Hospital Naples-Marco Island, FL

Naples Community Hospital

Naples Community Hospital in Naples, FL publishes cash prices for 270 common procedures listed here, from its own machine-readable price file updated Jul 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 220 of 266 procedures and above it for 45. By typical cash price it ranks #29 of 151 Florida hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

350 7TH ST N, Naples, FL 34102 Collected Sep 27, 2026 Source price file (239) 624-5000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 100018 · CMS hospital register

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 Naples Community Hospital in Naples, FL:

Feb 24, 2026 Met requirements
Jul 16, 2026 Warning notice

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.

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 X-ray, complete, 3 or more views CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS	$293.60	$734.00	—	51% below	60%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS	$293.60	$734.00	—	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS - TRANSCUTANEOUS O2 MEASUREMENT	$157.20	$393.00	—	83% below	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL	$166.40	$416.00	—	82% below	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS - TRANSCUTANEOUS O2 MEASUREMENT	$157.20	$393.00	—	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL	$166.40	$416.00	—	—	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM	$436.00	$1,090.00	—	56% below	60%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM	$436.00	$1,090.00	—	—	60%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING WHOLE BODY - NM BONE WHOLE BODY	$1,907.20	$4,768.00	—	35% below	60%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING WHOLE BODY - NM BONE WHOLE BODY	$1,907.20	$4,768.00	—	—	60%
Breast ultrasound, complete, one breast both sides CPT 76641 HC ULTRASOUND BREAST COMPLETE - US BREAST BILATERAL COMPLETE	$430.00	$1,075.00	—	—	60%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 HC ULTRASOUND BREAST COMPLETE - US BREAST BILATERAL COMPLETE	$430.00	$1,075.00	—	—	60%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 HC ULTRASOUND BREAST LIMITED - US BREAST BILATERAL LIMITED	$312.00	$780.00	—	—	60%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 HC ULTRASOUND BREAST LIMITED - US BREAST BILATERAL LIMITED	$312.00	$780.00	—	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST COMBO INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT	$2,036.80	$5,092.00	—	57% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST COMBO INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT	$2,036.80	$5,092.00	—	—	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT HEART CORONARY ANGIOGRAM	$620.00	$1,550.00	—	69% below	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT HEART CORONARY ANGIOGRAM	$620.00	$1,550.00	—	—	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST	$141.60	$354.00	—	72% below	60%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST	$141.60	$354.00	—	—	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST	$3,126.00	$7,815.00	—	53% below	60%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST	$3,126.00	$7,815.00	—	—	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$4,613.20	$11,533.00	—	38% below	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$4,613.20	$11,533.00	—	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELV W/WO CONTRAST	$4,629.20	$11,573.00	—	45% below	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELV W/WO CONTRAST	$4,629.20	$11,573.00	—	—	60%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST	$3,235.20	$8,088.00	—	28% below	60%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST	$3,235.20	$8,088.00	—	—	60%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$2,129.20	$5,323.00	—	49% below	60%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$2,129.20	$5,323.00	—	—	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCANMAXILLOFACIAL W/O CONTRAST - CT SINUS FACIAL BONES WO CONT	$1,368.80	$3,422.00	—	55% below	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCANMAXILLOFACIAL W/O CONTRAST - CT SINUS FACIAL BONES WO CONT	$1,368.80	$3,422.00	—	—	60%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCANHEAD/BRAINW/O CONTRAST MATL - CT HEAD WO CONTRAST	$1,603.60	$4,009.00	—	52% below	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCANHEAD/BRAINW/O CONTRAST MATL - CT HEAD WO CONTRAST	$1,603.60	$4,009.00	—	—	60%
CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST	$1,796.00	$4,490.00	—	53% below	60%
CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST	$1,796.00	$4,490.00	—	—	60%
CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST	$1,971.60	$4,929.00	—	55% below	60%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST	$1,971.60	$4,929.00	—	—	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCANLUMBAR SPINEW/O CONTRAST - CT LUMBAR SPINE WO CONTRAST	$2,036.00	$5,090.00	—	44% below	60%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCANLUMBAR SPINEW/O CONTRAST - CT LUMBAR SPINE WO CONTRAST	$2,036.00	$5,090.00	—	—	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCANCERVICAL SPINEW/O CONTRAST - CT CERVICAL SPINE WO CONTRAST	$1,952.40	$4,881.00	—	50% below	60%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCANCERVICAL SPINEW/O CONTRAST - CT CERVICAL SPINE WO CONTRAST	$1,952.40	$4,881.00	—	—	60%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$4,079.60	$10,199.00	—	3% below	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$4,079.60	$10,199.00	—	—	60%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIALBILAT	$439.60	$1,099.00	—	84% below	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIALBILAT	$439.60	$1,099.00	—	—	60%
Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$157.20	$393.00	—	69% below	60%
Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$157.20	$393.00	—	—	60%
Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW	$226.00	$565.00	—	51% below	60%
Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW	$226.00	$565.00	—	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC USRETROPERIT B-SCAN/REAL TIMECOMPLETE - US RENAL COMPLETE	$629.60	$1,574.00	—	52% below	60%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC USRETROPERIT B-SCAN/REAL TIMECOMPLETE - US RENAL COMPLETE	$629.60	$1,574.00	—	—	60%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST	$664.80	$1,662.00	—	37% below	60%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST	$664.80	$1,662.00	—	—	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCANTHORAXW/O CONTRAST - CT CHEST WO CONTRAST	$1,956.80	$4,892.00	—	49% below	60%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCANTHORAXW/O CONTRAST - CT CHEST WO CONTRAST	$1,956.80	$4,892.00	—	—	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST	$3,094.40	$7,736.00	—	31% below	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST	$3,094.40	$7,736.00	—	—	60%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL BYPASS GFT DUP	$383.20	$958.00	—	—	60%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL DUPLEX	$547.20	$1,368.00	—	—	60%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - COMPLETE STUDY	$547.20	$1,368.00	—	—	60%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL BYPASS GFT DUP	$383.20	$958.00	—	—	60%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - COMPLETE STUDY	$547.20	$1,368.00	—	—	60%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL DUPLEX	$547.20	$1,368.00	—	—	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC VASC DUPLEX EXTREM VENOUSBILAT	$586.00	$1,465.00	—	85% below	60%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VASC DUPLEX EXTREM VENOUSBILAT	$586.00	$1,465.00	—	—	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE	$1,190.80	$2,977.00	—	67% below	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE W/ CONTRAST	$1,190.80	$2,977.00	—	67% below	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE W/ CONTRAST	$1,190.80	$2,977.00	—	—	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE	$1,190.80	$2,977.00	—	—	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - HIDA WITHOUT	$680.00	$1,700.00	—	67% below	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - HIDA WITHOUT	$680.00	$1,700.00	—	—	60%
Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS	$449.20	$1,123.00	—	11% below	60%
Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS	$449.20	$1,123.00	—	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED	$607.60	$1,519.00	—	55% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED - US ABDOMEN LIMITED	$817.60	$2,044.00	—	39% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED	$607.60	$1,519.00	—	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED - US ABDOMEN LIMITED	$817.60	$2,044.00	—	—	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-	$548.40	$1,371.00	—	40% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-	$548.40	$1,371.00	—	—	60%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST W/WO CONT W/CAD BILATERAL	$2,271.60	$5,679.00	—	—	60%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST W/WO CONT W/CAD BILATERAL	$2,271.60	$5,679.00	—	—	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE WO CONT	$1,632.80	$4,082.00	—	19% below	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE WO CONT	$1,632.80	$4,082.00	—	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXT JNT WO/W CON	$2,791.20	$6,978.00	—	16% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXT JNT WO/W CON	$2,791.20	$6,978.00	—	—	60%
MRI of the abdomen without contrast CPT 74181 HC MRI, ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST	$1,936.80	$4,842.00	—	47% below	60%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST	$2,075.20	$5,188.00	—	43% below	60%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST	$1,936.80	$4,842.00	—	—	60%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST	$2,075.20	$5,188.00	—	—	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, ABDOMEN, COMBO - MRI ABDOMEN W WO CONTRAST	$1,936.80	$4,842.00	—	63% below	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN COMBO - MRI ABDOMEN W WO CONTRAST	$3,679.60	$9,199.00	—	30% below	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, ABDOMEN, COMBO - MRI ABDOMEN W WO CONTRAST	$1,936.80	$4,842.00	—	—	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN COMBO - MRI ABDOMEN W WO CONTRAST	$3,679.60	$9,199.00	—	—	60%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST	$1,466.00	$3,665.00	—	61% below	60%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST	$1,466.00	$3,665.00	—	—	60%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$2,590.00	$6,475.00	—	52% below	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$2,590.00	$6,475.00	—	—	60%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$1,723.20	$4,308.00	—	55% below	60%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$1,723.20	$4,308.00	—	—	60%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W WO CONTRAST	$2,632.40	$6,581.00	—	59% below	60%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W WO CONTRAST	$2,632.40	$6,581.00	—	—	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST	$1,816.40	$4,541.00	—	54% below	60%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST	$1,816.40	$4,541.00	—	—	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST	$2,980.40	$7,451.00	—	47% below	60%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST	$2,980.40	$7,451.00	—	—	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERV SPINE - MRI COMPLETE SPINE WO CONTRAST	$1,835.20	$4,588.00	—	52% below	60%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERV SPINE - MRI COMPLETE SPINE WO CONTRAST	$1,835.20	$4,588.00	—	—	60%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS COMBO - MRI PELVIS W WO CONTRAST	$2,073.20	$5,183.00	—	57% below	60%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS COMBO - MRI PELVIS W WO CONTRAST	$2,073.20	$5,183.00	—	—	60%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST - MRI PELVIS WO CONTRAST	$1,178.00	$2,945.00	—	65% below	60%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST - MRI PELVIS WO CONTRAST	$1,178.00	$2,945.00	—	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPPER EXTREM WO CONTRAST	$1,969.60	$4,924.00	—	11% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI JOINT UPPER EXTREM WO CONTRAST	$1,969.60	$4,924.00	—	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS & REST	$2,515.20	$6,288.00	—	62% below	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS & REST	$2,515.20	$6,288.00	—	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED	$358.40	$896.00	—	63% below	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED	$358.40	$896.00	—	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ECHOPELVIC (NONOBSTETRIC) - US PELVIS	$1,264.40	$3,161.00	—	11% below	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC ECHOPELVIC (NONOBSTETRIC) - US PELVIS	$1,264.40	$3,161.00	—	—	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$625.60	$1,564.00	—	49% below	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$625.60	$1,564.00	—	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 WKS SINGLE FETUS - US OB < 14 WEEKS SINGLE OR FIRST GEST	$866.40	$2,166.00	—	2% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB US < 14 WKS SINGLE FETUS - US OB < 14 WEEKS SINGLE OR FIRST GEST	$866.40	$2,166.00	—	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES	$438.80	$1,097.00	—	35% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES	$438.80	$1,097.00	—	—	60%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS	$530.00	$1,325.00	—	18% below	60%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS	$530.00	$1,325.00	—	—	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO MODIFIED	$316.80	$792.00	—	72% below	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO W/ESOPHOGRAM	$426.40	$1,066.00	—	62% below	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO	$426.40	$1,066.00	—	62% below	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO MODIFIED	$316.80	$792.00	—	—	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO	$426.40	$1,066.00	—	—	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO W/ESOPHOGRAM	$426.40	$1,066.00	—	—	60%
Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHYTRANSVAGINAL	$522.40	$1,306.00	—	53% below	60%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHYTRANSVAGINAL	$522.40	$1,306.00	—	—	60%
Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL	$522.40	$1,306.00	—	48% below	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL	$522.40	$1,306.00	—	—	60%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMB-SCAN &/OR REAL TIMECOMPLETE	$965.20	$2,413.00	—	55% below	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMB-SCAN &/OR REAL TIMECOMPLETE	$965.20	$2,413.00	—	—	60%
Ultrasound of the scrotum and testicles CPT 76870 HC ECHOSCROTUM & CONTENTS - US SCROTUM	$978.40	$2,446.00	—	16% below	60%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC ECHOSCROTUM & CONTENTS - US SCROTUM	$978.40	$2,446.00	—	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD/NECK TISSUESREAL TIME - US HEAD NECK SOFT TISSUE	$800.80	$2,002.00	—	28% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD/NECK TISSUESREAL TIME - US HEAD NECK SOFT TISSUE	$800.80	$2,002.00	—	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY UPPER GI DELAY W/O KUB - FL UPPER GI WITHOUT KUB	$412.40	$1,031.00	—	65% below	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-RAY UPPER GI DELAY W/O KUB - FL UPPER GI WITHOUT KUB	$412.40	$1,031.00	—	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUSUNI OR LTD	$796.00	$1,990.00	—	7% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUSUNI OR LTD	$796.00	$1,990.00	—	—	60%
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS	$520.00	$1,300.00	—	10% below	60%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS	$520.00	$1,300.00	—	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW	$286.80	$717.00	—	49% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW	$286.80	$717.00	—	—	60%
X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW	$336.00	$840.00	—	42% below	60%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW	$336.00	$840.00	—	—	60%
X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS	$330.40	$826.00	—	20% below	60%
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS	$330.40	$826.00	—	—	60%
X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS	$288.80	$722.00	—	36% below	60%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS	$288.80	$722.00	—	—	60%
X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS	$338.00	$845.00	—	22% below	60%
X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS	$338.00	$845.00	—	—	60%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS	$569.60	$1,424.00	—	1% above	60%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS	$569.60	$1,424.00	—	—	60%
X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS	$505.20	$1,263.00	—	13% below	60%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS	$505.20	$1,263.00	—	—	60%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS	$341.20	$853.00	—	31% below	60%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS	$341.20	$853.00	—	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS	$476.00	$1,190.00	—	45% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS	$476.00	$1,190.00	—	—	60%
X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$854.00	$2,135.00	—	34% below	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$854.00	$2,135.00	—	—	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS	$578.80	$1,447.00	—	20% below	60%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS	$578.80	$1,447.00	—	—	60%
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES	$423.60	$1,059.00	—	44% below	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES	$423.60	$1,059.00	—	—	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS	$538.80	$1,347.00	—	28% below	60%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS	$538.80	$1,347.00	—	—	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS	$341.20	$853.00	—	55% below	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS	$341.20	$853.00	—	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS	$495.20	$1,238.00	—	35% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS	$495.20	$1,238.00	—	—	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)	$79.20	$198.00	—	54% above	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)	$79.20	$198.00	—	—	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT)	$105.60	$264.00	—	64% above	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT)	$105.60	$264.00	—	—	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE	$132.80	$332.00	—	30% below	60%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE	$132.80	$332.00	—	—	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FIRE ANT (INVICTA) IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WASP, PAPER IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ELM TREE IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MISC: GAL-ALPHA-1,3-GAL THYROGLOBULIN	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOG DANDER	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BAHIA GRASS IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CEDAR, MOUNTAIN IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MAPLE, BOX ELDER IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CAT HAIR/DANDER,STAN	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLACK WALNUT IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHRIMP IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: ALTERNARIA ALTERNATA	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HONEYBEE IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NETTLE IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MITE: BLOMIA TROPICALIS	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAK, LIVE/VIRGINIA IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHEAT IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SOYBEAN IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: PENICILLIUM CHRYSOGENUM	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MITE: DERMATOPHAGOIDES FARINAE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TUNA IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MOUSE URINE IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TIMOTHY IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEANUT IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: GIANT RAGWEED IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MITE: DERMATOPHAGOIDES PTERONYSSINUS	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PIGWEED, ROUGH IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS FUMAGATUS IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: LOBSTER IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BERMUDA GRASS IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLAMS IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BUMBLEBEE IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG WHITE IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SESAME SEED IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLADOSPORIUM HERBARUM IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SCALLOP IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKROACH, AMERICAN IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CODFISH IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRAB IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHEEP SORREL (DOCK) IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG YOLK IGE	$16.80	$42.00	—	75% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN EACH	$21.20	$53.00	—	121% above	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TUNA IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAK, LIVE/VIRGINIA IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NETTLE IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MITE: BLOMIA TROPICALIS	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MITE: DERMATOPHAGOIDES FARINAE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MITE: DERMATOPHAGOIDES PTERONYSSINUS	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS FUMAGATUS IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BERMUDA GRASS IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BUMBLEBEE IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLADOSPORIUM HERBARUM IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLAMS IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKROACH, AMERICAN IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CODFISH IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRAB IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG YOLK IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ELM TREE IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BAHIA GRASS IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLACK WALNUT IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CAT HAIR/DANDER,STAN	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CEDAR, MOUNTAIN IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOG DANDER	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FIRE ANT (INVICTA) IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG WHITE IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: GIANT RAGWEED IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEANUT IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TIMOTHY IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MOUSE URINE IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: PENICILLIUM CHRYSOGENUM	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SOYBEAN IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHEAT IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HONEYBEE IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: ALTERNARIA ALTERNATA	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHRIMP IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MAPLE, BOX ELDER IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MISC: GAL-ALPHA-1,3-GAL THYROGLOBULIN	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WASP, PAPER IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHEEP SORREL (DOCK) IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SESAME SEED IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SCALLOP IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: LOBSTER IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PIGWEED, ROUGH IGE	$16.80	$42.00	—	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN EACH	$21.20	$53.00	—	—	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC SO CYCLIC CITRULLINATED PEPTIDE ANTIBODY	$109.20	$273.00	—	300% above	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY	$115.60	$289.00	—	323% above	60%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC SO CYCLIC CITRULLINATED PEPTIDE ANTIBODY	$109.20	$273.00	—	—	60%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY	$115.60	$289.00	—	—	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC SO ANTINUCLEAR ANTIBODIES ANA	$57.60	$144.00	—	89% above	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES)	$60.80	$152.00	—	100% above	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC SO ANTINUCLEAR ANTIBODIES ANA	$57.60	$144.00	—	—	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES)	$60.80	$152.00	—	—	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP)	$126.80	$317.00	—	43% below	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP)	$126.80	$317.00	—	—	60%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL	$34.00	$85.00	—	92% below	60%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL	$34.00	$85.00	—	—	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATHLEVEL IV - LAB SURG PATHLEVEL IV	$344.00	$860.00	—	173% above	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATHLEVEL IV - LAB SURG PATHLEVEL IV	$344.00	$860.00	—	—	60%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE	$170.40	$426.00	—	57% below	60%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE	$170.40	$426.00	—	—	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC CHG COLLECTION VENOUS BLOODVENIPUNCTURE - DRAW CHARGE	$7.60	$19.00	—	66% below	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC CHG COLLECTION VENOUS BLOODVENIPUNCTURE - DRAW CHARGE	$7.60	$19.00	—	—	60%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE - GLUCOSE RANDOM	$29.20	$73.00	—	52% below	60%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE - GLUCOSE RANDOM - ITSTAT	$29.20	$73.00	—	52% below	60%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE - GLUCOSE SERUM	$46.40	$116.00	—	24% below	60%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE - PP 2HR	$55.60	$139.00	—	9% below	60%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE - GLUCOSE RANDOM - ITSTAT	$29.20	$73.00	—	—	60%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE - GLUCOSE RANDOM	$29.20	$73.00	—	—	60%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE - GLUCOSE SERUM	$46.40	$116.00	—	—	60%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE - PP 2HR	$55.60	$139.00	—	—	60%
Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD	$82.00	$205.00	—	501% above	60%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD	$82.00	$205.00	—	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN QUAL - HCG QUALITATIVE URINE	$116.80	$292.00	—	14% below	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN QUAL - HCG QUALITATIVE URINE	$116.80	$292.00	—	—	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - ABO TYPING	$58.40	$146.00	—	21% below	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - ABO TYPING	$58.40	$146.00	—	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN	$67.60	$169.00	—	29% below	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN	$67.60	$169.00	—	—	60%
C. difficile toxin gene test (stool PCR) CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE	$121.60	$304.00	—	2% below	60%
C. difficile toxin gene test (stool PCR) CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE - UNFORMED STOOL	$122.00	$305.00	—	2% below	60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE	$121.60	$304.00	—	—	60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE - UNFORMED STOOL	$122.00	$305.00	—	—	60%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 - CANCER ANTIGEN 19-9	$37.60	$94.00	—	42% below	60%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 - CANCER ANTIGEN 19-9	$37.60	$94.00	—	—	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 - CA 125	$80.00	$200.00	—	19% below	60%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 - CA 125	$80.00	$200.00	—	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR	$68.80	$172.00	—	15% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR	$68.80	$172.00	—	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH DNA AMP PROBE - CHLAMYDIA DNA PCR	$84.80	$212.00	—	9% above	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC SO IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ	$100.00	$250.00	—	28% above	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH DNA AMP PROBE - CHLAMYDIA DNA PCR	$84.80	$212.00	—	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC SO IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ	$100.00	$250.00	—	—	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC SO LIPID PANEL - CARDIO IQ PROFILE	$33.60	$84.00	—	79% below	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$52.40	$131.00	—	67% below	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC SO LIPID PANEL - CARDIO IQ PROFILE	$33.60	$84.00	—	—	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$52.40	$131.00	—	—	60%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$32.00	$80.00	—	58% below	60%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE	$32.00	$80.00	—	—	60%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - CBC	$50.40	$126.00	—	60% below	60%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC - CBC	$50.40	$126.00	—	—	60%
Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL COMPREHENSIVE	$49.20	$123.00	—	91% below	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL COMPREHENSIVE	$49.20	$123.00	—	—	60%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTSD-DIMER QUANT - D-DIMERQUANTITATIVE	$122.00	$305.00	—	59% below	60%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTSD-DIMER QUANT - D-DIMERQUANTITATIVE	$122.00	$305.00	—	—	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$108.00	$270.00	—	127% above	60%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$108.00	$270.00	—	—	60%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL	$76.00	$190.00	—	81% above	60%
Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL	$76.00	$190.00	—	—	60%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) - POCT FOLLICLE STIMULATING HORMONE (FSH)	$56.80	$142.00	—	23% below	60%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) - FSH	$70.80	$177.00	—	4% below	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN (FSH) - POCT FOLLICLE STIMULATING HORMONE (FSH)	$56.80	$142.00	—	—	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN (FSH) - FSH	$70.80	$177.00	—	—	60%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL	$171.60	$429.00	—	36% above	60%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL	$171.60	$429.00	—	—	60%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN - FERRITIN	$77.20	$193.00	—	56% below	60%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN - FERRITIN	$77.20	$193.00	—	—	60%
Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE	$65.60	$164.00	—	60% below	60%
Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE	$65.60	$164.00	—	—	60%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$55.60	$139.00	—	42% below	60%
Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$55.60	$139.00	—	—	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE	$100.80	$252.00	—	6% above	60%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE	$100.80	$252.00	—	—	60%
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$78.40	$196.00	—	153% above	60%
Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$78.40	$196.00	—	—	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST - GTT 1 HOUR	$46.40	$116.00	—	51% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST - GTT 1 HOUR	$46.40	$116.00	—	—	60%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - BUNDLED CHARGE	$103.60	$259.00	—	27% below	60%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - BUNDLED CHARGE	$103.60	$259.00	—	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB - GC DNA PCR	$84.80	$212.00	—	65% above	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC SO IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$100.00	$250.00	—	94% above	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMP PROB - GC DNA PCR	$84.80	$212.00	—	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC SO IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$100.00	$250.00	—	—	60%
H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	$186.40	$466.00	—	266% above	60%
H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	$186.40	$466.00	—	—	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV 1 RNA QUANT BY PCR	$158.80	$397.00	—	39% above	60%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV 1 RNA QUANT BY PCR	$158.80	$397.00	—	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC IAAD IA HIV-1 AG W/HIV-1 & AMP HIV-2 ANTBDY SINGLE	$81.20	$203.00	—	3% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC IAAD IA HIV-1 AG W/HIV-1 & AMP HIV-2 ANTBDY SINGLE	$81.20	$203.00	—	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$77.20	$193.00	—	4% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$77.20	$193.00	—	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY	$57.60	$144.00	—	at median	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY	$57.60	$144.00	—	—	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN	$48.40	$121.00	—	1% above	60%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN	$48.40	$121.00	—	—	60%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	$74.00	$185.00	—	31% above	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	$74.00	$185.00	—	—	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR	$295.60	$739.00	—	119% above	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR	$295.60	$739.00	—	—	60%
Herpes blood test, HSV-1 antibody CPT 86695 HC SO ISLET CELL ANTIBODY - ZNT8 AB	$30.40	$76.00	—	37% above	60%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 - HSV 1 IGM ANTIBODY	$107.60	$269.00	—	384% above	60%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 - HSV 1 IGG ANTIBODY	$114.00	$285.00	—	412% above	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC SO ISLET CELL ANTIBODY - ZNT8 AB	$30.40	$76.00	—	—	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 - HSV 1 IGM ANTIBODY	$107.60	$269.00	—	—	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 - HSV 1 IGG ANTIBODY	$114.00	$285.00	—	—	60%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 - HSV 2 IGM ANTIBODY	$55.20	$138.00	—	90% above	60%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 - HSV 2 IGG ANTIBODY	$58.40	$146.00	—	101% above	60%
Herpes blood test, HSV-2 antibody CPT 86696 HC SO ANTIBODY HERPES SMPLX TYPE 2 - HSV-2 INHIBITION STUDY	$77.60	$194.00	—	168% above	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 - HSV 2 IGM ANTIBODY	$55.20	$138.00	—	—	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 - HSV 2 IGG ANTIBODY	$58.40	$146.00	—	—	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC SO ANTIBODY HERPES SMPLX TYPE 2 - HSV-2 INHIBITION STUDY	$77.60	$194.00	—	—	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEINHIGH SENSITIVITY - HIGH SENSITIVITY CRP	$64.00	$160.00	—	3% below	60%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEINHIGH SENSITIVITY - HIGH SENSITIVITY CRP	$64.00	$160.00	—	—	60%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE	$89.60	$224.00	—	71% above	60%
Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE	$89.60	$224.00	—	—	60%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL - INSULIN TOTAL	$29.20	$73.00	—	7% below	60%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL - INSULIN FASTING	$30.80	$77.00	—	2% below	60%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN TOTAL - INSULIN TOTAL	$29.20	$73.00	—	—	60%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN TOTAL - INSULIN FASTING	$30.80	$77.00	—	—	60%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON - IRON	$59.60	$149.00	—	18% below	60%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON - IRON LIVER	$171.60	$429.00	—	136% above	60%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON - IRON	$59.60	$149.00	—	—	60%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON - IRON LIVER	$171.60	$429.00	—	—	60%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST - IRON AND IRON BINDING CAPACITY PANEL - SR OR PL	$67.20	$168.00	—	48% below	60%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST - IRON AND IRON BINDING CAPACITY PANEL - SR OR PL	$67.20	$168.00	—	—	60%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$57.20	$143.00	—	89% below	60%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$57.20	$143.00	—	—	60%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE	$64.00	$160.00	—	13% below	60%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE	$64.00	$160.00	—	—	60%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE	$98.00	$245.00	—	29% above	60%
Lipase blood test (pancreas enzyme) CPT 83690 HC SO ASSAY OF LIPASE	$98.00	$245.00	—	29% above	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC SO ASSAY OF LIPASE	$98.00	$245.00	—	—	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE	$98.00	$245.00	—	—	60%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$61.20	$153.00	—	84% below	60%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL	$61.20	$153.00	—	—	60%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES	$62.00	$155.00	—	92% above	60%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES	$62.00	$155.00	—	—	60%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM URINE	$60.00	$150.00	—	320% above	60%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM	$75.20	$188.00	—	426% above	60%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM URINE	$60.00	$150.00	—	—	60%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM	$75.20	$188.00	—	—	60%
Measles (rubeola) antibody test CPT 86765 HC SO RUBEOLA ANTIBODY	$42.00	$105.00	—	81% above	60%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY IGG	$146.80	$367.00	—	531% above	60%
Measles (rubeola) antibody test inpatient CPT 86765 HC SO RUBEOLA ANTIBODY	$42.00	$105.00	—	—	60%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY IGG	$146.80	$367.00	—	—	60%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIESSCREEN - MONONUCLEOSIS SCREEN	$134.00	$335.00	—	31% below	60%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIESSCREEN - MONONUCLEOSIS SCREEN	$134.00	$335.00	—	—	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN/FREE	$30.40	$76.00	—	12% below	60%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN/FREE	$30.40	$76.00	—	—	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA	$58.00	$145.00	—	5% below	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA	$58.00	$145.00	—	—	60%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER	$51.60	$129.00	—	50% above	60%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER	$51.60	$129.00	—	—	60%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT	$75.20	$188.00	—	30% below	60%
Parathyroid hormone (PTH) blood test CPT 83970 HC SO ASSAY OF PARATHORMONE	$77.60	$194.00	—	28% below	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT	$75.20	$188.00	—	—	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC SO ASSAY OF PARATHORMONE	$77.60	$194.00	—	—	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC SO THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$38.80	$97.00	—	13% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT	$50.40	$126.00	—	12% above	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC SO THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD	$38.80	$97.00	—	—	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT	$50.40	$126.00	—	—	60%
Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE	$152.40	$381.00	—	152% above	60%
Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE	$152.40	$381.00	—	—	60%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN	$70.80	$177.00	—	2% above	60%
Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN	$70.80	$177.00	—	—	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HC SO PROTHROMBIN TIME	$27.20	$68.00	—	33% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR	$31.60	$79.00	—	22% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HC UC PROTHROMBIN TIME - PROTIME-INR	$44.00	$110.00	—	8% above	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC SO PROTHROMBIN TIME	$27.20	$68.00	—	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR	$31.60	$79.00	—	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC UC PROTHROMBIN TIME - PROTIME-INR	$44.00	$110.00	—	—	60%
Rapid flu test (influenza antigen) CPT 87804 HC DETECT AGENT IMMUN DIR OBS INFLUENZA B IDENT	$36.40	$91.00	—	74% below	60%
Rapid flu test (influenza antigen) CPT 87804 HC DETECT AGENT IMMUN DIR OBS INFLUENZA A IDENT	$36.40	$91.00	—	74% below	60%
Rapid flu test (influenza antigen) CPT 87804 HC DETECT AGENT IMMUN DIR OBS INFLUENZA A B IDENT	$38.40	$96.00	—	73% below	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC DETECT AGENT IMMUN DIR OBS INFLUENZA B IDENT	$36.40	$91.00	—	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC DETECT AGENT IMMUN DIR OBS INFLUENZA A IDENT	$36.40	$91.00	—	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC DETECT AGENT IMMUN DIR OBS INFLUENZA A B IDENT	$38.40	$96.00	—	—	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	$58.40	$146.00	—	57% below	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	$58.40	$146.00	—	—	60%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT - RHEUMATOID FACTOR	$59.20	$148.00	—	119% above	60%
Rheumatoid factor (RF) test CPT 86431 HC SO RHEUMATOID FACTOR QUANTITATIVE	$59.20	$148.00	—	119% above	60%
Rheumatoid factor (RF) test inpatient CPT 86431 HC SO RHEUMATOID FACTOR QUANTITATIVE	$59.20	$148.00	—	—	60%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT - RHEUMATOID FACTOR	$59.20	$148.00	—	—	60%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY IGM	$51.60	$129.00	—	174% above	60%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY IGG	$51.60	$129.00	—	174% above	60%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY IGG	$51.60	$129.00	—	—	60%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY IGM	$51.60	$129.00	—	—	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE AUTO - SEDIMENTATION RATE AUTOMATED	$39.20	$98.00	—	66% below	60%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE AUTO - SEDIMENTATION RATE AUTOMATED	$39.20	$98.00	—	—	60%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSISVOLUME COUNT MOTILITY DIFF - SEMEN ANALYSIS	$151.60	$379.00	—	50% below	60%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSISVOLUME COUNT MOTILITY DIFF - SEMEN ANALYSIS	$151.60	$379.00	—	—	60%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	$70.40	$176.00	—	47% above	60%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	$70.40	$176.00	—	—	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC NEGATIVE - FECAL OCCULT BLOOD	$12.80	$32.00	—	82% below	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC POSITIVE - FECAL OCCULT BLOOD	$12.80	$32.00	—	82% below	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC FECAL OCCULT BLOOD POC NEGATIVE	$31.60	$79.00	—	56% below	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULTBY PEROXIDFECESSINGLE COLORECTAL SCREEN - OCCULT BLD	$33.60	$84.00	—	53% below	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC POSITIVE - FECAL OCCULT BLOOD	$12.80	$32.00	—	—	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC NEGATIVE - FECAL OCCULT BLOOD	$12.80	$32.00	—	—	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC FECAL OCCULT BLOOD POC NEGATIVE	$31.60	$79.00	—	—	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULTBY PEROXIDFECESSINGLE COLORECTAL SCREEN - OCCULT BLD	$33.60	$84.00	—	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - RAPID PLASMA REAGIN-SYP	$45.20	$113.00	—	111% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF	$52.00	$130.00	—	143% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - RAPID PLASMA REAGIN-SYP	$45.20	$113.00	—	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF	$52.00	$130.00	—	—	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSEGAMMA INTERFRON - TB TEST	$141.60	$354.00	—	114% above	60%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSEGAMMA INTERFRON - TB TEST	$141.60	$354.00	—	—	60%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$70.80	$177.00	—	93% above	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$70.80	$177.00	—	—	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC SO MICROSOMAL ANTIBODIES EACH	$40.00	$100.00	—	156% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY	$42.40	$106.00	—	172% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - LIVER-KIDNEY MICROSOME AB	$42.40	$106.00	—	172% above	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC SO MICROSOMAL ANTIBODIES EACH	$40.00	$100.00	—	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY	$42.40	$106.00	—	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - LIVER-KIDNEY MICROSOME AB	$42.40	$106.00	—	—	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$63.20	$158.00	—	61% below	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$63.20	$158.00	—	—	60%
Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH -SURESWAB	$64.40	$161.00	—	5% above	60%
Trichomonas test (NAAT) CPT 87661 HC SO TRICHOMONAS VAGINALIS AMPLIF	$76.00	$190.00	—	24% above	60%
Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH -SURESWAB	$64.40	$161.00	—	—	60%
Trichomonas test (NAAT) inpatient CPT 87661 HC SO TRICHOMONAS VAGINALIS AMPLIF	$76.00	$190.00	—	—	60%
Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID BLOOD - URIC ACID	$79.20	$198.00	—	46% below	60%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID BLOOD - URIC ACID	$79.20	$198.00	—	—	60%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE - BUNDLED CHARGE	$23.60	$59.00	—	87% below	60%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE - URINALYSIS MICROSCOPIC	$26.00	$65.00	—	85% below	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE - BUNDLED CHARGE	$23.60	$59.00	—	—	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE - URINALYSIS MICROSCOPIC	$26.00	$65.00	—	—	60%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$17.20	$43.00	—	86% below	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$17.20	$43.00	—	—	60%
Urinalysis without microscope exam, manual CPT 81002 HC NON-AUTO URINE W/O MICROSCOPY	$36.80	$92.00	—	42% above	60%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC NON-AUTO URINE W/O MICROSCOPY	$36.80	$92.00	—	—	60%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE BACTERIAL QUANT COLONY COUNT URINE	$20.40	$51.00	—	93% below	60%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE BACTERIAL QUANT COLONY COUNT URINE	$20.40	$51.00	—	—	60%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST	$95.60	$239.00	—	39% below	60%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST	$95.60	$239.00	—	—	60%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 - VITAMIN B12	$77.20	$193.00	—	53% below	60%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 - VITAMIN B12	$77.20	$193.00	—	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY INCLUDES FRACTIONS IF PERF	$77.20	$193.00	—	56% above	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY INCLUDES FRACTIONS IF PERF	$77.20	$193.00	—	—	60%
Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC	$40.80	$102.00	—	173% above	60%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC	$40.80	$102.00	—	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN QUANT - HCG QUANTITATIVE BLOOD	$210.40	$526.00	—	104% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN QUANT - HCG QUANTITATIVE BLOOD	$210.40	$526.00	—	—	60%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Cardiac catheterization with coronary angiogram CPT 93458 HC L HEART W LV & CORONARY	$7,286.80	$18,217.00	—	52% below	60%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC L HEART W LV & CORONARY	$7,286.80	$18,217.00	—	—	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC EP CARDIOVERSION ELECTIVE;EXTERN	$1,396.80	$3,492.00	—	40% below	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$1,396.80	$3,492.00	—	40% below	60%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC EP CARDIOVERSION ELECTIVE;EXTERN	$1,396.80	$3,492.00	—	—	60%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$1,396.80	$3,492.00	—	—	60%
Catheter ablation for atrial fibrillation CPT 93656 HC EP TX AFIB PUL VN ISOL	$21,363.20	$53,408.00	—	57% below	60%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EP TX AFIB PUL VN ISOL	$21,363.20	$53,408.00	—	—	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK	$1,446.00	$3,615.00	—	39% below	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK	$1,446.00	$3,615.00	—	—	60%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION W/O CLAMP NEONATE	$420.80	$1,052.00	—	41% below	60%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION W/O CLAMP NEONATE	$420.80	$1,052.00	—	—	60%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED RX DIST RAD/ULNA FX	$196.00	$490.00	—	67% below	60%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC UC CLOSED RX DIST RAD/ULNA FX	$196.00	$490.00	—	67% below	60%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC UC CLOSED RX DIST RAD/ULNA FX	$196.00	$490.00	—	—	60%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED RX DIST RAD/ULNA FX	$196.00	$490.00	—	—	60%
Coronary stent placement, one artery CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL	$10,912.00	$27,280.00	—	57% below	60%
Coronary stent placement, one artery inpatient CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL	$10,912.00	$27,280.00	—	—	60%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC BEDSIDE CYSTOURETHROSCOPY	$1,016.80	$2,542.00	—	31% below	60%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC UC CYSTOURETHROSCOPY	$1,016.80	$2,542.00	—	31% below	60%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$1,016.80	$2,542.00	—	31% below	60%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC UC CYSTOURETHROSCOPY	$1,016.80	$2,542.00	—	—	60%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY	$1,016.80	$2,542.00	—	—	60%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC BEDSIDE CYSTOURETHROSCOPY	$1,016.80	$2,542.00	—	—	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC UC EAR IRRIGATION	$78.80	$197.00	—	73% below	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC EAR IRRIGATION	$78.80	$197.00	—	73% below	60%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC EAR IRRIGATION	$78.80	$197.00	—	—	60%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC UC EAR IRRIGATION	$78.80	$197.00	—	—	60%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$56.00	$140.00	—	71% below	60%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$56.00	$140.00	—	—	60%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$1,011.20	$2,528.00	—	61% below	60%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$1,011.20	$2,528.00	—	—	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINTIMG GUIDELUMBAR/SAC 1ST LEVEL	$2,025.20	$5,063.00	—	19% below	60%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINTIMG GUIDELUMBAR/SAC 1ST LEVEL	$2,025.20	$5,063.00	—	—	60%
Incision and drainage of a simple or single skin abscess CPT 10060 HC UC DRAIN SKIN ABSCESS SIMPLE	$297.60	$744.00	—	58% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE	$297.60	$744.00	—	58% below	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE	$297.60	$744.00	—	—	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC UC DRAIN SKIN ABSCESS SIMPLE	$297.60	$744.00	—	—	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT	$282.40	$706.00	—	57% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$282.40	$706.00	—	57% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$282.40	$706.00	—	—	60%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT	$282.40	$706.00	—	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC UC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$425.60	$1,064.00	—	46% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$450.40	$1,126.00	—	43% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ED ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$450.40	$1,126.00	—	43% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC UC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$425.60	$1,064.00	—	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$450.40	$1,126.00	—	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ED ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$450.40	$1,126.00	—	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC UC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$264.00	$660.00	—	64% below	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$279.60	$699.00	—	62% below	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC UC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$264.00	$660.00	—	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$279.60	$699.00	—	—	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC UC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$236.00	$590.00	—	49% below	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$250.00	$625.00	—	46% below	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC UC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$236.00	$590.00	—	—	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$250.00	$625.00	—	—	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYR CLOS WND TRUNKARMLEG <2.5 CM	$347.60	$869.00	—	66% below	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC UC LAYR CLOS WND TRUNKARMLEG <2.5 CM	$347.60	$869.00	—	66% below	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC UC LAYR CLOS WND TRUNKARMLEG <2.5 CM	$347.60	$869.00	—	—	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAYR CLOS WND TRUNKARMLEG <2.5 CM	$347.60	$869.00	—	—	60%
Left heart catheterization, diagnostic one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY IMAGE SUPERVISE/INTERP	$6,140.00	$15,350.00	—	38% below	60%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY IMAGE SUPERVISE/INTERP	$6,140.00	$15,350.00	—	—	60%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$1,231.60	$3,079.00	—	53% below	60%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$1,231.60	$3,079.00	—	—	60%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$868.40	$2,171.00	—	61% below	60%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$868.40	$2,171.00	—	—	60%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE 1 LEVEL	$824.80	$2,062.00	—	63% below	60%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE 1 LEVEL	$824.80	$2,062.00	—	—	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$703.60	$1,759.00	—	61% below	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$703.60	$1,759.00	—	—	60%
Nail removal (partial or complete), one nail CPT 11730 HC UC REMOVAL OF NAIL PLATE	$170.40	$426.00	—	66% below	60%
Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE	$180.40	$451.00	—	64% below	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC UC REMOVAL OF NAIL PLATE	$170.40	$426.00	—	—	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE	$180.40	$451.00	—	—	60%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECT NERV BLCKGREAT OCCIPTL	$248.40	$621.00	—	75% below	60%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT NERV BLCKGREAT OCCIPTL	$248.40	$621.00	—	—	60%
Pacemaker implant (dual chamber) CPT 33208 HC EP INSER HART PACER XVENOUS ATR/VENTR	$4,930.40	$12,326.00	—	76% below	60%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC EP INSER HART PACER XVENOUS ATR/VENTR	$4,930.40	$12,326.00	—	—	60%
Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,004.40	$2,511.00	—	47% below	60%
Paracentesis with imaging guidance CPT 49083 HC SP ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,004.40	$2,511.00	—	47% below	60%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,004.40	$2,511.00	—	—	60%
Paracentesis with imaging guidance inpatient CPT 49083 HC SP ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,004.40	$2,511.00	—	—	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC UC REMOVAL OF NAIL BED	$347.60	$869.00	—	73% below	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$347.60	$869.00	—	73% below	60%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC UC REMOVAL OF NAIL BED	$347.60	$869.00	—	—	60%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$347.60	$869.00	—	—	60%
Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATENEEDLE/PUNCH	$661.20	$1,653.00	—	80% below	60%
Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATENEEDLE/PUNCH	$661.20	$1,653.00	—	—	60%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$1,120.80	$2,802.00	—	69% below	60%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$1,120.80	$2,802.00	—	—	60%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$328.40	$821.00	—	66% below	60%
Removal of a foreign object under the skin, simple CPT 10120 HC UC REMOVE FOREIGN BODY SIMPLE	$347.60	$869.00	—	64% below	60%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$328.40	$821.00	—	—	60%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC UC REMOVE FOREIGN BODY SIMPLE	$347.60	$869.00	—	—	60%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SHORT ARM SPLINT STATIC	$120.40	$301.00	—	69% below	60%
Short arm splint (forearm and hand) CPT 29125 HC UC APPLY SHORT ARM SPLINT STATIC	$120.40	$301.00	—	69% below	60%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SHORT ARM SPLINT STATIC	$120.40	$301.00	—	—	60%
Short arm splint (forearm and hand) inpatient CPT 29125 HC UC APPLY SHORT ARM SPLINT STATIC	$120.40	$301.00	—	—	60%
Short leg splint (calf to foot) CPT 29515 HC UC APPLICATION SHORT LEG SPLINT	$190.40	$476.00	—	59% below	60%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION SHORT LEG SPLINT	$190.40	$476.00	—	59% below	60%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION SHORT LEG SPLINT	$190.40	$476.00	—	—	60%
Short leg splint (calf to foot) inpatient CPT 29515 HC UC APPLICATION SHORT LEG SPLINT	$190.40	$476.00	—	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC UC RESUPERF WND BODY <2.5CM	$180.40	$451.00	—	64% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM	$180.40	$451.00	—	64% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC UC RESUPERF WND BODY <2.5CM	$180.40	$451.00	—	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RESUPERF WND BODY <2.5CM	$180.40	$451.00	—	—	60%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$285.60	$714.00	—	63% below	60%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$285.60	$714.00	—	—	60%
Skin tag removal, up to 15 tags CPT 11200 HC UC REMOVAL OF SKIN TAGS UP TO 15	$170.40	$426.00	—	62% below	60%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS UP TO 15	$170.40	$426.00	—	62% below	60%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS UP TO 15	$170.40	$426.00	—	—	60%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC UC REMOVAL OF SKIN TAGS UP TO 15	$170.40	$426.00	—	—	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC UC SPINAL FLUID TAP DIAGNOSTIC	$437.60	$1,094.00	—	71% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$463.20	$1,158.00	—	69% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL FLUID TAP DIAGNOSTIC	$463.20	$1,158.00	—	69% below	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC UC SPINAL FLUID TAP DIAGNOSTIC	$437.60	$1,094.00	—	—	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL FLUID TAP DIAGNOSTIC	$463.20	$1,158.00	—	—	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$463.20	$1,158.00	—	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC UC RESUP NPTERF WND BODY 2.6-7.5 CM	$264.40	$661.00	—	53% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM	$264.40	$661.00	—	53% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC UC RESUP NPTERF WND BODY 2.6-7.5 CM	$264.40	$661.00	—	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM	$264.40	$661.00	—	—	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RESUPERF WND FACE <2.5 CM	$180.40	$451.00	—	61% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC UC RESUPERF WND FACE <2.5 CM	$180.40	$451.00	—	61% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC UC RESUPERF WND FACE <2.5 CM	$180.40	$451.00	—	—	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RESUPERF WND FACE <2.5 CM	$180.40	$451.00	—	—	60%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANG BIOPSY SKIN SINGLE LESION	$285.60	$714.00	—	41% below	60%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANG BIOPSY SKIN SINGLE LESION	$285.60	$714.00	—	—	60%
Thoracentesis with imaging guidance CPT 32555 HC UC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$853.20	$2,133.00	—	55% below	60%
Thoracentesis with imaging guidance CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$903.20	$2,258.00	—	52% below	60%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$903.20	$2,258.00	—	52% below	60%
Thoracentesis with imaging guidance CPT 32555 HC SP THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$968.40	$2,421.00	—	49% below	60%
Thoracentesis with imaging guidance inpatient CPT 32555 HC UC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$853.20	$2,133.00	—	—	60%
Thoracentesis with imaging guidance inpatient CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$903.20	$2,258.00	—	—	60%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$903.20	$2,258.00	—	—	60%
Thoracentesis with imaging guidance inpatient CPT 32555 HC SP THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$968.40	$2,421.00	—	—	60%
Trigger point injections, 1 or 2 muscles CPT 20552 HC UC INJECT TRIGGER POINT 1 OR 2	$248.40	$621.00	—	69% below	60%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2	$262.80	$657.00	—	67% below	60%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT 1 OR 2	$262.80	$657.00	—	67% below	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC UC INJECT TRIGGER POINT 1 OR 2	$248.40	$621.00	—	—	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT 1 OR 2	$262.80	$657.00	—	—	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2	$262.80	$657.00	—	—	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE	$1,402.00	$3,505.00	—	61% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE	$1,402.00	$3,505.00	—	—	60%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RF 1ST VEIN	$3,219.60	$8,049.00	—	56% below	60%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RF 1ST VEIN	$3,219.60	$8,049.00	—	—	60%
Wart removal, up to 14 warts CPT 17110 HC UC DESTRUCTION BENIGN LESIONS UP TO 14	$170.40	$426.00	—	60% below	60%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14	$170.40	$426.00	—	60% below	60%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14	$170.40	$426.00	—	—	60%
Wart removal, up to 14 warts inpatient CPT 17110 HC UC DESTRUCTION BENIGN LESIONS UP TO 14	$170.40	$426.00	—	—	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC UC DEBRIDEMENT SKIN SUB-Q TISSUE=<20 SQ CM	$635.20	$1,588.00	—	35% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SKIN SUB-Q TISSUE=<20 SQ CM	$672.40	$1,681.00	—	31% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC UC DEBRIDEMENT SKIN SUB-Q TISSUE=<20 SQ CM	$635.20	$1,588.00	—	—	60%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT SKIN SUB-Q TISSUE=<20 SQ CM	$672.40	$1,681.00	—	—	60%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE >8 HRS	$824.00	$2,060.00	—	36% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 HC OR BLOOD TRANSFUSION SERVICE	$824.00	$2,060.00	—	36% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE 4-6 HRS	$824.00	$2,060.00	—	36% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE 2-4 HRS	$824.00	$2,060.00	—	36% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE 0-2 HRS	$824.00	$2,060.00	—	36% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE	$824.00	$2,060.00	—	36% below	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE 0-2 HRS	$824.00	$2,060.00	—	—	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE	$824.00	$2,060.00	—	—	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC OR BLOOD TRANSFUSION SERVICE	$824.00	$2,060.00	—	—	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE >8 HRS	$824.00	$2,060.00	—	—	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE 4-6 HRS	$824.00	$2,060.00	—	—	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE 2-4 HRS	$824.00	$2,060.00	—	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT MDI/DPI	$48.40	$121.00	—	85% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT HAND HELD NEBULIZER	$84.40	$211.00	—	73% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT HAND HELD NEBULIZER - ENDO	$131.20	$328.00	—	59% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INHALATION TREATMENT - METANEB	$174.80	$437.00	—	45% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT EZPAP TREATMENT	$181.20	$453.00	—	43% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INHALATION TREATMENT	$181.20	$453.00	—	43% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT MDI/DPI	$48.40	$121.00	—	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT HAND HELD NEBULIZER	$84.40	$211.00	—	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT HAND HELD NEBULIZER - ENDO	$131.20	$328.00	—	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INHALATION TREATMENT - METANEB	$174.80	$437.00	—	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT EZPAP TREATMENT	$181.20	$453.00	—	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INHALATION TREATMENT	$181.20	$453.00	—	—	60%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTHER IV INFUSION 1 HR	$812.80	$2,032.00	—	18% below	60%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMOTHER IV INFUSION 1 HR	$812.80	$2,032.00	—	—	60%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE E/M 30-74 MINUTES	$2,157.20	$5,393.00	—	56% below	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE E/M 30-74 MINUTES	$2,157.20	$5,393.00	—	—	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC CERIBELL EEG W/AWAKE & DROWSY RECORD - EEG AWARE OR DROWSY PORTABLE	$600.80	$1,502.00	—	67% below	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG W/AWAKE & DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE	$763.20	$1,908.00	—	58% below	60%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC CERIBELL EEG W/AWAKE & DROWSY RECORD - EEG AWARE OR DROWSY PORTABLE	$600.80	$1,502.00	—	—	60%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG W/AWAKE & DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE	$763.20	$1,908.00	—	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING - ECG 12-LEAD	$230.40	$576.00	—	44% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM TRACING - ECG 12-LEAD	$230.40	$576.00	—	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB	$312.40	$781.00	—	36% below	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB	$312.40	$781.00	—	—	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY	$512.80	$1,282.00	—	44% below	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY	$512.80	$1,282.00	—	—	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$894.80	$2,237.00	—	42% below	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY	$894.80	$2,237.00	—	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$1,466.40	$3,666.00	—	40% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY	$1,466.40	$3,666.00	—	—	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$1,701.60	$4,254.00	—	48% below	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$1,701.60	$4,254.00	—	—	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TSTTRACING ONLY	$913.20	$2,283.00	—	51% below	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TSTTRACING ONLY	$913.20	$2,283.00	—	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN	$390.80	$977.00	—	40% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN	$390.80	$977.00	—	—	60%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAP/PROPH/DIAGNOSTINITIAL1ST HOUR	$478.00	$1,195.00	—	38% below	60%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THERAP/PROPH/DIAGNOSTINITIAL1ST HOUR	$478.00	$1,195.00	—	—	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTIONTHERAP/PROPH/DIAGNOST IM OR SUBCUT	$174.40	$436.00	—	1% below	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTIONTHERAP/PROPH/DIAGNOST IM OR SUBCUT	$174.40	$436.00	—	—	60%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 STUDIES	$2,661.20	$6,653.00	—	136% above	60%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 STUDIES	$2,661.20	$6,653.00	—	—	60%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC REEDUCAT1+ AREAS EA 15 MIN	$90.80	$227.00	—	39% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC REEDUCAT1+ AREAS EA 15 MIN	$90.80	$227.00	—	39% below	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC REEDUCAT1+ AREAS EA 15 MIN	$90.80	$227.00	—	—	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC REEDUCAT1+ AREAS EA 15 MIN	$90.80	$227.00	—	—	60%
New patient office visit, about 30 minutes CPT 99203 HC OB TRIAGE NEW PT E/M LEVEL 3	$217.20	$543.00	—	58% below	60%
New patient office visit, about 30 minutes CPT 99203 HC PEDS NEW PT E/M LEVEL 3	$299.60	$749.00	—	43% below	60%
New patient office visit, about 30 minutes CPT 99203 HC UC NEW PT E&M LEVEL 3	$317.20	$793.00	—	39% below	60%
New patient office visit, about 30 minutes CPT 99203 HC NEW PT E/M LEVEL 3	$317.20	$793.00	—	39% below	60%
New patient office visit, about 30 minutes CPT 99203 HC MFM NEW PT E&M LEVEL 3	$317.20	$793.00	—	39% below	60%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OB TRIAGE NEW PT E/M LEVEL 3	$217.20	$543.00	—	—	60%
New patient office visit, about 30 minutes inpatient CPT 99203 HC PEDS NEW PT E/M LEVEL 3	$299.60	$749.00	—	—	60%
New patient office visit, about 30 minutes inpatient CPT 99203 HC MFM NEW PT E&M LEVEL 3	$317.20	$793.00	—	—	60%
New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT E/M LEVEL 3	$317.20	$793.00	—	—	60%
New patient office visit, about 30 minutes inpatient CPT 99203 HC UC NEW PT E&M LEVEL 3	$317.20	$793.00	—	—	60%
New patient office visit, about 45 minutes CPT 99204 HC OB TRIAGE NEW PT E/M LEVEL 4	$341.20	$853.00	—	51% below	60%
New patient office visit, about 45 minutes CPT 99204 HC MFM NEW PT E&M LEVEL 4	$501.20	$1,253.00	—	28% below	60%
New patient office visit, about 45 minutes CPT 99204 HC PEDS NEW PT E/M LEVEL 4	$501.20	$1,253.00	—	28% below	60%
New patient office visit, about 45 minutes CPT 99204 HC NEW PT E/M LEVEL 4	$530.80	$1,327.00	—	24% below	60%
New patient office visit, about 45 minutes CPT 99204 HC UC NEW PT E&M LEVEL 4	$530.80	$1,327.00	—	24% below	60%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OB TRIAGE NEW PT E/M LEVEL 4	$341.20	$853.00	—	—	60%
New patient office visit, about 45 minutes inpatient CPT 99204 HC MFM NEW PT E&M LEVEL 4	$501.20	$1,253.00	—	—	60%
New patient office visit, about 45 minutes inpatient CPT 99204 HC PEDS NEW PT E/M LEVEL 4	$501.20	$1,253.00	—	—	60%
New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT E/M LEVEL 4	$530.80	$1,327.00	—	—	60%
New patient office visit, about 45 minutes inpatient CPT 99204 HC UC NEW PT E&M LEVEL 4	$530.80	$1,327.00	—	—	60%
New patient office visit, about 60 minutes CPT 99205 HC OB TRIAGE NEW PT E/M LEVEL 5	$464.80	$1,162.00	—	40% below	60%
New patient office visit, about 60 minutes CPT 99205 HC NEW PT E/M LEVEL 5	$730.40	$1,826.00	—	5% below	60%
New patient office visit, about 60 minutes CPT 99205 HC MFM NEW PT E&M LEVEL 5	$730.40	$1,826.00	—	5% below	60%
New patient office visit, about 60 minutes CPT 99205 HC PEDS NEW PT E/M LEVEL 5	$730.40	$1,826.00	—	5% below	60%
New patient office visit, about 60 minutes CPT 99205 HC UC NEW PT E&M LEVEL 5	$773.20	$1,933.00	—	at median	60%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OB TRIAGE NEW PT E/M LEVEL 5	$464.80	$1,162.00	—	—	60%
New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT E/M LEVEL 5	$730.40	$1,826.00	—	—	60%
New patient office visit, about 60 minutes inpatient CPT 99205 HC PEDS NEW PT E/M LEVEL 5	$730.40	$1,826.00	—	—	60%
New patient office visit, about 60 minutes inpatient CPT 99205 HC MFM NEW PT E&M LEVEL 5	$730.40	$1,826.00	—	—	60%
New patient office visit, about 60 minutes inpatient CPT 99205 HC UC NEW PT E&M LEVEL 5	$773.20	$1,933.00	—	—	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OB TRIAGE NEW PT E/M LEVEL 2	$124.00	$310.00	—	54% below	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC WC NEW PT E/M LEVEL 2	$131.60	$329.00	—	51% below	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC PEDS NEW PT E/M LEVEL 2	$131.60	$329.00	—	51% below	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC UC NEW PT E&M LEVEL 2	$139.20	$348.00	—	48% below	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PT E/M LEVEL 2	$139.20	$348.00	—	48% below	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC MFM NEW PT E&M LEVEL 2	$139.20	$348.00	—	48% below	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OB TRIAGE NEW PT E/M LEVEL 2	$124.00	$310.00	—	—	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC WC NEW PT E/M LEVEL 2	$131.60	$329.00	—	—	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC PEDS NEW PT E/M LEVEL 2	$131.60	$329.00	—	—	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC MFM NEW PT E&M LEVEL 2	$139.20	$348.00	—	—	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC UC NEW PT E&M LEVEL 2	$139.20	$348.00	—	—	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC NEW PT E/M LEVEL 2	$139.20	$348.00	—	—	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER 1ST ASSMT&IVNTJ INDIV EA 15M	$48.80	$122.00	—	43% below	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER 1ST ASSMT&IVNTJ INDIV EA 15M	$48.80	$122.00	—	—	60%
Occupational therapy evaluation, low complexity CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS	$174.00	$435.00	—	65% below	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS	$174.00	$435.00	—	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$338.40	$846.00	—	38% below	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$338.40	$846.00	—	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$120.40	$301.00	—	73% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$120.40	$301.00	—	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$234.00	$585.00	—	52% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$234.00	$585.00	—	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THER TECH1+REGIONSEA 15 MIN - MYOFASCIAL RELEASE	$85.60	$214.00	—	38% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THER TECH1+REGIONSEA 15 MIN	$90.80	$227.00	—	35% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THER TECH1+REGIONSEA 15 MIN	$90.80	$227.00	—	35% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THER TECH1+REGIONSEA 15 MIN - MYOFASCIAL RELEASE	$85.60	$214.00	—	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THER TECH1+REGIONSEA 15 MIN	$90.80	$227.00	—	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THER TECH1+REGIONSEA 15 MIN	$90.80	$227.00	—	—	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES	$88.40	$221.00	—	44% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES EA 15MIN	$88.40	$221.00	—	44% below	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES EA 15MIN	$88.40	$221.00	—	—	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES	$88.40	$221.00	—	—	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OB TRIAGE EST PT E/M LEVEL 5	$402.80	$1,007.00	—	38% below	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC MFM EST PT E&M LEVEL 5	$552.40	$1,381.00	—	15% below	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OSTOMY/WOUND OP EST PT E/M LEVEL 5	$552.40	$1,381.00	—	15% below	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC UC EST PT E&M LEVEL 5	$584.80	$1,462.00	—	10% below	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OSTOMY/WOUND IP EST PT E/M LEVEL 5	$584.80	$1,462.00	—	10% below	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST PT E/M LEVEL 5	$584.80	$1,462.00	—	10% below	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC PEDS EST PT E/M LEVEL 5	$584.80	$1,462.00	—	10% below	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OB TRIAGE EST PT E/M LEVEL 5	$402.80	$1,007.00	—	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC MFM EST PT E&M LEVEL 5	$552.40	$1,381.00	—	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OSTOMY/WOUND OP EST PT E/M LEVEL 5	$552.40	$1,381.00	—	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC EST PT E/M LEVEL 5	$584.80	$1,462.00	—	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OSTOMY/WOUND IP EST PT E/M LEVEL 5	$584.80	$1,462.00	—	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC PEDS EST PT E/M LEVEL 5	$584.80	$1,462.00	—	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC UC EST PT E&M LEVEL 5	$584.80	$1,462.00	—	—	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OB TRIAGE EST PT E/M LEVEL 3	$186.00	$465.00	—	48% below	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC PEDS EST PT E/M LEVEL 3	$270.80	$677.00	—	25% below	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EST PT E/M LEVEL 3	$270.80	$677.00	—	25% below	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OSTOMY/WOUND OP EST PT E/M LEVEL 3	$286.80	$717.00	—	21% below	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC MFM EST PT E&M LEVEL 3	$286.80	$717.00	—	21% below	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC UC EST PT E&M LEVEL 3	$286.80	$717.00	—	21% below	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OSTOMY/WOUND IP EST PT E/M LEVEL 3	$286.80	$717.00	—	21% below	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OB TRIAGE EST PT E/M LEVEL 3	$186.00	$465.00	—	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC EST PT E/M LEVEL 3	$270.80	$677.00	—	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC PEDS EST PT E/M LEVEL 3	$270.80	$677.00	—	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC MFM EST PT E&M LEVEL 3	$286.80	$717.00	—	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OSTOMY/WOUND OP EST PT E/M LEVEL 3	$286.80	$717.00	—	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OSTOMY/WOUND IP EST PT E/M LEVEL 3	$286.80	$717.00	—	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC UC EST PT E&M LEVEL 3	$286.80	$717.00	—	—	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OB TRIAGE EST PT E/M LEVEL 4	$278.80	$697.00	—	48% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC PEDS EST PT E/M LEVEL 4	$385.20	$963.00	—	28% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC EST PT E/M LEVEL 4	$385.20	$963.00	—	28% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC MFM EST PT E&M LEVEL 4	$385.20	$963.00	—	28% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OSTOMY/WOUND OP EST PT E/M LEVEL 4	$385.20	$963.00	—	28% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC UC EST PT E&M LEVEL 4	$408.00	$1,020.00	—	24% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OSTOMY/WOUND IP EST PT E/M LEVEL 4	$408.00	$1,020.00	—	24% below	60%
Returning patient office visit, moderate complexity or 30+ minutes one side CPT 99214 HC RT EST PT E/M LEVEL 4	$406.40	$1,016.00	—	24% below	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OB TRIAGE EST PT E/M LEVEL 4	$278.80	$697.00	—	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC EST PT E/M LEVEL 4	$385.20	$963.00	—	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OSTOMY/WOUND OP EST PT E/M LEVEL 4	$385.20	$963.00	—	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC PEDS EST PT E/M LEVEL 4	$385.20	$963.00	—	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC MFM EST PT E&M LEVEL 4	$385.20	$963.00	—	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OSTOMY/WOUND IP EST PT E/M LEVEL 4	$408.00	$1,020.00	—	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC UC EST PT E&M LEVEL 4	$408.00	$1,020.00	—	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient one side CPT 99214 HC RT EST PT E/M LEVEL 4	$406.40	$1,016.00	—	—	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OB TRIAGE EST PT E/M LEVEL 2	$124.00	$310.00	—	64% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC PEDS EST PT E/M LEVEL 2	$124.00	$310.00	—	64% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC WC EST PT E/M LEVEL 2	$124.00	$310.00	—	64% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC INTERVENTIONAL ROOM TREATMENT CHG	$124.00	$310.00	—	64% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC MFM EST PT E&M LEVEL 2	$131.20	$328.00	—	62% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC UC EST PT E&M LEVEL 2	$131.20	$328.00	—	62% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OSTOMY/WOUND IP EST PT E/M LEVEL 2	$131.20	$328.00	—	62% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC EST PT E/M LEVEL 2	$131.20	$328.00	—	62% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OSTOMY/WOUND OP EST PT E/M LEVEL 2	$131.20	$328.00	—	62% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC PEDS TREATMENT LEVEL 2	$168.80	$422.00	—	51% below	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OB TRIAGE EST PT E/M LEVEL 2	$124.00	$310.00	—	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC INTERVENTIONAL ROOM TREATMENT CHG	$124.00	$310.00	—	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC WC EST PT E/M LEVEL 2	$124.00	$310.00	—	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC PEDS EST PT E/M LEVEL 2	$124.00	$310.00	—	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC UC EST PT E&M LEVEL 2	$131.20	$328.00	—	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OSTOMY/WOUND IP EST PT E/M LEVEL 2	$131.20	$328.00	—	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC EST PT E/M LEVEL 2	$131.20	$328.00	—	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OSTOMY/WOUND OP EST PT E/M LEVEL 2	$131.20	$328.00	—	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC MFM EST PT E&M LEVEL 2	$131.20	$328.00	—	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC PEDS TREATMENT LEVEL 2	$168.80	$422.00	—	—	60%
Speech and language evaluation CPT 92523 HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$244.00	$610.00	—	58% below	60%
Speech and language evaluation inpatient CPT 92523 HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$244.00	$610.00	—	—	60%
Speech therapy session, individual CPT 92507 HC SLP SPEECH/HEARING THERAPY INDIVIDUAL	$230.40	$576.00	—	40% below	60%
Speech therapy session, individual inpatient CPT 92507 HC SLP SPEECH/HEARING THERAPY INDIVIDUAL	$230.40	$576.00	—	—	60%
Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST - BREATHING CAPACITY TEST	$192.80	$482.00	—	42% below	60%
Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST - BREATHING CAPACITY TEST	$192.80	$482.00	—	—	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$90.80	$227.00	—	39% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$90.80	$227.00	—	39% below	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$90.80	$227.00	—	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$90.80	$227.00	—	—	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY	$126.80	$317.00	—	62% below	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY	$126.80	$317.00	—	—	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID vac 24-25(12up)(Mod)(PF) 50 mcg/0.5 mL syringe 0.5 mL Syringe	$255.24	$638.10	—	14% above	60%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID vac 24-25(12up)(Mod)(PF) 50 mcg/0.5 mL syringe 0.5 mL Syringe	$255.24	$638.10	—	—	60%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID vac 24-25(12up)(Pfi)(PF) 30 mcg/0.3 mL syringe 0.3 mL Syringe	$236.30	$590.76	—	1% below	60%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID vac 24-25(12up)(Pfi)(PF) 30 mcg/0.3 mL syringe 0.3 mL Syringe	$236.30	$590.76	—	—	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2025-2026 (Ages 6 months - 64 years) 45 mcg (15 mcg x 3)/0.5 mL syringe 0.5 mL Syringe	$82.02	$205.05	—	1% above	60%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluzone 2025-2026 (Ages 6 months - 64 years) 45 mcg (15 mcg x 3)/0.5 mL syringe 0.5 mL Syringe	$82.02	$205.05	—	—	60%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A virus vaccine (PF) 50 unit/mL syringe 1 mL Syringe	$164.85	$412.12	—	4% below	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A virus vaccine (PF) 50 unit/mL syringe 1 mL Syringe	$164.85	$412.12	—	—	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLuzone HD 2025-2026 (Age 65 years and up) 180 mcg/0.5 mL syringe 0.5 mL Syringe	$126.72	$316.81	—	54% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLuzone HD 2025-2026 (Age 65 years and up) 180 mcg/0.5 mL syringe 0.5 mL Syringe	$126.72	$316.81	—	—	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles, mumps and rubella 1,000-12,500 TCID50/0.5 mL recon soln 1 each Vial	$208.47	$521.18	—	8% below	60%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles, mumps and rubella 1,000-12,500 TCID50/0.5 mL recon soln 1 each Vial	$208.47	$521.18	—	—	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 mening vac A,C,Y,W135 dip (PF) 10-5 mcg/0.5 mL solution 0.5 mL Vial	$276.54	$691.35	—	47% below	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 mening vac A,C,Y,W135 dip (PF) 10-5 mcg/0.5 mL kit 1 each KIT	$368.72	$921.80	—	29% below	60%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 mening vac A,C,Y,W135 dip (PF) 10-5 mcg/0.5 mL solution 0.5 mL Vial	$276.54	$691.35	—	—	60%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 mening vac A,C,Y,W135 dip (PF) 10-5 mcg/0.5 mL kit 1 each KIT	$368.72	$921.80	—	—	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab-alip 50 mg/0.5 mL syringe 0.5 mL Syringe	$800.89	$2,002.23	—	49% below	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 nirsevimab-alip 50 mg/0.5 mL syringe 0.5 mL Syringe	$800.89	$2,002.23	—	—	60%
Rabies vaccine, one dose CPT 90675 rabies vaccine (from purified chicken embryo cells) 2.5 unit suspension for reconstitution 1 each KIT	$498.01	$1,245.02	—	60% below	60%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine (from purified chicken embryo cells) 2.5 unit suspension for reconstitution 1 each KIT	$498.01	$1,245.02	—	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus and diphther. tox (PF) 5 Lf unit- 2 Lf unit/0.5mL suspension 0.5 mL Vial	$121.00	$302.50	—	22% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus and diphther. tox (PF) 5 Lf unit- 2 Lf unit/0.5mL suspension 0.5 mL Syringe	$121.00	$302.50	—	22% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids-Td 2-2 Lf unit/0.5 mL suspension 0.5 mL Vial	$131.76	$329.39	—	15% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus and diphther. tox (PF) 5 Lf unit- 2 Lf unit/0.5mL suspension 0.5 mL Syringe	$121.00	$302.50	—	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus and diphther. tox (PF) 5 Lf unit- 2 Lf unit/0.5mL suspension 0.5 mL Vial	$121.00	$302.50	—	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids-Td 2-2 Lf unit/0.5 mL suspension 0.5 mL Vial	$131.76	$329.39	—	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diph,pertuss(acel),tet vac(PF) 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL suspension 0.5 mL Vial	$89.39	$223.48	—	61% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphth,pertus(acell),tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL suspension 0.5 mL Vial	$102.14	$255.35	—	56% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diph,pertuss(acel),tet vac(PF) 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL syringe 0.5 mL Syringe	$178.78	$446.95	—	22% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diph,pertuss(acel),tet vac(PF) 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL suspension 0.5 mL Vial	$89.39	$223.48	—	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphth,pertus(acell),tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL suspension 0.5 mL Vial	$102.14	$255.35	—	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diph,pertuss(acel),tet vac(PF) 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL syringe 0.5 mL Syringe	$178.78	$446.95	—	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN1 SINGLE/COMB VAC/TOXOID	$81.60	$204.00	—	34% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN1 SINGLE/COMB VAC/TOXOID	$81.60	$204.00	—	—	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZADMINEACH ADDL	$56.80	$142.00	—	52% below	60%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZADMINEACH ADDL	$56.80	$142.00	—	—	60%

Source file: https://nchmd.org/wp-content/uploads/590694358_naples-community-hospital_standardcharges.json