Gulf Breeze Hospital
Listed in its price file as “Baptist Health Care Inc”.
Gulf Breeze Hospital in Gulf Breeze, FL publishes cash prices for 306 common procedures listed here, from its own machine-readable price file updated Dec 23, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 286 of 292 procedures and above it for 5. By typical cash price it ranks #8 of 171 Florida hospitals and #3 of 6 hospitals in the Pensacola, FL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
1110 Gulf Breeze Parkway, Gulf Breeze FL 32561 Collected Sep 27, 2026 Source price file Check a bill from this hospital (850) 934-2000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 100266 · CMS hospital register NPI 1972664530
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Gulf Breeze Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN CT W/WO CONTRAST | $960.00 | $6,400.00 | $164.04–$1,676.00 | 76% below | 85% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN CT W/WO CONTRAST | $960.00 | $6,400.00 | $960.00–$6,400.00 | — | 85% |
| Abdominal X-ray, 2 views CPT 74019 XRAY ABDOMEN 2 VIEWS | $140.40 | $936.00 | $140.40–$936.00 | 78% below | 85% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XRAY ABDOMEN 2 VIEWS | $140.40 | $936.00 | $105.77–$936.00 | — | 85% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPLETE => 3 VIEWS UNILATERAL | $129.15 | $861.00 | $35.69–$513.00 | 79% below | 85% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XRAY ANKLE COMPLETE => 3 VIEWS BILATERAL | $193.80 | $1,292.00 | $146.00–$1,292.00 | — | 85% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE COMPLETE => 3 VIEWS UNILATERAL | $129.15 | $861.00 | $129.15–$861.00 | — | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXT ART STDY BIL LTD =<2 LVLS | $255.90 | $1,706.00 | $255.90–$1,706.00 | 58% below | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXT ART STDY UNIL LTD =<2 LVLS | $255.90 | $1,706.00 | $192.78–$1,706.00 | — | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXT ART STDY BIL LTD =<2 LVLS | $255.90 | $1,706.00 | $255.90–$1,706.00 | — | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST UNILATERAL | $870.00 | $5,800.00 | $870.00–$5,800.00 | 63% below | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 CT UPPER EXTREMITY W/O CONTRAST BILATERAL | $1,305.00 | $8,700.00 | $983.10–$8,700.00 | — | 85% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST UNILATERAL | $870.00 | $5,800.00 | $870.00–$5,800.00 | — | 85% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 CONTRAST XRAY ESOPHAGUS | $451.20 | $3,008.00 | $451.20–$3,008.00 | 46% below | 85% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CONTRAST XRAY ESOPHAGUS | $451.20 | $3,008.00 | $451.20–$3,008.00 | — | 85% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY | $1,151.25 | $7,675.00 | $1,151.25–$7,675.00 | 55% below | 85% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY | $1,151.25 | $7,675.00 | $1,151.25–$7,675.00 | — | 85% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE | $264.90 | $1,766.00 | $69.97–$605.00 | 54% below | 85% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST BILATERAL COMPLETE | $397.35 | $2,649.00 | $299.34–$2,649.00 | — | 85% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE | $264.90 | $1,766.00 | $264.90–$1,766.00 | — | 85% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED | $249.45 | $1,663.00 | $69.97–$605.00 | 52% below | 85% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST BILATERAL LIMITED | $374.25 | $2,495.00 | $281.94–$2,495.00 | — | 85% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED | $249.45 | $1,663.00 | $249.45–$1,663.00 | — | 85% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN/PELVIS W/WO CONTRAST | $1,350.00 | $9,000.00 | $253.62–$1,676.00 | 77% below | 85% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN/PELVIS W/WO CONTRAST | $1,350.00 | $9,000.00 | $1,350.00–$9,000.00 | — | 85% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W/WO CONTRAST | $1,275.00 | $8,500.00 | $164.04–$1,676.00 | 64% below | 85% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/WO CONTRAST | $1,275.00 | $8,500.00 | $1,275.00–$8,500.00 | — | 85% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK W/WO CONTRAST | $1,275.00 | $8,500.00 | $1,275.00–$8,500.00 | 70% below | 85% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/WO CONTRAST | $1,275.00 | $8,500.00 | $1,275.00–$8,500.00 | — | 85% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO CONTRAST | $1,425.00 | $9,500.00 | $1,425.00–$9,500.00 | 68% below | 85% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/WO CONTRAST | $1,425.00 | $9,500.00 | $1,425.00–$9,500.00 | — | 85% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM | $38.85 | $259.00 | $68.33–$1,676.00 | 93% below | 85% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM | $38.85 | $259.00 | $38.85–$259.00 | — | 85% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $1,800.00 | $12,000.00 | $1,800.00–$12,000.00 | 67% below | 85% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $1,800.00 | $12,000.00 | $1,800.00–$12,000.00 | — | 85% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS WITH CONTRAST | $2,100.00 | $14,000.00 | $205.85–$1,676.00 | 65% below | 85% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS WITH CONTRAST | $2,100.00 | $14,000.00 | $2,100.00–$14,000.00 | — | 85% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST | $2,400.00 | $16,000.00 | $205.85–$1,676.00 | 66% below | 85% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST | $2,400.00 | $16,000.00 | $2,400.00–$16,000.00 | — | 85% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN CT WITH CONTRAST | $915.00 | $6,100.00 | $164.04–$1,676.00 | 73% below | 85% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN CT WITH CONTRAST | $915.00 | $6,100.00 | $915.00–$6,100.00 | — | 85% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN CT W/O CONTRAST | $870.00 | $5,800.00 | $870.00–$5,800.00 | 73% below | 85% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN CT W/O CONTRAST | $870.00 | $5,800.00 | $870.00–$5,800.00 | — | 85% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $903.75 | $6,025.00 | $68.33–$1,676.00 | 68% below | 85% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $903.75 | $6,025.00 | $903.75–$6,025.00 | — | 85% |
| CT scan of the head or brain, no contrast dye CPT 70450 BRAIN CT W/O CONTRAST | $696.00 | $4,640.00 | $696.00–$4,640.00 | 77% below | 85% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 BRAIN CT W/O CONTRAST | $696.00 | $4,640.00 | $696.00–$4,640.00 | — | 85% |
| CT scan of the head with contrast CPT 70460 BRAIN CT W/CONTRAST | $915.00 | $6,100.00 | $915.00–$6,100.00 | 76% below | 85% |
| CT scan of the head with contrast inpatient CPT 70460 BRAIN CT W/CONTRAST | $915.00 | $6,100.00 | $915.00–$6,100.00 | — | 85% |
| CT scan of the head without and with contrast CPT 70470 BRAIN CT W/WO CONTRAST | $960.00 | $6,400.00 | $960.00–$6,400.00 | 78% below | 85% |
| CT scan of the head without and with contrast inpatient CPT 70470 BRAIN CT W/WO CONTRAST | $960.00 | $6,400.00 | $960.00–$6,400.00 | — | 85% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST | $1,200.00 | $8,000.00 | $68.33–$1,676.00 | 63% below | 85% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O CONTRAST | $1,200.00 | $8,000.00 | $1,200.00–$8,000.00 | — | 85% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST | $1,200.00 | $8,000.00 | $68.33–$1,676.00 | 65% below | 85% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL W/O CONTRAST | $1,200.00 | $8,000.00 | $1,200.00–$8,000.00 | — | 85% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIC WITH CONTRAST | $915.00 | $6,100.00 | $164.04–$1,676.00 | 79% below | 85% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIC WITH CONTRAST | $915.00 | $6,100.00 | $915.00–$6,100.00 | — | 85% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUP SCAN CAROTID ART CMP BILAT | $396.60 | $2,644.00 | $396.60–$2,644.00 | — | 85% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUP SCAN CAROTID ART CMP BILAT | $396.60 | $2,644.00 | $396.60–$2,644.00 | — | 85% |
| Chest CT scan without and with contrast CPT 71270 THORAX CT W/WO CONTRAST | $960.00 | $6,400.00 | $164.04–$1,676.00 | 76% below | 85% |
| Chest CT scan without and with contrast inpatient CPT 71270 THORAX CT W/WO CONTRAST | $960.00 | $6,400.00 | $960.00–$6,400.00 | — | 85% |
| Chest X-ray, 2 views CPT 71046 XRAY CHEST 2 VIEWS | $177.75 | $1,185.00 | $35.69–$406.00 | 64% below | 85% |
| Chest X-ray, 2 views inpatient CPT 71046 XRAY CHEST 2 VIEWS | $177.75 | $1,185.00 | $133.91–$1,185.00 | — | 85% |
| Chest X-ray, single view CPT 71045 XRAY CHEST SINGLE VIEW | $109.65 | $731.00 | $35.69–$406.00 | 74% below | 85% |
| Chest X-ray, single view inpatient CPT 71045 XRAY CHEST SINGLE VIEW | $109.65 | $731.00 | $109.65–$731.00 | — | 85% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE UNILATERAL | $98.10 | $654.00 | $35.69–$513.00 | 82% below | 85% |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 XRAY CLAVICLE COMPLETE BILATERAL | $147.15 | $981.00 | $110.85–$981.00 | — | 85% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE COMPLETE UNILATERAL | $98.10 | $654.00 | $98.10–$654.00 | — | 85% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $335.55 | $2,237.00 | $335.55–$2,237.00 | 74% below | 85% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE | $335.55 | $2,237.00 | $335.55–$2,237.00 | — | 85% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXASCAN 1/MORE CENTRAL SITES | $90.45 | $603.00 | $48.44–$513.00 | 85% below | 85% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXASCAN 1/MORE CENTRAL SITES | $90.45 | $603.00 | $90.45–$603.00 | — | 85% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 THORAX CT W/O CONTRAST | $825.00 | $5,500.00 | $825.00–$5,500.00 | 72% below | 85% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 THORAX CT W/O CONTRAST | $825.00 | $5,500.00 | $825.00–$5,500.00 | — | 85% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 THORAX CT W/CONTRAST | $855.00 | $5,700.00 | $164.04–$1,676.00 | 78% below | 85% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 THORAX CT W/CONTRAST | $855.00 | $5,700.00 | $855.00–$5,700.00 | — | 85% |
| Diagnostic mammogram, both breasts CPT 77066 MAMMO DIAG DIGITAL BIL RECALL | $159.60 | $1,064.00 | $159.60–$1,064.00 | 49% below | 85% |
| Diagnostic mammogram, both breasts CPT 77066 MAMMO DIAG DIGITAL W/CAD BIL | $159.60 | $1,064.00 | $30.07–$406.00 | 49% below | 85% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMO DIAG DIGITAL BIL RECALL | $159.60 | $1,064.00 | $159.60–$1,064.00 | — | 85% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMO DIAG DIGITAL W/CAD BIL | $159.60 | $1,064.00 | $159.60–$1,064.00 | — | 85% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG DIGITAL UNI RECALL | $103.50 | $690.00 | $30.07–$406.00 | 76% below | 85% |
| Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG DIGITAL W/CAD UNI | $103.50 | $690.00 | $103.50–$690.00 | 76% below | 85% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIAG DIGITAL W/CAD UNI | $103.50 | $690.00 | $103.50–$690.00 | — | 85% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIAG DIGITAL UNI RECALL | $103.50 | $690.00 | $103.50–$690.00 | — | 85% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP SCAN LOW EXT ART CMPT BIL | $329.25 | $2,195.00 | $329.25–$2,195.00 | 84% below | 85% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUP SCAN LOW EXT ART CMPT BIL | $329.25 | $2,195.00 | $329.25–$2,195.00 | — | 85% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUP SCAN EXT VEIN CMPT BILAT | $351.45 | $2,343.00 | $351.45–$2,343.00 | — | 85% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS ULTRASOUND BILATERAL | $351.45 | $2,343.00 | $351.45–$2,343.00 | — | 85% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUP SCAN EXT VEIN CMPT BILAT | $351.45 | $2,343.00 | $351.45–$2,343.00 | — | 85% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS ULTRASOUND BILATERAL | $351.45 | $2,343.00 | $351.45–$2,343.00 | — | 85% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D W/DOPPLER COLOR FLOW | $1,200.00 | $8,000.00 | $1,200.00–$8,000.00 | 64% below | 85% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D W/DOPPLER COLOR FLOW | $1,200.00 | $8,000.00 | $1,200.00–$8,000.00 | — | 85% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS UNILATERAL | $169.95 | $1,133.00 | $35.69–$513.00 | 66% below | 85% |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 XRAY ELBOW 2 VIEWS BILATERAL | $255.00 | $1,700.00 | $192.10–$1,700.00 | — | 85% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XRAY ELBOW 2 VIEWS UNILATERAL | $169.95 | $1,133.00 | $169.95–$1,133.00 | — | 85% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPLETE => 3 VIEWS UNILATERAL | $222.90 | $1,486.00 | $222.90–$1,486.00 | 64% below | 85% |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XRAY ELBOW COMPLETE => 3 VIEWS BILATERAL | $334.35 | $2,229.00 | $251.88–$2,229.00 | — | 85% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XRAY ELBOW COMPLETE => 3 VIEWS UNILATERAL | $222.90 | $1,486.00 | $222.90–$1,486.00 | — | 85% |
| Eye socket (orbit) CT scan without contrast CPT 70480 ORBITS CT W/O CONTRAST | $870.00 | $5,800.00 | $68.33–$1,676.00 | 67% below | 85% |
| Eye socket (orbit) CT scan without contrast CPT 70480 IAC/TEMPORAL BONES W/O CONTRAS | $870.00 | $5,800.00 | $870.00–$5,800.00 | 67% below | 85% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 IAC/TEMPORAL BONES W/O CONTRAS | $870.00 | $5,800.00 | $870.00–$5,800.00 | — | 85% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 ORBITS CT W/O CONTRAST | $870.00 | $5,800.00 | $870.00–$5,800.00 | — | 85% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XRAY FACIAL BONES => 3 VIEWS | $156.15 | $1,041.00 | $35.69–$513.00 | 79% below | 85% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XRAY FACIAL BONES => 3 VIEWS | $156.15 | $1,041.00 | $156.15–$1,041.00 | — | 85% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS UNILATERAL | $289.65 | $1,931.00 | $35.69–$513.00 | 49% below | 85% |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XRAY FOREARM 2 VIEWS BILATERAL | $434.55 | $2,897.00 | $327.36–$2,897.00 | — | 85% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM 2 VIEWS UNILATERAL | $289.65 | $1,931.00 | $289.65–$1,931.00 | — | 85% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $780.15 | $5,201.00 | $236.93–$673.59 | 62% below | 85% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $780.15 | $5,201.00 | $780.15–$5,201.00 | — | 85% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS UNILATERAL | $150.45 | $1,003.00 | $150.45–$1,003.00 | 71% below | 85% |
| Hand X-ray, 2 views inpatient both sides CPT 73120 XRAY HAND 2 VIEWS BILATERAL | $225.75 | $1,505.00 | $170.07–$1,505.00 | — | 85% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XRAY HAND 2 VIEWS UNILATERAL | $150.45 | $1,003.00 | $150.45–$1,003.00 | — | 85% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS => 2 VIEWS UNILATERAL | $131.70 | $878.00 | $131.70–$878.00 | 73% below | 85% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 XRAY CALCANEUS => 2 VIEWS BILATERAL | $197.55 | $1,317.00 | $148.82–$1,317.00 | — | 85% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XRAY CALCANEUS => 2 VIEWS UNILATERAL | $131.70 | $878.00 | $131.70–$878.00 | — | 85% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLP STUDY UNATTENDED | $191.25 | $1,275.00 | $191.25–$1,275.00 | 74% below | 85% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLP STUDY UNATTENDED | $191.25 | $1,275.00 | $191.25–$1,275.00 | — | 85% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS UNILATERAL | $134.25 | $895.00 | $134.25–$895.00 | 80% below | 85% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 XRAY KNEE 3 VIEWS BILATERAL | $201.45 | $1,343.00 | $151.76–$1,343.00 | — | 85% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XRAY KNEE 3 VIEWS UNILATERAL | $134.25 | $895.00 | $134.25–$895.00 | — | 85% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPLETE => 4 VIEWS UNILATERAL | $175.50 | $1,170.00 | $175.50–$1,170.00 | 77% below | 85% |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 XRAY KNEE COMPLETE => 4 VIEWS BILATERAL | $263.25 | $1,755.00 | $198.32–$1,755.00 | — | 85% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE COMPLETE => 4 VIEWS UNILATERAL | $175.50 | $1,170.00 | $175.50–$1,170.00 | — | 85% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST UNILATERAL | $675.00 | $4,500.00 | $68.33–$1,676.00 | 74% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT LOWER EXTREMITY W/O CONTRAST BILATERAL | $1,012.50 | $6,750.00 | $762.75–$6,750.00 | — | 85% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST UNILATERAL | $675.00 | $4,500.00 | $675.00–$4,500.00 | — | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LTD APPENDIX ONLY | $470.40 | $3,136.00 | $470.40–$3,136.00 | 58% below | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED | $470.40 | $3,136.00 | $470.40–$3,136.00 | 58% below | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LTD APPENDIX ONLY | $470.40 | $3,136.00 | $470.40–$3,136.00 | — | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED | $470.40 | $3,136.00 | $470.40–$3,136.00 | — | 85% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LIMITED JT/FOCAL EVAL OTHER NONVASC EXT W/IMAGE | $234.30 | $1,562.00 | $234.30–$1,562.00 | 63% below | 85% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LIMITED JT/FOCAL EVAL OTHER NONVASC EXT W/IMAGE | $234.30 | $1,562.00 | $234.30–$1,562.00 | — | 85% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW-DOSE CT FOR LUNG CANCER SCREENING | $188.40 | $1,256.00 | $188.40–$1,256.00 | 74% below | 85% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOW-DOSE CT FOR LUNG CANCER SCREENING | $188.40 | $1,256.00 | $188.40–$1,256.00 | — | 85% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA/FIBULA 2 VIEWS UNILATERAL | $227.40 | $1,516.00 | $35.69–$513.00 | 64% below | 85% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XRAY TIBIA/FIBULA 2 VIEWS BILATERAL | $341.10 | $2,274.00 | $256.96–$2,274.00 | — | 85% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA/FIBULA 2 VIEWS UNILATERAL | $227.40 | $1,516.00 | $227.40–$1,516.00 | — | 85% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONT | $657.45 | $4,383.00 | $211.31–$2,156.00 | 78% below | 85% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONT | $657.45 | $4,383.00 | $657.45–$4,383.00 | — | 85% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT LOWER EXTREM W/O CON | $795.60 | $5,304.00 | $795.60–$5,304.00 | 77% below | 85% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LOW EXT JOINT BILAT W/O | $1,193.40 | $7,956.00 | $899.03–$7,956.00 | — | 85% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MODIFIED MRI LOWEXT JOINT W/O | $795.60 | $5,304.00 | $599.35–$5,304.00 | — | 85% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JOINT LOWER EXTREM W/O CON | $795.60 | $5,304.00 | $795.60–$5,304.00 | — | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LOW EXTREM W/WO CONT | $918.00 | $6,120.00 | $258.73–$2,156.00 | 81% below | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI LOW EXT JT W/WO BILAT | $1,377.00 | $9,180.00 | $1,037.34–$9,180.00 | — | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JOINT LOW EXTREM W/WO CONT | $918.00 | $6,120.00 | $918.00–$6,120.00 | — | 85% |
| MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CONTRAST | $649.65 | $4,331.00 | $153.86–$2,156.00 | 82% below | 85% |
| MRI of the abdomen without contrast CPT 74181 MRCP | $649.65 | $4,331.00 | $649.65–$4,331.00 | 82% below | 85% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD W/O CONTRAST | $649.65 | $4,331.00 | $649.65–$4,331.00 | — | 85% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRCP | $649.65 | $4,331.00 | $649.65–$4,331.00 | — | 85% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO CONT | $780.30 | $5,202.00 | $258.73–$2,156.00 | 82% below | 85% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/WO CONT | $780.30 | $5,202.00 | $780.30–$5,202.00 | — | 85% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/BRAIN STEM WO CON | $716.10 | $4,774.00 | $153.86–$2,156.00 | 79% below | 85% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN/BRAIN STEM WO CON | $716.10 | $4,774.00 | $716.10–$4,774.00 | — | 85% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $860.70 | $5,738.00 | $860.70–$5,738.00 | 83% below | 85% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST | $860.70 | $5,738.00 | $860.70–$5,738.00 | — | 85% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WITHOUT CONTRAST | $918.00 | $6,120.00 | $918.00–$6,120.00 | 75% below | 85% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WITHOUT CONTRAST | $918.00 | $6,120.00 | $918.00–$6,120.00 | — | 85% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MODIFIED MRI LUMBAR SPINE | $918.00 | $6,120.00 | $691.56–$6,120.00 | — | 85% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W/WO CONTRAST | $1,224.00 | $8,160.00 | $1,224.00–$8,160.00 | 75% below | 85% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W/WO CONTRAST | $1,224.00 | $8,160.00 | $1,224.00–$8,160.00 | — | 85% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC WITHOUT CONTRAST | $918.00 | $6,120.00 | $918.00–$6,120.00 | 76% below | 85% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MODIFIED MRI THORACIC SPINE | $918.00 | $6,120.00 | $691.56–$6,120.00 | — | 85% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC WITHOUT CONTRAST | $918.00 | $6,120.00 | $918.00–$6,120.00 | — | 85% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/WO CONTRAST | $1,224.00 | $8,160.00 | $1,224.00–$8,160.00 | 74% below | 85% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W/WO CONTRAST | $1,224.00 | $8,160.00 | $1,224.00–$8,160.00 | — | 85% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL WITHOUT CONTRAST | $918.00 | $6,120.00 | $918.00–$6,120.00 | 76% below | 85% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MODIFIED MRI CERVICAL SPINE | $918.00 | $6,120.00 | $691.56–$6,120.00 | — | 85% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL WITHOUT CONTRAST | $918.00 | $6,120.00 | $918.00–$6,120.00 | — | 85% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONT | $1,071.00 | $7,140.00 | $258.73–$2,156.00 | 71% below | 85% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONT | $1,071.00 | $7,140.00 | $1,071.00–$7,140.00 | — | 85% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $975.45 | $6,503.00 | $153.86–$2,156.00 | 70% below | 85% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONT | $975.45 | $6,503.00 | $975.45–$6,503.00 | — | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPPER EXT W/O CONT | $1,086.30 | $7,242.00 | $1,086.30–$7,242.00 | 67% below | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI JOINT UPPER EXT W/O CONT | $1,086.30 | $7,242.00 | $1,086.30–$7,242.00 | — | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXTREM JOINT BIL W/O | $1,629.45 | $10,863.00 | $1,227.52–$10,863.00 | — | 85% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE 4 OR 5 VIEWS | $329.10 | $2,194.00 | $329.10–$2,194.00 | 63% below | 85% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE 4 OR 5 VIEWS | $329.10 | $2,194.00 | $329.10–$2,194.00 | — | 85% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK WITH CONTRAST | $675.00 | $4,500.00 | $164.04–$1,676.00 | 80% below | 85% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK WITH CONTRAST | $675.00 | $4,500.00 | $675.00–$4,500.00 | — | 85% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTRAST | $630.00 | $4,200.00 | $68.33–$1,676.00 | 79% below | 85% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONTRAST | $630.00 | $4,200.00 | $630.00–$4,200.00 | — | 85% |
| Neck soft tissue X-ray CPT 70360 NECK/SOFT TISSUE/FB | $183.60 | $1,224.00 | $35.69–$513.00 | 67% below | 85% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK/SOFT TISSUE/FB | $183.60 | $1,224.00 | $183.60–$1,224.00 | — | 85% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $2,887.50 | $19,250.00 | $583.92–$2,188.39 | 48% below | 85% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT | $2,887.50 | $19,250.00 | $2,887.50–$19,250.00 | — | 85% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL TO MID THIGH | $2,520.00 | $16,800.00 | $895.66–$2,445.05 | 56% below | 85% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL TO MID THIGH | $2,520.00 | $16,800.00 | $2,520.00–$16,800.00 | — | 85% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIC W/O CONTRAST | $870.00 | $5,800.00 | $68.33–$1,676.00 | 71% below | 85% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIC W/O CONTRAST | $870.00 | $5,800.00 | $870.00–$5,800.00 | — | 85% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NONOBS LIMITED/FU | $171.30 | $1,142.00 | $171.30–$1,142.00 | 81% below | 85% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NONOBS LIMITED/FU | $171.30 | $1,142.00 | $171.30–$1,142.00 | — | 85% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC SCAN-NON OB | $332.40 | $2,216.00 | $332.40–$2,216.00 | 75% below | 85% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC SCAN-NON OB | $332.40 | $2,216.00 | $332.40–$2,216.00 | — | 85% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB<14WKS SINGLE FETUS | $151.20 | $1,008.00 | $64.16–$605.00 | 80% below | 85% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB<14WKS SINGLE FETUS | $151.20 | $1,008.00 | $151.20–$1,008.00 | — | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $217.80 | $1,452.00 | $64.16–$605.00 | 66% below | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 L&D FETAL VIABILITY | $217.80 | $1,452.00 | $64.16–$605.00 | 66% below | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 L&D FETAL VIABILITY | $217.80 | $1,452.00 | $217.80–$1,452.00 | — | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED | $217.80 | $1,452.00 | $217.80–$1,452.00 | — | 85% |
| Rib X-ray, one side, 2 views CPT 71100 RIBS- UNIL/ 2 VIEW W/O CHEST | $331.65 | $2,211.00 | $331.65–$2,211.00 | 43% below | 85% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 RIBS- UNIL/ 2 VIEW W/O CHEST | $331.65 | $2,211.00 | $331.65–$2,211.00 | — | 85% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS W/CXR 3+ VIEWS UNI | $334.35 | $2,229.00 | $35.69–$513.00 | 51% below | 85% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS W/CXR 3+ VIEWS UNI | $334.35 | $2,229.00 | $334.35–$2,229.00 | — | 85% |
| Screening mammogram, both breasts CPT 77067 MAMMO SCREEN DIGITAL W/CAD BIL | $107.85 | $719.00 | $30.07–$406.00 | 73% below | 85% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMO SCREEN DIGITAL W/CAD BIL | $107.85 | $719.00 | $107.85–$719.00 | — | 85% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMO SCREEN DIGITAL W/CAD UNI | $107.85 | $719.00 | $81.25–$719.00 | — | 85% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER COMPLETE => 2 VIEWS UNILATERAL | $188.70 | $1,258.00 | $35.69–$513.00 | 74% below | 85% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XRAY SHOULDER COMPLETE => 2 VIEWS BILATERAL | $283.05 | $1,887.00 | $213.23–$1,887.00 | — | 85% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY SHOULDER COMPLETE => 2 VIEWS UNILATERAL | $188.70 | $1,258.00 | $188.70–$1,258.00 | — | 85% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XRAY SINUSES PARANASAL COMPLETE => 3 VIEWS | $156.75 | $1,045.00 | $35.69–$513.00 | 82% below | 85% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XRAY SINUSES PARANASAL COMPLETE => 3 VIEWS | $156.75 | $1,045.00 | $156.75–$1,045.00 | — | 85% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL 1 TO 3 VIEWS | $145.50 | $970.00 | $35.69–$513.00 | 77% below | 85% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 1 TO 3 VIEWS | $145.50 | $970.00 | $145.50–$970.00 | — | 85% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 2D TTE STRESS W/O CONTRAST ECG | $549.45 | $3,663.00 | $549.45–$3,663.00 | 79% below | 85% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 2D TTE STRESS W/O CONTRAST ECG | $549.45 | $3,663.00 | $549.45–$3,663.00 | — | 85% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 VIDEO ESOPHAGRAM | $243.30 | $1,622.00 | $243.30–$1,622.00 | 75% below | 85% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 VIDEO ESOPHAGRAM | $243.30 | $1,622.00 | $243.30–$1,622.00 | — | 85% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR =>2 VIEWS UNILATERAL | $182.55 | $1,217.00 | $35.69–$513.00 | 65% below | 85% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XRAY FEMUR =>2 VIEWS BILATERAL | $273.90 | $1,826.00 | $206.34–$1,826.00 | — | 85% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XRAY FEMUR =>2 VIEWS UNILATERAL | $182.55 | $1,217.00 | $182.55–$1,217.00 | — | 85% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST | $1,200.00 | $8,000.00 | $68.33–$1,676.00 | 60% below | 85% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC W/O CONTRAST | $1,200.00 | $8,000.00 | $1,200.00–$8,000.00 | — | 85% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE GREAT => 2 VIEWS LEFT | $181.50 | $1,210.00 | $136.73–$1,210.00 | — | 85% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE 2ND => 2 VIEWS LEFT | $181.50 | $1,210.00 | $136.73–$1,210.00 | — | 85% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE 3RD => 2 VIEWS LEFT | $181.50 | $1,210.00 | $136.73–$1,210.00 | — | 85% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE 4TH => 2 VIEWS LEFT | $181.50 | $1,210.00 | $136.73–$1,210.00 | — | 85% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE 5TH => 2 VIEWS LEFT | $181.50 | $1,210.00 | $136.73–$1,210.00 | — | 85% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE GREAT => 2 VIEWS RIGHT | $181.50 | $1,210.00 | $136.73–$1,210.00 | — | 85% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE 2ND => 2 VIEWS RIGHT | $181.50 | $1,210.00 | $136.73–$1,210.00 | — | 85% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE 3RD => 2 VIEWS RIGHT | $181.50 | $1,210.00 | $136.73–$1,210.00 | — | 85% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE 4TH => 2 VIEWS RIGHT | $181.50 | $1,210.00 | $136.73–$1,210.00 | — | 85% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE 5TH => 2 VIEWS RIGHT | $181.50 | $1,210.00 | $136.73–$1,210.00 | — | 85% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB | $148.80 | $992.00 | $148.80–$992.00 | 85% below | 85% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON-OB | $148.80 | $992.00 | $148.80–$992.00 | — | 85% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $64.20 | $428.00 | $64.16–$605.00 | 93% below | 85% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL | $64.20 | $428.00 | $64.20–$428.00 | — | 85% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $638.40 | $4,256.00 | $638.40–$4,256.00 | 59% below | 85% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE | $638.40 | $4,256.00 | $638.40–$4,256.00 | — | 85% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS | $410.55 | $2,737.00 | $410.55–$2,737.00 | 62% below | 85% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS | $410.55 | $2,737.00 | $410.55–$2,737.00 | — | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID SCAN | $200.40 | $1,336.00 | $200.40–$1,336.00 | 83% below | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 NECK &/OR HEAD SOFT TISS U/S | $200.40 | $1,336.00 | $200.40–$1,336.00 | 83% below | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 THYROID SCAN | $200.40 | $1,336.00 | $200.40–$1,336.00 | — | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 NECK &/OR HEAD SOFT TISS U/S | $200.40 | $1,336.00 | $200.40–$1,336.00 | — | 85% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI UPPER SINGLE CONTRAST | $230.10 | $1,534.00 | $230.10–$1,534.00 | 80% below | 85% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI UPPER SINGLE CONTRAST | $230.10 | $1,534.00 | $230.10–$1,534.00 | — | 85% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS => 2 VIEWS UNILATERAL | $223.35 | $1,489.00 | $35.69–$513.00 | 62% below | 85% |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 XRAY HUMERUS => 2 VIEWS BILATERAL | $335.10 | $2,234.00 | $252.44–$2,234.00 | — | 85% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XRAY HUMERUS => 2 VIEWS UNILATERAL | $223.35 | $1,489.00 | $223.35–$1,489.00 | — | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS ULTRASOUND UNILATERAL | $276.45 | $1,843.00 | $276.45–$1,843.00 | 68% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP SCAN EXT VEIN UNILATERAL | $276.45 | $1,843.00 | $276.45–$1,843.00 | 68% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUP SCAN EXT VEIN UNILATERAL | $276.45 | $1,843.00 | $276.45–$1,843.00 | — | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS ULTRASOUND UNILATERAL | $276.45 | $1,843.00 | $276.45–$1,843.00 | — | 85% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS UNILATERAL | $211.95 | $1,413.00 | $211.95–$1,413.00 | 66% below | 85% |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 XRAY WRIST 2 VIEWS BILATERAL | $318.00 | $2,120.00 | $239.56–$2,120.00 | — | 85% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XRAY WRIST 2 VIEWS UNILATERAL | $211.95 | $1,413.00 | $211.95–$1,413.00 | — | 85% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPLETE => 3 VIEWS UNILATERAL | $233.40 | $1,556.00 | $35.69–$513.00 | 67% below | 85% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XRAY WRIST COMPLETE => 3 VIEWS BILATERAL | $350.10 | $2,334.00 | $263.74–$2,334.00 | — | 85% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST COMPLETE => 3 VIEWS UNILATERAL | $233.40 | $1,556.00 | $233.40–$1,556.00 | — | 85% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP 2 OR 3 VIEWS UNILATERAL | $125.25 | $835.00 | $35.69–$513.00 | 79% below | 85% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY HIP 2 OR 3 VIEWS UNILATERAL | $125.25 | $835.00 | $125.25–$835.00 | — | 85% |
| X-ray of the abdomen, 1 view CPT 74018 XRAY ABDOMEN SINGLE VIEW | $122.85 | $819.00 | $122.85–$819.00 | 75% below | 85% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XRAY ABDOMEN SINGLE VIEW | $122.85 | $819.00 | $92.55–$819.00 | — | 85% |
| X-ray of the ankle, 2 views one side CPT 73600 XRAY ANKLE 2 VIEWS UNILATERAL | $124.50 | $830.00 | $124.50–$830.00 | 75% below | 85% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 XRAY ANKLE 2 VIEWS BILATERAL | $186.75 | $1,245.00 | $140.69–$1,245.00 | — | 85% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XRAY ANKLE 2 VIEWS UNILATERAL | $124.50 | $830.00 | $124.50–$830.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 3RD => 2 VIEWS RIGHT | $149.70 | $998.00 | $112.77–$998.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 4TH => 2 VIEWS LEFT | $149.70 | $998.00 | $112.77–$998.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 3RD => 2 VIEWS LEFT | $149.70 | $998.00 | $112.77–$998.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 2ND => 2 VIEWS LEFT | $149.70 | $998.00 | $112.77–$998.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 4TH => 2 VIEWS RIGHT | $149.70 | $998.00 | $112.77–$998.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 5TH => 2 VIEWS RIGHT | $149.70 | $998.00 | $112.77–$998.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 2ND => 2 VIEWS RIGHT | $149.70 | $998.00 | $112.77–$998.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY THUMB LEFT => 2 VIEWS RIGHT | $149.70 | $998.00 | $112.77–$998.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY THUMB LEFT => 2 VIEWS LEFT | $149.70 | $998.00 | $112.77–$998.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER 5TH => 2 VIEWS LEFT | $149.70 | $998.00 | $112.77–$998.00 | — | 85% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS UNILATERAL | $129.75 | $865.00 | $129.75–$865.00 | 74% below | 85% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 XRAY FOOT 2 VIEWS BILATERAL | $194.70 | $1,298.00 | $146.67–$1,298.00 | — | 85% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XRAY FOOT 2 VIEWS UNILATERAL | $129.75 | $865.00 | $129.75–$865.00 | — | 85% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPLETE => 3 VIEWS UNILATERAL | $144.75 | $965.00 | $35.69–$513.00 | 76% below | 85% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XRAY FOOT COMPLETE => 3 VIEWS BILATERAL | $217.20 | $1,448.00 | $163.62–$1,448.00 | — | 85% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XRAY FOOT COMPLETE => 3 VIEWS UNILATERAL | $144.75 | $965.00 | $144.75–$965.00 | — | 85% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND => 3 VIEWS UNILATERAL | $193.35 | $1,289.00 | $193.35–$1,289.00 | 70% below | 85% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XRAY HAND => 3 VIEWS BILATERAL | $290.10 | $1,934.00 | $218.54–$1,934.00 | — | 85% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY HAND => 3 VIEWS UNILATERAL | $193.35 | $1,289.00 | $193.35–$1,289.00 | — | 85% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS UNILATERAL | $119.40 | $796.00 | $35.69–$513.00 | 80% below | 85% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XRAY KNEE 1 OR 2 VIEWS BILATERAL | $179.10 | $1,194.00 | $134.92–$1,194.00 | — | 85% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS UNILATERAL | $119.40 | $796.00 | $119.40–$796.00 | — | 85% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY SPINE LUMBOSACRAL 2 OR 3 VIEWS | $225.15 | $1,501.00 | $225.15–$1,501.00 | 67% below | 85% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XRAY SPINE LUMBOSACRAL 2 OR 3 VIEWS | $225.15 | $1,501.00 | $225.15–$1,501.00 | — | 85% |
| X-ray of the lower back, 4 or more views CPT 72110 XRAY SPINE LUMBOSACRAL => 4 VIEWS | $333.45 | $2,223.00 | $333.45–$2,223.00 | 70% below | 85% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XRAY SPINE LUMBOSACRAL => 4 VIEWS | $333.45 | $2,223.00 | $333.45–$2,223.00 | — | 85% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEW | $159.90 | $1,066.00 | $35.69–$513.00 | 75% below | 85% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEW | $159.90 | $1,066.00 | $159.90–$1,066.00 | — | 85% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XRAY NASAL BONES COMPLETE => 3 VIEWS | $129.90 | $866.00 | $35.69–$513.00 | 80% below | 85% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XRAY NASAL BONES COMPLETE => 3 VIEWS | $129.90 | $866.00 | $129.90–$866.00 | — | 85% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS | $159.00 | $1,060.00 | $159.00–$1,060.00 | 77% below | 85% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS | $159.00 | $1,060.00 | $159.00–$1,060.00 | — | 85% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS 1 OR 2 VIEWS | $114.15 | $761.00 | $35.69–$513.00 | 82% below | 85% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XRAY PELVIS 1 OR 2 VIEWS | $114.15 | $761.00 | $114.15–$761.00 | — | 85% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SACRUM/COCCYX => 2 VIEWS | $282.60 | $1,884.00 | $35.69–$513.00 | 57% below | 85% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XRAY SACRUM/COCCYX => 2 VIEWS | $282.60 | $1,884.00 | $282.60–$1,884.00 | — | 85% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $10.65 | $71.00 | $10.65–$71.00 | 73% below | 85% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) | $10.65 | $71.00 | $10.65–$71.00 | — | 85% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $11.40 | $76.00 | $11.40–$76.00 | 79% below | 85% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) | $11.40 | $76.00 | $11.40–$76.00 | — | 85% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE | $68.85 | $459.00 | $68.85–$459.00 | 57% below | 85% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE | $68.85 | $459.00 | $68.85–$459.00 | — | 85% |
| Albumin blood test CPT 82040 ALBUMIN SERUM PLASMA W/BID | $3.75 | $25.00 | $3.75–$25.00 | 78% below | 85% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $7.35 | $49.00 | $7.35–$49.00 | 57% below | 85% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM PLASMA W/BID | $3.75 | $25.00 | $3.75–$25.00 | — | 85% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $7.35 | $49.00 | $7.35–$49.00 | — | 85% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $4.95 | $33.00 | $2.89–$333.00 | 88% below | 85% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $4.95 | $33.00 | $4.95–$33.00 | — | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE (ALPHA GAL PANEL) | $1.43 | $9.52 | $1.43–$9.52 | 82% below | 85% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE (ALPHA GAL PANEL) | $1.43 | $9.52 | $1.43–$9.52 | — | 85% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHAFETOPROTEIN SERUM | $22.95 | $153.00 | $22.95–$153.00 | 32% below | 85% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHAFETOPROTEIN SERUM | $22.95 | $153.00 | $22.95–$153.00 | — | 85% |
| Ammonia blood test CPT 82140 AMMONIA | $28.65 | $191.00 | $28.65–$191.00 | 75% below | 85% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $28.65 | $191.00 | $28.65–$191.00 | — | 85% |
| Amylase blood test CPT 82150 AMYLASE URINE | $28.05 | $187.00 | $2.89–$333.00 | 13% below | 85% |
| Amylase blood test CPT 82150 AMYLASE | $28.05 | $187.00 | $28.05–$187.00 | 13% below | 85% |
| Amylase blood test inpatient CPT 82150 AMYLASE URINE | $28.05 | $187.00 | $28.05–$187.00 | — | 85% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $28.05 | $187.00 | $28.05–$187.00 | — | 85% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (SCREEN) | $18.15 | $121.00 | $5.97–$333.00 | 37% below | 85% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB (SCREEN) | $18.15 | $121.00 | $18.15–$121.00 | — | 85% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE BNP | $44.70 | $298.00 | $14.86–$333.00 | 73% below | 85% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE BNP | $44.70 | $298.00 | $44.70–$298.00 | — | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE NOSE AND THROAT | $68.10 | $454.00 | $5.23–$333.00 | 12% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EXCEPT BLD URINE STOOL | $68.10 | $454.00 | $5.23–$333.00 | 12% below | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EXCEPT BLD URINE STOOL | $68.10 | $454.00 | $68.10–$454.00 | — | 85% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE NOSE AND THROAT | $68.10 | $454.00 | $68.10–$454.00 | — | 85% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC CALCIUM TOTAL | $27.00 | $180.00 | $27.00–$180.00 | 92% below | 85% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC CALCIUM TOTAL | $27.00 | $180.00 | $27.00–$180.00 | — | 85% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $12.30 | $82.00 | $12.30–$82.00 | 48% below | 85% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $12.30 | $82.00 | $12.30–$82.00 | — | 85% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 MUSCLE BIOPSY (UAB) | $158.10 | $1,054.00 | $158.10–$1,054.00 | 36% above | 85% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEV IV SURG PATH GROSS & MICRO | $158.10 | $1,054.00 | $158.10–$1,054.00 | 36% above | 85% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 MUSCLE BIOPSY (UAB) | $158.10 | $1,054.00 | $158.10–$1,054.00 | — | 85% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEV IV SURG PATH GROSS & MICRO | $158.10 | $1,054.00 | $158.10–$1,054.00 | — | 85% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE & ARD | $111.75 | $745.00 | $111.75–$745.00 | 67% below | 85% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE BACT AEROBIC | $111.75 | $745.00 | $111.75–$745.00 | 67% below | 85% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE & ARD | $111.75 | $745.00 | $111.75–$745.00 | — | 85% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE BACT AEROBIC | $111.75 | $745.00 | $111.75–$745.00 | — | 85% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 CL VENOUS BLD BY VENIPUNCTURE IP/OP | $1.95 | $13.00 | $1.64–$333.00 | 90% below | 85% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 CL VENOUS BLD BY VENI QUEST | $2.25 | $15.00 | $1.64–$333.00 | 88% below | 85% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $4.05 | $27.00 | $1.64–$333.00 | 79% below | 85% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CL VENOUS BLD BY VENIPUNCTURE IP/OP | $1.95 | $13.00 | $1.95–$13.00 | — | 85% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CL VENOUS BLD BY VENI QUEST | $2.25 | $15.00 | $2.25–$15.00 | — | 85% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $4.05 | $27.00 | $4.05–$27.00 | — | 85% |
| Blood glucose (sugar) test CPT 82947 GLUCODE QUANT BLD NOT REAGENT | $6.00 | $40.00 | $6.00–$40.00 | 87% below | 85% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCODE QUANT BLD NOT REAGENT | $6.00 | $40.00 | $6.00–$40.00 | — | 85% |
| Blood lead test CPT 83655 LEAD URINE | $4.74 | $31.61 | $4.74–$31.61 | 56% below | 85% |
| Blood lead test CPT 83655 LEAD BLOOD INDUSTRIAL | $5.55 | $37.00 | $6.44–$333.00 | 49% below | 85% |
| Blood lead test inpatient CPT 83655 LEAD URINE | $4.74 | $31.61 | $4.74–$31.61 | — | 85% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD INDUSTRIAL | $5.55 | $37.00 | $5.55–$37.00 | — | 85% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE | $82.50 | $550.00 | $82.50–$550.00 | 34% below | 85% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE | $82.50 | $550.00 | $82.50–$550.00 | — | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $37.35 | $249.00 | $2.30–$333.00 | 27% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 T & S ABO | $37.35 | $249.00 | $2.30–$333.00 | 27% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 T & S ABO | $37.35 | $249.00 | $37.35–$249.00 | — | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO | $37.35 | $249.00 | $37.35–$249.00 | — | 85% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN (UREA NITROGEN QUANTITAT) | $7.65 | $51.00 | $7.65–$51.00 | 83% below | 85% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN (UREA NITROGEN QUANTITAT) | $7.65 | $51.00 | $7.65–$51.00 | — | 85% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $22.20 | $148.00 | $22.20–$148.00 | 39% below | 85% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $22.20 | $148.00 | $22.20–$148.00 | — | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $28.95 | $193.00 | $28.95–$193.00 | 60% below | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $28.95 | $193.00 | $28.95–$193.00 | — | 85% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $46.35 | $309.00 | $46.35–$309.00 | 16% below | 85% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $46.35 | $309.00 | $46.35–$309.00 | — | 85% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $40.95 | $273.00 | $5.97–$333.00 | 50% below | 85% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $40.95 | $273.00 | $40.95–$273.00 | — | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 AMPLIFIED DNA/RNA PROBE TECHNIQUE | $23.10 | $154.00 | $30.81–$333.00 | 74% below | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 AMPLIFIED DNA/RNA PROBE TECHNIQUE | $23.10 | $154.00 | $23.10–$154.00 | — | 85% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $11.70 | $78.00 | $11.70–$78.00 | 76% below | 85% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL | $11.70 | $78.00 | $11.70–$78.00 | — | 85% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $44.70 | $298.00 | $44.70–$298.00 | 62% below | 85% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $44.70 | $298.00 | $44.70–$298.00 | — | 85% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG | $31.50 | $210.00 | $5.97–$333.00 | 73% above | 85% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGG | $31.50 | $210.00 | $31.50–$210.00 | — | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE | $32.40 | $216.00 | $32.40–$216.00 | 23% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE | $32.40 | $216.00 | $32.40–$216.00 | — | 85% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $27.60 | $184.00 | $4.80–$333.00 | 73% below | 85% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $27.60 | $184.00 | $27.60–$184.00 | — | 85% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $20.55 | $137.00 | $3.16–$333.00 | 70% below | 85% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $20.55 | $137.00 | $20.55–$137.00 | — | 85% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $29.55 | $197.00 | $29.55–$197.00 | 70% below | 85% |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED | $29.55 | $197.00 | $29.55–$197.00 | — | 85% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $36.00 | $240.00 | $36.00–$240.00 | 92% below | 85% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $36.00 | $240.00 | $36.00–$240.00 | — | 85% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $18.45 | $123.00 | $18.45–$123.00 | 71% below | 85% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL | $18.45 | $123.00 | $18.45–$123.00 | — | 85% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL | $24.90 | $166.00 | $24.90–$166.00 | 66% below | 85% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL | $24.90 | $166.00 | $24.90–$166.00 | — | 85% |
| Creatinine blood test CPT 82565 CREATININE BLOOD | $13.50 | $90.00 | $2.89–$333.00 | 75% below | 85% |
| Creatinine blood test inpatient CPT 82565 CREATININE BLOOD | $13.50 | $90.00 | $13.50–$90.00 | — | 85% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER ASSAY QUANTITATIVE | $38.25 | $255.00 | $38.25–$255.00 | 81% below | 85% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER ASSAY QUANTITATIVE | $38.25 | $255.00 | $38.25–$255.00 | — | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SYNTHETIC CANNABINOID PANEL-UR | $12.00 | $80.00 | $36.78–$333.00 | 81% below | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SYN CANNABINOID SCR W/CONF UR | $12.00 | $80.00 | $36.78–$333.00 | 81% below | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $21.16 | $141.09 | $21.16–$141.09 | 67% below | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV INSTRMNT CHEM ANALYZERS | $23.85 | $159.00 | $23.85–$159.00 | 63% below | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TOX SCREEN-7 | $83.40 | $556.00 | $83.40–$556.00 | 31% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TOX SCREEN-8 | $300.00 | $2,000.00 | $36.78–$333.00 | 371% above | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TOX SCREEN-9 | $300.00 | $2,000.00 | $300.00–$2,000.00 | 371% above | 85% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYN CANNABINOID SCR W/CONF UR | $12.00 | $80.00 | $12.00–$80.00 | — | 85% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYNTHETIC CANNABINOID PANEL-UR | $12.00 | $80.00 | $12.00–$80.00 | — | 85% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $21.16 | $141.09 | $21.16–$141.09 | — | 85% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV INSTRMNT CHEM ANALYZERS | $23.85 | $159.00 | $23.85–$159.00 | — | 85% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOX SCREEN-7 | $83.40 | $556.00 | $83.40–$556.00 | — | 85% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOX SCREEN-8 | $300.00 | $2,000.00 | $300.00–$2,000.00 | — | 85% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOX SCREEN-9 | $300.00 | $2,000.00 | $300.00–$2,000.00 | — | 85% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $35.25 | $235.00 | $4.80–$333.00 | 84% below | 85% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $35.25 | $235.00 | $35.25–$235.00 | — | 85% |
| Estradiol blood test CPT 82670 ESTRADIOL | $12.46 | $83.05 | $12.46–$83.05 | 62% below | 85% |
| Estradiol blood test CPT 82670 ESTRADIOL FREE | $12.90 | $86.00 | $12.90–$86.00 | 60% below | 85% |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $13.05 | $87.00 | $13.05–$87.00 | 60% below | 85% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $12.46 | $83.05 | $12.46–$83.05 | — | 85% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL FREE | $12.90 | $86.00 | $12.90–$86.00 | — | 85% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL | $13.05 | $87.00 | $13.05–$87.00 | — | 85% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $14.85 | $99.00 | $7.02–$333.00 | 76% below | 85% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $14.85 | $99.00 | $14.85–$99.00 | — | 85% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN | $15.00 | $100.00 | $15.00–$100.00 | 87% below | 85% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN | $15.00 | $100.00 | $15.00–$100.00 | — | 85% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $43.35 | $289.00 | $43.35–$289.00 | 65% below | 85% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $43.35 | $289.00 | $43.35–$289.00 | — | 85% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $27.75 | $185.00 | $2.34–$333.00 | 65% below | 85% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY | $27.75 | $185.00 | $27.75–$185.00 | — | 85% |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SERUM | $23.25 | $155.00 | $23.25–$155.00 | 81% below | 85% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID) SERUM | $23.25 | $155.00 | $23.25–$155.00 | — | 85% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE(T3) FREE | $24.45 | $163.00 | $7.02–$333.00 | 63% below | 85% |
| Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE(T3) FREE | $24.45 | $163.00 | $24.45–$163.00 | — | 85% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE | $28.95 | $193.00 | $28.95–$193.00 | 66% below | 85% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE | $28.95 | $193.00 | $28.95–$193.00 | — | 85% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 G-GLUTAMYL TRANSPEPTIDASE | $9.15 | $61.00 | $9.15–$61.00 | 80% below | 85% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 G-GLUTAMYL TRANSPEPTIDASE | $9.15 | $61.00 | $9.15–$61.00 | — | 85% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $52.50 | $350.00 | $39.55–$350.00 | 65% below | 85% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $52.50 | $350.00 | $39.55–$350.00 | — | 85% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE/POST PRANDIAL | $5.40 | $36.00 | $5.40–$36.00 | 92% below | 85% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE/POST PRANDIAL | $5.40 | $36.00 | $5.40–$36.00 | — | 85% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE/3 SPECIMENS | $40.65 | $271.00 | $6.40–$333.00 | 66% below | 85% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE/3 SPECIMENS | $40.65 | $271.00 | $40.65–$271.00 | — | 85% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA AMP PROBE | $32.40 | $216.00 | $32.40–$216.00 | 23% below | 85% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE DNA AMP PROBE | $32.40 | $216.00 | $32.40–$216.00 | — | 85% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB | $9.15 | $61.00 | $5.97–$333.00 | 72% below | 85% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB | $9.15 | $61.00 | $9.15–$61.00 | — | 85% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 & 2 AB SCREEN | $15.00 | $100.00 | $15.00–$100.00 | 70% below | 85% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 & 2 AB SCREEN | $15.00 | $100.00 | $15.00–$100.00 | — | 85% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AG/HIV1 AND 2 AB | $12.75 | $85.00 | $5.23–$333.00 | 84% below | 85% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 AG/HIV1 AND 2 AB | $12.75 | $85.00 | $12.75–$85.00 | — | 85% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $18.00 | $120.00 | $2.89–$333.00 | 74% below | 85% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $18.00 | $120.00 | $18.00–$120.00 | — | 85% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN | $2.65 | $17.66 | $2.65–$17.66 | 95% below | 85% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $9.60 | $64.00 | $2.37–$333.00 | 82% below | 85% |
| Hemoglobin blood test inpatient CPT 85018 BLOOD COUNT; HEMOGLOBIN | $2.65 | $17.66 | $2.65–$17.66 | — | 85% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $9.60 | $64.00 | $9.60–$64.00 | — | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB | $17.70 | $118.00 | $17.70–$118.00 | 60% below | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB | $17.70 | $118.00 | $17.70–$118.00 | — | 85% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF AG DET ENZ IM | $11.70 | $78.00 | $11.70–$78.00 | 67% below | 85% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF AG DET ENZ IM | $11.70 | $78.00 | $11.70–$78.00 | — | 85% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $10.95 | $73.00 | $10.95–$73.00 | 77% below | 85% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $10.95 | $73.00 | $10.95–$73.00 | — | 85% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTION PROT HI SENSITIVITY | $36.90 | $246.00 | $5.97–$333.00 | 13% below | 85% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTION PROT HI SENSITIVITY | $36.90 | $246.00 | $36.90–$246.00 | — | 85% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $25.20 | $168.00 | $25.20–$168.00 | 53% below | 85% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $25.20 | $168.00 | $25.20–$168.00 | — | 85% |
| Iron blood test (serum iron) CPT 83540 IRON 24 HR URINE (INCLS CREAT) | $4.65 | $31.00 | $2.89–$333.00 | 91% below | 85% |
| Iron blood test (serum iron) CPT 83540 IRON (FE) | $11.40 | $76.00 | $11.40–$76.00 | 79% below | 85% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE QUANT | $15.00 | $100.00 | $2.89–$333.00 | 73% below | 85% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON 24 HR URINE (INCLS CREAT) | $4.65 | $31.00 | $4.65–$31.00 | — | 85% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON (FE) | $11.40 | $76.00 | $11.40–$76.00 | — | 85% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE QUANT | $15.00 | $100.00 | $15.00–$100.00 | — | 85% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $15.30 | $102.00 | $15.30–$102.00 | 83% below | 85% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $15.30 | $102.00 | $15.30–$102.00 | — | 85% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $50.40 | $336.00 | $4.80–$333.00 | 88% below | 85% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $50.40 | $336.00 | $50.40–$336.00 | — | 85% |
| LH (luteinizing hormone) test CPT 83002 LH | $22.65 | $151.00 | $7.02–$333.00 | 64% below | 85% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $22.65 | $151.00 | $22.65–$151.00 | — | 85% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $13.50 | $90.00 | $13.50–$90.00 | 81% below | 85% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $13.50 | $90.00 | $13.50–$90.00 | — | 85% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $8.55 | $57.00 | $2.89–$333.00 | 84% below | 85% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $8.55 | $57.00 | $8.55–$57.00 | — | 85% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $40.95 | $273.00 | $2.89–$333.00 | 35% below | 85% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $40.95 | $273.00 | $40.95–$273.00 | — | 85% |
| Liver function blood test panel CPT 80076 HEPATIC PANEL | $18.00 | $120.00 | $18.00–$120.00 | 92% below | 85% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL | $18.00 | $120.00 | $18.00–$120.00 | — | 85% |
| Magnesium blood test CPT 83735 MAGNESIUM | $17.55 | $117.00 | $17.55–$117.00 | 32% above | 85% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $17.55 | $117.00 | $17.55–$117.00 | — | 85% |
| Measles (rubeola) antibody test CPT 86765 ANTIBODY RUBEOLA | $17.70 | $118.00 | $17.70–$118.00 | 34% below | 85% |
| Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY RUBEOLA | $17.70 | $118.00 | $17.70–$118.00 | — | 85% |
| Mono test (heterophile antibody, Monospot) CPT 86308 INFECT MONO(HETROPHILE ABSCR) | $18.90 | $126.00 | $5.18–$333.00 | 89% below | 85% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 INFECT MONO(HETROPHILE ABSCR) | $18.90 | $126.00 | $18.90–$126.00 | — | 85% |
| Mumps immunity blood test CPT 86735 ANTIBODY MUMPS | $16.05 | $107.00 | $5.97–$333.00 | 1% below | 85% |
| Mumps immunity blood test inpatient CPT 86735 ANTIBODY MUMPS | $16.05 | $107.00 | $16.05–$107.00 | — | 85% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $85.95 | $573.00 | $85.95–$573.00 | 41% below | 85% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $85.95 | $573.00 | $85.95–$573.00 | — | 85% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $28.80 | $192.00 | $6.40–$333.00 | 49% below | 85% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $28.80 | $192.00 | $28.80–$192.00 | — | 85% |
| Parathyroid hormone (PTH) blood test CPT 83970 N-PTH (PARATHYROID HORMONE) | $96.30 | $642.00 | $18.41–$333.00 | 2% below | 85% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 N-PTH (PARATHYROID HORMONE) | $96.30 | $642.00 | $96.30–$642.00 | — | 85% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $7.50 | $50.00 | $7.50–$50.00 | 80% below | 85% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $7.68 | $51.17 | $7.68–$51.17 | 80% below | 85% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN (PTT) PARTIAL | $26.25 | $175.00 | $26.25–$175.00 | 32% below | 85% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $7.50 | $50.00 | $7.50–$50.00 | — | 85% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL | $7.68 | $51.17 | $7.68–$51.17 | — | 85% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN (PTT) PARTIAL | $26.25 | $175.00 | $26.25–$175.00 | — | 85% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC | $12.00 | $80.00 | $2.89–$333.00 | 80% below | 85% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS INORGANIC | $12.00 | $80.00 | $12.00–$80.00 | — | 85% |
| Potassium blood test CPT 84132 POTASSIUM SERUM PLASMA/WHOLE BLOOD | $15.75 | $105.00 | $2.89–$333.00 | 76% below | 85% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM PLASMA/WHOLE BLOOD | $15.75 | $105.00 | $15.75–$105.00 | — | 85% |
| Progesterone blood test CPT 84144 PROGESTERONE | $13.95 | $93.00 | $13.95–$93.00 | 70% below | 85% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $13.95 | $93.00 | $13.95–$93.00 | — | 85% |
| Prolactin blood test CPT 84146 PROLACTIN | $42.15 | $281.00 | $7.02–$333.00 | 35% below | 85% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $42.15 | $281.00 | $42.15–$281.00 | — | 85% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $19.65 | $131.00 | $19.65–$131.00 | 46% below | 85% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $19.65 | $131.00 | $19.65–$131.00 | — | 85% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TOX SCREEN-MULTIPLE DRUGS | $36.90 | $246.00 | $7.33–$333.00 | 63% below | 85% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 TOX SCREEN-MULTIPLE DRUGS | $36.90 | $246.00 | $36.90–$246.00 | — | 85% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A INF AGT AG DETECT | $15.90 | $106.00 | $15.90–$106.00 | 87% below | 85% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B ANTIGEN | $15.90 | $106.00 | $5.23–$333.00 | 87% below | 85% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B INF AGT AG DETECT | $15.90 | $106.00 | $15.90–$106.00 | 87% below | 85% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B INF AGT AG DETECT | $15.90 | $106.00 | $15.90–$106.00 | — | 85% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B ANTIGEN | $15.90 | $106.00 | $15.90–$106.00 | — | 85% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A INF AGT AG DETECT | $15.90 | $106.00 | $15.90–$106.00 | — | 85% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP A | $30.60 | $204.00 | $5.23–$333.00 | 73% below | 85% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP A | $30.60 | $204.00 | $30.60–$204.00 | — | 85% |
| Rh blood typing CPT 86901 T & S RH TYPE | $27.75 | $185.00 | $2.30–$333.00 | 32% below | 85% |
| Rh blood typing CPT 86901 RH TYPE | $27.75 | $185.00 | $2.30–$333.00 | 32% below | 85% |
| Rh blood typing inpatient CPT 86901 T & S RH TYPE | $27.75 | $185.00 | $27.75–$185.00 | — | 85% |
| Rh blood typing inpatient CPT 86901 RH TYPE | $27.75 | $185.00 | $27.75–$185.00 | — | 85% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (RF) QUANT | $25.35 | $169.00 | $5.67–$333.00 | 4% above | 85% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR (RF) QUANT | $25.35 | $169.00 | $25.35–$169.00 | — | 85% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $16.80 | $112.00 | $5.97–$333.00 | 11% below | 85% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY | $16.80 | $112.00 | $16.80–$112.00 | — | 85% |
| Sodium blood test CPT 84295 SODIUM SERUM PLASMA OR WHL BLD | $9.30 | $62.00 | $2.89–$333.00 | 86% below | 85% |
| Sodium blood test inpatient CPT 84295 SODIUM SERUM PLASMA OR WHL BLD | $9.30 | $62.00 | $9.30–$62.00 | — | 85% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT/STOOL SCREENING | $46.35 | $309.00 | $46.35–$309.00 | 13% below | 85% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT/STOOL SCREENING | $46.35 | $309.00 | $46.35–$309.00 | — | 85% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT FECAL HEMOGLOBIN | $9.00 | $60.00 | $9.00–$60.00 | 82% below | 85% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLOOD OCCULT FECAL HEMOGLOBIN | $9.00 | $60.00 | $9.00–$60.00 | — | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUAL | $2.88 | $19.17 | $2.88–$19.17 | 85% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $9.00 | $60.00 | $4.27–$333.00 | 55% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUAL | $2.88 | $19.17 | $2.88–$19.17 | — | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL | $9.00 | $60.00 | $9.00–$60.00 | — | 85% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $18.60 | $124.00 | $7.02–$333.00 | 39% below | 85% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $18.60 | $124.00 | $18.60–$124.00 | — | 85% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (CHRONIC URTICARIA) | $6.47 | $43.10 | $5.97–$333.00 | 54% below | 85% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES (CHRONIC URTICARIA) | $6.47 | $43.10 | $6.47–$43.10 | — | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $36.60 | $244.00 | $36.60–$244.00 | 71% below | 85% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $36.60 | $244.00 | $36.60–$244.00 | — | 85% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM/WHL BLD TOT | $9.00 | $60.00 | $9.00–$60.00 | 69% below | 85% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM/WHL BLD TOT | $9.00 | $60.00 | $9.00–$60.00 | — | 85% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (T4) TOTAL | $10.20 | $68.00 | $10.20–$68.00 | 89% below | 85% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE (T4) TOTAL | $10.20 | $68.00 | $10.20–$68.00 | — | 85% |
| Total triiodothyronine (T3) blood test CPT 84480 T-3 TOTAL | $35.70 | $238.00 | $35.70–$238.00 | 55% below | 85% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T-3 TOTAL | $35.70 | $238.00 | $35.70–$238.00 | — | 85% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $10.80 | $72.00 | $10.80–$72.00 | 86% below | 85% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $10.80 | $72.00 | $10.80–$72.00 | — | 85% |
| Trichomonas test (NAAT) CPT 87661 MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECHNIQUE | $16.35 | $109.00 | $30.81–$333.00 | 67% below | 85% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECHNIQUE | $16.35 | $109.00 | $30.81–$333.00 | 67% below | 85% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS, AMPLIFIED PROBE TECHNIQUE | $16.80 | $112.00 | $30.81–$333.00 | 66% below | 85% |
| Trichomonas test (NAAT) inpatient CPT 87661 MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECHNIQUE | $16.35 | $109.00 | $16.35–$109.00 | — | 85% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECHNIQUE | $16.35 | $109.00 | $16.35–$109.00 | — | 85% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS, AMPLIFIED PROBE TECHNIQUE | $16.80 | $112.00 | $16.80–$112.00 | — | 85% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $3.68 | $24.50 | $3.68–$24.50 | 89% below | 85% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES FLUID | $6.45 | $43.00 | $6.45–$43.00 | 81% below | 85% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE/SERUM | $6.45 | $43.00 | $6.45–$43.00 | 81% below | 85% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $3.68 | $24.50 | $3.68–$24.50 | — | 85% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE/SERUM | $6.45 | $43.00 | $6.45–$43.00 | — | 85% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES FLUID | $6.45 | $43.00 | $6.45–$43.00 | — | 85% |
| Troponin test, quantitative CPT 84484 HIGH SENSITIVE TROPONIN I QUANTITATIVE | $32.25 | $215.00 | $6.40–$333.00 | 78% below | 85% |
| Troponin test, quantitative CPT 84484 HIGH SENSITIVE TROPONIN T QUANTITATIVE | $32.25 | $215.00 | $6.40–$333.00 | 78% below | 85% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANTITIATIVE | $32.25 | $215.00 | $32.25–$215.00 | 78% below | 85% |
| Troponin test, quantitative inpatient CPT 84484 HIGH SENSITIVE TROPONIN I QUANTITATIVE | $32.25 | $215.00 | $32.25–$215.00 | — | 85% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANTITIATIVE | $32.25 | $215.00 | $32.25–$215.00 | — | 85% |
| Troponin test, quantitative inpatient CPT 84484 HIGH SENSITIVE TROPONIN T QUANTITATIVE | $32.25 | $215.00 | $32.25–$215.00 | — | 85% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $10.65 | $71.00 | $10.65–$71.00 | 87% below | 85% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD | $10.65 | $71.00 | $10.65–$71.00 | — | 85% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/MICROSCOPY | $10.95 | $73.00 | $10.95–$73.00 | 93% below | 85% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/MICROSCOPY | $10.95 | $73.00 | $10.95–$73.00 | — | 85% |
| Urinalysis without microscope exam, automated CPT 81003 URINE BIOCHEMICAL TEST | $28.50 | $190.00 | $1.56–$333.00 | 66% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICROSCOPY | $28.50 | $190.00 | $1.56–$333.00 | 66% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 URINE PH AUTO W/O MICROSCOPY | $28.50 | $190.00 | $1.56–$333.00 | 66% below | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICROSCOPY | $28.50 | $190.00 | $28.50–$190.00 | — | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE PH AUTO W/O MICROSCOPY | $28.50 | $190.00 | $28.50–$190.00 | — | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE BIOCHEMICAL TEST | $28.50 | $190.00 | $28.50–$190.00 | — | 85% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE QUANT COLONY CT | $36.45 | $243.00 | $5.23–$333.00 | 78% below | 85% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE QUANT COLONY CT | $36.45 | $243.00 | $36.45–$243.00 | — | 85% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE QUANT | $19.20 | $128.00 | $1.56–$333.00 | 32% below | 85% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE 24HR QUANT | $19.20 | $128.00 | $1.56–$333.00 | 32% below | 85% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE 24HR QUANT | $19.20 | $128.00 | $19.20–$128.00 | — | 85% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE QUANT | $19.20 | $128.00 | $19.20–$128.00 | — | 85% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12-LAB | $25.05 | $167.00 | $25.05–$167.00 | 80% below | 85% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12-LAB | $25.05 | $167.00 | $25.05–$167.00 | — | 85% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $27.00 | $180.00 | $27.00–$180.00 | 43% below | 85% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $27.00 | $180.00 | $27.00–$180.00 | — | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE | $36.90 | $246.00 | $36.90–$246.00 | 38% below | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE | $36.90 | $246.00 | $36.90–$246.00 | — | 85% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $349.80 | $2,332.00 | $349.80–$2,332.00 | 83% below | 85% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECT EXTERNAL | $349.80 | $2,332.00 | $416.84–$2,100.00 | 83% below | 85% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL | $349.80 | $2,332.00 | $349.80–$2,332.00 | — | 85% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECT EXTERNAL | $349.80 | $2,332.00 | $349.80–$2,332.00 | — | 85% |
| Catheter ablation for atrial fibrillation CPT 93656 COMP EP & ABLATE AFIB PULM VEIN W/ICE/3D | $9,000.00 | $60,000.00 | $9,000.00–$60,000.00 | 82% below | 85% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 COMP EP & ABLATE AFIB PULM VEIN W/ICE/3D | $9,000.00 | $60,000.00 | $9,000.00–$60,000.00 | — | 85% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMP CERUMEN IRR/LAV UNI | $10.65 | $71.00 | $10.65–$71.00 | 94% below | 85% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMP CERUMEN IRR/LAV UNI | $10.65 | $71.00 | $10.65–$71.00 | — | 85% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMP CERUMEN IRR/LAV BIL | $16.05 | $107.00 | $12.09–$107.00 | — | 85% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMP CERUMEN INSTRUMENT UNILATERAL | $17.85 | $119.00 | $17.85–$119.00 | 91% below | 85% |
| Earwax removal with instruments, one ear inpatient both sides CPT 69210 REMOVE IMP CERUMEN INSTRUMENT BILATERAL | $26.85 | $179.00 | $20.23–$179.00 | — | 85% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVE IMP CERUMEN INSTRUMENT UNILATERAL | $17.85 | $119.00 | $17.85–$119.00 | — | 85% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX | $90.90 | $606.00 | $90.90–$606.00 | 80% below | 85% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX | $90.90 | $606.00 | $90.90–$606.00 | — | 85% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAM-INJECTION | $347.85 | $2,319.00 | $262.05–$2,319.00 | 17% below | 85% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAM-INJECTION | $347.85 | $2,319.00 | $262.05–$2,319.00 | — | 85% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE OR SINGLE | $184.80 | $1,232.00 | $112.01–$2,423.00 | 69% below | 85% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE OR SINGLE | $184.80 | $1,232.00 | $184.80–$1,232.00 | — | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASP/INJ MAJOR JT W/O US | $101.55 | $677.00 | $101.55–$677.00 | 85% below | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 DRAIN/INJ MAJOR JT BILAT | $152.40 | $1,016.00 | $114.81–$1,016.00 | — | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASP/INJ MAJOR JT W/O US | $101.55 | $677.00 | $101.55–$677.00 | — | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASP OR INJ MD | $77.70 | $518.00 | $77.70–$518.00 | 86% below | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT (INTERMED) ASPIR-INJ | $77.70 | $518.00 | $159.12–$2,423.00 | 86% below | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient both sides CPT 20605 DRAIN/INJ INTERMED JT BILAT | $116.55 | $777.00 | $87.80–$777.00 | — | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 JOINT (INTERMED) ASPIR-INJ | $77.70 | $518.00 | $77.70–$518.00 | — | 85% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ASP OR INJ MD | $77.70 | $518.00 | $77.70–$518.00 | — | 85% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASP OR INJ SML | $82.80 | $552.00 | $82.80–$552.00 | 85% below | 85% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $82.80 | $552.00 | $159.12–$2,423.00 | 85% below | 85% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASP OR INJ SML | $82.80 | $552.00 | $82.80–$552.00 | — | 85% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $82.80 | $552.00 | $62.38–$552.00 | — | 85% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LACERATION REPAIR MED/LAYERED | $226.95 | $1,513.00 | $226.95–$1,513.00 | 77% below | 85% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LACERATION REPAIR MED/LAYERED | $226.95 | $1,513.00 | $226.95–$1,513.00 | — | 85% |
| Left heart catheterization, diagnostic CPT 93452 L CATH W/INJ VENT IMG S&I | $3,446.70 | $22,978.00 | $1,588.63–$13,881.00 | 69% below | 85% |
| Left heart catheterization, diagnostic inpatient CPT 93452 L CATH W/INJ VENT IMG S&I | $3,446.70 | $22,978.00 | $3,446.70–$22,978.00 | — | 85% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISE BENIGN TRNK/EXT 0-0.5CM | $333.90 | $2,226.00 | $276.95–$8,860.00 | 82% below | 85% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISE BENIGN TRNK/EXT 0-0.5CM | $333.90 | $2,226.00 | $333.90–$2,226.00 | — | 85% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVE NAIL PART OR CMPLT SNGL | $26.40 | $176.00 | $26.40–$176.00 | 95% below | 85% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVE NAIL PART OR CMPLT SNGL | $26.40 | $176.00 | $26.40–$176.00 | — | 85% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANES AGENT OCCIP NRV | $189.45 | $1,263.00 | $189.45–$1,263.00 | 79% below | 85% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES AGENT OCCIP NRV | $189.45 | $1,263.00 | $189.45–$1,263.00 | — | 85% |
| Pacemaker implant (dual chamber) CPT 33208 INSERT NEW OR REPLACE PM W/ATRIAL/VENT LEAD RS&I | $2,706.45 | $18,043.00 | $5,079.14–$17,543.16 | 86% below | 85% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT NEW OR REPLACE PM W/ATRIAL/VENT LEAD RS&I | $2,706.45 | $18,043.00 | $2,706.45–$18,043.00 | — | 85% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS DX/THER W/IMAGING GUIDANCE | $994.80 | $6,632.00 | $472.58–$4,031.00 | 36% below | 85% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS DX/THER W/IMAGING GUIDANCE | $994.80 | $6,632.00 | $994.80–$6,632.00 | — | 85% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISE INGROWN TOENAIL | $180.45 | $1,203.00 | $180.45–$1,203.00 | 85% below | 85% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISE INGROWN TOENAIL | $180.45 | $1,203.00 | $180.45–$1,203.00 | — | 85% |
| Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY REM/WOUND EXPLORE | $87.15 | $581.00 | $112.01–$2,638.00 | 92% below | 85% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 FOREIGN BODY REM/WOUND EXPLORE | $87.15 | $581.00 | $87.15–$581.00 | — | 85% |
| Short arm splint (forearm and hand) CPT 29125 APP SH AR SPL F/AR HND STA UNI | $153.15 | $1,021.00 | $47.62–$2,309.00 | 60% below | 85% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APP SH AR SPL F/AR HND STA UNI | $153.15 | $1,021.00 | $153.15–$1,021.00 | — | 85% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APP SH AR SPL F/AR HND STA BIL | $229.80 | $1,532.00 | $173.12–$1,532.00 | — | 85% |
| Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPL CALF-FT UNI | $160.20 | $1,068.00 | $47.62–$2,309.00 | 61% below | 85% |
| Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPL CALF-FT UNI | $160.20 | $1,068.00 | $160.20–$1,068.00 | — | 85% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION REPAIR SIMPLE =<2.5 CM | $302.55 | $2,017.00 | $121.96–$2,423.00 | 40% below | 85% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LACERATION REPAIR SIMPLE =<2.5 CM | $302.55 | $2,017.00 | $302.55–$2,017.00 | — | 85% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG 1-15 LESNS | $108.15 | $721.00 | $112.01–$2,423.00 | 71% below | 85% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAG 1-15 LESNS | $108.15 | $721.00 | $108.15–$721.00 | — | 85% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC | $284.55 | $1,897.00 | $489.74–$4,031.00 | 76% below | 85% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC | $284.55 | $1,897.00 | $284.55–$1,897.00 | — | 85% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC REPAIR SIMPLE SCALP/NECK/EXT 2.6 CM-7.5 CM | $314.40 | $2,096.00 | $121.96–$2,423.00 | 45% below | 85% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC REPAIR SIMPLE SCALP/NECK/EXT 2.6 CM-7.5 CM | $314.40 | $2,096.00 | $314.40–$2,096.00 | — | 85% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC REPAIR SIMPLE FACE/EARS/EYELIDS =< 2.5 CM | $283.50 | $1,890.00 | $121.96–$2,423.00 | 41% below | 85% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC REPAIR SIMPLE FACE/EARS/EYELIDS =< 2.5 CM | $283.50 | $1,890.00 | $283.50–$1,890.00 | — | 85% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NDL/CATH W IMAGE | $993.15 | $6,621.00 | $993.15–$6,621.00 | 47% below | 85% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS NDL/CATH W IMAGE | $993.15 | $6,621.00 | $993.15–$6,621.00 | — | 85% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSCL | $93.45 | $623.00 | $93.45–$623.00 | 84% below | 85% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1-2 MUSCL | $93.45 | $623.00 | $93.45–$623.00 | — | 85% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BR BX W/DEVICE PLACE US 1ST | $1,650.00 | $11,000.00 | $1,650.00–$11,000.00 | 53% below | 85% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BR BX W/DEVICE PLACE US 1ST | $1,650.00 | $11,000.00 | $1,650.00–$11,000.00 | — | 85% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE =<20 SQCM | $1,179.75 | $7,865.00 | $1,179.75–$7,865.00 | 12% above | 85% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE =<20 SQCM | $1,179.75 | $7,865.00 | $1,179.75–$7,865.00 | — | 85% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSE BLOOD OR BLOOD PRODUCTS | $285.00 | $1,900.00 | $278.86–$2,638.00 | 74% below | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSE BLOOD OR BLOOD PRODUCTS | $285.00 | $1,900.00 | $285.00–$1,900.00 | — | 85% |
| Critical care, first 30 to 74 minutes CPT 99291 LEVEL 6 CRITICAL CARE 30-74 MIN | $1,043.25 | $6,955.00 | $1,043.25–$6,955.00 | 79% below | 85% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 LEVEL 6 CRITICAL CARE 30-74 MIN | $1,043.25 | $6,955.00 | $1,043.25–$6,955.00 | — | 85% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 LEVEL 6 CRITICAL CARE 30-74 MIN W/MODIFIER | $1,043.25 | $6,955.00 | $785.92–$6,955.00 | — | 85% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $140.70 | $938.00 | $140.70–$938.00 | 91% below | 85% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY | $140.70 | $938.00 | $140.70–$938.00 | — | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG12LEAD TRACING ONLY-ROUTINE | $99.75 | $665.00 | $99.75–$665.00 | 73% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING ONLY ER | $99.75 | $665.00 | $16.69–$406.00 | 73% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING ONLY ER | $99.75 | $665.00 | $99.75–$665.00 | — | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG12LEAD TRACING ONLY-ROUTINE | $99.75 | $665.00 | $99.75–$665.00 | — | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 ED VISIT MD PRESENCE NOT REQUIRED | $120.00 | $800.00 | $120.00–$800.00 | 76% below | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 ED VISIT MD PRESENCE NOT REQ W/MODIFIER | $120.00 | $800.00 | $90.40–$800.00 | — | 85% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 ED VISIT MD PRESENCE NOT REQUIRED | $120.00 | $800.00 | $120.00–$800.00 | — | 85% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 ED VISIT STRAIGHTFORWARD DECISION | $330.00 | $2,200.00 | $330.00–$2,200.00 | 64% below | 85% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 ED VISIT STRAIGHTFORWARD DECISION W/MOD | $330.00 | $2,200.00 | $248.60–$2,200.00 | — | 85% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 ED VISIT STRAIGHTFORWARD DECISION | $330.00 | $2,200.00 | $330.00–$2,200.00 | — | 85% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 ED VISIT LOW LEVEL DECISION | $555.00 | $3,700.00 | $555.00–$3,700.00 | 66% below | 85% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 ED VISIT LOW LEVEL DECISION W/MODIFIER | $555.00 | $3,700.00 | $418.10–$3,700.00 | — | 85% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 ED VISIT LOW LEVEL DECISION | $555.00 | $3,700.00 | $555.00–$3,700.00 | — | 85% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 ED VISIT MODERATE LEVEL DECISION | $825.00 | $5,500.00 | $825.00–$5,500.00 | 67% below | 85% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 ED VISIT MODERATE LEVEL DECISION | $825.00 | $5,500.00 | $825.00–$5,500.00 | — | 85% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 ED VISIT MODERATE LEVEL DECISION W/MOD | $825.00 | $5,500.00 | $621.50–$5,500.00 | — | 85% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 ED VISIT HIGH LEVEL DECISION | $945.00 | $6,300.00 | $945.00–$6,300.00 | 72% below | 85% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 ED VISIT HIGH LEVEL DECISION W/MODIFIER | $945.00 | $6,300.00 | $711.90–$6,300.00 | — | 85% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 ED VISIT HIGH LEVEL DECISION | $945.00 | $6,300.00 | $945.00–$6,300.00 | — | 85% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL GXT | $750.00 | $5,000.00 | $750.00–$5,000.00 | 50% below | 85% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 SESTAMIBI STRESS TEST GXT | $750.00 | $5,000.00 | $750.00–$5,000.00 | 50% below | 85% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS ECHO GXT AUTO ENTRY | $750.00 | $5,000.00 | $750.00–$5,000.00 | 50% below | 85% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GXT PHARMALOGIC STRESS ECHO | $750.00 | $5,000.00 | $750.00–$5,000.00 | 50% below | 85% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMACOLOGIC STRESS SESTAMIBI | $750.00 | $5,000.00 | $750.00–$5,000.00 | 50% below | 85% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS ECHO GXT AUTO ENTRY | $750.00 | $5,000.00 | $750.00–$5,000.00 | — | 85% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 GXT PHARMALOGIC STRESS ECHO | $750.00 | $5,000.00 | $750.00–$5,000.00 | — | 85% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PHARMACOLOGIC STRESS SESTAMIBI | $750.00 | $5,000.00 | $750.00–$5,000.00 | — | 85% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL GXT | $750.00 | $5,000.00 | $750.00–$5,000.00 | — | 85% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 SESTAMIBI STRESS TEST GXT | $750.00 | $5,000.00 | $750.00–$5,000.00 | — | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION ONLY 31 MIN-1 HOUR | $107.25 | $715.00 | $107.25–$715.00 | 79% below | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION ONLY 31 MIN-1 HOUR | $107.25 | $715.00 | $107.25–$715.00 | — | 85% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL UP TO 1HR | $93.90 | $626.00 | $93.90–$626.00 | 85% below | 85% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL UP TO 1 HR | $93.90 | $626.00 | $93.90–$626.00 | 85% below | 85% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL UP TO 1 HR | $93.90 | $626.00 | $93.90–$626.00 | — | 85% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL UP TO 1 HOUR | $93.90 | $626.00 | $70.74–$626.00 | — | 85% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL UP TO 1HR | $93.90 | $626.00 | $93.90–$626.00 | — | 85% |
| IV push of a medicine, first drug CPT 96374 IV INFUSION PUSH SINGLE/INITIAL DRUG | $50.25 | $335.00 | $33.15–$2,100.00 | 84% below | 85% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SALINE/BUBBLE STUDY | $50.25 | $335.00 | $37.86–$335.00 | — | 85% |
| IV push of a medicine, first drug inpatient CPT 96374 IV INFUSION PUSH SINGLE/INITIAL DRUG | $50.25 | $335.00 | $50.25–$335.00 | — | 85% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC IM/SUBQ | $28.65 | $191.00 | $33.15–$2,100.00 | 84% below | 85% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJECTION RHOGAM | $28.65 | $191.00 | $28.65–$191.00 | 84% below | 85% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION THERAPEUTIC IM/SUBQ | $28.65 | $191.00 | $28.65–$191.00 | — | 85% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJECTION RHOGAM | $28.65 | $191.00 | $28.65–$191.00 | — | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED -EA 15MIN PROVIDED BY PTA | $26.40 | $176.00 | $19.89–$176.00 | — | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN BY PTA IP | $26.40 | $176.00 | $19.89–$176.00 | — | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN IP | $26.40 | $176.00 | $19.89–$176.00 | — | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN BY PTA NV | $26.40 | $176.00 | $19.89–$176.00 | — | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN NV | $26.40 | $176.00 | $19.89–$176.00 | — | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED -EA 15MIN | $26.40 | $176.00 | $19.89–$176.00 | — | 85% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 30 MINS | $33.75 | $225.00 | $25.43–$225.00 | — | 85% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 30 MINS NV | $33.75 | $225.00 | $25.43–$225.00 | — | 85% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 30 MINS IP | $33.75 | $225.00 | $25.43–$225.00 | — | 85% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MINS IP | $47.25 | $315.00 | $35.60–$315.00 | — | 85% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MINS | $47.25 | $315.00 | $35.60–$315.00 | — | 85% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MINS NV | $47.25 | $315.00 | $35.60–$315.00 | — | 85% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 20 MINS | $33.75 | $225.00 | $25.43–$225.00 | — | 85% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 20 MINS NV | $33.75 | $225.00 | $25.43–$225.00 | — | 85% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 20 MINS IP | $33.75 | $225.00 | $25.43–$225.00 | — | 85% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY 30 MINS IP | $40.50 | $270.00 | $30.51–$270.00 | — | 85% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY 30 MINS NV | $40.50 | $270.00 | $30.51–$270.00 | — | 85% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY 30 MINS | $40.50 | $270.00 | $30.51–$270.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MIN IP | $19.65 | $131.00 | $14.80–$131.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES | $19.65 | $131.00 | $14.80–$131.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES PROVIDED BY PTA | $19.65 | $131.00 | $14.80–$131.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY-15 MIN | $19.65 | $131.00 | $14.80–$131.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES NV | $19.65 | $131.00 | $14.80–$131.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES BY PTA NV | $19.65 | $131.00 | $14.80–$131.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15 MIN NV | $19.65 | $131.00 | $14.80–$131.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES IP | $19.65 | $131.00 | $14.80–$131.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES BY PTA IP | $19.65 | $131.00 | $14.80–$131.00 | — | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN IP | $27.00 | $180.00 | $20.34–$180.00 | — | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN BY PTA NV | $27.00 | $180.00 | $20.34–$180.00 | — | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN NV | $27.00 | $180.00 | $20.34–$180.00 | — | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN PROVIDED BY PTA | $27.00 | $180.00 | $20.34–$180.00 | — | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN | $27.00 | $180.00 | $20.34–$180.00 | — | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN BY PTA IP | $27.00 | $180.00 | $20.34–$180.00 | — | 85% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACCO CESSATION VISIT INTERMED 4-10 MINS | $13.20 | $88.00 | $14.31–$2,100.00 | 79% below | 85% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBACCO CESSATION VISIT INTERMED 4-10 MINS | $13.20 | $88.00 | $13.20–$88.00 | — | 85% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH PROD W/COMP IP | $74.40 | $496.00 | $56.05–$496.00 | — | 85% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH PROD W/COMP | $74.40 | $496.00 | $56.05–$496.00 | — | 85% |
| Speech therapy session, individual inpatient CPT 92507 TREAT SP LANG VOICE AUD INDIV | $71.25 | $475.00 | $53.68–$475.00 | — | 85% |
| Speech therapy session, individual inpatient CPT 92507 TREAT SP LANG VOICE AUD INDIV IP | $71.25 | $475.00 | $53.68–$475.00 | — | 85% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY/PFT | $80.55 | $537.00 | $80.55–$537.00 | 73% below | 85% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY/PFT | $80.55 | $537.00 | $80.55–$537.00 | — | 85% |
| Spirometry before and after a bronchodilator CPT 94060 PRE/POST SPIROMETRY W/DILATOR | $140.70 | $938.00 | $140.70–$938.00 | 84% below | 85% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PRE/POST SPIROMETRY W/DILATOR | $140.70 | $938.00 | $140.70–$938.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES 15 MIN IP | $19.95 | $133.00 | $15.03–$133.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15MIN PROVIDED BY PTA | $19.95 | $133.00 | $15.03–$133.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY 15 MIN | $19.95 | $133.00 | $15.03–$133.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY 15 MIN NV | $19.95 | $133.00 | $15.03–$133.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN NV | $19.95 | $133.00 | $15.03–$133.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15MIN BY PTA NV | $19.95 | $133.00 | $15.03–$133.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN BY PTA IP | $19.95 | $133.00 | $15.03–$133.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN IP | $19.95 | $133.00 | $15.03–$133.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15MIN | $19.95 | $133.00 | $15.03–$133.00 | — | 85% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine 0.5 mL injection | $247.95 | $1,653.00 | $186.79–$1,653.00 | 13% below | 85% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine 0.5 mL injection | $247.95 | $1,653.00 | $78.90–$90.74 | 13% below | 85% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine 0.5 mL injection | $247.95 | $1,653.00 | $186.79–$1,653.00 | — | 85% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine 0.5 mL injection | $247.95 | $1,653.00 | $186.79–$1,653.00 | — | 85% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diphtheria + tetanus + pertusis acel (Infanrix) 0.5 mL Injection | $66.90 | $446.00 | $50.40–$446.00 | 32% below | 85% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diphtheria + tetanus + pertusis acel (Infanrix) 0.5 mL Injection | $66.90 | $446.00 | $50.40–$446.00 | 32% below | 85% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diphtheria + tetanus + pertusis acel (Infanrix) 0.5 mL Injection | $66.90 | $446.00 | $50.40–$446.00 | — | 85% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diphtheria + tetanus + pertusis acel (Infanrix) 0.5 mL Injection | $66.90 | $446.00 | $50.40–$446.00 | — | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine inactivated preservative-free trivalent suspension | $49.80 | $332.00 | $37.52–$332.00 | 33% below | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine inactivated preservative-free trivalent suspension | $49.80 | $332.00 | $16.34–$18.79 | 33% below | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine inactivated preservative-free trivalent suspension | $49.80 | $332.00 | $37.52–$332.00 | — | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine inactivated preservative-free trivalent suspension | $49.80 | $332.00 | $37.52–$332.00 | — | 85% |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 50 units/1 mL injection | $124.05 | $827.00 | $93.45–$827.00 | 28% below | 85% |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 50 units/1 mL injection | $124.05 | $827.00 | $16.34–$18.79 | 28% below | 85% |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 1440 units/mL preservative free SUSP | $136.65 | $911.00 | $102.94–$911.00 | 21% below | 85% |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 1440 units/mL preservative free SUSP | $136.65 | $911.00 | $16.34–$18.79 | 21% below | 85% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 50 units/1 mL injection | $124.05 | $827.00 | $93.45–$827.00 | — | 85% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 50 units/1 mL injection | $124.05 | $827.00 | $93.45–$827.00 | — | 85% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 1440 units/mL preservative free SUSP | $136.65 | $911.00 | $102.94–$911.00 | — | 85% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 1440 units/mL preservative free SUSP | $136.65 | $911.00 | $102.94–$911.00 | — | 85% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B pediatric vaccine 10 mcg/0.5 mL injection | $51.15 | $341.00 | $38.53–$341.00 | 49% below | 85% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B pediatric vaccine 10 mcg/0.5 mL injection | $51.15 | $341.00 | $170.50 | 49% below | 85% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B pediatric vaccine 10 mcg/0.5 mL injection | $51.15 | $341.00 | $38.53–$341.00 | — | 85% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B pediatric vaccine 10 mcg/0.5 mL injection | $51.15 | $341.00 | $170.50 | — | 85% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus b conjugate (PRP-T) vaccine 0.5 mL injection | $43.65 | $291.00 | $32.88–$291.00 | 32% below | 85% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus b conjugate (PRP-T) vaccine 0.5 mL injection | $43.65 | $291.00 | $16.34–$18.79 | 32% below | 85% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 haemophilus b conjugate (PRP-T) vaccine 0.5 mL injection | $43.65 | $291.00 | $32.88–$291.00 | — | 85% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 haemophilus b conjugate (PRP-T) vaccine 0.5 mL injection | $43.65 | $291.00 | $32.88–$291.00 | — | 85% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL injection | $146.85 | $979.00 | $16.34–$18.79 | 23% below | 85% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL injection | $146.85 | $979.00 | $489.50 | 23% below | 85% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL injection | $146.85 | $979.00 | $110.63–$979.00 | — | 85% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL injection | $146.85 | $979.00 | $489.50 | — | 85% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vac 0.5 mL injection MENVEO | $237.30 | $1,582.00 | $178.77–$1,582.00 | 58% below | 85% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vac 0.5 mL injection MENVEO | $237.30 | $1,582.00 | $78.90–$90.74 | 58% below | 85% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vac 0.5 mL injection MENACTRA | $240.60 | $1,604.00 | $181.25–$1,604.00 | 58% below | 85% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vac 0.5 mL injection MENACTRA | $240.60 | $1,604.00 | $78.90–$90.74 | 58% below | 85% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vac 0.5 mL injection MENVEO | $237.30 | $1,582.00 | $178.77–$1,582.00 | — | 85% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vac 0.5 mL injection MENVEO | $237.30 | $1,582.00 | $178.77–$1,582.00 | — | 85% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vac 0.5 mL injection MENACTRA | $240.60 | $1,604.00 | $181.25–$1,604.00 | — | 85% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vac 0.5 mL injection MENACTRA | $240.60 | $1,604.00 | $181.25–$1,604.00 | — | 85% |
| Meningococcal B vaccine (Trumenba) CPT 90621 meningococcal group B vaccine fully recombinant (4 strain) suspension | $249.90 | $1,666.00 | $78.90–$90.74 | 58% below | 85% |
| Meningococcal B vaccine (Trumenba) CPT 90621 meningococcal group B vaccine fully recombinant (4 strain) suspension | $249.90 | $1,666.00 | $833.00 | 58% below | 85% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 meningococcal group B vaccine fully recombinant (4 strain) suspension | $249.90 | $1,666.00 | $188.26–$1,666.00 | — | 85% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 meningococcal group B vaccine fully recombinant (4 strain) suspension | $249.90 | $1,666.00 | $833.00 | — | 85% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 pneumococcal 13-valent conjugate vaccine 0.5 mL injection | $315.00 | $2,100.00 | $237.30–$2,100.00 | 46% below | 85% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 pneumococcal 13-valent conjugate vaccine 0.5 mL injection | $315.00 | $2,100.00 | $78.90–$90.74 | 46% below | 85% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 pneumococcal 13-valent conjugate vaccine 0.5 mL injection | $315.00 | $2,100.00 | $237.30–$2,100.00 | — | 85% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 pneumococcal 13-valent conjugate vaccine 0.5 mL injection | $315.00 | $2,100.00 | $237.30–$2,100.00 | — | 85% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 pneumococcal 21-valent conjugate vaccine 0.5 mL injection | $315.00 | $2,100.00 | $237.30–$2,100.00 | at median | 85% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 pneumococcal 21-valent conjugate vaccine 0.5 mL injection | $315.00 | $2,100.00 | $237.30–$2,100.00 | at median | 85% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 pneumococcal 21-valent conjugate vaccine 0.5 mL injection | $315.00 | $2,100.00 | $237.30–$2,100.00 | — | 85% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 pneumococcal 21-valent conjugate vaccine 0.5 mL injection | $315.00 | $2,100.00 | $237.30–$2,100.00 | — | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL injection | $195.75 | $1,305.00 | $16.34–$18.79 | 51% below | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL injection | $195.75 | $1,305.00 | $147.47–$1,305.00 | 51% below | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL injection | $195.75 | $1,305.00 | $147.47–$1,305.00 | — | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL injection | $195.75 | $1,305.00 | $147.47–$1,305.00 | — | 85% |
| Polio vaccine, inactivated (IPV) CPT 90713 poliovirus vaccine inactivated 0.5 mL injection | $80.25 | $535.00 | $267.50 | 19% below | 85% |
| Polio vaccine, inactivated (IPV) CPT 90713 poliovirus vaccine inactivated 0.5 mL injection | $80.25 | $535.00 | $16.34–$18.79 | 19% below | 85% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 poliovirus vaccine inactivated 0.5 mL injection | $80.25 | $535.00 | $60.46–$535.00 | — | 85% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 poliovirus vaccine inactivated 0.5 mL injection | $80.25 | $535.00 | $267.50 | — | 85% |
| Rabies vaccine, one dose CPT 90675 rabies vaccine 2.5 units/1 mL (RABAVERT) injection | $315.00 | $2,100.00 | $315.00–$2,100.00 | 73% below | 85% |
| Rabies vaccine, one dose CPT 90675 rabies vaccine 2.5 units/1 mL (RABAVERT) injection | $315.00 | $2,100.00 | $78.90–$521.09 | 73% below | 85% |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine 2.5 units/1 mL (RABAVERT) injection | $315.00 | $2,100.00 | $315.00–$2,100.00 | — | 85% |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine 2.5 units/1 mL (RABAVERT) injection | $315.00 | $2,100.00 | $315.00–$2,100.00 | — | 85% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine (Shingrix) inactivated adjuvanted PDWI | $315.00 | $2,100.00 | $78.90–$90.74 | 16% below | 85% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine (Shingrix) inactivated adjuvanted PDWI | $315.00 | $2,100.00 | $237.30–$2,100.00 | 16% below | 85% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine (Shingrix) inactivated adjuvanted PDWI | $315.00 | $2,100.00 | $237.30–$2,100.00 | — | 85% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine (Shingrix) inactivated adjuvanted PDWI | $315.00 | $2,100.00 | $237.30–$2,100.00 | — | 85% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 typhoid vaccine inactivated 0.5 mL injection | $136.50 | $910.00 | $102.83–$910.00 | 53% below | 85% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 typhoid vaccine inactivated 0.5 mL injection | $136.50 | $910.00 | $16.34–$18.79 | 53% below | 85% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 typhoid vaccine inactivated 0.5 mL injection | $136.50 | $910.00 | $102.83–$910.00 | — | 85% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 typhoid vaccine inactivated 0.5 mL injection | $136.50 | $910.00 | $102.83–$910.00 | — | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION IMMUNIZATION 1 VACCINE | $31.05 | $207.00 | $25.58–$119.30 | 74% below | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION IMMUNIZATION 1 VACCINE | $31.05 | $207.00 | $31.05–$207.00 | — | 85% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION IMMUNIZATION EA ADDL VACCINE | $33.30 | $222.00 | $25.09–$222.00 | 69% below | 85% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMINISTRATION IMMUNIZATION EA ADDL VACCINE | $33.30 | $222.00 | $25.09–$222.00 | — | 85% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://baptisthealthcare.pt.panaceainc.com/MRFDownload/baptisthealthcare/glfbreeze