South Georgia Medical Center
South Georgia Medical Center in Valdosta, GA publishes cash prices for 299 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 above the Georgia median for 166 of 285 procedures and below it for 103. By typical cash price it ranks #44 of 61 Georgia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
2501 N Patterson St,Valdosta,GA,31602 Collected Sep 27, 2026 Source price file (229) 333-1020
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 110122 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $405.00 | $540.00 | $60.33–$98.66 | 55% above | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $292.50 | $390.00 | $92.24–$150.83 | 48% below | 25% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $206.25 | $275.00 | $121.60–$198.85 | 35% below | 25% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $747.75 | $997.00 | $277.14–$453.19 | 31% below | 25% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $462.00 | $616.00 | $72.48–$118.52 | 21% above | 25% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $459.00 | $612.00 | $60.33–$98.66 | 20% above | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $4,387.50 | $5,850.00 | $121.60–$198.85 | 136% above | 25% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $185.25 | $247.00 | $60.33–$98.66 | 85% above | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $4,152.75 | $5,537.00 | $165.42–$270.49 | 87% above | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $6,565.50 | $8,754.00 | $241.85–$395.49 | 107% above | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR | $7,065.00 | $9,420.00 | $241.85–$395.49 | 125% above | 25% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $3,319.50 | $4,426.00 | $121.60–$198.85 | 93% above | 25% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $1,005.75 | $1,341.00 | $72.48–$118.52 | 26% below | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $996.00 | $1,328.00 | $72.48–$118.52 | 16% below | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $1,200.75 | $1,601.00 | $72.48–$118.52 | 13% below | 25% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $1,915.50 | $2,554.00 | $121.60–$198.85 | 21% above | 25% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $2,816.25 | $3,755.00 | $121.60–$198.85 | 50% above | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $506.25 | $675.00 | $72.48–$118.52 | 67% below | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $562.50 | $750.00 | $72.48–$118.52 | 56% below | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $3,460.50 | $4,614.00 | $121.60–$198.85 | 113% above | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $241.50 | $322.00 | $165.42–$270.49 | — | 25% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $123.00 | $164.00 | $60.33–$98.66 | 57% below | 25% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $178.50 | $238.00 | $60.33–$98.66 | 17% below | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $516.75 | $689.00 | $72.48–$118.52 | 15% below | 25% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $114.00 | $152.00 | $72.48–$118.52 | 72% below | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR | $162.00 | $216.00 | $60.33–$98.66 | 32% below | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $429.75 | $573.00 | $72.48–$118.52 | 67% below | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $1,848.00 | $2,464.00 | $121.60–$198.85 | 18% above | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $686.25 | $915.00 | $36.21–$59.22 | — | 25% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $540.00 | $720.00 | $29.43–$48.13 | 55% above | 25% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $550.50 | $734.00 | $165.42–$270.49 | at median | 25% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $960.00 | $1,280.00 | $165.42–$270.49 | 20% below | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,142.25 | $1,523.00 | $378.80–$619.42 | 38% below | 25% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $1,499.25 | $1,999.00 | $277.14–$453.19 | 29% above | 25% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $856.50 | $1,142.00 | $149.69–$244.78 | 30% above | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $5,599.50 | $7,466.00 | $595.33–$973.49 | 70% above | 25% |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $239.25 | $319.00 | $60.33–$98.66 | 11% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $846.75 | $1,129.00 | $72.48–$118.52 | 73% above | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $122.25 | $163.00 | $72.48–$118.52 | 54% below | 25% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $1,698.75 | $2,265.00 | $82.54–$134.98 | — | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,184.25 | $1,579.00 | $165.42–$270.49 | 34% below | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $3,017.25 | $4,023.00 | $241.85–$395.49 | 11% above | 25% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $4,334.25 | $5,779.00 | $165.42–$270.49 | 130% above | 25% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $4,347.00 | $5,796.00 | $241.85–$395.49 | 51% above | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $1,774.50 | $2,366.00 | $165.42–$270.49 | 6% above | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $5,237.25 | $6,983.00 | $241.85–$395.49 | 86% above | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $770.25 | $1,027.00 | $165.42–$270.49 | 57% below | 25% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $4,722.00 | $6,296.00 | $241.85–$395.49 | 63% above | 25% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $1,781.25 | $2,375.00 | $165.42–$270.49 | at median | 25% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $4,658.25 | $6,211.00 | $241.85–$395.49 | 77% above | 25% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $1,622.25 | $2,163.00 | $165.42–$270.49 | 8% below | 25% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $4,958.25 | $6,611.00 | $241.85–$395.49 | 72% above | 25% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $3,881.25 | $5,175.00 | $165.42–$270.49 | 114% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $679.50 | $906.00 | $165.42–$270.49 | 56% below | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $4,774.50 | $6,366.00 | $897.52–$1,467.65 | 34% above | 25% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH | $1,884.00 | $2,512.00 | $991.33–$1,621.04 | 47% below | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $744.00 | $992.00 | $72.48–$118.52 | 89% above | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $973.50 | $1,298.00 | $72.48–$118.52 | 61% above | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $1,147.50 | $1,530.00 | $72.48–$118.52 | 101% above | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $853.50 | $1,138.00 | $72.48–$118.52 | 58% above | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $744.00 | $992.00 | $72.48–$118.52 | 117% above | 25% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $486.75 | $649.00 | $27.31–$44.66 | — | 25% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $192.75 | $257.00 | $60.33–$98.66 | 44% below | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $5,598.75 | $7,465.00 | $595.33–$973.49 | 82% above | 25% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $1,142.25 | $1,523.00 | $378.80–$619.42 | 5% below | 25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $222.00 | $296.00 | $121.60–$198.85 | 70% below | 25% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $980.25 | $1,307.00 | $72.48–$118.52 | 92% above | 25% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $831.00 | $1,108.00 | $72.48–$118.52 | 107% above | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $1,372.50 | $1,830.00 | $72.48–$118.52 | 72% above | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $976.50 | $1,302.00 | $72.48–$118.52 | 76% above | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $970.50 | $1,294.00 | $72.48–$118.52 | 60% above | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $789.75 | $1,053.00 | $121.60–$198.85 | 61% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $765.00 | $1,020.00 | $72.48–$118.52 | 21% above | 25% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $372.75 | $497.00 | $60.33–$98.66 | 57% above | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $80.25 | $107.00 | $60.33–$98.66 | 63% below | 25% |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $403.50 | $538.00 | $60.33–$98.66 | 42% above | 25% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $351.75 | $469.00 | $60.33–$98.66 | 73% above | 25% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $302.25 | $403.00 | $60.33–$98.66 | 65% above | 25% |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $187.50 | $250.00 | $60.33–$98.66 | 1% above | 25% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $507.75 | $677.00 | $60.33–$98.66 | 94% above | 25% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $374.25 | $499.00 | $60.33–$98.66 | 42% above | 25% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $171.75 | $229.00 | $60.33–$98.66 | 7% below | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $267.75 | $357.00 | $72.48–$118.52 | 22% below | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $744.00 | $992.00 | $72.48–$118.52 | 47% above | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $598.50 | $798.00 | $72.48–$118.52 | 84% above | 25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $366.00 | $488.00 | $60.33–$98.66 | 69% above | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $507.75 | $677.00 | $60.33–$98.66 | 21% above | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $81.75 | $109.00 | $72.48–$118.52 | 66% below | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $398.25 | $531.00 | $60.33–$98.66 | 39% above | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $51.00 | $68.00 | $4.21–$6.89 | 16% above | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $42.75 | $57.00 | $4.12–$6.73 | 19% above | 25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $437.25 | $583.00 | $37.87–$61.92 | 22% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $50.25 | $67.00 | $4.15–$6.79 | 36% above | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $288.00 | $384.00 | $10.30–$16.84 | 124% above | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $52.50 | $70.00 | $31.21–$51.04 | 61% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $47.25 | $63.00 | $6.73–$11.00 | 42% below | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $316.50 | $422.00 | $36.13–$59.08 | 234% above | 25% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $181.50 | $242.00 | $8.20–$13.42 | 127% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $18.75 | $25.00 | $7.43–$12.14 | 50% above | 25% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $12.75 | $17.00 | $3.12–$5.11 | 65% below | 25% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $59.25 | $79.00 | $9.63–$15.74 | 15% below | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $138.75 | $185.00 | $5.98–$9.78 | 3% above | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $205.50 | $274.00 | $92.24–$150.83 | 209% above | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $155.25 | $207.00 | $4.12–$6.73 | 12% above | 25% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $139.50 | $186.00 | $29.63–$48.45 | 57% above | 25% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $32.25 | $43.00 | $16.54–$27.05 | 63% below | 25% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $248.25 | $331.00 | $16.54–$27.05 | 76% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $192.00 | $256.00 | $40.79–$66.70 | 56% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $75.00 | $100.00 | $27.90–$45.62 | at median | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $60.75 | $81.00 | $10.65–$17.41 | 28% below | 25% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $6.00 | $8.00 | $6.18–$10.10 | 91% below | 25% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $41.25 | $55.00 | $5.14–$8.41 | 13% below | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $65.25 | $87.00 | $8.40–$13.73 | 38% below | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $102.00 | $136.00 | $8.09–$13.23 | 4% below | 25% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $292.50 | $390.00 | $17.67–$28.90 | 70% above | 25% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $239.25 | $319.00 | $22.21–$36.32 | 124% above | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $153.75 | $205.00 | $14.77–$24.15 | at median | 25% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $459.00 | $612.00 | $15.61–$25.52 | 24% above | 25% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $120.75 | $161.00 | $10.84–$17.72 | 17% below | 25% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $167.25 | $223.00 | $11.69–$19.11 | at median | 25% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $199.50 | $266.00 | $13.47–$22.02 | 10% above | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $182.25 | $243.00 | $7.17–$11.73 | 32% above | 25% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $256.50 | $342.00 | $20.25–$33.11 | 11% above | 25% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $38.25 | $51.00 | $3.78–$6.18 | 51% below | 25% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $305.25 | $407.00 | $10.23–$16.73 | 202% above | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $75.00 | $100.00 | $27.90–$45.62 | at median | 25% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $181.50 | $242.00 | $11.43–$18.69 | 6% above | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $467.25 | $623.00 | $67.65–$110.63 | 81% above | 25% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $67.50 | $90.00 | $10.90–$17.82 | at median | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $59.25 | $79.00 | $19.14–$31.30 | 44% below | 25% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $244.50 | $326.00 | $27.90–$45.62 | 116% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $34.50 | $46.00 | $7.72–$12.62 | 66% below | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $84.75 | $113.00 | $8.54–$13.96 | 4% above | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $112.50 | $150.00 | $8.21–$13.43 | 93% above | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $225.00 | $300.00 | $11.34–$18.55 | 61% above | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $143.25 | $191.00 | $34.06–$55.69 | 27% below | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $174.00 | $232.00 | $10.49–$17.15 | 81% above | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $238.50 | $318.00 | $15.38–$25.16 | 148% above | 25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $219.00 | $292.00 | $10.30–$16.83 | 139% above | 25% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $402.00 | $536.00 | $14.25–$23.30 | 40% above | 25% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $157.50 | $210.00 | $9.09–$14.86 | 141% above | 25% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $75.75 | $101.00 | $5.14–$8.41 | 62% above | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $96.75 | $129.00 | $6.95–$11.36 | 30% below | 25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $230.25 | $307.00 | $6.90–$11.28 | 85% above | 25% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $191.25 | $255.00 | $14.72–$24.08 | 125% above | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $103.50 | $138.00 | $5.48–$8.96 | 17% below | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $135.00 | $180.00 | $6.50–$10.62 | 26% above | 25% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $50.25 | $67.00 | $5.33–$8.71 | 21% below | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $75.75 | $101.00 | $4.12–$6.73 | 5% below | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $132.00 | $176.00 | $14.62–$23.91 | at median | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $171.00 | $228.00 | $14.62–$23.91 | at median | 25% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $117.00 | $156.00 | $16.11–$26.34 | 50% above | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $71.25 | $95.00 | $32.82–$53.66 | 69% below | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $40.50 | $54.00 | $4.78–$7.81 | 8% below | 25% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $967.50 | $1,290.00 | $603.44–$986.76 | at median | 25% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $187.50 | $250.00 | $16.58–$27.12 | 13% above | 25% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $189.75 | $253.00 | $15.41–$25.19 | at median | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $28.50 | $38.00 | $3.41–$5.58 | 25% below | 25% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $55.50 | $74.00 | $13.16–$21.52 | 24% below | 25% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $123.75 | $165.00 | $13.14–$21.49 | 63% above | 25% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $81.75 | $109.00 | $4.51–$7.37 | 3% above | 25% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $93.00 | $124.00 | $11.44–$18.71 | 29% above | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $54.00 | $72.00 | $2.15–$3.51 | 38% above | 25% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $99.00 | $132.00 | $7.08–$11.57 | 2% above | 25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $15.00 | $20.00 | $12.66–$20.70 | 86% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $65.25 | $87.00 | $3.39–$5.55 | 76% above | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $254.25 | $339.00 | $49.27–$80.57 | 43% above | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $239.25 | $319.00 | $20.52–$33.55 | 38% above | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $189.75 | $253.00 | $11.57–$18.92 | 82% above | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $156.75 | $209.00 | $13.36–$21.84 | at median | 25% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $234.75 | $313.00 | $27.90–$45.62 | 159% above | 25% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $63.75 | $85.00 | $3.59–$5.88 | 14% below | 25% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $41.25 | $55.00 | $2.52–$4.12 | at median | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $121.50 | $162.00 | $1.79–$2.92 | 244% above | 25% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $4.50 | $6.00 | $2.77–$4.52 | 91% below | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $63.75 | $85.00 | $11.99–$19.60 | 45% below | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $245.25 | $327.00 | $23.53–$38.48 | 2% above | 25% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $174.75 | $233.00 | $9.06–$14.81 | 65% above | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $192.75 | $257.00 | $11.96–$19.57 | 21% above | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $807.75 | $1,077.00 | $212.80–$347.97 | 3% above | 25% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $3,736.50 | $4,982.00 | $1,144.98–$1,872.30 | 37% above | 25% |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $9,280.50 | $12,374.00 | $1,566.32–$3,675.15 | 7% below | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $408.75 | $545.00 | $458.21–$749.27 | 83% below | 25% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $5,472.75 | $7,297.00 | $1,353.75–$2,213.68 | 330% above | 25% |
| Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB | $31,059.75 | $41,413.00 | $18,120.32–$29,630.70 | 86% above | 25% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $3,974.25 | $5,299.00 | $1,449.17–$2,369.72 | 157% above | 25% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $3,604.50 | $4,806.00 | $483.41–$790.48 | 45% above | 25% |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US | $2,146.50 | $2,862.00 | $829.58–$1,356.55 | 40% below | 25% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $3,963.00 | $5,284.00 | $829.58–$1,356.55 | 1% below | 25% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $3,978.00 | $5,304.00 | $829.58–$1,356.55 | at median | 25% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $3,968.25 | $5,291.00 | $644.71–$1,054.23 | at median | 25% |
| Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES | $19,055.25 | $25,407.00 | $8,003.11–$13,086.85 | 119% above | 25% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $4,725.00 | $6,300.00 | $2,443.72–$3,996.02 | 15% above | 25% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $4,725.00 | $6,300.00 | $483.41–$790.48 | 192% above | 25% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $174.00 | $232.00 | $40.90–$66.89 | 16% above | 25% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $131.25 | $175.00 | $40.90–$66.89 | 61% below | 25% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $174.75 | $233.00 | $140.16–$229.19 | 59% below | 25% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $1,654.50 | $2,206.00 | $489.36–$800.22 | 51% below | 25% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $2,976.75 | $3,969.00 | $613.17–$1,002.66 | 2% below | 25% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $2,176.50 | $2,902.00 | $644.71–$1,054.23 | at median | 25% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $1,740.00 | $2,320.00 | $644.71–$1,054.23 | 157% above | 25% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $151.50 | $202.00 | $40.53–$66.27 | 78% below | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $601.50 | $802.00 | $139.09–$227.45 | at median | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $570.00 | $760.00 | $212.80–$347.97 | 56% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $530.25 | $707.00 | $212.80–$347.97 | 41% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $546.00 | $728.00 | $212.80–$347.97 | 28% below | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $461.25 | $615.00 | $212.80–$347.97 | 24% below | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $805.50 | $1,074.00 | $281.82–$460.84 | 9% above | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,561.50 | $2,082.00 | $489.36–$800.22 | 11% below | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,699.50 | $2,266.00 | $613.17–$1,002.66 | 2% below | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $779.25 | $1,039.00 | $613.17–$1,002.66 | 77% below | 25% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR | $13,767.00 | $18,356.00 | $5,030.43–$8,225.87 | at median | 25% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $285.00 | $380.00 | $139.09–$227.45 | 45% below | 25% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $492.75 | $657.00 | $212.80–$347.97 | 37% below | 25% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $12,237.00 | $16,316.00 | $7,245.94–$11,848.71 | 7% above | 25% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $1,425.00 | $1,900.00 | $628.78–$1,028.20 | 3% below | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $811.50 | $1,082.00 | $281.82–$460.84 | 8% above | 25% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $1,789.50 | $2,386.00 | $1,353.75–$2,213.68 | 57% below | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $967.50 | $1,290.00 | $281.82–$460.84 | at median | 25% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $1,732.50 | $2,310.00 | $644.71–$1,054.23 | 17% below | 25% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $1,730.25 | $2,307.00 | $644.71–$1,054.23 | 10% above | 25% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $19,093.50 | $25,458.00 | $2,443.72–$3,996.02 | 34% above | 25% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $495.00 | $660.00 | $193.90–$317.07 | 55% below | 25% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $528.75 | $705.00 | $92.24–$150.83 | 38% above | 25% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $378.75 | $505.00 | $193.90–$317.07 | 54% below | 25% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $483.75 | $645.00 | $112.65–$184.21 | 26% above | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $465.75 | $621.00 | $139.09–$227.45 | 36% above | 25% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $666.00 | $888.00 | $281.82–$460.84 | 19% above | 25% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $378.75 | $505.00 | $139.09–$227.45 | 6% below | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $2,724.00 | $3,632.00 | $489.36–$800.22 | 33% above | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $351.00 | $468.00 | $139.09–$227.45 | 8% below | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $542.25 | $723.00 | $139.09–$227.45 | 43% above | 25% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $217.50 | $290.00 | $281.82–$460.84 | 59% below | 25% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $516.75 | $689.00 | $434.89–$711.14 | 82% below | 25% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $3,093.00 | $4,124.00 | $1,114.76–$1,822.87 | 31% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $405.75 | $541.00 | $212.80–$347.97 | 63% below | 25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $4,092.75 | $5,457.00 | $1,144.98–$1,872.30 | 50% above | 25% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $5,724.00 | $7,632.00 | $1,330.30–$2,175.33 | 26% above | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $3,942.00 | $5,256.00 | $628.78–$1,028.20 | 180% above | 25% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $1,779.75 | $2,373.00 | $628.78–$1,028.20 | 61% below | 25% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $2,598.00 | $3,464.00 | $1,330.30–$2,175.33 | 43% below | 25% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION | $1,829.25 | $2,439.00 | $628.78–$1,028.20 | 59% below | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $1,548.75 | $2,065.00 | $628.78–$1,028.20 | 38% above | 25% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $16,581.00 | $22,108.00 | $3,717.12–$6,078.31 | 111% above | 25% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $16,581.00 | $22,108.00 | $3,717.12–$6,078.31 | 19% above | 25% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $5,574.75 | $7,433.00 | $2,188.95–$3,579.42 | 29% below | 25% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $396.00 | $528.00 | $139.09–$227.45 | 85% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $673.50 | $898.00 | $281.82–$460.84 | 27% below | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $1,033.50 | $1,378.00 | $305.85–$500.14 | 34% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $174.75 | $233.00 | $151.81–$248.24 | 7% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $162.75 | $217.00 | — | — | 25% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $747.00 | $996.00 | $228.98–$374.44 | 7% above | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $4,620.00 | $6,160.00 | $559.40–$936.40 | 100% above | 25% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $513.75 | $685.00 | $149.69–$244.78 | 25% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $164.25 | $219.00 | $40.90–$66.89 | 39% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $312.00 | $416.00 | $55.94–$95.59 | 39% above | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $378.75 | $505.00 | $106.44–$174.06 | 11% above | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $672.00 | $896.00 | $189.25–$309.46 | 4% above | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $1,058.25 | $1,411.00 | $289.27–$473.02 | 21% above | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $7,152.00 | $9,536.00 | $412.85–$675.10 | 494% above | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $1,163.25 | $1,551.00 | $149.69–$244.78 | 75% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $749.25 | $999.00 | $147.46–$241.14 | 144% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $360.00 | $480.00 | $147.46–$241.14 | 19% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $180.75 | $241.00 | $49.92–$81.63 | 129% above | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $153.00 | $204.00 | $24.72–$40.43 | 74% above | 25% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $222.75 | $297.00 | $56.55–$92.47 | 3% below | 25% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $406.50 | $542.00 | $92.27–$150.88 | 95% above | 25% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $1,053.75 | $1,405.00 | $126.60–$207.01 | 290% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $79.50 | $106.00 | $32.36–$52.91 | 57% below | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $39.75 | $53.00 | $20.31–$33.22 | 8% below | 25% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $362.25 | $483.00 | $75.79–$123.93 | 142% above | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $510.75 | $681.00 | $73.90–$120.84 | 172% above | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $290.25 | $387.00 | $73.90–$120.84 | 69% above | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $270.75 | $361.00 | $73.90–$120.84 | 53% above | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $151.50 | $202.00 | $20.97–$34.29 | 55% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $135.00 | $180.00 | $21.97–$35.93 | 53% above | 25% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $52.50 | $70.00 | $25.97–$42.47 | 1% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $430.50 | $574.00 | $98.76–$161.50 | 63% above | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $462.00 | $616.00 | $45.19–$73.89 | 118% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $452.25 | $603.00 | $66.55–$108.82 | 169% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $168.00 | $224.00 | $24.51–$40.08 | 32% above | 25% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $381.00 | $508.00 | $171.68–$280.74 | 56% above | 25% |
| Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV | $261.75 | $349.00 | $57.81–$94.54 | 53% above | 25% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $125.25 | $167.00 | $149.69–$244.78 | 70% below | 25% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $522.00 | $696.00 | $258.69–$423.02 | 27% below | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $150.00 | $200.00 | $26.21–$42.86 | 91% above | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $486.75 | $649.00 | $92.24–$150.83 | 221% above | 25% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRESS TEST | $1,634.25 | $2,179.00 | — | 49% above | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPA VACCINE ADULT IM | $276.50 | $368.67 | — | — | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $236.25 | $315.00 | — | — | 25% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACWYD/MENACWYCRM VACC IM | $519.25 | $692.33 | — | — | 25% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20 | $1,346.62 | $1,795.49 | — | — | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23 | $397.76 | $530.34 | — | — | 25% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RSV MONOC ANTB SEASN .5ML IM | $2,127.41 | $2,836.54 | — | — | 25% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM | $1,955.75 | $2,607.66 | — | — | 25% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV VACC RECOMBINANT IM | $581.30 | $775.07 | — | — | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $31.05 | $41.40 | — | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 YRS/> IM | $48.88 | $65.17 | — | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $61.50 | $82.00 | $49.92–$81.63 | 1% below | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $56.25 | $75.00 | — | 50% above | 25% |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/e7adf0ceb5e527a31ac6a1163ed219fc/charges/mrf