HCA Florida Largo West Hospital
HCA Florida Largo West Hospital in Largo, FL publishes cash prices for 207 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 169 of 205 procedures and below it for 35. By typical cash price it ranks #130 of 151 Florida hospitals and #19 of 24 hospitals in the Tampa, FL area, cheapest first. Click a procedure to compare it with other hospitals nearby.
201 14TH St SW, Largo, FL 33770 Collected Sep 27, 2026 Source price file (727) 588-5200
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 100248 · CMS hospital register
The price file shows no self-pay discount
For 463 of the 463 prices listed here, the cash price in HCA Florida Largo West 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.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named HCA Florida Largo West Hospital in Largo, FL:
- Jun 21, 2023 Warning notice
- Oct 5, 2023 Case closed
- Apr 29, 2025 Warning notice
- Jun 4, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL | $4,096.19 | $4,096.19 | $192.52–$3,768.49 | 342% 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 Other Diagnostic Radiology FS | $2,059.88 | $2,059.88 | $401.74 | 106% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $2,059.88 | $2,059.88 | $96.81–$1,895.09 | 106% 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 | $2,059.88 | $2,059.88 | — | 106% 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 | $2,059.88 | $2,059.88 | $798.28–$815.08 | 106% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $10,419.64 | $10,419.64 | $489.72–$9,586.07 | 256% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $10,419.64 | $10,419.64 | $848.52 | 256% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body UNSCHEDULED | $10,419.64 | $10,419.64 | $528.29–$539.41 | 256% above | — |
| Breast ultrasound, complete, one breast CPT 76641 US BRST UNI W AX COMP | $3,037.55 | $3,037.55 | $142.76–$2,794.55 | 425% above | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BRST UNI W AX LTD | $2,777.39 | $2,777.39 | $130.54–$2,555.20 | 503% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $13,140.56 | $13,140.56 | $617.61–$12,089.32 | 178% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED | $13,140.56 | $13,140.56 | $3,061.54–$3,125.99 | 178% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing | $13,140.56 | $13,140.56 | $401.74–$1,975.00 | 178% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo UNSCHEDULED | $15,446.33 | $15,446.33 | $2,159.94–$2,205.41 | 672% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS | $15,446.33 | $15,446.33 | $725.98–$14,210.62 | 672% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo | $15,446.33 | $15,446.33 | $1,478.00–$13,822.00 | 672% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium UNSCHEDULED | $15,116.56 | $15,116.56 | $110.14–$112.46 | 2866% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA | $15,116.56 | $15,116.56 | $710.48–$13,907.24 | 2866% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium | $15,116.56 | $15,116.56 | $182.03–$1,975.00 | 2866% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material | $16,321.89 | $16,321.89 | $517.79–$1,975.00 | 145% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $16,321.89 | $16,321.89 | $767.13–$15,016.14 | 145% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material UNSCHEDULED | $16,321.89 | $16,321.89 | $3,956.30–$4,039.59 | 145% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $17,783.09 | $17,783.09 | $835.81–$16,360.44 | 139% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) | $17,783.09 | $17,783.09 | $828.27–$1,975.00 | 139% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED | $17,783.09 | $17,783.09 | $4,598.64–$4,695.45 | 139% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions UNSCHEDULED | $20,840.35 | $20,840.35 | $4,969.02–$5,073.63 | 149% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $20,840.35 | $20,840.35 | $979.50–$19,173.12 | 149% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions | $20,840.35 | $20,840.35 | $828.27–$1,975.00 | 149% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) | $10,883.16 | $10,883.16 | $401.74–$1,975.00 | 142% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $10,883.16 | $10,883.16 | $511.51–$10,012.51 | 142% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) UNSCHEDULED | $10,883.16 | $10,883.16 | $2,844.18–$2,904.05 | 142% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material UNSCHEDULED | $10,009.59 | $10,009.59 | $2,868.54–$2,928.93 | 142% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $10,009.59 | $10,009.59 | $470.45–$9,208.82 | 142% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material | $10,009.59 | $10,009.59 | $1,478.00 | 142% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material UNSCHEDULED | $9,020.77 | $9,020.77 | $2,014.70–$2,057.12 | 194% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material | $9,020.77 | $9,020.77 | $245.18–$1,975.00 | 194% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $9,020.77 | $9,020.77 | $423.98–$8,299.11 | 194% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material UNSCHEDULED | $8,971.78 | $8,971.78 | $2,074.16–$2,117.83 | 169% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material | $8,971.78 | $8,971.78 | $1,478.00 | 169% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $8,971.78 | $8,971.78 | $421.67–$8,254.04 | 169% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) | $10,589.87 | $10,589.87 | $401.74–$1,975.00 | 176% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) UNSCHEDULED | $10,589.87 | $10,589.87 | $3,342.24–$3,412.61 | 176% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $10,589.87 | $10,589.87 | $497.72–$9,742.68 | 176% above | — |
| CT scan of the head without and with contrast CPT 70470 Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED | $12,003.63 | $12,003.63 | $2,827.61–$2,887.14 | 172% above | — |
| CT scan of the head without and with contrast CPT 70470 Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections | $12,003.63 | $12,003.63 | $401.74–$1,975.00 | 172% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $12,003.63 | $12,003.63 | $564.17–$11,043.34 | 172% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material UNSCHEDULED | $9,148.55 | $9,148.55 | $2,345.13–$2,394.50 | 152% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material | $9,148.55 | $9,148.55 | $245.18–$1,975.00 | 152% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $9,148.55 | $9,148.55 | $429.98–$8,416.67 | 152% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material UNSCHEDULED | $9,148.55 | $9,148.55 | $2,336.35–$2,385.54 | 134% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material | $9,148.55 | $9,148.55 | $1,478.00 | 134% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $9,148.55 | $9,148.55 | $429.98–$8,416.67 | 134% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $3,909.46 | $3,909.46 | $183.74–$3,596.70 | 7% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $6,693.71 | $6,693.71 | $314.60–$6,158.21 | 144% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views | $1,960.56 | $1,960.56 | — | 283% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $1,960.56 | $1,960.56 | $92.15–$1,803.72 | 283% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views UNSCHEDULED | $1,960.56 | $1,960.56 | $446.41–$455.81 | 283% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views Other Diagnostic Radiology FS | $1,960.56 | $1,960.56 | $182.03 | 283% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $1,544.91 | $1,544.91 | $72.61–$1,421.32 | 232% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view | $1,544.91 | $1,544.91 | — | 232% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view Other Diagnostic Radiology FS | $1,544.91 | $1,544.91 | $182.03 | 232% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view UNSCHEDULED | $1,544.91 | $1,544.91 | $375.26–$383.16 | 232% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $4,911.38 | $4,911.38 | $230.83–$4,518.47 | 276% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete | $4,911.38 | $4,911.38 | $245.18 | 276% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete UNSCHEDULED | $4,911.38 | $4,911.38 | $1,028.31–$1,049.96 | 276% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) | $2,544.72 | $2,544.72 | — | 263% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) UNSCHEDULED | $2,544.72 | $2,544.72 | $213.46–$217.95 | 263% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $2,544.72 | $2,544.72 | $119.60–$2,341.14 | 263% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) Other Diagnostic Radiology FS | $2,544.72 | $2,544.72 | $245.18 | 263% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material UNSCHEDULED | $10,009.59 | $10,009.59 | $2,138.49–$2,183.51 | 162% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $10,009.59 | $10,009.59 | $470.45–$9,208.82 | 162% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material | $10,009.59 | $10,009.59 | $1,478.00 | 162% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) | $10,883.16 | $10,883.16 | $1,478.00 | 141% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $10,883.16 | $10,883.16 | $511.51–$10,012.51 | 141% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) UNSCHEDULED | $10,883.16 | $10,883.16 | $2,431.88–$2,483.07 | 141% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $1,806.98 | $1,806.98 | $84.93–$1,662.42 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $1,806.98 | $1,806.98 | $263.00 | — | — |
| Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG CAD UNI | $1,657.55 | $1,657.55 | $77.90–$1,524.95 | 283% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $10,623.20 | $10,623.20 | $499.29–$9,773.34 | 352% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $9,950.83 | $9,950.83 | $467.69–$9,154.76 | 159% 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 | $8,156.45 | $8,156.45 | — | 124% 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 | $8,156.45 | $8,156.45 | $134.90–$137.74 | 124% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $8,156.45 | $8,156.45 | $383.35–$7,503.93 | 124% 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 | $8,156.45 | $8,156.45 | $1,813.92–$1,852.11 | 124% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; UNSCHEDULED | $11,014.28 | $11,014.28 | $1,771.03–$1,808.31 | 429% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $11,014.28 | $11,014.28 | $517.67–$10,133.14 | 429% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; | $11,014.28 | $11,014.28 | $848.52 | 429% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) | $1,358.84 | $1,358.84 | $1,992.00 | 149% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) UNSCHEDULED | $1,358.84 | $1,358.84 | $1,249.56–$1,275.87 | 149% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP UA HR OS RSP AF/EF | $1,358.84 | $1,358.84 | $63.87–$1,250.13 | 149% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) SCHEDULED | $1,358.84 | $1,358.84 | $130.15–$132.89 | 149% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a UNSCHEDULED | $14,963.95 | $14,963.95 | $5,954.44–$6,079.80 | 149% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLY >4 PAR W/CPAP OR BV | $14,963.95 | $14,963.95 | $703.31–$13,766.83 | 149% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a SCHEDULED | $14,963.95 | $14,963.95 | $515.85–$526.71 | 149% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a | $14,963.95 | $14,963.95 | $1,992.00 | 149% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $4,440.13 | $4,440.13 | $208.69–$4,084.92 | 232% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) UNSCHEDULED | $4,440.13 | $4,440.13 | $570.20–$582.20 | 232% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) | $4,440.13 | $4,440.13 | $245.18 | 232% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) UNSCHEDULED | $10,883.16 | $10,883.16 | $625.76–$638.93 | 1086% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON | $10,883.16 | $10,883.16 | $511.51–$10,012.51 | 1086% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) | $10,883.16 | $10,883.16 | $1,478.00 | 1086% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $18,023.51 | $18,023.51 | $517.79–$3,623.00 | 394% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) UNSCHEDULED | $18,023.51 | $18,023.51 | $3,268.17–$3,336.97 | 394% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $18,023.51 | $18,023.51 | $847.10–$16,581.63 | 394% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $22,864.20 | $22,864.20 | $1,074.62–$21,035.06 | 335% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences | $22,864.20 | $22,864.20 | $828.27–$3,623.00 | 335% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences UNSCHEDULED | $22,864.20 | $22,864.20 | $4,130.78–$4,217.74 | 335% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material UNSCHEDULED | $15,754.61 | $15,754.61 | $2,487.43–$2,539.80 | 316% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $15,754.61 | $15,754.61 | $517.79–$3,623.00 | 316% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $15,754.61 | $15,754.61 | $740.47–$14,494.24 | 316% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences | $25,894.84 | $25,894.84 | $828.27–$3,623.00 | 383% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences UNSCHEDULED | $25,894.84 | $25,894.84 | $3,632.70–$3,709.18 | 383% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $25,894.84 | $25,894.84 | $1,217.06–$23,823.25 | 383% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material UNSCHEDULED | $15,710.54 | $15,710.54 | $2,529.35–$2,582.60 | 315% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $15,710.54 | $15,710.54 | $517.79–$3,623.00 | 315% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $15,710.54 | $15,710.54 | $738.40–$14,453.70 | 315% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar | $25,822.15 | $25,822.15 | $828.27–$3,623.00 | 301% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $25,822.15 | $25,822.15 | $1,213.64–$23,756.38 | 301% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar UNSCHEDULED | $25,822.15 | $25,822.15 | $3,501.12–$3,574.83 | 301% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material | $16,674.04 | $16,674.04 | $517.79–$3,623.00 | 325% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material UNSCHEDULED | $16,674.04 | $16,674.04 | $2,509.85–$2,562.69 | 325% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $16,674.04 | $16,674.04 | $783.68–$15,340.12 | 325% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $27,342.37 | $27,342.37 | $1,285.09–$25,154.98 | 389% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical UNSCHEDULED | $27,342.37 | $27,342.37 | $4,053.77–$4,139.12 | 389% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical | $27,342.37 | $27,342.37 | $828.27–$3,623.00 | 389% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material UNSCHEDULED | $16,635.48 | $16,635.48 | $2,374.37–$2,424.36 | 334% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material | $16,635.48 | $16,635.48 | $517.79–$3,623.00 | 334% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $16,635.48 | $16,635.48 | $781.87–$15,304.64 | 334% above | — |
| MRI of the pelvis without and with contrast CPT 72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences | $23,856.80 | $23,856.80 | $828.27–$3,623.00 | 390% above | — |
| MRI of the pelvis without and with contrast CPT 72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED | $23,856.80 | $23,856.80 | $3,229.18–$3,297.17 | 390% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $23,856.80 | $23,856.80 | $1,121.27–$21,948.26 | 390% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) | $18,417.45 | $18,417.45 | $517.79–$3,623.00 | 447% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) UNSCHEDULED | $18,417.45 | $18,417.45 | $2,782.77–$2,841.35 | 447% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $18,417.45 | $18,417.45 | $865.62–$16,944.05 | 447% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $23,662.20 | $23,662.20 | $1,112.12–$21,769.22 | 257% 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 | $23,662.20 | $23,662.20 | $2,938.37 | 257% 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 | $23,662.20 | $23,662.20 | $3,623.94–$3,700.23 | 257% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh UNSCHEDULED | $23,425.88 | $23,425.88 | $2,056.62–$2,099.91 | 257% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh | $23,425.88 | $23,425.88 | $3,330.77–$5,512.00 | 257% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT TUMOR SK BS MIDTH | $23,425.88 | $23,425.88 | $1,101.02–$21,551.81 | 257% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) | $4,647.81 | $4,647.81 | $245.18 | 376% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) UNSCHEDULED | $4,647.81 | $4,647.81 | $418.14–$426.95 | 376% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $4,647.81 | $4,647.81 | $218.45–$4,275.99 | 376% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $5,418.75 | $5,418.75 | $245.18 | 282% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete UNSCHEDULED | $5,418.75 | $5,418.75 | $1,050.73–$1,072.85 | 282% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $5,418.75 | $5,418.75 | $254.68–$4,985.25 | 282% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $5,459.51 | $5,459.51 | $256.60–$5,022.75 | 344% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation | $5,459.51 | $5,459.51 | $245.18 | 344% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation UNSCHEDULED | $5,459.51 | $5,459.51 | $917.20–$936.51 | 344% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $5,587.34 | $5,587.34 | $262.60–$5,140.35 | 533% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation | $5,587.34 | $5,587.34 | $245.18 | 533% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation UNSCHEDULED | $5,587.34 | $5,587.34 | $616.01–$628.98 | 533% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses UNSCHEDULED | $3,797.59 | $3,797.59 | $436.67–$445.86 | 464% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $3,797.59 | $3,797.59 | $178.49–$3,493.78 | 464% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses | $3,797.59 | $3,797.59 | $245.18 | 464% above | — |
| Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $722.14 | $722.14 | $217.46 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $722.14 | $722.14 | $33.94–$664.37 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR | $10,621.25 | $10,621.25 | $499.20–$9,771.55 | 85% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG | $8,170.03 | $8,170.03 | $383.99–$7,516.43 | 221% 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 | $3,362.76 | $3,362.76 | $575.07–$587.18 | 196% 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 | $3,362.76 | $3,362.76 | — | 196% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $3,362.76 | $3,362.76 | $158.05–$3,093.74 | 196% 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 Other Diagnostic Radiology FS | $3,362.76 | $3,362.76 | $401.74 | 196% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal UNSCHEDULED | $4,477.15 | $4,477.15 | $943.51–$963.37 | 301% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $4,477.15 | $4,477.15 | $210.43–$4,118.98 | 301% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal | $4,477.15 | $4,477.15 | $245.18 | 301% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $4,477.15 | $4,477.15 | $210.43–$4,118.98 | 343% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal UNSCHEDULED | $4,477.15 | $4,477.15 | $456.16–$465.76 | 343% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $4,477.15 | $4,477.15 | $245.18 | 343% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete | $12,921.84 | $12,921.84 | $245.18 | 505% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $12,921.84 | $12,921.84 | $607.33–$11,888.09 | 505% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete UNSCHEDULED | $12,921.84 | $12,921.84 | $1,387.97–$1,417.19 | 505% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents | $4,656.10 | $4,656.10 | $245.18 | 302% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $4,656.10 | $4,656.10 | $218.84–$4,283.61 | 302% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents UNSCHEDULED | $4,656.10 | $4,656.10 | $710.55–$725.51 | 302% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $4,473.26 | $4,473.26 | $210.24–$4,115.40 | 301% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation | $4,473.26 | $4,473.26 | $245.18 | 301% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation UNSCHEDULED | $4,473.26 | $4,473.26 | $936.69–$956.41 | 301% 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 | $3,906.93 | $3,906.93 | — | 231% 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 Other Diagnostic Radiology FS | $3,906.93 | $3,906.93 | $401.74 | 231% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $3,906.93 | $3,906.93 | $183.63–$3,594.38 | 231% 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 | $3,906.93 | $3,906.93 | $2,061.49–$2,104.89 | 231% 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 | $1,915.83 | $1,915.83 | $90.04–$1,762.56 | 244% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views UNSCHEDULED | $1,915.83 | $1,915.83 | $440.56–$449.84 | 244% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views | $1,915.83 | $1,915.83 | — | 244% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views Other Diagnostic Radiology FS | $1,915.83 | $1,915.83 | $182.03 | 244% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view UNSCHEDULED | $1,678.36 | $1,678.36 | $472.73–$482.68 | 191% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $1,678.36 | $1,678.36 | $78.88–$1,544.09 | 191% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view Other Diagnostic Radiology FS | $1,678.36 | $1,678.36 | $182.03 | 191% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view | $1,678.36 | $1,678.36 | — | 191% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views | $1,606.12 | $1,606.12 | — | 86% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views Other Diagnostic Radiology FS | $1,606.12 | $1,606.12 | $245.18 | 86% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views UNSCHEDULED | $1,606.12 | $1,606.12 | $477.60–$487.66 | 86% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $1,606.12 | $1,606.12 | $75.49–$1,477.63 | 86% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views UNSCHEDULED | $2,576.23 | $2,576.23 | $785.61–$802.15 | 100% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views | $2,576.23 | $2,576.23 | — | 100% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $2,576.23 | $2,576.23 | $121.08–$2,370.13 | 100% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views Other Diagnostic Radiology FS | $2,576.23 | $2,576.23 | $245.18 | 100% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $1,607.08 | $1,607.08 | $75.53–$1,478.51 | 122% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views | $1,607.08 | $1,607.08 | — | 122% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views UNSCHEDULED | $1,607.08 | $1,607.08 | $498.08–$508.56 | 122% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views Other Diagnostic Radiology FS | $1,607.08 | $1,607.08 | $245.18 | 122% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views UNSCHEDULED | $1,585.65 | $1,585.65 | $387.93–$396.10 | 110% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $1,585.65 | $1,585.65 | $74.53–$1,458.80 | 110% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views | $1,585.65 | $1,585.65 | — | 110% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views Other Diagnostic Radiology FS | $1,585.65 | $1,585.65 | $182.03 | 110% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views UNSCHEDULED | $2,713.76 | $2,713.76 | $422.05–$430.93 | 260% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views | $2,713.76 | $2,713.76 | — | 260% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views Other Diagnostic Radiology FS | $2,713.76 | $2,713.76 | $182.03 | 260% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $2,713.76 | $2,713.76 | $127.55–$2,496.66 | 260% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views Other Diagnostic Radiology FS | $1,678.36 | $1,678.36 | $245.18 | 122% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views UNSCHEDULED | $1,678.36 | $1,678.36 | $390.86–$399.09 | 122% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views | $1,678.36 | $1,678.36 | — | 122% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $1,678.36 | $1,678.36 | $78.88–$1,544.09 | 122% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views | $1,671.60 | $1,671.60 | — | 120% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views UNSCHEDULED | $1,671.60 | $1,671.60 | $450.31–$459.79 | 120% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $1,671.60 | $1,671.60 | $78.57–$1,537.87 | 120% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views Other Diagnostic Radiology FS | $1,671.60 | $1,671.60 | $182.03 | 120% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $161.39 | $161.39 | $7.59–$148.48 | 214% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $25.00 | $25.00 | $1.18–$23.00 | 61% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $5,368.44 | $5,368.44 | $252.32–$4,938.96 | 2728% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $159.24 | $159.24 | $7.48–$146.50 | 1559% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $10.12 | $10.12 | $0.48–$9.31 | 63% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $368.45 | $368.45 | $17.32–$338.97 | 1112% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide | $988.74 | $988.74 | $39.26 | 341% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $988.74 | $988.74 | $46.47–$909.64 | 341% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide UNSCHEDULED | $988.74 | $988.74 | $186.17–$190.09 | 341% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium | $3,533.90 | $3,533.90 | $8.46 | 773% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium UNSCHEDULED | $3,533.90 | $3,533.90 | $214.43–$218.95 | 773% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $3,533.90 | $3,533.90 | $166.09–$3,251.19 | 773% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $420.00 | $420.00 | $19.74–$386.40 | 233% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HISTOLOGY CELL BLOCK | $754.41 | $754.41 | $35.46–$694.06 | 499% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) | $1,101.69 | $1,101.69 | $10.32 | 180% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $1,101.69 | $1,101.69 | $51.78–$1,013.55 | 180% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) UNSCHEDULED | $1,101.69 | $1,101.69 | $249.53–$254.78 | 180% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $52.05 | $52.05 | $2.45–$47.89 | 132% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $25.00 | $25.00 | $1.18–$23.00 | 59% below | — |
| Blood lead test CPT 83655 LEAD URINE | $11.54 | $11.54 | $0.54–$10.62 | 15% below | — |
| Blood lead test CPT 83655 LEAD BLOOD | $60.00 | $60.00 | $2.82–$55.20 | 340% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative | $1,444.83 | $1,444.83 | $7.52 | 969% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative UNSCHEDULED | $1,444.83 | $1,444.83 | $118.91–$121.41 | 969% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $1,444.83 | $1,444.83 | $67.91–$1,329.24 | 969% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $298.53 | $298.53 | $14.03–$274.65 | 306% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE CORD BLOOD | $402.90 | $402.90 | $18.94–$370.67 | 448% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; | $637.66 | $637.66 | $5.18 | 572% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; UNSCHEDULED | $637.66 | $637.66 | $108.20–$110.47 | 572% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $637.66 | $637.66 | $29.97–$586.65 | 572% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $905.73 | $905.73 | $42.57–$833.27 | 630% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN | $621.74 | $621.74 | $29.22–$572.00 | 527% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 FLUID QN | $1,133.06 | $1,133.06 | $53.25–$1,042.42 | 1043% above | — |
| 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 | $101.42 | $101.42 | $51.31 | 25% above | — |
| 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 | $101.42 | $101.42 | $102.34–$104.50 | 25% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $101.42 | $101.42 | $4.77–$93.31 | 25% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $908.59 | $908.59 | $42.70–$835.90 | 1067% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) UNSCHEDULED | $1,726.11 | $1,726.11 | $217.36–$221.94 | 1000% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $1,726.11 | $1,726.11 | $81.13–$1,588.02 | 1000% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) | $1,726.11 | $1,726.11 | $13.39 | 1000% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $12.00 | $12.00 | $0.56–$11.04 | 90% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $3,624.14 | $3,624.14 | $170.33–$3,334.21 | 546% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $1,225.47 | $1,225.47 | $57.60–$1,127.43 | 316% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative UNSCHEDULED | $1,225.47 | $1,225.47 | $163.75–$167.20 | 316% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative | $1,225.47 | $1,225.47 | $10.18 | 316% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $677.83 | $677.83 | $31.86–$623.60 | 1327% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $851.62 | $851.62 | $40.03–$783.49 | 1928% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $566.54 | $566.54 | $26.63–$521.22 | 669% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal UNSCHEDULED | $162.90 | $162.90 | $75.05–$76.63 | 29% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $162.90 | $162.90 | $7.66–$149.87 | 29% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $162.90 | $162.90 | $19.63 | 29% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin UNSCHEDULED | $415.15 | $415.15 | $132.56–$135.35 | 136% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $415.15 | $415.15 | $19.51–$381.94 | 136% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $415.15 | $415.15 | $13.63 | 136% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $700.27 | $700.27 | $32.91–$644.25 | 329% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $1,265.37 | $1,265.37 | $59.47–$1,164.14 | 1230% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $580.55 | $580.55 | $27.29–$534.11 | 511% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR W GLUCOLA | $293.06 | $293.06 | $13.77–$269.62 | 210% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR W GLUCOLA | $907.30 | $907.30 | $42.64–$834.72 | 859% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS | $879.64 | $879.64 | $41.34–$809.27 | 521% above | — |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TT 1ST 3 SPEC | $879.64 | $879.64 | $41.34–$809.27 | 521% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $908.59 | $908.59 | $42.70–$835.90 | 1666% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGA | $11.61 | $11.61 | $0.55–$10.68 | 66% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QUAL | $692.08 | $692.08 | $32.53–$636.71 | 1897% above | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $405.14 | $405.14 | $19.04–$372.73 | 696% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 DNA QN | $74.93 | $74.93 | $3.52–$68.94 | 34% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN | $74.93 | $74.93 | $3.52–$68.94 | 34% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result UNSCHEDULED | $493.15 | $493.15 | $135.48–$138.33 | 869% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL | $493.15 | $493.15 | $23.18–$453.70 | 869% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result | $493.15 | $493.15 | $13.71 | 869% 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 | $419.40 | $419.40 | $24.08 | 402% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE | $419.40 | $419.40 | $19.71–$385.85 | 402% 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 | $419.40 | $419.40 | $66.28–$67.68 | 402% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $416.35 | $416.35 | $19.57–$383.04 | 420% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN | $538.93 | $538.93 | $25.33–$495.82 | 574% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $15.00 | $15.00 | $0.70–$13.80 | 74% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $1,588.44 | $1,588.44 | $74.66–$1,461.36 | 3199% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $1,305.62 | $1,305.62 | $61.36–$1,201.17 | 867% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGM | $12.01 | $12.01 | $0.56–$11.05 | 46% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG | $12.01 | $12.01 | $0.56–$11.05 | 46% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGM | $14.01 | $14.01 | $0.66–$12.89 | 52% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG | $590.07 | $590.07 | $27.73–$542.86 | 1935% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB QL | $590.07 | $590.07 | $27.73–$542.86 | 1935% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) | $394.63 | $394.63 | $12.95 | 498% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) UNSCHEDULED | $394.63 | $394.63 | $127.69–$130.38 | 498% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $394.63 | $394.63 | $18.55–$363.06 | 498% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $12.22 | $12.22 | $0.57–$11.24 | 77% below | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $73.31 | $73.31 | $3.45–$67.45 | 133% above | — |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE QN | $121.90 | $121.90 | $5.73–$112.15 | 68% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $197.46 | $197.46 | $9.28–$181.66 | 171% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $619.60 | $619.60 | $29.12–$570.03 | 382% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $3,975.74 | $3,975.74 | $186.86–$3,657.68 | 696% above | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i | $3,975.74 | $3,975.74 | $8.68 | 696% above | — |
| Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i UNSCHEDULED | $3,975.74 | $3,975.74 | $159.85–$163.21 | 696% above | — |
| LH (luteinizing hormone) test CPT 83002 LH | $564.59 | $564.59 | $26.54–$519.42 | 666% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $1,551.35 | $1,551.35 | $72.91–$1,427.24 | 1948% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $2,541.22 | $2,541.22 | $119.44–$2,337.92 | 563% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG QL | $419.40 | $419.40 | $19.71–$385.85 | 1201% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL | $459.27 | $459.27 | $21.59–$422.53 | 1325% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB QL | $582.45 | $582.45 | $27.38–$535.85 | 1707% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $204.22 | $204.22 | $9.60–$187.88 | 1328% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $1,073.28 | $1,073.28 | $50.44–$987.42 | 7405% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB QUAL | $7.49 | $7.49 | $0.35–$6.89 | 68% below | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $392.67 | $392.67 | $18.46–$361.26 | 1589% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening UNSCHEDULED | $935.21 | $935.21 | $115.99–$118.43 | 379% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $935.21 | $935.21 | $43.95–$860.39 | 379% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening | $935.21 | $935.21 | $5.18 | 379% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $24.00 | $24.00 | $1.13–$22.08 | 61% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH N TERMINAL | $111.30 | $111.30 | $5.23–$102.40 | 3% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $1,169.53 | $1,169.53 | $54.97–$1,075.97 | 982% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) | $1,258.14 | $1,258.14 | $59.13–$1,157.49 | 1064% 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 | $795.00 | $795.00 | $759.05 | 59% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL ANEPLOIDY 131821 | $795.00 | $795.00 | $37.37–$731.40 | 59% 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 | $795.00 | $795.00 | $106.73–$108.98 | 59% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCR DOO MANUAL READ | $100.00 | $100.00 | $4.70–$92.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza UNSCHEDULED | $496.46 | $496.46 | $102.34–$104.50 | 255% above | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS AG OIA | $496.46 | $496.46 | $23.33–$456.74 | 255% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza | $496.46 | $496.46 | $16.55 | 255% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA | $455.75 | $455.75 | $21.42–$419.29 | 234% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A UNSCHEDULED | $455.75 | $455.75 | $115.02–$117.44 | 234% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A | $455.75 | $455.75 | $16.53 | 234% above | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN | $4.50 | $4.50 | $0.21–$4.14 | 83% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $6.11 | $6.11 | $0.29–$5.62 | 68% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB QUAL | $35.00 | $35.00 | $1.65–$32.20 | 86% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated UNSCHEDULED | $987.79 | $987.79 | $71.16–$72.65 | 749% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated | $987.79 | $987.79 | $2.70 | 749% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $987.79 | $987.79 | $46.43–$908.77 | 749% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $6.56 | $6.56 | $0.31–$6.04 | 86% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC | $252.99 | $252.99 | $11.89–$232.75 | 251% 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 | $252.99 | $252.99 | $4.38 | 251% 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 | $252.99 | $252.99 | $56.53–$57.72 | 251% 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 | $64.35 | $64.35 | $15.92 | 8% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLD CRC IA | $64.35 | $64.35 | $3.02–$59.20 | 8% 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 UNSCHEDULED | $64.35 | $64.35 | $146.21–$149.28 | 8% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $130.02 | $130.02 | $6.11–$119.62 | 508% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $130.02 | $130.02 | $6.11–$119.62 | 508% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS EIA SCREEN | $352.73 | $352.73 | $16.58–$324.51 | 1550% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP | $40.00 | $40.00 | $1.88–$36.80 | 40% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon UNSCHEDULED | $40.00 | $40.00 | $113.07–$115.45 | 40% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon | $40.00 | $40.00 | $61.98 | 40% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $11.63 | $11.63 | $0.55–$10.70 | 25% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB | $12.49 | $12.49 | $0.59–$11.49 | 20% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) UNSCHEDULED | $1,148.25 | $1,148.25 | $176.42–$180.14 | 616% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) | $1,148.25 | $1,148.25 | $16.80 | 616% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $1,148.25 | $1,148.25 | $53.97–$1,056.39 | 616% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood | $1,161.64 | $1,161.64 | $4.52 | 696% above | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $1,161.64 | $1,161.64 | $54.60–$1,068.71 | 696% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood UNSCHEDULED | $1,161.64 | $1,161.64 | $91.62–$93.55 | 696% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $10.00 | $10.00 | $0.47–$9.20 | 94% below | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $832.14 | $832.14 | $39.11–$765.57 | 588% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine | $739.06 | $739.06 | $8.07 | 167% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $739.06 | $739.06 | $34.74–$679.94 | 167% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine UNSCHEDULED | $739.06 | $739.06 | $173.50–$177.15 | 167% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $1,444.83 | $1,444.83 | $67.91–$1,329.24 | 825% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $605.02 | $605.02 | $28.44–$556.62 | 271% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH | $70.10 | $70.10 | $3.29–$64.49 | 42% above | — |
| Zinc blood test CPT 84630 ZINC URINE | $14.99 | $14.99 | $0.70–$13.79 | at median | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG INTACT QN | $32.58 | $32.58 | $1.53–$29.97 | 68% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $458.80 | $458.80 | $21.56–$422.10 | 345% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $5,384.64 | $5,384.64 | $253.08–$4,953.87 | 133% 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 | $205,925.91 | $205,925.91 | $23,125.00–$47,009.00 | 315% 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 | $205,925.91 | $205,925.91 | $29,561.67–$30,184.02 | 315% 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 | $205,925.91 | $205,925.91 | $1,278.70–$1,305.62 | 315% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB | $205,925.91 | $205,925.91 | $12,149.63–$189,451.84 | 315% 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 | $2,091.41 | $2,091.41 | $98.30–$1,924.10 | 61% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $414.68 | $414.68 | $19.49–$381.51 | 31% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR | $2,181.31 | $2,181.31 | $102.52–$2,006.81 | 119% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug UNSCHEDULED | $2,181.31 | $2,181.31 | $1,065.35–$1,087.78 | 119% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug SCHEDULED | $2,181.31 | $2,181.31 | $143.45–$146.47 | 119% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug | $2,181.31 | $2,181.31 | — | 119% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $12,339.40 | $12,339.40 | $1,961.96–$10,488.49 | 149% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $3,058.17 | $3,058.17 | $143.73–$2,813.52 | 68% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy UNSCHEDULED | $3,058.17 | $3,058.17 | $738.82–$754.38 | 68% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy SCHEDULED | $3,058.17 | $3,058.17 | $309.70–$316.22 | 68% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $414.30 | $414.30 | $19.47–$381.16 | 1% above | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 ECT WITH MONITORING | $3,627.90 | $3,627.90 | $170.51–$3,337.67 | 146% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $2,198.35 | $2,198.35 | $175.87–$1,868.60 | 349% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $3,812.74 | $3,812.74 | $606.23–$3,240.83 | 320% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $5,417.10 | $5,417.10 | $861.32–$4,604.54 | 249% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $6,099.56 | $6,099.56 | $969.83–$5,184.63 | 151% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $7,654.56 | $7,654.56 | $1,217.08–$6,506.38 | 135% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $6,337.54 | $6,337.54 | $297.86–$5,830.54 | 242% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAM W PT 50 MIN | $774.98 | $774.98 | $36.42–$712.98 | 33% above | — |
| Group psychotherapy session CPT 90853 IOP PSY GRP (NOT FAMILY) | $554.30 | $554.30 | $26.05–$509.96 | 74% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $1,163.16 | $1,163.16 | $54.67–$1,070.11 | 78% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $2,353.20 | $2,353.20 | $110.60–$2,164.94 | 205% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $832.22 | $832.22 | $66.58–$707.39 | 374% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation UNSCHEDULED | $1,077.26 | $1,077.26 | $247.57–$252.78 | 280% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSY DX EVAL | $1,077.26 | $1,077.26 | $50.63–$991.08 | 280% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation SCHEDULED | $1,077.26 | $1,077.26 | $133.95–$136.77 | 280% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE COND 7-8 STDS | $2,135.88 | $2,135.88 | $100.39–$1,965.01 | 89% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction studies; 7-8 studies UNSCHEDULED | $2,135.88 | $2,135.88 | $847.01–$864.84 | 89% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction studies; 7-8 studies SCHEDULED | $2,135.88 | $2,135.88 | $83.60–$85.36 | 89% above | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $811.43 | $811.43 | $38.14–$746.52 | 56% above | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $395.98 | $395.98 | $18.61–$364.30 | 43% below | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $527.96 | $527.96 | $24.81–$485.72 | 32% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 BASIC CARE NP | $60.00 | $60.00 | $2.82–$55.20 | 78% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 SUTURE/STAPLE REM NP | $88.01 | $88.01 | $4.14–$80.97 | 67% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $175.98 | $175.98 | $8.27–$161.90 | 34% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 RAD CONSULT LEVEL 1 | $262.29 | $262.29 | $15.48–$241.31 | 2% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PSYCH BRIDGE APPT | $523.60 | $523.60 | $24.61–$481.71 | 95% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes with patient UNSCHEDULED | $780.53 | $780.53 | $228.08–$232.88 | 101% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes with patient SCHEDULED | $780.53 | $780.53 | $67.45–$68.87 | 101% above | — |
| Psychotherapy session, 30 minutes CPT 90832 INDIV SESSION 30MIN | $780.53 | $780.53 | $36.68–$718.09 | 101% above | — |
| Psychotherapy session, 45 minutes CPT 90834 INDIV SESSION 45MIN | $818.11 | $818.11 | $38.45–$752.66 | 109% above | — |
| Psychotherapy session, 60 minutes CPT 90837 INDIV SESSION 60MIN | $774.98 | $774.98 | $36.42–$712.98 | 64% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $76.68 | $76.68 | $3.60–$70.55 | 23% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $351.98 | $351.98 | $16.54–$323.82 | 46% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $338.72 | $338.72 | $15.92–$311.62 | 6% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $219.98 | $219.98 | $10.34–$202.38 | 59% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $88.01 | $88.01 | $4.14–$80.97 | 75% below | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $40.00 | $40.00 | $1.88–$36.80 | 88% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration UNSCHEDULED | $3,520.52 | $3,520.52 | $479.55–$489.65 | 290% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $3,520.52 | $3,520.52 | $165.46–$3,238.88 | 290% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration SCHEDULED | $3,520.52 | $3,520.52 | $46.55–$47.53 | 290% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, therapeutic (separate procedure) UNSCHEDULED | $995.51 | $995.51 | $394.75–$403.06 | 197% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, therapeutic (separate procedure) SCHEDULED | $995.51 | $995.51 | $102.60–$104.76 | 197% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $995.51 | $995.51 | $46.79–$915.87 | 197% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use UNSCHEDULED | $306.63 | $306.63 | $158.88–$162.22 | 3% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use | $306.63 | $306.63 | $495.34 | 3% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VAC LIVE SQ | $306.63 | $306.63 | $18.09–$282.10 | 3% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $106.99 | $106.99 | $6.31–$98.43 | 32% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVAC IIV3 PF 0.5ML IM | $177.50 | $177.50 | $10.47–$163.30 | 119% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VAC ADULT IM | $75.00 | $75.00 | $4.42–$69.00 | 56% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 DONT USE-HEPB VAC ADLT 3 | $291.99 | $291.99 | $17.23–$268.63 | 25% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $291.99 | $291.99 | $17.23–$268.63 | 25% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use UNSCHEDULED | $65.00 | $65.00 | $158.88–$162.22 | 71% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use | $65.00 | $65.00 | $99.45–$102.53 | 71% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $65.00 | $65.00 | $3.83–$59.80 | 71% below | — |
| 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 | $337.60 | $337.60 | $286.96 | 14% below | — |
| 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 | $337.60 | $337.60 | $150.10–$153.26 | 14% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ | $337.60 | $337.60 | $19.92–$310.59 | 14% below | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use UNSCHEDULED | $1,071.86 | $1,071.86 | $732.00–$747.41 | 14% below | — |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $1,071.86 | $1,071.86 | $63.24–$986.11 | 14% below | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use | $1,071.86 | $1,071.86 | $677.72 | 14% below | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VAC RECOMB ADJ IM | $1,327.87 | $1,327.87 | $78.34–$1,221.64 | 283% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use | $1,327.87 | $1,327.87 | $221.59–$228.44 | 283% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use UNSCHEDULED | $1,327.87 | $1,327.87 | $158.88–$162.22 | 283% 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 | $273.21 | $273.21 | $96.49–$98.52 | 76% 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 | $273.21 | $273.21 | $83.31 | 76% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM | $273.21 | $273.21 | $16.12–$251.35 | 76% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use | $512.20 | $512.20 | $84.88 | 122% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VAC >=7YRS IM | $512.20 | $512.20 | $30.22–$471.22 | 122% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use UNSCHEDULED | $512.20 | $512.20 | $158.88–$162.22 | 122% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $455.76 | $455.76 | $36.46–$387.40 | 270% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $316.48 | $316.48 | $14.87–$291.16 | 167% above | — |