SelfPayRates
Hospital

Franklin County Board of County Commissioners

Franklin County Board of County Commissioners in Apalachicola, FL publishes cash prices for 173 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 119 of 166 procedures and above it for 47. By typical cash price it ranks #24 of 151 Florida hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

135 Avenue G, Apalachicola, FL, 32320 Collected Sep 27, 2026 Source price file

Scans and imaging

ProcedureCash price List priceInsurers payvs FloridaOff list
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS WO CONTRAST $1,372.00 $1,960.00 $177.94–$1,577.80 79% below 30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN AND PELVIS WO CONTRAST $1,372.00 $1,960.00 $177.94–$1,577.80 — 30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W CON PO & W CON IV $2,154.60 $3,078.00 $291.86–$2,477.79 71% below 30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W CON PO & W CON IV $2,154.60 $3,078.00 $291.86–$2,477.79 — 30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN & PELVIS W & WO CONTRAST IV $2,233.70 $3,191.00 $327.54–$2,568.76 73% below 30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN & PELVIS W & WO CONTRAST IV $2,233.70 $3,191.00 $327.54–$2,568.76 — 30%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST $2,020.90 $2,887.00 $224.20–$2,324.04 55% below 30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST $2,020.90 $2,887.00 $224.20–$2,324.04 — 30%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST $1,372.00 $1,960.00 $132.32–$1,577.80 67% below 30%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST $1,372.00 $1,960.00 $132.32–$1,577.80 — 30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO CONTRAST $974.40 $1,392.00 $123.34–$1,120.56 68% below 30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WO CONTRAST $974.40 $1,392.00 $123.34–$1,120.56 — 30%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST $861.70 $1,231.00 $102.49–$990.96 74% below 30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST $861.70 $1,231.00 $102.49–$990.96 — 30%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST IV $936.60 $1,338.00 $143.25–$1,077.09 76% below 30%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST IV $936.60 $1,338.00 $143.25–$1,077.09 — 30%
CT scan of the head without and with contrast CPT 70470 CT HEAD W AND WO CONTRAST IV $2,020.90 $2,887.00 $167.79–$2,324.04 54% below 30%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W AND WO CONTRAST IV $2,020.90 $2,887.00 $167.79–$2,324.04 — 30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CONTRAST $1,099.00 $1,570.00 $124.72–$1,263.85 70% below 30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO CONTRAST $1,099.00 $1,570.00 $124.72–$1,263.85 — 30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICALWO CONTRAST $1,297.80 $1,854.00 $125.65–$1,492.47 67% below 30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICALWO CONTRAST $1,297.80 $1,854.00 $125.65–$1,492.47 — 30%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST IV $1,397.20 $1,996.00 $219.83–$1,606.78 67% below 30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST IV $1,397.20 $1,996.00 $219.83–$1,606.78 — 30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID COMPLETE BILATERAL $291.21 $416.02 $178.08–$334.90 — 30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID COMPLETE BILATERAL $291.21 $416.02 $178.08–$334.90 — 30%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEW $200.20 $286.00 $31.74–$230.23 61% below 30%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEW $200.20 $286.00 $31.74–$230.23 — 30%
Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW $145.60 $208.00 $24.30–$167.44 69% below 30%
Chest X-ray, single view inpatient CPT 71045 XR CHEST SINGLE VIEW $145.60 $208.00 $24.30–$167.44 — 30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US COMPLETE RETROPERITONEAL $142.11 $203.01 $101.97–$163.42 89% below 30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US COMPLETE RETROPERITONEAL $142.11 $203.01 $101.97–$163.42 — 30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO CONTRAST $1,397.20 $1,996.00 $128.73–$1,606.78 63% below 30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX WO CONTRAST $1,397.20 $1,996.00 $128.73–$1,606.78 — 30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W CONTRAST $1,647.80 $2,354.00 $161.26–$1,894.97 63% below 30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W CONTRAST $1,647.80 $2,354.00 $161.26–$1,894.97 — 30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIES COMPLETE BILATERAL LE $291.21 $416.02 $224.55–$334.90 — 30%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIES COMPLETE BILATERAL LE $291.21 $416.02 $224.55–$334.90 — 30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEINS VEN LEGS OR ARMS BI CMP $291.21 $416.02 $174.95–$334.90 — 30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VEINS VEN LEGS OR ARMS BI CMP $291.21 $416.02 $174.95–$334.90 — 30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US EVIDENT TEST $69.99 $99.99 $62.71–$105.47 95% below 30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED $142.11 $203.01 $81.88–$163.42 89% below 30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US EVIDENT TEST $69.99 $99.99 $62.71–$105.47 — 30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED $142.11 $203.01 $81.88–$163.42 — 30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC (NON OB) LIMITED $142.11 $203.01 $46.87–$163.42 85% below 30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC (NON OB) LIMITED $142.11 $203.01 $46.87–$163.42 — 30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC (NON OB) COMPLETE $142.11 $203.01 $98.94–$163.42 90% below 30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC (NON OB) COMPLETE $142.11 $203.01 $98.94–$163.42 — 30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG OB>14 WKS 0 DAYS $142.11 $203.01 $127.33–$163.42 88% below 30%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG OB>14 WKS 0 DAYS $142.11 $203.01 $127.33–$163.42 — 30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG OB<14 WKS 0 DAYS $142.11 $203.01 $110.74–$163.42 84% below 30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG OB<14 WKS 0 DAYS $142.11 $203.01 $110.74–$163.42 — 30%
Transvaginal pelvic ultrasound CPT 76830 US PELVIS (TRANSVAGINAL) $142.11 $203.01 $111.98–$163.42 87% below 30%
Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIS (TRANSVAGINAL) $142.11 $203.01 $111.98–$163.42 — 30%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAG $142.11 $203.01 $87.41–$163.42 86% below 30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAG $142.11 $203.01 $87.41–$163.42 — 30%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE $142.11 $203.01 $109.63–$163.42 93% below 30%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE $142.11 $203.01 $109.63–$163.42 — 30%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM $142.11 $203.01 $93.93–$163.42 88% below 30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM $142.11 $203.01 $93.93–$163.42 — 30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID (SOFT TISSUE NECK) $142.11 $203.01 $103.28–$163.42 87% below 30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID (SOFT TISSUE NECK) $142.11 $203.01 $103.28–$163.42 — 30%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN SINGLE VIEW $243.60 $348.00 $28.60–$280.14 58% below 30%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN SINGLE VIEW $243.60 $348.00 $28.60–$280.14 — 30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR 2 VIEWS $270.20 $386.00 $37.57–$310.73 69% below 30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBAR 2 VIEWS $270.20 $386.00 $37.57–$310.73 — 30%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR 4 VIEW $599.20 $856.00 $48.69–$689.08 54% below 30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBAR 4 VIEW $599.20 $856.00 $48.69–$689.08 — 30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC TWO VIEW $303.80 $434.00 $31.10–$349.37 58% below 30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC TWO VIEW $303.80 $434.00 $31.10–$349.37 — 30%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3 VIEWS $419.30 $599.00 $35.33–$482.20 45% below 30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3 VIEWS $419.30 $599.00 $35.33–$482.20 — 30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS $154.00 $220.00 $37.27–$177.10 80% below 30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS $154.00 $220.00 $37.27–$177.10 — 30%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS SINGLE VIEW $249.90 $357.00 $26.43–$287.38 67% below 30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS SINGLE VIEW $249.90 $357.00 $26.43–$287.38 — 30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM AND COCCYX MIN 2 VIEWS $299.60 $428.00 $30.72–$344.54 60% below 30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM AND COCCYX MIN 2 VIEWS $299.60 $428.00 $30.72–$344.54 — 30%

Lab tests

ProcedureCash price List priceInsurers payvs FloridaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/(SGPT) $53.90 $77.00 $5.19–$61.98 5% above 30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/(SGPT) $53.90 $77.00 $5.19–$61.98 — 30%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/(SGOT) $54.60 $78.00 $5.08–$62.79 15% below 30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/(SGOT) $54.60 $78.00 $5.08–$62.79 — 30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANL ACUTE W/REFLEX TO CONFIRM $230.30 $329.00 $46.68–$264.84 21% above 30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANL ACUTE W/REFLEX TO CONFIRM $230.30 $329.00 $46.68–$264.84 — 30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE $22.83 $32.62 $5.12–$26.26 138% above 30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE $22.83 $32.62 $5.12–$26.26 — 30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE(CCP)AB(IGG) $42.70 $61.00 $12.69–$49.10 56% above 30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE(CCP)AB(IGG) $42.70 $61.00 $12.69–$49.10 — 30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN IFA $70.70 $101.00 $11.85–$81.30 132% above 30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN IFA $70.70 $101.00 $11.85–$81.30 — 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (TRIAGE) $171.50 $245.00 $38.47–$197.22 24% below 30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIUETIC PEPTIDE $171.50 $245.00 $38.47–$197.22 24% below 30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIUETIC PEPTIDE $171.50 $245.00 $38.47–$197.22 — 30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP (TRIAGE) $171.50 $245.00 $38.47–$197.22 — 30%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROFILE $86.80 $124.00 $8.29–$99.82 79% below 30%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROFILE DAILY $86.80 $124.00 $8.29–$99.82 79% below 30%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (CALCIUM IONIZED) $90.30 $129.00 $8.29–$103.84 78% below 30%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROFILE DAILY $86.80 $124.00 $8.29–$99.82 — 30%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROFILE $86.80 $124.00 $8.29–$99.82 — 30%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL (CALCIUM IONIZED) $90.30 $129.00 $8.29–$103.84 — 30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY LEV 4 $280.00 $400.00 $67.74–$322.00 122% above 30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY LEV 4 $280.00 $400.00 $67.74–$322.00 — 30%
Blood culture for bacteria CPT 87040 CULTURE BLOOD $177.80 $254.00 $10.11–$204.47 55% below 30%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD $177.80 $254.00 $10.11–$204.47 — 30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE APALACHEE MHC $7.00 $10.00 $6.00–$9.52 69% below 30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $16.10 $23.00 $8.65–$18.52 28% below 30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE IN-HOUSE LC $16.10 $23.00 $8.65–$18.52 28% below 30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $16.10 $23.00 $8.65–$18.52 — 30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE IN-HOUSE LC $16.10 $23.00 $8.65–$18.52 — 30%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD $25.90 $37.00 $3.85–$29.78 57% below 30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD $25.90 $37.00 $3.85–$29.78 — 30%
Blood lead test CPT 83655 LEAD $34.30 $49.00 $11.87–$39.44 151% above 30%
Blood lead test inpatient CPT 83655 LEAD $34.30 $49.00 $11.87–$39.44 — 30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM PREGNANCY $105.70 $151.00 $7.37–$121.56 22% below 30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SERUM PREGNANCY $105.70 $151.00 $7.37–$121.56 — 30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO $42.70 $61.00 $2.93–$49.10 42% below 30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO $42.70 $61.00 $2.93–$49.10 — 30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $37.10 $53.00 $5.08–$42.66 61% below 30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $37.10 $53.00 $5.08–$42.66 — 30%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFF TOXINBQL REAL TIME PCR $126.00 $180.00 $36.52–$144.90 2% above 30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFF TOXINBQL REAL TIME PCR $126.00 $180.00 $36.52–$144.90 — 30%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 $38.50 $55.00 $20.39–$44.28 40% below 30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 $38.50 $55.00 $20.39–$44.28 — 30%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 $106.40 $152.00 $20.39–$122.36 7% above 30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 $106.40 $152.00 $20.39–$122.36 — 30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV 2 RDRP GENE QL PROBE RESP SPEC $38.50 $55.00 $33.00–$55.31 53% below 30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 RNA PCR $140.00 $200.00 $50.28–$161.00 73% above 30%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COV-2 RNA RT PCR (SEND OUT) $66.50 $95.00 $50.28–$76.48 18% below 30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV 2 RDRP GENE QL PROBE RESP SPEC $38.50 $55.00 $33.00–$55.31 — 30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 RNA PCR $140.00 $200.00 $50.28–$161.00 — 30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS-COV-2 RNA RT PCR (SEND OUT) $66.50 $95.00 $50.28–$76.48 — 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $115.50 $165.00 $13.12–$132.82 26% below 30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $115.50 $165.00 $13.12–$132.82 — 30%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD COUNT $77.70 $111.00 $7.61–$89.36 2% above 30%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE BLOOD COUNT $77.70 $111.00 $7.61–$89.36 — 30%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM $59.50 $85.00 $6.34–$68.42 53% below 30%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM $59.50 $85.00 $6.34–$68.42 — 30%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PROFILE $128.80 $184.00 $10.35–$148.12 77% below 30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PROFILE $128.80 $184.00 $10.35–$148.12 — 30%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER (TRIAGE) $60.20 $86.00 $9.98–$69.23 80% below 30%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER $233.10 $333.00 $9.98–$268.06 21% below 30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER (TRIAGE) $60.20 $86.00 $9.98–$69.23 — 30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER $233.10 $333.00 $9.98–$268.06 — 30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE $55.30 $79.00 $21.79–$63.60 16% above 30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE $55.30 $79.00 $21.79–$63.60 — 30%
Estradiol blood test CPT 82670 ESTRADIOL $203.00 $290.00 $27.38–$233.45 383% above 30%
Estradiol blood test inpatient CPT 82670 ESTRADIOL $203.00 $290.00 $27.38–$233.45 — 30%
FSH (follicle-stimulating hormone) test CPT 83001 FSH $132.30 $189.00 $18.21–$152.14 80% above 30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH $132.30 $189.00 $18.21–$152.14 — 30%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL $174.80 $249.72 $19.24–$201.02 38% above 30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL $174.80 $249.72 $19.24–$201.02 — 30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $116.90 $167.00 $13.36–$134.44 34% below 30%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $116.90 $167.00 $13.36–$134.44 — 30%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM $92.40 $132.00 $14.41–$106.26 43% below 30%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM $92.40 $132.00 $14.41–$106.26 — 30%
Free T3 thyroid hormone test CPT 84481 T3 FREE $50.40 $72.00 $16.60–$57.96 47% below 30%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE $50.40 $72.00 $16.60–$57.96 — 30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4 (FREE THYROXINE) $81.20 $116.00 $8.84–$93.38 15% below 30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FT4 (FREE THYROXINE) $81.20 $116.00 $8.84–$93.38 — 30%
Free testosterone test CPT 84402 TESTOSTERONE FREE $415.10 $593.00 $24.96–$477.36 1239% above 30%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE $415.10 $593.00 $24.96–$477.36 — 30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE GESTATIONAL $70.70 $101.00 $4.66–$81.30 25% below 30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE GESTATIONAL $70.70 $101.00 $4.66–$81.30 — 30%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 3 HOUR $105.70 $151.00 $12.61–$121.56 25% below 30%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE 3 HOUR $105.70 $151.00 $12.61–$121.56 — 30%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB (IGG) SEND OUT $88.20 $126.00 $16.51–$101.43 155% above 30%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB (IGA) SEND OUT $88.20 $126.00 $16.51–$101.43 155% above 30%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI AB (IGG) SEND OUT $88.20 $126.00 $16.51–$101.43 — 30%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI AB (IGA) SEND OUT $88.20 $126.00 $16.51–$101.43 — 30%
H. pylori stool antigen test CPT 87338 H PYLORI IGG SCREEN $127.40 $182.00 $14.09–$146.51 150% above 30%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN EIA STOOL $140.15 $200.22 $14.09–$161.18 175% above 30%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI IGG SCREEN $127.40 $182.00 $14.09–$146.51 — 30%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN EIA STOOL $140.15 $200.22 $14.09–$161.18 — 30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QN PCR $226.80 $324.00 $83.40–$260.82 99% above 30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QN PCR $226.80 $324.00 $83.40–$260.82 — 30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 EIA AB SCREEN $72.10 $103.00 $13.44–$82.92 42% above 30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 EIA AB SCREEN $72.10 $103.00 $13.44–$82.92 — 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN A1C $58.80 $84.00 $9.52–$67.62 26% below 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN A1C $58.80 $84.00 $9.52–$67.62 — 30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY QL $49.00 $70.00 $10.53–$56.35 15% below 30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY QL $49.00 $70.00 $10.53–$56.35 — 30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN $101.50 $145.00 $10.12–$116.72 111% above 30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN $101.50 $145.00 $10.12–$116.72 — 30%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY $134.40 $192.00 $13.98–$154.56 137% above 30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY $134.40 $192.00 $13.98–$154.56 — 30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA PCR QUANT $277.90 $397.00 $41.98–$319.58 106% above 30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS RNA PCR QUANT $277.90 $397.00 $41.98–$319.58 — 30%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 $72.80 $104.00 $12.93–$83.72 227% above 30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 $72.80 $104.00 $12.93–$83.72 — 30%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 $75.60 $108.00 $18.96–$86.94 161% above 30%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2 INHIBITION $134.40 $192.00 $18.96–$154.56 363% above 30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 $75.60 $108.00 $18.96–$86.94 — 30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2 INHIBITION $134.40 $192.00 $18.96–$154.56 — 30%
High-sensitivity CRP (hs-CRP) test CPT 86141 HSCRP (CARDIOCRP) $48.30 $69.00 $12.69–$55.54 27% below 30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HSCRP (CARDIOCRP) $48.30 $69.00 $12.69–$55.54 — 30%
Homocysteine blood test CPT 83090 HOMOCYSTEINE NUTRITIONAL AND CONGENITAL $156.10 $223.00 $17.56–$179.52 199% above 30%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE NUTRITIONAL AND CONGENITAL $156.10 $223.00 $17.56–$179.52 — 30%
Insulin blood test CPT 83525 INSULIN $61.60 $88.00 $11.20–$70.84 96% above 30%
Insulin blood test inpatient CPT 83525 INSULIN $61.60 $88.00 $11.20–$70.84 — 30%
Iron blood test (serum iron) CPT 83540 SERUM IRON $52.50 $75.00 $6.34–$60.38 28% below 30%
Iron blood test (serum iron) inpatient CPT 83540 SERUM IRON $52.50 $75.00 $6.34–$60.38 — 30%
Iron-binding capacity (TIBC) test CPT 83550 TIBC $64.40 $92.00 $8.57–$74.06 50% below 30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC $64.40 $92.00 $8.57–$74.06 — 30%
Kidney function blood test panel CPT 80069 RENAL PROFILE $90.30 $129.00 $8.51–$103.84 82% below 30%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE $90.30 $129.00 $8.51–$103.84 — 30%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) $132.30 $189.00 $18.15–$152.14 80% above 30%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH) $132.30 $189.00 $18.15–$152.14 — 30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $144.20 $206.00 $6.75–$165.83 90% above 30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $144.20 $206.00 $6.75–$165.83 — 30%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $90.30 $129.00 $8.01–$103.84 76% below 30%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $90.30 $129.00 $8.01–$103.84 — 30%
Lyme disease antibody test CPT 86618 LYME AB SCREEN W/ REFLEX TO BLOT $18.90 $27.00 $16.20–$21.74 41% below 30%
Lyme disease antibody test inpatient CPT 86618 LYME AB SCREEN W/ REFLEX TO BLOT $18.90 $27.00 $16.20–$21.74 — 30%
Magnesium blood test CPT 83735 MAGNESIUM $50.40 $72.00 $6.57–$57.96 252% above 30%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $50.40 $72.00 $6.57–$57.96 — 30%
Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY (IGG) $30.80 $44.00 $12.62–$35.42 32% above 30%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY (IGG) $30.80 $44.00 $12.62–$35.42 — 30%
Mono test (heterophile antibody, Monospot) CPT 86308 INFECTIOUS MONO $30.80 $44.00 $5.08–$35.42 84% below 30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 INFECTIOUS MONO $30.80 $44.00 $5.08–$35.42 — 30%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $475.30 $679.00 $46.85–$546.60 150% above 30%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL $475.30 $679.00 $46.85–$546.60 — 30%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA $35.00 $50.00 $18.02–$40.25 2% above 30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA $35.00 $50.00 $18.02–$40.25 — 30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL $121.80 $174.00 $18.02–$140.07 100% above 30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL $121.80 $174.00 $18.02–$140.07 — 30%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT $179.90 $257.00 $40.45–$206.88 66% above 30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT $179.90 $257.00 $40.45–$206.88 — 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT $47.60 $68.00 $5.89–$54.74 6% above 30%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT DAILY $47.60 $68.00 $5.89–$54.74 6% above 30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT $47.60 $68.00 $5.89–$54.74 — 30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT DAILY $47.60 $68.00 $5.89–$54.74 — 30%
Progesterone blood test CPT 84144 PROGESTERONE $112.70 $161.00 $20.44–$129.60 87% above 30%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $112.70 $161.00 $20.44–$129.60 — 30%
Prolactin blood test CPT 84146 PROLACTIN $103.60 $148.00 $18.99–$119.14 49% above 30%
Prolactin blood test inpatient CPT 84146 PROLACTIN $103.60 $148.00 $18.99–$119.14 — 30%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME $47.60 $68.00 $4.20–$54.74 17% above 30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME $47.60 $68.00 $4.20–$54.74 — 30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN $48.30 $69.00 $12.35–$55.54 52% below 30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE DRUG SCREEN $48.30 $69.00 $12.35–$55.54 — 30%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A&B $83.30 $119.00 $16.22–$95.80 40% below 30%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A&B $83.30 $119.00 $16.22–$95.80 — 30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE $57.40 $82.00 $5.56–$66.01 113% above 30%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANTITATIVE $57.40 $82.00 $5.56–$66.01 — 30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY (IGG) $78.40 $112.00 $14.10–$90.16 316% above 30%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY (IGG) $78.40 $112.00 $14.10–$90.16 — 30%
Stool ova and parasites exam CPT 87177 OVA & PARASITES STOOL CONC & PERM SMEAR $35.70 $51.00 $8.72–$41.06 25% below 30%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES STOOL CONC & PERM SMEAR $35.70 $51.00 $8.72–$41.06 — 30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (DX) W/REFL TITER & CONFIRM TEST $64.40 $92.00 $4.18–$74.06 201% above 30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (DX) W/REFL TITER & CONFIRM TEST $64.40 $92.00 $4.18–$74.06 — 30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 GAMMA INTERFERON-TB GOLD PLUS 1 TUBE $235.44 $336.34 $60.74–$270.75 256% above 30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 GAMMA INTERFERON-TB GOLD PLUS 1 TUBE $235.44 $336.34 $60.74–$270.75 — 30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL LC/MS/MS $54.60 $78.00 $25.29–$62.79 49% above 30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL MALES $54.60 $78.00 $25.29–$62.79 49% above 30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL MALES $54.60 $78.00 $25.29–$62.79 — 30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL LC/MS/MS $54.60 $78.00 $25.29–$62.79 — 30%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL (TPO) ABS $52.50 $75.00 $14.26–$60.38 237% above 30%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICROSOME AB LKM-1 $56.70 $81.00 $14.26–$65.20 263% above 30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL (TPO) ABS $52.50 $75.00 $14.26–$60.38 — 30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER/KIDNEY MICROSOME AB LKM-1 $56.70 $81.00 $14.26–$65.20 — 30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) $134.40 $192.00 $16.46–$154.56 16% below 30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH) $134.40 $192.00 $16.46–$154.56 — 30%
Uric acid blood test CPT 84550 URIC ACID $46.20 $66.00 $4.43–$53.13 68% below 30%
Uric acid blood test inpatient CPT 84550 URIC ACID $46.20 $66.00 $4.43–$53.13 — 30%
Urinalysis with microscope exam, automated CPT 81001 UA COMPLETE $67.90 $97.00 $3.11–$78.08 62% below 30%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA COMPLETE $67.90 $97.00 $3.11–$78.08 — 30%
Urinalysis without microscope exam, automated CPT 81003 UA DIPSTICK $28.00 $40.00 $2.20–$32.20 77% below 30%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA DIPSTICK $28.00 $40.00 $2.20–$32.20 — 30%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE ROUTINE $86.10 $123.00 $7.91–$99.02 69% below 30%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE ROUTINE $86.10 $123.00 $7.91–$99.02 — 30%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY $96.60 $138.00 $8.44–$111.09 38% below 30%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY $96.60 $138.00 $8.44–$111.09 — 30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $97.30 $139.00 $14.78–$111.90 40% below 30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $97.30 $139.00 $14.78–$111.90 — 30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH TOTAL $301.70 $431.00 $29.01–$346.96 512% above 30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH TOTAL $301.70 $431.00 $29.01–$346.96 — 30%
Zinc blood test CPT 84630 ZINC $75.60 $108.00 $11.16–$86.94 406% above 30%
Zinc blood test inpatient CPT 84630 ZINC $75.60 $108.00 $11.16–$86.94 — 30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 SERUM BETA HCG $169.40 $242.00 $14.75–$194.81 64% above 30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 SERUM BETA HCG $169.40 $242.00 $14.75–$194.81 — 30%

Surgery and procedures

ProcedureCash price List priceInsurers payvs FloridaOff list
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL FX METATARSAL W0 MANIP $235.20 $336.00 $201.60–$270.48 68% below 30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION $455.00 $650.00 $147.24–$523.25 80% below 30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 DISTAL RAD FX CL W/O MAN $93.80 $134.00 $80.40–$131.32 84% below 30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 FOREI BD REM EAR IMP CERU IRR/LAV $70.60 $100.86 $14.89–$81.19 76% below 30%
Earwax removal with instruments, one ear CPT 69210 FOREI BD REM EAR IMP CERU $51.10 $73.00 $43.80–$58.76 74% below 30%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS SIMP/SINGLE $121.80 $174.00 $104.40–$140.07 83% below 30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJ JOINT $74.90 $107.00 $63.89–$86.14 91% below 30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS IMM JOINT $67.20 $96.00 $53.78–$77.28 91% below 30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SM JOINT $152.60 $218.00 $52.52–$175.49 67% below 30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC REP INTER > 2.5 CM $203.70 $291.00 $174.60–$250.77 80% below 30%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPL $74.90 $107.00 $64.20–$104.86 85% below 30%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS DX/THER W/IMG GUIDANCE $1,074.36 $1,534.80 $274.44–$1,235.51 43% below 30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL $403.56 $576.52 $153.74–$464.10 68% below 30%
Removal of a breast lump, open surgery CPT 19120 CYST EXCIS BREAST/NIPPLE $548.80 $784.00 $470.40–$631.12 86% below 30%
Removal of a foreign object under the skin, simple CPT 10120 I & D FOREIGN BODY REMOV $117.60 $168.00 $100.80–$145.72 88% below 30%
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM APPLICAT $82.60 $118.00 $65.39–$94.99 78% below 30%
Short leg splint (calf to foot) CPT 29515 SPLINT SHORT LEG APPLICAT $145.60 $208.00 $71.09–$167.44 68% below 30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC REP SIMP /< 2.5 CM $203.70 $291.00 $91.48–$234.26 59% below 30%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL, SKIN TAG $65.80 $94.00 $56.40–$88.71 85% below 30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR SPINAL PUNCTURE $191.80 $274.00 $141.65–$220.57 87% below 30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC REP SIMP 2.6CM - 7.5 $203.70 $291.00 $111.49–$234.26 63% below 30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC REP SIMP /< 2.5CM $203.70 $291.00 $109.35–$234.26 56% below 30%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ SING/MUL $133.70 $191.00 $51.12–$153.76 83% below 30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBCUTANEOUS TISS $74.90 $107.00 $64.20–$104.86 92% below 30%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs FloridaOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD $226.80 $324.00 $39.45–$260.82 83% below 30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD $226.80 $324.00 $39.45–$260.82 — 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HIGH HUMIDITY SET UP $62.30 $89.00 $7.54–$71.64 80% below 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL $217.70 $311.00 $7.54–$250.36 31% below 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSQ $217.70 $311.00 $7.54–$250.36 31% below 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN RX $217.70 $311.00 $7.54–$250.36 31% below 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN RX-ER / OBSERVATION $257.60 $368.00 $7.54–$296.24 19% below 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HIGH HUMIDITY SET UP $62.30 $89.00 $7.54–$71.64 — 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHN RX $217.70 $311.00 $7.54–$250.36 — 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL $217.70 $311.00 $7.54–$250.36 — 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSQ $217.70 $311.00 $7.54–$250.36 — 30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHN INITIAL $217.70 $311.00 $7.54–$250.36 — 30%
Critical care, first 30 to 74 minutes CPT 99291 ER LEVEL CRITICAL CARE $910.00 $1,300.00 $266.86–$1,046.50 82% below 30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING 12 LEAD $200.20 $286.00 $6.00–$230.23 51% below 30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING 12 LEAD $200.20 $286.00 $6.00–$230.23 — 30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1 $91.00 $130.00 $11.43–$104.65 81% below 30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 $161.00 $230.00 $41.56–$185.15 82% below 30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 $301.00 $430.00 $70.76–$346.15 81% below 30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 $490.00 $700.00 $120.43–$563.50 80% below 30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 $735.00 $1,050.00 $174.51–$845.25 77% below 30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS HYDRAT INIT 31-60MIN $217.00 $310.00 $30.25–$249.55 67% below 30%
IV infusion of a medicine, first hour CPT 96365 KETAMINE VIAL 50 MG/ML 10ML VIAL $52.42 $74.89 $44.93–$60.29 93% below 30%
IV infusion of a medicine, first hour CPT 96365 IV INF THPR DIA INIT 60MIN ER $224.00 $320.00 $58.75–$257.60 71% below 30%
IV infusion of a medicine, first hour CPT 96365 IV INF TH PR DIA INIT 60MIN OBS $224.00 $320.00 $58.75–$257.60 71% below 30%
IV infusion of a medicine, first hour inpatient CPT 96365 KETAMINE VIAL 50 MG/ML 10ML VIAL $52.42 $74.89 $44.93–$60.29 — 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMINISTRATION OF PROLIA $10.50 $15.00 $9.00–$13.69 94% below 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THPRDI INJ SQ/IM $73.50 $105.00 $13.69–$84.52 58% below 30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TH PR DI INJ SQ/IM $73.50 $105.00 $13.69–$84.52 58% below 30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THPRDI INJ SQ/IM $73.50 $105.00 $13.69–$84.52 — 30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX $211.40 $302.00 $96.92–$243.11 — 30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT SPEECH THERAPEUTIC EXERCISES 15MIN $60.90 $87.00 $28.04–$70.04 — 30%
Speech and language evaluation inpatient CPT 92523 PT SPEECH SOUND LUNG COMP $152.60 $218.00 $130.80–$213.64 — 30%
Speech therapy session, individual inpatient CPT 92507 PT SPEECH HEARING THERAPY 60MIN $107.10 $153.00 $73.28–$123.16 — 30%
Spirometry (breathing test) CPT 94010 SPIROMETRY W/GRAPHIC RECORD $156.80 $224.00 $25.82–$180.32 53% below 30%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W/GRAPHIC RECORD $156.80 $224.00 $25.82–$180.32 — 30%
Spirometry before and after a bronchodilator CPT 94060 EVAL BRONCHOSPASM PRE/POST $352.80 $504.00 $36.65–$405.72 61% below 30%
Spirometry before and after a bronchodilator inpatient CPT 94060 EVAL BRONCHOSPASM PRE/POST $352.80 $504.00 $36.65–$405.72 — 30%

Vaccines

ProcedureCash price List priceInsurers payvs FloridaOff list
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE 20 MCG/ML INJ $193.58 $276.54 $68.97–$222.61 17% below 30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE 20 MCG/ML INJ $193.58 $276.54 $68.97–$222.61 — 30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FluZONE HIGH-DOS QUAD 240mcg 0.7mL $208.80 $298.28 $71.93–$240.12 24% below 30%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FluZONE HIGH-DOS QUAD 240mcg 0.7mL $208.80 $298.28 $71.93–$240.12 — 30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 VACCINE (PNEUMOVAX-23) $88.20 $126.00 $75.60–$123.48 78% below 30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 VACCINE (PNEUMOVAX-23) $88.20 $126.00 $75.60–$123.48 — 30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS,DIPTH,PERT ADULT (ADACEL) $63.00 $90.00 $38.31–$72.45 73% below 30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS,DIPTH,PERT ADULT (ADACEL) $63.00 $90.00 $38.31–$72.45 — 30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUNIZATION 1 VACC $13.30 $19.00 $11.40–$18.62 89% below 30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA VIRUS VAC $39.90 $57.00 $19.51–$45.88 68% below 30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOCOCCL VAC $39.90 $57.00 $19.51–$45.88 68% below 30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN IMMUNIZATION 1 VACC $13.30 $19.00 $11.40–$18.62 — 30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMOCOCCL VAC $39.90 $57.00 $19.51–$45.88 — 30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLUENZA VIRUS VAC $39.90 $57.00 $19.51–$45.88 — 30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN IMMUNIZ EA ADD VACC $15.40 $22.00 $13.20–$17.71 87% below 30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN IMMUNIZ EA ADD VACC $15.40 $22.00 $13.20–$17.71 — 30%

Source file: https://www.weemsmemorial.com/wp-content/uploads/2024/11/061766026_george-e-weems-memorial-hospital_standardcharges.csv