SelfPayRates
Hospital Atlanta-Sandy Springs-Roswell, GA

Warm Springs Medical Center

Warm Springs Medical Center in Warm Springs, GA publishes cash prices for 130 common procedures listed here, from its own machine-readable price file updated Mar 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 123 of 130 procedures and above it for 7. By typical cash price it ranks #3 of 61 Georgia hospitals and #2 of 25 hospitals in the Atlanta, GA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

5995 Spring St, Warm Springs, GA 31830 Collected Sep 27, 2026 Source price file (706) 655-9351

Critical access hospital (rural, 25 beds or fewer) No emergency department CCN 111316 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs GeorgiaOff list
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS WO $1,133.00 $2,266.00 $892.00–$1,812.00 49% below 50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN AND PELVIS WO $1,133.00 $2,266.00 $1,371.00–$2,266.00 — 50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W CONTRAST $1,287.50 $2,575.00 $1,014.00–$2,266.00 59% below 50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS W CONTRAST $1,287.50 $2,575.00 $1,371.00–$2,575.00 — 50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN AND PELVIS WWO CONTRAST $1,493.50 $2,987.00 $1,176.00–$2,628.00 52% below 50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN AND PELVIS WWO CONTRAST $1,493.50 $2,987.00 $1,371.00–$2,987.00 — 50%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO $606.50 $1,213.00 $477.00–$970.00 56% below 50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO $606.50 $1,213.00 $921.00–$1,213.00 — 50%
Chest X-ray, single view CPT 71045 CHEST SPECIAL VIEWS (DECUB) $64.50 $129.00 $50.00–$103.00 70% below 50%
Chest X-ray, single view inpatient CPT 71045 CHEST SPECIAL VIEWS (DECUB) $64.50 $129.00 $98.00–$129.00 — 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO 2D DOPPLER COLOR $609.00 $1,218.00 $479.00–$1,071.00 67% below 50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO 2D DOPPLER COLOR $609.00 $1,218.00 $925.00–$1,218.00 — 50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY - UNATTENDED $323.00 $646.00 $254.00–$568.00 51% below 50%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY - UNATTENDED $323.00 $646.00 $490.00–$646.00 — 50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CPAP TITRATION SLEEP STUDY $1,428.50 $2,857.00 $1,125.00–$2,514.00 57% below 50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CPAP TITRATION SLEEP STUDY $1,428.50 $2,857.00 $1,371.00–$2,857.00 — 50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LOW DOSE WO CONTRAST $120.00 $240.00 $94.00–$211.00 55% below 50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LOW DOSE WO CONTRAST $120.00 $240.00 $182.00–$240.00 — 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG LIMITED (HB, PLACENTA, POS) $132.00 $264.00 $104.00–$232.00 61% below 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG LIMITED (HB, PLACENTA, POS) $132.00 $264.00 $200.00–$264.00 — 50%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY - INITIAL $1,220.50 $2,441.00 $961.00–$2,148.00 60% below 50%
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY - INITIAL $1,220.50 $2,441.00 $1,371.00–$2,441.00 — 50%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL $143.50 $287.00 $113.00–$252.00 64% below 50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL $143.50 $287.00 $218.00–$287.00 — 50%

Lab tests

ProcedureCash price List priceInsurers payvs GeorgiaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT $4.50 $9.00 $3.00–$7.00 90% below 50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALTI $38.00 $76.00 $29.00–$66.00 14% below 50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT $4.50 $9.00 $6.00–$9.00 — 50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALTI $38.00 $76.00 $57.00–$76.00 — 50%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT $38.00 $76.00 $29.00–$66.00 6% above 50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT $38.00 $76.00 $57.00–$76.00 — 50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $146.50 $293.00 $115.00–$257.00 59% below 50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE ABC ACUTE I $172.50 $345.00 $135.00–$303.00 52% below 50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL $146.50 $293.00 $222.00–$293.00 — 50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PROFILE ABC ACUTE I $172.50 $345.00 $262.00–$345.00 — 50%
Allergy blood test, specific IgE, per allergen CPT 86003 REGION 2 ALLERGY PRF $4.50 $9.00 $3.00–$7.00 88% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX ALLERGEN, IGE $18.50 $37.00 $14.00–$32.00 50% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER ALLERGEN, IGE $18.50 $37.00 $14.00–$32.00 50% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB ALLERGEN, IGE $18.50 $37.00 $14.00–$32.00 50% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT ALLERGEN, IGE $18.50 $37.00 $14.00–$32.00 50% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN, IGE $18.50 $37.00 $14.00–$32.00 50% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CARROT ALLERGEN, IGE $18.50 $37.00 $14.00–$32.00 50% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO ALLERGEN, IGE $18.50 $37.00 $14.00–$32.00 50% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE ALLERGEN, IGE $18.50 $37.00 $14.00–$32.00 50% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BELL PEPPER ALLERGEN, IGE $18.50 $37.00 $14.00–$32.00 50% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN ALLERGEN, IGE $18.50 $37.00 $14.00–$32.00 50% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ZONE 8 ALLERGENS $22.00 $44.00 $17.00–$38.00 41% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MOLD ALLERGY PRF $54.00 $108.00 $42.00–$95.00 46% above 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ANIMAL ALLERGY PRF $54.00 $108.00 $42.00–$95.00 46% above 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL PANEL $62.50 $125.00 $49.00–$110.00 69% above 50%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN BASIC PANEL $74.00 $148.00 $58.00–$130.00 100% above 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK COMPONENT PANEL $118.50 $237.00 $93.00–$208.00 220% above 50%
Allergy blood test, specific IgE, per allergen CPT 86003 IMMUNOCAP $222.00 $444.00 $174.00–$390.00 499% above 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REGION 2 ALLERGY PRF $4.50 $9.00 $6.00–$9.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO ALLERGEN, IGE $18.50 $37.00 $28.00–$37.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BELL PEPPER ALLERGEN, IGE $18.50 $37.00 $28.00–$37.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT ALLERGEN, IGE $18.50 $37.00 $28.00–$37.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT ALLERGEN, IGE $18.50 $37.00 $28.00–$37.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX ALLERGEN, IGE $18.50 $37.00 $28.00–$37.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER ALLERGEN, IGE $18.50 $37.00 $28.00–$37.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT ALLERGEN, IGE $18.50 $37.00 $28.00–$37.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB ALLERGEN, IGE $18.50 $37.00 $28.00–$37.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN ALLERGEN, IGE $18.50 $37.00 $28.00–$37.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE ALLERGEN, IGE $18.50 $37.00 $28.00–$37.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ZONE 8 ALLERGENS $22.00 $44.00 $33.00–$44.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANIMAL ALLERGY PRF $54.00 $108.00 $82.00–$108.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOLD ALLERGY PRF $54.00 $108.00 $82.00–$108.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL PANEL $62.50 $125.00 $95.00–$125.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN BASIC PANEL $74.00 $148.00 $112.00–$148.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK COMPONENT PANEL $118.50 $237.00 $180.00–$237.00 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IMMUNOCAP $222.00 $444.00 $337.00–$444.00 — 50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP-CYCLIC CITCULLINATED PEPTIDE $52.50 $105.00 $41.00–$92.00 59% below 50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP-CYCLIC CITCULLINATED PEPTIDE $52.50 $105.00 $79.00–$105.00 — 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES $27.50 $55.00 $21.00–$48.00 71% below 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA / IFA $50.00 $100.00 $39.00–$88.00 47% below 50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES $27.50 $55.00 $41.00–$55.00 — 50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA / IFA $50.00 $100.00 $76.00–$100.00 — 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP $121.00 $242.00 $95.00–$193.00 11% below 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 .NOT IN USE.BNP $153.50 $307.00 $120.00–$245.00 13% above 50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PROBNP $121.00 $242.00 $183.00–$242.00 — 50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 .NOT IN USE.BNP $153.50 $307.00 $233.00–$307.00 — 50%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $49.00 $98.00 $38.00–$78.00 40% below 50%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $49.00 $98.00 $74.00–$98.00 — 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG L-IV PATH GROSS & MICROSCOPIC $46.50 $93.00 $36.00–$81.00 51% below 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK $46.50 $93.00 $36.00–$81.00 51% below 50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK $46.50 $93.00 $70.00–$93.00 — 50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG L-IV PATH GROSS & MICROSCOPIC $46.50 $93.00 $70.00–$93.00 — 50%
Blood culture for bacteria CPT 87040 CULTURE BLOOD $73.00 $146.00 $57.00–$128.00 9% below 50%
Blood culture for bacteria CPT 87040 CULTURE BLOOD ARD $91.50 $183.00 $72.00–$161.00 14% above 50%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD $73.00 $146.00 $110.00–$146.00 — 50%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD ARD $91.50 $183.00 $139.00–$183.00 — 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $5.50 $11.00 $4.00–$9.00 56% below 50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $5.50 $11.00 $8.00–$11.00 — 50%
Blood glucose (sugar) test CPT 82947 GLUCOSE PLEURAL FLUID $3.50 $7.00 $2.00–$6.00 90% below 50%
Blood glucose (sugar) test CPT 82947 CSF GLUCOSE $3.50 $7.00 $2.00–$6.00 90% below 50%
Blood glucose (sugar) test CPT 82947 GLUCOSE $33.00 $66.00 $26.00–$58.00 10% below 50%
Blood glucose (sugar) test CPT 82947 GLUCOSE TOLERANCE 1HR $33.00 $66.00 $26.00–$58.00 10% below 50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE PLEURAL FLUID $3.50 $7.00 $5.00–$7.00 — 50%
Blood glucose (sugar) test inpatient CPT 82947 CSF GLUCOSE $3.50 $7.00 $5.00–$7.00 — 50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE TOLERANCE 1HR $33.00 $66.00 $50.00–$66.00 — 50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $33.00 $66.00 $50.00–$66.00 — 50%
Blood lead test CPT 83655 LEAD BLOOD $23.50 $47.00 $18.00–$41.00 66% below 50%
Blood lead test inpatient CPT 83655 LEAD BLOOD $23.50 $47.00 $35.00–$47.00 — 50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY SERUM/URINE QU $7.50 $15.00 $5.00–$12.00 94% below 50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY SERUM QUAL $33.00 $66.00 $26.00–$52.00 76% below 50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY URINE QUAL $33.00 $66.00 $26.00–$52.00 76% below 50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY SERUM/URINE QU $7.50 $15.00 $11.00–$15.00 — 50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY SERUM QUAL $33.00 $66.00 $50.00–$66.00 — 50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY URINE QUAL $33.00 $66.00 $50.00–$66.00 — 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 GRP 1 SCRN TEST FOR COMPAT BLOOD UNIT $12.50 $25.00 $9.00–$22.00 81% below 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO GROUP $59.52 $119.05 $46.00–$104.00 10% below 50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 GRP 1 SCRN TEST FOR COMPAT BLOOD UNIT $12.50 $25.00 $19.00–$25.00 — 50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO GROUP $59.52 $119.05 $90.00–$119.00 — 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACT PROT $41.00 $82.00 $32.00–$72.00 70% below 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACT PROT $41.00 $82.00 $62.00–$82.00 — 50%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 CARBOHYDRATE AG $66.50 $133.00 $52.00–$117.00 24% below 50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 CARBOHYDRATE AG $66.50 $133.00 $101.00–$133.00 — 50%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 $66.50 $133.00 $52.00–$117.00 53% below 50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 $66.50 $133.00 $101.00–$133.00 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PROBE URINE $45.00 $90.00 $35.00–$79.00 40% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PROBE URINE $45.00 $90.00 $68.00–$90.00 — 50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $63.50 $127.00 $50.00–$101.00 24% below 50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $63.50 $127.00 $96.00–$127.00 — 50%
Complete blood count (CBC) with differential CPT 85025 HEMOGRAM W/ DIFF $6.50 $13.00 $10.00 90% below 50%
Complete blood count (CBC) with differential CPT 85025 .HEMOGRAM W/AUTO DIFF CHARGE $36.00 $72.00 $57.00 45% below 50%
Complete blood count (CBC) with differential inpatient CPT 85025 HEMOGRAM W/ DIFF $6.50 $13.00 $9.00–$13.00 — 50%
Complete blood count (CBC) with differential inpatient CPT 85025 .HEMOGRAM W/AUTO DIFF CHARGE $36.00 $72.00 $54.00–$72.00 — 50%
Complete blood count (CBC), no differential CPT 85027 .HEMOGRAM/PLT CHARGE $23.50 $47.00 $18.00–$37.00 51% below 50%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM WITH PLT $23.50 $47.00 $18.00–$37.00 51% below 50%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM WITH PLT $23.50 $47.00 $35.00–$47.00 — 50%
Complete blood count (CBC), no differential inpatient CPT 85027 .HEMOGRAM/PLT CHARGE $23.50 $47.00 $35.00–$47.00 — 50%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL $62.50 $125.00 $49.00–$100.00 41% below 50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL $62.50 $125.00 $95.00–$125.00 — 50%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT $53.00 $106.00 $41.00–$84.00 50% below 50%
D-dimer blood test (blood clot marker) CPT 85379 QUANTITATIVE D-DIMER (QUANT D-DIMER) $95.50 $191.00 $75.00–$152.00 10% below 50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT $53.00 $106.00 $80.00–$106.00 — 50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 QUANTITATIVE D-DIMER (QUANT D-DIMER) $95.50 $191.00 $145.00–$191.00 — 50%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE $116.00 $232.00 $91.00–$204.00 33% below 50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE $116.00 $232.00 $176.00–$232.00 — 50%
Estradiol blood test CPT 82670 ESTRADIOL - BLOOD $23.50 $47.00 $18.00–$41.00 78% below 50%
Estradiol blood test CPT 82670 ESTRADIOL BLOOD $40.00 $80.00 $31.00–$70.00 63% below 50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL - BLOOD $23.50 $47.00 $35.00–$47.00 — 50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL BLOOD $40.00 $80.00 $60.00–$80.00 — 50%
FSH (follicle-stimulating hormone) test CPT 83001 FSH BLOOD $57.00 $114.00 $44.00–$100.00 63% below 50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH BLOOD $57.00 $114.00 $86.00–$114.00 — 50%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL $120.00 $240.00 $94.00–$211.00 68% below 50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL $120.00 $240.00 $182.00–$240.00 — 50%
Ferritin blood test (iron stores) CPT 82728 FERRITIN SERUM $46.00 $92.00 $38.00–$80.00 68% below 50%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN SERUM $46.00 $92.00 $69.00–$92.00 — 50%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM $43.50 $87.00 $34.00–$76.00 74% below 50%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM $43.50 $87.00 $66.00–$87.00 — 50%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYROXINE, FREE (FREE T3) $102.50 $205.00 $80.00–$164.00 43% below 50%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYROXINE, FREE (FREE T3) $102.50 $205.00 $155.00–$205.00 — 50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 $45.50 $91.00 $35.00–$80.00 67% below 50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 $45.50 $91.00 $69.00–$91.00 — 50%
Free testosterone test CPT 84402 FREE TESTOSTERONE $28.50 $57.00 $22.00–$50.00 88% below 50%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE $28.50 $57.00 $43.00–$57.00 — 50%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $114.00 $228.00 $89.00–$200.00 65% below 50%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $114.00 $228.00 $173.00–$228.00 — 50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PP $37.00 $74.00 $29.00–$65.00 52% below 50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR PP $37.00 $74.00 $56.00–$74.00 — 50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 HR $11.00 $22.00 $8.00–$19.00 89% below 50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2HR $49.00 $98.00 $38.00–$86.00 52% below 50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3HR $64.00 $128.00 $50.00–$112.00 37% below 50%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 HR $11.00 $22.00 $16.00–$22.00 — 50%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 2HR $49.00 $98.00 $74.00–$98.00 — 50%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3HR $64.00 $128.00 $97.00–$128.00 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC PROBE URINE $45.00 $90.00 $35.00–$79.00 40% below 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC PROBE URINE $45.00 $90.00 $68.00–$90.00 — 50%
H. pylori antibody blood test CPT 86677 H PYLORI AB IGG $20.00 $40.00 $15.00–$35.00 78% below 50%
H. pylori antibody blood test CPT 86677 H PYLORI AB IGA $46.00 $92.00 $36.00–$80.00 49% below 50%
H. pylori antibody blood test CPT 86677 H PYLORI AB IGM $46.00 $92.00 $36.00–$80.00 49% below 50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB IGG $20.00 $40.00 $30.00–$40.00 — 50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB IGM $46.00 $92.00 $69.00–$92.00 — 50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB IGA $46.00 $92.00 $69.00–$92.00 — 50%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL ANTIGEN $161.50 $323.00 $127.00–$284.00 6% below 50%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL ANTIGEN $161.50 $323.00 $245.00–$323.00 — 50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANTITATIVE LEVEL $246.50 $493.00 $194.00–$433.00 5% below 50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA REAL TIME PCR (GRAPH) $253.00 $506.00 $199.00–$445.00 2% below 50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA QUANTITATIVE LEVEL $246.50 $493.00 $374.00–$493.00 — 50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA REAL TIME PCR (GRAPH) $253.00 $506.00 $384.00–$506.00 — 50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1&2 QUALITATIVE RNA $198.00 $396.00 $156.00–$348.00 89% above 50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1&2 QUALITATIVE RNA $198.00 $396.00 $300.00–$396.00 — 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C $45.50 $91.00 $35.00–$72.00 54% below 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C $45.50 $91.00 $69.00–$91.00 — 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB $40.00 $80.00 $31.00–$70.00 51% below 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBSAB $40.00 $80.00 $60.00–$80.00 — 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG $37.50 $75.00 $29.00–$66.00 36% below 50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG $37.50 $75.00 $57.00–$75.00 — 50%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY $37.50 $75.00 $29.00–$66.00 73% below 50%
Hepatitis C antibody blood test (screening) CPT 86803 HC AB HEP C AB $45.00 $90.00 $35.00–$79.00 68% below 50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODY $37.50 $75.00 $57.00–$75.00 — 50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC AB HEP C AB $45.00 $90.00 $68.00–$90.00 — 50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS QUANTITATIVE $401.00 $802.00 $315.00–$705.00 103% above 50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRUS QUANTITATIVE $401.00 $802.00 $609.00–$802.00 — 50%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP I - ICG $46.50 $93.00 $36.00–$81.00 52% below 50%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP I - IGM $47.00 $94.00 $37.00–$82.00 51% below 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP I - ICG $46.50 $93.00 $70.00–$93.00 — 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP I - IGM $47.00 $94.00 $71.00–$94.00 — 50%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP II IGM $54.00 $108.00 $42.00–$95.00 44% below 50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP II IGM $54.00 $108.00 $82.00–$108.00 — 50%
Insulin blood test CPT 83525 INSULIN LEVEL $28.50 $57.00 $22.00–$50.00 56% below 50%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL $28.50 $57.00 $43.00–$57.00 — 50%
Iron blood test (serum iron) CPT 83540 IRON $32.00 $64.00 $33.00–$56.00 32% below 50%
Iron blood test (serum iron) inpatient CPT 83540 IRON $32.00 $64.00 $48.00–$64.00 — 50%
Iron-binding capacity (TIBC) test CPT 83550 TIBC $41.50 $83.00 $38.00–$73.00 70% below 50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC $41.50 $83.00 $63.00–$83.00 — 50%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $57.00 $114.00 $44.00–$100.00 54% below 50%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $57.00 $114.00 $86.00–$114.00 — 50%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE BLOOD $65.50 $131.00 $51.00–$115.00 23% below 50%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE BLOOD $65.50 $131.00 $99.00–$131.00 — 50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $6.00 $12.00 $4.00–$9.00 95% below 50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE FLUID $6.00 $12.00 $4.00–$9.00 95% below 50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM $46.50 $93.00 $36.00–$74.00 63% below 50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE FLUID $6.00 $12.00 $9.00–$12.00 — 50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $6.00 $12.00 $9.00–$12.00 — 50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM $46.50 $93.00 $70.00–$93.00 — 50%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $56.50 $113.00 $44.00–$99.00 47% below 50%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $56.50 $113.00 $85.00–$113.00 — 50%
Lyme disease antibody test CPT 86618 LYME LGG TITER $14.00 $28.00 $11.00–$24.00 82% below 50%
Lyme disease antibody test CPT 86618 LYME DISEASE DNR $14.00 $28.00 $11.00–$24.00 82% below 50%
Lyme disease antibody test CPT 86618 LYME IGM $36.00 $72.00 $28.00–$63.00 54% below 50%
Lyme disease antibody test CPT 86618 LYME IGG $36.00 $72.00 $28.00–$63.00 54% below 50%
Lyme disease antibody test CPT 86618 LYME, TOTAL AB WB CONFIRMATION $80.50 $161.00 $63.00–$141.00 3% above 50%
Lyme disease antibody test inpatient CPT 86618 LYME LGG TITER $14.00 $28.00 $21.00–$28.00 — 50%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE DNR $14.00 $28.00 $21.00–$28.00 — 50%
Lyme disease antibody test inpatient CPT 86618 LYME IGG $36.00 $72.00 $54.00–$72.00 — 50%
Lyme disease antibody test inpatient CPT 86618 LYME IGM $36.00 $72.00 $54.00–$72.00 — 50%
Lyme disease antibody test inpatient CPT 86618 LYME, TOTAL AB WB CONFIRMATION $80.50 $161.00 $122.00–$161.00 — 50%
Magnesium blood test CPT 83735 MAGNESIUM/ BLOOD $6.00 $12.00 $4.00–$9.00 91% below 50%
Magnesium blood test CPT 83735 URINE MAGNESIUM 24HR $22.00 $44.00 $17.00–$35.00 65% below 50%
Magnesium blood test CPT 83735 MAGNESIUM BLOOD $47.00 $94.00 $37.00–$75.00 26% below 50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM/ BLOOD $6.00 $12.00 $9.00–$12.00 — 50%
Magnesium blood test inpatient CPT 83735 URINE MAGNESIUM 24HR $22.00 $44.00 $33.00–$44.00 — 50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM BLOOD $47.00 $94.00 $71.00–$94.00 — 50%
Measles (rubeola) antibody test CPT 86765 TORCH TITER $81.00 $162.00 $63.00–$142.00 33% above 50%
Measles (rubeola) antibody test inpatient CPT 86765 TORCH TITER $81.00 $162.00 $123.00–$162.00 — 50%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN $37.50 $75.00 $29.00–$66.00 53% below 50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN $37.50 $75.00 $57.00–$75.00 — 50%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $177.50 $355.00 $139.00–$312.00 52% above 50%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL $177.50 $355.00 $269.00–$355.00 — 50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE $95.50 $191.00 $75.00–$168.00 28% below 50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE $95.50 $191.00 $145.00–$191.00 — 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING SPECIAL $39.00 $78.00 $30.00–$68.00 77% below 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL $66.50 $133.00 $52.00–$117.00 61% below 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREENING $66.50 $133.00 $52.00–$117.00 61% below 50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING SPECIAL $39.00 $78.00 $59.00–$78.00 — 50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL $66.50 $133.00 $101.00–$133.00 — 50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREENING $66.50 $133.00 $101.00–$133.00 — 50%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE $44.50 $89.00 $35.00–$78.00 80% below 50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE $44.50 $89.00 $67.00–$89.00 — 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $37.50 $75.00 $29.00–$60.00 15% below 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $37.50 $75.00 $57.00–$75.00 — 50%
Progesterone blood test CPT 84144 PROGESTERONE $69.50 $139.00 $54.00–$122.00 58% below 50%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $69.50 $139.00 $105.00–$139.00 — 50%
Prolactin blood test CPT 84146 PROLACTIN $71.50 $143.00 $56.00–$125.00 62% below 50%
Prolactin blood test inpatient CPT 84146 PROLACTIN $71.50 $143.00 $108.00–$143.00 — 50%
Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS ANITCOAGULANT $3.50 $7.00 $2.00–$6.00 91% below 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LUPUS ANITCOAGULANT $3.50 $7.00 $5.00–$7.00 — 50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A & B ANTIGEN $129.00 $258.00 $101.00–$227.00 77% above 50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A & B ANTIGEN $129.00 $258.00 $196.00–$258.00 — 50%
Rheumatoid factor (RF) test CPT 86431 RA TITER $46.00 $92.00 $36.00–$80.00 42% below 50%
Rheumatoid factor (RF) test inpatient CPT 86431 RA TITER $46.00 $92.00 $69.00–$92.00 — 50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN $39.50 $79.00 $31.00–$69.00 45% below 50%
Rubella antibody test (immunity check) CPT 86762 MEASLES AB $138.50 $277.00 $109.00–$243.00 92% above 50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN $39.50 $79.00 $60.00–$79.00 — 50%
Rubella antibody test (immunity check) inpatient CPT 86762 MEASLES AB $138.50 $277.00 $210.00–$277.00 — 50%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS $83.00 $166.00 $65.00–$146.00 55% below 50%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS $83.00 $166.00 $126.00–$166.00 — 50%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES $38.50 $77.00 $30.00–$67.00 60% below 50%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES $38.50 $77.00 $58.00–$77.00 — 50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD, STOOL $21.00 $42.00 $16.00–$36.00 43% below 50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD, STOOL $21.00 $42.00 $31.00–$42.00 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 PREMARITAL RPR $4.00 $8.00 $3.00–$7.00 89% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL BLOOD $4.00 $8.00 $3.00–$7.00 89% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL $4.00 $8.00 $3.00–$7.00 89% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR $18.50 $37.00 $14.00–$32.00 50% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF $29.50 $59.00 $23.00–$51.00 20% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL BLOOD $4.00 $8.00 $6.00–$8.00 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL $4.00 $8.00 $6.00–$8.00 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 PREMARITAL RPR $4.00 $8.00 $6.00–$8.00 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR $18.50 $37.00 $28.00–$37.00 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF $29.50 $59.00 $44.00–$59.00 — 50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON $113.50 $227.00 $89.00–$199.00 36% below 50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON $113.50 $227.00 $172.00–$227.00 — 50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL $42.50 $85.00 $33.00–$74.00 76% below 50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL $42.50 $85.00 $64.00–$85.00 — 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY $12.00 $24.00 $9.00–$21.00 88% below 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOM AB $21.00 $42.00 $16.00–$36.00 80% below 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB $60.00 $120.00 $47.00–$105.00 42% below 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICRO Ab, IgG $63.00 $126.00 $49.00–$110.00 40% below 50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY $12.00 $24.00 $18.00–$24.00 — 50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOM AB $21.00 $42.00 $31.00–$42.00 — 50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB $60.00 $120.00 $91.00–$120.00 — 50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICRO Ab, IgG $63.00 $126.00 $95.00–$126.00 — 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ULTRA SENS $60.00 $120.00 $47.00–$96.00 62% below 50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH ULTRA SENS $60.00 $120.00 $91.00–$120.00 — 50%
Trichomonas test (NAAT) CPT 87661 INFECT AGENT DETECTION OF NUCLEIC ACID $84.50 $169.00 $66.00–$148.00 7% below 50%
Trichomonas test (NAAT) inpatient CPT 87661 INFECT AGENT DETECTION OF NUCLEIC ACID $84.50 $169.00 $128.00–$169.00 — 50%
Uric acid blood test CPT 84550 URIC ACID $29.50 $59.00 $23.00–$51.00 60% below 50%
Uric acid blood test inpatient CPT 84550 URIC ACID $29.50 $59.00 $44.00–$59.00 — 50%
Urinalysis with microscope exam, automated CPT 81001 MICROSCOPIC EXAM URINE $15.00 $30.00 $11.00–$24.00 64% below 50%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICRO $26.00 $52.00 $20.00–$41.00 37% below 50%
Urinalysis with microscope exam, automated CPT 81001 .UA WITH MICRO $26.00 $52.00 $20.00–$41.00 37% below 50%
Urinalysis with microscope exam, automated inpatient CPT 81001 MICROSCOPIC EXAM URINE $15.00 $30.00 $22.00–$30.00 — 50%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICRO $26.00 $52.00 $39.00–$52.00 — 50%
Urinalysis with microscope exam, automated inpatient CPT 81001 .UA WITH MICRO $26.00 $52.00 $39.00–$52.00 — 50%
Urinalysis without microscope exam, automated CPT 81003 .UA DIPSTICK ONLY $15.00 $30.00 $11.00–$26.00 58% below 50%
Urinalysis without microscope exam, automated CPT 81003 URINE DIPSTICK ONLY $15.00 $30.00 $11.00–$26.00 58% below 50%
Urinalysis without microscope exam, automated inpatient CPT 81003 .UA DIPSTICK ONLY $15.00 $30.00 $22.00–$30.00 — 50%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE DIPSTICK ONLY $15.00 $30.00 $22.00–$30.00 — 50%
Urinalysis without microscope exam, manual CPT 81002 KETONES URINE $14.00 $28.00 $11.00–$24.00 73% below 50%
Urinalysis without microscope exam, manual inpatient CPT 81002 KETONES URINE $14.00 $28.00 $21.00–$28.00 — 50%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $50.50 $101.00 $39.00–$88.00 56% below 50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $50.50 $101.00 $76.00–$101.00 — 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25 HYDROXY $126.50 $253.00 $99.00–$202.00 48% below 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D-25 HYDROXY $126.50 $253.00 $192.00–$253.00 — 50%
Zinc blood test CPT 84630 ZINC PLASMA $19.00 $38.00 $14.00–$33.00 82% below 50%
Zinc blood test inpatient CPT 84630 ZINC PLASMA $19.00 $38.00 $28.00–$38.00 — 50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 PREGNANCY QUANT HCG $69.50 $139.00 $54.00–$122.00 56% below 50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 PREGNANCY QUANT HCG $69.50 $139.00 $105.00–$139.00 — 50%

Surgery and procedures

ProcedureCash price List priceInsurers payvs GeorgiaOff list
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY WITH POLYPECTOMY SINGLE $892.50 $1,785.00 $703.00–$1,570.00 78% below 50%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY WITH POLYPECTOMY SINGLE $892.50 $1,785.00 $1,356.00–$1,785.00 — 50%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY CHOLECYSTECTOMY $1,140.50 $2,281.00 $898.00–$2,007.00 93% below 50%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPY CHOLECYSTECTOMY $1,140.50 $2,281.00 $1,371.00–$2,281.00 — 50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION BENIGN LESION 0.5CM OR LESS $382.50 $765.00 $301.00–$673.00 37% below 50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION BENIGN LESION 0.5CM OR LESS $382.50 $765.00 $581.00–$765.00 — 50%
Nail removal (partial or complete), one nail CPT 11730 NAIL PLATE AVULSION SIMPLE $150.00 $300.00 $118.00–$264.00 71% below 50%
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL PLATE AVULSION SIMPLE $150.00 $300.00 $228.00–$300.00 — 50%
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT $101.00 $202.00 $79.00–$177.00 74% below 50%
Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT $101.00 $202.00 $153.00–$202.00 — 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WOUND REPAIR/SIMPLE $82.50 $165.00 $65.00–$145.00 76% below 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 WOUND REPAIR/SIMPLE $82.50 $165.00 $125.00–$165.00 — 50%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS (UP TO 15) $121.50 $243.00 $95.00–$213.00 70% below 50%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS (UP TO 15) $121.50 $243.00 $184.00–$243.00 — 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE LAC REPAIR SCALP/TRUNK 2.6-7.5CM $109.00 $218.00 $85.00–$191.00 72% below 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE LAC REPAIR SCALP/TRUNK 2.6-7.5CM $109.00 $218.00 $165.00–$218.00 — 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE LAC REPAIR FACE 0.0-2.5CM $109.00 $218.00 $85.00–$191.00 71% below 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 WOUND REPAIR 2.5 OR LESS $174.50 $349.00 $137.00–$307.00 54% below 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE LAC REPAIR FACE 0.0-2.5CM $109.00 $218.00 $165.00–$218.00 — 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 WOUND REPAIR 2.5 OR LESS $174.50 $349.00 $265.00–$349.00 — 50%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS $101.00 $202.00 $79.00–$177.00 96% below 50%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION BENIGN LESIONS $101.00 $202.00 $153.00–$202.00 — 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT,SKIN & SUB TISSUE $76.50 $153.00 $60.00–$134.00 92% below 50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT,SKIN & SUB TISSUE $76.50 $153.00 $116.00–$153.00 — 50%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs GeorgiaOff list
Blood transfusion (giving blood or blood components) CPT 36430 BB TRANSFUSION BLOOD/BLOOD COMPONENTS $434.00 $868.00 $341.00–$694.00 44% below 50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB TRANSFUSION BLOOD/BLOOD COMPONENTS $434.00 $868.00 $659.00–$868.00 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURIZED OR NONPRESSURIZED INHALATION $51.00 $102.00 $40.00–$81.00 73% below 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 E-Z PAP/ IPPB TX $159.04 $318.08 $125.00–$254.00 16% below 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TX $159.04 $318.08 $125.00–$254.00 16% below 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 **OXYGEN ANCILLARY FLAT RATE OR $159.04 $318.08 $125.00–$254.00 16% below 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PRESSURIZED OR NONPRESSURIZED INHALATION $51.00 $102.00 $77.00–$102.00 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 E-Z PAP/ IPPB TX $159.04 $318.08 $241.00–$318.00 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TX $159.04 $318.08 $241.00–$318.00 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 **OXYGEN ANCILLARY FLAT RATE OR $159.04 $318.08 $241.00–$318.00 — 50%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MINUTES $576.50 $1,153.00 $454.00–$1,014.00 75% below 50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30-74 MINUTES $576.50 $1,153.00 $876.00–$1,153.00 — 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG $131.00 $262.00 $103.00–$209.00 51% below 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG $131.00 $262.00 $199.00–$262.00 — 50%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY INITIAL HR $104.50 $209.00 $82.00–$183.00 65% below 50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY INITIAL HR $104.50 $209.00 $158.00–$209.00 — 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC,PROPHYLACTIC INJECTION SUBQ/ $45.02 $90.05 $35.00–$79.00 43% below 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC,PROPHYLACTIC INJECTION SUBQ/ $45.02 $90.05 $68.00–$90.00 — 50%
Neuromuscular re-education, 15 minutes CPT 97112 ST BALANCE REEDUCATION 15 MIN $15.50 $31.00 $12.00–$27.00 82% below 50%
Neuromuscular re-education, 15 minutes CPT 97112 PT BALANCE REEDUCATION 15 MIN $15.50 $31.00 $12.00–$27.00 82% below 50%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEURO RE-EDUCATION $15.50 $31.00 $12.00–$27.00 82% below 50%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO RE-EDUCATION $15.50 $31.00 $12.00–$27.00 82% below 50%
Neuromuscular re-education, 15 minutes CPT 97112 OT BALANCE REEDUCATION 15 MIN $15.50 $31.00 $12.00–$27.00 82% below 50%
Neuromuscular re-education, 15 minutes CPT 97112 ST NEURO RE-EDUCATION $15.50 $31.00 $12.00–$27.00 82% below 50%
Neuromuscular re-education, 15 minutes CPT 97112 ST NEUROMUSCULAR REEDUCATION $20.50 $41.00 $16.00–$36.00 77% below 50%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO MUSCULAR REEDUCATION 15 MIN $30.00 $60.00 $23.00–$52.00 66% below 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 ST NEURO RE-EDUCATION $15.50 $31.00 $23.00–$31.00 — 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT BALANCE REEDUCATION 15 MIN $15.50 $31.00 $23.00–$31.00 — 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEURO RE-EDUCATION $15.50 $31.00 $23.00–$31.00 — 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEURO RE-EDUCATION $15.50 $31.00 $23.00–$31.00 — 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT BALANCE REEDUCATION 15 MIN $15.50 $31.00 $23.00–$31.00 — 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 ST BALANCE REEDUCATION 15 MIN $15.50 $31.00 $23.00–$31.00 — 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 ST NEUROMUSCULAR REEDUCATION $20.50 $41.00 $31.00–$41.00 — 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEURO MUSCULAR REEDUCATION 15 MIN $30.00 $60.00 $45.00–$60.00 — 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT JOINT MOBILIZATION $14.00 $28.00 $11.00–$24.00 86% below 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY $14.00 $28.00 $11.00–$24.00 86% below 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT JOINT MOBILIZATION $14.00 $28.00 $11.00–$24.00 86% below 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 ST JOINT MOBILIZATION $41.00 $82.00 $32.00–$72.00 58% below 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MYOFASCIAL RELEASE $58.50 $117.00 $46.00–$102.00 40% below 50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY $14.00 $28.00 $21.00–$28.00 — 50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT JOINT MOBILIZATION $14.00 $28.00 $21.00–$28.00 — 50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT JOINT MOBILIZATION $14.00 $28.00 $21.00–$28.00 — 50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 ST JOINT MOBILIZATION $41.00 $82.00 $62.00–$82.00 — 50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MYOFASCIAL RELEASE $58.50 $117.00 $88.00–$117.00 — 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EXER/POSIT 15 MIN $15.00 $30.00 $11.00–$26.00 83% below 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ST THER/EXERCISE 15 MIN $15.00 $30.00 $11.00–$26.00 83% below 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ST THERAPEUTIC EXERCISE $15.00 $30.00 $11.00–$26.00 83% below 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EXER/POSIT 15 MIN $15.00 $30.00 $11.00–$26.00 83% below 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE $16.50 $33.00 $13.00–$29.00 81% below 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE $16.50 $33.00 $13.00–$29.00 81% below 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER/EXERCISE 15 MIN $30.00 $60.00 $23.00–$52.00 66% below 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ST THER EXER/POSIT 15 MIN $30.50 $61.00 $24.00–$53.00 65% below 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THER EXER/POSIT 15 MIN $15.00 $30.00 $22.00–$30.00 — 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ST THERAPEUTIC EXERCISE $15.00 $30.00 $22.00–$30.00 — 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ST THER/EXERCISE 15 MIN $15.00 $30.00 $22.00–$30.00 — 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THER EXER/POSIT 15 MIN $15.00 $30.00 $22.00–$30.00 — 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE $16.50 $33.00 $25.00–$33.00 — 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE $16.50 $33.00 $25.00–$33.00 — 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THER/EXERCISE 15 MIN $30.00 $60.00 $45.00–$60.00 — 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ST THER EXER/POSIT 15 MIN $30.50 $61.00 $46.00–$61.00 — 50%
Speech and language evaluation CPT 92523 EVAL OF SPEECH SOUND PRODUCTION $117.00 $234.00 $92.00–$205.00 52% below 50%
Speech and language evaluation inpatient CPT 92523 EVAL OF SPEECH SOUND PRODUCTION $117.00 $234.00 $177.00–$234.00 — 50%
Speech therapy session, individual CPT 92507 ST SPEECH/HEARING THERAPY $32.00 $64.00 $25.00–$56.00 81% below 50%
Speech therapy session, individual CPT 92507 ST TREATMENT 1 LIMITED $53.00 $106.00 $41.00–$93.00 69% below 50%
Speech therapy session, individual inpatient CPT 92507 ST SPEECH/HEARING THERAPY $32.00 $64.00 $48.00–$64.00 — 50%
Speech therapy session, individual inpatient CPT 92507 ST TREATMENT 1 LIMITED $53.00 $106.00 $80.00–$106.00 — 50%
Spirometry (breathing test) CPT 94010 PFT/FLOW VOLUME LOOP $119.00 $238.00 $93.00–$209.00 71% below 50%
Spirometry (breathing test) inpatient CPT 94010 PFT/FLOW VOLUME LOOP $119.00 $238.00 $180.00–$238.00 — 50%
Spirometry before and after a bronchodilator CPT 94060 PRE AND POST BRONCHODILATOR $156.50 $313.00 $123.00–$275.00 78% below 50%
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE AND POST BRONCHODILATOR $156.50 $313.00 $237.00–$313.00 — 50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY-THERAPEUT $85.00 $170.00 $66.00–$149.00 44% below 50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY-THERAPEUT $85.00 $170.00 $129.00–$170.00 — 50%

Vaccines

ProcedureCash price List priceInsurers payvs GeorgiaOff list
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE (ENGERIX-B) ADULT $330.00 $330.00 $130.00–$290.00 59% above —
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE (ENGERIX-B) ADULT $330.00 $330.00 $250.00–$330.00 — —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL (PNEUMOVAX) VACCINE 0.5ML $341.00 $341.00 $134.00–$300.00 27% below —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL (PNEUMOVAX) VACCINE 0.5ML $341.00 $341.00 $259.00–$341.00 — —
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5IU $645.00 $1,290.00 $508.00–$1,135.00 37% below 50%
Rabies vaccine, one dose CPT 90675 RABIES IMMUNE GLOBULIN IM 300U/ML 1ML $1,473.00 $2,946.00 $1,160.00–$2,592.00 44% above 50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 2.5IU $645.00 $1,290.00 $980.00–$1,290.00 — 50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES IMMUNE GLOBULIN IM 300U/ML 1ML $1,473.00 $2,946.00 $1,371.00–$2,946.00 — 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPTH TOXOID ADULT INJ 0.5ML $117.00 $117.00 $46.00–$102.00 16% below —
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPTH TOXOID ADULT INJ 0.5ML $117.00 $117.00 $88.00–$117.00 — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET/DIPTH/PERTUSS (Tdap) INJ 0.5ML 7&UP $60.00 $120.00 $47.00–$105.00 70% below 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET/DIPTH/PERTUSS (Tdap) INJ 0.5ML UND 7 $60.00 $120.00 $47.00–$105.00 70% below 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET/DIPTH/PERTUSS (Tdap) INJ 0.5ML UND 7 $60.00 $120.00 $91.00–$120.00 — 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET/DIPTH/PERTUSS (Tdap) INJ 0.5ML 7&UP $60.00 $120.00 $91.00–$120.00 — 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF PNEUMONIA VACCINE $33.50 $67.00 $26.00–$58.00 46% below 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF FLU VACCINE $33.50 $67.00 $26.00–$58.00 46% below 50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION OF PNEUMONIA VACCINE $33.50 $67.00 $50.00–$67.00 — 50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION OF FLU VACCINE $33.50 $67.00 $50.00–$67.00 — 50%

Source file: http://www.warmspringsmc.org/transparency/870764535_Warm-Springs-Medical-Center_StandardCharges2026.csv