Jay Hospital
Jay Hospital in Jay, FL publishes cash prices for 192 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 180 of 180 procedures. By typical cash price it ranks #1 of 151 Florida hospitals and #1 of 6 hospitals in the Pensacola, FL area, cheapest first. Click a procedure to compare it with other hospitals nearby.
14114 Alabama Street, Jay FL 32565 Collected Sep 27, 2026 Source price file (850) 675-4532
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 101315 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | 87% below | 85% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE 3+ VIEWS BILAT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE 3+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXT ART STDY BIL LTD =<2 LVLS | $106.80 | $712.00 | $156.64–$712.00 | 88% below | 85% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXT ART STDY BIL LTD =<2 LVLS | $106.80 | $712.00 | $156.64–$712.00 | — | 85% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO CONT | $230.85 | $1,539.00 | $338.58–$1,539.00 | 95% below | 85% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/WO CONT | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $255.00 | $1,700.00 | $374.00–$1,700.00 | 96% below | 85% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST | $255.00 | $1,700.00 | $374.00–$1,700.00 | — | 85% |
| CT scan of the abdomen with contrast CPT 74160 ABD CT W/CONTRAST | $230.85 | $1,539.00 | $39.31–$1,504.00 | 95% below | 85% |
| CT scan of the abdomen with contrast inpatient CPT 74160 ABD CT W/CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| CT scan of the abdomen without contrast CPT 74150 ABD CT W/O CONTRAST | $230.85 | $1,539.00 | $23.48–$1,504.00 | 94% below | 85% |
| CT scan of the abdomen without contrast inpatient CPT 74150 ABD CT W/O CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 MAXO-FACIAL CT W/O CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | 92% below | 85% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAXO-FACIAL CT W/O CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| CT scan of the head or brain, no contrast dye CPT 70450 BRAIN CT W/O CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | 93% below | 85% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 BRAIN CT W/O CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| CT scan of the head with contrast CPT 70460 BRAIN CT W/CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | 94% below | 85% |
| CT scan of the head with contrast inpatient CPT 70460 BRAIN CT W/CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| CT scan of the head without and with contrast CPT 70470 BRAIN CT W/WO CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | 95% below | 85% |
| CT scan of the head without and with contrast inpatient CPT 70470 BRAIN CT W/WO CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR CT W/O CONTRAST | $230.85 | $1,539.00 | $23.48–$1,504.00 | 94% below | 85% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 LUMBAR CT W/O CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERV CT W/O CONTRAST | $230.85 | $1,539.00 | $23.48–$1,504.00 | 94% below | 85% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CERV CT W/O CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| CT scan of the pelvis, with contrast dye CPT 72193 PELVIC CT W/CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | 95% below | 85% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIC CT W/CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID IMAGING W SPECTRAL | $106.80 | $712.00 | $156.64–$712.00 | 96% below | 85% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID IMAGING W SPECTRAL | $106.80 | $712.00 | $156.64–$712.00 | — | 85% |
| Chest X-ray, 2 views CPT 71046 XRAY CHEST 2 VIEWS | $57.15 | $381.00 | $83.82–$381.00 | 89% below | 85% |
| Chest X-ray, 2 views inpatient CPT 71046 XRAY CHEST 2 VIEWS | $57.15 | $381.00 | $83.82–$381.00 | — | 85% |
| Chest X-ray, single view CPT 71045 XRAY CHEST SINGLE VIEW | $44.70 | $298.00 | $65.56–$298.00 | 90% below | 85% |
| Chest X-ray, single view inpatient CPT 71045 XRAY CHEST SINGLE VIEW | $44.70 | $298.00 | $65.56–$298.00 | — | 85% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $105.00 | $700.00 | $154.00–$700.00 | 92% below | 85% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE | $105.00 | $700.00 | $154.00–$700.00 | — | 85% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXASCAN 1/MORE CENTRAL SITES | $65.55 | $437.00 | $96.14–$437.00 | 91% below | 85% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXASCAN 1/MORE CENTRAL SITES | $65.55 | $437.00 | $96.14–$437.00 | — | 85% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 THORAX CT W/O CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | 94% below | 85% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 THORAX CT W/O CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 THORAX CT W/CONTRAST | $230.85 | $1,539.00 | $39.31–$1,504.00 | 95% below | 85% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 THORAX CT W/CONTRAST | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL ULTRA LOWER EXT FULL | $106.80 | $712.00 | $156.64–$712.00 | 95% below | 85% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 ARTERIAL ULTRA LOWER EXT FULL | $106.80 | $712.00 | $156.64–$712.00 | — | 85% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS ULTRASOUND BILATERAL | $106.80 | $712.00 | $53.38–$591.00 | — | 85% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS ULTRASOUND BILATERAL | $106.80 | $712.00 | $156.64–$712.00 | — | 85% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D W/DOPPLER COLOR FLOW | $300.00 | $2,000.00 | $440.00–$2,000.00 | 92% below | 85% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D W/DOPPLER COLOR FLOW | $300.00 | $2,000.00 | $440.00–$2,000.00 | — | 85% |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS | $75.75 | $505.00 | $111.10–$505.00 | 85% below | 85% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 KNEE 3 VIEWS BILATERAL | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS | $75.75 | $505.00 | $111.10–$505.00 | — | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED | $105.00 | $700.00 | $23.48–$591.00 | 92% below | 85% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL LIMITED | $105.00 | $700.00 | $154.00–$700.00 | — | 85% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT LOWER EXTREM W/O CON | $319.65 | $2,131.00 | $468.82–$2,131.00 | 84% 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 | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JOINT LOWER EXTREM W/O CON | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LOW EXTREM W/WO CONT | $319.65 | $2,131.00 | $468.82–$2,131.00 | 90% below | 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 | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of the abdomen without contrast CPT 74181 MRCP | $319.65 | $2,131.00 | $468.82–$2,131.00 | 91% below | 85% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRCP | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/BRAIN STEM WO CON | $319.65 | $2,131.00 | $468.82–$2,131.00 | 92% below | 85% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN/BRAIN STEM WO CON | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI/BRAIN W/WO CONTRAST | $319.65 | $2,131.00 | $468.82–$2,131.00 | 94% below | 85% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI/BRAIN W/WO CONTRAST | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WITHOUT CONTRAST | $319.65 | $2,131.00 | $468.82–$2,131.00 | 92% below | 85% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WITHOUT CONTRAST | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI/LUMBAR W/WO CONTRAST | $319.65 | $2,131.00 | $468.82–$2,131.00 | 95% below | 85% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI/LUMBAR W/WO CONTRAST | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC WITHOUT CONTRAST | $319.65 | $2,131.00 | $468.82–$2,131.00 | 92% below | 85% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC WITHOUT CONTRAST | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/WO CONTRAST | $319.65 | $2,131.00 | $468.82–$2,131.00 | 94% below | 85% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W/WO CONTRAST | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI/CERVICAL W/O CONTRAST | $319.65 | $2,131.00 | $468.82–$2,131.00 | 92% below | 85% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI/CERVICAL W/O CONTRAST | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONT | $319.65 | $2,131.00 | $468.82–$2,131.00 | 93% below | 85% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONT | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $319.65 | $2,131.00 | $468.82–$2,131.00 | 91% below | 85% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONT | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPPER EXT W/O CONT | $319.65 | $2,131.00 | $468.82–$2,131.00 | 86% below | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI UPPER EXTREM JOINT BILATERAL W/O | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI JOINT UPPER EXT W/O CONT | $319.65 | $2,131.00 | $468.82–$2,131.00 | — | 85% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NONOBS LIMITED/FU | $105.00 | $700.00 | $154.00–$700.00 | 89% below | 85% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NONOBS LIMITED/FU | $105.00 | $700.00 | $154.00–$700.00 | — | 85% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NONOBS COMPLETE | $105.00 | $700.00 | $23.48–$591.00 | 93% below | 85% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NONOBS COMPLETE | $105.00 | $700.00 | $154.00–$700.00 | — | 85% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB<14WKS SINGLE FETUS | $105.00 | $700.00 | $154.00–$700.00 | 88% below | 85% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB<14WKS SINGLE FETUS | $105.00 | $700.00 | $154.00–$700.00 | — | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $105.00 | $700.00 | $154.00–$700.00 | 84% below | 85% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED | $105.00 | $700.00 | $154.00–$700.00 | — | 85% |
| Screening mammogram, both breasts CPT 77067 MAMMO SCREEN DIGITAL W/CAD BIL | $52.50 | $350.00 | $30.07–$359.00 | 87% below | 85% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMO SCREEN DIGITAL W/CAD BIL | $52.50 | $350.00 | $77.00–$350.00 | — | 85% |
| Screening mammogram, both breasts inpatient CPT 77067 MAMMO SCREEN DIGITAL W/CAD UNI | $52.50 | $350.00 | $77.00–$350.00 | — | 85% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER CMP 2+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | 88% below | 85% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER CMP 2+ VIEWS BILAT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER CMP 2+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB | $105.00 | $700.00 | $23.48–$591.00 | 91% below | 85% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON-OB | $105.00 | $700.00 | $154.00–$700.00 | — | 85% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $46.05 | $307.00 | $67.54–$307.00 | 95% below | 85% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL | $46.05 | $307.00 | $67.54–$307.00 | — | 85% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $105.00 | $700.00 | $23.48–$591.00 | 95% below | 85% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE | $105.00 | $700.00 | $154.00–$700.00 | — | 85% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS | $105.00 | $700.00 | $23.48–$591.00 | 91% below | 85% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS | $105.00 | $700.00 | $154.00–$700.00 | — | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 NECK &/OR HEAD SOFT TISS U/S | $105.00 | $700.00 | $154.00–$700.00 | 91% below | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID SCAN | $105.00 | $700.00 | $23.48–$591.00 | 91% below | 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 | $105.00 | $700.00 | $154.00–$700.00 | — | 85% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 THYROID SCAN | $105.00 | $700.00 | $154.00–$700.00 | — | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS ULTRASOUND UNILATERAL | $106.80 | $712.00 | $23.48–$591.00 | 88% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS ULTRASOUND UNILATERAL | $106.80 | $712.00 | $156.64–$712.00 | — | 85% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST CMPL 3+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | 87% below | 85% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST CMPL 3+ VIEWS BILAT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST CMPL 3+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP XRAY 2-3 VIEWS UNILATERAL | $77.70 | $518.00 | $113.96–$518.00 | 86% below | 85% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP XRAY 2-3 VIEWS UNILATERAL | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the abdomen, 1 view CPT 74018 XRAY ABDOMEN SINGLE VIEW | $74.40 | $496.00 | $109.12–$496.00 | 87% below | 85% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XRAY ABDOMEN SINGLE VIEW | $74.40 | $496.00 | $109.12–$496.00 | — | 85% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEW | $71.85 | $479.00 | $105.38–$479.00 | 83% below | 85% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 2 VIEW BILATERAL | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEW | $71.85 | $479.00 | $105.38–$479.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 4TH 2+ VIEWS RT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 5TH 2+ VIEWS RT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 4TH 2+ VIEWS LT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 3RD 2+ VIEWS LT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2ND 2+ VIEWS LT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 THUMB 2+ VIEWS LT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 3RD 2+ VIEWS RT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2ND 2+ VIEWS RT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 5TH 2+ VIEWS LT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 THUMB 2+ VIEWS RT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEW | $77.70 | $518.00 | $113.96–$518.00 | 82% below | 85% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 2 VIEW BILATERAL | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEW | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT CMPL 3+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | 86% below | 85% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT CMPL 3+ VIEWS BILAT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT CMPL 3+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the hand, 3 or more views CPT 73130 HAND MINIMUM 3 VIEW | $77.70 | $518.00 | $113.96–$518.00 | 87% below | 85% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND CMP 3+V BILAT | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND MINIMUM 3 VIEW | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1 OR 2 VIEW | $77.70 | $518.00 | $113.96–$518.00 | 84% below | 85% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE AP/LATERAL BILATERAL | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1 OR 2 VIEW | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBOSACRAL 2-3 VIEWS | $59.70 | $398.00 | $87.56–$398.00 | 93% below | 85% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBOSACRAL 2-3 VIEWS | $59.70 | $398.00 | $87.56–$398.00 | — | 85% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBOSACRAL 4+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | 94% below | 85% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBOSACRAL 4+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEW | $77.70 | $518.00 | $113.96–$518.00 | 89% below | 85% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEW | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL CMPL 3+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | 90% below | 85% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL CMPL 3+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS | $77.70 | $518.00 | $113.96–$518.00 | 90% below | 85% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2 OR 3 VIEWS | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP | $77.70 | $518.00 | $113.96–$518.00 | 90% below | 85% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS AP | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX 2+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | 90% below | 85% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX 2+ VIEWS | $77.70 | $518.00 | $113.96–$518.00 | — | 85% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $14.55 | $97.00 | $1.17–$312.00 | 72% below | 85% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) | $14.55 | $97.00 | $21.34–$97.00 | — | 85% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $12.60 | $84.00 | $18.48–$84.00 | 80% below | 85% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) | $12.60 | $84.00 | $18.48–$84.00 | — | 85% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE | $33.75 | $225.00 | $4.80–$312.00 | 82% below | 85% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE | $33.75 | $225.00 | $49.50–$225.00 | — | 85% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB (SCREEN) | $11.10 | $74.00 | $16.28–$74.00 | 63% below | 85% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB (SCREEN) | $11.10 | $74.00 | $16.28–$74.00 | — | 85% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURIC PEPTIDE (BNP) | $23.55 | $157.00 | $34.54–$157.00 | 90% below | 85% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURIC PEPTIDE (BNP) | $23.55 | $157.00 | $34.54–$157.00 | — | 85% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC CALCIUM TOTAL | $20.85 | $139.00 | $1.86–$312.00 | 95% below | 85% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC CALCIUM TOTAL | $20.85 | $139.00 | $30.58–$139.00 | — | 85% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEV IV SURG PATH GROSS & MICRO | $33.75 | $225.00 | $49.50–$225.00 | 73% below | 85% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEV IV SURG PATH GROSS & MICRO | $33.75 | $225.00 | $49.50–$225.00 | — | 85% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $33.75 | $225.00 | $2.27–$312.00 | 91% below | 85% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $33.75 | $225.00 | $49.50–$225.00 | — | 85% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 CL VENOUS BLD BY VENIPUNCTURE IP/OP | $2.40 | $16.00 | $3.52–$16.00 | 89% below | 85% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $2.55 | $17.00 | $3.74–$17.00 | 89% below | 85% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CL VENOUS BLD BY VENIPUNCTURE IP/OP | $2.40 | $16.00 | $3.52–$16.00 | — | 85% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $2.55 | $17.00 | $3.74–$17.00 | — | 85% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $9.00 | $60.00 | $13.20–$60.00 | 85% below | 85% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $9.00 | $60.00 | $13.20–$60.00 | — | 85% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 B-HCG QUALITATIVE | $43.80 | $292.00 | $64.24–$292.00 | 68% below | 85% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 B-HCG QUALITATIVE | $43.80 | $292.00 | $64.24–$292.00 | — | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $19.35 | $129.00 | $2.30–$312.00 | 74% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 T & S ABO | $19.35 | $129.00 | $2.30–$312.00 | 74% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO | $19.35 | $129.00 | $28.38–$129.00 | — | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 T & S ABO | $19.35 | $129.00 | $28.38–$129.00 | — | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $13.35 | $89.00 | $1.14–$312.00 | 86% below | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $13.35 | $89.00 | $19.58–$89.00 | — | 85% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $35.40 | $236.00 | $4.58–$312.00 | 45% below | 85% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $35.40 | $236.00 | $51.92–$236.00 | — | 85% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $18.15 | $121.00 | $4.58–$312.00 | 82% below | 85% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $18.15 | $121.00 | $26.62–$121.00 | — | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 AMPLIFIED DNA/RNA PROBE TECHNIQUE | $28.65 | $191.00 | $42.02–$191.00 | 65% below | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 AMPLIFIED DNA/RNA PROBE TECHNIQUE | $28.65 | $191.00 | $42.02–$191.00 | — | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE | $23.40 | $156.00 | $7.72–$312.00 | 70% below | 85% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PROBE | $23.40 | $156.00 | $34.32–$156.00 | — | 85% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $25.20 | $168.00 | $36.96–$168.00 | 84% below | 85% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $25.20 | $168.00 | $36.96–$168.00 | — | 85% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $15.00 | $100.00 | $1.71–$312.00 | 80% below | 85% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $15.00 | $100.00 | $22.00–$100.00 | — | 85% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $18.60 | $124.00 | $1.42–$312.00 | 85% below | 85% |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED | $18.60 | $124.00 | $27.28–$124.00 | — | 85% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $25.80 | $172.00 | $2.32–$312.00 | 95% below | 85% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $25.80 | $172.00 | $37.84–$172.00 | — | 85% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER ASSAY QUANTITATIVE | $19.50 | $130.00 | $2.24–$312.00 | 93% below | 85% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER ASSAY QUANTITATIVE | $19.50 | $130.00 | $28.60–$130.00 | — | 85% |
| Estradiol blood test CPT 82670 ESTRADIOL | $12.46 | $83.05 | $6.15–$312.00 | 70% below | 85% |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $13.65 | $91.00 | $6.15–$312.00 | 68% below | 85% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $12.46 | $83.05 | $18.27–$83.05 | — | 85% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL | $13.65 | $91.00 | $20.02–$91.00 | — | 85% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $15.45 | $103.00 | $22.66–$103.00 | 79% below | 85% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $15.45 | $103.00 | $22.66–$103.00 | — | 85% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $30.30 | $202.00 | $3.00–$312.00 | 83% below | 85% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $30.30 | $202.00 | $44.44–$202.00 | — | 85% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $21.90 | $146.00 | $3.23–$312.00 | 87% below | 85% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE | $21.90 | $146.00 | $32.12–$146.00 | — | 85% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE(T3) FREE | $12.15 | $81.00 | $3.73–$312.00 | 87% below | 85% |
| Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE(T3) FREE | $12.15 | $81.00 | $17.82–$81.00 | — | 85% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE | $20.85 | $139.00 | $1.98–$312.00 | 78% below | 85% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE | $20.85 | $139.00 | $30.58–$139.00 | — | 85% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE/3 SPECIMENS | $24.90 | $166.00 | $36.52–$166.00 | 82% below | 85% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE/3 SPECIMENS | $24.90 | $166.00 | $36.52–$166.00 | — | 85% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA AMP PROBE | $24.00 | $160.00 | $7.72–$312.00 | 53% below | 85% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE DNA AMP PROBE | $24.00 | $160.00 | $35.20–$160.00 | — | 85% |
| H. pylori antibody blood test CPT 86677 H PYLORI | $7.80 | $52.00 | $11.44–$52.00 | 77% below | 85% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI | $7.80 | $52.00 | $11.44–$52.00 | — | 85% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 & 2 AB SCREEN | $16.35 | $109.00 | $3.02–$312.00 | 68% below | 85% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 & 2 AB SCREEN | $16.35 | $109.00 | $23.98–$109.00 | — | 85% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AG/HIV1 AND 2 AB | $10.80 | $72.00 | $5.23–$312.00 | 87% below | 85% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 AG/HIV1 AND 2 AB | $10.80 | $72.00 | $15.84–$72.00 | — | 85% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $16.95 | $113.00 | $24.86–$113.00 | 79% below | 85% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $16.95 | $113.00 | $24.86–$113.00 | — | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB | $19.65 | $131.00 | $28.82–$131.00 | 66% below | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB | $19.65 | $131.00 | $28.82–$131.00 | — | 85% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF AG | $21.30 | $142.00 | $31.24–$142.00 | 56% below | 85% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF AG | $21.30 | $142.00 | $31.24–$142.00 | — | 85% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $11.25 | $75.00 | $16.50–$75.00 | 80% below | 85% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $11.25 | $75.00 | $16.50–$75.00 | — | 85% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HI SENSITIV C-REACTIVE PROTEIN | $33.45 | $223.00 | $2.85–$312.00 | 48% below | 85% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HI SENSITIV C-REACTIVE PROTEIN | $33.45 | $223.00 | $49.06–$223.00 | — | 85% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $26.10 | $174.00 | $3.94–$312.00 | 50% below | 85% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $26.10 | $174.00 | $38.28–$174.00 | — | 85% |
| Iron blood test (serum iron) CPT 83540 (IRON) FE | $11.25 | $75.00 | $16.50–$75.00 | 85% below | 85% |
| Iron blood test (serum iron) inpatient CPT 83540 (IRON) FE | $11.25 | $75.00 | $16.50–$75.00 | — | 85% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $14.10 | $94.00 | $20.68–$94.00 | 89% below | 85% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $14.10 | $94.00 | $20.68–$94.00 | — | 85% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $33.60 | $224.00 | $49.28–$224.00 | 93% below | 85% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $33.60 | $224.00 | $49.28–$224.00 | — | 85% |
| LH (luteinizing hormone) test CPT 83002 LH | $15.75 | $105.00 | $23.10–$105.00 | 79% below | 85% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $15.75 | $105.00 | $23.10–$105.00 | — | 85% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $29.10 | $194.00 | $42.68–$194.00 | 62% below | 85% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $29.10 | $194.00 | $42.68–$194.00 | — | 85% |
| Liver function blood test panel CPT 80076 HEPATIC PANEL | $17.25 | $115.00 | $1.80–$312.00 | 96% below | 85% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL | $17.25 | $115.00 | $25.30–$115.00 | — | 85% |
| Magnesium blood test CPT 83735 MAGNESIUM | $13.20 | $88.00 | $19.36–$88.00 | 8% below | 85% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $13.20 | $88.00 | $19.36–$88.00 | — | 85% |
| Measles (rubeola) antibody test CPT 86765 ANTIBODY RUBEOLA | $9.90 | $66.00 | $2.83–$312.00 | 57% below | 85% |
| Measles (rubeola) antibody test inpatient CPT 86765 ANTIBODY RUBEOLA | $9.90 | $66.00 | $14.52–$66.00 | — | 85% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $31.20 | $208.00 | $45.76–$208.00 | 49% below | 85% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA | $31.20 | $208.00 | $45.76–$208.00 | — | 85% |
| Parathyroid hormone (PTH) blood test CPT 83970 N-PTH | $36.45 | $243.00 | $53.46–$243.00 | 66% below | 85% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 N-PTH | $36.45 | $243.00 | $53.46–$243.00 | — | 85% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN (PTT) PARTIAL | $20.85 | $139.00 | $1.32–$312.00 | 54% below | 85% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN (PTT) PARTIAL | $20.85 | $139.00 | $30.58–$139.00 | — | 85% |
| Progesterone blood test CPT 84144 PROGESTERONE | $11.40 | $76.00 | $4.59–$312.00 | 81% below | 85% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $11.40 | $76.00 | $16.72–$76.00 | — | 85% |
| Prolactin blood test CPT 84146 PROLACTIN | $36.15 | $241.00 | $53.02–$241.00 | 48% below | 85% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $36.15 | $241.00 | $53.02–$241.00 | — | 85% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $14.10 | $94.00 | $0.94–$312.00 | 65% below | 85% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $14.10 | $94.00 | $20.68–$94.00 | — | 85% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $15.90 | $106.00 | $3.64–$312.00 | 89% below | 85% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B | $15.90 | $106.00 | $23.32–$106.00 | — | 85% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (RF) QUANT | $21.60 | $144.00 | $1.25–$312.00 | 20% below | 85% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR (RF) QUANT | $21.60 | $144.00 | $31.68–$144.00 | — | 85% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $9.45 | $63.00 | $3.17–$312.00 | 50% below | 85% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY | $9.45 | $63.00 | $13.86–$63.00 | — | 85% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD | $16.05 | $107.00 | $23.54–$107.00 | 78% below | 85% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD | $16.05 | $107.00 | $23.54–$107.00 | — | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $5.10 | $34.00 | $0.94–$312.00 | 76% below | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL | $5.10 | $34.00 | $7.48–$34.00 | — | 85% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $11.55 | $77.00 | $5.68–$312.00 | 69% below | 85% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $11.55 | $77.00 | $16.94–$77.00 | — | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $25.80 | $172.00 | $3.70–$312.00 | 84% below | 85% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $25.80 | $172.00 | $37.84–$172.00 | — | 85% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECHNIQUE | $15.75 | $105.00 | $23.10–$105.00 | 74% below | 85% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS, AMPLIFIED PROBE TECHNIQUE | $16.80 | $112.00 | $7.72–$312.00 | 73% below | 85% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECHNIQUE | $15.75 | $105.00 | $23.10–$105.00 | — | 85% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS, AMPLIFIED PROBE TECHNIQUE | $16.80 | $112.00 | $24.64–$112.00 | — | 85% |
| Uric acid blood test CPT 84550 URIC ACID | $11.25 | $75.00 | $16.50–$75.00 | 92% below | 85% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $11.25 | $75.00 | $16.50–$75.00 | — | 85% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICROSCOPY | $13.20 | $88.00 | $19.36–$88.00 | 93% below | 85% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICROSCOPY | $13.20 | $88.00 | $19.36–$88.00 | — | 85% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICROSCOPY | $13.05 | $87.00 | $19.14–$87.00 | 89% below | 85% |
| Urinalysis without microscope exam, automated CPT 81003 URINE BIOCHEMICAL TEST | $13.05 | $87.00 | $19.14–$87.00 | 89% below | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE BIOCHEMICAL TEST | $13.05 | $87.00 | $19.14–$87.00 | — | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICROSCOPY | $13.05 | $87.00 | $19.14–$87.00 | — | 85% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $17.70 | $118.00 | $1.78–$312.00 | 94% below | 85% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $17.70 | $118.00 | $25.96–$118.00 | — | 85% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12-LAB | $23.40 | $156.00 | $3.32–$312.00 | 86% below | 85% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12-LAB | $23.40 | $156.00 | $34.32–$156.00 | — | 85% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $37.50 | $250.00 | $6.51–$312.00 | 24% below | 85% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $37.50 | $250.00 | $55.00–$250.00 | — | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B-HCG QUANTITATIVE | $38.85 | $259.00 | $3.31–$312.00 | 62% below | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 B-HCG QUANTITATIVE | $38.85 | $259.00 | $56.98–$259.00 | — | 85% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECT EXTERNAL | $174.75 | $1,165.00 | $256.30–$1,165.00 | 92% below | 85% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECT EXTERNAL | $174.75 | $1,165.00 | $256.30–$1,165.00 | — | 85% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMP CERUMEN IRR/LAV UNI | $10.05 | $67.00 | $14.74–$67.00 | 97% below | 85% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMP CERUMEN IRR/LAV UNI | $10.05 | $67.00 | $14.74–$67.00 | — | 85% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE OR SINGLE | $56.10 | $374.00 | $82.28–$374.00 | 92% below | 85% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE OR SINGLE | $56.10 | $374.00 | $82.28–$374.00 | — | 85% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ 1 TEND/LIG PLANT FASC | $44.70 | $298.00 | $65.19–$2,356.00 | 93% below | 85% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ 1 TEND/LIG PLANT FASC | $44.70 | $298.00 | $65.56–$298.00 | — | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ER PRO FEE - ARTHRO/ASP/INJECT MAJOR JT W/O US | $60.15 | $401.00 | $65.19–$2,356.00 | 92% below | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASP OR INJ LG | $93.00 | $620.00 | $65.19–$2,356.00 | 88% below | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ER PRO FEE - ARTHRO/ASP/INJECT MAJOR JT W/O US | $60.15 | $401.00 | $88.22–$401.00 | — | 85% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS ASP OR INJ LG | $93.00 | $620.00 | $136.40–$620.00 | — | 85% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ER PRO FEE - LAC REPAIR INTERM SCALP/EXT <= 2.5 CM | $73.95 | $493.00 | $88.23–$2,356.00 | 93% below | 85% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LACERATION REPAIR MED/LAYERED | $114.45 | $763.00 | $167.86–$763.00 | 89% below | 85% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ER PRO FEE - LAC REPAIR INTERM SCALP/EXT <= 2.5 CM | $73.95 | $493.00 | $108.46–$493.00 | — | 85% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LACERATION REPAIR MED/LAYERED | $114.45 | $763.00 | $167.86–$763.00 | — | 85% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVE NAIL PART OR CMPLT SNGL | $30.30 | $202.00 | $42.63–$2,356.00 | 94% below | 85% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVE NAIL PART OR CMPLT SNGL | $30.30 | $202.00 | $44.44–$202.00 | — | 85% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISE INGROWN TOENAIL | $124.35 | $829.00 | $182.38–$829.00 | 90% below | 85% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISE INGROWN TOENAIL | $124.35 | $829.00 | $182.38–$829.00 | — | 85% |
| Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY REM/WOUND EXPLORE | $67.65 | $451.00 | $99.22–$451.00 | 93% below | 85% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 FOREIGN BODY REM/WOUND EXPLORE | $67.65 | $451.00 | $99.22–$451.00 | — | 85% |
| Short arm splint (forearm and hand) CPT 29125 APP SH AR SPL F/AR HND STA UNI | $60.15 | $401.00 | $88.22–$401.00 | 84% below | 85% |
| Short arm splint (forearm and hand) one side CPT 29125 APPLY SPLINT SHORT ARM STATIC UNILATERAL | $60.15 | $401.00 | $88.22–$401.00 | 84% below | 85% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APP SH AR SPL F/AR HND STA UNI | $60.15 | $401.00 | $88.22–$401.00 | — | 85% |
| Short arm splint (forearm and hand) inpatient one side CPT 29125 APPLY SPLINT SHORT ARM STATIC UNILATERAL | $60.15 | $401.00 | $88.22–$401.00 | — | 85% |
| Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPL CALF-FT UNI | $60.60 | $404.00 | $88.88–$404.00 | 87% below | 85% |
| Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPL CALF-FT UNI | $60.60 | $404.00 | $88.88–$404.00 | — | 85% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION REPAIR SIMPLE | $97.20 | $648.00 | $142.56–$648.00 | 81% below | 85% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LACERATION REPAIR SIMPLE | $97.20 | $648.00 | $142.56–$648.00 | — | 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 | $272.70 | $1,818.00 | $43.88–$2,356.00 | 51% 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 | $272.70 | $1,818.00 | $399.96–$1,818.00 | — | 85% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ER PRO FEE - LAC REPAIR SIMPLE FACE/EAR =< 2.5 CM | $36.45 | $243.00 | $43.88–$2,356.00 | 92% below | 85% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC REPAIR SIMPLE FACE/EARS/EYELIDS =< 2.5 CM | $198.15 | $1,321.00 | $43.88–$2,356.00 | 58% below | 85% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ER PRO FEE - LAC REPAIR SIMPLE FACE/EAR =< 2.5 CM | $36.45 | $243.00 | $53.46–$243.00 | — | 85% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC REPAIR SIMPLE FACE/EARS/EYELIDS =< 2.5 CM | $198.15 | $1,321.00 | $290.62–$1,321.00 | — | 85% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSCL | $117.60 | $784.00 | $172.48–$784.00 | 85% below | 85% |
| Trigger point injections, 1 or 2 muscles CPT 20552 ER PRO FEE - INJECT SING/MULT TRIGGER PT 1-2 MUSC | $154.50 | $1,030.00 | $65.19–$2,356.00 | 81% below | 85% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1-2 MUSCL | $117.60 | $784.00 | $172.48–$784.00 | — | 85% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ER PRO FEE - INJECT SING/MULT TRIGGER PT 1-2 MUSC | $154.50 | $1,030.00 | $226.60–$1,030.00 | — | 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 | $201.75 | $1,345.00 | $96.54–$2,831.00 | 84% below | 85% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSE BLOOD OR BLOOD PRODUCTS | $201.75 | $1,345.00 | $295.90–$1,345.00 | — | 85% |
| Critical care, first 30 to 74 minutes CPT 99291 LEVEL 6 CRITICAL CARE 30-74MIN | $322.35 | $2,149.00 | $472.78–$2,149.00 | 93% below | 85% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 LEVEL 6 CRIT CARE 30-74MIN W/MOD | $322.35 | $2,149.00 | $472.78–$2,149.00 | — | 85% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 LEVEL 6 CRITICAL CARE 30-74MIN | $322.35 | $2,149.00 | $472.78–$2,149.00 | — | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-ROUTINE | $48.45 | $323.00 | $71.06–$323.00 | 88% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-ROUTINE | $48.45 | $323.00 | $71.06–$323.00 | — | 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 | $67.50 | $450.00 | $99.00–$450.00 | 86% 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 | $67.50 | $450.00 | $99.00–$450.00 | — | 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 | $67.50 | $450.00 | $99.00–$450.00 | — | 85% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 ED VISIT STRAIGHTFORWARD DECISION | $135.00 | $900.00 | $198.00–$900.00 | 85% below | 85% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 ED VISIT STRAIGHTFORWARD DECISION | $135.00 | $900.00 | $198.00–$900.00 | — | 85% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 ED VISIT STRAIGHTFORWARD DECISION W/MOD | $135.00 | $900.00 | $198.00–$900.00 | — | 85% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 ED VISIT LOW LEVEL DECISION | $180.00 | $1,200.00 | $264.00–$1,200.00 | 88% below | 85% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 ED VISIT LOW LEVEL DECISION W/MODIFIER | $180.00 | $1,200.00 | $264.00–$1,200.00 | — | 85% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 ED VISIT LOW LEVEL DECISION | $180.00 | $1,200.00 | $264.00–$1,200.00 | — | 85% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 ED VISIT MODERATE LEVEL DECISION | $270.00 | $1,800.00 | $396.00–$1,800.00 | 89% below | 85% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 ED VISIT MODERATE LEVEL DECISION | $270.00 | $1,800.00 | $396.00–$1,800.00 | — | 85% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 ED VISIT MODERATE LEVEL DECISION W/MOD | $270.00 | $1,800.00 | $396.00–$1,800.00 | — | 85% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 ED VISIT HIGH LEVEL DECISION | $270.00 | $1,800.00 | $396.00–$1,800.00 | 92% below | 85% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 ED VISIT HIGH LEVEL DECISION | $270.00 | $1,800.00 | $396.00–$1,800.00 | — | 85% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 ED VISIT HIGH LEVEL DECISION W/MODIFIER | $270.00 | $1,800.00 | $396.00–$1,800.00 | — | 85% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GXT PHARMALOGIC STRESS ECHO | $230.85 | $1,539.00 | $338.58–$1,539.00 | 88% below | 85% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 GXT PHARMALOGIC STRESS ECHO | $230.85 | $1,539.00 | $338.58–$1,539.00 | — | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION ONLY 31 MIN-1 HR | $36.75 | $245.00 | $53.90–$245.00 | 94% below | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INITIAL 16-90 MIN | $73.35 | $489.00 | $107.58–$489.00 | 89% below | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION ONLY 31 MIN-1 HR | $36.75 | $245.00 | $53.90–$245.00 | — | 85% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INITIAL 16-90 MIN | $73.35 | $489.00 | $107.58–$489.00 | — | 85% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INITIAL 16-90 MIN | $71.85 | $479.00 | $105.38–$479.00 | 91% below | 85% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL UP TO 1 HR | $71.85 | $479.00 | $105.38–$479.00 | 91% below | 85% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INITIAL 16-90 MIN | $71.85 | $479.00 | $105.38–$479.00 | — | 85% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL UP TO 1 HR | $71.85 | $479.00 | $105.38–$479.00 | — | 85% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC IM/SUBQ | $10.65 | $71.00 | $15.62–$71.00 | 94% below | 85% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECT THERAPEUTIC IM/SUBQ-OP | $10.65 | $71.00 | $15.62–$71.00 | 94% below | 85% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECT THER/PROPH/DIAG SC/IM | $21.30 | $142.00 | $31.24–$142.00 | 88% below | 85% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION THERAPEUTIC IM/SUBQ | $10.65 | $71.00 | $15.62–$71.00 | — | 85% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECT THERAPEUTIC IM/SUBQ-OP | $10.65 | $71.00 | $15.62–$71.00 | — | 85% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECT THER/PROPH/DIAG SC/IM | $21.30 | $142.00 | $31.24–$142.00 | — | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN IP | $13.20 | $88.00 | $19.36–$88.00 | — | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN BY PTA IP | $13.20 | $88.00 | $19.36–$88.00 | — | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN OP | $18.00 | $120.00 | $26.40–$120.00 | — | 85% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-ED EA 15 MIN BY PTA OP | $18.00 | $120.00 | $26.40–$120.00 | — | 85% |
| New patient office visit, about 30 minutes CPT 99203 OUTPATIENT VISIT E&M NEW 30-44 MINUTES | $44.55 | $297.00 | $65.34–$297.00 | 91% below | 85% |
| New patient office visit, about 30 minutes inpatient CPT 99203 TELEHEALTH - OUTPATIENT VISIT E&M NEW 30-44 MINS | $44.55 | $297.00 | $65.34–$297.00 | — | 85% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OUTPATIENT VISIT E&M NEW 30-44 MINUTES | $44.55 | $297.00 | $65.34–$297.00 | — | 85% |
| New patient office visit, about 45 minutes CPT 99204 OUTPATIENT VISIT E&M NEW 45-59 MINUTES | $48.15 | $321.00 | $70.62–$321.00 | 93% below | 85% |
| New patient office visit, about 45 minutes inpatient CPT 99204 TELEHEALTH - OUTPATIENT VISIT E&M NEW 45-59 MINS | $48.15 | $321.00 | $70.62–$321.00 | — | 85% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OUTPATIENT VISIT E&M NEW 45-59 MINUTES | $48.15 | $321.00 | $70.62–$321.00 | — | 85% |
| New patient office visit, about 60 minutes CPT 99205 OUTPATIENT VISIT E&M NEW 60-74 MINUTES | $51.75 | $345.00 | $75.90–$345.00 | 93% below | 85% |
| New patient office visit, about 60 minutes inpatient CPT 99205 TELEHEALTH-OUTPATIENT VISIT E&M NEW 60-74 MINUTES | $51.75 | $345.00 | $75.90–$345.00 | — | 85% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OUTPATIENT VISIT E&M NEW 60-74 MINUTES | $51.75 | $345.00 | $75.90–$345.00 | — | 85% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPATIENT VISIT E&M NEW 15-29 MINUTES | $40.95 | $273.00 | $60.06–$273.00 | 85% below | 85% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OUTPATIENT VISIT E&M NEW 15-29 MINUTES | $40.95 | $273.00 | $60.06–$273.00 | — | 85% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 TELEHEALTH - OUTPATIENT VISIT E&M NEW 15-29 MINS | $40.95 | $273.00 | $60.06–$273.00 | — | 85% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 30 MINS OP | $29.70 | $198.00 | $43.56–$198.00 | — | 85% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MINS IP | $42.60 | $284.00 | $62.48–$284.00 | — | 85% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 20 MINS IP | $22.50 | $150.00 | $33.00–$150.00 | — | 85% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 20 MINS OP | $33.75 | $225.00 | $49.50–$225.00 | — | 85% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY 30 MINS OP | $39.90 | $266.00 | $58.52–$266.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES IP | $9.90 | $66.00 | $14.52–$66.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES BY PTA OP | $15.00 | $100.00 | $22.00–$100.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MINUTES OP | $15.00 | $100.00 | $22.00–$100.00 | — | 85% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MIN IP | $21.90 | $146.00 | $32.12–$146.00 | — | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN BY PTA IP | $13.50 | $90.00 | $19.80–$90.00 | — | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN IP | $13.50 | $90.00 | $19.80–$90.00 | — | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN OP | $19.50 | $130.00 | $28.60–$130.00 | — | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE EA 15 MIN BY PTA OP | $19.50 | $130.00 | $28.60–$130.00 | — | 85% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPATIENT VISIT E&M EST 40-54 MINUTES | $51.75 | $345.00 | $75.90–$345.00 | 92% below | 85% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TELEHEALTH - OUTPATIENT VISIT E&M EST 40-54 MINS | $51.75 | $345.00 | $75.90–$345.00 | — | 85% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OUTPATIENT VISIT E&M EST 40-54 MINUTES | $51.75 | $345.00 | $75.90–$345.00 | — | 85% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPATIENT VISIT E&M EST 20-29 MINUTES | $44.55 | $297.00 | $65.34–$297.00 | 88% below | 85% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TELEHEALTH - OUTPATIENT VISIT E&M EST 20-29 MINS | $44.55 | $297.00 | $65.34–$297.00 | — | 85% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OUTPATIENT VISIT E&M EST 20-29 MINUTES | $44.55 | $297.00 | $65.34–$297.00 | — | 85% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPATIENT VISIT E&M EST 30-39 MINUTES | $48.15 | $321.00 | $70.62–$321.00 | 91% below | 85% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TELEHEALTH - OUTPATIENT VISIT E&M EST 30-39 MINS | $48.15 | $321.00 | $70.62–$321.00 | — | 85% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OUTPATIENT VISIT E&M EST 30-39 MINUTES | $48.15 | $321.00 | $70.62–$321.00 | — | 85% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUTPATIENT VISIT E&M EST 10-19 MINUTES | $40.95 | $273.00 | $60.06–$273.00 | 88% below | 85% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OUTPATIENT VISIT E&M EST 10-19 MINUTES | $40.95 | $273.00 | $60.06–$273.00 | — | 85% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TELEHEALTH - OUTPATIENT VISIT E&M EST 10-19 MINS | $40.95 | $273.00 | $60.06–$273.00 | — | 85% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH PROD W/COMP IP | $37.20 | $248.00 | $54.56–$248.00 | — | 85% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH PROD W/COMP OP | $39.90 | $266.00 | $58.52–$266.00 | — | 85% |
| Speech therapy session, individual inpatient CPT 92507 TREAT SP LANG VOICE AUD INDIV IP | $35.70 | $238.00 | $52.36–$238.00 | — | 85% |
| Speech therapy session, individual inpatient CPT 92507 TREAT SP LANG VOICE AUD INDIV OP | $39.90 | $266.00 | $58.52–$266.00 | — | 85% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY/PFT | $53.85 | $359.00 | $78.98–$359.00 | 84% below | 85% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY/PFT | $53.85 | $359.00 | $78.98–$359.00 | — | 85% |
| Spirometry before and after a bronchodilator CPT 94060 PRE/POST SPIROMETRY W/DILATOR | $140.70 | $938.00 | $206.36–$938.00 | 84% below | 85% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PRE/POST SPIROMETRY W/DILATOR | $140.70 | $938.00 | $206.36–$938.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES 15 MIN IP | $10.05 | $67.00 | $14.74–$67.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN IP | $10.05 | $67.00 | $14.74–$67.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN BY PTA IP | $10.05 | $67.00 | $14.74–$67.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15MIN BY PTA OP | $15.00 | $100.00 | $22.00–$100.00 | — | 85% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY EA 15 MIN OP | $15.00 | $100.00 | $22.00–$100.00 | — | 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 | $363.66–$1,653.00 | 22% below | 85% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine 0.5 mL injection | $247.95 | $1,653.00 | $363.66–$1,653.00 | 22% below | 85% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine 0.5 mL injection | $247.95 | $1,653.00 | $363.66–$1,653.00 | — | 85% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine 0.5 mL injection | $247.95 | $1,653.00 | $363.66–$1,653.00 | — | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine inactivated preservative-free trivalent suspension | $49.80 | $332.00 | $73.04–$332.00 | 39% below | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine inactivated preservative-free trivalent suspension | $49.80 | $332.00 | $73.04–$332.00 | 39% below | 85% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine inactivated preservative-free trivalent suspension | $49.80 | $332.00 | $73.04–$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 | $73.04–$332.00 | — | 85% |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 50 units/1 mL injection | $124.05 | $827.00 | $181.94–$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–$17.16 | 28% below | 85% |
| Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vaccine 1440 units/mL preservative free SUSP | $136.65 | $911.00 | $200.42–$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 | $200.42–$911.00 | 21% below | 85% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 50 units/1 mL injection | $124.05 | $827.00 | $181.94–$827.00 | — | 85% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vaccine 50 units/1 mL injection | $124.05 | $827.00 | $181.94–$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 | $200.42–$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 | $200.42–$911.00 | — | 85% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL injection | $146.85 | $979.00 | $215.38–$979.00 | 35% below | 85% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL injection | $146.85 | $979.00 | $215.38–$979.00 | 35% below | 85% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine 0.5 mL injection | $146.85 | $979.00 | $215.38–$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 | $215.38–$979.00 | — | 85% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vac 0.5 mL injection MENVEO | $237.30 | $1,582.00 | $348.04–$1,582.00 | 54% below | 85% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vac 0.5 mL injection MENVEO | $237.30 | $1,582.00 | $348.04–$1,582.00 | 54% below | 85% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vac 0.5 mL injection MENACTRA | $240.60 | $1,604.00 | $352.88–$1,604.00 | 54% below | 85% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vac 0.5 mL injection MENACTRA | $240.60 | $1,604.00 | $352.88–$1,604.00 | 54% below | 85% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vac 0.5 mL injection MENVEO | $237.30 | $1,582.00 | $348.04–$1,582.00 | — | 85% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vac 0.5 mL injection MENVEO | $237.30 | $1,582.00 | $348.04–$1,582.00 | — | 85% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vac 0.5 mL injection MENACTRA | $240.60 | $1,604.00 | $352.88–$1,604.00 | — | 85% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vac 0.5 mL injection MENACTRA | $240.60 | $1,604.00 | $352.88–$1,604.00 | — | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL injection | $195.75 | $1,305.00 | $287.10–$1,305.00 | 50% below | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL injection | $195.75 | $1,305.00 | $287.10–$1,305.00 | 50% below | 85% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-polyvalent vaccine 0.5 mL injection | $195.75 | $1,305.00 | $287.10–$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 | $287.10–$1,305.00 | — | 85% |
| Rabies vaccine, one dose CPT 90675 rabies vaccine 2.5 units/1 mL (RABAVERT) injection | $315.00 | $2,100.00 | $462.00–$2,100.00 | 75% below | 85% |
| Rabies vaccine, one dose CPT 90675 rabies vaccine 2.5 units/1 mL (RABAVERT) injection | $315.00 | $2,100.00 | $462.00–$2,100.00 | 75% below | 85% |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine 2.5 units/1 mL (RABAVERT) injection | $315.00 | $2,100.00 | $462.00–$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 | $462.00–$2,100.00 | — | 85% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine (Shingrix) inactivated adjuvanted PDWI | $315.00 | $2,100.00 | $462.00–$2,100.00 | 9% below | 85% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine (Shingrix) inactivated adjuvanted PDWI | $315.00 | $2,100.00 | $462.00–$2,100.00 | 9% below | 85% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine (Shingrix) inactivated adjuvanted PDWI | $315.00 | $2,100.00 | $462.00–$2,100.00 | — | 85% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine (Shingrix) inactivated adjuvanted PDWI | $315.00 | $2,100.00 | $462.00–$2,100.00 | — | 85% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 typhoid vaccine inactivated 0.5 mL injection | $136.50 | $910.00 | $16.34–$17.16 | 47% below | 85% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 typhoid vaccine inactivated 0.5 mL injection | $136.50 | $910.00 | $200.20–$910.00 | 47% below | 85% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 typhoid vaccine inactivated 0.5 mL injection | $136.50 | $910.00 | $200.20–$910.00 | — | 85% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 typhoid vaccine inactivated 0.5 mL injection | $136.50 | $910.00 | $200.20–$910.00 | — | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN INITIAL VAC | $8.85 | $59.00 | $12.98–$59.00 | 93% below | 85% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN INITIAL VAC | $8.85 | $59.00 | $12.98–$59.00 | — | 85% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADDL VAC | $12.00 | $80.00 | $17.60–$80.00 | 90% below | 85% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA ADDL VAC | $12.00 | $80.00 | $17.60–$80.00 | — | 85% |
Source file: https://baptisthealthcare.pt.panaceainc.com/MRFDownload/baptisthealthcare/jay