Flint River Community Hospital
Listed in its price file as “Premier Healthcare Investments LLC”.
Flint River Community Hospital in Montezuma, GA publishes cash prices for 101 common procedures listed here, from its own machine-readable price file updated Jun 3, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 73 of 92 procedures and above it for 19. By typical cash price it ranks #19 of 64 Georgia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
509 Sumter Street, Montezuma, GA, 31063 Collected Sep 27, 2026 Source price file (478) 472-3100
Acute care hospital No emergency department CCN 110190 · 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 both sides CPT 73610 XR ANKLE COMPLETE MIN 3 VIEW BILAT | $348.75 | $465.00 | $88.91 | — | 25% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR ANKLE COMPLETE MIN 3 VIEW BILAT | $348.75 | $465.00 | $88.91 | — | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN WO CONTRAST | $1,107.75 | $1,477.00 | $106.81 | 19% below | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN WO CONTRAST | $1,107.75 | $1,477.00 | $106.81 | — | 25% |
| CT scan of the head with contrast CPT 70460 CT BRAIN W CONTRAST | $1,706.25 | $2,275.00 | $179.20 | 7% above | 25% |
| CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W CONTRAST | $1,706.25 | $2,275.00 | $179.20 | — | 25% |
| CT scan of the head without and with contrast CPT 70470 CT BRAIN WWO CONTRAST | $1,843.50 | $2,458.00 | $179.20 | 2% below | 25% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN WWO CONTRAST | $1,843.50 | $2,458.00 | $179.20 | — | 25% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA LAT | $231.00 | $308.00 | $88.91 | 20% below | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA LAT | $231.00 | $308.00 | $88.91 | — | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL US | $540.00 | $720.00 | $106.81 | 7% below | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL US | $540.00 | $720.00 | $106.81 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOWER ARTERIAL EXT BILAT | $693.75 | $925.00 | $243.77 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LOWER ARTERIAL EXT BILAT | $693.75 | $925.00 | $243.77 | — | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED LIVER | $423.00 | $564.00 | $106.81 | 14% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $423.00 | $564.00 | $106.81 | 14% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED LIVER | $423.00 | $564.00 | $106.81 | — | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED | $423.00 | $564.00 | $106.81 | — | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $2,091.75 | $2,789.00 | $243.77 | 22% above | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $2,091.75 | $2,789.00 | $243.77 | — | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WWO CONTRAST | $4,305.00 | $5,740.00 | $356.43 | 58% above | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WWO CONTRAST | $4,305.00 | $5,740.00 | $356.43 | — | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC US | $363.75 | $485.00 | $106.81 | 38% below | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC US | $363.75 | $485.00 | $106.81 | — | 25% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER COMP MIN 2 VW BILAT | $348.75 | $465.00 | $88.91 | — | 25% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR SHOULDER COMP MIN 2 VW BILAT | $348.75 | $465.00 | $88.91 | — | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL US COMPLETE | $564.75 | $753.00 | $106.81 | 29% below | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL US COMPLETE | $564.75 | $753.00 | $106.81 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT LOWER VENOUS DUPLEX LT | $564.75 | $753.00 | $106.81 | 11% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT LOWER VENOUS DUPLEX RT | $564.75 | $753.00 | $106.81 | 11% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT LOWER VENOUS DUPLEX LT | $564.75 | $753.00 | $106.81 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT LOWER VENOUS DUPLEX RT | $564.75 | $753.00 | $106.81 | — | 25% |
| X-ray of the abdomen, 1 view CPT 74018 XR KUB | $162.75 | $217.00 | $88.91 | 43% below | 25% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR KUB | $162.75 | $217.00 | $88.91 | — | 25% |
| X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE 2 VIEWS BILAT | $324.00 | $432.00 | $88.91 | — | 25% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR ANKLE 2 VIEWS BILAT | $324.00 | $432.00 | $88.91 | — | 25% |
| X-ray of the foot, 2 views both sides CPT 73620 XR FOOT 2 VIEWS BILAT | $324.00 | $432.00 | $88.91 | — | 25% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 XR FOOT 2 VIEWS BILAT | $324.00 | $432.00 | $88.91 | — | 25% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT MIN 3 VIEWS BILAT | $348.75 | $465.00 | $88.91 | — | 25% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR FOOT MIN 3 VIEWS BILAT | $348.75 | $465.00 | $88.91 | — | 25% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE 1 OR 2 VIEW BILAT | $324.00 | $432.00 | $88.91 | — | 25% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR KNEE 1 OR 2 VIEW BILAT | $324.00 | $432.00 | $88.91 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2V | $204.00 | $272.00 | $106.81 | 40% below | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L SPINE 2 OR 3 VIEWS | $204.00 | $272.00 | $106.81 | 40% below | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBER SPINE 3V | $204.00 | $272.00 | $106.81 | 40% below | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2V | $204.00 | $272.00 | $106.81 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBER SPINE 3V | $204.00 | $272.00 | $106.81 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L SPINE 2 OR 3 VIEWS | $204.00 | $272.00 | $106.81 | — | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L SPINE MIN 4 VIEWS | $374.25 | $499.00 | $106.81 | 26% below | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L SPINE MIN 4 VIEWS | $374.25 | $499.00 | $106.81 | — | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T SPINE AP LAT | $189.00 | $252.00 | $106.81 | 42% below | 25% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR T SPINE AP LAT | $189.00 | $252.00 | $106.81 | — | 25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES MIN 3 VIEWS | $207.00 | $276.00 | $88.91 | 19% below | 25% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES MIN 3 VIEWS | $207.00 | $276.00 | $88.91 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 3V | $204.00 | $272.00 | $88.91 | 42% below | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2V | $204.00 | $272.00 | $88.91 | 42% below | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C SPINE 2 OR 3 VIEWS | $204.00 | $272.00 | $88.91 | 42% below | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C SPINE 2 OR 3 VIEWS | $204.00 | $272.00 | $88.91 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 3V | $204.00 | $272.00 | $88.91 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2V | $204.00 | $272.00 | $88.91 | — | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEW | $210.00 | $280.00 | $106.81 | 13% below | 25% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEW | $210.00 | $280.00 | $106.81 | — | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR COCCYX AND SACRUM MIN 2 VW | $185.25 | $247.00 | $88.91 | 35% below | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR COCCYX AND SACRUM MIN 2 VW | $185.25 | $247.00 | $88.91 | — | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE | $62.25 | $83.00 | $5.30 | 41% above | 25% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE | $62.25 | $83.00 | $5.30 | — | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $42.75 | $57.00 | $5.18 | 13% above | 25% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST | $42.75 | $57.00 | $5.18 | — | 25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $253.50 | $338.00 | $47.63 | 29% below | 25% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL | $253.50 | $338.00 | $47.63 | — | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRUL PEPTIDE | $134.25 | $179.00 | $12.95 | 4% above | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRUL PEPTIDE | $134.25 | $179.00 | $12.95 | — | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $75.75 | $101.00 | $12.09 | 41% below | 25% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $75.75 | $101.00 | $12.09 | — | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE | $217.50 | $290.00 | $39.26 | 58% above | 25% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIURETIC PEPTIDE | $217.50 | $290.00 | $39.26 | — | 25% |
| Basic metabolic panel (blood test) CPT 80048 REPEAT BASIC METABOLIC PANEL | $61.50 | $82.00 | $8.46 | 25% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $89.25 | $119.00 | $8.46 | 9% above | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 REPEAT BASIC METABOLIC PANEL | $61.50 | $82.00 | $8.46 | — | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $89.25 | $119.00 | $8.46 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE LABCORP | $9.00 | $12.00 | $9.34 | 31% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE INS | $19.50 | $26.00 | $9.34 | 50% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE LABCORP | $9.00 | $12.00 | $9.34 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE INS | $19.50 | $26.00 | $9.34 | — | 25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $31.50 | $42.00 | $3.93 | 14% below | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $31.50 | $42.00 | $3.93 | — | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM | $43.50 | $58.00 | $7.52 | 68% below | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM | $43.50 | $58.00 | $7.52 | — | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CREACTIVE PROTEIN | $47.25 | $63.00 | $5.18 | 66% below | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CREACTIVE PROTEIN | $47.25 | $63.00 | $5.18 | — | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PROBE | $138.75 | $185.00 | $35.09 | 85% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS PROBE | $138.75 | $185.00 | $35.09 | — | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $90.75 | $121.00 | $13.39 | 7% above | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $90.75 | $121.00 | $13.39 | — | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC W DIFF W PLT | $70.50 | $94.00 | $7.77 | 8% above | 25% |
| Complete blood count (CBC) with differential CPT 85025 REPEAT CBC AUTO DIFF | $70.50 | $94.00 | $7.77 | 8% above | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W DIFF W PLT | $70.50 | $94.00 | $7.77 | — | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 REPEAT CBC AUTO DIFF | $70.50 | $94.00 | $7.77 | — | 25% |
| Complete blood count (CBC), no differential CPT 85027 REPEAT CBC MANUAL DIFF | $108.00 | $144.00 | $6.47 | 127% above | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 REPEAT CBC MANUAL DIFF | $108.00 | $144.00 | $6.47 | — | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 REPEAT CMP | $75.75 | $101.00 | $10.56 | 29% below | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $121.50 | $162.00 | $10.56 | 13% above | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 REPEAT CMP | $75.75 | $101.00 | $10.56 | — | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $121.50 | $162.00 | $10.56 | — | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER | $87.00 | $116.00 | $10.18 | 18% below | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTI | $103.50 | $138.00 | $10.18 | 2% below | 25% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER | $87.00 | $116.00 | $10.18 | — | 25% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTI | $103.50 | $138.00 | $10.18 | — | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $84.00 | $112.00 | $18.58 | 45% below | 25% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $84.00 | $112.00 | $18.58 | — | 25% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $69.00 | $92.00 | $13.63 | 48% below | 25% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $69.00 | $92.00 | $13.63 | — | 25% |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $87.75 | $117.00 | $14.70 | 41% below | 25% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $87.75 | $117.00 | $14.70 | — | 25% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $110.25 | $147.00 | $16.94 | 33% below | 25% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $110.25 | $147.00 | $16.94 | — | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $67.50 | $90.00 | $9.02 | 51% below | 25% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE | $67.50 | $90.00 | $9.02 | — | 25% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $96.00 | $128.00 | $25.47 | 54% below | 25% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $96.00 | $128.00 | $25.47 | — | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA PROBE | $138.75 | $185.00 | $35.09 | 85% above | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA PROBE | $138.75 | $185.00 | $35.09 | — | 25% |
| H. pylori antibody blood test CPT 86677 H PYLORI | $79.50 | $106.00 | $16.85 | 19% below | 25% |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI | $79.50 | $106.00 | $16.85 | — | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 2 ANTIGEN AND ANTIBODIES 4TH GEN | $42.00 | $56.00 | $24.08 | 56% below | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 2 ANTIGEN AND ANTIBODIES 4TH GEN | $42.00 | $56.00 | $24.08 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $67.50 | $90.00 | $9.71 | 27% below | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $67.50 | $90.00 | $9.71 | — | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $64.50 | $86.00 | $10.74 | 20% below | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB | $64.50 | $86.00 | $10.74 | — | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $75.75 | $101.00 | $10.33 | 16% above | 25% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG | $75.75 | $101.00 | $10.33 | — | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $138.75 | $185.00 | $14.27 | 1% below | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $138.75 | $185.00 | $14.27 | — | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C PCR QUANTITATIVE | $423.00 | $564.00 | $42.84 | 105% above | 25% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C PCR QUANTITATIVE | $423.00 | $564.00 | $42.84 | — | 25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CREACTIVE PROTEIN HIGH SENSITIVITY CARD | $91.50 | $122.00 | $12.95 | at median | 25% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CREACTIVE PROTEIN HIGH SENSITIVITY CARD | $91.50 | $122.00 | $12.95 | — | 25% |
| Iron blood test (serum iron) CPT 83540 IRON | $32.25 | $43.00 | $6.47 | 34% below | 25% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $32.25 | $43.00 | $6.47 | — | 25% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $85.50 | $114.00 | $18.52 | 2% below | 25% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $85.50 | $114.00 | $18.52 | — | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $51.00 | $68.00 | $6.89 | 59% below | 25% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $51.00 | $68.00 | $6.89 | — | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $106.50 | $142.00 | $8.17 | at median | 25% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $106.50 | $142.00 | $8.17 | — | 25% |
| Lyme disease antibody test CPT 86618 LYME DISEASE | $113.25 | $151.00 | $17.03 | 45% above | 25% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE | $113.25 | $151.00 | $17.03 | — | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $42.00 | $56.00 | $6.70 | 36% below | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM | $42.00 | $56.00 | $6.70 | 36% below | 25% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC | $42.00 | $56.00 | $6.70 | — | 25% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $42.00 | $56.00 | $6.70 | — | 25% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA TITER | $64.50 | $86.00 | $12.88 | 8% above | 25% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA TITER | $64.50 | $86.00 | $12.88 | — | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $37.50 | $50.00 | $18.39 | 72% below | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $37.50 | $50.00 | $18.39 | — | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $110.25 | $147.00 | $18.39 | 36% below | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $110.25 | $147.00 | $18.39 | 36% below | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $110.25 | $147.00 | $18.39 | — | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $110.25 | $147.00 | $18.39 | — | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $42.00 | $56.00 | $6.01 | 9% below | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $42.00 | $56.00 | $6.01 | — | 25% |
| Progesterone blood test CPT 84144 PROGESTERONE | $123.75 | $165.00 | $20.86 | 25% below | 25% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $123.75 | $165.00 | $20.86 | — | 25% |
| Prolactin blood test CPT 84146 PROLACTIN | $122.25 | $163.00 | $19.38 | 34% below | 25% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $122.25 | $163.00 | $19.38 | — | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $52.50 | $70.00 | $4.29 | 36% above | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME | $52.50 | $70.00 | $4.29 | — | 25% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA SWAB A&B | $67.50 | $90.00 | $16.55 | 7% below | 25% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA SWAB A&B | $67.50 | $90.00 | $16.55 | — | 25% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN | $57.75 | $77.00 | $16.53 | 24% below | 25% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP SCREEN | $57.75 | $77.00 | $16.53 | — | 25% |
| Rheumatoid factor (RF) test CPT 86431 RA QUANTITATIVE | $54.75 | $73.00 | $5.67 | 31% below | 25% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA QUANTITATIVE | $54.75 | $73.00 | $5.67 | — | 25% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER | $64.50 | $86.00 | $14.39 | 11% below | 25% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER | $64.50 | $86.00 | $14.39 | — | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE | $30.75 | $41.00 | $2.70 | 21% below | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE | $30.75 | $41.00 | $2.70 | — | 25% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE | $54.00 | $72.00 | $8.90 | 43% below | 25% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE | $54.00 | $72.00 | $8.90 | — | 25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 COLOFIT FECAL OCCULT BLOOD | $23.88 | $31.84 | $15.92 | 77% below | 25% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 COLOFIT FECAL OCCULT BLOOD | $23.88 | $31.84 | $15.92 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH REFLEX TITER AND TREPONEMAL ANT | $35.25 | $47.00 | $4.27 | 12% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR OR VDRL | $35.25 | $47.00 | $4.27 | 12% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH REFLEX TITER AND TREPONEMAL ANT | $35.25 | $47.00 | $4.27 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR OR VDRL | $35.25 | $47.00 | $4.27 | — | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $96.00 | $128.00 | $25.81 | 43% below | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $96.00 | $128.00 | $25.81 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $100.50 | $134.00 | $16.80 | 36% below | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $100.50 | $134.00 | $16.80 | — | 25% |
| Trichomonas test (NAAT) CPT 87661 TRICH VAG BY NAA | $52.64 | $70.18 | $35.09 | 46% below | 25% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG BY NAA | $52.64 | $70.18 | $35.09 | — | 25% |
| Uric acid blood test CPT 84550 URIC ACID | $32.25 | $43.00 | $4.52 | 57% below | 25% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $32.25 | $43.00 | $4.52 | — | 25% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS | $63.75 | $85.00 | $4.02 | 341% above | 25% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS | $63.75 | $85.00 | $4.02 | — | 25% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIP | $14.25 | $19.00 | $3.48 | 62% below | 25% |
| Urinalysis without microscope exam, manual CPT 81002 UA DIP ONLY | $25.50 | $34.00 | $3.48 | 32% below | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP | $14.25 | $19.00 | $3.48 | — | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA DIP ONLY | $25.50 | $34.00 | $3.48 | — | 25% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $33.75 | $45.00 | $8.07 | 50% below | 25% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $47.25 | $63.00 | $8.07 | 30% below | 25% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $33.75 | $45.00 | $8.07 | — | 25% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $47.25 | $63.00 | $8.07 | — | 25% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $43.50 | $58.00 | $8.61 | 45% below | 25% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URINE | $43.50 | $58.00 | $8.61 | — | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $95.25 | $127.00 | $15.08 | 18% below | 25% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $95.25 | $127.00 | $15.08 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $201.75 | $269.00 | $29.60 | 8% below | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $201.75 | $269.00 | $29.60 | — | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Earwax removal with instruments, one ear CPT 69210 EAR IRRIGATION IMPACTED CER | $109.50 | $146.00 | $98.10–$269.80 | 57% below | 25% |
| Earwax removal with instruments, one ear inpatient CPT 69210 EAR IRRIGATION IMPACTED CER | $109.50 | $146.00 | $98.10–$269.80 | — | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS | $243.00 | $324.00 | $98.10–$269.80 | 56% below | 25% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS | $243.00 | $324.00 | $98.10–$269.80 | — | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TRIGGER POINT | $74.25 | $99.00 | $98.10–$269.80 | 94% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TRIGGER POINT | $74.25 | $99.00 | $98.10–$269.80 | — | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $185.25 | $247.00 | $60.27 | 31% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $185.25 | $247.00 | $60.27 | — | 25% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3 99203 | $144.00 | $192.00 | $98.10–$269.80 | 35% below | 25% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT LEVEL 3 99203 | $144.00 | $192.00 | $98.10–$269.80 | — | 25% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HEALTH SCREENING PHYS EST PT AGE 40-64 | $96.75 | $129.00 | $98.10–$269.80 | 82% below | 25% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HEALTH SCREENING PHYS EST PT AGE 40-64 | $96.75 | $129.00 | $98.10–$269.80 | — | 25% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHEREAPY-30MIN | $99.75 | $133.00 | $53.22–$65.94 | — | 25% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HOSPITAL MIDDLE DAYS - MODERATE TO HIGH | $318.00 | $424.00 | $92.29–$118.61 | — | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PATIENT LEVEL 3 99213 | $131.25 | $175.00 | $98.10–$269.80 | 28% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PATIENT LEVEL 3 99213 | $131.25 | $175.00 | $98.10–$269.80 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PATIENT LEVEL 4 99214 | $135.00 | $180.00 | $98.10–$269.80 | 20% below | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB PATIENT LEVEL 4 99214 | $135.00 | $180.00 | $98.10–$269.80 | — | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PATIENT LEVEL 2 99212 | $114.00 | $152.00 | $98.10–$269.80 | 11% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PATIENT LEVEL 2 99212 | $114.00 | $152.00 | $98.10–$269.80 | — | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VAC,AGE 3+ | $218.25 | $291.00 | — | 203% above | 25% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VAC,AGE 3+ | $218.25 | $291.00 | — | — | 25% |
Source file: https://www.flintriverhospital.com/462537433_premier-healthcare-investments_standardcharges.csv