HCA Florida Osceola Hospital
HCA Florida Osceola Hospital in St. Cloud, FL publishes cash prices for 220 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Florida median for 174 of 218 procedures and below it for 44. By typical cash price it ranks #140 of 151 Florida hospitals and #12 of 13 hospitals in the Orlando, FL area, cheapest first. Click a procedure to compare it with other hospitals nearby.
4920 E IRLO BRONSOM MEMORIAL HWY, ST. CLOUD, FL, 34771 Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 369 of the 369 prices listed here, the cash price in HCA Florida Osceola Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a | $6,876.05 | $6,876.05 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a SCHEDULED | $6,876.05 | $6,876.05 | $73.15–$77.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a UNSCHEDULED | $6,876.05 | $6,876.05 | $506.81–$533.48 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL | $6,876.05 | $6,876.05 | $495.08–$6,876.05 | 642% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study | $5,434.00 | $5,434.00 | $401.74 | 445% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED | $5,434.00 | $5,434.00 | $787.62–$829.07 | 445% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $5,434.00 | $5,434.00 | $391.25–$5,434.00 | 445% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body UNSCHEDULED | $15,401.55 | $15,401.55 | $521.24–$548.67 | 426% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $15,401.55 | $15,401.55 | $848.52 | 426% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $15,401.55 | $15,401.55 | $1,108.91–$15,401.55 | 426% above | — |
| Breast ultrasound, complete, one breast CPT 76641 US BRST UNI W AX COMP | $4,135.90 | $4,135.90 | $297.78–$4,135.90 | 615% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $21,649.00 | $21,649.00 | $1,558.73–$21,649.00 | 358% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS | $21,921.15 | $21,921.15 | $1,578.32–$21,921.15 | 995% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA | $3,561.30 | $3,561.30 | $256.41–$3,561.30 | 599% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $25,221.00 | $25,221.00 | $1,815.91–$25,221.00 | 278% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $25,236.00 | $25,236.00 | $1,816.99–$25,236.00 | 239% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $25,821.00 | $25,821.00 | $1,859.11–$25,821.00 | 208% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $21,799.20 | $21,799.20 | $1,569.54–$21,799.20 | 384% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $23,674.80 | $23,674.80 | $1,704.59–$23,674.80 | 472% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $21,368.00 | $21,368.00 | $1,538.50–$21,368.00 | 595% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $23,674.80 | $23,674.80 | $1,704.59–$23,674.80 | 609% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $23,674.80 | $23,674.80 | $1,704.59–$23,674.80 | 517% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $21,605.00 | $21,605.00 | $1,555.56–$21,605.00 | 390% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $21,582.00 | $21,582.00 | $1,553.90–$21,582.00 | 495% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $21,534.00 | $21,534.00 | $1,550.45–$21,534.00 | 450% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $21,107.00 | $21,107.00 | $1,519.70–$21,107.00 | 401% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $6,791.00 | $6,791.00 | $488.95–$6,791.00 | 147% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $3,412.25 | $3,412.25 | $245.68–$3,412.25 | 567% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $2,766.00 | $2,766.00 | $199.15–$2,766.00 | 494% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $6,615.95 | $6,615.95 | $476.35–$6,615.95 | 406% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $5,780.00 | $5,780.00 | $416.16–$5,780.00 | 725% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY PERIPHL | $3,377.80 | $3,377.80 | $243.20–$3,377.80 | 649% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL | $8,816.00 | $8,816.00 | $634.75–$8,816.00 | 739% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $21,582.00 | $21,582.00 | $1,553.90–$21,582.00 | 465% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $21,448.00 | $21,448.00 | $1,544.26–$21,448.00 | 376% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $3,211.65 | $3,211.65 | $231.24–$3,211.65 | — | — |
| Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG CAD UNI | $1,606.00 | $1,606.00 | $115.63–$1,606.00 | 272% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $7,541.95 | $7,541.95 | $543.02–$7,541.95 | 221% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $6,653.60 | $6,653.60 | $479.06–$6,653.60 | 73% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc | $15,392.45 | $15,392.45 | — | 323% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $15,392.45 | $15,392.45 | $1,108.26–$15,392.45 | 323% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc SCHEDULED | $15,392.45 | $15,392.45 | $134.90–$142.00 | 323% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc UNSCHEDULED | $15,392.45 | $15,392.45 | $1,789.70–$1,883.89 | 323% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; | $12,911.70 | $12,911.70 | $848.52 | 520% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $12,911.70 | $12,911.70 | $929.64–$12,911.70 | 520% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; UNSCHEDULED | $12,911.70 | $12,911.70 | $1,747.38–$1,839.35 | 520% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $4,617.35 | $4,617.35 | $332.45–$4,617.35 | 246% above | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI WO&W CON&CAD BRST BI | $2,291.50 | $2,291.50 | $130.62–$15,000.00 | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when perf | $2,291.50 | $2,291.50 | $635.92 | 39% below | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $17,761.10 | $17,761.10 | $1,278.80–$17,761.10 | 387% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $27,355.65 | $27,355.65 | $1,969.61–$27,355.65 | 420% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $16,213.00 | $16,213.00 | $1,167.34–$16,213.00 | 328% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $20,414.90 | $20,414.90 | $1,469.87–$20,414.90 | 281% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $15,616.35 | $15,616.35 | $1,124.38–$15,616.35 | 312% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $20,065.45 | $20,065.45 | $1,444.71–$20,065.45 | 212% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $13,851.55 | $13,851.55 | $997.31–$13,851.55 | 253% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $19,667.35 | $19,667.35 | $1,416.05–$19,667.35 | 252% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $15,530.60 | $15,530.60 | $1,118.20–$15,530.60 | 306% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $15,270.65 | $15,270.65 | $1,099.49–$15,270.65 | 214% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $9,078.55 | $9,078.55 | $653.66–$9,078.55 | 170% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat UNSCHEDULED | $28,114.80 | $28,114.80 | $3,575.54–$3,763.73 | 325% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat | $28,114.80 | $28,114.80 | $2,938.37 | 325% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $28,114.80 | $28,114.80 | $2,024.27–$28,114.80 | 325% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $5,157.00 | $5,157.00 | $371.30–$5,157.00 | 428% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $6,161.15 | $6,161.15 | $443.60–$6,161.15 | 334% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $6,600.00 | $6,600.00 | $475.20–$6,600.00 | 437% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $7,849.10 | $7,849.10 | $565.14–$7,849.10 | 790% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $5,859.45 | $5,859.45 | $421.88–$5,859.45 | 770% above | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $1,504.65 | $1,504.65 | $108.33–$1,504.65 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or | $13,476.50 | $13,476.50 | — | 430% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or UNSCHEDULED | $13,476.50 | $13,476.50 | $1,537.74–$1,618.67 | 430% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or SCHEDULED | $13,476.50 | $13,476.50 | $151.05–$159.00 | 430% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG | $13,476.50 | $13,476.50 | $970.31–$13,476.50 | 430% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study | $5,109.80 | $5,109.80 | $401.74 | 351% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $5,109.80 | $5,109.80 | $367.91–$5,109.80 | 351% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study UNSCHEDULED | $5,109.80 | $5,109.80 | $567.40–$597.26 | 351% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $5,019.00 | $5,019.00 | $361.37–$5,019.00 | 349% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $6,676.95 | $6,676.95 | $480.74–$6,676.95 | 561% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $5,046.00 | $5,046.00 | $363.31–$5,046.00 | 136% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $4,815.00 | $4,815.00 | $346.68–$4,815.00 | 316% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $5,695.25 | $5,695.25 | $410.06–$5,695.25 | 411% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $14,340.25 | $14,340.25 | $1,032.50–$14,340.25 | 1115% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED | $14,340.25 | $14,340.25 | $2,033.96–$2,141.01 | 1115% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study | $14,340.25 | $14,340.25 | $401.74 | 1115% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD | $3,186.30 | $3,186.30 | $229.41–$3,186.30 | 272% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP W PEL UN 2-3 VIEW | $3,116.55 | $3,116.55 | $224.39–$3,116.55 | 459% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $4,616.95 | $4,616.95 | $332.42–$4,616.95 | 702% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $4,838.45 | $4,838.45 | $348.37–$4,838.45 | 462% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $4,963.55 | $4,963.55 | $357.38–$4,963.55 | 285% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $3,401.00 | $3,401.00 | $244.87–$3,401.00 | 369% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $3,628.00 | $3,628.00 | $261.22–$3,628.00 | 380% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $2,732.65 | $2,732.65 | $196.75–$2,732.65 | 263% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $3,502.30 | $3,502.30 | $252.17–$3,502.30 | 364% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $4,641.95 | $4,641.95 | $334.22–$4,641.95 | 512% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $1,556.85 | $1,556.85 | $112.09–$1,556.85 | 2318% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $370.35 | $370.35 | $26.67–$370.35 | 95% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each UNSCHEDULED | $3.90 | $3.90 | $111.56–$117.43 | 59% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each | $3.90 | $3.90 | $5.22 | 59% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $3.90 | $3.90 | $0.28–$3.90 | 59% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $14.80 | $14.80 | $1.07–$14.80 | 46% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINEURON NUC AB-3 FA | $109.50 | $109.50 | $7.88–$109.50 | 260% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINEURON NUC AB-2 FA | $109.50 | $109.50 | $7.88–$109.50 | 260% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINEURON NUC AB-1 FA | $109.50 | $109.50 | $7.88–$109.50 | 260% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $192.10 | $192.10 | $13.83–$192.10 | 532% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $1,904.10 | $1,904.10 | $137.10–$1,904.10 | 749% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $2,006.40 | $2,006.40 | $144.46–$2,006.40 | 396% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HISTOLOGY CELL BLOCK | $79.30 | $79.30 | $5.71–$79.30 | 37% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $3,931.75 | $3,931.75 | $283.09–$3,931.75 | 3022% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $2,224.30 | $2,224.30 | $160.15–$2,224.30 | 464% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) UNSCHEDULED | $2,224.30 | $2,224.30 | $246.19–$259.15 | 464% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) | $2,224.30 | $2,224.30 | $10.32 | 464% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $175.05 | $175.05 | $12.60–$175.05 | 681% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $1,052.90 | $1,052.90 | $75.81–$1,052.90 | 1632% above | — |
| Blood lead test CPT 83655 LEAD URINE | $6.00 | $6.00 | $0.43–$6.00 | 56% below | — |
| Blood lead test CPT 83655 LEAD BLOOD | $63.20 | $63.20 | $4.55–$63.20 | 363% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QL SERUM/URINE INSTR | $1,454.80 | $1,454.80 | $104.75–$1,454.80 | 976% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $1,454.80 | $1,454.80 | $104.75–$1,454.80 | 976% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $134.85 | $134.85 | $9.71–$134.85 | 83% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $77.65 | $77.65 | $5.59–$77.65 | 37% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX B NAP1 ST AMP | $111.81 | $111.81 | $8.05–$111.81 | 10% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN | $161.55 | $161.55 | $11.63–$161.55 | 151% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN | $161.55 | $161.55 | $11.63–$161.55 | 63% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $79.00 | $79.00 | $5.69–$79.00 | 3% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique UNSCHEDULED | $79.00 | $79.00 | $100.98–$106.29 | 3% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease ºCOVID-19»), amplified probe technique | $79.00 | $79.00 | $51.31 | 3% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $273.25 | $273.25 | $19.67–$273.25 | 251% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $1,979.35 | $1,979.35 | $142.51–$1,979.35 | 1161% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $999.85 | $999.85 | $71.99–$999.85 | 693% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $2,958.00 | $2,958.00 | $212.98–$2,958.00 | 428% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $440.20 | $440.20 | $31.69–$440.20 | 49% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $17.75 | $17.75 | $1.28–$17.75 | 63% below | — |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $217.20 | $217.20 | $15.64–$217.20 | 417% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $144.50 | $144.50 | $10.40–$144.50 | 96% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal UNSCHEDULED | $178.20 | $178.20 | $74.05–$77.95 | 41% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $178.20 | $178.20 | $19.63 | 41% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $178.20 | $178.20 | $12.83–$178.20 | 41% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $852.10 | $852.10 | $61.35–$852.10 | 384% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $852.10 | $852.10 | $61.35–$852.10 | 422% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $439.55 | $439.55 | $31.65–$439.55 | 362% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $536.10 | $536.10 | $38.60–$536.10 | 464% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR W GLUCOLA | $1,052.90 | $1,052.90 | $75.81–$1,052.90 | 1013% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR W GLUCOLA | $1,052.90 | $1,052.90 | $75.81–$1,052.90 | 1013% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS | $695.35 | $695.35 | $50.07–$695.35 | 391% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $273.25 | $273.25 | $19.67–$273.25 | 431% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QUAL | $8.35 | $8.35 | $0.60–$8.35 | 76% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGM | $20.65 | $20.65 | $1.49–$20.65 | 40% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGG | $27.45 | $27.45 | $1.98–$27.45 | 21% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGA | $27.45 | $27.45 | $1.98–$27.45 | 21% below | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $112.00 | $112.00 | $8.06–$112.00 | 120% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN | $125.15 | $125.15 | $9.01–$125.15 | 10% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result | $569.60 | $569.60 | $13.71 | 1019% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result UNSCHEDULED | $569.60 | $569.60 | $133.67–$140.71 | 1019% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL | $569.60 | $569.60 | $41.01–$569.60 | 1019% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC UNSCHEDULED | $101.00 | $101.00 | $65.40–$68.84 | 21% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $101.00 | $101.00 | $21.82–$37.56 | 21% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE | $101.00 | $101.00 | $7.27–$101.00 | 21% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $571.50 | $571.50 | $41.15–$571.50 | 614% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) | $571.50 | $571.50 | $9.71 | 614% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) UNSCHEDULED | $571.50 | $571.50 | $120.21–$126.54 | 614% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $6.95 | $6.95 | $0.50–$6.95 | 88% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $80.15 | $80.15 | $5.77–$80.15 | 66% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $324.35 | $324.35 | $23.35–$324.35 | 473% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $333.35 | $333.35 | $24.00–$333.35 | 147% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGM | $47.70 | $47.70 | $3.43–$47.70 | 114% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG | $75.35 | $75.35 | $5.43–$75.35 | 239% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG | $150.60 | $150.60 | $10.84–$150.60 | 419% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $829.95 | $829.95 | $59.76–$829.95 | 1197% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $333.10 | $333.10 | $23.98–$333.10 | 538% above | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $11.65 | $11.65 | $0.84–$11.65 | 63% below | — |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE QN | $111.55 | $111.55 | $8.03–$111.55 | 53% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $538.35 | $538.35 | $38.76–$538.35 | 640% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $965.10 | $965.10 | $69.49–$965.10 | 651% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $1,502.80 | $1,502.80 | $108.20–$1,502.80 | 1884% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $28.00 | $28.00 | $2.02–$28.00 | 93% below | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB QL | $15.50 | $15.50 | $1.12–$15.50 | 52% below | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL | $24.80 | $24.80 | $1.79–$24.80 | 23% below | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG QL | $24.80 | $24.80 | $1.79–$24.80 | 23% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $5.95 | $5.95 | $0.43–$5.95 | 58% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $764.95 | $764.95 | $55.08–$764.95 | 5249% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $8.90 | $8.90 | $0.64–$8.90 | 62% below | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB QUAL | $48.30 | $48.30 | $3.48–$48.30 | 108% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $80.00 | $80.00 | $5.76–$80.00 | 244% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $1,403.70 | $1,403.70 | $101.07–$1,403.70 | 619% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening | $1,403.70 | $1,403.70 | $5.18 | 619% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening UNSCHEDULED | $1,403.70 | $1,403.70 | $114.44–$120.46 | 619% above | — |
| Obstetric blood test panel CPT 80055 OB PANEL | $1,276.90 | $1,276.90 | $91.94–$1,276.90 | 573% above | — |
| Obstetric blood test panel CPT 80055 Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated UNSCHEDULED | $1,276.90 | $1,276.90 | $237.54–$250.04 | 573% above | — |
| Obstetric blood test panel CPT 80055 Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated | $1,276.90 | $1,276.90 | $47.81 | 573% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free UNSCHEDULED | $385.20 | $385.20 | $117.32–$123.50 | 1018% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE | $385.20 | $385.20 | $27.73–$385.20 | 1018% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free | $385.20 | $385.20 | $18.39 | 1018% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $60.85 | $60.85 | $4.38–$60.85 | at median | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision UNSCHEDULED | $20.40 | $20.40 | $154.83–$162.98 | 41% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAPDX TCSC NORSC TH | $20.40 | $20.40 | $1.47–$20.40 | 41% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision | $20.40 | $20.40 | $20.26 | 41% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $46.95 | $46.95 | $3.38–$46.95 | 5% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 UNSCHEDULED | $947.55 | $947.55 | $105.31–$110.85 | 90% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL ANEPLOIDY 131821 | $947.55 | $947.55 | $68.22–$947.55 | 90% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal chromosomal aneuploidy (eg, trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21 | $947.55 | $947.55 | $759.05 | 90% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $151.00 | $151.00 | $10.87–$151.00 | 118% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $1,049.75 | $1,049.75 | $75.58–$1,049.75 | 2477% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCR DOO MANUAL READ | $126.15 | $126.15 | $9.08–$126.15 | 26% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay ºeg, dipsticks, cups, ca | $126.15 | $126.15 | $12.60 | 26% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza UNSCHEDULED | $1,572.30 | $1,572.30 | $100.98–$106.29 | 1023% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza | $1,572.30 | $1,572.30 | $16.55 | 1023% above | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS AG OIA | $1,572.30 | $1,572.30 | $113.21–$1,572.30 | 1023% above | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN | $43.00 | $43.00 | $3.10–$43.00 | 59% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $7.25 | $7.25 | $0.52–$7.25 | 62% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB QUAL | $65.95 | $65.95 | $4.75–$65.95 | 250% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $669.35 | $669.35 | $48.19–$669.35 | 3451% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated UNSCHEDULED | $887.00 | $887.00 | $70.20–$73.90 | 662% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $887.00 | $887.00 | $63.86–$887.00 | 662% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated | $887.00 | $887.00 | $2.70 | 662% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $118.40 | $118.40 | $8.52–$118.40 | 148% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o UNSCHEDULED | $1,179.10 | $1,179.10 | $55.77–$58.71 | 1536% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o | $1,179.10 | $1,179.10 | $4.38 | 1536% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC | $1,179.10 | $1,179.10 | $84.90–$1,179.10 | 1536% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations UNSCHEDULED | $41.70 | $41.70 | $144.26–$151.85 | 41% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations | $41.70 | $41.70 | $15.92 | 41% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLD CRC IA | $41.70 | $41.70 | $3.00–$41.70 | 41% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $33.00 | $33.00 | $2.38–$33.00 | 54% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS EIA SCREEN | $102.95 | $102.95 | $7.41–$102.95 | 382% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $362.35 | $362.35 | $26.09–$362.35 | 1595% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon | $58.25 | $58.25 | $61.98 | 12% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon UNSCHEDULED | $58.25 | $58.25 | $111.56–$117.43 | 12% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP | $58.25 | $58.25 | $4.19–$58.25 | 12% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $200.80 | $200.80 | $14.46–$200.80 | 446% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB | $14.90 | $14.90 | $1.07–$14.90 | 4% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $113.30 | $113.30 | $8.16–$113.30 | 626% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $61.40 | $61.40 | $4.42–$61.40 | 62% below | — |
| Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMP PRBE | $43.65 | $43.65 | $3.14–$43.65 | 29% below | — |
| Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique | $43.65 | $43.65 | $35.09 | 29% below | — |
| Trichomonas test (NAAT) CPT 87661 Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique UNSCHEDULED | $43.65 | $43.65 | $100.98–$106.29 | 29% below | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $1,193.25 | $1,193.25 | $85.91–$1,193.25 | 718% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood | $1,193.25 | $1,193.25 | $4.52 | 718% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood UNSCHEDULED | $1,193.25 | $1,193.25 | $90.40–$95.16 | 718% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $25.45 | $25.45 | $1.83–$25.45 | 86% below | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $620.40 | $620.40 | $44.67–$620.40 | 413% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate UNSCHEDULED | $55.00 | $55.00 | $35.59–$37.46 | 113% above | — |
| Urinalysis without microscope exam, manual CPT 81002 KETONES UR MANUAL | $55.00 | $55.00 | $3.96–$55.00 | 113% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate | $55.00 | $55.00 | $3.48 | 113% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $948.00 | $948.00 | $68.26–$948.00 | 243% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine | $948.00 | $948.00 | $8.07 | 243% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine UNSCHEDULED | $948.00 | $948.00 | $171.18–$180.19 | 243% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $398.35 | $398.35 | $28.68–$398.35 | 155% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods UNSCHEDULED | $398.35 | $398.35 | $118.28–$124.51 | 155% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods | $398.35 | $398.35 | $8.61 | 155% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $578.60 | $578.60 | $41.66–$578.60 | 255% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH | $11.95 | $11.95 | $0.86–$11.95 | 76% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH W/WO FRAC | $201.00 | $201.00 | $14.47–$201.00 | 307% above | — |
| Zinc blood test CPT 84630 ZINC URINE | $17.90 | $17.90 | $1.29–$17.90 | 20% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT TUMOR | $45.15 | $45.15 | $3.25–$45.15 | 56% below | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $2,149.00 | $2,149.00 | $154.73–$2,149.00 | 7% below | — |
| Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including | $154,307.40 | $154,307.40 | $19,466.00 | 211% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including UNSCHEDULED | $154,307.40 | $154,307.40 | $29,166.95–$30,702.05 | 211% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB | $154,307.40 | $154,307.40 | $12,344.59–$154,307.40 | 211% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including SCHEDULED | $154,307.40 | $154,307.40 | $1,278.70–$1,346.00 | 211% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $1,718.40 | $1,718.40 | $123.72–$1,718.40 | 33% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m UNSCHEDULED | $443.70 | $443.70 | $96.17–$101.23 | 40% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, m SCHEDULED | $443.70 | $443.70 | $18.05–$19.00 | 40% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $443.70 | $443.70 | $31.95–$443.70 | 40% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR | $1,613.50 | $1,613.50 | $116.17–$1,613.50 | 62% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $17,634.00 | $17,634.00 | $4,196.89–$15,870.60 | 256% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $5,789.50 | $5,789.50 | $416.84–$5,789.50 | 218% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy SCHEDULED | $5,789.50 | $5,789.50 | $309.70–$326.00 | 218% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy UNSCHEDULED | $5,789.50 | $5,789.50 | $728.95–$767.32 | 218% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $60.10 | $60.10 | $4.33–$60.10 | 85% below | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive therapy (includes necessary monitoring) SCHEDULED | $7,296.35 | $7,296.35 | $117.80–$124.00 | 395% above | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive therapy (includes necessary monitoring) | $7,296.35 | $7,296.35 | $1,332.00 | 395% above | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 ECT WITH MONITORING | $7,296.35 | $7,296.35 | $525.34–$6,566.72 | 395% above | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive therapy (includes necessary monitoring) UNSCHEDULED | $7,296.35 | $7,296.35 | $1,652.17–$1,739.13 | 395% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $1,826.90 | $1,826.90 | $420.19–$1,644.21 | 273% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $4,611.85 | $4,611.85 | $1,097.62–$4,150.67 | 407% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $6,193.30 | $6,193.30 | $1,474.01–$5,573.97 | 299% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $8,636.60 | $8,636.60 | $2,055.51–$7,772.94 | 256% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $15,422.00 | $15,422.00 | $3,670.44–$13,879.80 | 374% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $11,636.40 | $11,636.40 | $837.82–$11,636.40 | 529% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAM W PT 50 MIN | $930.15 | $930.15 | $66.97–$837.13 | 60% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy (without the patient present), 50 minutes UNSCHEDULED | $973.15 | $973.15 | $225.04–$236.88 | 151% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAM WO PT 50 MIN | $973.15 | $973.15 | $70.07–$875.84 | 151% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy (without the patient present), 50 minutes SCHEDULED | $973.15 | $973.15 | $108.30–$114.00 | 151% above | — |
| Group psychotherapy session CPT 90853 IOP PSY GRP (NOT FAMILY) | $487.65 | $487.65 | $35.11–$438.88 | 53% above | — |
| Group psychotherapy session CPT 90853 Group psychotherapy (other than of a multiple-family group) UNSCHEDULED | $487.65 | $487.65 | $225.04–$236.88 | 53% above | — |
| Group psychotherapy session CPT 90853 Group psychotherapy (other than of a multiple-family group) SCHEDULED | $487.65 | $487.65 | $30.40–$32.00 | 53% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $360.00 | $360.00 | $25.92–$360.00 | 45% below | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $1,818.00 | $1,818.00 | $130.90–$1,818.00 | 135% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $1,651.70 | $1,651.70 | $118.92–$1,651.70 | 841% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation SCHEDULED | $830.85 | $830.85 | $133.95–$141.00 | 193% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSY DX EVAL | $830.85 | $830.85 | $59.82–$830.85 | 193% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation UNSCHEDULED | $830.85 | $830.85 | $244.26–$257.12 | 193% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction studies; 7-8 studies SCHEDULED | $1,020.80 | $1,020.80 | $83.60–$88.00 | 10% below | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE COND 7-8 STDS | $1,020.80 | $1,020.80 | $73.50–$1,020.80 | 10% below | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction studies; 7-8 studies UNSCHEDULED | $1,020.80 | $1,020.80 | $835.71–$879.69 | 10% below | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $1,842.15 | $1,842.15 | $105.00–$15,000.00 | 253% above | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $400.05 | $400.05 | $22.80–$15,000.00 | 42% below | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $474.50 | $474.50 | $27.05–$15,000.00 | 38% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 BASIC CARE NP | $50.85 | $50.85 | $2.90–$15,000.00 | 81% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $251.80 | $251.80 | $14.35–$15,000.00 | 6% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN | $133.60 | $133.60 | $9.62–$133.60 | 56% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or | $1,284.50 | $1,284.50 | $95.60–$133.06 | 162% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or SCHEDULED | $1,284.50 | $1,284.50 | $95.00–$100.00 | 162% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination | $1,683.80 | $1,683.80 | $93.12–$129.60 | 208% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination SCHEDULED | $1,683.80 | $1,683.80 | $90.25–$95.00 | 208% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st SCHEDULED | $1,203.30 | $1,203.30 | $90.25–$95.00 | 168% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st | $1,203.30 | $1,203.30 | $93.12–$129.60 | 168% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o | $1,442.90 | $1,442.90 | $93.12–$129.60 | 194% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o SCHEDULED | $1,442.90 | $1,442.90 | $90.25–$95.00 | 194% above | — |
| Psychiatric evaluation with medical services CPT 90792 PSY DX EVAL W/ MED SVC | $830.85 | $830.85 | $59.82–$830.85 | 112% above | — |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services UNSCHEDULED | $830.85 | $830.85 | $180.79–$190.31 | 112% above | — |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services SCHEDULED | $830.85 | $830.85 | $150.10–$158.00 | 112% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes with patient SCHEDULED | $626.35 | $626.35 | $67.45–$71.00 | 61% above | — |
| Psychotherapy session, 30 minutes CPT 90832 INDIV SESSION 30MIN | $626.35 | $626.35 | $45.10–$626.35 | 61% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes with patient UNSCHEDULED | $626.35 | $626.35 | $225.04–$236.88 | 61% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes with patient UNSCHEDULED | $728.00 | $728.00 | $225.04–$236.88 | 86% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes with patient SCHEDULED | $728.00 | $728.00 | $89.30–$94.00 | 86% above | — |
| Psychotherapy session, 45 minutes CPT 90834 INDIV SESSION 45MIN | $728.00 | $728.00 | $52.42–$728.00 | 86% above | — |
| Psychotherapy session, 60 minutes CPT 90837 INDIV SESSION 60MIN | $973.15 | $973.15 | $70.07–$875.84 | 105% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes UNSCHEDULED | $70.75 | $70.75 | $39.42–$41.50 | 14% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes SCHEDULED | $70.75 | $70.75 | $13.30–$14.00 | 14% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $70.75 | $70.75 | $5.09–$70.75 | 14% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $415.65 | $415.65 | $23.69–$15,000.00 | 36% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $267.30 | $267.30 | $15.24–$15,000.00 | 26% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $341.45 | $341.45 | $19.46–$15,000.00 | 36% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $194.05 | $194.05 | $11.06–$15,000.00 | 44% below | — |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $878.55 | $878.55 | $215.65–$300.13 | 50% above | — |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) SCHEDULED | $878.55 | $878.55 | $204.25–$215.00 | 50% above | — |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) UNSCHEDULED | $878.55 | $878.55 | $229.84–$241.94 | 50% above | — |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual | $1,503.30 | $1,503.30 | $72.64–$101.12 | 291% above | — |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual SCHEDULED | $1,503.30 | $1,503.30 | $83.60–$88.00 | 291% above | — |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual UNSCHEDULED | $1,503.30 | $1,503.30 | $229.84–$241.94 | 291% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $95.70 | $95.70 | $6.89–$95.70 | 71% below | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $5,006.10 | $5,006.10 | $360.44–$5,006.10 | 454% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration SCHEDULED | $5,006.10 | $5,006.10 | $46.55–$49.00 | 454% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration UNSCHEDULED | $5,006.10 | $5,006.10 | $473.15–$498.05 | 454% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $293.00 | $293.00 | $21.10–$293.00 | 13% below | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VAC LIVE SQ | $64.75 | $64.75 | $3.69–$15,000.00 | 80% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use UNSCHEDULED | $64.75 | $64.75 | $156.75–$165.00 | 80% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use | $64.75 | $64.75 | $691.17 | 80% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use UNSCHEDULED | $100.78 | $100.78 | $156.75–$165.00 | 24% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $100.78 | $100.78 | $8.97–$100.78 | 24% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use | $100.78 | $100.78 | $69.66 | 24% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use UNSCHEDULED | $81.00 | $81.00 | $59.62–$62.76 | 53% below | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VAC ADULT IM | $81.00 | $81.00 | $4.62–$15,000.00 | 53% below | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use | $81.00 | $81.00 | $221.19 | 53% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $59.50 | $59.50 | $5.30–$59.50 | 74% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use UNSCHEDULED | $325.62 | $325.62 | $156.75–$165.00 | 18% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM | $325.62 | $325.62 | $28.98–$325.62 | 18% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use | $325.62 | $325.62 | $294.48 | 18% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $856.65 | $856.65 | $48.83–$15,000.00 | 278% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use UNSCHEDULED | $856.65 | $856.65 | $156.75–$165.00 | 278% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use | $856.65 | $856.65 | $351.42 | 278% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use | $751.25 | $751.25 | $904.26 | 1% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C 2 DOSE IM | $751.25 | $751.25 | $42.82–$15,000.00 | 1% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use UNSCHEDULED | $751.25 | $751.25 | $156.75–$165.00 | 1% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use UNSCHEDULED | $595.60 | $595.60 | $148.10–$155.89 | 51% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VAC IMSQ | $595.60 | $595.60 | $53.01–$595.60 | 51% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use | $595.60 | $595.60 | $400.41 | 51% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use UNSCHEDULED | $1,721.25 | $1,721.25 | $1,034.77–$1,089.23 | 10% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use | $1,721.25 | $1,721.25 | $2,142.21 | 10% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 0.5 ML IM | $1,721.25 | $1,721.25 | $98.11–$15,000.00 | 10% above | — |
| Rabies vaccine, one dose CPT 90675 RABAVERT 1 ML VAC IM | $1,673.55 | $1,673.55 | $148.95–$1,673.55 | 35% above | — |
| Rabies vaccine, one dose CPT 90675 IMOVAX 1 ML VAC IM | $1,693.40 | $1,693.40 | $150.71–$1,693.40 | 36% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $1,985.50 | $1,985.50 | $176.71–$1,985.50 | 60% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use UNSCHEDULED | $142.75 | $142.75 | $95.21–$100.22 | 8% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use | $142.75 | $142.75 | $37.59 | 8% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC VAC >= 7 YRS IM | $142.75 | $142.75 | $8.14–$15,000.00 | 8% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VAC >=7YRS IM | $142.75 | $142.75 | $8.14–$15,000.00 | 38% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL VAC >= 7 YRS IM | $273.85 | $273.85 | $15.61–$15,000.00 | 19% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $1,410.00 | $1,410.00 | $101.52–$1,410.00 | 1044% above | — |