Tallahassee Memorial Healthcare
Tallahassee Memorial Healthcare in Tallahassee, FL publishes cash prices for 272 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 153 of 268 procedures and above it for 114. By typical cash price it ranks #68 of 151 Florida hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1300 Miccosukee Rd, Tallahassee, FL 32308 Collected Sep 27, 2026 Source price file (850) 431-1155
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 100135 · CMS hospital register
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 | $564.16 | $805.94 | — | 6% below | 30% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS | $564.16 | $805.94 | — | — | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $725.20 | $1,036.00 | — | 22% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $725.20 | $1,036.00 | — | — | 30% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW | $811.95 | $1,159.93 | — | 19% below | 30% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW | $811.95 | $1,159.93 | — | — | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING, WHOLE BODY - NM BONE WHOLE BODY | $2,332.67 | $3,332.38 | — | 20% below | 30% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING, WHOLE BODY - NM BONE WHOLE BODY | $2,332.67 | $3,332.38 | — | — | 30% |
| Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE - US BREAST COMPLETE | $577.50 | $825.00 | — | at median | 30% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST COMPLETE - US BREAST COMPLETE | $577.50 | $825.00 | — | — | 30% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED - US BREAST LIMITED | $577.50 | $825.00 | — | 25% above | 30% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST LIMITED - US BREAST LIMITED | $577.50 | $825.00 | — | — | 30% |
| 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 | $4,335.00 | $6,192.86 | — | 8% below | 30% |
| 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 | $4,335.00 | $6,192.86 | — | — | 30% |
| 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 | $289.32 | $413.32 | — | 86% below | 30% |
| 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 | $289.32 | $413.32 | — | — | 30% |
| 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 | $67.38 | $96.26 | — | 87% below | 30% |
| 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 | $67.38 | $96.26 | — | — | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST | $3,924.24 | $5,606.06 | — | 41% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST | $3,924.24 | $5,606.06 | — | — | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $4,777.98 | $6,825.68 | — | 36% below | 30% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $4,777.98 | $6,825.68 | — | — | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST | $5,506.85 | $7,866.93 | — | 34% below | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST | $5,506.85 | $7,866.93 | — | — | 30% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST | $2,879.94 | $4,114.20 | — | 36% below | 30% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST | $2,879.94 | $4,114.20 | — | — | 30% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST | $2,365.36 | $3,379.08 | — | 43% below | 30% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST | $2,365.36 | $3,379.08 | — | — | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS FACIAL BONES WO CONT | $2,193.10 | $3,133.00 | — | 29% below | 30% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS FACIAL BONES WO CONT | $2,193.10 | $3,133.00 | — | — | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST | $2,193.10 | $3,133.00 | — | 34% below | 30% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST | $2,193.10 | $3,133.00 | — | — | 30% |
| CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST | $2,456.30 | $3,509.00 | — | 36% below | 30% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST | $2,456.30 | $3,509.00 | — | — | 30% |
| CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST | $3,071.60 | $4,388.00 | — | 30% below | 30% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST | $3,071.60 | $4,388.00 | — | — | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST | $2,470.40 | $3,529.15 | — | 32% below | 30% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST | $2,470.40 | $3,529.15 | — | — | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST | $2,552.20 | $3,646.00 | — | 35% below | 30% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST | $2,552.20 | $3,646.00 | — | — | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $2,679.01 | $3,827.16 | — | 36% below | 30% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $2,679.01 | $3,827.16 | — | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT - CAROTID ULTRASOUND NEUROLOGY | $1,488.90 | $2,127.00 | — | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT - CAROTID ULTRASOUND NEUROLOGY | $1,488.90 | $2,127.00 | — | — | 30% |
| Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS | $564.07 | $805.81 | — | 10% above | 30% |
| Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS | $564.07 | $805.81 | — | — | 30% |
| Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW | $460.41 | $657.73 | — | 1% below | 30% |
| Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW | $460.41 | $657.73 | — | — | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RENAL COMPLETE | $987.00 | $1,410.00 | — | 24% below | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RENAL COMPLETE | $987.00 | $1,410.00 | — | — | 30% |
| 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 | $1,062.60 | $1,518.00 | — | 1% above | 30% |
| 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 | $1,062.60 | $1,518.00 | — | — | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST | $2,485.73 | $3,551.04 | — | 35% below | 30% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST | $2,485.73 | $3,551.04 | — | — | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST | $3,195.82 | $4,565.45 | — | 29% below | 30% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST | $3,195.82 | $4,565.45 | — | — | 30% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL | $560.77 | $801.10 | — | — | 30% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL | $560.77 | $801.10 | — | — | 30% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC | $435.36 | $621.94 | — | 1% above | 30% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC | $435.36 | $621.94 | — | — | 30% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL DUPLEX | $1,560.30 | $2,229.00 | — | — | 30% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL DUPLEX | $1,560.30 | $2,229.00 | — | — | 30% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC VASC DUPLEX EXTREM VENOUS,BILAT | $1,495.90 | $2,137.00 | — | — | 30% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC VASC DUPLEX EXTREM VENOUS,BILAT | $1,495.90 | $2,137.00 | — | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE | $2,490.01 | $3,557.16 | — | 32% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE | $2,490.01 | $3,557.16 | — | — | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION | $1,961.41 | $2,802.02 | — | 6% below | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION | $1,961.41 | $2,802.02 | — | — | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $4,942.34 | $7,060.49 | — | 18% below | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $4,942.34 | $7,060.49 | — | — | 30% |
| Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS | $215.13 | $307.33 | — | 57% below | 30% |
| Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS | $215.13 | $307.33 | — | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED | $938.70 | $1,341.00 | — | 30% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED | $938.70 | $1,341.00 | — | — | 30% |
| 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- | $288.54 | $412.20 | — | 69% below | 30% |
| 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- | $288.54 | $412.20 | — | — | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $686.70 | $981.00 | — | 66% below | 30% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $686.70 | $981.00 | — | — | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI ANY JT LOWER EXTREM W/O W/CONTRAST MATRL | $1,417.50 | $2,025.00 | — | 57% below | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI ANY JT LOWER EXTREM W/O W/CONTRAST MATRL | $1,417.50 | $2,025.00 | — | — | 30% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST MATERIAL | $816.81 | $1,166.87 | — | 78% below | 30% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST MATERIAL | $816.81 | $1,166.87 | — | — | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST | $1,431.50 | $2,045.00 | — | 73% below | 30% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST | $1,431.50 | $2,045.00 | — | — | 30% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST | $592.90 | $847.00 | — | 84% below | 30% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST | $592.90 | $847.00 | — | — | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO - MR PITUITARY W/WO IV CONTRAST | $1,072.40 | $1,532.00 | — | 80% below | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST | $1,575.70 | $2,251.00 | — | 71% below | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO - MR PITUITARY W/WO IV CONTRAST | $1,072.40 | $1,532.00 | — | — | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST | $1,575.70 | $2,251.00 | — | — | 30% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST | $686.70 | $981.00 | — | 82% below | 30% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST | $686.70 | $981.00 | — | — | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST | $1,082.20 | $1,546.00 | — | 83% below | 30% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST | $1,082.20 | $1,546.00 | — | — | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST | $686.70 | $981.00 | — | 82% below | 30% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST | $686.70 | $981.00 | — | — | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST | $1,082.20 | $1,546.00 | — | 81% below | 30% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST | $1,082.20 | $1,546.00 | — | — | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRAST | $592.90 | $847.00 | — | 85% below | 30% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRAST | $592.90 | $847.00 | — | — | 30% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI, PELVIS, COMBO - MRI PELVIS W WO CONTRAST | $1,575.70 | $2,251.00 | — | 68% below | 30% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI, PELVIS, COMBO - MRI PELVIS W WO CONTRAST | $1,575.70 | $2,251.00 | — | — | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST | $686.70 | $981.00 | — | 80% below | 30% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST | $686.70 | $981.00 | — | — | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL | $686.70 | $981.00 | — | 69% below | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL | $686.70 | $981.00 | — | — | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS REST | $4,784.97 | $6,835.67 | — | 28% below | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - NM HEART PERFUSION SPECT STRESS REST | $4,784.97 | $6,835.67 | — | — | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED | $492.80 | $704.00 | — | 50% below | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED | $492.80 | $704.00 | — | — | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) - US PELVIS | $1,045.10 | $1,493.00 | — | 26% below | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) - US PELVIS | $1,045.10 | $1,493.00 | — | — | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST | $799.40 | $1,142.00 | — | 35% below | 30% |
| 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 | $799.40 | $1,142.00 | — | — | 30% |
| 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 | $875.70 | $1,251.00 | — | 1% below | 30% |
| 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 | $875.70 | $1,251.00 | — | — | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES | $634.90 | $907.00 | — | 6% below | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES | $634.90 | $907.00 | — | — | 30% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2 VIEW BREAST INC CAD | $536.77 | $766.82 | — | — | 30% |
| Screening mammogram, both breasts one side CPT 77067 HC SCREENING MAMMOGRAPHY UNILATERAL 2-VIEW BREAST INC CAD | $536.19 | $765.98 | — | 32% above | 30% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2 VIEW BREAST INC CAD | $536.77 | $766.82 | — | — | 30% |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC SCREENING MAMMOGRAPHY UNILATERAL 2-VIEW BREAST INC CAD | $536.19 | $765.98 | — | — | 30% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS | $680.40 | $972.00 | — | 6% above | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS | $680.40 | $972.00 | — | — | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND <6HRS | $3,614.37 | $5,163.39 | — | 37% below | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $4,483.42 | $6,404.88 | — | 22% below | 30% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND <6HRS | $3,614.37 | $5,163.39 | — | — | 30% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $4,483.42 | $6,404.88 | — | — | 30% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS TTE COMPLETE | $2,749.60 | $3,928.00 | — | 8% above | 30% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS TTE COMPLETE | $2,749.60 | $3,928.00 | — | — | 30% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO SPEECH | $737.91 | $1,054.16 | — | 35% below | 30% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO SPEECH | $737.91 | $1,054.16 | — | — | 30% |
| Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL | $1,004.50 | $1,435.00 | — | 10% below | 30% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL | $1,004.50 | $1,435.00 | — | — | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL | $912.80 | $1,304.00 | — | 10% below | 30% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL | $912.80 | $1,304.00 | — | — | 30% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN /OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE | $1,370.60 | $1,958.00 | — | 36% below | 30% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN /OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE | $1,370.60 | $1,958.00 | — | — | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 HC ECHO,SCROTUM CONTENTS - US SCROTUM | $1,084.30 | $1,549.00 | — | 6% below | 30% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC ECHO,SCROTUM CONTENTS - US SCROTUM | $1,084.30 | $1,549.00 | — | — | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME - US HEAD NECK SOFT TISSUE | $854.70 | $1,221.00 | — | 23% below | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME - US HEAD NECK SOFT TISSUE | $854.70 | $1,221.00 | — | — | 30% |
| 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 | $864.98 | $1,235.68 | — | 27% below | 30% |
| 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 | $864.98 | $1,235.68 | — | — | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD | $1,168.61 | $1,669.44 | — | 37% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD | $1,168.61 | $1,669.44 | — | — | 30% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS | $572.46 | $817.80 | — | 1% below | 30% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS | $572.46 | $817.80 | — | — | 30% |
| 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 | $573.30 | $819.00 | — | 3% above | 30% |
| 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 | $573.30 | $819.00 | — | — | 30% |
| X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW | $422.77 | $603.96 | — | 27% below | 30% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW | $422.77 | $603.96 | — | — | 30% |
| X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS | $501.20 | $716.00 | — | 21% above | 30% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS | $501.20 | $716.00 | — | — | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS | $545.88 | $779.83 | — | 21% above | 30% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS | $545.88 | $779.83 | — | — | 30% |
| X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS | $607.60 | $868.00 | — | 40% above | 30% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS | $607.60 | $868.00 | — | — | 30% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS | $536.02 | $765.74 | — | 5% below | 30% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS | $536.02 | $765.74 | — | — | 30% |
| X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS | $585.20 | $836.00 | — | 1% above | 30% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS | $585.20 | $836.00 | — | — | 30% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS | $595.60 | $850.86 | — | 21% above | 30% |
| 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 | $595.60 | $850.86 | — | — | 30% |
| 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 | $733.60 | $1,048.00 | — | 15% below | 30% |
| 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 | $733.60 | $1,048.00 | — | — | 30% |
| 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 | $1,250.20 | $1,786.00 | — | 3% below | 30% |
| 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 | $1,250.20 | $1,786.00 | — | — | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS | $588.70 | $841.00 | — | 19% below | 30% |
| 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 | $588.70 | $841.00 | — | — | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES | $716.10 | $1,023.00 | — | 5% below | 30% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES | $716.10 | $1,023.00 | — | — | 30% |
| 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 | $623.00 | $890.00 | — | 17% below | 30% |
| 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 | $623.00 | $890.00 | — | — | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS | $527.80 | $754.00 | — | 30% below | 30% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS | $527.80 | $754.00 | — | — | 30% |
| 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 | $574.70 | $821.00 | — | 24% below | 30% |
| 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 | $574.70 | $821.00 | — | — | 30% |
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) | $185.54 | $265.06 | — | 261% above | 30% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT) | $185.54 | $265.06 | — | — | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT) | $202.58 | $289.40 | — | 215% above | 30% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT) | $202.58 | $289.40 | — | — | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL,ACUTE | $556.26 | $794.65 | — | 193% above | 30% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL,ACUTE | $556.26 | $794.65 | — | — | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE | $14.79 | $21.13 | — | 54% above | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE | $14.79 | $21.13 | — | — | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY | $14.05 | $20.07 | — | 49% below | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY | $14.05 | $20.07 | — | — | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES) | $10.46 | $14.95 | — | 66% below | 30% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES) | $10.46 | $14.95 | — | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP) | $395.00 | $564.28 | — | 76% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP) | $395.00 | $564.28 | — | — | 30% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $437.70 | $625.28 | — | 8% above | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $437.70 | $625.28 | — | — | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS MICROSCOPIC EXAM | $298.51 | $426.44 | — | 137% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS MICROSCOPIC EXAM | $298.51 | $426.44 | — | — | 30% |
| Blood culture for bacteria CPT 87040 HC CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES | $579.94 | $828.48 | — | 47% above | 30% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES | $579.94 | $828.48 | — | — | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Z/ HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE | $35.60 | $50.86 | — | 59% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE | $35.70 | $51.00 | — | 59% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Z/ HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE | $35.60 | $50.86 | — | — | 30% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE | $35.70 | $51.00 | — | — | 30% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE RANDOM | $80.91 | $115.59 | — | 33% above | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE RANDOM | $80.91 | $115.59 | — | — | 30% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD | $114.03 | $162.90 | — | 735% above | 30% |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD | $114.03 | $162.90 | — | — | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE | $238.54 | $340.78 | — | 76% above | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE | $238.54 | $340.78 | — | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - BLOOD TYPE AND SCREEN | $33.78 | $48.26 | — | 54% below | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - BLOOD TYPE AND SCREEN | $33.78 | $48.26 | — | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN | $133.44 | $190.63 | — | 41% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN | $133.44 | $190.63 | — | — | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $260.57 | $372.25 | — | 110% above | 30% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $260.57 | $372.25 | — | — | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 - CANCER ANTIGEN 19-9 | $14.57 | $20.81 | — | 77% below | 30% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 - CANCER ANTIGEN 19-9 | $14.57 | $20.81 | — | — | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125 | $97.71 | $139.58 | — | 1% below | 30% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125 | $97.71 | $139.58 | — | — | 30% |
| 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 | $109.16 | $155.94 | — | 35% above | 30% |
| 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 | $109.16 | $155.94 | — | — | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR | $170.92 | $244.17 | — | 120% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR | $170.92 | $244.17 | — | — | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $286.53 | $409.33 | — | 83% above | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $286.53 | $409.33 | — | — | 30% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC AUTO DIFF WBC - ADDITIONAL CHARGE | $111.63 | $159.47 | — | 46% above | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC AUTO DIFF WBC - ADDITIONAL CHARGE | $111.63 | $159.47 | — | — | 30% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - CBC | $217.26 | $310.36 | — | 72% above | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC - CBC | $217.26 | $310.36 | — | — | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL COMPREHENSIVE | $565.08 | $807.26 | — | 1% above | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL COMPREHENSIVE | $565.08 | $807.26 | — | — | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE | $258.59 | $369.41 | — | 12% below | 30% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE | $258.59 | $369.41 | — | — | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE | $30.10 | $43.00 | — | 37% below | 30% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE | $30.10 | $43.00 | — | — | 30% |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL | $48.91 | $69.88 | — | 16% above | 30% |
| Estradiol blood test CPT 82670 HC ESTROGENS FRAC SER-A | $95.93 | $137.04 | — | 128% above | 30% |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL | $48.91 | $69.88 | — | — | 30% |
| Estradiol blood test inpatient CPT 82670 HC ESTROGENS FRAC SER-A | $95.93 | $137.04 | — | — | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) - FSH | $133.18 | $190.26 | — | 81% above | 30% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN (FSH) - FSH | $133.18 | $190.26 | — | — | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY OF CALPROTECTIN FECAL | $140.00 | $200.00 | — | 11% above | 30% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC ASSAY OF CALPROTECTIN FECAL | $140.00 | $200.00 | — | — | 30% |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN - FERRITIN | $184.43 | $263.47 | — | 5% above | 30% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN - FERRITIN | $184.43 | $263.47 | — | — | 30% |
| Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE | $404.19 | $577.41 | — | 148% above | 30% |
| Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE | $404.19 | $577.41 | — | — | 30% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE | $125.21 | $178.87 | — | 32% above | 30% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE | $125.21 | $178.87 | — | — | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE | $97.00 | $138.57 | — | 2% above | 30% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE | $97.00 | $138.57 | — | — | 30% |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE | $14.40 | $20.57 | — | 54% below | 30% |
| Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE | $14.40 | $20.57 | — | — | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $149.95 | $214.22 | — | 59% above | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $149.95 | $214.22 | — | — | 30% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - BUNDLED CHARGE | $224.64 | $320.92 | — | 59% above | 30% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - BUNDLED CHARGE | $224.64 | $320.92 | — | — | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR | $164.50 | $235.00 | — | 220% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR | $164.50 | $235.00 | — | — | 30% |
| H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL | $28.33 | $40.47 | — | 44% below | 30% |
| H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL | $28.33 | $40.47 | — | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ - HIV 1 RNA QUANT BY PCR | $67.60 | $96.58 | — | 41% below | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ - HIV RNA, QUANTITATIVE, PCR | $78.90 | $112.72 | — | 31% below | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ - HIV 1 RNA QUANT BY PCR | $67.60 | $96.58 | — | — | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ - HIV RNA, QUANTITATIVE, PCR | $78.90 | $112.72 | — | — | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN | $133.00 | $190.00 | — | 161% above | 30% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN | $133.00 | $190.00 | — | — | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC IAAD IA HIV-1 AG W/HIV-1 HIV-2 ANTBDY SINGLE | $13.88 | $19.82 | — | 83% below | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC IAAD IA HIV-1 AG W/HIV-1 HIV-2 ANTBDY SINGLE | $13.88 | $19.82 | — | — | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C | $218.30 | $311.86 | — | 173% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C | $218.30 | $311.86 | — | — | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY | $96.90 | $138.43 | — | 68% above | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY | $96.90 | $138.43 | — | — | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN | $200.74 | $286.78 | — | 317% above | 30% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN | $200.74 | $286.78 | — | — | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY | $200.55 | $286.50 | — | 254% above | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY | $200.55 | $286.50 | — | — | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION - HCV QUANT PCR | $75.25 | $107.50 | — | 44% below | 30% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION - HCV QUANT PCR | $75.25 | $107.50 | — | — | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY | $48.33 | $69.04 | — | 117% above | 30% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY | $48.33 | $69.04 | — | — | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY | $133.25 | $190.36 | — | 359% above | 30% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY | $133.25 | $190.36 | — | — | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY | $9.06 | $12.95 | — | 86% below | 30% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY | $9.06 | $12.95 | — | — | 30% |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE | $153.95 | $219.92 | — | 195% above | 30% |
| Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE | $153.95 | $219.92 | — | — | 30% |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN,TOTAL - INSULIN, RANDOM | $9.40 | $13.43 | — | 70% below | 30% |
| Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN,TOTAL - INSULIN, RANDOM | $9.40 | $13.43 | — | — | 30% |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON - IRON | $99.26 | $141.80 | — | 36% above | 30% |
| Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON - IRON | $99.26 | $141.80 | — | — | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST - IRON + TRANSFERRIN + TIBC | $225.02 | $321.46 | — | 75% above | 30% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST - IRON + TRANSFERRIN + TIBC | $225.02 | $321.46 | — | — | 30% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $511.33 | $730.47 | — | 2% above | 30% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $511.33 | $730.47 | — | — | 30% |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE | $113.24 | $161.77 | — | 54% above | 30% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE | $113.24 | $161.77 | — | — | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE | $442.21 | $631.72 | — | 484% above | 30% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE | $442.21 | $631.72 | — | — | 30% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $376.29 | $537.56 | — | 2% below | 30% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $376.29 | $537.56 | — | — | 30% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT | $65.62 | $93.75 | — | 104% above | 30% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT | $65.62 | $93.75 | — | — | 30% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY IGG | $58.48 | $83.54 | — | 152% above | 30% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY IGG | $58.48 | $83.54 | — | — | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN - MONONUCLEOSIS SCREEN | $281.39 | $401.98 | — | 44% above | 30% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN - MONONUCLEOSIS SCREEN | $281.39 | $401.98 | — | — | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA | $201.21 | $287.45 | — | 230% above | 30% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA | $201.21 | $287.45 | — | — | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT | $232.10 | $331.57 | — | 115% above | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 Z/ HC ASSAY OF PARATHORMONE - PTH INTACT | $244.49 | $349.27 | — | 126% above | 30% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT | $232.10 | $331.57 | — | — | 30% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Z/ HC ASSAY OF PARATHORMONE - PTH INTACT | $244.49 | $349.27 | — | — | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT | $236.20 | $337.43 | — | 427% above | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT | $236.20 | $337.43 | — | — | 30% |
| Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE | $47.59 | $67.98 | — | 21% below | 30% |
| Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE | $47.59 | $67.98 | — | — | 30% |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN | $13.57 | $19.38 | — | 80% below | 30% |
| Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN | $13.57 | $19.38 | — | — | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $158.90 | $227.00 | — | 290% above | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $158.90 | $227.00 | — | — | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE | $30.80 | $44.00 | — | 69% below | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE | $30.80 | $44.00 | — | — | 30% |
| Rapid flu test (influenza antigen) CPT 87804 HC IAADIADOO INFLUENZA | $40.60 | $58.00 | — | 71% below | 30% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC IAADIADOO INFLUENZA | $40.60 | $58.00 | — | — | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN | $128.10 | $183.00 | — | 6% below | 30% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN | $128.10 | $183.00 | — | — | 30% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR | $185.00 | $264.29 | — | 585% above | 30% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR | $185.00 | $264.29 | — | — | 30% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY | $127.35 | $181.93 | — | 576% above | 30% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY | $127.35 | $181.93 | — | — | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED | $128.37 | $183.38 | — | 10% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED | $128.37 | $183.38 | — | — | 30% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION | $88.88 | $126.97 | — | 86% above | 30% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION | $88.88 | $126.97 | — | — | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD | $60.30 | $86.15 | — | 16% below | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN | $60.30 | $86.15 | — | 16% below | 30% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD | $60.30 | $86.15 | — | — | 30% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN | $60.30 | $86.15 | — | — | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $45.50 | $65.00 | — | 35% below | 30% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $45.50 | $65.00 | — | — | 30% |
| 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 | $69.11 | $98.73 | — | 223% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF | $71.85 | $102.65 | — | 236% above | 30% |
| 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 | $69.11 | $98.73 | — | — | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF | $71.85 | $102.65 | — | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST | $151.57 | $216.52 | — | 129% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - TB TEST | $151.57 | $216.52 | — | — | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE | $106.83 | $152.62 | — | 191% above | 30% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE | $106.83 | $152.62 | — | — | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY | $40.98 | $58.54 | — | 163% above | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY | $40.98 | $58.54 | — | — | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE | $209.14 | $298.77 | — | 30% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE | $209.14 | $298.77 | — | — | 30% |
| Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $118.51 | $169.30 | — | 94% above | 30% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $118.51 | $169.30 | — | — | 30% |
| Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID, BLOOD - URIC ACID | $251.34 | $359.05 | — | 72% above | 30% |
| Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID, BLOOD - URIC ACID | $251.34 | $359.05 | — | — | 30% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC | $108.52 | $155.03 | — | 39% below | 30% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC | $108.52 | $155.03 | — | — | 30% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $37.80 | $54.00 | — | 9% below | 30% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $37.80 | $54.00 | — | — | 30% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY | $63.52 | $90.74 | — | 48% below | 30% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY | $63.52 | $90.74 | — | — | 30% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $7.12 | $10.17 | — | 72% below | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE | $7.12 | $10.17 | — | — | 30% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE/COLONY COUNT | $161.00 | $230.00 | — | 42% below | 30% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE/COLONY COUNT | $161.00 | $230.00 | — | — | 30% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $27.30 | $39.00 | — | 83% below | 30% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $27.30 | $39.00 | — | — | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 - VITAMIN B12 | $404.19 | $577.41 | — | 148% above | 30% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 - VITAMIN B12 | $404.19 | $577.41 | — | — | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25 | $111.31 | $159.01 | — | 126% above | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC ASSAY OF VIT D,CALCIFEDIOL W FRACTIONS, IF PERFORMED - VITAMIN D 25 | $111.31 | $159.01 | — | — | 30% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC | $12.70 | $18.14 | — | 15% below | 30% |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC | $12.70 | $18.14 | — | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD | $242.62 | $346.60 | — | 135% above | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD | $242.62 | $346.60 | — | — | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $5,362.70 | $7,661.00 | — | 49% above | 30% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $5,362.70 | $7,661.00 | — | — | 30% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY | $20,180.30 | $28,829.00 | — | 34% above | 30% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 Z/ HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY | $20,180.30 | $28,829.00 | — | 34% above | 30% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Z/ HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY | $20,180.30 | $28,829.00 | — | — | 30% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY | $20,180.30 | $28,829.00 | — | — | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Z/ HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL | $2,469.60 | $3,528.00 | — | 7% above | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Z/ HC CARDIOVERSION ELECTRIC EXT - TEE COMPLETE W/ CARDIOVERSION | $2,469.60 | $3,528.00 | — | 7% above | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL | $2,469.60 | $3,528.00 | — | 7% above | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXT - TEE COMPLETE W/ CARDIOVERSION | $2,469.60 | $3,528.00 | — | 7% above | 30% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Z/ HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL | $2,469.60 | $3,528.00 | — | — | 30% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Z/ HC CARDIOVERSION ELECTRIC EXT - TEE COMPLETE W/ CARDIOVERSION | $2,469.60 | $3,528.00 | — | — | 30% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL | $2,469.60 | $3,528.00 | — | — | 30% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTRIC EXT - TEE COMPLETE W/ CARDIOVERSION | $2,469.60 | $3,528.00 | — | — | 30% |
| Catheter ablation for atrial fibrillation CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $41,509.30 | $59,299.00 | — | 16% below | 30% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $41,509.30 | $59,299.00 | — | — | 30% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION AGE >28 DAYS | $1,494.96 | $2,135.66 | — | 48% below | 30% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUMCISION AGE >28 DAYS | $1,494.96 | $2,135.66 | — | — | 30% |
| Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION NEONATE | $1,106.00 | $1,580.00 | — | 54% above | 30% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION NEONATE | $1,106.00 | $1,580.00 | — | — | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC TREAT RADIUS/ULNA FX | $590.80 | $844.00 | — | 1% below | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC TREAT RADIUS/ULNA FX | $590.80 | $844.00 | — | — | 30% |
| Coronary stent placement, one artery CPT 92928 Z/ HC CATH PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $20,646.50 | $29,495.00 | — | 18% below | 30% |
| Coronary stent placement, one artery inpatient CPT 92928 Z/ HC CATH PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $20,646.50 | $29,495.00 | — | — | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCTION PREMALIGNANT LESION 1ST | $208.60 | $298.00 | — | 39% below | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCTION PREMALIGNANT LESION 1ST | $208.60 | $298.00 | — | — | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REM IMPACT CERUMEN IRRIGAT UNI | $658.97 | $941.38 | — | 126% above | 30% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $124.95 | $178.50 | — | 57% below | 30% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REM IMPACT CERUMEN IRRIGAT UNI | $658.97 | $941.38 | — | — | 30% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $124.95 | $178.50 | — | — | 30% |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $120.40 | $172.00 | — | 38% below | 30% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $120.40 | $172.00 | — | — | 30% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL | $2,128.00 | $3,040.00 | — | 15% below | 30% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL | $2,128.00 | $3,040.00 | — | — | 30% |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERTION INTRAUTERINE DEVICE IUD | $749.00 | $1,070.00 | — | 14% below | 30% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERTION INTRAUTERINE DEVICE IUD | $749.00 | $1,070.00 | — | — | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION DRAINAGE ABSCESS SIMPLE/SINGLE | $517.42 | $739.17 | — | 27% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE | $574.00 | $820.00 | — | 19% below | 30% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION DRAINAGE ABSCESS SIMPLE/SINGLE | $517.42 | $739.17 | — | — | 30% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE | $574.00 | $820.00 | — | — | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS | $310.10 | $443.00 | — | 53% below | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS | $310.10 | $443.00 | — | — | 30% |
| 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 | $1,098.30 | $1,569.00 | — | 38% above | 30% |
| 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 | $1,098.30 | $1,569.00 | — | — | 30% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION DRUG DELIVERY IMPLANT | $770.00 | $1,100.00 | — | 145% above | 30% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERTION DRUG DELIVERY IMPLANT | $770.00 | $1,100.00 | — | — | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR /INJ INTERM JT/BURS W/O US | $725.90 | $1,037.00 | — | 1% below | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR /INJ INTERM JT/BURS W/O US | $725.90 | $1,037.00 | — | — | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR /INJ SMALL JT/BURSA W/O US | $310.10 | $443.00 | — | 33% below | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC INTERMEDIATE ICU ROOM DAILY | $3,439.80 | $4,914.00 | — | 647% above | 30% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR /INJ SMALL JT/BURSA W/O US | $310.10 | $443.00 | — | — | 30% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC INTERMEDIATE ICU ROOM DAILY | $3,439.80 | $4,914.00 | — | — | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LYR CLOS SC TK EXT <2.5 CM | $889.70 | $1,271.00 | — | 13% below | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LYR CLOS SC TK EXT <2.5 CM | $889.70 | $1,271.00 | — | — | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $4,134.67 | $5,906.67 | — | 57% above | 30% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $4,134.67 | $5,906.67 | — | — | 30% |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE | $574.00 | $820.00 | — | 16% above | 30% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | $574.00 | $820.00 | — | 16% above | 30% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE | $574.00 | $820.00 | — | — | 30% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | $574.00 | $820.00 | — | — | 30% |
| Pacemaker implant (dual chamber) CPT 33208 HC EP INSER HART PACER XVENOUS ATR/VENTR | $31,810.10 | $45,443.00 | — | 54% above | 30% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC EP INSER HART PACER XVENOUS ATR/VENTR | $31,810.10 | $45,443.00 | — | — | 30% |
| Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $3,439.10 | $4,913.00 | — | 81% above | 30% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $3,439.10 | $4,913.00 | — | — | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED | $1,487.86 | $2,125.52 | — | 17% above | 30% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED | $1,487.86 | $2,125.52 | — | — | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $982.80 | $1,404.00 | — | 1% above | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 HC INCISION REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $982.80 | $1,404.00 | — | 1% above | 30% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $982.80 | $1,404.00 | — | — | 30% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $982.80 | $1,404.00 | — | — | 30% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC EXTRA CORP SHOCK WAVE LITHOTRIPSY | $19,726.66 | $28,180.95 | — | 8% above | 30% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC EXTRA CORP SHOCK WAVE LITHOTRIPSY | $19,726.66 | $28,180.95 | — | — | 30% |
| Short arm cast (elbow to hand) CPT 29075 HC CAST - SHORT ARM | $889.70 | $1,271.00 | — | 21% above | 30% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC CAST - SHORT ARM | $889.70 | $1,271.00 | — | — | 30% |
| Short arm splint (forearm and hand) CPT 29125 HC SPLINT APP SHORT ARM STAT | $889.70 | $1,271.00 | — | 132% above | 30% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC SPLINT APP SHORT ARM STAT | $889.70 | $1,271.00 | — | — | 30% |
| Short leg cast (below the knee) CPT 29405 HC CAST SHORT LEG | $590.80 | $844.00 | — | 10% below | 30% |
| Short leg cast (below the knee) CPT 29405 HC PT APPLICATION SHORT LEG CAST BELOW KNEE-TOE | $918.75 | $1,312.50 | — | 40% above | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HC CAST SHORT LEG | $590.80 | $844.00 | — | — | 30% |
| Short leg cast (below the knee) inpatient CPT 29405 HC PT APPLICATION SHORT LEG CAST BELOW KNEE-TOE | $918.75 | $1,312.50 | — | — | 30% |
| Short leg splint (calf to foot) CPT 29515 HC SPLINT APP/SHORT LEG | $590.80 | $844.00 | — | 28% above | 30% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC SPLINT APP/SHORT LEG | $590.80 | $844.00 | — | — | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $583.77 | $833.96 | — | 16% above | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $583.77 | $833.96 | — | — | 30% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $956.20 | $1,366.00 | — | 25% above | 30% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $956.20 | $1,366.00 | — | — | 30% |
| Skin tag removal, up to 15 tags CPT 11200 HC RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO INC 15 | $208.60 | $298.00 | — | 53% below | 30% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO INC 15 | $208.60 | $298.00 | — | — | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $1,643.68 | $2,348.12 | — | 9% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE,?LUMBAR,?DIAGNOSTIC | $1,643.68 | $2,348.12 | — | 9% above | 30% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE,?LUMBAR,?DIAGNOSTIC | $1,643.68 | $2,348.12 | — | — | 30% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $1,643.68 | $2,348.12 | — | — | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $467.60 | $668.00 | — | 16% below | 30% |
| 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 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $467.60 | $668.00 | — | — | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $467.60 | $668.00 | — | at median | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE REP WND FACE <2.5 CM | $590.80 | $844.00 | — | 26% above | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $467.60 | $668.00 | — | — | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIMPLE REP WND FACE <2.5 CM | $590.80 | $844.00 | — | — | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $574.00 | $820.00 | — | 19% above | 30% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $574.00 | $820.00 | — | — | 30% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $2,485.70 | $3,551.00 | — | 31% above | 30% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $2,485.70 | $3,551.00 | — | — | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINTS 1-2 MUSC | $590.80 | $844.00 | — | 26% below | 30% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINTS 1-2 MUSC | $590.80 | $844.00 | — | — | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $4,301.50 | $6,145.00 | — | 21% above | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $4,301.50 | $6,145.00 | — | — | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH | $656.29 | $937.56 | — | 72% below | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC (BRUSH WASH) | $656.29 | $937.56 | — | 72% below | 30% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC (BRUSH WASH) | $656.29 | $937.56 | — | — | 30% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH | $656.29 | $937.56 | — | — | 30% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC EXTRA CORP SHK WAVE LITHO W CYSTO | $20,199.20 | $28,856.00 | — | 267% above | 30% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 HC EXTRA CORP SHK WAVE LITHO W CYSTO | $20,199.20 | $28,856.00 | — | — | 30% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTO/URETERO W/LITHOTRIPSY INDWELL STENT INSRT | $12,502.00 | $17,860.00 | — | 5% below | 30% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTO/URETERO W/LITHOTRIPSY INDWELL STENT INSRT | $12,502.00 | $17,860.00 | — | — | 30% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $208.60 | $298.00 | — | 51% below | 30% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 | $208.60 | $298.00 | — | — | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< | $419.30 | $599.00 | — | 57% below | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $1,806.00 | $2,580.00 | — | 85% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Z/ HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $1,806.00 | $2,580.00 | — | 85% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< | $419.30 | $599.00 | — | — | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Z/ HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $1,806.00 | $2,580.00 | — | — | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $1,806.00 | $2,580.00 | — | — | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Z/ HC BLOOD TRANSFUSION SERVICE | $411.60 | $588.00 | — | 68% below | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE | $411.60 | $588.00 | — | 68% below | 30% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Z/ HC BLOOD TRANSFUSION SERVICE | $411.60 | $588.00 | — | — | 30% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE | $411.60 | $588.00 | — | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INHALATION TREATMENT | $380.10 | $543.00 | — | 20% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INHALATION TREATMENT | $380.10 | $543.00 | — | — | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $869.40 | $1,242.00 | — | 13% below | 30% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $869.40 | $1,242.00 | — | — | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $4,075.40 | $5,822.00 | — | 18% below | 30% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $4,075.40 | $5,822.00 | — | — | 30% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG,W/AWAKE DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE | $1,272.55 | $1,817.93 | — | 30% below | 30% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG,W/AWAKE DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE | $1,272.55 | $1,817.93 | — | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING | $207.90 | $297.00 | — | 49% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING | $207.90 | $297.00 | — | — | 30% |
| 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 | $387.80 | $554.00 | — | 21% below | 30% |
| 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 | $387.80 | $554.00 | — | — | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY | $619.50 | $885.00 | — | 32% below | 30% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY | $619.50 | $885.00 | — | — | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY | $1,080.80 | $1,544.00 | — | 30% below | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY | $1,080.80 | $1,544.00 | — | — | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,461.63 | $2,088.05 | — | 40% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,461.63 | $2,088.05 | — | — | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY THREAT FUNC | $2,384.20 | $3,406.00 | — | 27% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY THREAT FUNC | $2,384.20 | $3,406.00 | — | — | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY | $1,311.33 | $1,873.33 | — | 29% below | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY | $1,311.33 | $1,873.33 | — | — | 30% |
| Group psychotherapy session CPT 90853 HC IOP GROUP PSYCHOTHERAPY- 45-50 MINS | $374.95 | $535.65 | — | 17% above | 30% |
| Group psychotherapy session inpatient CPT 90853 HC IOP GROUP PSYCHOTHERAPY- 45-50 MINS | $374.95 | $535.65 | — | — | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN | $707.00 | $1,010.00 | — | 8% above | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN | $707.00 | $1,010.00 | — | — | 30% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR | $784.00 | $1,120.00 | — | 2% above | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR | $784.00 | $1,120.00 | — | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT | $310.10 | $443.00 | — | 77% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT | $310.10 | $443.00 | — | — | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $193.90 | $277.00 | — | 30% above | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $193.90 | $277.00 | — | 30% above | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $193.90 | $277.00 | — | — | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $193.90 | $277.00 | — | — | 30% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $245.00 | $350.00 | — | 53% below | 30% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPATIENT NEW PT 30 MINUTES- LEVEL 3 | $354.90 | $507.00 | — | 32% below | 30% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES | $245.00 | $350.00 | — | — | 30% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPATIENT NEW PT 30 MINUTES- LEVEL 3 | $354.90 | $507.00 | — | — | 30% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE OUTPATIENT NEW 45 MINUTES | $362.25 | $517.50 | — | 48% below | 30% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPATIENT NEW PT 45 MINUTES- LEVEL 4 | $589.40 | $842.00 | — | 15% below | 30% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE OUTPATIENT NEW 45 MINUTES | $362.25 | $517.50 | — | — | 30% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPATIENT NEW PT 45 MINUTES- LEVEL 4 | $589.40 | $842.00 | — | — | 30% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $135.10 | $193.00 | — | 82% below | 30% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPATIENT NEW PT 60 MINUTES- LEVEL 5 | $690.90 | $987.00 | — | 10% below | 30% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES | $135.10 | $193.00 | — | — | 30% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPATIENT NEW PT 60 MINUTES- LEVEL 5 | $690.90 | $987.00 | — | — | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES | $289.80 | $414.00 | — | 8% above | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPATIENT NEW PT 15 MINUTES- LEVEL 2 | $289.80 | $414.00 | — | 8% above | 30% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPATIENT NEW PT 15 MINUTES- LEVEL 2 | $289.80 | $414.00 | — | — | 30% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES | $289.80 | $414.00 | — | — | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $242.90 | $347.00 | — | 51% below | 30% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $242.90 | $347.00 | — | — | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $374.50 | $535.00 | — | 31% below | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $374.50 | $535.00 | — | — | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $242.90 | $347.00 | — | 46% below | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $242.90 | $347.00 | — | — | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $366.80 | $524.00 | — | 25% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $366.80 | $524.00 | — | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $186.90 | $267.00 | — | 34% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $186.90 | $267.00 | — | 34% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $186.90 | $267.00 | — | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $186.90 | $267.00 | — | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES | $186.90 | $267.00 | — | 18% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES | $186.90 | $267.00 | — | 18% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES | $186.90 | $267.00 | — | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES | $186.90 | $267.00 | — | — | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $104.30 | $149.00 | — | 68% above | 30% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $104.30 | $149.00 | — | — | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE OUTPATIENT VISIT 40 MINUTES | $135.10 | $193.00 | — | 79% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC HOSPITAL OFFICE/OUTPATIENT ESTABLISHED PT-LEVEL 5 | $611.80 | $874.00 | — | 6% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE OUTPATIENT VISIT 40 MINUTES | $135.10 | $193.00 | — | — | 30% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC HOSPITAL OFFICE/OUTPATIENT ESTABLISHED PT-LEVEL 5 | $611.80 | $874.00 | — | — | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE OUTPATIENT VISIT 15 MINUTES | $141.07 | $201.52 | — | 61% below | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC HOSPITAL OFFICE/OUTPATIENT ESTABLISHED PT-LEVEL 3 | $499.10 | $713.00 | — | 38% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE OUTPATIENT VISIT 15 MINUTES | $141.07 | $201.52 | — | — | 30% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC HOSPITAL OFFICE/OUTPATIENT ESTABLISHED PT-LEVEL 3 | $499.10 | $713.00 | — | — | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE OUTPATIENT VISIT 25 MINUTES | $167.17 | $238.81 | — | 69% below | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC HOSPITAL OFFICE/OUTPATIENT ESTABLISHED PT-LEVEL 4 | $530.60 | $758.00 | — | 1% below | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE OUTPATIENT VISIT 25 MINUTES | $167.17 | $238.81 | — | — | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC HOSPITAL OFFICE/OUTPATIENT ESTABLISHED PT-LEVEL 4 | $530.60 | $758.00 | — | — | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE OUTPATIENT VISIT 10 MINUTES | $135.10 | $193.00 | — | 61% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC HOSPITAL OFFICE/OUTPATIENT ESTABLISHED PT-LEVEL 2 | $340.20 | $486.00 | — | 2% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE OUTPATIENT VISIT 10 MINUTES | $135.10 | $193.00 | — | — | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC HOSPITAL OFFICE/OUTPATIENT ESTABLISHED PT-LEVEL 2 | $340.20 | $486.00 | — | — | 30% |
| Speech and language evaluation CPT 92523 HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $557.90 | $797.00 | — | 5% below | 30% |
| Speech and language evaluation inpatient CPT 92523 HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $557.90 | $797.00 | — | — | 30% |
| Speech therapy session, individual CPT 92507 HC SLP SPEECH/HEARING THERAPY, INDIVIDUAL | $350.70 | $501.00 | — | 9% below | 30% |
| Speech therapy session, individual inpatient CPT 92507 HC SLP SPEECH/HEARING THERAPY, INDIVIDUAL | $350.70 | $501.00 | — | — | 30% |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST - OFFICE SPIROMETRY | $616.70 | $881.00 | — | 85% above | 30% |
| Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST - OFFICE SPIROMETRY | $616.70 | $881.00 | — | — | 30% |
| Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR | $326.90 | $467.00 | — | 64% below | 30% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR | $326.90 | $467.00 | — | — | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $193.20 | $276.00 | — | 29% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $193.20 | $276.00 | — | 29% above | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $193.20 | $276.00 | — | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $193.20 | $276.00 | — | — | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY | $310.80 | $444.00 | — | 7% below | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $310.80 | $444.00 | — | 7% below | 30% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY | $310.80 | $444.00 | — | — | 30% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $310.80 | $444.00 | — | — | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC 9VHPV VACC 2/3 DOSE SCHED IM USE | $102.90 | $147.00 | — | 89% below | 30% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC 9VHPV VACC 2/3 DOSE SCHED IM USE | $102.90 | $147.00 | — | — | 30% |
| Hepatitis A vaccine, adult dose CPT 90632 HC HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE | $65.80 | $94.00 | — | 62% below | 30% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE | $65.80 | $94.00 | — | — | 30% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE | $77.70 | $111.00 | — | 67% below | 30% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE | $77.70 | $111.00 | — | — | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $62.30 | $89.00 | — | 77% below | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | $62.30 | $89.00 | — | — | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $219.80 | $314.00 | — | 77% below | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE | $219.80 | $314.00 | — | — | 30% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+IM PER 0.5 ML | $27.30 | $39.00 | — | 82% below | 30% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+IM PER 0.5 ML | $27.30 | $39.00 | — | — | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE 7 YRS/> IM | $50.40 | $72.00 | — | 78% below | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE 7 YRS/> IM | $50.40 | $72.00 | — | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $142.10 | $203.00 | — | 15% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Z/ HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $142.10 | $203.00 | — | 15% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Z/ HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $142.10 | $203.00 | — | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $142.10 | $203.00 | — | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL | $99.40 | $142.00 | — | 16% below | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL | $99.40 | $142.00 | — | — | 30% |