19 | $1,625.19 | $942.61–$1,625.19 | — | — |
| Short leg cast (below the knee) inpatient one side CPT 29405 APPLY SH LEG CAST LT | $2,437.79 | $2,437.79 | $1,413.92–$2,437.79 | — | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT | $166.98 | — | $116.89–$661.06 | 64% below | — |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT BIL | $678.79 | $678.79 | $41.61–$2,107.00 | 47% above | — |
| Short leg splint (calf to foot) one side CPT 29515 APPLY SHORT LEG SPLINT LT | $452.52 | $452.52 | $27.74–$2,107.00 | 2% below | — |
| Short leg splint (calf to foot) one side CPT 29515 APPLY SHORT LEG SPLINT RT | $452.52 | $452.52 | $27.74–$2,107.00 | 2% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT BIL | $678.79 | $678.79 | $393.70–$678.79 | — | — |
| Short leg splint (calf to foot) inpatient one side CPT 29515 APPLY SHORT LEG SPLINT LT | $452.52 | $452.52 | $262.46–$452.52 | — | — |
| Short leg splint (calf to foot) inpatient one side CPT 29515 APPLY SHORT LEG SPLINT RT | $452.52 | $452.52 | $262.46–$452.52 | — | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $3,362.21 | — | $2,353.55–$13,310.79 | 85% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $206.17 | — | $144.32–$816.20 | 59% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/< | $206.17 | $814.23 | $144.32–$816.20 | 59% below | 75% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/< | $814.23 | $814.23 | $49.91–$2,031.00 | 62% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/< | $814.23 | $814.23 | $472.25–$814.23 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $417.73 | $814.23 | $292.41–$1,653.72 | 45% below | 49% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $814.23 | $814.23 | $49.91–$2,686.00 | 7% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $814.23 | $814.23 | $472.25–$814.23 | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $727.66 | — | $509.36–$2,880.73 | 58% below | — |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $206.17 | — | $144.32–$816.20 | 53% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAG | $725.35 | $733.57 | $507.75–$2,871.60 | 52% below | 1% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $725.35 | — | $507.75–$2,871.60 | 52% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAG | $733.57 | $733.57 | $22.01–$3,000.00 | 51% below | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAG | $733.57 | $733.57 | $425.47–$733.57 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $206.17 | — | $144.32–$816.20 | 63% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM | $206.17 | $814.23 | $144.32–$816.20 | 63% below | 75% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM | $814.23 | $814.23 | $49.91–$2,031.00 | 46% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM | $814.23 | $814.23 | $472.25–$814.23 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM; 2.5CM/< | $206.17 | $814.23 | $144.32–$816.20 | 56% below | 75% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $206.17 | — | $144.32–$816.20 | 56% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM; 2.5CM/< | $814.23 | $814.23 | $49.91–$2,031.00 | 74% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SREP F/E/N/L/MM; 2.5CM/< | $814.23 | $814.23 | $472.25–$814.23 | — | — |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $5,509.62 | — | $3,856.73–$21,812.23 | 45% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $417.73 | $814.23 | $292.41–$1,653.72 | 14% below | 49% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $814.23 | $814.23 | $49.91–$2,031.00 | 68% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 MD TANGNTL BX SKIN SINGLE LES | $1,819.21 | $1,819.21 | $54.58–$2,031.00 | 276% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES | $814.23 | $814.23 | $472.25–$814.23 | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 MD TANGNTL BX SKIN SINGLE LES | $1,819.21 | $1,819.21 | $1,055.14–$1,819.21 | — | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $644.60 | — | $451.22–$2,551.93 | 66% below | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING BIL | $5,206.93 | $5,206.93 | $126.00–$5,206.93 | 175% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/ IMAGING RT | $5,206.93 | $5,206.93 | $126.00–$5,206.93 | 175% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/ IMAGING LT | $5,206.93 | $5,206.93 | $126.00–$5,206.93 | 175% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING BIL | $5,206.93 | $5,206.93 | $3,020.02–$5,206.93 | — | — |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W/ IMAGING RT | $5,206.93 | $5,206.93 | $3,020.02–$5,206.93 | — | — |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W/ IMAGING LT | $5,206.93 | $5,206.93 | $3,020.02–$5,206.93 | — | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $3,406.86 | — | $2,384.80–$13,487.58 | 19% below | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $6,083.04 | — | $4,258.13–$24,082.39 | 14% below | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $3,406.86 | — | $2,384.80–$13,487.58 | 65% below | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $6,083.04 | — | $4,258.13–$24,082.39 | 8% above | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $13,173.75 | — | $9,221.63–$52,228.87 | 39% below | — |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $13,173.75 | — | $9,221.63–$52,228.87 | 42% below | — |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $17,978.72 | — | $12,585.10–$71,329.08 | 25% below | — |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $6,212.21 | — | $4,348.55–$24,593.73 | 61% below | — |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $1,652.32 | — | $1,156.62–$6,541.44 | 50% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2 | $315.41 | — | $220.79–$1,248.70 | 60% below | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $6,212.21 | — | $4,348.55–$24,593.73 | 31% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $1,697.13 | — | $1,187.99–$6,718.86 | 52% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LES US IMAG BIL | $10,817.16 | $10,817.16 | $126.00–$10,817.16 | 204% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LES US IMAG RT | $10,305.95 | $10,305.95 | $126.00–$10,305.95 | 190% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LES US IMAG LT | $10,305.95 | $10,305.95 | $126.00–$10,305.95 | 190% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LES US IMAG BIL | $10,817.16 | $10,817.16 | $6,273.95–$10,817.16 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LES US IMAG LT | $10,305.95 | $10,305.95 | $5,977.45–$10,305.95 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LES US IMAG RT | $10,305.95 | $10,305.95 | $5,977.45–$10,305.95 | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $1,971.81 | — | $1,380.27–$7,806.27 | 41% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $932.00 | $2,591.71 | $652.40–$3,689.69 | 71% below | 64% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $2,591.71 | $2,591.71 | $158.87–$2,899.00 | 20% below | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $2,591.71 | $2,591.71 | $1,503.19–$2,591.71 | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $932.00 | — | $652.40–$3,689.69 | 65% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $1,971.81 | — | $1,380.27–$7,806.27 | 35% below | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION | $932.00 | — | $652.40–$3,689.69 | 63% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $932.00 | — | $652.40–$3,689.69 | 60% below | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST | $6,238.27 | — | $4,366.79–$24,696.93 | at median | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $5,509.62 | — | $3,856.73–$21,812.23 | at median | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $5,509.62 | — | $3,856.73–$21,812.23 | 58% below | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $2,148.01 | — | $1,503.61–$8,503.88 | 36% below | — |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $3,244.53 | — | $2,271.17–$12,844.90 | 55% below | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION B9 LES UP TO 14 | $206.17 | — | $144.32–$816.20 | 52% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $417.73 | — | $292.41–$1,653.72 | 57% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $417.73 | $814.23 | $292.41–$1,653.72 | 57% below | 49% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $814.23 | $814.23 | $49.91–$2,686.00 | 16% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $814.23 | $814.23 | $472.25–$814.23 | — | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $7,456.27 | — | $5,219.39–$29,518.91 | 31% below | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $453.34 | — | $317.34–$1,794.74 | 65% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/BLOOD COMP | $453.34 | $1,770.16 | $317.34–$1,794.74 | 65% below | 74% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/BLOOD COMP | $1,770.16 | $1,770.16 | $53.10–$2,686.00 | 37% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/BLOOD COMP | $1,770.16 | $1,770.16 | $1,026.69–$1,770.16 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $225.01 | $247.43 | $157.51–$890.82 | 29% below | 9% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $247.43 | $247.43 | $7.42–$613.00 | 22% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $247.43 | $247.43 | $143.51–$247.43 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR | $848.80 | $4,894.10 | $594.16–$3,360.38 | 83% below | 83% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR | $4,894.10 | $4,894.10 | $177.00–$11,235.00 | 1% below | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HOUR | $4,894.10 | $4,894.10 | $2,838.58–$4,894.10 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG; TRACING ONLY | $60.61 | $846.93 | $42.43–$239.99 | 85% below | 93% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG TRACING ONLY | $60.61 | $846.93 | $42.43–$239.99 | 85% below | 93% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG TRACING ONLY | $846.93 | $846.93 | $10.01–$846.93 | 107% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG; TRACING ONLY | $846.93 | $846.93 | $10.01–$846.93 | 107% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD EKG; TRACING ONLY | $846.93 | $846.93 | $491.22–$846.93 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD EKG TRACING ONLY | $846.93 | $846.93 | $491.22–$846.93 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 | $86.65 | $879.63 | $60.66–$343.03 | 82% below | 90% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 | $879.63 | $879.63 | $85.73–$879.63 | 80% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 | $879.63 | $879.63 | $510.19–$879.63 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 | $157.77 | $1,322.17 | $110.44–$624.62 | 83% below | 88% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 | $1,322.17 | $1,322.17 | $154.19–$1,322.17 | 45% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 | $1,322.17 | $1,322.17 | $766.86–$1,322.17 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 | $280.50 | $2,787.13 | $196.35–$1,110.49 | 82% below | 90% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 | $2,787.13 | $2,787.13 | $177.00–$2,787.13 | 79% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 | $2,787.13 | $2,787.13 | $1,616.54–$2,787.13 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 | $428.77 | $4,103.85 | $300.14–$1,697.48 | 82% below | 90% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 | $4,103.85 | $4,103.85 | $164.15–$4,103.85 | 69% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 | $4,103.85 | $4,103.85 | $2,380.23–$4,103.85 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 | $611.95 | $4,822.16 | $428.36–$2,422.67 | 81% below | 87% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 | $4,822.16 | $4,822.16 | $192.89–$4,822.16 | 48% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 | $4,822.16 | $4,822.16 | $2,796.85–$4,822.16 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CVSLR STRESS TEST; TRACING | $221.87 | $2,389.28 | $155.31–$890.51 | 88% below | 91% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CVSLR STRESS TEST; TRACING | $2,389.28 | $2,389.28 | $50.74–$2,389.28 | 29% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CVSLR STRESS TEST; TRACING | $2,389.28 | $2,389.28 | $1,385.78–$2,389.28 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $182.38 | $304.47 | $127.67–$722.07 | 69% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $304.47 | $304.47 | $9.13–$304.47 | 48% below | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN | $304.47 | $304.47 | $176.59–$304.47 | — | — |
| Group psychotherapy session CPT 90853 GRP THRPY NOT MULTI FAMILY | $104.39 | $288.20 | $73.07–$413.29 | 67% below | 64% |
| Group psychotherapy session CPT 90853 GRP PSYCH PARTIAL HOSP 45-50 | $104.39 | $288.20 | $73.07–$413.29 | 67% below | 64% |
| Group psychotherapy session CPT 90853 INER GRP TX G0411 PHP L INTNSV | $104.39 | $288.20 | $73.07–$413.29 | 67% below | 64% |
| Group psychotherapy session CPT 90853 GRP TX 90853 IOP/PSY | $104.39 | $288.20 | $73.07–$413.29 | 67% below | 64% |
| Group psychotherapy session CPT 90853 GRP TX 90853 45-50 | $104.39 | $288.20 | $73.07–$413.29 | 67% below | 64% |
| Group psychotherapy session CPT 90853 GRP TX 90853 PHP INTENSIVE | $104.39 | $288.20 | $73.07–$413.29 | 67% below | 64% |
| Group psychotherapy session CPT 90853 GRP TX 90853 PHP LESS INTNSIVE | $104.39 | $288.20 | $73.07–$413.29 | 67% below | 64% |
| Group psychotherapy session CPT 90853 GROUP THERAPY NOT MULTI-FAMILY | $104.39 | $288.20 | $73.07–$413.29 | 67% below | 64% |
| Group psychotherapy session CPT 90853 INER GRP TX G0411 PHP INTNSV | $104.39 | $288.20 | $73.07–$413.29 | 67% below | 64% |
| Group psychotherapy session CPT 90853 GRP TX 90853 PHP INTENSIVE | $288.20 | $288.20 | $8.65–$288.20 | 10% below | — |
| Group psychotherapy session CPT 90853 GROUP THERAPY NOT MULTI-FAMILY | $288.20 | $288.20 | $8.65–$288.20 | 10% below | — |
| Group psychotherapy session CPT 90853 GRP TX 90853 PHP LESS INTNSIVE | $288.20 | $288.20 | $8.65–$288.20 | 10% below | — |
| Group psychotherapy session CPT 90853 GRP PSYCH PARTIAL HOSP 45-50 | $288.20 | $288.20 | $8.65–$288.20 | 10% below | — |
| Group psychotherapy session CPT 90853 GRP TX 90853 IOP/CHEM DPNDNCY | $288.20 | $288.20 | $8.65–$288.20 | 10% below | — |
| Group psychotherapy session CPT 90853 INER GRP TX G0411 PHP INTNSV | $288.20 | $288.20 | $8.65–$288.20 | 10% below | — |
| Group psychotherapy session CPT 90853 INER GRP TX G0411 PHP L INTNSV | $288.20 | $288.20 | $8.65–$288.20 | 10% below | — |
| Group psychotherapy session CPT 90853 GRP THRPY NOT MULTI FAMILY | $288.20 | $288.20 | $8.65–$288.20 | 10% below | — |
| Group psychotherapy session CPT 90853 GRP TX 90853 IOP/PSY | $288.20 | $288.20 | $8.65–$288.20 | 10% below | — |
| Group psychotherapy session CPT 90853 GRP TX 90853 45-50 | $288.20 | $288.20 | $8.65–$288.20 | 10% below | — |
| Group psychotherapy session inpatient CPT 90853 INER GRP TX G0411 PHP INTNSV | $288.20 | $288.20 | $167.16–$288.20 | — | — |
| Group psychotherapy session inpatient CPT 90853 GRP THRPY NOT MULTI FAMILY | $288.20 | $288.20 | $167.16–$288.20 | — | — |
| Group psychotherapy session inpatient CPT 90853 GRP TX 90853 45-50 | $288.20 | $288.20 | $167.16–$288.20 | — | — |
| Group psychotherapy session inpatient CPT 90853 GRP PSYCH PARTIAL HOSP 45-50 | $288.20 | $288.20 | $167.16–$288.20 | — | — |
| Group psychotherapy session inpatient CPT 90853 GRP TX 90853 IOP/CHEM DPNDNCY | $288.20 | $288.20 | $167.16–$288.20 | — | — |
| Group psychotherapy session inpatient CPT 90853 GRP TX 90853 PHP LESS INTNSIVE | $288.20 | $288.20 | $167.16–$288.20 | — | — |
| Group psychotherapy session inpatient CPT 90853 INER GRP TX G0411 PHP L INTNSV | $288.20 | $288.20 | $167.16–$288.20 | — | — |
| Group psychotherapy session inpatient CPT 90853 GRP TX 90853 PHP INTENSIVE | $288.20 | $288.20 | $167.16–$288.20 | — | — |
| Group psychotherapy session inpatient CPT 90853 GRP TX 90853 IOP/PSY | $288.20 | $288.20 | $167.16–$288.20 | — | — |
| Group psychotherapy session inpatient CPT 90853 GROUP THERAPY NOT MULTI-FAMILY | $288.20 | $288.20 | $167.16–$288.20 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INF INIT 31-60 | $218.57 | $350.98 | $153.00–$865.30 | 67% below | 38% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INF INIT 31-60 | $350.98 | $350.98 | $10.53–$1,723.00 | 46% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INF INIT 31-60 | $350.98 | $350.98 | $203.57–$350.98 | — | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PRO/DX IV INF INIT =<1 HR | $180.94 | $180.94 | $5.43–$1,723.00 | 77% below | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PRO/DX IV INF INIT =<1 HR | $218.57 | $180.94 | $153.00–$865.30 | 72% below | -21% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PRO/DX IV INF INIT =<1 HR | $180.94 | $180.94 | $104.95–$180.94 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $73.99 | $627.40 | $51.79–$292.91 | 58% below | 88% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $627.40 | $627.40 | $18.82–$1,723.00 | 257% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM | $627.40 | $627.40 | $363.89–$627.40 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCLE RE-EDUC, EA 15 MIN | $406.57 | $406.57 | $12.20–$406.57 | 172% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCLE RE-EDUC, EA 15 MIN | $406.57 | $406.57 | $235.81–$406.57 | — | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3 | $830.58 | $830.58 | $24.92–$830.58 | 59% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LEVEL 3 | $830.58 | $830.58 | $481.74–$830.58 | — | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PT LEVEL 4 | $2,817.65 | $2,817.65 | $84.53–$2,817.65 | 306% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT LEVEL 4 | $2,817.65 | $2,817.65 | $1,634.24–$2,817.65 | — | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PT LEVEL 5 | $2,998.59 | $2,998.59 | $89.96–$2,998.59 | 289% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT LEVEL 5 | $2,998.59 | $2,998.59 | $1,739.18–$2,998.59 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LEVEL 2 | $2,404.54 | $2,404.54 | $72.14–$2,404.54 | 797% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LEVEL 2 | $2,404.54 | $2,404.54 | $1,394.63–$2,404.54 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $953.75 | $953.75 | $28.61–$953.75 | 94% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $953.75 | $953.75 | $553.17–$953.75 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $1,206.63 | $1,206.63 | $36.20–$1,206.63 | 121% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $1,206.63 | $1,206.63 | $699.85–$1,206.63 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $1,140.14 | $1,140.14 | $34.20–$1,140.14 | 154% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $1,140.14 | $1,140.14 | $661.28–$1,140.14 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $1,140.14 | $1,140.14 | $34.20–$1,140.14 | 132% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $1,140.14 | $1,140.14 | $661.28–$1,140.14 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINS | $350.98 | $350.98 | $10.53–$355.00 | 152% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINS | $350.98 | $350.98 | $203.57–$350.98 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN | $589.69 | $589.69 | $17.69–$589.69 | 273% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN | $589.69 | $589.69 | $342.02–$589.69 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $38.35 | $123.17 | $26.84–$152.41 | 38% below | 69% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $123.17 | $123.17 | $3.70–$571.00 | 98% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $123.17 | $123.17 | $71.44–$123.17 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT LEVEL 5 | $1,529.27 | $1,529.27 | $45.88–$1,529.27 | 136% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT LEVEL 5 | $1,529.27 | $1,529.27 | $886.98–$1,529.27 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LEVEL 3 | $503.58 | $503.58 | $15.11–$503.58 | 40% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT LEVEL 3 | $503.58 | $503.58 | $292.08–$503.58 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT LEVEL 4 | $1,305.82 | $1,305.82 | $39.17–$1,305.82 | 143% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT LEVEL 4 | $1,305.82 | $1,305.82 | $757.38–$1,305.82 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LEVEL 2 | $1,042.04 | $1,042.04 | $31.26–$1,042.04 | 200% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT LEVEL 2 | $1,042.04 | $1,042.04 | $604.38–$1,042.04 | — | — |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $1,237.15 | $1,237.15 | $37.11–$1,237.15 | 111% above | — |
| Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN | $1,237.15 | $1,237.15 | $717.55–$1,237.15 | — | — |
| Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY INDIV | $965.74 | $965.74 | $28.97–$965.74 | 151% above | — |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY INDIV | $965.74 | $965.74 | $560.13–$965.74 | — | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $221.87 | $841.48 | $155.31–$890.51 | 34% below | 74% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $841.48 | $841.48 | $24.77–$1,058.00 | 152% above | — |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $841.48 | $841.48 | $488.06–$841.48 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM - PRE & POST BD | $383.45 | $2,469.94 | $268.41–$1,518.03 | 58% below | 84% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM - PRE & POST BD | $2,469.94 | $2,469.94 | $41.52–$2,469.94 | 174% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM - PRE & POST BD | $2,469.94 | $2,469.94 | $1,432.57–$2,469.94 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $589.69 | $589.69 | $17.69–$589.69 | 294% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES | $589.69 | $589.69 | $342.02–$589.69 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $136.72 | $376.57 | $95.70–$541.27 | 59% below | 64% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $376.57 | $376.57 | $11.30–$1,627.00 | 12% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $376.57 | $376.57 | $218.41–$376.57 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLU (FLUAD TRIV 65 )PF 0.5ML | $30.15 | $512.88 | $21.10–$512.88 | 88% below | 94% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 RAXT/PF 10 MCG/0.3 ML VIAL | $27.17 | $462.00 | $19.02–$462.00 | 88% below | 94% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 RAXT)/PF 30 MCG/0.3 ML VIAL | $40.57 | $690.00 | $28.40–$690.00 | 82% below | 94% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 (ANDU)/PF 50 MCG/0.5 ML VIAL | $45.16 | $768.00 | $31.61–$768.00 | 80% below | 94% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 ANDU/PF 50 MCG/0.5 ML SYR COVI | $45.69 | $777.00 | $31.98–$777.00 | 81% below | 94% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 ANDU/PF 50 MCG/0.5 ML SYR | $45.69 | $777.00 | $31.98–$777.00 | 81% below | 94% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU (FLUZONE TRIV) PF 0.5ML | $7.10 | $120.78 | $4.97–$120.78 | 91% below | 94% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU (AFLURIA TRIVAL)PF 0.5ML | $7.64 | $130.08 | $5.35–$130.08 | 91% below | 94% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACC 10 MCG/1 ML | $25.22 | $428.76 | $17.65–$428.76 | 89% below | 94% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC 20 MCG/ 1 ML INJ | $26.23 | $446.10 | $18.36–$446.10 | 89% below | 94% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC 20 MCG/ 1 ML INJ | $396.60 | $396.60 | $16.32–$396.60 | 70% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VAC 20 MCG/ 1 ML INJ | $396.60 | $396.60 | $66.23–$396.60 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLU (FLUZONE HD65 )PF 0.5ML | $30.15 | $512.88 | $21.10–$512.88 | 89% below | 94% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF | $111.63 | $1,898.46 | $78.14–$1,898.46 | 88% below | 94% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF | $1,567.02 | $1,567.02 | $64.50–$1,567.02 | 66% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF | $1,567.02 | $1,567.02 | $78.35–$1,567.02 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC VAC 23 VALENT >2 YRS | $41.31 | $702.48 | $28.92–$702.48 | 90% below | 94% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC VAC 23 VALENT >2 YRS | $702.48 | $702.48 | $28.92–$702.48 | 78% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOC VAC 23 VALENT >2 YRS | $702.48 | $702.48 | $117.31–$702.48 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5 IU SYR IM | $331.98 | $2,815.26 | $232.38–$957.19 | 73% below | 88% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5 IU SYR IM | $2,274.24 | $2,274.24 | $326.61–$2,274.24 | 83% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 2.5 IU SYR IM | $2,274.24 | $2,274.24 | $113.71–$2,274.24 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPTHERIA TOX PF >7YRS | $229.44 | $229.44 | $28.13–$229.44 | 48% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 MENING VAC ACYW-135 DIP/PF | $886.44 | $886.44 | $28.13–$886.44 | 471% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPTHERIA TOX PF >7YRS | $229.44 | $229.44 | $38.32–$229.44 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 MENING VAC ACYW-135 DIP/PF | $886.44 | $886.44 | $148.04–$886.44 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSS(ACELL)TET VAC | $262.98 | $262.98 | $40.16–$262.98 | 14% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $300.96 | $300.96 | $45.96–$300.96 | 31% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSS(ACELL)TET VAC | $262.98 | $262.98 | $43.92–$262.98 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 YRS/> IM | $300.96 | $300.96 | $50.26–$300.96 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE | $73.99 | $195.23 | $51.79–$292.91 | 40% below | 62% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $73.99 | $248.71 | $51.79–$292.91 | 40% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VIRUS VACCINE | $73.99 | $360.06 | $51.79–$292.91 | 40% below | 79% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE | $73.99 | $234.33 | $51.79–$292.91 | 40% below | 68% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE | $195.23 | $195.23 | $5.86–$195.23 | 58% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE | $234.33 | $234.33 | $7.03–$234.33 | 90% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $248.71 | $248.71 | $7.46–$248.71 | 102% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VIRUS VACCINE | $360.06 | $360.06 | $10.80–$360.06 | 192% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMONIA VACCINE | $195.23 | $195.23 | $113.23–$195.23 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEPATITIS B VACCINE | $234.33 | $234.33 | $135.91–$234.33 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $248.71 | $248.71 | $144.25–$248.71 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VIRUS VACCINE | $360.06 | $360.06 | $208.83–$360.06 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNZTN ADM; EA ADDTL VAC | $126.48 | $126.48 | $3.79–$126.48 | 7% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM EA ADDTL VACC | $126.48 | $126.48 | $3.79–$126.48 | 7% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNZTN ADM; EA ADDTL VAC | $126.48 | $126.48 | $73.36–$126.48 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM EA ADDTL VACC | $126.48 | $126.48 | $73.36–$126.48 | — | — |
Source file: https://hialeahhosp.org/pricetransparency/995053647_HialeahHospital_standardcharges.csv