North Shore Medical Center
Listed in its price file as “Hsa Nsmc LLC”.
North Shore Medical Center in Miami, FL publishes cash prices for 312 common procedures listed here, from its own machine-readable price file updated Sep 16, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 299 of 307 procedures and above it for 2. By typical cash price it ranks #9 of 151 Florida hospitals and #2 of 36 hospitals in the Miami, FL area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1100 NW 95th St, Miami, FL 33150 Collected Sep 27, 2026 Source price file (305) 835-6000
Acute care hospital Emergency department CMS star rating 1 of 5 CCN 100029 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $136.72 | $1,214.70 | $95.70–$541.27 | 85% below | 89% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM | $180.24 | $2,196.35 | $126.17–$480.27 | 82% below | 92% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE/JOINT; WB | $410.79 | $6,811.41 | $287.55–$1,626.32 | 86% below | 94% |
| 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 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 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 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, 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, 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 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 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 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 pelvis, with contrast dye CPT 72193 CT PELVIS; W CONTR | $180.24 | $8,811.30 | $126.17–$480.27 | 96% below | 98% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX SCAN; BILAT | $245.18 | $4,601.98 | $171.63–$666.65 | — | 95% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $89.43 | $2,705.38 | $62.60–$238.29 | 83% below | 97% |
| Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2 VIEWS | $89.43 | $2,705.38 | $62.60–$238.29 | 83% below | 97% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $89.43 | $1,396.29 | $62.60–$238.29 | 81% below | 94% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $107.42 | $13,151.94 | $75.19–$286.26 | 92% below | 99% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BN DENSITY AXIAL 1+SITE | $106.99 | $1,145.59 | $74.89–$286.26 | 85% below | 91% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BN DENSTY/PERIPH 1+SITE | $89.06 | $728.12 | $62.34–$238.29 | 80% below | 88% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS | $245.18 | $1,982.71 | $171.63–$666.65 | 77% below | 88% |
| 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 mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $114.22 | $1,127.06 | $63.95–$1,127.06 | — | 90% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LE ART/BPG; BILAT | $245.18 | $2,564.77 | $171.63–$666.65 | — | 90% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXT VEINS; BILAT | $245.18 | $3,341.94 | $171.63–$666.65 | — | 93% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $561.48 | $7,091.54 | $393.04–$1,740.44 | 85% below | 92% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $410.79 | $5,791.17 | $287.55–$1,626.32 | 80% below | 93% |
| Knee X-ray, 3 views one side CPT 73562 X-RAY EXAM OF KNEE 3 RT | $89.43 | $1,497.66 | $62.60–$238.29 | 82% below | 94% |
| Knee X-ray, 3 views one side CPT 73562 X-RAY EXAM OF KNEE 3 LT | $89.43 | $1,497.66 | $62.60–$238.29 | 82% below | 94% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $107.42 | $3,093.42 | $75.19–$286.26 | 92% below | 97% |
| 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% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST | $245.18 | $9,924.45 | $171.63–$666.65 | 93% below | 98% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & WO CONTRAST | $358.49 | $13,206.44 | $250.94–$1,013.74 | 93% below | 97% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $245.18 | $8,466.03 | $171.63–$666.65 | 94% below | 97% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & WO CONTRAST | $358.49 | $15,258.91 | $250.94–$1,013.74 | 93% below | 98% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CONTR | $245.18 | $11,128.90 | $171.63–$666.65 | 94% below | 98% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMB SPINE W & WO CONTR | $358.49 | $12,968.82 | $250.94–$1,013.74 | 94% below | 97% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CONTR | $245.18 | $8,977.24 | $171.63–$666.65 | 94% below | 97% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV SPINE W & WO CONTR | $358.49 | $15,256.73 | $250.94–$1,013.74 | 94% below | 98% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERV; WO CONTR | $245.18 | $11,612.86 | $171.63–$666.65 | 94% below | 98% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & WO CONTRAST | $358.49 | $10,398.60 | $250.94–$1,013.74 | 93% below | 97% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST | $245.18 | $8,584.84 | $171.63–$666.65 | 93% below | 97% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $1,330.34 | $19,073.91 | $931.24–$5,266.75 | 80% below | 93% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $107.42 | $779.35 | $75.19–$286.26 | 89% below | 86% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $107.42 | $3,937.08 | $75.19–$286.26 | 92% below | 97% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $107.42 | $2,170.19 | $75.19–$286.26 | 91% below | 95% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $107.42 | $1,461.69 | $75.19–$286.26 | 88% below | 93% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1+ FETUS(S) | $107.42 | $954.84 | $75.19–$286.26 | 84% below | 89% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $93.51 | $781.53 | $62.03–$781.53 | — | 88% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FCN W CINE/VIDEO | $180.24 | $1,218.62 | $126.17–$480.27 | 84% below | 85% |
| Transvaginal pelvic ultrasound CPT 76830 NON-OB TRANSVAG US | $107.42 | $2,806.75 | $75.19–$286.26 | 90% below | 96% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL OB US | $107.42 | $2,120.05 | $75.19–$286.26 | 89% below | 95% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $107.42 | $6,605.40 | $75.19–$286.26 | 95% below | 98% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS | $107.42 | $3,001.86 | $75.19–$286.26 | 91% below | 96% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $107.42 | $3,176.26 | $75.19–$286.26 | 90% below | 97% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY UPPER GI DELAY W/KUB | $180.24 | $634.23 | $126.17–$480.27 | 85% below | 72% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $180.24 | $552.13 | $126.17–$480.27 | 85% below | 67% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXT VEINS; UNIL/LIMIT | $107.42 | $3,048.73 | $75.19–$286.26 | 87% below | 96% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY EXAM WRIST 3+ VIEWS LT | $89.43 | $2,213.79 | $62.60–$238.29 | 84% below | 96% |
| 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 | $2,339.14 | $62.60–$238.29 | 84% below | 96% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $89.43 | $1,579.41 | $62.60–$238.29 | 84% below | 94% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY EXAM ANKLE 2 VIEWS RT | $89.43 | $1,377.76 | $62.60–$238.29 | 78% below | 94% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER SPINE 2-3 VW | $107.42 | $2,156.02 | $75.19–$286.26 | 88% below | 95% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER SPINE 4+ VW | $107.42 | $3,665.67 | $75.19–$286.26 | 92% below | 97% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORACIC SPINE 2 VW | $107.42 | $2,241.04 | $75.19–$286.26 | 85% below | 95% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM NASAL BONES 3+ VWS | $89.43 | $978.82 | $62.60–$238.29 | 88% below | 91% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $89.43 | $1,883.52 | $62.60–$238.29 | 88% below | 95% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS 1-2 VIEWS | $107.42 | $1,482.40 | $75.19–$286.26 | 86% below | 93% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF TAILBONE 2+ VW | $89.43 | $1,056.21 | $62.60–$238.29 | 88% below | 92% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL TRANSFERASE; ALANINE AMINO | $5.19 | $291.03 | $2.60–$291.03 | 90% below | 98% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE; ALANINE AMINO | $5.19 | $291.03 | $2.60–$291.03 | 90% below | 98% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 RL AST OR SGOT | $5.08 | $120.99 | $2.54–$120.99 | 92% below | 96% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST OR SGOT | $5.08 | $120.99 | $2.54–$120.99 | 92% below | 96% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RL ALLG SPEC IGE CRUDE XTRC EA | $3.48 | $3.55 | $0.45–$9.40 | 64% below | 2% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $3.48 | $3.55 | $0.45–$9.40 | 64% below | 2% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL CCP ANTIBODY | $10.81 | $11.03 | $1.41–$23.71 | 60% below | 2% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $10.81 | $11.03 | $1.41–$23.71 | 60% below | 2% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 RL ANTINUCLEAR AB (ANA) | $11.85 | $729.21 | $5.93–$729.21 | 61% below | 98% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (ANA); | $11.85 | $729.21 | $5.93–$729.21 | 61% below | 98% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL B-TYPE NATRIURETIC PEPTIDE | $38.47 | $318.28 | $19.24–$318.28 | 83% below | 88% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $38.47 | $318.28 | $19.24–$318.28 | 83% below | 88% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOG LVL 4 | $53.55 | $1,673.15 | $37.48–$211.99 | 57% below | 97% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $9.15 | — | $4.58–$6,500.00 | 59% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $9.15 | $116.63 | $2.70–$116.63 | 59% below | 92% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE; QUAN BLOOD | $3.85 | $238.71 | $1.93–$238.71 | 94% below | 98% |
| Blood glucose (sugar) test CPT 82947 RL GLUCOSE; QUAN BLOOD | $3.85 | $238.71 | $1.93–$238.71 | 94% below | 98% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG; QUAL | $7.37 | $518.84 | $3.68–$518.84 | 95% below | 99% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $136.72 | $236.53 | $95.70–$541.27 | 86% above | 42% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RL C-REACTIVE PROTEIN | $5.08 | $444.72 | $2.54–$444.72 | 95% below | 99% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $5.08 | $444.72 | $2.54–$444.72 | 95% below | 99% |
| C. difficile toxin gene test (stool PCR) CPT 87493 RL C DIFF AMPLIFIED PROBE | $36.52 | $382.59 | $18.27–$382.59 | 71% below | 90% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $36.52 | $382.59 | $18.27–$382.59 | 71% below | 90% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL SARS-CoV2/19-nCoV (COVID19) | $50.28 | $421.83 | $25.15–$421.83 | 38% below | 88% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV2/19 (COVID19) | $50.28 | $421.83 | $25.15–$421.83 | 38% below | 88% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL CHLAMYDIA T AMPLIF NA PROBE | $34.39 | $203.83 | $17.20–$203.83 | 56% below | 83% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMPLIF NA PROBE | $34.39 | $203.83 | $17.20–$203.83 | 56% below | 83% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 RL LIPID PANEL | $13.12 | $969.01 | $6.57–$969.01 | 92% below | 99% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $13.12 | $969.01 | $6.57–$969.01 | 92% below | 99% |
| Complete blood count (CBC) with differential CPT 85025 COMPL CBC W PLT W AUTOM DIFF | $7.61 | $612.58 | $3.81–$612.58 | 90% below | 99% |
| Complete blood count (CBC), no differential CPT 85027 COMPL AUTOM CBC W PLT | $6.34 | $784.80 | $3.18–$784.80 | 95% below | 99% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER - QUAN | $9.98 | $800.06 | $4.99–$800.06 | 97% below | 99% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $19.24 | $99.46 | $9.62–$99.46 | 85% below | 81% |
| Fecal calprotectin (stool inflammation test) CPT 83993 RL ASSAY FOR CALPROTECTIN FECL | $19.24 | $99.46 | $9.62–$99.46 | 85% below | 81% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $13.36 | $483.96 | $6.68–$483.96 | 92% below | 97% |
| Ferritin blood test (iron stores) CPT 82728 RL FERRITIN | $13.36 | $483.96 | $6.68–$483.96 | 92% below | 97% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM | $14.41 | $275.77 | $7.20–$275.77 | 91% below | 95% |
| Folate (folic acid) blood test CPT 82746 RL FOLIC ACID | $14.41 | $275.77 | $7.20–$275.77 | 91% below | 95% |
| Free T3 thyroid hormone test CPT 84481 T3; FREE | $16.60 | $346.62 | $8.30–$346.62 | 83% below | 95% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 RL T-4 (THYROXINE), FREE | $8.84 | $382.59 | $4.42–$382.59 | 91% below | 98% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE | $8.84 | $382.59 | $4.42–$382.59 | 91% below | 98% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE | $4.65 | $271.41 | $2.33–$271.41 | 95% below | 98% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 3 SPECM | $12.61 | $782.62 | $6.31–$782.62 | 91% below | 98% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIF NA PROBE | $34.39 | $256.15 | $17.20–$256.15 | 33% below | 87% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL NEISSERIA AMPLIF NA PROBE | $34.39 | $256.15 | $17.20–$256.15 | 33% below | 87% |
| H. pylori stool antigen test CPT 87338 RL HELICOBACTR PYLOR ANTG FECS | $14.09 | $30.52 | $3.90–$30.92 | 72% below | 54% |
| H. pylori stool antigen test CPT 87338 RL HPYLORI STOOL IA | $14.09 | $30.52 | $3.90–$30.92 | 72% below | 54% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $80.04 | $81.67 | $10.44–$175.59 | 30% below | 2% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV-1 RNA QUANTATVE PCR CSF | $80.04 | $81.67 | $10.44–$175.59 | 30% below | 2% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV-1 RNA BY PCR QUANT | $80.04 | $81.67 | $10.44–$175.59 | 30% below | 2% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SINGLE RESULT | $13.44 | $135.16 | $6.72–$135.16 | 74% below | 90% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 RL HPV HIGH-RISK TYPES | $34.39 | $114.74 | $14.66–$114.74 | 29% below | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $9.52 | $674.71 | $4.76–$674.71 | 88% below | 99% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL GLYCOSYLATED HEMOGLOBIN TST | $9.52 | $674.71 | $4.76–$674.71 | 88% below | 99% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RL HEMOGLOBIN A1C | $9.52 | $674.71 | $4.76–$674.71 | 88% below | 99% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 RL HEPATITIS B SURFACE ANTIGEN | $10.12 | $644.19 | $5.07–$644.19 | 79% below | 98% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $10.12 | $644.19 | $5.07–$644.19 | 79% below | 98% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $41.98 | $54.50 | $6.97–$92.11 | 69% below | 23% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 RL HEPATITIS C VIRUS RNA | $41.98 | $54.50 | $6.97–$92.11 | 69% below | 23% |
| Herpes blood test, HSV-1 antibody CPT 86695 AB; HSV 1 | $10.68 | $10.90 | $1.39–$23.74 | 52% below | 2% |
| Herpes blood test, HSV-1 antibody CPT 86695 RL HERPES SIMPLEX TYPE 1 | $10.68 | $10.90 | $1.39–$23.74 | 52% below | 2% |
| Herpes blood test, HSV-2 antibody CPT 86696 AB; HSV TYPE 2 | $10.68 | $10.90 | $1.39–$34.84 | 63% below | 2% |
| Herpes blood test, HSV-2 antibody CPT 86696 RL HERPES SIMPLEX TYPE 2 | $10.68 | $10.90 | $1.39–$34.84 | 63% below | 2% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $12.69 | $392.40 | $6.35–$392.40 | 80% below | 97% |
| Homocysteine blood test CPT 83090 RL HOMOCYSTEINE, TOTAL | $17.56 | $229.99 | $8.78–$229.99 | 66% below | 92% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $17.56 | $229.99 | $8.78–$229.99 | 66% below | 92% |
| Iron blood test (serum iron) CPT 83540 IRON | $6.34 | $187.48 | $3.18–$187.48 | 91% below | 97% |
| Iron blood test (serum iron) CPT 83540 RL IRON | $6.34 | $187.48 | $3.18–$187.48 | 91% below | 97% |
| Iron-binding capacity (TIBC) test CPT 83550 RL IRON BINDING CAPACITY,TOTAL | $8.57 | $255.06 | $4.28–$255.06 | 93% below | 97% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $8.57 | $255.06 | $4.28–$255.06 | 93% below | 97% |
| Lipase blood test (pancreas enzyme) CPT 83690 RL LIPASE | $6.75 | $1,157.58 | $3.38–$1,157.58 | 91% below | 99% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $6.75 | $1,157.58 | $3.38–$1,157.58 | 91% below | 99% |
| Lyme disease antibody test CPT 86618 RL LYME DISEASE AB SCREEN | $16.69 | $20.42 | $2.61–$36.61 | 48% below | 18% |
| Magnesium blood test CPT 83735 RL MAGNESIUM | $6.57 | $258.33 | $3.28–$258.33 | 54% below | 97% |
| Magnesium blood test CPT 83735 MAGNESIUM | $6.57 | $258.33 | $3.28–$258.33 | 54% below | 97% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA; TOTAL | $18.02 | $596.23 | $9.02–$596.23 | 70% below | 97% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 RL PSA; TOTAL | $18.02 | $596.23 | $9.02–$596.23 | 70% below | 97% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $26.08 | $29.67 | $3.79–$57.21 | 36% below | 12% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CP CERV/VAG; ATL; MANUAL SCRN | $18.27 | $18.64 | $2.38–$40.08 | 47% below | 2% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 RL CP CERV/VAG; ATL; MANL SCRN | $19.85 | $66.25 | $8.47–$66.25 | 42% below | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 RL PARATHYROID HORMONE INTACT | $40.45 | $311.74 | $20.23–$311.74 | 63% below | 87% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE | $40.45 | $311.74 | $20.23–$311.74 | 63% below | 87% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT; PLASMA OR WHOLE BLOOD. | $5.89 | $731.39 | $2.95–$731.39 | 87% below | 99% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 RL PTT (LAC) | $5.89 | $731.39 | $2.95–$731.39 | 87% below | 99% |
| Prothrombin time (PT/INR) clotting test CPT 85610 RL PROTIME/INR | $4.20 | $337.90 | $2.11–$337.90 | 90% below | 99% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME; | $4.20 | $337.90 | $2.11–$337.90 | 90% below | 99% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $12.35 | $1,051.85 | $6.17–$1,051.85 | 88% below | 99% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 RL DRUG TEST PRSMV DIR OPT OBS | $12.35 | $1,051.85 | $6.17–$1,051.85 | 88% below | 99% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA W DO | $16.22 | $277.95 | $8.11–$277.95 | 88% below | 94% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $16.20 | $361.88 | $8.10–$361.88 | 88% below | 96% |
| Rheumatoid factor (RF) test CPT 86431 QUAN RHEUM FACTOR | $5.56 | $6.75 | $0.86–$12.19 | 79% below | 18% |
| Rheumatoid factor (RF) test CPT 86431 RL QUAN RHEUM FACTOR | $5.56 | $6.75 | $0.86–$12.19 | 79% below | 18% |
| Rubella antibody test (immunity check) CPT 86762 RL RUBELLA IGG | $6.53 | $6.66 | $0.85–$25.90 | 65% below | 2% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $6.53 | $6.66 | $0.85–$25.90 | 65% below | 2% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES DIR SMR W ID | $8.72 | $509.03 | $4.36–$509.03 | 82% below | 98% |
| Stool ova and parasites exam CPT 87177 RL OVA & PARASITE DIR SMR W ID | $8.72 | $509.03 | $4.36–$509.03 | 82% below | 98% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $4.29 | $160.23 | $2.15–$160.23 | 94% below | 97% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL VDRL (CSF) | $4.18 | $174.40 | $2.10–$174.40 | 80% below | 98% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL RAPID PLASMA REAGIN | $4.18 | $174.40 | $2.10–$174.40 | 80% below | 98% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN | $4.18 | $174.40 | $2.10–$174.40 | 80% below | 98% |
| 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% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $16.46 | $1,396.29 | $8.23–$1,396.29 | 90% below | 99% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 RL THYROID STIMULATING HORMONE | $16.46 | $1,396.29 | $8.23–$1,396.29 | 90% below | 99% |
| Trichomonas test (NAAT) CPT 87661 RL TRICHOMONAS VAGINALIS AMPLF | $34.39 | $35.97 | $4.60–$75.44 | 44% below | 4% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $34.39 | $35.97 | $4.60–$75.44 | 44% below | 4% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK | $3.41 | $305.20 | $1.71–$305.20 | 87% below | 99% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE-TEST EXCHANGE | $7.91 | $350.98 | $3.96–$350.98 | 97% below | 98% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY VISUAL COLOR | $8.44 | $386.95 | $4.22–$386.95 | 95% below | 98% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 LEVEL | $14.78 | $370.60 | $7.39–$370.60 | 91% below | 96% |
| Vitamin B12 (cobalamin) blood test CPT 82607 RL VITAMIN B12 | $14.78 | $370.60 | $7.39–$370.60 | 91% below | 96% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL VITAMIN D, 25-HYDROXY | $29.01 | $246.34 | $14.50–$246.34 | 41% below | 88% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $29.01 | $246.34 | $14.50–$246.34 | 41% below | 88% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL HCG; QUAN | $14.75 | $1,003.89 | $7.38–$1,003.89 | 86% below | 99% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 RL HCG, QUANT INTACT | $14.75 | $921.00 | $7.38–$921.00 | 86% below | 98% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG; QUAN | $14.75 | $1,003.89 | $7.38–$1,003.89 | 86% below | 99% |
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 | — |
| 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 | — |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $3,335.43 | $49,469.65 | $2,334.80–$13,188.45 | 78% below | 93% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $679.17 | $2,748.98 | $475.42–$2,688.76 | 71% below | 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 | — |
| Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL | $26,784.04 | $49,440.22 | $18,748.83–$106,331.02 | 46% below | 46% |
| 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 | — |
| 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 DILATION AND CURETTAGE | $3,326.37 | — | $2,328.46–$13,168.90 | 41% below | — |
| 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 with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $60.61 | $1,411.55 | $42.43–$239.99 | 69% below | 96% |
| 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 | $2,033.89 | $507.75–$2,871.60 | 72% below | 64% |
| 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 | — |
| 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 | — |
| 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 | $1,411.55 | $144.32–$816.20 | 71% below | 85% |
| 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 | — |
| 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 | — |
| 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 | $2,125.50 | $292.41–$1,653.72 | 59% below | 80% |
| 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 | — |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $3,335.43 | $34,496.32 | $2,334.80–$13,188.45 | 66% below | 90% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $725.35 | $2,033.89 | $507.75–$2,871.60 | 72% below | 64% |
| Lower-back epidural injection, without imaging guidance CPT 62322 DX/THER SBST INT LUM/SAC WO IM | $908.86 | $2,033.89 | $636.20–$3,598.10 | 60% below | 55% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $908.86 | $2,829.64 | $636.20–$3,598.10 | 60% below | 68% |
| 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 | $1,411.55 | $144.32–$816.20 | 59% below | 85% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE 1 | $206.17 | — | $144.32–$816.20 | 59% below | — |
| 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 | $102,614.78 | $7,511.85–$42,519.60 | 48% below | 90% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $932.00 | $3,974.14 | $652.40–$3,689.69 | 51% below | 77% |
| 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 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 | $417.73 | $2,829.64 | $292.41–$1,653.72 | 67% below | 85% |
| 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 | — |
| 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 | $1,411.55 | $292.41–$1,653.72 | 57% below | 70% |
| 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 LITHOTRIPSY XTRCORP SHOCK WAVE | $3,622.16 | $14,294.26 | $2,535.51–$14,339.93 | 80% below | 75% |
| 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 | — |
| 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 splint (forearm and hand) CPT 29125 APPL SHORT ARM SPLINT STATIC | $136.72 | — | $95.70–$541.27 | 64% below | — |
| Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST | $287.41 | — | $201.19–$1,137.83 | 56% below | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT | $166.98 | — | $116.89–$661.06 | 64% below | — |
| 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 | $1,411.55 | $144.32–$816.20 | 59% below | 85% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $417.73 | $1,411.55 | $292.41–$1,653.72 | 45% below | 70% |
| 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 DX LMBR SPI PNXR | $725.35 | $1,141.23 | $507.75–$2,871.60 | 52% below | 36% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAG | $725.35 | $1,159.76 | $507.75–$2,871.60 | 52% below | 37% |
| 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 | $1,411.55 | $144.32–$816.20 | 63% below | 85% |
| 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/< | $206.17 | $1,411.55 | $144.32–$816.20 | 56% below | 85% |
| 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 | $1,411.55 | $292.41–$1,653.72 | 14% below | 70% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $644.60 | — | $451.22–$2,551.93 | 66% below | — |
| 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 INJ TRIGGER POINT 1/2 MUSCL | $315.41 | $836.83 | $220.79–$1,248.70 | 60% below | 62% |
| 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 | — |
| 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 | — | $652.40–$3,689.69 | 71% below | — |
| 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 DEB SUBQ TISSUE 20 SQ CM/< | $417.73 | $1,411.55 | $292.41–$1,653.72 | 57% below | 70% |
| 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 | — |
| 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 BLOOD/BLOOD COMP | $453.34 | $1,271.32 | $317.34–$1,794.74 | 65% below | 64% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $453.34 | — | $317.34–$1,794.74 | 65% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $225.01 | $965.74 | $157.51–$890.82 | 29% below | 77% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $339.41 | $938.49 | $237.59–$1,343.71 | 66% below | 64% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR | $848.80 | $5,634.21 | $594.16–$3,360.38 | 83% below | 85% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY | $221.87 | $2,127.68 | $155.31–$890.51 | 88% below | 90% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG; TRACING ONLY | $60.61 | $1,385.39 | $42.43–$239.99 | 85% below | 96% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 | $86.65 | $886.17 | $60.66–$343.03 | 82% below | 90% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 | $157.77 | $1,519.46 | $110.44–$624.62 | 83% below | 90% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 | $280.50 | $2,808.93 | $196.35–$1,110.49 | 82% below | 90% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 | $428.77 | $5,545.92 | $300.14–$1,697.48 | 82% below | 92% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 | $611.95 | $7,149.31 | $428.36–$2,422.67 | 81% below | 91% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CVSLR STRESS TEST; TRACING | $221.87 | $10,806.26 | $155.31–$890.51 | 88% below | 98% |
| 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 without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $182.38 | $770.63 | $127.67–$722.07 | 53% below | 76% |
| 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 INTNSV | $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 GRP THRPY NOT MULTI FAMILY | $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 IOP/PSY | $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 INER GRP TX G0411 PHP L INTNSV | $104.39 | $288.20 | $73.07–$413.29 | 67% below | 64% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INF INIT 31-60 | $218.57 | $933.04 | $153.00–$865.30 | 67% below | 77% |
| IV infusion of a medicine, first hour CPT 96365 THER/PRO/DX IV INF INIT =<1 HR | $218.57 | $1,188.10 | $153.00–$865.30 | 72% below | 82% |
| 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% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $182.38 | $392.40 | $127.67–$722.07 | 36% below | 54% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $383.45 | $5,223.28 | $268.41–$1,518.03 | 66% below | 93% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $182.38 | $173.31 | $127.67–$722.07 | 53% below | -5% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $182.38 | $304.11 | $127.67–$722.07 | 53% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $38.35 | $84.18 | $26.84–$152.41 | 38% below | 54% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $221.87 | $1,018.06 | $155.31–$890.51 | 34% below | 78% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM - PRE & POST BD | $383.45 | $2,189.81 | $268.41–$1,518.03 | 58% below | 82% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $136.72 | $631.11 | $95.70–$541.27 | 59% below | 78% |
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 | $35.18 | $512.88 | $24.63–$512.88 | 86% below | 93% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLU (FLUAD TRIV 65+)PF 0.5ML | $35.18 | $512.88 | $24.63–$512.88 | 86% below | 93% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 RAXT/PF 10 MCG/0.3 ML VIAL | $31.69 | $462.00 | $22.18–$462.00 | 86% below | 93% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 RAXT)/PF 30 MCG/0.3 ML VIAL | $47.33 | $690.00 | $33.13–$690.00 | 79% below | 93% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 (ANDU)/PF 50 MCG/0.5 ML VIAL | $52.68 | $768.00 | $36.88–$768.00 | 77% below | 93% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 ANDU/PF 50 MCG/0.5 ML SYR | $53.30 | $777.00 | $37.31–$777.00 | 78% below | 93% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 ANDU/PF 50 MCG/0.5 ML SYR COVI | $53.30 | $777.00 | $37.31–$777.00 | 78% below | 93% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU (FLUZONE TRIV) PF 0.5ML | $8.28 | $120.78 | $5.80–$120.78 | 90% below | 93% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLU (AFLURIA TRIVAL)PF 0.5ML | $8.93 | $130.08 | $6.25–$130.08 | 89% below | 93% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACC 10 MCG/1 ML | $29.41 | $428.76 | $20.59–$428.76 | 87% below | 93% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC 20 MCG/ 1 ML INJ | $30.61 | $446.10 | $21.43–$446.10 | 87% below | 93% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLU (FLUZONE HD65+)PF 0.5ML | $35.18 | $512.88 | $24.63–$512.88 | 87% below | 93% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLU (FLUZONE HD65 )PF 0.5ML | $35.18 | $512.88 | $24.63–$512.88 | 87% below | 93% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF | $130.23 | $1,898.46 | $91.16–$1,898.46 | 86% below | 93% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOC VAC 23 VALENT >2 YRS | $48.19 | $702.48 | $33.73–$702.48 | 88% below | 93% |
| 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% |
| 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 | $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% |
Source file: https://northshoremc.org/pricetransparency/995020733_hsa-nsmc-llc_standardcharges.csv