HCA Florida Highlands Hospital
HCA Florida Highlands Hospital in Sebring, FL publishes cash prices for 196 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 194 procedures and below it for 40. By typical cash price it ranks #91 of 151 Florida hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
3600 S Highlands Ave, Sebring, FL, 33870 Collected Sep 27, 2026 Source price file (863) 385-6101
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 100049 · CMS hospital register
The price file shows no self-pay discount
For 520 of the 520 prices listed here, the cash price in HCA Florida Highlands 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 2 actions for a hospital named HCA Florida Highlands Hospital in Sebring, FL:
- Feb 14, 2024 Met requirements
- May 1, 2025 Met requirements
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 | $1,193.00 | $1,193.00 | $102.60–$596.50 | 29% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study | $5,072.00 | $5,072.00 | $303.54 | 408% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $5,072.00 | $5,072.00 | $436.19–$2,536.00 | 408% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED | $5,072.00 | $5,072.00 | $736.75 | 408% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $4,519.00 | $4,519.00 | $388.63–$2,259.50 | 54% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body UNSCHEDULED | $4,519.00 | $4,519.00 | $487.57 | 54% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $4,519.00 | $4,519.00 | $641.10 | 54% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $6,708.00 | $6,708.00 | $576.89–$3,354.00 | 42% 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 | $6,708.00 | $6,708.00 | $2,825.57 | 42% 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 | $6,708.00 | $6,708.00 | $303.54–$4,112.00 | 42% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS | $2,407.00 | $2,407.00 | $207.00–$1,203.50 | 20% 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 | $2,407.00 | $2,407.00 | $1,993.47 | 20% 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 | $2,407.00 | $2,407.00 | $1,087.00–$14,808.00 | 20% 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 | $2,512.00 | $2,512.00 | $137.53–$4,112.00 | 393% 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 | $2,512.00 | $2,512.00 | $101.66 | 393% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO CN W QUAN CA | $2,512.00 | $2,512.00 | $216.03–$1,256.00 | 393% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $11,045.00 | $11,045.00 | $949.87–$5,522.50 | 65% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material | $11,045.00 | $11,045.00 | $1,087.00–$1,539.00 | 65% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material UNSCHEDULED | $11,045.00 | $11,045.00 | $3,651.39 | 65% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $13,836.00 | $13,836.00 | $1,189.90–$6,918.00 | 86% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED | $13,836.00 | $13,836.00 | $4,244.21 | 86% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) | $13,836.00 | $13,836.00 | $1,087.00–$1,539.00 | 86% 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 | $12,920.00 | $12,920.00 | $625.80–$4,112.00 | 54% 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 | $12,920.00 | $12,920.00 | $4,586.05 | 54% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $12,920.00 | $12,920.00 | $1,111.12–$6,460.00 | 54% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) | $6,571.00 | $6,571.00 | $303.54–$4,112.00 | 46% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $6,571.00 | $6,571.00 | $565.11–$3,285.50 | 46% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) UNSCHEDULED | $6,571.00 | $6,571.00 | $2,624.97 | 46% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material UNSCHEDULED | $4,958.00 | $4,958.00 | $2,647.46 | 20% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $4,958.00 | $4,958.00 | $426.39–$2,479.00 | 20% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material | $4,958.00 | $4,958.00 | $1,087.00–$1,539.00 | 20% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material UNSCHEDULED | $6,637.00 | $6,637.00 | $1,859.43 | 116% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $6,637.00 | $6,637.00 | $570.78–$3,318.50 | 116% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material | $6,637.00 | $6,637.00 | $185.25–$4,112.00 | 116% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $6,499.00 | $6,499.00 | $558.91–$3,249.50 | 95% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material | $6,499.00 | $6,499.00 | $185.25–$4,112.00 | 95% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material UNSCHEDULED | $6,499.00 | $6,499.00 | $1,914.30 | 95% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) | $5,580.00 | $5,580.00 | $303.54–$4,112.00 | 45% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $5,580.00 | $5,580.00 | $479.88–$2,790.00 | 45% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) UNSCHEDULED | $5,580.00 | $5,580.00 | $3,084.65 | 45% 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 | $5,518.00 | $5,518.00 | $303.54–$4,112.00 | 25% 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 | $5,518.00 | $5,518.00 | $2,609.68 | 25% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $5,518.00 | $5,518.00 | $474.55–$2,759.00 | 25% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material | $6,570.00 | $6,570.00 | $1,087.00–$1,539.00 | 81% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $6,570.00 | $6,570.00 | $565.02–$3,285.00 | 81% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material UNSCHEDULED | $6,570.00 | $6,570.00 | $2,164.38 | 81% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material UNSCHEDULED | $6,717.00 | $6,717.00 | $2,156.29 | 72% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material | $6,717.00 | $6,717.00 | $185.25–$4,112.00 | 72% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $6,717.00 | $6,717.00 | $577.66–$3,358.50 | 72% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) | $6,677.00 | $6,677.00 | $303.54–$4,112.00 | 59% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) UNSCHEDULED | $6,677.00 | $6,677.00 | $2,631.27 | 59% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $6,677.00 | $6,677.00 | $574.22–$3,338.50 | 59% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study | $1,901.00 | $1,901.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study UNSCHEDULED | $1,901.00 | $1,901.00 | $948.16 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study SCHEDULED | $1,901.00 | $1,901.00 | $164.90 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $1,901.00 | $1,901.00 | $163.49–$950.50 | 31% below | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $705.00 | $705.00 | $60.63–$352.50 | 38% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views | $705.00 | $705.00 | $137.53 | 38% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views UNSCHEDULED | $705.00 | $705.00 | $412.01 | 38% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view | $528.00 | $528.00 | $137.53 | 13% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $528.00 | $528.00 | $45.41–$264.00 | 13% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view UNSCHEDULED | $528.00 | $528.00 | $346.34 | 13% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $2,451.00 | $2,451.00 | $210.79–$1,225.50 | 88% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete UNSCHEDULED | $2,451.00 | $2,451.00 | $949.06 | 88% 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 | $2,451.00 | $2,451.00 | $185.25 | 88% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $703.00 | $703.00 | $60.46–$351.50 | at median | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $5,668.00 | $5,668.00 | $487.45–$2,834.00 | 48% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material UNSCHEDULED | $5,668.00 | $5,668.00 | $1,973.68 | 48% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material | $5,668.00 | $5,668.00 | $185.25–$4,112.00 | 48% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $7,191.00 | $7,191.00 | $618.43–$3,595.50 | 60% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) | $7,191.00 | $7,191.00 | $1,087.00–$1,539.00 | 60% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) UNSCHEDULED | $7,191.00 | $7,191.00 | $2,244.44 | 60% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $2,672.00 | $2,672.00 | $229.79–$1,336.00 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral | $2,672.00 | $2,672.00 | $198.71 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study | $1,722.00 | $1,722.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study SCHEDULED | $1,722.00 | $1,722.00 | $221.16 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study UNSCHEDULED | $1,722.00 | $1,722.00 | $1,128.97 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $1,722.00 | $1,722.00 | $148.09–$861.00 | 27% below | — |
| 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 | $1,940.00 | $1,940.00 | $904.97 | — | — |
| 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 | $1,940.00 | $1,940.00 | $164.90 | — | — |
| 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 | $1,940.00 | $1,940.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $1,940.00 | $1,940.00 | $166.84–$970.00 | 50% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $5,737.00 | $5,737.00 | $493.38–$2,868.50 | 58% 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 | $5,737.00 | $5,737.00 | $1,674.11 | 58% 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 | $5,737.00 | $5,737.00 | $137.74 | 58% 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 | $5,737.00 | $5,737.00 | — | 58% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; | $6,131.00 | $6,131.00 | $641.10 | 194% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $6,131.00 | $6,131.00 | $527.27–$3,065.50 | 194% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; UNSCHEDULED | $6,131.00 | $6,131.00 | $1,634.54 | 194% 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) | $1,555.00 | $1,555.00 | $185.25 | 16% 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 | $1,555.00 | $1,555.00 | $526.25 | 16% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $1,555.00 | $1,555.00 | $133.73–$777.50 | 16% 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) | $345.00 | $345.00 | $137.53 | 62% below | — |
| 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 | $345.00 | $345.00 | $577.53 | 62% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON | $345.00 | $345.00 | $29.67–$172.50 | 62% below | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $7,872.00 | $7,872.00 | $391.22–$4,112.00 | 116% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $7,872.00 | $7,872.00 | $676.99–$3,936.00 | 116% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) UNSCHEDULED | $7,872.00 | $7,872.00 | $3,016.28 | 116% 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 | $15,351.00 | $15,351.00 | $1,499.00–$2,118.00 | 192% 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 | $15,351.00 | $15,351.00 | $3,812.41 | 192% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $15,351.00 | $15,351.00 | $1,320.19–$7,675.50 | 192% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material UNSCHEDULED | $4,887.00 | $4,887.00 | $2,295.72 | 29% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $4,887.00 | $4,887.00 | $420.28–$2,443.50 | 29% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $4,887.00 | $4,887.00 | $391.22–$4,112.00 | 29% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $6,812.00 | $6,812.00 | $585.83–$3,406.00 | 27% 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 | $6,812.00 | $6,812.00 | $625.80–$4,112.00 | 27% 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 | $6,812.00 | $6,812.00 | $3,352.73 | 27% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $9,454.00 | $9,454.00 | $1,499.00–$2,118.00 | 150% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $9,454.00 | $9,454.00 | $813.04–$4,727.00 | 150% 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 | $9,454.00 | $9,454.00 | $2,334.40 | 150% 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 | $13,323.00 | $13,323.00 | $3,231.28 | 107% 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 | $13,323.00 | $13,323.00 | $625.80–$4,112.00 | 107% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $13,323.00 | $13,323.00 | $1,145.78–$6,661.50 | 107% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $4,147.00 | $4,147.00 | $356.64–$2,073.50 | 6% 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 | $4,147.00 | $4,147.00 | $2,316.42 | 6% 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 | $4,147.00 | $4,147.00 | $1,499.00–$2,118.00 | 6% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $8,117.00 | $8,117.00 | $698.06–$4,058.50 | 45% 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 | $8,117.00 | $8,117.00 | $625.80–$4,112.00 | 45% 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 | $8,117.00 | $8,117.00 | $3,741.35 | 45% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $5,513.00 | $5,513.00 | $474.12–$2,756.50 | 44% 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 | $5,513.00 | $5,513.00 | $391.22–$4,112.00 | 44% 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 | $5,513.00 | $5,513.00 | $2,191.38 | 44% 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 | $6,342.00 | $6,342.00 | $2,980.31 | 30% 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 | $6,342.00 | $6,342.00 | $625.80–$4,112.00 | 30% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $6,342.00 | $6,342.00 | $545.41–$3,171.00 | 30% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) | $4,562.00 | $4,562.00 | $391.22–$4,112.00 | 36% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $4,562.00 | $4,562.00 | $392.33–$2,281.00 | 36% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) UNSCHEDULED | $4,562.00 | $4,562.00 | $2,568.30 | 36% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $6,622.00 | $6,622.00 | $569.49–$3,311.00 | at median | — |
| 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 | $6,622.00 | $6,622.00 | $3,344.63 | at median | — |
| 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 | $6,622.00 | $6,622.00 | $2,220.10 | at median | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh UNSCHEDULED | $27,507.00 | $27,507.00 | $1,898.11 | 319% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT TUMOR SK BS MIDTH | $27,507.00 | $27,507.00 | $2,365.60–$13,753.50 | 319% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh | $27,507.00 | $27,507.00 | $3,746.00–$5,295.00 | 319% 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 | $3,020.00 | $3,020.00 | $385.91 | 209% 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) | $3,020.00 | $3,020.00 | $185.25 | 209% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $3,020.00 | $3,020.00 | $259.72–$1,510.00 | 209% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $4,780.00 | $4,780.00 | $411.08–$2,390.00 | 237% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | $4,780.00 | $4,780.00 | $185.25 | 237% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete UNSCHEDULED | $4,780.00 | $4,780.00 | $969.75 | 237% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $3,816.00 | $3,816.00 | $328.18–$1,908.00 | 210% 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 | $3,816.00 | $3,816.00 | $185.25 | 210% 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 | $3,816.00 | $3,816.00 | $846.50 | 210% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $3,194.00 | $3,194.00 | $274.68–$1,597.00 | 262% 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 | $3,194.00 | $3,194.00 | $185.25 | 262% 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 | $3,194.00 | $3,194.00 | $568.54 | 262% 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 | $984.00 | $984.00 | $185.25 | 46% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $984.00 | $984.00 | $84.62–$492.00 | 46% 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 | $984.00 | $984.00 | $403.02 | 46% above | — |
| Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $1,496.00 | $1,496.00 | $87.36–$1,052.69 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $1,496.00 | $1,496.00 | $128.66–$748.00 | — | — |
| 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 | $4,772.00 | $4,772.00 | $1,438.42 | 88% 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 | $4,772.00 | $4,772.00 | — | 88% 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 | $4,772.00 | $4,772.00 | $154.23 | 88% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG | $4,772.00 | $4,772.00 | $410.39–$2,386.00 | 88% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study UNSCHEDULED | $3,772.00 | $3,772.00 | $530.75 | 233% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study | $3,772.00 | $3,772.00 | $303.54 | 233% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $3,772.00 | $3,772.00 | $324.39–$1,886.00 | 233% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $3,588.00 | $3,588.00 | $308.57–$1,794.00 | 221% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal UNSCHEDULED | $3,588.00 | $3,588.00 | $870.79 | 221% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal | $3,588.00 | $3,588.00 | $185.25 | 221% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal | $2,983.00 | $2,983.00 | $185.25 | 195% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal UNSCHEDULED | $2,983.00 | $2,983.00 | $421.00 | 195% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $2,983.00 | $2,983.00 | $256.54–$1,491.50 | 195% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,599.00 | $1,599.00 | $137.51–$799.50 | 25% below | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete UNSCHEDULED | $1,599.00 | $1,599.00 | $1,281.00 | 25% below | — |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete | $1,599.00 | $1,599.00 | $185.25 | 25% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents UNSCHEDULED | $4,970.00 | $4,970.00 | $655.79 | 329% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents | $4,970.00 | $4,970.00 | $185.25 | 329% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $4,970.00 | $4,970.00 | $427.42–$2,485.00 | 329% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $1,787.00 | $1,787.00 | $153.68–$893.50 | 60% 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 | $1,787.00 | $1,787.00 | $185.25 | 60% 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 | $1,787.00 | $1,787.00 | $864.49 | 60% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $2,659.00 | $2,659.00 | $228.67–$1,329.50 | 125% 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 | $2,659.00 | $2,659.00 | $1,902.61 | 125% 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 | $2,659.00 | $2,659.00 | $303.54 | 125% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view UNSCHEDULED | $1,067.00 | $1,067.00 | $436.30 | 85% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view | $1,067.00 | $1,067.00 | $137.53 | 85% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $1,067.00 | $1,067.00 | $91.76–$533.50 | 85% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views UNSCHEDULED | $2,578.00 | $2,578.00 | $440.80 | 199% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views | $2,578.00 | $2,578.00 | $185.25 | 199% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $2,578.00 | $2,578.00 | $221.71–$1,289.00 | 199% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views | $2,070.00 | $2,070.00 | $185.25 | 61% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $2,070.00 | $2,070.00 | $178.02–$1,035.00 | 61% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views UNSCHEDULED | $2,070.00 | $2,070.00 | $725.06 | 61% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views | $2,597.00 | $2,597.00 | $185.25 | 258% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views UNSCHEDULED | $2,597.00 | $2,597.00 | $459.68 | 258% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $2,597.00 | $2,597.00 | $223.34–$1,298.50 | 258% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views | $2,231.00 | $2,231.00 | $137.53 | 195% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views UNSCHEDULED | $2,231.00 | $2,231.00 | $358.04 | 195% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $2,231.00 | $2,231.00 | $191.87–$1,115.50 | 195% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $2,578.00 | $2,578.00 | $221.71–$1,289.00 | 242% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views | $2,578.00 | $2,578.00 | $137.53 | 242% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views UNSCHEDULED | $2,578.00 | $2,578.00 | $389.51 | 242% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views | $1,507.00 | $1,507.00 | $185.25 | 99% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views UNSCHEDULED | $1,507.00 | $1,507.00 | $360.73 | 99% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $1,507.00 | $1,507.00 | $129.60–$753.50 | 99% 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 | $2,345.00 | $2,345.00 | $415.61 | 209% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views | $2,345.00 | $2,345.00 | $137.53 | 209% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $2,345.00 | $2,345.00 | $201.67–$1,172.50 | 209% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) UNSCHEDULED | $158.00 | $158.00 | $140.33 | 207% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) | $158.00 | $158.00 | $5.30 | 207% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $158.00 | $158.00 | $13.59–$79.00 | 207% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $158.00 | $158.00 | $13.59–$79.00 | 145% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) UNSCHEDULED | $158.00 | $158.00 | $165.52 | 145% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) | $158.00 | $158.00 | $5.18 | 145% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $5.14 | $5.14 | $0.44–$2.57 | 46% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $10.00 | $10.00 | $0.86–$5.00 | 63% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $45.00 | $45.00 | $3.87–$22.50 | 48% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); | $45.00 | $45.00 | $12.09 | 48% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies (ANA); UNSCHEDULED | $45.00 | $45.00 | $106.15 | 48% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide | $353.00 | $353.00 | $39.26 | 57% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $353.00 | $353.00 | $30.36–$176.50 | 57% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide UNSCHEDULED | $353.00 | $353.00 | $171.82 | 57% 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 | $332.00 | $332.00 | $8.46 | 18% below | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $332.00 | $332.00 | $28.55–$166.00 | 18% below | — |
| 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 | $332.00 | $332.00 | $197.91 | 18% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $162.00 | $162.00 | $13.93–$81.00 | 29% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) UNSCHEDULED | $606.00 | $606.00 | $230.29 | 54% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $606.00 | $606.00 | $52.12–$303.00 | 54% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) | $606.00 | $606.00 | $10.32 | 54% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipuncture | $25.00 | $25.00 | $3.00 | 12% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $25.00 | $25.00 | $2.15–$12.50 | 12% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $158.00 | $158.00 | $13.59–$79.00 | 160% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) | $158.00 | $158.00 | $3.93 | 160% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) UNSCHEDULED | $158.00 | $158.00 | $48.58 | 160% above | — |
| Blood lead test CPT 83655 LEAD URINE | $9.09 | $9.09 | $0.78–$4.54 | 33% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QL URINE OTH THN DOO | $444.00 | $444.00 | $38.18–$222.00 | 228% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $1,062.00 | $1,062.00 | $91.33–$531.00 | 686% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $381.00 | $381.00 | $32.77–$190.50 | 418% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE CORD BLOOD | $432.00 | $432.00 | $37.15–$216.00 | 488% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE NEWBORN | $445.00 | $445.00 | $38.27–$222.50 | 505% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $323.00 | $323.00 | $27.78–$161.50 | 241% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; | $323.00 | $323.00 | $5.18–$62.42 | 241% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; UNSCHEDULED | $323.00 | $323.00 | $99.85 | 241% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique UNSCHEDULED | $292.00 | $292.00 | $142.13 | 135% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique | $292.00 | $292.00 | $37.27 | 135% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $292.00 | $292.00 | $25.11–$146.00 | 135% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 | $48.00 | $48.00 | $20.81 | 26% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 UNSCHEDULED | $48.00 | $48.00 | $144.83 | 26% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN | $48.00 | $48.00 | $4.13–$24.00 | 26% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN | $44.00 | $44.00 | $3.78–$22.00 | 56% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 | $44.00 | $44.00 | $20.81 | 56% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 UNSCHEDULED | $44.00 | $44.00 | $151.13 | 56% 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 | $70.00 | $70.00 | $51.31 | 14% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $70.00 | $70.00 | $6.02–$35.00 | 14% 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 | $70.00 | $70.00 | $94.46 | 14% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique UNSCHEDULED | $799.00 | $799.00 | $94.46 | 926% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $799.00 | $799.00 | $68.71–$399.50 | 926% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique | $799.00 | $799.00 | $35.09 | 926% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $1,147.00 | $1,147.00 | $98.64–$573.50 | 631% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) UNSCHEDULED | $453.00 | $453.00 | $111.55 | 259% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | $453.00 | $453.00 | $6.47–$77.96 | 259% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $453.00 | $453.00 | $38.96–$226.50 | 259% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 UNSCHEDULED | $424.00 | $424.00 | $294.16 | 24% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $424.00 | $424.00 | $36.46–$212.00 | 24% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 | $424.00 | $424.00 | $10.56 | 24% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $120.00 | $120.00 | $10.32–$60.00 | 153% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $17.00 | $17.00 | $1.46–$8.50 | 77% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal UNSCHEDULED | $90.00 | $90.00 | $69.27 | 29% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $90.00 | $90.00 | $7.74–$45.00 | 29% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $90.00 | $90.00 | $19.63 | 29% below | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $823.00 | $823.00 | $13.63 | 368% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $823.00 | $823.00 | $70.78–$411.50 | 368% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin UNSCHEDULED | $823.00 | $823.00 | $122.35 | 368% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum UNSCHEDULED | $724.00 | $724.00 | $123.24 | 344% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum | $724.00 | $724.00 | $14.70 | 344% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $724.00 | $724.00 | $62.26–$362.00 | 344% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free | $460.00 | $460.00 | $16.94 | 384% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $460.00 | $460.00 | $39.56–$230.00 | 384% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free UNSCHEDULED | $460.00 | $460.00 | $155.63 | 384% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $725.00 | $725.00 | $62.35–$362.50 | 663% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free | $725.00 | $725.00 | $9.02 | 663% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free UNSCHEDULED | $725.00 | $725.00 | $107.05 | 663% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR W GLUCOLA | $570.00 | $570.00 | $49.02–$285.00 | 503% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR W GLUCOLA | $1,024.00 | $1,024.00 | $88.06–$512.00 | 983% above | — |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TT 1ST 3 SPEC | $811.00 | $811.00 | $69.75–$405.50 | 473% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS | $1,349.00 | $1,349.00 | $116.01–$674.50 | 853% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique | $799.00 | $799.00 | $35.09 | 1453% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $799.00 | $799.00 | $68.71–$399.50 | 1453% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique UNSCHEDULED | $799.00 | $799.00 | $94.46 | 1453% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGM | $80.80 | $80.80 | $6.95–$40.40 | 133% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGG | $141.40 | $141.40 | $12.16–$70.70 | 308% above | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $10.00 | $10.00 | $0.86–$5.00 | 80% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN | $65.00 | $65.00 | $5.59–$32.50 | 43% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 VIRAL LOAD | $865.00 | $865.00 | $74.39–$432.50 | 659% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL | $115.00 | $115.00 | $9.89–$57.50 | 126% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result | $115.00 | $115.00 | $13.71 | 126% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Antibody; HIV-1 and HIV-2, single result UNSCHEDULED | $115.00 | $115.00 | $125.04 | 126% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE | $18.14 | $18.14 | $1.56–$9.07 | 78% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN | $745.00 | $745.00 | $64.07–$372.50 | 831% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $811.00 | $811.00 | $69.75–$405.50 | 914% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) UNSCHEDULED | $17.00 | $17.00 | $115.15 | 70% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $17.00 | $17.00 | $1.46–$8.50 | 70% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) | $17.00 | $17.00 | $10.74 | 70% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $14.00 | $14.00 | $10.33 | 71% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC UNSCHEDULED | $14.00 | $14.00 | $91.75 | 71% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $14.00 | $14.00 | $1.20–$7.00 | 71% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; UNSCHEDULED | $41.00 | $41.00 | $112.45 | 28% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $41.00 | $41.00 | $3.53–$20.50 | 28% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; | $41.00 | $41.00 | $14.27 | 28% 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 | $865.00 | $865.00 | $42.84 | 541% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL LOAD | $865.00 | $865.00 | $74.39–$432.50 | 541% above | — |
| 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 | $865.00 | $865.00 | $94.46 | 541% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGM | $19.19 | $19.19 | $1.65–$9.60 | 14% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG | $27.27 | $27.27 | $2.35–$13.63 | 23% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGM | $37.88 | $37.88 | $3.26–$18.94 | 31% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG | $72.00 | $72.00 | $6.19–$36.00 | 148% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $663.00 | $663.00 | $57.02–$331.50 | 936% above | — |
| Homocysteine blood test CPT 83090 Homocysteine UNSCHEDULED | $11.90 | $11.90 | $73.77 | 77% below | — |
| Homocysteine blood test CPT 83090 Homocysteine | $11.90 | $11.90 | $17.92 | 77% below | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $11.90 | $11.90 | $1.02–$5.95 | 77% below | — |
| Insulin blood test CPT 83525 Insulin; total UNSCHEDULED | $45.00 | $45.00 | $69.27 | 43% above | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $45.00 | $45.00 | $3.87–$22.50 | 43% above | — |
| Insulin blood test CPT 83525 Insulin; total | $45.00 | $45.00 | $11.43 | 43% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity UNSCHEDULED | $824.00 | $824.00 | $87.26 | 541% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $824.00 | $824.00 | $8.74 | 541% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $824.00 | $824.00 | $70.86–$412.00 | 541% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $880.00 | $880.00 | $75.68–$440.00 | 76% 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 | $880.00 | $880.00 | $147.53 | 76% 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 | $880.00 | $880.00 | $8.68 | 76% above | — |
| LH (luteinizing hormone) test CPT 83002 LH | $29.00 | $29.00 | $2.49–$14.50 | 61% below | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani | $511.00 | $511.00 | $8.17 | 33% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $511.00 | $511.00 | $43.95–$255.50 | 33% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani UNSCHEDULED | $511.00 | $511.00 | $238.39 | 33% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL | $46.46 | $46.46 | $4.00–$23.23 | 44% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $30.30 | $30.30 | $2.61–$15.15 | 112% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $41.00 | $41.00 | $3.53–$20.50 | 187% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $527.00 | $527.00 | $45.32–$263.50 | 3585% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $19.51 | $19.51 | $1.68–$9.76 | 16% below | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB QUAL | $23.33 | $23.33 | $2.01–$11.66 | at median | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening UNSCHEDULED | $840.00 | $840.00 | $107.05 | 330% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $840.00 | $840.00 | $72.24–$420.00 | 330% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening | $840.00 | $840.00 | $5.18 | 330% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free UNSCHEDULED | $672.00 | $672.00 | $109.75 | 1851% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE | $672.00 | $672.00 | $57.79–$336.00 | 1851% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate specific antigen (PSA); free | $672.00 | $672.00 | $18.39 | 1851% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $560.00 | $560.00 | $48.16–$280.00 | 820% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total UNSCHEDULED | $560.00 | $560.00 | $139.44 | 820% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA); total | $560.00 | $560.00 | $18.39 | 820% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH N TERMINAL | $73.73 | $73.73 | $6.34–$36.87 | 32% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) | $731.00 | $731.00 | $62.87–$365.50 | 576% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $737.00 | $737.00 | $63.38–$368.50 | 582% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood | $281.00 | $281.00 | $6.01 | 527% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $281.00 | $281.00 | $24.17–$140.50 | 527% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood UNSCHEDULED | $281.00 | $281.00 | $116.04 | 527% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $31.00 | $31.00 | $2.67–$15.50 | 55% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $240.00 | $240.00 | $20.64–$120.00 | 489% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; UNSCHEDULED | $240.00 | $240.00 | $91.75 | 489% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; | $240.00 | $240.00 | $4.29 | 489% above | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS A AG OIA | $84.00 | $84.00 | $7.22–$42.00 | 40% below | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS B AG OIA | $84.00 | $84.00 | $7.22–$42.00 | 40% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $48.00 | $48.00 | $4.13–$24.00 | 155% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $758.00 | $758.00 | $65.19–$379.00 | 3921% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated | $459.00 | $459.00 | $2.70 | 294% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated UNSCHEDULED | $459.00 | $459.00 | $65.67 | 294% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $459.00 | $459.00 | $39.47–$229.50 | 294% above | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification | $1,020.00 | $1,020.00 | $8.90 | 2034% above | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites, direct smears, concentration and identification UNSCHEDULED | $1,020.00 | $1,020.00 | $208.71 | 2034% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $1,020.00 | $1,020.00 | $87.72–$510.00 | 2034% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC | $337.00 | $337.00 | $28.98–$168.50 | 367% 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 | $337.00 | $337.00 | $52.18 | 367% 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 | $337.00 | $337.00 | $4.38 | 367% 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 | $78.00 | $78.00 | $134.94 | 11% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLD CRC IA | $78.00 | $78.00 | $6.71–$39.00 | 11% 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 | $78.00 | $78.00 | $15.92 | 11% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $8.98 | $8.98 | $0.77–$4.49 | 58% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon | $34.00 | $34.00 | $61.98 | 49% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon UNSCHEDULED | $34.00 | $34.00 | $104.35 | 49% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP | $34.00 | $34.00 | $2.92–$17.00 | 49% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $14.00 | $14.00 | $1.20–$7.00 | 62% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total | $14.00 | $14.00 | $25.81 | 62% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total UNSCHEDULED | $14.00 | $14.00 | $31.49 | 62% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $7.98 | $7.98 | $0.69–$3.99 | 49% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB | $27.82 | $27.82 | $2.39–$13.91 | 78% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL AB | $104.00 | $104.00 | $8.94–$52.00 | 567% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) | $1,163.00 | $1,163.00 | $16.80 | 626% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) UNSCHEDULED | $1,163.00 | $1,163.00 | $162.82 | 626% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $1,163.00 | $1,163.00 | $100.02–$581.50 | 626% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood UNSCHEDULED | $653.00 | $653.00 | $84.56 | 347% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood | $653.00 | $653.00 | $4.52 | 347% above | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $653.00 | $653.00 | $56.16–$326.50 | 347% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w | $440.00 | $440.00 | $3.17 | 146% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $440.00 | $440.00 | $37.84–$220.00 | 146% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w UNSCHEDULED | $440.00 | $440.00 | $102.55 | 146% above | — |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate UNSCHEDULED | $368.00 | $368.00 | $80.97 | 784% above | — |
| Urinalysis with microscope exam, manual CPT 81000 UA W MICRO MANUAL | $368.00 | $368.00 | $31.65–$184.00 | 784% above | — |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate | $368.00 | $368.00 | $4.02 | 784% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $368.00 | $368.00 | $31.65–$184.00 | 204% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate | $70.00 | $70.00 | $3.48 | 171% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automate UNSCHEDULED | $70.00 | $70.00 | $33.28 | 171% above | — |
| Urinalysis without microscope exam, manual CPT 81002 PH UR MANUAL | $70.00 | $70.00 | $6.02–$35.00 | 171% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine | $648.00 | $648.00 | $8.07 | 134% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $648.00 | $648.00 | $55.73–$324.00 | 134% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine UNSCHEDULED | $648.00 | $648.00 | $160.13 | 134% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods | $1,490.00 | $1,490.00 | $8.61 | 854% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods UNSCHEDULED | $1,490.00 | $1,490.00 | $110.65 | 854% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $1,490.00 | $1,490.00 | $128.14–$745.00 | 854% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $158.00 | $158.00 | $13.59–$79.00 | 3% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); | $158.00 | $158.00 | $15.08 | 3% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); UNSCHEDULED | $158.00 | $158.00 | $125.94 | 3% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH W/WO FRAC | $19.00 | $19.00 | $1.63–$9.50 | 61% below | — |
| Zinc blood test CPT 84630 Zinc UNSCHEDULED | $9.24 | $9.24 | $18.90 | 38% below | — |
| Zinc blood test CPT 84630 ZINC BLOOD | $9.24 | $9.24 | $0.79–$4.62 | 38% below | — |
| Zinc blood test CPT 84630 Zinc | $9.24 | $9.24 | $11.39 | 38% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT TUMOR | $15.15 | $15.15 | $1.30–$7.58 | 85% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $1,146.00 | $1,146.00 | $98.56–$573.00 | 1011% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $5,800.00 | $5,800.00 | $498.80–$2,900.00 | 151% 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 | $1,049.00 | $1,049.00 | $90.21–$524.50 | 19% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTIND | $477.00 | $477.00 | $41.02–$238.50 | 50% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 US NEB | $478.00 | $478.00 | $41.11–$239.00 | 51% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $478.00 | $478.00 | $41.11–$239.00 | 51% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI VENT | $478.00 | $478.00 | $41.11–$239.00 | 51% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | $6,748.00 | $6,748.00 | $5,387.00–$7,272.00 | 36% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes UNSCHEDULED | $6,748.00 | $6,748.00 | $1,680.41 | 36% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $6,748.00 | $6,748.00 | $2,024.40–$3,374.00 | 36% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes SCHEDULED | $6,748.00 | $6,748.00 | $245.41 | 36% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $4,604.00 | $4,604.00 | $395.94–$2,302.00 | 153% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy UNSCHEDULED | $4,604.00 | $4,604.00 | $681.88 | 153% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy SCHEDULED | $4,604.00 | $4,604.00 | $316.22 | 153% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $342.00 | $342.00 | $29.41–$171.00 | 16% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional SCHEDULED | $825.00 | $825.00 | $25.22 | 68% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $825.00 | $825.00 | $247.50–$412.50 | 68% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional | $825.00 | $825.00 | $1,610.00 | 68% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional UNSCHEDULED | $825.00 | $825.00 | $206.00 | 68% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making UNSCHEDULED | $1,740.00 | $1,740.00 | $317.55 | 91% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making SCHEDULED | $1,740.00 | $1,740.00 | $48.50 | 91% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $1,740.00 | $1,740.00 | $522.00–$870.00 | 91% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making | $1,740.00 | $1,740.00 | $3,010.00–$7,272.00 | 91% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making | $3,044.00 | $3,044.00 | $5,387.00–$7,272.00 | 96% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $3,044.00 | $3,044.00 | $913.20–$1,522.00 | 96% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making SCHEDULED | $3,044.00 | $3,044.00 | $71.78 | 96% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making UNSCHEDULED | $3,044.00 | $3,044.00 | $558.64 | 96% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making | $4,058.00 | $4,058.00 | $2,002.00–$9,710.00 | 67% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making UNSCHEDULED | $4,058.00 | $4,058.00 | $814.12 | 67% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making SCHEDULED | $4,058.00 | $4,058.00 | $132.89 | 67% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $4,058.00 | $4,058.00 | $1,217.40–$2,029.00 | 67% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making SCHEDULED | $4,319.00 | $4,319.00 | $194.00 | 33% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making | $4,319.00 | $4,319.00 | $5,387.00–$7,272.00 | 33% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making UNSCHEDULED | $4,319.00 | $4,319.00 | $1,200.94 | 33% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $4,319.00 | $4,319.00 | $1,295.70–$2,159.50 | 33% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $4,509.00 | $4,509.00 | $387.77–$2,254.50 | 144% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $1,608.00 | $1,608.00 | $138.29–$804.00 | 146% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $1,402.00 | $1,402.00 | $120.57–$701.00 | 82% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $266.00 | $266.00 | $22.88–$133.00 | 51% above | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $1,177.00 | $1,177.00 | $85.92–$529.65 | 126% above | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $1,584.00 | $1,584.00 | $115.63–$712.80 | 128% above | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $1,994.00 | $1,994.00 | $145.56–$897.30 | 159% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 BASIC CARE NP | $661.00 | $661.00 | $48.25–$297.45 | 147% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $719.00 | $719.00 | $52.49–$323.55 | 168% 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 | $186.00 | $186.00 | $36.88 | 118% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN | $186.00 | $186.00 | $16.00–$93.00 | 118% 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 | $186.00 | $186.00 | $36.86 | 118% 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 | $186.00 | $186.00 | $30.68–$369.69 | 118% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or SCHEDULED | $518.00 | $518.00 | $97.00 | 5% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or | $518.00 | $518.00 | $98.56–$1,187.65 | 5% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination | $595.00 | $595.00 | $96.00–$1,156.80 | 9% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination SCHEDULED | $595.00 | $595.00 | $92.15 | 9% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st | $595.00 | $595.00 | $96.00–$1,156.80 | 32% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st SCHEDULED | $595.00 | $595.00 | $92.15 | 32% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o | $595.00 | $595.00 | $96.00–$1,156.80 | 21% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o SCHEDULED | $595.00 | $595.00 | $92.15 | 21% 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 | $260.00 | $260.00 | $36.88 | 318% 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 | $260.00 | $260.00 | $13.58 | 318% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $260.00 | $260.00 | $22.36–$130.00 | 318% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision makin SCHEDULED | $1,548.00 | $1,548.00 | $121.25 | 139% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $1,548.00 | $1,548.00 | $113.00–$696.60 | 139% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision makin UNSCHEDULED | $1,548.00 | $1,548.00 | $160.13 | 139% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $865.00 | $865.00 | $63.15–$389.25 | 140% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making SCHEDULED | $865.00 | $865.00 | $56.26 | 140% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making UNSCHEDULED | $865.00 | $865.00 | $125.94 | 140% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision m SCHEDULED | $1,138.00 | $1,138.00 | $86.33 | 112% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision m UNSCHEDULED | $1,138.00 | $1,138.00 | $166.42 | 112% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $1,138.00 | $1,138.00 | $83.07–$512.10 | 112% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision mak UNSCHEDULED | $865.00 | $865.00 | $134.03 | 149% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $865.00 | $865.00 | $63.15–$389.25 | 149% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision mak SCHEDULED | $865.00 | $865.00 | $30.07 | 149% above | — |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) SCHEDULED | $1,169.00 | $1,169.00 | $208.55 | 99% above | — |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) UNSCHEDULED | $1,169.00 | $1,169.00 | $215.00 | 99% above | — |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) | $1,169.00 | $1,169.00 | $222.32–$2,678.96 | 99% above | — |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual UNSCHEDULED | $492.00 | $492.00 | $215.00 | 28% above | — |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual | $492.00 | $492.00 | $74.90–$902.55 | 28% above | — |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual SCHEDULED | $492.00 | $492.00 | $85.36 | 28% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $659.00 | $659.00 | $56.67–$329.50 | 97% above | — |
| Spirometry (breathing test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation UNSCHEDULED | $659.00 | $659.00 | $170.02 | 97% above | — |
| Spirometry (breathing test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation SCHEDULED | $659.00 | $659.00 | $28.13 | 97% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration UNSCHEDULED | $891.00 | $891.00 | $442.59 | 1% below | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $891.00 | $891.00 | $76.63–$445.50 | 1% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration SCHEDULED | $891.00 | $891.00 | $47.53 | 1% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $1,233.00 | $1,233.00 | $106.04–$616.50 | 268% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM | $118.21 | $118.21 | $10.17–$59.10 | 46% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use UNSCHEDULED | $118.21 | $118.21 | $146.63 | 46% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use | $118.21 | $118.21 | $38.31 | 46% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use | $270.00 | $270.00 | $121.65 | 57% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use UNSCHEDULED | $270.00 | $270.00 | $55.77 | 57% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VAC ADULT IM | $270.00 | $270.00 | $19.71–$135.00 | 57% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use UNSCHEDULED | $488.00 | $488.00 | $146.63 | 109% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX ADLT 10MCG IM | $488.00 | $488.00 | $41.97–$244.00 | 109% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use | $488.00 | $488.00 | $124.00 | 109% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUVAC IIV INC ANT 0.7IM | $119.00 | $119.00 | $10.23–$59.50 | 57% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD PF IM | $745.57 | $745.57 | $64.12–$372.79 | 171% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use | $550.00 | $550.00 | $193.28 | 143% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ | $550.00 | $550.00 | $40.15–$275.00 | 143% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use UNSCHEDULED | $550.00 | $550.00 | $146.63 | 143% 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 | $437.00 | $437.00 | $138.54 | 11% 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 | $437.00 | $437.00 | $220.23 | 11% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ | $437.00 | $437.00 | $37.58–$218.50 | 11% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use UNSCHEDULED | $2,540.00 | $2,540.00 | $675.59 | 104% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use | $2,540.00 | $2,540.00 | $520.11 | 104% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $2,540.00 | $2,540.00 | $218.44–$1,270.00 | 104% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use | $205.00 | $205.00 | $63.94 | 32% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use UNSCHEDULED | $205.00 | $205.00 | $89.06 | 32% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM | $205.00 | $205.00 | $14.96–$102.50 | 32% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use | $551.00 | $551.00 | $65.14 | 139% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use UNSCHEDULED | $551.00 | $551.00 | $146.63 | 139% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VAC >=7YRS IM | $551.00 | $551.00 | $40.22–$275.50 | 139% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) UNSCHEDULED | $491.00 | $491.00 | $70.17 | 299% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) SCHEDULED | $491.00 | $491.00 | $15.52 | 299% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $491.00 | $491.00 | $58.92–$245.50 | 299% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $245.00 | $245.00 | $17.89–$122.50 | 107% above | — |