Hospital Atlanta-Sandy Springs-Roswell, GA

Tanner Medical Center - Carrollton

Tanner Medical Center - Carrollton in Carrollton, GA publishes cash prices for 353 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 304 of 352 procedures and above it for 34. By typical cash price it ranks #12 of 61 Georgia hospitals and #4 of 25 hospitals in the Atlanta, GA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

705 Dixie St,Carrollton,GA,30117 Collected Sep 27, 2026 Source price file (770) 836-9580

Acute care hospital No emergency department CMS star rating 2 of 5 CCN 110011 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$94.80	$237.00	$86.86–$95.55	64% below	60%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$322.80	$807.00	$86.86–$95.55	24% above	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$128.40	$321.00	$132.80–$146.08	77% below	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES	$229.20	$573.00	$132.80–$146.08	59% below	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$121.60	$304.00	$175.07–$192.58	61% below	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS	$298.80	$747.00	$175.07–$192.58	5% below	60%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY	$762.80	$1,907.00	$399.02–$438.92	30% below	60%
Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY	$1,065.20	$2,663.00	$399.02–$438.92	2% below	60%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$368.40	$921.00	$104.35–$114.78	4% below	60%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$418.00	$1,045.00	$86.86–$95.55	9% above	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$893.60	$2,234.00	$175.07–$192.58	52% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST	$1,594.80	$3,987.00	$175.07–$192.58	14% below	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$632.00	$1,580.00	$348.22–$383.04	50% below	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST	$1,311.20	$3,278.00	$348.22–$383.04	3% above	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$75.20	$188.00	$86.86–$95.55	25% below	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM	$102.00	$255.00	$86.86–$95.55	2% above	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST	$2,369.60	$5,924.00	$238.15–$261.96	7% above	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$2,917.20	$7,293.00	$348.22–$383.04	8% below	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST	$3,108.00	$7,770.00	$348.22–$383.04	1% below	60%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST	$1,716.80	$4,292.00	$175.07–$192.58	at median	60%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$1,974.40	$4,936.00	$175.07–$192.58	15% above	60%
CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST	$1,354.40	$3,386.00	$104.35–$114.78	at median	60%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$1,557.60	$3,894.00	$104.35–$114.78	15% above	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$467.20	$1,168.00	$104.35–$114.78	61% below	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST	$1,018.00	$2,545.00	$104.35–$114.78	14% below	60%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$902.80	$2,257.00	$104.35–$114.78	34% below	60%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$1,247.20	$3,118.00	$175.07–$192.58	21% below	60%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$626.80	$1,567.00	$175.07–$192.58	67% below	60%
CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST	$1,526.40	$3,816.00	$175.07–$192.58	19% below	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$650.40	$1,626.00	$104.35–$114.78	58% below	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST	$981.20	$2,453.00	$104.35–$114.79	36% below	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$650.40	$1,626.00	$104.35–$114.78	50% below	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST	$981.20	$2,453.00	$104.35–$114.79	24% below	60%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST	$1,598.40	$3,996.00	$175.07–$192.58	2% below	60%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$1,838.40	$4,596.00	$175.07–$192.58	13% above	60%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$363.60	$909.00	$238.15–$261.96	—	60%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW	$519.60	$1,299.00	$238.15–$261.96	32% below	60%
Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS	$221.60	$554.00	$86.86–$95.55	23% below	60%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW	$139.20	$348.00	$86.86–$95.55	35% below	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$348.00	$870.00	$104.35–$114.78	43% below	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE	$348.80	$872.00	$104.35–$114.78	14% below	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR	$94.80	$237.00	$86.86–$95.55	60% below	60%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS	$344.00	$860.00	$238.15–$261.96	36% below	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$545.20	$1,363.00	$104.35–$114.78	58% below	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST	$878.00	$2,195.00	$104.35–$114.78	32% below	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$672.80	$1,682.00	$175.07–$192.58	57% below	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST	$1,247.20	$3,118.00	$175.07–$192.58	20% below	60%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$336.40	$841.00	$47.12–$51.83	—	60%
Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$292.40	$731.00	$47.12–$51.83	9% below	60%
Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$198.40	$496.00	$38.31–$42.14	43% below	60%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$228.40	$571.00	$38.31–$42.14	35% below	60%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY	$333.60	$834.00	$238.15–$261.96	39% below	60%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS	$546.80	$1,367.00	$238.15–$261.96	1% below	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$349.20	$873.00	$238.15–$261.96	71% below	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$648.80	$1,622.00	$238.15–$261.96	46% below	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$638.40	$1,596.00	$545.38–$599.92	65% below	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION	$906.00	$2,265.00	$545.38–$599.92	51% below	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$497.20	$1,243.00	$399.02–$438.92	57% below	60%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY INCLUDING HEART RATE; BREATHING; AIRFLOW; AND EFFORT	$333.60	$834.00	$215.52–$237.07	49% below	60%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$384.00	$960.00	$215.52–$237.07	42% below	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER)	$3,288.80	$8,222.00	$857.12–$942.83	at median	60%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$158.80	$397.00	$86.86–$95.55	41% below	60%
Knee X-ray, 3 views CPT 73562 X-RAY OF KNEE; 3 VIEWS	$328.00	$820.00	$86.86–$95.55	22% above	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$167.20	$418.00	$104.35–$114.78	66% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN	$573.20	$1,433.00	$104.35–$114.78	17% above	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C-	$58.80	$147.00	$104.35–$114.78	78% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING	$143.20	$358.00	$104.35–$114.78	46% below	60%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI	$2,174.40	$5,436.00	$107.40–$118.14	—	60%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI SCAN OF BOTH BREASTS	$2,070.80	$5,177.00	$107.40–$118.14	45% below	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$2,082.00	$5,205.00	$238.15–$261.96	16% above	60%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$4,083.20	$10,208.00	$348.22–$383.04	50% above	60%
MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST	$2,280.40	$5,701.00	$238.15–$261.96	21% above	60%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,423.20	$6,058.00	$238.15–$261.96	29% above	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$2,630.00	$6,575.00	$348.22–$383.04	9% below	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$2,718.40	$6,796.00	$348.22–$383.04	6% below	60%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST	$1,572.40	$3,931.00	$238.15–$261.96	6% below	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$2,729.60	$6,824.00	$348.22–$383.04	3% below	60%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$1,648.80	$4,122.00	$238.15–$261.96	7% below	60%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST	$2,038.40	$5,096.00	$348.22–$383.04	29% below	60%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$2,452.80	$6,132.00	$348.22–$383.04	15% below	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST	$1,648.80	$4,122.00	$238.15–$261.96	7% below	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST	$2,568.40	$6,421.00	$348.22–$383.04	3% below	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$2,920.40	$7,301.00	$348.22–$383.04	11% above	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST	$1,795.20	$4,488.00	$238.15–$261.96	2% above	60%
MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST	$2,538.00	$6,345.00	$348.22–$383.04	12% below	60%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST	$1,550.40	$3,876.00	$238.15–$261.96	14% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$1,962.40	$4,906.00	$238.15–$261.96	27% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$3,924.80	$9,812.00	$238.15–$261.96	153% above	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$1,740.80	$4,352.00	$1,292.20–$1,421.42	51% below	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT	$2,334.40	$5,836.00	$1,292.20–$1,421.42	34% below	60%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN	$2,894.40	$7,236.00	$1,427.24–$1,569.96	18% below	60%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH	$3,184.00	$7,960.00	$1,427.24–$1,569.96	10% below	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS	$327.20	$818.00	$104.35–$114.78	17% below	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$343.60	$859.00	$104.35–$114.78	13% below	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS	$583.60	$1,459.00	$104.35–$114.78	4% below	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$671.20	$1,678.00	$104.35–$114.78	11% above	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS	$400.80	$1,002.00	$104.35–$114.78	30% below	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS	$421.20	$1,053.00	$104.35–$114.78	26% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS	$482.40	$1,206.00	$104.35–$114.78	11% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$506.80	$1,267.00	$104.35–$114.78	6% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS	$341.60	$854.00	$104.35–$114.78	at median	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$358.80	$897.00	$104.35–$114.78	5% above	60%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$155.20	$388.00	$35.56–$39.12	—	60%
Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY	$237.20	$593.00	$35.56–$39.12	at median	60%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER	$314.00	$785.00	$86.86–$95.55	10% below	60%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$414.40	$1,036.00	$86.86–$95.55	19% above	60%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$774.00	$1,935.00	$857.12–$942.83	75% below	60%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER)	$2,581.60	$6,454.00	$857.12–$942.83	16% below	60%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE	$972.80	$2,432.00	$545.38–$599.92	19% below	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+	$158.00	$395.00	$175.07–$192.58	78% below	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION	$268.80	$672.00	$175.07–$192.58	63% below	60%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$510.80	$1,277.00	$104.35–$114.78	at median	60%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$587.60	$1,469.00	$104.35–$114.78	15% above	60%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$117.20	$293.00	$104.35–$114.78	71% below	60%
Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS	$361.20	$903.00	$104.35–$114.78	10% below	60%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN	$798.40	$1,996.00	$104.35–$114.78	at median	60%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$834.00	$2,085.00	$104.35–$114.78	4% above	60%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM	$547.60	$1,369.00	$104.35–$114.78	1% below	60%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$630.00	$1,575.00	$104.35–$114.78	14% above	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE	$608.40	$1,521.00	$104.35–$114.78	at median	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$700.00	$1,750.00	$104.35–$114.78	15% above	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$200.80	$502.00	$175.07–$192.58	59% below	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT	$451.60	$1,129.00	$175.07–$192.58	8% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$590.40	$1,476.00	$104.35–$114.78	7% below	60%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$237.20	$593.00	$86.86–$95.55	at median	60%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$280.00	$700.00	$86.86–$95.55	18% above	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$158.00	$395.00	$86.86–$95.55	27% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$316.00	$790.00	$86.86–$95.55	46% above	60%
X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW	$164.80	$412.00	$86.86–$95.55	42% below	60%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE	$76.00	$190.00	$86.86–$95.55	63% below	60%
X-ray of the ankle, 2 views CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$243.20	$608.00	$86.86–$95.55	20% above	60%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$168.40	$421.00	$86.86–$95.55	8% below	60%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$292.80	$732.00	$86.86–$95.55	60% above	60%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT	$148.00	$370.00	$86.86–$95.55	20% below	60%
X-ray of the foot, 2 views CPT 73620 X-RAY OF FOOT; 2 VIEWS	$259.60	$649.00	$86.86–$95.55	40% above	60%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$328.80	$822.00	$86.86–$95.55	24% above	60%
X-ray of the hand, 3 or more views CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$421.60	$1,054.00	$86.86–$95.55	59% above	60%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$186.80	$467.00	$86.86–$95.55	1% above	60%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$373.60	$934.00	$86.86–$95.55	102% above	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$141.60	$354.00	$104.35–$114.78	59% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS	$228.40	$571.00	$104.35–$114.78	33% below	60%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$185.20	$463.00	$104.35–$114.78	63% below	60%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$342.00	$855.00	$104.35–$114.78	32% below	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$112.40	$281.00	$104.35–$114.79	65% below	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS	$228.40	$571.00	$104.35–$114.78	30% below	60%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES	$73.60	$184.00	$86.86–$95.55	66% below	60%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS	$225.60	$564.00	$86.86–$95.55	4% above	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$112.80	$282.00	$86.86–$95.55	73% below	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS	$264.00	$660.00	$86.86–$95.55	37% below	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$130.80	$327.00	$104.35–$114.78	46% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE	$113.20	$283.00	$86.86–$95.55	61% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS	$217.60	$544.00	$86.86–$95.55	24% below	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL	$40.00	$100.00	$5.30–$5.83	9% below	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$46.00	$115.00	$5.30–$5.83	4% above	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$17.20	$43.00	$5.18–$5.70	52% below	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL	$40.00	$100.00	$5.18–$5.70	11% above	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$216.00	$540.00	$47.63–$52.39	40% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH	$37.60	$94.00	$5.22–$5.74	1% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$118.00	$295.00	$5.22–$5.74	218% above	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$42.40	$106.00	$12.95–$14.24	67% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$28.80	$72.00	$12.09–$13.30	69% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER	$109.20	$273.00	$12.09–$13.30	17% above	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL	$82.80	$207.00	$39.26–$43.19	39% below	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$109.60	$274.00	$39.26–$43.19	19% below	60%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$30.00	$75.00	$8.46–$9.31	63% below	60%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$72.00	$180.00	$8.46–$9.31	12% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$319.20	$798.00	$52.01–$57.21	236% above	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY	$777.60	$1,944.00	$52.01–$57.21	719% above	60%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$78.80	$197.00	$10.32–$11.35	2% below	60%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE	$157.60	$394.00	$10.32–$11.35	97% above	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$4.00	$10.00	$9.34–$10.27	68% below	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE	$13.60	$34.00	$9.34–$10.27	9% above	60%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$34.80	$87.00	$3.93–$4.32	5% below	60%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL	$39.60	$99.00	$3.93–$4.32	8% above	60%
Blood lead test CPT 83655 LEAD LEVEL	$36.00	$90.00	$12.11–$13.32	48% below	60%
Blood lead test CPT 83655 ASSAY OF LEAD	$39.20	$98.00	$12.11–$13.32	44% below	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$15.60	$39.00	$7.52–$8.27	88% below	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS	$93.20	$233.00	$7.52–$8.27	31% below	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$56.80	$142.00	$132.80–$146.08	15% below	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO)	$118.80	$297.00	$132.80–$146.08	79% above	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION	$88.80	$222.00	$5.18–$5.70	36% below	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$102.40	$256.00	$5.18–$5.70	26% below	60%
C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE	$88.80	$222.00	$37.27–$41.00	at median	60%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$102.40	$256.00	$37.27–$41.00	15% above	60%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$43.60	$109.00	$20.81–$22.89	50% below	60%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9	$97.60	$244.00	$20.81–$22.89	11% above	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$54.00	$135.00	$20.81–$22.89	62% below	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125	$129.60	$324.00	$20.81–$22.89	8% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$40.00	$100.00	$51.31–$56.44	67% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN	$60.00	$150.00	$51.31–$56.44	51% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE	$37.60	$94.00	$35.09–$38.60	50% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE	$77.20	$193.00	$35.09–$38.60	3% above	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$23.20	$58.00	$13.39–$14.73	72% below	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$65.60	$164.00	$13.39–$14.73	22% below	60%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$57.60	$144.00	$7.77–$8.55	12% below	60%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$60.00	$150.00	$7.77–$8.55	8% below	60%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$14.80	$37.00	$6.47–$7.12	69% below	60%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$48.40	$121.00	$6.47–$7.12	2% above	60%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$103.20	$258.00	$10.56–$11.62	2% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$112.00	$280.00	$10.56–$11.62	6% above	60%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$93.20	$233.00	$10.18–$11.20	12% below	60%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE	$111.20	$278.00	$10.18–$11.20	5% above	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL	$98.40	$246.00	$22.23–$24.45	43% below	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$113.20	$283.00	$22.23–$24.45	34% below	60%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL	$90.40	$226.00	$27.94–$30.73	15% below	60%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE)	$124.40	$311.00	$27.94–$30.73	16% above	60%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$60.00	$150.00	$18.58–$20.44	61% below	60%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL	$98.40	$246.00	$18.58–$20.44	36% below	60%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL	$125.60	$314.00	$19.63–$21.59	66% below	60%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$144.80	$362.00	$19.63–$21.59	61% below	60%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$44.40	$111.00	$13.63–$14.99	70% below	60%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL	$72.80	$182.00	$13.63–$14.99	50% below	60%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM	$47.60	$119.00	$14.70–$16.17	72% below	60%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM	$70.80	$177.00	$14.70–$16.17	58% below	60%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE	$88.80	$222.00	$16.94–$18.63	51% below	60%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$102.40	$256.00	$16.94–$18.63	43% below	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$35.20	$88.00	$9.02–$9.92	74% below	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE	$56.00	$140.00	$9.02–$9.92	59% below	60%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE	$82.00	$205.00	$25.47–$28.02	65% below	60%
Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE	$113.20	$283.00	$25.47–$28.02	51% below	60%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$140.00	$350.00	—	58% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$23.60	$59.00	$4.75–$5.22	70% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE	$36.80	$92.00	$4.75–$5.22	53% below	60%
Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS	$88.00	$220.00	$12.87–$14.16	13% below	60%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$101.20	$253.00	$12.87–$14.16	at median	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE	$66.40	$166.00	$35.09–$38.60	11% below	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$76.40	$191.00	$35.09–$38.60	2% above	60%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$72.40	$181.00	$16.85–$18.54	19% below	60%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA	$56.40	$141.00	$14.38–$15.82	67% below	60%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL	$124.40	$311.00	$14.38–$15.82	28% below	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION	$160.00	$400.00	$85.10–$93.61	38% below	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$162.80	$407.00	$85.10–$93.61	37% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES	$64.00	$160.00	$24.08–$26.49	39% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA	$73.60	$184.00	$24.08–$26.49	30% below	60%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT	$34.80	$87.00	$35.09–$38.60	69% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$31.20	$78.00	$9.71–$10.68	69% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL	$54.00	$135.00	$9.71–$10.68	46% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$8.00	$20.00	$10.74–$11.81	90% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT	$57.60	$144.00	$10.74–$11.81	29% below	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$17.20	$43.00	$10.33–$11.36	71% below	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN	$57.60	$144.00	$10.33–$11.36	1% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT	$88.80	$222.00	$14.27–$15.70	37% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$102.40	$256.00	$14.27–$15.70	27% below	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$197.20	$493.00	$42.84–$47.12	at median	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION	$216.00	$540.00	$42.84–$47.12	10% above	60%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$20.00	$50.00	$13.19–$14.51	79% below	60%
Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1	$50.40	$126.00	$13.19–$14.51	48% below	60%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$62.40	$156.00	$19.35–$21.28	35% below	60%
Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2	$76.80	$192.00	$19.35–$21.28	20% below	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$59.20	$148.00	$12.95–$14.24	35% below	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY	$88.80	$222.00	$12.95–$14.24	3% below	60%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$54.40	$136.00	$17.92–$19.71	81% below	60%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL	$108.00	$270.00	$17.92–$19.71	62% below	60%
Insulin blood test CPT 83525 ASSAY OF INSULIN	$37.20	$93.00	$11.43–$12.57	43% below	60%
Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL	$57.60	$144.00	$11.43–$12.57	12% below	60%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$29.20	$73.00	$6.47–$7.12	38% below	60%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$66.80	$167.00	$6.47–$7.12	43% above	60%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$33.60	$84.00	$8.74–$9.61	76% below	60%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$72.00	$180.00	$8.68–$9.55	42% below	60%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH)	$60.00	$150.00	$18.52–$20.37	29% below	60%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL	$98.40	$246.00	$18.52–$20.37	16% above	60%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL	$105.60	$264.00	$6.89–$7.58	15% below	60%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$121.60	$304.00	$6.89–$7.58	2% below	60%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL	$75.60	$189.00	$8.17–$8.99	29% below	60%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$87.20	$218.00	$8.17–$8.99	18% below	60%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$67.20	$168.00	$17.03–$18.73	14% below	60%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA)	$93.20	$233.00	$17.03–$18.73	19% above	60%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$15.20	$38.00	$6.70–$7.37	76% below	60%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$77.60	$194.00	$6.70–$7.37	22% above	60%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$50.00	$125.00	$12.88–$14.17	18% below	60%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$22.00	$55.00	$5.18–$5.70	72% below	60%
Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO)	$73.60	$184.00	$5.18–$5.70	7% below	60%
Obstetric blood test panel CPT 80055 OBSTETRIC BLOOD TEST PANEL	$116.80	$292.00	$47.81–$52.59	at median	60%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$231.20	$578.00	$47.81–$52.59	98% above	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$63.20	$158.00	$18.39–$20.23	52% below	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE	$68.80	$172.00	$18.39–$20.23	48% below	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$45.20	$113.00	$18.39–$20.23	74% below	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$76.40	$191.00	$18.39–$20.23	55% below	60%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$46.80	$117.00	$26.61–$29.27	60% below	60%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER	$50.00	$125.00	$20.26–$22.29	36% below	60%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL	$108.80	$272.00	$41.28–$45.41	52% below	60%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$184.00	$460.00	$41.28–$45.41	19% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$19.60	$49.00	$6.01–$6.61	55% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$42.00	$105.00	$6.01–$6.61	5% below	60%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$67.60	$169.00	$20.86–$22.95	59% below	60%
Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL	$98.40	$246.00	$20.86–$22.95	41% below	60%
Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL	$124.40	$311.00	$19.38–$21.32	34% below	60%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$143.20	$358.00	$19.38–$21.32	25% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME	$38.00	$95.00	$4.29–$4.72	at median	60%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$41.20	$103.00	$4.29–$4.72	8% above	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$10.00	$25.00	$12.60–$13.86	86% below	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TESTING FOR PRESENCE OF DRUG; READ BY DIRECT OBSERVATION	$72.00	$180.00	$12.60–$13.86	1% above	60%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$40.80	$102.00	$16.55–$18.20	44% below	60%
Rapid flu test (influenza antigen) CPT 87804 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR INFLUENZA VIRUS	$56.80	$142.00	$16.55–$18.20	22% below	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$55.60	$139.00	$16.53–$18.18	27% below	60%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL	$57.20	$143.00	$5.67–$6.24	28% below	60%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$66.00	$165.00	$5.67–$6.24	17% below	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$9.60	$24.00	$14.39–$15.83	87% below	60%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS)	$48.00	$120.00	$14.39–$15.83	33% below	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$13.60	$34.00	$2.70–$2.97	65% below	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED	$47.60	$119.00	$2.70–$2.97	22% above	60%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN EVALUATION VOLUME; SPERM COUNT; MOTILITY AND ANALYSIS	$108.80	$272.00	$12.31–$13.54	41% below	60%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT	$114.40	$286.00	$12.31–$13.54	38% below	60%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$28.40	$71.00	$8.90–$9.79	71% below	60%
Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES	$57.60	$144.00	$8.90–$9.79	41% below	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$34.00	$85.00	$4.38–$4.82	8% below	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$16.40	$41.00	$15.92–$17.51	84% below	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY	$20.00	$50.00	$15.92–$17.51	81% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$11.20	$28.00	$4.27–$4.70	70% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST	$43.20	$108.00	$4.27–$4.70	17% above	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$52.00	$130.00	$61.98–$68.18	71% below	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON	$63.60	$159.00	$61.98–$68.18	64% below	60%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$83.20	$208.00	$25.81–$28.39	52% below	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL	$129.60	$324.00	$25.81–$28.39	26% below	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH	$10.40	$26.00	$14.55–$16.00	90% below	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT	$98.40	$246.00	$14.55–$16.00	6% below	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$56.80	$142.00	$16.80–$18.48	64% below	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$72.80	$182.00	$16.80–$18.48	54% below	60%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$34.40	$86.00	$35.09–$38.60	62% below	60%
Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE	$71.60	$179.00	$35.09–$38.60	21% below	60%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD	$51.60	$129.00	$4.52–$4.97	31% below	60%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$59.60	$149.00	$4.52–$4.97	20% below	60%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$28.40	$71.00	$3.17–$3.49	31% below	60%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$60.00	$150.00	$3.17–$3.49	45% above	60%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$40.40	$101.00	$2.25–$2.48	14% above	60%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST	$12.00	$30.00	$3.48–$3.83	76% below	60%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$22.00	$55.00	$3.48–$3.83	57% below	60%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$79.60	$199.00	$8.61–$9.47	2% above	60%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$48.80	$122.00	$15.08–$16.59	58% below	60%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL	$62.00	$155.00	$15.08–$16.59	46% below	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL	$92.00	$230.00	$29.60–$32.56	62% below	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$227.20	$568.00	$29.60–$32.56	6% below	60%
Zinc blood test CPT 84630 ASSAY OF ZINC	$15.60	$39.00	$11.39–$12.53	85% below	60%
Zinc blood test CPT 84630 ZINC LEVEL	$42.00	$105.00	$11.39–$12.53	60% below	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL	$120.00	$300.00	$15.05–$16.56	25% below	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$162.80	$407.00	$15.05–$16.56	2% above	60%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS)	$2,873.60	$7,184.00	$3,309.20–$3,640.12	65% below	60%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC	$3,689.06	$9,222.66	$12,814.41–$14,095.85	9% below	60%
Appendectomy, open surgery CPT 44950 REMOVAL OF APPENDIX	$4,673.60	$11,684.00	$6,461.58–$7,107.74	—	60%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 DILATION OF NASAL SINUS USING AN ENDOSCOPE	$1,824.80	$4,562.00	$7,044.11–$7,748.52	88% below	60%
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$293.60	$734.00	$306.37–$337.01	62% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$2,241.20	$5,603.00	$1,648.47–$1,813.32	18% below	60%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE	$370.80	$927.00	$246.20–$270.82	40% below	60%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE	$222.40	$556.00	$246.20–$270.82	72% below	60%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$9,524.42	$23,811.06	$3,235.81–$3,559.39	4% below	60%
Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST	$8,668.00	$21,670.00	$3,235.81–$3,559.39	13% below	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$498.80	$1,247.00	$659.69–$725.66	80% below	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT	$639.60	$1,599.00	$659.69–$725.66	74% below	60%
Carpal tunnel release, open surgery CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$3,610.80	$9,027.00	$1,949.03–$2,143.93	183% above	60%
Catheter ablation for atrial fibrillation CPT 93656 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION OF UPPER CHAMBERS OF HEART) BY PULMONARY VEIN ISOLATION	$9,866.40	$24,666.00	$26,088.45–$28,697.30	41% below	60%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX OR REMOVAL OF GROWTH	$3,688.40	$9,221.00	$919.31–$1,011.24	301% above	60%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS)	$4,542.00	$11,355.00	$2,086.44–$2,295.08	11% below	60%
Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$843.40	$2,108.50	$1,194.38–$1,313.82	79% below	60%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$4,464.40	$11,161.00	$1,194.38–$1,313.82	12% above	60%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,669.60	$4,174.00	$928.20–$1,021.02	58% below	60%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE	$3,378.00	$8,445.00	$3,231.01–$3,554.11	5% above	60%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE	$2,096.40	$5,241.00	$304.15–$334.56	706% above	60%
Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES	$6,016.00	$15,040.00	$11,522.36–$12,674.60	31% below	60%
Coronary stent placement, one artery CPT 92928 INSERTION OF STENTS WITH BALLOON DILATION OF CORONARY ARTERY OR BRANCH; SINGLE ARTERY OR BRANCH	$7,491.60	$18,729.00	$11,522.36–$12,674.60	14% below	60%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$2,362.00	$5,905.00	$3,518.32–$3,870.15	43% below	60%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$2,453.20	$6,133.00	$3,518.32–$3,870.15	40% below	60%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE	$2,753.00	$6,882.50	$695.98–$765.58	70% above	60%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS	$4,736.00	$11,840.00	$3,231.01–$3,554.11	25% above	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$119.60	$299.00	$200.25–$220.28	at median	60%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$2,679.60	$6,699.00	$1,548.65–$1,703.52	34% above	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$44.80	$112.00	$58.88–$64.77	70% below	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING	$59.60	$149.00	$58.88–$64.77	60% below	60%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX	$123.60	$309.00	$58.88–$64.77	63% below	60%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$130.00	$325.00	$58.88–$64.77	61% below	60%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE	$1,331.53	$3,328.83	$3,721.30–$4,093.43	80% below	60%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$3,727.20	$9,318.00	$7,044.11–$7,748.52	44% below	60%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$652.40	$1,631.00	$704.55–$775.01	81% below	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$706.00	$1,765.00	$882.80–$971.08	77% below	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,082.80	$2,707.00	$882.80–$971.08	64% below	60%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE	$10,782.80	$26,957.00	$6,461.58–$7,107.74	31% above	60%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); GREATER THAN 10 CM; REDUCIBLE	$10,317.20	$25,793.00	$6,461.58–$7,107.74	25% above	60%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE	$6,359.60	$15,899.00	$3,573.63–$3,930.99	23% below	60%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,628.80	$4,072.00	$928.20–$1,021.02	25% below	60%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$8,493.60	$21,234.00	$6,034.10–$6,637.51	48% below	60%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE	$6,670.00	$16,675.00	$6,034.10–$6,637.51	59% below	60%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP	$3,921.20	$9,803.00	$2,770.42–$3,047.46	41% below	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$116.40	$291.00	$53.43–$58.77	83% below	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES	$216.40	$541.00	$53.43–$58.77	68% below	60%
Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE	$2,193.40	$5,483.50	$4,992.99–$5,492.29	84% below	60%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE	$3,300.40	$8,251.00	$3,231.01–$3,554.11	62% below	60%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$410.00	$1,025.00	—	8% below	60%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION	$1,844.20	$4,610.50	—	313% above	60%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$394.40	$986.00	$200.25–$220.28	34% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$453.60	$1,134.00	$200.25–$220.28	25% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$233.60	$584.00	$306.37–$337.01	82% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$136.80	$342.00	$306.37–$337.01	85% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$478.00	$1,195.00	$306.37–$337.01	47% below	60%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$490.40	$1,226.00	$132.80–$146.08	87% below	60%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE	$2,077.00	$5,192.50	$132.80–$146.08	47% below	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$266.80	$667.00	$306.37–$337.01	65% below	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$244.40	$611.00	$306.37–$337.01	59% below	60%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE	$7,019.20	$17,548.00	$6,034.10–$6,637.51	34% below	60%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE	$12,037.20	$30,093.00	$10,609.74–$11,670.71	37% below	60%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$7,756.40	$19,391.00	$10,609.74–$11,670.71	43% below	60%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$8,998.00	$22,495.00	$10,609.74–$11,670.71	34% below	60%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$12,696.80	$31,742.00	$6,034.10–$6,637.51	13% above	60%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$6,561.80	$16,404.50	$6,034.10–$6,637.51	50% below	60%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$6,165.60	$15,414.00	$6,034.10–$6,637.51	34% below	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$133.60	$334.00	$405.74–$446.31	82% below	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$517.60	$1,294.00	$405.74–$446.31	30% below	60%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$4,738.00	$11,845.00	$3,235.81–$3,559.39	39% below	60%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$468.00	$1,170.00	$704.55–$775.01	73% below	60%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$652.40	$1,631.00	$704.55–$775.01	63% below	60%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$592.80	$1,482.00	$882.80–$971.08	66% below	60%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$859.60	$2,149.00	$882.80–$971.08	74% below	60%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$10,524.00	$26,310.00	$7,242.50–$7,966.75	6% below	60%
Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$3,387.60	$8,469.00	$7,242.50–$7,966.75	75% below	60%
Lumbar spinal fusion (posterior), one level CPT 22612 FUSION OF SPINE IN LOWER BACK	$3,387.60	$8,469.00	$17,500.67–$19,250.74	72% below	60%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER	$3,688.40	$9,221.00	$3,231.01–$3,554.11	61% below	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$1,423.47	$3,558.68	$706.79–$777.47	128% above	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$872.40	$2,181.00	$706.79–$777.47	43% above	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$3,261.60	$8,154.00	$706.79–$777.47	435% above	60%
Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL	$390.00	$975.00	$200.25–$220.28	24% below	60%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$409.60	$1,024.00	$200.25–$220.28	21% below	60%
Pacemaker implant (dual chamber) CPT 33208 INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE	$5,000.00	$12,500.00	$10,432.24–$11,475.46	56% below	60%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE	$829.20	$2,073.00	$905.27–$995.80	43% below	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$738.80	$1,847.00	$405.74–$446.31	2% below	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL	$1,976.40	$4,941.00	$405.74–$446.31	162% above	60%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND	$1,902.40	$4,756.00	—	32% below	60%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$1,920.80	$4,802.00	—	32% below	60%
Prostate removal (prostatectomy), laparoscopic CPT 55866 SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE	$13,809.20	$34,523.00	$10,609.74–$11,670.71	7% above	60%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$921.20	$2,303.00	$1,949.03–$2,143.93	78% below	60%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$1,820.80	$4,552.00	$1,949.03–$2,143.93	56% below	60%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$229.60	$574.00	$405.74–$446.31	76% below	60%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$813.60	$2,034.00	$405.74–$446.31	16% below	60%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$10,744.00	$26,860.00	$6,034.10–$6,637.51	87% above	60%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$1,528.40	$3,821.00	$928.20–$1,021.02	27% below	60%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK	$1,415.20	$3,538.00	$928.20–$1,021.02	10% below	60%
Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE	$3,393.20	$8,483.00	$3,309.20–$3,640.12	59% below	60%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$11,787.20	$29,468.00	$3,518.32–$3,870.15	17% below	60%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$272.40	$681.00	$132.80–$146.08	29% below	60%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$313.60	$784.00	$132.80–$146.08	18% below	60%
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST	$177.60	$444.00	$279.17–$307.09	78% below	60%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$186.80	$467.00	$279.17–$307.09	77% below	60%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$330.40	$826.00	$162.19–$178.41	14% below	60%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$347.20	$868.00	$162.19–$178.41	10% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$94.40	$236.00	$200.25–$220.28	72% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$314.00	$785.00	$200.25–$220.28	8% below	60%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH	$198.00	$495.00	$405.74–$446.31	65% below	60%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$233.20	$583.00	$405.74–$446.31	58% below	60%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$266.80	$667.00	$200.25–$220.28	34% below	60%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$1,504.10	$3,760.25	$200.25–$220.28	275% above	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$364.00	$910.00	$704.55–$775.00	82% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST	$878.00	$2,195.00	$704.55–$775.00	57% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$328.40	$821.00	$200.25–$220.28	14% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$378.00	$945.00	$200.25–$220.28	1% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$84.00	$210.00	$200.25–$220.28	78% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$284.80	$712.00	$200.25–$220.28	25% below	60%
TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE	$5,040.40	$12,601.00	$5,351.66–$5,886.83	49% below	60%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$233.20	$583.00	$405.74–$446.31	56% below	60%
Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$797.60	$1,994.00	$626.12–$688.73	73% below	60%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER)	$3,688.40	$9,221.00	$3,309.20–$3,640.12	67% below	60%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$3,688.40	$9,221.00	$5,908.64–$6,499.50	53% below	60%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER)	$3,416.80	$8,542.00	$3,309.20–$3,640.12	65% below	60%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS)	$3,106.40	$7,766.00	$5,908.64–$6,499.50	68% below	60%
Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$11,532.80	$28,832.00	$12,814.41–$14,095.85	10% below	60%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$17,197.60	$42,994.00	$6,034.10–$6,637.51	76% above	60%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$220.80	$552.00	$306.37–$337.01	80% below	60%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$237.20	$593.00	$306.37–$337.01	79% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,800.80	$4,502.00	$1,648.47–$1,813.32	34% below	60%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM	$1,134.80	$2,837.00	$1,915.28–$2,106.81	75% below	60%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$1,486.00	$3,715.00	$905.27–$995.80	6% above	60%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$1,863.60	$4,659.00	$905.27–$995.80	33% above	60%
Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$1,211.60	$3,029.00	$905.27–$995.80	73% below	60%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$883.00	$2,207.50	$1,915.28–$2,106.81	81% below	60%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE	$744.40	$1,861.00	$905.27–$995.80	84% below	60%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$1,120.80	$2,802.00	$905.27–$995.80	at median	60%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$1,771.20	$4,428.00	$905.27–$995.80	58% above	60%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$3,378.00	$8,445.00	$5,351.66–$5,886.83	57% below	60%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$5,085.20	$12,713.00	$5,351.66–$5,886.83	63% below	60%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT	$3,184.00	$7,960.00	$2,086.44–$2,295.08	7% below	60%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$3,075.60	$7,689.00	$3,151.51–$3,466.66	61% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$430.80	$1,077.00	$405.74–$446.31	53% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$448.40	$1,121.00	$405.74–$446.31	51% below	60%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$338.40	$846.00	$440.34–$484.37	56% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS	$480.80	$1,202.00	$440.34–$484.37	38% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$200.00	$500.00	$218.56–$240.42	6% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$240.00	$600.00	$218.56–$240.42	27% above	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$240.00	$600.00	$670.00	—	60%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$170.40	$426.00	$329.68–$362.65	75% below	60%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS	$470.40	$1,176.00	$329.68–$362.65	32% below	60%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$280.00	$700.00	$824.47–$906.92	88% below	60%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES	$980.80	$2,452.00	$824.47–$906.92	58% below	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$284.40	$711.00	$215.52–$237.07	59% below	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY	$447.20	$1,118.00	$215.52–$237.07	35% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$82.80	$207.00	$58.88–$64.77	69% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING	$129.60	$324.00	$58.88–$64.77	52% below	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY	$144.40	$361.00	$60.00–$92.59	36% below	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM	$34.00	$85.00	$129.00–$168.59	90% below	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY	$250.80	$627.00	$84.00–$168.59	27% below	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$494.80	$1,237.00	$120.00–$299.71	23% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$96.40	$241.00	$416.47–$845.00	89% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$800.40	$2,001.00	$300.00–$845.00	9% below	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$852.80	$2,132.00	$400.00–$1,056.00	29% below	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$270.40	$676.00	$215.52–$237.07	59% below	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG)	$850.80	$2,127.00	$215.52–$237.07	28% above	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$126.00	$315.00	$212.30–$233.53	59% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES	$298.80	$747.00	$212.30–$233.53	3% below	60%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$132.40	$331.00	$212.30–$233.53	56% below	60%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS	$204.80	$512.00	$212.30–$233.53	32% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE	$20.00	$50.00	$71.87–$79.06	75% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$77.60	$194.00	$71.87–$79.06	1% below	60%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$391.60	$979.00	$372.46–$409.71	56% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$18.40	$46.00	$33.10–$36.41	79% below	60%
New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN	$59.20	$148.00	$72.92–$80.21	74% below	60%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES	$100.80	$252.00	$72.92–$80.21	56% below	60%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES	$60.00	$150.00	$119.13–$131.04	71% below	60%
New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN	$129.20	$323.00	$119.13–$131.04	38% below	60%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES	$137.20	$343.00	$163.59–$179.95	49% below	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN	$52.00	$130.00	$41.77–$45.95	72% below	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES	$88.40	$221.00	$41.77–$45.95	52% below	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN	$44.00	$110.00	$26.64–$70.00	2% above	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES	$252.00	$630.00	$26.64–$70.00	486% above	60%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$121.60	$304.00	$101.54–$111.69	19% below	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$136.80	$342.00	$98.82–$108.70	27% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$121.60	$304.00	$98.82–$108.70	29% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$128.40	$321.00	$98.82–$108.70	27% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS	$64.80	$162.00	$28.04–$30.84	34% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$58.40	$146.00	$29.39–$32.33	34% below	60%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES	$22.40	$56.00	$37.40–$70.00	57% below	60%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$23.60	$59.00	$37.40–$70.00	55% below	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES	$54.00	$135.00	$127.68–$140.45	80% below	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN	$44.40	$111.00	$58.36–$64.20	79% below	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES	$102.40	$256.00	$58.36–$64.20	52% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN	$68.40	$171.00	$85.89–$94.48	59% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$129.20	$323.00	$85.89–$94.48	23% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN	$20.80	$52.00	$31.63–$34.79	84% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES	$98.80	$247.00	$31.63–$34.79	23% below	60%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30	$48.00	$120.00	—	88% below	60%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40	$60.00	$150.00	—	90% below	60%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$210.40	$526.00	$228.48–$251.33	14% below	60%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$78.40	$196.00	$76.87–$84.56	54% below	60%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$99.60	$249.00	$215.52–$237.07	76% below	60%
Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME	$148.80	$372.00	$215.52–$237.07	64% below	60%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION	$387.60	$969.00	$372.46–$409.71	46% below	60%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$446.00	$1,115.00	$372.46–$409.71	38% below	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING	$82.00	$205.00	$670.00	—	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION	$126.00	$315.00	$670.00	—	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$56.80	$142.00	$35.50–$39.05	28% below	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$42.00	$105.00	$132.80–$146.08	72% below	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM	$169.60	$424.00	$132.80–$146.08	12% above	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax	$456.09	$1,140.22	—	at median	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$40.80	$102.00	—	43% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2025-2026 Formula PFS	$42.12	$105.30	—	42% below	60%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9	$740.04	$1,850.09	—	33% below	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Recombivax HB Pediatric-Adolescent	$37.18	$92.96	—	82% below	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B	$159.58	$398.96	—	23% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM	$163.20	$408.00	—	5% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2025-2026 Formula	$174.90	$437.25	—	2% above	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2024-2025 Formula	$176.91	$442.28	—	3% above	60%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero	$667.48	$1,668.69	—	at median	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23	$293.14	$732.84	—	37% below	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus	$1,373.63	$3,434.08	—	3% above	60%
Rabies vaccine, one dose CPT 90675 RabAvert	$870.45	$2,176.13	$319.75–$359.63	15% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac	$83.96	$209.90	$38.45	40% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel	$97.91	$244.77	$44.23	50% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$23.60	$59.00	$71.87–$79.06	62% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE	$43.60	$109.00	$71.87–$79.06	30% below	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$23.60	$59.00	—	37% below	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE	$43.60	$109.00	—	16% above	60%

Source file: https://www.tanner.org/upload/docs/PDFs/FinancialAssistance/581790149_Tanner-Medical-Center---Carrollton_standardcharges.csv