HCA Florida Fawcett Hospital
HCA Florida Fawcett Hospital in Port Charlotte, FL publishes cash prices for 204 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 153 of 202 procedures and below it for 48. By typical cash price it ranks #133 of 151 Florida hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
21298 Olean Blvd, Port Charlotte, FL 33952 Collected Sep 27, 2026 Source price file (941) 629-1181
Acute care hospital Emergency department CMS star rating 1 of 5 CCN 100236 · CMS hospital register
The price file shows no self-pay discount
For 510 of the 510 prices listed here, the cash price in HCA Florida Fawcett 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 3 actions for a hospital named HCA Florida Fawcett Hospital in Port Charlotte, FL:
- Jun 16, 2023 Warning notice
- Sep 29, 2023 Case closed
- May 5, 2025 Met requirements
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. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
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 | $3,100.53 | $3,100.53 | $145.72–$2,852.49 | 234% 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 | $4,263.57 | $4,263.57 | — | 327% 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 | $4,263.57 | $4,263.57 | $401.74 | 327% 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 | $4,263.57 | $4,263.57 | $773.54–$789.82 | 327% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $4,263.57 | $4,263.57 | $200.39–$3,922.48 | 327% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $10,982.20 | $10,982.20 | $516.16–$10,103.62 | 275% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body UNSCHEDULED | $10,982.20 | $10,982.20 | $511.92–$522.69 | 275% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $10,982.20 | $10,982.20 | $848.52 | 275% above | — |
| Breast ultrasound, complete, one breast CPT 76641 US BRST UNI W AX COMP | $622.49 | $622.49 | $29.26–$572.69 | 8% above | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BRST UNI W AX LTD | $622.49 | $622.49 | $29.26–$572.69 | 35% 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 | $23,024.94 | $23,024.94 | $2,966.64–$3,029.10 | 387% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $23,024.94 | $23,024.94 | $1,082.17–$21,182.94 | 387% 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 | $23,024.94 | $23,024.94 | $1,478.00 | 387% 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 | $23,024.94 | $23,024.94 | $401.74–$1,975.00 | 1050% 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 | $23,024.94 | $23,024.94 | $2,092.99–$2,137.06 | 1050% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS | $23,024.94 | $23,024.94 | $1,082.17–$21,182.94 | 1050% 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 | $17,650.89 | $17,650.89 | $182.03–$1,975.00 | 3364% 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 | $17,650.89 | $17,650.89 | $106.72–$108.97 | 3364% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA | $17,650.89 | $17,650.89 | $829.59–$16,238.82 | 3364% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material UNSCHEDULED | $32,369.83 | $32,369.83 | $3,833.69–$3,914.40 | 385% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $32,369.83 | $32,369.83 | $1,521.38–$29,780.24 | 385% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material | $32,369.83 | $32,369.83 | $1,478.00 | 385% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $34,634.24 | $34,634.24 | $1,627.81–$31,863.50 | 365% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) | $34,634.24 | $34,634.24 | $767.00–$1,975.00 | 365% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED | $34,634.24 | $34,634.24 | $4,456.11–$4,549.92 | 365% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $35,649.33 | $35,649.33 | $1,675.52–$32,797.38 | 326% 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 | $35,649.33 | $35,649.33 | $767.00–$1,975.00 | 326% 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 | $35,649.33 | $35,649.33 | $4,815.01–$4,916.38 | 326% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) | $18,330.36 | $18,330.36 | $401.74–$1,975.00 | 307% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) UNSCHEDULED | $18,330.36 | $18,330.36 | $2,756.03–$2,814.05 | 307% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $18,330.36 | $18,330.36 | $861.53–$16,863.93 | 307% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $17,058.98 | $17,058.98 | $801.77–$15,694.26 | 312% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material | $17,058.98 | $17,058.98 | $245.18–$1,975.00 | 312% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material UNSCHEDULED | $17,058.98 | $17,058.98 | $2,779.63–$2,838.15 | 312% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material UNSCHEDULED | $17,230.16 | $17,230.16 | $1,952.26–$1,993.36 | 461% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material | $17,230.16 | $17,230.16 | $245.18–$1,975.00 | 461% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $17,230.16 | $17,230.16 | $809.82–$15,851.75 | 461% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $16,594.16 | $16,594.16 | $779.93–$15,266.63 | 397% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material | $16,594.16 | $16,594.16 | $245.18–$1,975.00 | 397% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material UNSCHEDULED | $16,594.16 | $16,594.16 | $2,009.88–$2,052.19 | 397% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) | $16,608.88 | $16,608.88 | $1,478.00 | 333% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $16,608.88 | $16,608.88 | $780.62–$15,280.17 | 333% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) UNSCHEDULED | $16,608.88 | $16,608.88 | $3,238.65–$3,306.84 | 333% 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 | $17,332.99 | $17,332.99 | $401.74–$1,975.00 | 293% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $17,332.99 | $17,332.99 | $814.65–$15,946.35 | 293% 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 | $17,332.99 | $17,332.99 | $2,739.96–$2,797.64 | 293% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $18,042.31 | $18,042.31 | $847.99–$16,598.93 | 397% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material | $18,042.31 | $18,042.31 | $245.18–$1,975.00 | 397% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material UNSCHEDULED | $18,042.31 | $18,042.31 | $2,272.45–$2,320.29 | 397% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material UNSCHEDULED | $16,760.52 | $16,760.52 | $2,263.94–$2,311.61 | 328% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $16,760.52 | $16,760.52 | $787.74–$15,419.68 | 328% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material | $16,760.52 | $16,760.52 | $1,478.00 | 328% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $19,074.50 | $19,074.50 | $896.50–$17,548.54 | 353% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) | $19,074.50 | $19,074.50 | $401.74–$1,975.00 | 353% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) UNSCHEDULED | $19,074.50 | $19,074.50 | $2,762.64–$2,820.80 | 353% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study | $5,350.27 | $5,350.27 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study UNSCHEDULED | $5,350.27 | $5,350.27 | $995.50–$1,016.45 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study SCHEDULED | $5,350.27 | $5,350.27 | $161.50–$164.90 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $5,350.27 | $5,350.27 | $251.46–$4,922.25 | 95% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views Other Diagnostic Radiology FS | $1,911.36 | $1,911.36 | $182.03 | 274% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views UNSCHEDULED | $1,911.36 | $1,911.36 | $432.57–$441.68 | 274% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $1,911.36 | $1,911.36 | $89.83–$1,758.45 | 274% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views | $1,911.36 | $1,911.36 | — | 274% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $75.00 | $75.00 | $3.52–$69.00 | 84% below | — |
| 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 | $3,582.00 | $3,582.00 | $996.44–$1,017.41 | 174% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $3,582.00 | $3,582.00 | $168.35–$3,295.44 | 174% 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 | $3,582.00 | $3,582.00 | $245.18 | 174% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $1,940.14 | $1,940.14 | $91.19–$1,784.93 | 177% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) UNSCHEDULED | $1,915.02 | $1,915.02 | $206.84–$211.20 | 325% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) Other Diagnostic Radiology FS | $1,915.02 | $1,915.02 | $182.03 | 325% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) | $1,915.02 | $1,915.02 | — | 325% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY PERIPHL | $1,915.02 | $1,915.02 | $90.01–$1,761.82 | 325% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $17,650.89 | $17,650.89 | $829.59–$16,238.82 | 362% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material | $17,650.89 | $17,650.89 | $1,478.00 | 362% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material UNSCHEDULED | $17,650.89 | $17,650.89 | $2,072.21–$2,115.83 | 362% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) UNSCHEDULED | $18,233.11 | $18,233.11 | $2,356.50–$2,406.11 | 304% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $18,233.11 | $18,233.11 | $856.96–$16,774.46 | 304% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) | $18,233.11 | $18,233.11 | $401.74–$1,975.00 | 304% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $1,525.10 | $1,525.10 | $102.87–$116.67 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $1,525.10 | $1,525.10 | $71.68–$1,403.09 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Other Outpatient | $1,525.10 | $1,525.10 | $106.06 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $3,102.19 | $3,102.19 | $145.80–$2,854.01 | 32% above | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study UNSCHEDULED | $3,847.56 | $3,847.56 | $950.16–$970.16 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study | $3,847.56 | $3,847.56 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study SCHEDULED | $3,847.56 | $3,847.56 | $161.50–$164.90 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $3,847.56 | $3,847.56 | $180.84–$3,539.76 | at median | — |
| 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 | $17,435.36 | $17,435.36 | — | 379% 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 | $17,435.36 | $17,435.36 | $1,757.70–$1,794.70 | 379% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $17,435.36 | $17,435.36 | $819.46–$16,040.53 | 379% 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 | $17,435.36 | $17,435.36 | $134.90–$137.74 | 379% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; UNSCHEDULED | $9,945.90 | $9,945.90 | $1,716.14–$1,752.27 | 378% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $9,945.90 | $9,945.90 | $467.46–$9,150.23 | 378% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; | $9,945.90 | $9,945.90 | $848.52 | 378% 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 | $9,100.85 | $9,100.85 | $1,992.00 | 51% 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 | $9,100.85 | $9,100.85 | $5,769.89–$5,891.36 | 51% 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 | $9,100.85 | $9,100.85 | $515.85–$526.71 | 51% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLY >4 PAR W/CPAP OR BV | $9,100.85 | $9,100.85 | $427.74–$8,372.78 | 51% 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 | $4,100.29 | $4,100.29 | $552.53–$564.16 | 207% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $4,100.29 | $4,100.29 | $192.71–$3,772.27 | 207% 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) | $4,100.29 | $4,100.29 | $245.18 | 207% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON | $2,614.11 | $2,614.11 | $122.86–$2,404.98 | 185% 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 | $2,614.11 | $2,614.11 | $606.37–$619.13 | 185% 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) | $2,614.11 | $2,614.11 | $182.03 | 185% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $14,939.12 | $14,939.12 | $517.79–$3,623.00 | 310% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $14,939.12 | $14,939.12 | $702.14–$13,743.99 | 310% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) UNSCHEDULED | $14,939.12 | $14,939.12 | $3,166.87–$3,233.54 | 310% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $21,255.92 | $21,255.92 | $999.03–$19,555.45 | 304% 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 | $21,255.92 | $21,255.92 | $4,002.75–$4,087.02 | 304% 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 | $21,255.92 | $21,255.92 | $828.27–$3,623.00 | 304% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $13,254.33 | $13,254.33 | $517.79–$3,623.00 | 250% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material UNSCHEDULED | $13,254.33 | $13,254.33 | $2,410.34–$2,461.08 | 250% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $13,254.33 | $13,254.33 | $622.95–$12,193.98 | 250% 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 | $20,846.34 | $20,846.34 | $3,520.11–$3,594.22 | 289% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $20,846.34 | $20,846.34 | $979.78–$19,178.63 | 289% 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 | $20,846.34 | $20,846.34 | $828.27–$3,623.00 | 289% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $14,466.14 | $14,466.14 | $1,922.00 | 282% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $14,466.14 | $14,466.14 | $679.91–$13,308.85 | 282% 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 | $14,466.14 | $14,466.14 | $2,450.95–$2,502.55 | 282% 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 | $21,871.59 | $21,871.59 | $828.27–$3,623.00 | 240% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $21,871.59 | $21,871.59 | $1,027.96–$20,121.86 | 240% 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 | $21,871.59 | $21,871.59 | $3,392.61–$3,464.03 | 240% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $14,466.14 | $14,466.14 | $679.91–$13,308.85 | 269% 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 | $14,466.14 | $14,466.14 | $517.79–$3,623.00 | 269% 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 | $14,466.14 | $14,466.14 | $2,432.07–$2,483.27 | 269% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $21,871.59 | $21,871.59 | $1,027.96–$20,121.86 | 291% 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 | $21,871.59 | $21,871.59 | $3,928.14–$4,010.83 | 291% 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 | $21,871.59 | $21,871.59 | $828.27–$3,623.00 | 291% 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 | $13,148.74 | $13,148.74 | $517.79–$3,623.00 | 243% 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 | $13,148.74 | $13,148.74 | $2,300.78–$2,349.21 | 243% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $13,148.74 | $13,148.74 | $617.99–$12,096.84 | 243% 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 | $21,255.92 | $21,255.92 | $3,129.09–$3,194.97 | 337% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $21,255.92 | $21,255.92 | $999.03–$19,555.45 | 337% 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 | $21,255.92 | $21,255.92 | $828.27–$3,623.00 | 337% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) | $13,955.30 | $13,955.30 | $517.79–$3,623.00 | 315% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $13,955.30 | $13,955.30 | $655.90–$12,838.88 | 315% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) UNSCHEDULED | $13,955.30 | $13,955.30 | $2,696.52–$2,753.29 | 315% 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 | $19,415.28 | $19,415.28 | $3,511.62–$3,585.55 | 193% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $19,415.28 | $19,415.28 | $912.52–$17,862.06 | 193% 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 | $19,415.28 | $19,415.28 | $2,938.37 | 193% 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) | $1,759.65 | $1,759.65 | $245.18 | 80% 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 | $1,759.65 | $1,759.65 | $405.18–$413.71 | 80% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $1,759.65 | $1,759.65 | $82.70–$1,618.88 | 80% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $4,672.91 | $4,672.91 | $245.18 | 230% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete UNSCHEDULED | $4,672.91 | $4,672.91 | $1,018.16–$1,039.60 | 230% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $4,672.91 | $4,672.91 | $219.63–$4,299.08 | 230% 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 | $5,713.63 | $5,713.63 | $245.18 | 365% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $5,713.63 | $5,713.63 | $268.54–$5,256.54 | 365% 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 | $5,713.63 | $5,713.63 | $888.76–$907.47 | 365% 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 | $5,513.01 | $5,513.01 | $245.18 | 525% 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 | $5,513.01 | $5,513.01 | $596.91–$609.48 | 525% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $5,513.01 | $5,513.01 | $259.11–$5,071.97 | 525% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $3,485.85 | $3,485.85 | $163.83–$3,206.98 | 418% 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 | $3,485.85 | $3,485.85 | $423.13–$432.04 | 418% 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 | $3,485.85 | $3,485.85 | $245.18 | 418% above | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $915.04 | $915.04 | $43.01–$841.84 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $915.04 | $915.04 | $217.46 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Other Outpatient | $915.04 | $915.04 | $87.36 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist UNSCHEDULED | $16,079.20 | $16,079.20 | $5,244.75–$5,355.17 | 181% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist | $16,079.20 | $16,079.20 | $1,992.00 | 181% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist SCHEDULED | $16,079.20 | $16,079.20 | $493.05–$503.43 | 181% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR | $16,079.20 | $16,079.20 | $755.72–$14,792.86 | 181% 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 | $13,189.99 | $13,189.99 | — | 419% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG | $13,189.99 | $13,189.99 | $619.93–$12,134.79 | 419% 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 | $13,189.99 | $13,189.99 | $151.05–$154.23 | 419% 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 | $13,189.99 | $13,189.99 | $1,510.24–$1,542.04 | 419% 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 | $4,586.48 | $4,586.48 | $401.74 | 304% 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 | $4,586.48 | $4,586.48 | $557.25–$568.98 | 304% 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 | $4,586.48 | $4,586.48 | — | 304% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $4,586.48 | $4,586.48 | $215.56–$4,219.56 | 304% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal UNSCHEDULED | $2,867.26 | $2,867.26 | $914.27–$933.52 | 157% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal | $2,867.26 | $2,867.26 | $245.18 | 157% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $2,867.26 | $2,867.26 | $134.76–$2,637.88 | 157% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $3,168.99 | $3,168.99 | $148.94–$2,915.47 | 214% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal UNSCHEDULED | $3,168.99 | $3,168.99 | $442.03–$451.33 | 214% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $3,168.99 | $3,168.99 | $245.18 | 214% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete | $7,134.74 | $7,134.74 | $245.18 | 234% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $7,134.74 | $7,134.74 | $335.33–$6,563.96 | 234% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete UNSCHEDULED | $7,134.74 | $7,134.74 | $1,344.95–$1,373.27 | 234% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents | $5,015.62 | $5,015.62 | $245.18 | 333% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $5,015.62 | $5,015.62 | $235.73–$4,614.37 | 333% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents UNSCHEDULED | $5,015.62 | $5,015.62 | $688.53–$703.03 | 333% 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 | $3,995.77 | $3,995.77 | $245.18 | 259% 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 | $3,995.77 | $3,995.77 | $907.66–$926.77 | 259% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $3,995.77 | $3,995.77 | $187.80–$3,676.11 | 259% 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 | $5,289.70 | $5,289.70 | $1,997.59–$2,039.65 | 348% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $5,289.70 | $5,289.70 | $248.62–$4,866.52 | 348% 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 | $5,289.70 | $5,289.70 | $401.74 | 348% 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 | $5,289.70 | $5,289.70 | — | 348% 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 | $2,808.52 | $2,808.52 | $132.00–$2,583.84 | 404% 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 | $2,808.52 | $2,808.52 | $182.03 | 404% 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 | $2,808.52 | $2,808.52 | — | 404% 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 | $2,808.52 | $2,808.52 | $426.91–$435.90 | 404% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view UNSCHEDULED | $4,237.02 | $4,237.02 | $458.08–$467.72 | 636% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view | $4,237.02 | $4,237.02 | — | 636% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $4,237.02 | $4,237.02 | $199.14–$3,898.06 | 636% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view Other Diagnostic Radiology FS | $4,237.02 | $4,237.02 | $182.03 | 636% 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 | $4,206.09 | $4,206.09 | $245.18 | 388% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $4,206.09 | $4,206.09 | $197.69–$3,869.60 | 388% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views UNSCHEDULED | $4,206.09 | $4,206.09 | $462.80–$472.55 | 388% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views | $4,206.09 | $4,206.09 | — | 388% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views UNSCHEDULED | $5,453.35 | $5,453.35 | $761.26–$777.29 | 323% 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 | $5,453.35 | $5,453.35 | $245.18 | 323% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views | $5,453.35 | $5,453.35 | — | 323% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $5,453.35 | $5,453.35 | $256.31–$5,017.08 | 323% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views | $4,206.09 | $4,206.09 | — | 480% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views Other Diagnostic Radiology FS | $4,206.09 | $4,206.09 | $245.18 | 480% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views UNSCHEDULED | $4,206.09 | $4,206.09 | $482.64–$492.80 | 480% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $4,206.09 | $4,206.09 | $197.69–$3,869.60 | 480% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views UNSCHEDULED | $2,569.68 | $2,569.68 | $375.91–$383.82 | 240% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views | $2,569.68 | $2,569.68 | — | 240% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $2,569.68 | $2,569.68 | $120.77–$2,364.11 | 240% 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 | $2,569.68 | $2,569.68 | $182.03 | 240% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views | $3,007.57 | $3,007.57 | — | 299% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $3,007.57 | $3,007.57 | $141.36–$2,766.96 | 299% 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 | $3,007.57 | $3,007.57 | $182.03 | 299% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views UNSCHEDULED | $3,007.57 | $3,007.57 | $408.97–$417.58 | 299% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views | $2,569.68 | $2,569.68 | — | 240% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views UNSCHEDULED | $2,569.68 | $2,569.68 | $378.74–$386.71 | 240% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $2,569.68 | $2,569.68 | $120.77–$2,364.11 | 240% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views Other Diagnostic Radiology FS | $2,569.68 | $2,569.68 | $245.18 | 240% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views | $3,427.70 | $3,427.70 | — | 352% 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 | $3,427.70 | $3,427.70 | $436.35–$445.54 | 352% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $3,427.70 | $3,427.70 | $161.10–$3,153.48 | 352% 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 | $3,427.70 | $3,427.70 | $182.03 | 352% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $16.97 | $16.97 | $0.80–$15.61 | 67% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $772.29 | $772.29 | $36.30–$710.51 | 1099% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) | $772.29 | $772.29 | $5.18 | 1099% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) UNSCHEDULED | $772.29 | $772.29 | $173.78–$177.44 | 1099% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) Other Outpatient | $772.29 | $772.29 | $5.18 | 1099% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $387.75 | $387.75 | $18.22–$356.73 | 104% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each | $3.95 | $3.95 | $5.22 | 59% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each UNSCHEDULED | $3.95 | $3.95 | $109.56–$111.87 | 59% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $3.95 | $3.95 | $0.19–$3.63 | 59% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Other Outpatient | $3.95 | $3.95 | $5.22 | 59% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $105.37 | $105.37 | $4.95–$96.94 | 286% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Other Outpatient | $105.37 | $105.37 | $12.95 | 286% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody UNSCHEDULED | $105.37 | $105.37 | $149.23–$152.37 | 286% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody | $105.37 | $105.37 | $12.95 | 286% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $529.18 | $529.18 | $24.87–$486.85 | 136% 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 | $1,171.84 | $1,171.84 | $207.78–$212.16 | 190% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $1,171.84 | $1,171.84 | $55.08–$1,078.09 | 190% 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 | $1,171.84 | $1,171.84 | $8.46 | 190% 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 Other Outpatient | $1,171.84 | $1,171.84 | $8.46 | 190% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $56.94 | $56.94 | $2.68–$52.38 | 55% below | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Other Outpatient | $1,930.12 | $1,930.12 | $10.32 | 390% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) | $1,930.12 | $1,930.12 | $10.32 | 390% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) UNSCHEDULED | $1,930.12 | $1,930.12 | $241.79–$246.88 | 390% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $1,930.12 | $1,930.12 | $90.72–$1,775.71 | 390% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $135.07 | $135.07 | $6.35–$124.26 | 503% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) Other Outpatient | $977.46 | $977.46 | $3.93 | 1508% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) | $977.46 | $977.46 | $3.93 | 1508% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) UNSCHEDULED | $977.46 | $977.46 | $51.01–$52.08 | 1508% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $977.46 | $977.46 | $45.94–$899.26 | 1508% above | — |
| Blood lead test CPT 83655 LEAD URINE | $10.00 | $10.00 | $0.47–$9.20 | 27% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative UNSCHEDULED | $1,949.54 | $1,949.54 | $115.23–$117.65 | 1342% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $1,949.54 | $1,949.54 | $91.63–$1,793.58 | 1342% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative Other Outpatient | $1,949.54 | $1,949.54 | $7.52 | 1342% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative | $1,949.54 | $1,949.54 | $7.52 | 1342% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $9.90 | $9.90 | $0.47–$9.11 | 87% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; UNSCHEDULED | $340.02 | $340.02 | $104.84–$107.05 | 259% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; | $340.02 | $340.02 | $4.69–$7.98 | 259% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; Other Outpatient | $340.02 | $340.02 | $5.18 | 259% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $340.02 | $340.02 | $15.98–$312.82 | 259% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $261.94 | $261.94 | $12.31–$240.98 | 111% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN | $166.06 | $166.06 | $7.80–$152.78 | 158% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 Other Outpatient | $166.06 | $166.06 | $20.81 | 68% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 | $166.06 | $166.06 | $20.81 | 68% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 UNSCHEDULED | $166.06 | $166.06 | $158.68–$162.02 | 68% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN | $166.06 | $166.06 | $7.80–$152.78 | 68% 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 | $59.60 | $59.60 | $51.31 | 27% 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 | $59.60 | $59.60 | $99.17–$101.26 | 27% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $59.60 | $59.60 | $2.80–$54.83 | 27% 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 Other Outpatient | $59.60 | $59.60 | $51.31 | 27% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $12.00 | $12.00 | $0.56–$11.04 | 85% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $1,868.49 | $1,868.49 | $87.82–$1,719.01 | 1090% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $35.83 | $35.83 | $1.68–$32.96 | 72% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $2,619.24 | $2,619.24 | $123.10–$2,409.70 | 367% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative | $756.14 | $756.14 | $10.18 | 157% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $756.14 | $756.14 | $35.54–$695.65 | 157% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative UNSCHEDULED | $756.14 | $756.14 | $158.68–$162.02 | 157% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative Other Outpatient | $756.14 | $756.14 | $10.18 | 157% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $181.01 | $181.01 | $8.51–$166.53 | 281% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Other Outpatient | $181.01 | $181.01 | $22.23 | 281% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) | $181.01 | $181.01 | $22.23 | 281% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) UNSCHEDULED | $181.01 | $181.01 | $72.72–$74.25 | 281% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $227.43 | $227.43 | $10.69–$209.24 | 442% above | — |
| Estradiol blood test CPT 82670 Estradiol; total | $227.43 | $227.43 | $27.94 | 442% above | — |
| Estradiol blood test CPT 82670 Estradiol; total UNSCHEDULED | $227.43 | $227.43 | $72.72–$74.25 | 442% above | — |
| Estradiol blood test CPT 82670 Estradiol; total Other Outpatient | $227.43 | $227.43 | $27.94 | 442% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) | $151.23 | $151.23 | $16.84–$28.61 | 105% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) UNSCHEDULED | $151.23 | $151.23 | $38.72–$39.54 | 105% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Other Outpatient | $151.23 | $151.23 | $18.58 | 105% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $151.23 | $151.23 | $7.11–$139.13 | 105% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $100.00 | $100.00 | $19.63 | 21% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Other Outpatient | $100.00 | $100.00 | $19.63 | 21% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal UNSCHEDULED | $100.00 | $100.00 | $72.72–$74.25 | 21% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $100.00 | $100.00 | $4.70–$92.00 | 21% below | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $110.97 | $110.97 | $5.22–$102.09 | 37% below | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $480.03 | $480.03 | $22.56–$441.63 | 194% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $128.01 | $128.01 | $6.02–$117.77 | 35% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $67.96 | $67.96 | $3.19–$62.52 | 28% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR W GLUCOLA | $1,809.12 | $1,809.12 | $85.03–$1,664.39 | 1813% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) Other Outpatient | $1,809.12 | $1,809.12 | $4.75 | 1813% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) UNSCHEDULED | $1,809.12 | $1,809.12 | $72.72–$74.25 | 1813% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) | $1,809.12 | $1,809.12 | $4.75 | 1813% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) | $1,185.17 | $1,185.17 | $12.87 | 737% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) Other Outpatient | $1,185.17 | $1,185.17 | $12.87 | 737% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS | $1,185.17 | $1,185.17 | $55.70–$1,090.36 | 737% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) UNSCHEDULED | $1,185.17 | $1,185.17 | $72.72–$74.25 | 737% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $12.00 | $12.00 | $0.56–$11.04 | 77% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QUAL | $118.13 | $118.13 | $5.55–$108.68 | 241% above | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $30.00 | $30.00 | $1.41–$27.60 | 41% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed UNSCHEDULED | $74.93 | $74.93 | $88.78–$90.65 | 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 viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Other Outpatient | $74.93 | $74.93 | $85.10 | 34% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed | $74.93 | $74.93 | $85.10 | 34% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL | $6.95 | $6.95 | $0.33–$6.39 | 86% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE | $164.52 | $164.52 | $7.73–$151.36 | 97% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $1,987.34 | $1,987.34 | $93.40–$1,828.35 | 2384% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $87.43 | $87.43 | $4.11–$80.44 | 52% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $38.49 | $38.49 | $1.81–$35.41 | 20% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $45.23 | $45.23 | $2.13–$41.61 | 20% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $74.00 | $74.00 | $3.48–$68.08 | 45% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed | $74.00 | $74.00 | $42.84 | 45% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Other Outpatient | $74.00 | $74.00 | $42.84 | 45% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed UNSCHEDULED | $74.00 | $74.00 | $99.17–$101.26 | 45% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG | $33.00 | $33.00 | $1.55–$30.36 | 48% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG | $157.58 | $157.58 | $7.41–$144.97 | 443% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) | $7.61 | $7.61 | $11.74–$19.94 | 88% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) UNSCHEDULED | $7.61 | $7.61 | $123.73–$126.33 | 88% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Other Outpatient | $7.61 | $7.61 | $12.95 | 88% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $7.61 | $7.61 | $0.36–$7.00 | 88% below | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $12.22 | $12.22 | $0.57–$11.24 | 77% below | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $10.77 | $10.77 | $0.51–$9.91 | 66% below | — |
| Iron blood test (serum iron) CPT 83540 IRON | $48.81 | $48.81 | $2.29–$44.91 | 33% below | — |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE QN | $90.00 | $90.00 | $4.23–$82.80 | 24% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $645.03 | $645.03 | $30.32–$593.43 | 402% 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 Other Outpatient | $1,474.35 | $1,474.35 | $8.68 | 195% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $1,474.35 | $1,474.35 | $69.29–$1,356.40 | 195% 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 | $1,474.35 | $1,474.35 | $7.87–$13.37 | 195% 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 | $1,474.35 | $1,474.35 | $154.90–$158.16 | 195% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) Other Outpatient | $150.69 | $150.69 | $18.52 | 104% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) | $150.69 | $150.69 | $18.52 | 104% above | — |
| LH (luteinizing hormone) test CPT 83002 LH | $150.69 | $150.69 | $7.08–$138.63 | 104% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) UNSCHEDULED | $150.69 | $150.69 | $38.72–$39.54 | 104% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $21.25 | $21.25 | $1.00–$19.55 | 72% below | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $1,890.10 | $1,890.10 | $88.83–$1,738.89 | 393% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB QL | $122.60 | $122.60 | $5.76–$112.79 | 280% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL | $122.60 | $122.60 | $5.76–$112.79 | 280% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG QL | $122.60 | $122.60 | $5.76–$112.79 | 280% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $5.00 | $5.00 | $0.23–$4.60 | 65% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $50.46 | $50.46 | $2.37–$46.42 | 253% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $1,144.88 | $1,144.88 | $53.81–$1,053.29 | 7906% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB QUAL | $35.00 | $35.00 | $1.65–$32.20 | 51% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $104.87 | $104.87 | $4.93–$96.48 | 351% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $1,050.07 | $1,050.07 | $49.35–$966.06 | 438% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening UNSCHEDULED | $1,050.07 | $1,050.07 | $112.39–$114.76 | 438% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening Other Outpatient | $1,050.07 | $1,050.07 | $5.18 | 438% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening | $1,050.07 | $1,050.07 | $5.18 | 438% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE | $149.77 | $149.77 | $7.04–$137.79 | 335% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $1,380.07 | $1,380.07 | $64.86–$1,269.66 | 2166% above | — |
| 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 | $17.10 | $17.10 | $152.07–$155.27 | 50% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAPDX TCSC NORSC TH | $17.10 | $17.10 | $0.80–$15.73 | 50% 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 Other Outpatient | $17.10 | $17.10 | $20.26 | 50% 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 | $17.10 | $17.10 | $20.26 | 50% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $18.00 | $18.00 | $0.85–$16.56 | 83% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $10.18 | $10.18 | $0.48–$9.37 | 77% below | — |
| Progesterone blood test CPT 84144 Progesterone | $169.84 | $169.84 | $20.86 | 181% above | — |
| Progesterone blood test CPT 84144 Progesterone Other Outpatient | $169.84 | $169.84 | $20.86 | 181% above | — |
| Progesterone blood test CPT 84144 Progesterone UNSCHEDULED | $169.84 | $169.84 | $72.72–$74.25 | 181% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $169.84 | $169.84 | $7.98–$156.25 | 181% above | — |
| Prolactin blood test CPT 84146 Prolactin | $157.76 | $157.76 | $19.38 | 128% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $157.76 | $157.76 | $7.41–$145.14 | 128% above | — |
| Prolactin blood test CPT 84146 Prolactin Other Outpatient | $157.76 | $157.76 | $19.38 | 128% above | — |
| Prolactin blood test CPT 84146 Prolactin UNSCHEDULED | $157.76 | $157.76 | $69.89–$71.36 | 128% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; Other Outpatient | $1,383.53 | $1,383.53 | $4.29 | 3296% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; UNSCHEDULED | $1,383.53 | $1,383.53 | $96.34–$98.37 | 3296% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $1,383.53 | $1,383.53 | $65.03–$1,272.85 | 3296% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; | $1,383.53 | $1,383.53 | $4.29 | 3296% 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 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 | $98.24 | $98.24 | $111.45–$113.80 | 28% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA | $98.24 | $98.24 | $4.62–$90.38 | 28% below | — |
| 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 Other Outpatient | $98.24 | $98.24 | $16.53 | 28% below | — |
| 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 | $98.24 | $98.24 | $16.53 | 28% below | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN | $42.76 | $42.76 | $2.01–$39.34 | 58% above | — |
| 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 | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $394.98 | $394.98 | $18.56–$363.38 | 1995% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated Other Outpatient | $1,798.39 | $1,798.39 | $2.70 | 1446% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated | $1,798.39 | $1,798.39 | $2.70 | 1446% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated UNSCHEDULED | $1,798.39 | $1,798.39 | $68.95–$70.40 | 1446% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $1,798.39 | $1,798.39 | $84.52–$1,654.52 | 1446% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $98.48 | $98.48 | $4.63–$90.60 | 106% 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 | $459.04 | $459.04 | $4.38 | 537% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC | $459.04 | $459.04 | $21.57–$422.32 | 537% 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 | $459.04 | $459.04 | $54.78–$55.93 | 537% 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 Other Outpatient | $459.04 | $459.04 | $4.38 | 537% 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 Other Outpatient | $80.49 | $80.49 | $15.92 | 15% 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 | $80.49 | $80.49 | $141.67–$144.66 | 15% 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 | $80.49 | $80.49 | $15.92 | 15% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLD CRC IA | $80.49 | $80.49 | $3.78–$74.05 | 15% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $32.21 | $32.21 | $1.51–$29.63 | 51% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS EIA SCREEN | $32.21 | $32.21 | $1.51–$29.63 | 51% above | — |
| 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 | $109.56–$111.87 | 40% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Other Outpatient | $40.00 | $40.00 | $61.98 | 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 | $56.17–$95.45 | 40% below | — |
| 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 | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $210.18 | $210.18 | $9.88–$193.37 | 472% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB | $12.49 | $12.49 | $0.59–$11.49 | 20% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $118.45 | $118.45 | $5.57–$108.97 | 659% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $1,765.91 | $1,765.91 | $83.00–$1,624.64 | 1002% above | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $907.24 | $907.24 | $42.64–$834.66 | 522% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood | $907.24 | $907.24 | $4.52 | 522% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood UNSCHEDULED | $907.24 | $907.24 | $88.78–$90.65 | 522% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood Other Outpatient | $907.24 | $907.24 | $4.52 | 522% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $20.00 | $20.00 | $0.94–$18.40 | 89% below | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $486.08 | $486.08 | $22.85–$447.19 | 302% above | — |
| Urinalysis without microscope exam, manual CPT 81002 UA W O MICRO MANUAL | $20.00 | $20.00 | $0.94–$18.40 | 23% below | — |
| Urinalysis without microscope exam, manual CPT 81002 ACETONE UA MANUAL | $253.85 | $253.85 | $11.93–$233.54 | 882% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine | $1,940.19 | $1,940.19 | $8.07 | 602% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine UNSCHEDULED | $1,940.19 | $1,940.19 | $168.12–$171.66 | 602% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine Other Outpatient | $1,940.19 | $1,940.19 | $8.07 | 602% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $1,940.19 | $1,940.19 | $91.19–$1,784.97 | 602% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $20.00 | $20.00 | $0.94–$18.40 | 87% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $122.73 | $122.73 | $5.77–$112.91 | 25% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH | $241.00 | $241.00 | $11.33–$221.72 | 389% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH W/WO FRAC | $241.00 | $241.00 | $11.33–$221.72 | 389% above | — |
| Zinc blood test CPT 84630 ZINC URINE | $14.66 | $14.66 | $0.69–$13.49 | 2% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $2,819.00 | $2,819.00 | $132.49–$2,593.48 | 2632% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $30,176.16 | $30,176.16 | $1,418.28–$27,762.07 | 1204% 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 | $89,088.09 | $89,088.09 | $16,450.00–$47,009.00 | 79% 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 | $89,088.09 | $89,088.09 | $1,278.70–$1,305.62 | 79% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB | $89,088.09 | $89,088.09 | $7,127.05–$81,961.04 | 79% 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 | $89,088.09 | $89,088.09 | $28,645.44–$29,248.50 | 79% 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 | $1,812.35 | $1,812.35 | $85.18–$1,667.36 | 40% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, blood or blood components SCHEDULED | $1,812.35 | $1,812.35 | $435.41–$444.58 | 40% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, blood or blood components UNSCHEDULED | $1,812.35 | $1,812.35 | $2,492.51–$2,544.98 | 40% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, blood or blood components | $1,812.35 | $1,812.35 | $1,660.00–$5,179.00 | 40% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI VENT | $273.46 | $273.46 | $12.85–$251.58 | 14% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $369.92 | $369.92 | $17.39–$340.33 | 17% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug SCHEDULED | $1,357.10 | $1,357.10 | $143.45–$146.47 | 36% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug UNSCHEDULED | $1,357.10 | $1,357.10 | $1,032.33–$1,054.06 | 36% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR | $1,357.10 | $1,357.10 | $63.78–$1,248.53 | 36% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug | $1,357.10 | $1,357.10 | — | 36% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $18,166.48 | $18,166.48 | $2,688.64–$15,441.51 | 267% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy UNSCHEDULED | $5,640.84 | $5,640.84 | $715.92–$730.99 | 210% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $5,640.84 | $5,640.84 | $265.12–$5,189.57 | 210% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy SCHEDULED | $5,640.84 | $5,640.84 | $309.70–$316.22 | 210% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $35.00 | $35.00 | $1.65–$32.20 | 91% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $2,271.75 | $2,271.75 | $336.22–$1,930.99 | 364% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $3,181.37 | $3,181.37 | $470.84–$2,704.16 | 250% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $7,031.22 | $7,031.22 | $1,040.62–$5,976.54 | 353% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $9,437.20 | $9,437.20 | $1,396.71–$8,021.62 | 289% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $12,993.92 | $12,993.92 | $1,923.10–$11,044.83 | 299% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $8,467.75 | $8,467.75 | $397.98–$7,790.33 | 358% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $453.17 | $453.17 | $21.30–$416.92 | 31% below | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $1,554.99 | $1,554.99 | $73.08–$1,430.59 | 101% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $622.19 | $622.19 | $29.24–$572.41 | 254% above | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $606.20 | $606.20 | $28.49–$557.70 | 16% above | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $3,357.99 | $3,357.99 | $157.83–$3,089.35 | 384% above | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $4,033.93 | $4,033.93 | $189.59–$3,711.22 | 423% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 RAD CONSULT LEVEL 1 | $115.50 | $115.50 | $5.54–$106.26 | 57% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 BASIC CARE NP | $336.77 | $336.77 | $15.83–$309.83 | 26% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $1,792.88 | $1,792.88 | $84.27–$1,649.45 | 569% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN | $370.49 | $370.49 | $17.41–$340.85 | 334% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes UNSCHEDULED | $370.49 | $370.49 | $38.72–$39.54 | 334% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes SCHEDULED | $370.49 | $370.49 | $36.10–$36.86 | 334% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes | $370.49 | $370.49 | $30.68–$36.09 | 334% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes Other Outpatient | $370.49 | $370.49 | $30.68 | 334% 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 | $235.37 | $235.37 | $13.30–$13.58 | 279% 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 | $235.37 | $235.37 | $38.72–$39.54 | 279% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $235.37 | $235.37 | $11.06–$216.54 | 279% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $2,869.39 | $2,869.39 | $134.86–$2,639.84 | 343% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $1,944.50 | $1,944.50 | $91.39–$1,788.94 | 439% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $606.20 | $606.20 | $28.49–$557.70 | 13% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $372.50 | $372.50 | $17.51–$342.70 | 7% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $1,409.41 | $1,409.41 | $66.24–$1,296.66 | 322% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $2,978.40 | $2,978.40 | $139.98–$2,740.13 | 230% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration UNSCHEDULED | $2,978.40 | $2,978.40 | $464.69–$474.48 | 230% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration SCHEDULED | $2,978.40 | $2,978.40 | $46.55–$47.53 | 230% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, therapeutic (separate procedure) SCHEDULED | $77.15 | $77.15 | $102.60–$104.76 | 77% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $77.15 | $77.15 | $3.63–$70.98 | 77% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, therapeutic (separate procedure) UNSCHEDULED | $77.15 | $77.15 | $382.52–$390.57 | 77% below | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VAC LIVE SQ | $95.00 | $95.00 | $4.56–$87.40 | 70% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use UNSCHEDULED | $95.00 | $95.00 | $153.95–$157.19 | 70% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use | $95.00 | $95.00 | $495.34 | 70% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $100.19 | $100.19 | $8.52–$92.17 | 24% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVAC IIV3 PF 0.5ML IM | $106.43 | $106.43 | $9.05–$97.92 | 31% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VAC ADULT IM | $80.00 | $80.00 | $3.84–$73.60 | 53% below | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use UNSCHEDULED | $80.00 | $80.00 | $58.56–$59.79 | 53% below | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use | $80.00 | $80.00 | $158.52 | 53% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $143.50 | $143.50 | $12.20–$132.02 | 38% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $1,475.00 | $1,475.00 | $70.80–$1,357.00 | 551% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use UNSCHEDULED | $789.23 | $789.23 | $153.95–$157.19 | 52% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use | $789.23 | $789.23 | $455.59 | 52% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWY-D OR -CRM VAC IM | $789.23 | $789.23 | $37.88–$726.09 | 52% 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 | $331.46 | $331.46 | $145.45–$148.52 | 16% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ | $331.46 | $331.46 | $28.17–$304.94 | 16% 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 Other Outpatient | $331.46 | $331.46 | — | 16% 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 | $331.46 | $331.46 | $286.96 | 16% below | — |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $1,958.33 | $1,958.33 | $166.46–$1,801.66 | 57% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use | $1,958.33 | $1,958.33 | $305.76–$315.22 | 57% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use UNSCHEDULED | $1,958.33 | $1,958.33 | $709.31–$724.24 | 57% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM | $153.94 | $153.94 | $7.39–$141.62 | 1% 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 | $153.94 | $153.94 | $83.31 | 1% 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 UNSCHEDULED | $153.94 | $153.94 | $93.51–$95.48 | 1% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VAC >=7YRS IM | $223.86 | $223.86 | $10.75–$205.95 | 3% below | — |
| 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 | $223.86 | $223.86 | $84.88 | 3% below | — |
| 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 | $223.86 | $223.86 | $153.95–$157.19 | 3% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $1,016.15 | $1,016.15 | $81.29–$863.73 | 725% above | — |