Hospital

Doctors' Memorial Hospital

Doctors' Memorial Hospital in Perry, FL publishes cash prices for 295 common procedures listed here, from its own machine-readable price file updated May 14, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 280 of 294 procedures and above it for 14. By typical cash price it ranks #2 of 175 Florida hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

333 N Byron Butler Pkwy,Perry, FL 32347 Collected Sep 29, 2026 Source price file (850) 584-0800

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 101314 · CMS hospital register NPI 1427092006

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Doctors' Memorial Hospital in Perry, FL:

Feb 10, 2026 Warning notice
May 13, 2026 Corrective action plan requested
Jun 30, 2026 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI	$108.00	$270.00	$85.10–$229.50	82% below	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM	$100.00	$250.00	$67.40–$212.50	88% below	60%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BDY	$288.00	$720.00	$182.30–$612.00	89% below	60%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT COMPLETE	$151.20	$378.00	$84.29–$321.30	70% below	60%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT COMPLETE	$151.20	$378.00	$84.29–$321.30	70% below	60%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILATERAL	$151.20	$378.00	$64.39–$321.30	—	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LT LIMITED	$151.20	$378.00	$64.39–$321.30	60% below	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RT LIMITED	$151.20	$378.00	$64.39–$321.30	60% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST W/WO CONTRAST	$410.00	$1,025.00	$252.69–$871.25	91% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT PE STUDY	$410.40	$1,026.00	$252.69–$872.10	91% below	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CCTA W/3D	$250.80	$627.00	$200.64–$873.66	87% below	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORE	$100.00	$250.00	$80.00–$681.62	81% below	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO CONTRAST	$472.00	$1,180.00	$130.60–$1,050.30	91% below	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT CHEST/ABD/PELVIS W/O CONTRAST PANEL	$472.00	$1,180.00	$130.60–$1,050.30	91% below	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT STONE PROTOCOL	$472.00	$1,180.00	$130.60–$1,050.30	91% below	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT UROGRAM	$472.00	$1,180.00	$130.60–$1,050.30	91% below	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONTRAST	$400.00	$1,000.00	$287.19–$1,240.21	93% below	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT APPENDIX	$676.00	$1,690.00	$287.19–$1,436.50	89% below	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W CONTRAST	$688.00	$1,720.00	$287.19–$1,462.00	88% below	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT CHEST/ABD/PELVIS W/CONTRAST PANEL	$688.00	$1,720.00	$287.19–$1,462.00	88% below	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT HEMATURIAGRAM	$676.00	$1,690.00	$323.75–$1,536.58	90% below	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO CONTRAST	$676.00	$1,690.00	$323.75–$1,536.58	90% below	60%
CT scan of the abdomen with contrast CPT 74160 CT LIVER W/CONTRAST	$350.00	$875.00	$228.49–$811.96	90% below	60%
CT scan of the abdomen with contrast CPT 74160 CT KIDNEY W CONTRAST	$350.00	$875.00	$228.49–$811.96	90% below	60%
CT scan of the abdomen with contrast CPT 74160 CT ABD W/CONTRAST	$350.00	$875.00	$228.49–$811.96	90% below	60%
CT scan of the abdomen without contrast CPT 74150 CT KIDNEY WO CONTRAST	$223.20	$558.00	$104.19–$755.67	93% below	60%
CT scan of the abdomen without contrast CPT 74150 CT ABD WO CONTRAST	$223.20	$558.00	$104.19–$755.67	93% below	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLO FACIAL WO CONTRAST	$189.20	$473.00	$112.31–$770.64	93% below	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO CONTRAST	$228.00	$570.00	$112.31–$770.64	92% below	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL WO CONTRAST	$228.00	$570.00	$112.31–$770.64	92% below	60%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$223.20	$558.00	$84.70–$723.06	93% below	60%
CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST	$350.00	$875.00	$122.48–$761.69	91% below	60%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST	$390.00	$975.00	$146.84–$828.75	91% below	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SP WO CONTRAST	$236.40	$591.00	$105.81–$756.37	93% below	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SACRUM WO CONTRAST	$236.40	$591.00	$105.81–$756.37	93% below	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C SP WO CONTRAST	$223.20	$558.00	$106.63–$756.88	93% below	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 *CT C SP WO CONTRAST (NO LONGER USED)	$236.80	$592.00	$106.63–$756.88	93% below	60%
CT scan of the pelvis, with contrast dye CPT 72193 CT APPENDIX	$350.00	$875.00	$227.70–$784.46	92% below	60%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$350.00	$875.00	$227.70–$784.46	92% below	60%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DOPPLER	$200.40	$501.00	$160.32–$425.85	91% below	60%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DUPLEX COMPLETE	$260.00	$650.00	$188.09–$552.50	88% below	60%
Chest X-ray, 2 views CPT 71046 CHEST 2V	$85.20	$213.00	$28.24–$181.05	83% below	60%
Chest X-ray, single view CPT 71045 CHEST 1V	$53.20	$133.00	$20.93–$113.05	87% below	60%
Chest X-ray, single view CPT 71045 CHEST AP PORTABLE	$53.20	$133.00	$20.93–$113.05	87% below	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENALS TO INCLUDE BLADDER	$180.00	$450.00	$90.79–$382.50	86% below	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY DXA AXIAL	$139.20	$348.00	$33.51–$295.80	77% below	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY DXA LIMITED	$66.00	$165.00	$22.33–$149.63	76% below	60%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FETUS 14 WKS+DETAILED	$177.60	$444.00	$102.40–$377.40	81% below	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$236.80	$592.00	$105.41–$755.60	92% below	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/CONTRAST	$276.00	$690.00	$144.00–$795.32	93% below	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST	$362.00	$905.00	$144.00–$795.32	91% below	60%
Diagnostic mammogram, both breasts both sides CPT 77066 MM DIAG BILATERAL W/3D	$172.40	$431.00	$135.88–$366.35	—	60%
Diagnostic mammogram, both breasts both sides CPT 77066 MM DIAG BILATERAL	$172.40	$431.00	$135.88–$366.35	—	60%
Diagnostic mammogram, both breasts CPT 77066 MM F/U (BIL DIAG)	$172.40	$431.00	$135.88–$366.35	45% below	60%
Diagnostic mammogram, one breast one side CPT 77065 MM DIAG LEFT W/3D	$143.60	$359.00	$106.63–$305.15	64% below	60%
Diagnostic mammogram, one breast one side CPT 77065 MM DIAG RIGHT W/3D	$143.60	$359.00	$106.63–$305.15	64% below	60%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUP LOW EXT ARTERIAL -BIL	$338.00	$845.00	$251.48–$718.25	83% below	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VEINS-EXT UP BIL	$264.00	$660.00	$190.11–$561.00	86% below	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VEINS-LOW EXT BIL	$264.00	$660.00	$190.11–$561.00	86% below	60%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VEINS MAPPING BILATERIAL	$294.80	$737.00	$190.11–$626.45	84% below	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO BUBBLE STUDY	$535.60	$1,339.00	$158.43–$1,138.15	84% below	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMPLETE	$535.60	$1,339.00	$158.43–$1,138.15	84% below	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HIDA SCAN	$340.80	$852.00	$272.64–$724.20	83% below	60%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED BY TECH	$200.40	$501.00	$57.29–$425.85	69% below	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 ***POLYSMONOGRAPHY W/CAP TITRATE	$1,168.80	$2,922.00	$469.38–$2,483.70	78% below	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 **POLYSMONOGRAPHY W/CAP TITRATE	$1,168.80	$2,922.00	$469.38–$2,483.70	78% below	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSMONOGRAPHY W/CAP TITRATE	$1,168.80	$2,922.00	$469.38–$2,483.70	78% below	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSMONO 6YO W/4 PARAMS CPAP	$1,168.80	$2,922.00	$469.38–$2,483.70	78% below	60%
Knee X-ray, 3 views one side CPT 73562 KNEE LEFT 3V	$52.80	$132.00	$28.66–$112.20	90% below	60%
Knee X-ray, 3 views one side CPT 73562 KNEE RIGHT 3 V	$52.80	$132.00	$28.66–$112.20	90% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD	$180.00	$450.00	$73.33–$382.50	84% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$180.00	$450.00	$73.33–$382.50	84% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALL BLADDER	$180.00	$450.00	$73.33–$382.50	84% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$180.00	$450.00	$73.33–$382.50	84% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LDCT	$211.20	$528.00	$111.10–$600.00	71% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE LT W/O CONTRAST	$463.20	$1,158.00	$179.15–$1,015.54	83% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE LT W/O CONTRAST	$463.20	$1,158.00	$179.15–$1,015.54	83% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP RT W/O CONTRAST	$463.20	$1,158.00	$179.15–$1,015.54	83% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP LT W/O CONTRAST	$463.20	$1,158.00	$179.15–$1,015.54	83% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE RT W/O CONTRAST	$463.20	$1,158.00	$179.15–$1,015.54	83% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE RT W/O CONTRAST	$463.20	$1,158.00	$179.15–$1,015.54	83% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT LW EXT RT W/O C	$463.20	$1,158.00	$179.15–$1,015.54	83% below	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT LW EXT LT W/O C	$463.20	$1,158.00	$179.15–$1,015.54	83% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LW EXT RT W/WO/C	$896.00	$2,240.00	$377.80–$2,031.08	77% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP LT W & W/O CONTRAST	$896.00	$2,240.00	$377.80–$2,031.08	77% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE RT W/WO CONTRAST	$896.00	$2,240.00	$377.80–$2,031.08	77% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP RT W & W/O CONTRAST	$896.00	$2,240.00	$377.80–$2,031.08	77% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE LT W & W/O CONTRAST	$896.00	$2,240.00	$377.80–$2,031.08	77% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LW EXT LT W/WO/C	$896.00	$2,240.00	$377.80–$2,031.08	77% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE LT W/WO CONTRAST	$896.00	$2,240.00	$377.80–$2,031.08	77% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE RT W & W/O CONTRAST	$896.00	$2,240.00	$377.80–$2,031.08	77% below	60%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$448.00	$1,120.00	$166.34–$1,015.54	87% below	60%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN	$448.00	$1,120.00	$166.34–$1,015.54	87% below	60%
MRI of the abdomen without contrast CPT 74181 MRI LIVER W/O CONTRAST	$448.00	$1,120.00	$166.34–$1,015.54	87% below	60%
MRI of the abdomen without contrast CPT 74181 MRI ADRENALS W/O CONTRAST	$448.00	$1,120.00	$166.34–$1,015.54	87% below	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI LIVER W & W/O CONTRAST	$896.00	$2,240.00	$310.38–$2,031.08	78% below	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI MRCP	$896.00	$2,240.00	$310.38–$2,031.08	78% below	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI PANCREAS W & W/O CONTRAST	$896.00	$2,240.00	$310.38–$2,031.08	78% below	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & W/O CONTRAST	$896.00	$2,240.00	$310.38–$2,031.08	78% below	60%
MRI of the brain, no contrast dye CPT 70551 MRI CSF FLOW STDY OF THE BRAIN	$448.00	$1,120.00	$164.53–$1,015.54	87% below	60%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST	$480.00	$1,200.00	$164.53–$1,020.00	86% below	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$995.20	$2,488.00	$276.65–$2,255.72	80% below	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC W/ WO CONTRASTS	$995.20	$2,488.00	$276.65–$2,255.72	80% below	60%
MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY W & W/O CONTRAST	$995.20	$2,488.00	$276.65–$2,255.72	80% below	60%
MRI of the lower back, no contrast dye CPT 72148 MRI L SP WO CONTRAST	$497.20	$1,243.00	$158.84–$1,127.22	87% below	60%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SP W/WO CONTRAST	$995.20	$2,488.00	$277.45–$2,255.72	80% below	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SP WO CONT	$497.20	$1,243.00	$158.43–$1,127.22	87% below	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SP W/WO CONTRAST	$995.20	$2,488.00	$278.66–$2,255.72	79% below	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SP WO CONTRAST	$448.00	$1,120.00	$158.43–$1,015.54	88% below	60%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS(MSK/NEURO)W & W/O CONTRAST	$896.00	$2,240.00	$309.15–$2,031.08	76% below	60%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONT	$896.00	$2,240.00	$309.15–$2,031.08	76% below	60%
MRI of the pelvis, no contrast dye CPT 72195 MRI COCCYX W/O CONTRACT	$478.00	$1,195.00	$211.24–$1,015.75	85% below	60%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT	$478.00	$1,195.00	$211.24–$1,015.75	85% below	60%
MRI of the pelvis, no contrast dye CPT 72195 MRI SACROILIAC JOINTS	$478.00	$1,195.00	$211.24–$1,015.75	85% below	60%
MRI of the pelvis, no contrast dye CPT 72195 MRI SACRUM W/O CONTRAST	$478.00	$1,195.00	$211.24–$1,015.75	85% below	60%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS(MSK/NEURO) W/O CONTRAST	$478.00	$1,195.00	$211.24–$1,015.75	85% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER RT W/O CONTRAST	$448.00	$1,120.00	$179.55–$1,015.54	82% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST LT W/O CONTRAST	$448.00	$1,120.00	$179.55–$1,015.54	82% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER LT W/O CONTRAST	$448.00	$1,120.00	$179.55–$1,015.54	82% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW LT W/O CONTRAST	$448.00	$1,120.00	$179.55–$1,015.54	82% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UP EXT LT W/O CONT	$448.00	$1,120.00	$179.55–$1,015.54	82% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UP EXT RT W/O CONT	$448.00	$1,120.00	$179.55–$1,015.54	82% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST RT W/O CONTRAST	$448.00	$1,120.00	$179.55–$1,015.54	82% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW RT W/O CONTRAST	$448.00	$1,120.00	$179.55–$1,015.54	82% below	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC REST&STRESS	$1,274.40	$3,186.00	$362.75–$2,708.10	78% below	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US URINARY BLADDER	$96.00	$240.00	$29.86–$204.00	89% below	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB	$180.00	$450.00	$89.98–$382.50	86% below	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC W/ TRANSVAGL NON OB	$180.00	$450.00	$89.98–$382.50	86% below	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PELVIC OB 14WK PLUS	$180.00	$450.00	$107.85–$382.50	78% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PELVIC OB-1ST TRIM	$180.00	$450.00	$86.73–$382.50	76% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB PLACENTA LOCATION	$56.80	$142.00	$45.44–$129.06	91% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB FETAL LIMITED	$180.00	$450.00	$61.95–$382.50	72% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB PLACENTA LOCAL LMT	$180.00	$450.00	$61.95–$382.50	72% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB FETAL VIABIALITY	$180.00	$450.00	$61.95–$382.50	72% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB AMNIONIC FLUID INDEX	$180.00	$450.00	$61.95–$382.50	72% below	60%
Screening mammogram, both breasts both sides CPT 77067 MM SCREENING BILAT W/3D	$172.40	$431.00	$112.31–$366.35	—	60%
Screening mammogram, both breasts CPT 77067 MM SCREENING BILA DIGITAL	$172.40	$431.00	$112.31–$366.35	58% below	60%
Screening mammogram, both breasts one side CPT 77067 MM SCREENING LEFT W/3D	$172.40	$431.00	$112.31–$366.35	58% below	60%
Screening mammogram, both breasts one side CPT 77067 MM SCREENING RIGHT W/3D	$172.40	$431.00	$112.31–$366.35	58% below	60%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY LTD 6+ Y/O ATTENDED	$720.00	$1,800.00	$447.25–$1,530.00	87% below	60%
Sleep study in a lab (polysomnography) CPT 95810 **POLYSMONOGRAPHY W/EEG	$1,084.00	$2,710.00	$447.25–$2,303.50	81% below	60%
Sleep study in a lab (polysomnography) CPT 95810 POLYSMONO 6YO 4 OR > PARAMS	$1,084.00	$2,710.00	$447.25–$2,303.50	81% below	60%
Sleep study in a lab (polysomnography) CPT 95810 POLYSMONOGRAPHY W/EEG LMTD	$1,084.00	$2,710.00	$447.25–$2,303.50	81% below	60%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY LTD 6+ YR W/CPAP ATNDED	$1,168.80	$2,922.00	$447.25–$2,483.70	79% below	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOWING STUDY	$100.00	$250.00	$68.03–$212.50	89% below	60%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB	$180.00	$450.00	$93.82–$382.50	81% below	60%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRASNSVAGINAL	$180.00	$450.00	$70.08–$382.50	80% below	60%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE	$180.00	$450.00	$97.29–$382.50	88% below	60%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$180.00	$450.00	$86.73–$382.50	81% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$180.00	$450.00	$90.29–$382.50	84% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE MASS HEAD AND NECK	$180.00	$450.00	$90.29–$382.50	84% below	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/SMALL BOWEL	$166.00	$415.00	$85.02–$352.75	85% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER UNILAT	$118.40	$296.00	$94.72–$268.14	83% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX VEINS-UP LT EXT UNIL	$156.00	$390.00	$120.65–$331.50	77% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX VEINS-LOW LT EXT UNIL	$156.00	$390.00	$120.65–$331.50	77% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX VEINS-LOW RT EXT UNIL	$156.00	$390.00	$120.65–$331.50	77% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX VEINS-UP RT EXT UNIL	$156.00	$390.00	$120.65–$331.50	77% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEINS MAPPING UNI LT	$186.80	$467.00	$120.65–$396.95	72% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEINS MAPPING UNI RT	$186.80	$467.00	$120.65–$396.95	72% below	60%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1V (KUB)	$70.00	$175.00	$26.20–$148.75	86% below	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LEFT COMPLETE 3V	$88.00	$220.00	$23.78–$187.00	83% below	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RIGHT LIMITED 2V	$66.80	$167.00	$23.78–$141.95	86% below	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LEFT LIMITED 2 V	$66.80	$167.00	$23.78–$141.95	86% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L SPINE 2V - 3V	$52.80	$132.00	$31.53–$112.20	92% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L SPINE 2-3V	$115.20	$288.00	$31.53–$244.80	83% below	60%
X-ray of the lower back, 4 or more views CPT 72110 L SPINE 4- 5V	$128.00	$320.00	$41.89–$272.00	89% below	60%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$52.80	$132.00	$24.79–$112.20	92% below	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C SPINE LIMIT 3V	$52.80	$132.00	$30.25–$112.20	92% below	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C OR L SPINE 2V	$88.00	$220.00	$30.25–$187.00	87% below	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP 1 OR 2 V	$52.80	$132.00	$20.73–$112.20	91% below	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 IUD LOCALIZATION	$88.00	$220.00	$20.73–$187.00	85% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX	$52.80	$132.00	$21.48–$112.20	92% below	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$12.00	$30.00	$4.91–$25.50	69% below	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$10.00	$25.00	$6.47–$21.25	82% below	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEP A,B,C DIAG PANEL	$84.80	$212.00	$59.53–$180.20	48% below	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ZO NOT USE	$89.20	$223.00	$59.53–$189.55	46% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SPEC IGE (GRAPEFRUIT)	$4.00	$10.00	$3.20–$20.16	49% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SPEC IGE (LIME)	$4.00	$10.00	$3.20–$20.16	49% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY INSECT VENOM 4	$4.40	$11.00	$3.52–$20.16	44% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY INSECT VENOM 5	$4.40	$11.00	$3.52–$20.16	44% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY INSECT VENOM 1	$4.40	$11.00	$3.52–$20.16	44% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY INSECT VENOM 2	$4.40	$11.00	$3.52–$20.16	44% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY INSECT VENOM 3	$4.40	$11.00	$3.52–$20.16	44% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 INSECT PANEL-WHITE-FACED HORNET IGE	$9.20	$23.00	$4.83–$20.16	18% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 INSECT PANEL-PAPER WASP IGE	$9.20	$23.00	$4.83–$20.16	18% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 INSECT PANEL-YELLOW HORNET IGE	$9.20	$23.00	$4.83–$20.16	18% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 INSECT PANEL-YELLOW JACKEY IGE	$9.20	$23.00	$4.83–$20.16	18% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST FIRE ANT # 27398	$9.20	$23.00	$4.83–$20.16	18% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 INSECT PANEL-HONEY BEE IGE	$9.20	$23.00	$4.83–$20.16	18% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST EGG WHITES IgE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST RICE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST JOHNSON GRASS	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST COTTON WOOD	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ENGLISH PLANTAIN	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST SYCAMORE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALTERNARIS TENUIS	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ASPERGILLUS FUMIGATUS	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST CLADOSPORIUM HERBARUM	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST PENICILLIUM NOTATUM	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST COCKROACH	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST DOG EPITHELIUMUS(MITES)	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST DERM FARINAE(MITES)	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST D.PTERONTSSINUS(MITES)	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S QUARTERS(GOOSE FOOT)(W10)IGE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN PROFILE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RASH PROFILE B	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RASH PROFILE A	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT (sweet)	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RASH CLAM	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST GENERAL SCREEN	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST FOOD SCREEN	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST GRASSES II	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST CODFISH	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ***RAST	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST LETTUCE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST PECAN	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST MALT	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST POTATO	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST TOMATO	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST OATS	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST BARLEY	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST RYE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST SOYBEAN	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RASH WALNUT	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST CAT DANDER	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST PEANUTS	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN ANTIBODY (IGE)	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST SCALLOPS	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST CHEESE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST PORK Ige (F26)	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST CHICKEN MEAT Ige (F83)	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST BEEF Ige (F27)	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST APPLE IGE (F49)	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ORANGE (F33)	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST LEMON (F208)	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST AMOXICILLIN	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST PENICILLIN V	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST PENICILLOYL G(C1) IGE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST CEPHALOSPORIUM ACREMODIUM IGE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST STRAWBERRY IGE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST LATEX (IGE RAST ALLERGY)	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST MILK IgEE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST COCOA(CHOCOLATE) IgE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST BAKERS YEAST IgE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST WHEAT, IgE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST CORN IgE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST SHRIMP IGE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST CRAB IGE	$10.00	$25.00	$4.83–$21.25	28% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 PYRETHRUM	$13.20	$33.00	$4.83–$28.05	69% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST MOLDS	$13.60	$34.00	$4.83–$28.90	74% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ANIMAL(DOGS,CATS,HORSES)	$13.60	$34.00	$4.83–$28.90	74% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST HOUSE DUST & MITES	$13.60	$34.00	$4.83–$28.90	74% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST WEEDS	$13.60	$34.00	$4.83–$28.90	74% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST GRASSES I	$13.60	$34.00	$4.83–$28.90	74% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST TREES	$13.60	$34.00	$4.83–$28.90	74% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALLERGY TOTAL	$30.00	$75.00	$4.83–$63.75	285% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST CHILD'S FOOD ALLERGY	$140.40	$351.00	$4.83–$298.35	1700% above	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ..CCP IGG(CYCLIC CITRULLINATED PEPTIDE)	$23.20	$58.00	$16.18–$49.30	15% below	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IgG AB(CYCLIC CITRULLINATED PEPTIDE)	$57.60	$144.00	$16.18–$122.40	111% above	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA/ANTINUCLEAR ANTIBODIES	$22.00	$55.00	$11.19–$46.75	20% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE ANTIBODY SCREEN	$22.00	$55.00	$11.19–$46.75	20% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 .ANA IFA W/REFLEX TO TIER/PATT/CASCADE	$27.60	$69.00	$11.19–$58.65	at median	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP	$40.00	$100.00	$31.43–$85.00	78% below	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP N-TERMINAL	$51.60	$129.00	$31.43–$109.65	72% below	60%
Basic metabolic panel (blood test) CPT 80048 BMP W/GFR	$28.00	$70.00	$7.83–$59.50	92% below	60%
Basic metabolic panel (blood test) CPT 80048 BMP (BASIC METABOLIC PANEL)	$28.00	$70.00	$7.83–$59.50	92% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY LEVEL 4	$81.60	$204.00	$40.83–$242.08	30% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW BIOPSY	$125.20	$313.00	$40.83–$266.05	8% above	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE GROSS AND MICRO	$125.20	$313.00	$40.83–$266.05	8% above	60%
Blood culture for bacteria CPT 87040 CULTURE BLOOD #2	$19.20	$48.00	$12.90–$40.80	94% below	60%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$28.40	$71.00	$12.90–$60.35	91% below	60%
Blood culture for bacteria CPT 87040 CULTURE BLOOD PEDS	$28.40	$71.00	$12.90–$60.35	91% below	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LD VENIPUNCTURE	$2.00	$5.00	$1.60–$8.16	90% below	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOTOMY QUEST ADD'L DRAW	$6.00	$15.00	$3.75–$12.75	69% below	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOTOMY QUEST	$7.60	$19.00	$3.75–$16.15	61% below	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOTOMY	$7.60	$19.00	$3.75–$16.15	61% below	60%
Blood glucose (sugar) test CPT 82947 CSF GLUCOSE	$8.80	$22.00	$4.91–$18.70	81% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE (RANDOM)	$8.80	$22.00	$4.91–$18.70	81% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE (FASTING)	$12.00	$30.00	$4.91–$25.50	74% below	60%
Blood lead test CPT 83655 LEAD (MEDICAL)	$22.00	$55.00	$15.13–$46.75	63% above	60%
Blood lead test CPT 83655 LEAD(INDUSTRIAL)	$34.00	$85.00	$15.13–$72.25	152% above	60%
Blood lead test CPT 83655 HEAVY METALS (BLOOD)	$34.00	$85.00	$15.13–$72.25	152% above	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG SERUM (QUALITATIVE)	$18.80	$47.00	$9.40–$39.95	85% below	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLOOD TYPE(ABO)	$8.00	$20.00	$2.77–$17.00	85% below	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLOOD TYPE /ABO (REFERENCE)	$19.84	$49.60	$2.77–$42.16	63% below	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (C-REACTIVE PROTEIN)	$31.20	$78.00	$4.79–$66.30	60% below	60%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICULE TOX B QUALITAVE BY PCR	$49.20	$123.00	$39.36–$104.55	59% below	60%
C. difficile toxin gene test (stool PCR) CPT 87493 **CLOSTRIDIUM DIFFICILE, TOXIN GENE AMP	$49.20	$123.00	$39.36–$104.55	59% below	60%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9	$37.20	$93.00	$26.01–$79.05	33% below	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 CANCER ANTIGEN	$37.20	$93.00	$26.01–$79.05	60% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.THRACHOMATIS,PCR	$16.80	$42.00	$13.44–$43.86	72% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA-GC,RNA,TMA,THROAT	$47.20	$118.00	$32.50–$100.30	21% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA,RNA TMA	$48.80	$122.00	$32.50–$103.70	18% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ****CHLAMDIA DNA,PCR	$53.60	$134.00	$32.50–$113.90	10% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM-GONORRHEA(URINE,URETHRAL,ENDOCERVI	$62.80	$157.00	$32.50–$133.45	6% above	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$42.00	$105.00	$9.83–$89.25	59% below	60%
Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF	$25.20	$63.00	$7.19–$53.55	65% below	60%
Complete blood count (CBC), no differential CPT 85027 CBC (HEMOGRAM)	$17.20	$43.00	$5.99–$36.55	83% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 CMP (COMPREHENSIVE METABOLIC PANEL)	$48.00	$120.00	$9.78–$102.00	90% below	60%
Comprehensive metabolic panel (blood test) CPT 80053 CMP W/GFR	$48.00	$120.00	$9.78–$102.00	90% below	60%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER ASSAY	$48.80	$122.00	$12.72–$103.70	77% below	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S(DEHYDEOEPLANDROSTERONE SULFATE)	$40.00	$100.00	$27.78–$85.84	11% below	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$45.60	$114.00	$27.78–$96.90	1% above	60%
Estradiol blood test CPT 82670 ESTRADIOL	$50.40	$126.00	$25.87–$107.88	46% above	60%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$33.60	$84.00	$23.22–$71.75	47% below	60%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (24HR URINE)	$33.60	$84.00	$23.22–$71.75	47% below	60%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL	$32.00	$80.00	$24.53–$68.00	73% below	60%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$36.40	$91.00	$12.62–$77.35	73% below	60%
Folate (folic acid) blood test CPT 82746 FOLIC ACID (FOLATE) REF LAB	$40.00	$100.00	$13.61–$85.00	71% below	60%
Folate (folic acid) blood test CPT 82746 FOLIC ACID (FOLATE)	$40.00	$100.00	$13.61–$85.00	71% below	60%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$28.40	$71.00	$21.17–$60.35	59% below	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE,DIRECT DIALYISIS	$27.20	$68.00	$8.35–$57.80	70% below	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .REFLEX FREE T4	$27.20	$68.00	$8.35–$57.80	70% below	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE INDEX(FTI)	$27.20	$68.00	$8.35–$57.80	70% below	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$39.31	$98.28	$8.35–$83.54	56% below	60%
Free testosterone test CPT 84402 TESTOSTERONE-FREE	$45.60	$114.00	$31.83–$98.30	47% above	60%
Free testosterone test CPT 84402 TESTOSTERONE-FREE AND TOTAL	$45.60	$114.00	$31.83–$98.30	47% above	60%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$108.80	$272.00	$24.68–$231.20	27% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE (1HR) GESTATIONAL	$8.80	$22.00	$5.93–$18.70	85% below	60%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL-3 SPECIMENS	$26.00	$65.00	$16.08–$55.25	79% below	60%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TT(3HR)	$30.40	$76.00	$16.08–$64.60	75% below	60%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TT(5HR)	$30.40	$76.00	$16.08–$64.60	75% below	60%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TT(PP2HR)	$30.40	$76.00	$16.08–$64.60	75% below	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE,PCR	$16.80	$42.00	$13.44–$43.86	60% below	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA RNA,TMA	$48.40	$121.00	$32.50–$102.85	15% above	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$48.80	$122.00	$32.50–$103.70	16% above	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 **CHLAM-GON(URINE,URETHRAL,ENDOCERVICAL)	$62.80	$157.00	$32.50–$133.45	50% above	60%
H. pylori antibody blood test CPT 86677 H-PYLORI IgG AB (REFERENCE)	$26.40	$66.00	$21.06–$56.10	50% below	60%
H. pylori antibody blood test CPT 86677 H-PYLORI IGA	$26.40	$66.00	$21.06–$56.10	50% below	60%
H. pylori antibody blood test CPT 86677 H-PYLORI IgG AB	$26.40	$66.00	$21.06–$56.10	50% below	60%
H. pylori antibody blood test CPT 86677 H-PYLORI IgM AB	$26.40	$66.00	$21.06–$56.10	50% below	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-I RNA QUANTITTATIVE PCR EXPANDED RNG	$125.60	$314.00	$100.48–$266.90	16% above	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANTITATIVE 3RD GENERATION	$125.60	$314.00	$100.48–$266.90	16% above	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA, QUANTITATIVE PCR, 2ND GENERATIO	$125.60	$314.00	$100.48–$266.90	16% above	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR (VIRAL LOAD)QUANT	$125.60	$314.00	$100.48–$266.90	16% above	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 VIRAL LOAD (HIV-1/QUANTIFICATION)	$125.60	$314.00	$100.48–$266.90	16% above	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA (ADULT)	$125.60	$314.00	$100.48–$266.90	16% above	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA (PEDIATRIC)	$125.60	$314.00	$100.48–$266.90	16% above	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA ULTRA SENSITIVE QNT PCR	$168.40	$421.00	$106.37–$357.85	56% above	60%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-I/II Ab W/REFLEX TO WESTERN BLOT	$23.20	$58.00	$12.69–$51.73	54% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1&2 AG/AB (4TH GEN)	$25.20	$63.00	$20.16–$53.55	68% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN(REFERENCE)	$21.60	$54.00	$8.99–$45.90	69% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C	$26.40	$66.00	$8.99–$56.10	62% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB QUANT	$14.80	$37.00	$11.84–$40.36	71% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB (HEP B SURF AB)	$20.00	$50.00	$13.42–$42.50	61% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB(VACCINE SCREEN)	$20.00	$50.00	$13.42–$42.50	61% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 ZO NOT USE 072402	$21.60	$54.00	$13.42–$45.90	58% below	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 .HEP B SURF AG	$16.80	$42.00	$12.91–$38.81	59% below	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG (HEP B SURF AG)	$19.20	$48.00	$12.91–$40.80	53% below	60%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY SCREEN	$26.00	$65.00	$17.83–$55.25	44% below	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA PCR(VIRAL LOAD) QUANT W/REFLEX	$76.80	$192.00	$53.55–$163.20	34% below	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 ***HEP C VI RNA QUANTITATIVE PCR W/ REFL	$76.80	$192.00	$53.55–$163.20	34% below	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QUANT DNA	$76.80	$192.00	$53.55–$163.20	34% below	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C HEPTIMAX RNA QUANT	$76.80	$192.00	$53.55–$163.20	34% below	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 ***HEP C QUANTIFICATION	$140.40	$351.00	$53.55–$298.35	21% above	60%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1/2 IgM W/REFLEX	$23.20	$58.00	$16.48–$50.92	1% below	60%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1 IgG HERPES SELECT	$24.00	$60.00	$16.48–$51.00	3% above	60%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES 2 IgG HERPES SELECT	$34.80	$87.00	$24.18–$73.95	2% above	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIO(HIGH SENSITIVITY)	$23.20	$58.00	$16.18–$49.30	50% below	60%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$30.40	$76.00	$22.40–$64.60	44% below	60%
Homocysteine blood test CPT 83090 HOMOCYSTEINE CARDIAC	$40.00	$100.00	$22.40–$85.00	27% below	60%
Insulin blood test CPT 83525 INSULIN	$20.80	$52.00	$14.28–$44.20	18% below	60%
Insulin blood test CPT 83525 .INSULIN-TOTAL (FREE & BOUND)	$20.80	$52.00	$14.28–$44.20	18% below	60%
Iron blood test (serum iron) CPT 83540 FE (IRON) GENERIC	$7.20	$18.00	$5.76–$25.02	87% below	60%
Iron blood test (serum iron) CPT 83540 Z IRON-DO NOT USE	$11.60	$29.00	$5.99–$25.02	79% below	60%
Iron blood test (serum iron) CPT 83540 IRON, URINE 24HR	$20.80	$52.00	$5.99–$44.20	62% below	60%
Iron blood test (serum iron) CPT 83540 IRON	$20.80	$52.00	$5.99–$44.20	62% below	60%
Iron-binding capacity (TIBC) test CPT 83550 IRON BIND CAP (TIBC)W/IRON	$16.71	$41.77	$8.09–$35.50	81% below	60%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$28.00	$70.00	$10.85–$59.50	93% below	60%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE(LH)	$33.60	$84.00	$23.15–$71.51	47% below	60%
Lipase blood test (pancreas enzyme) CPT 83690 BF LIPASE (BODY FLUIDS)	$28.00	$70.00	$8.61–$59.50	58% below	60%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (BLOOD)	$28.00	$70.00	$8.61–$59.50	58% below	60%
Liver function blood test panel CPT 80076 HEPATIC (LIVER) FUNCTION PANEL	$28.00	$70.00	$7.57–$59.50	89% below	60%
Lyme disease antibody test CPT 86618 LYME ANTIBODY SCREEN CSF	$48.80	$122.00	$21.28–$103.70	68% above	60%
Magnesium blood test CPT 83735 MAGNESIUM(IN-HOUSE)	$17.20	$43.00	$6.20–$36.55	24% above	60%
Magnesium blood test CPT 83735 MAGNESIUM RBC(SEND-OUT)	$20.80	$52.00	$6.20–$44.20	50% above	60%
Magnesium blood test CPT 83735 MAGNESIUM 24 HOUR URINE	$20.80	$52.00	$6.20–$44.20	50% above	60%
Measles (rubeola) antibody test CPT 86765 MEASLES IGG IMMUNE STATUS	$21.20	$53.00	$16.10–$49.75	25% below	60%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (IGG IGM)	$23.20	$58.00	$16.10–$49.75	18% below	60%
Measles (rubeola) antibody test CPT 86765 MEASLES AB IGM	$28.00	$70.00	$16.10–$59.50	1% below	60%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES	$9.60	$24.00	$6.47–$20.40	94% below	60%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN (REFERENCE)	$14.40	$36.00	$6.47–$30.60	92% below	60%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN (IN-HOUSE)	$14.40	$36.00	$6.47–$30.60	92% below	60%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$60.80	$152.00	$48.64–$129.20	58% below	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE & TOTAL	$33.20	$83.00	$22.98–$70.55	1% below	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA(DIAGNOSTIC)	$42.80	$107.00	$17.03–$90.95	22% below	60%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTACT W/CALCIUM	$74.00	$185.00	$38.22–$159.34	29% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 a PTT (reference)	$11.20	$28.00	$5.57–$23.80	73% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$18.18	$45.46	$5.57–$38.64	56% below	60%
Progesterone blood test CPT 84144 PROGESTERONE	$38.00	$95.00	$26.07–$80.75	20% below	60%
Progesterone blood test CPT 84144 PROGESTERONE FREE	$92.00	$230.00	$26.07–$195.50	95% above	60%
Prolactin blood test CPT 84146 PROLACTIN DILUTION STUDY	$26.00	$65.00	$20.80–$74.80	61% below	60%
Prolactin blood test CPT 84146 MACROPROLACTIN #2	$33.20	$83.00	$24.22–$74.80	50% below	60%
Prolactin blood test CPT 84146 MACROPROLACTIN #1	$33.20	$83.00	$24.22–$74.80	50% below	60%
Prolactin blood test CPT 84146 PROLACTIN	$42.80	$107.00	$24.22–$90.95	35% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 INHIBITOR # 2-PT MIX STUDY	$8.00	$20.00	$3.64–$17.00	76% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 INHIBITOR # 3-PT MIX STUDY	$8.00	$20.00	$3.64–$17.00	76% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 INHIBITOR # 1-PT MIX STUDY	$8.00	$20.00	$3.64–$17.00	76% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$10.00	$25.00	$3.64–$21.25	70% below	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DAU (UR-DRUG SCRN) - INHOUSE	$110.40	$276.00	$10.10–$234.60	10% above	60%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A & B #2	$22.00	$55.00	$17.60–$46.75	84% below	60%
Rapid flu test (influenza antigen) CPT 87804 RSV (RESPIRATORY SYNCYTIAL VIRUS)	$25.60	$64.00	$20.48–$54.40	81% below	60%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A & B(NASAL SWAB)	$44.00	$110.00	$20.68–$93.50	67% below	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP	$19.20	$48.00	$15.36–$40.80	85% below	60%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, QUANT	$9.60	$24.00	$7.08–$21.92	62% below	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IgG AB	$26.40	$66.00	$17.98–$56.10	40% above	60%
Rubella antibody test (immunity check) CPT 86762 ****RUBELLA TITER - TOTAL ANTIBODY	$26.40	$66.00	$17.98–$56.10	40% above	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG IMMUNE STATUS	$26.40	$66.00	$17.98–$56.10	40% above	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IgM ANTIBODY	$26.40	$66.00	$17.98–$56.10	40% above	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDRATE (ESR)	$7.20	$18.00	$3.37–$15.30	91% below	60%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS (COMPLETE)	$22.00	$55.00	$15.38–$46.75	93% below	60%
Stool ova and parasites exam CPT 87177 O & P (OVA & PARASITES)	$16.40	$41.00	$11.12–$34.85	61% below	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL BLOOD (FOBT) SCREEN	$6.80	$17.00	$5.44–$14.45	85% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL (SERUM)	$8.40	$21.00	$5.33–$17.85	58% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL(C360)	$8.40	$21.00	$5.33–$17.85	58% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF(VDRL)	$8.40	$21.00	$5.33–$17.85	58% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$8.40	$21.00	$5.33–$17.85	58% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL (SERUM/CSF)	$8.40	$21.00	$5.33–$17.85	58% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL(CSF FLUID)	$8.40	$21.00	$5.33–$17.85	58% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 PERITONEAL FLUID(VDRL)	$8.40	$21.00	$5.33–$17.85	58% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 PLEURAL FLUID(VDRL)	$8.40	$21.00	$5.33–$17.85	58% below	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$98.40	$246.00	$77.47–$209.10	57% above	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL(MALE)	$46.40	$116.00	$23.89–$99.66	26% above	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE WOMEN/CHILDREN TOTAL	$46.40	$116.00	$23.89–$99.66	26% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 LUPUS(SLE)PANEL	$21.20	$53.00	$16.96–$56.17	38% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODY	$24.00	$60.00	$18.18–$56.17	57% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY(THYROID OR LVR-KDNY)	$24.00	$60.00	$18.18–$56.17	57% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 .THYROID MICROSOMAL ANTIBODY	$26.40	$66.00	$18.18–$56.17	72% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 .ANTI THYROID MICROSOMAL ANTIBODY	$26.40	$66.00	$18.18–$56.17	72% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY (TPO)	$26.40	$66.00	$18.18–$56.17	72% above	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W/REFLEX FT4	$40.40	$101.00	$15.56–$85.85	70% below	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$40.40	$101.00	$15.56–$85.85	70% below	60%
Trichomonas test (NAAT) CPT 87661 T.VAGINALIS, PCR	$16.80	$42.00	$13.44–$43.86	66% below	60%
Trichomonas test (NAAT) CPT 87661 TRICHOMONOS VAG RNA, QUALITATIVE TMA	$57.60	$144.00	$43.86–$122.40	18% above	60%
Uric acid blood test CPT 84550 URIC ACID	$14.80	$37.00	$5.65–$31.45	85% below	60%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W REFLEX CULTURE	$10.00	$25.00	$2.08–$21.25	88% below	60%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS O/P	$10.00	$25.00	$2.08–$21.25	88% below	60%
Urinalysis without microscope exam, manual CPT 81002 CLINITEST (REDUCING SUBSTANCES)	$4.80	$12.00	$3.84–$10.20	78% below	60%
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY URINE	$5.60	$14.00	$4.35–$11.90	75% below	60%
Urinalysis without microscope exam, manual CPT 81002 REDUCING SUBSTANCES (URINE)	$5.60	$14.00	$4.35–$11.90	75% below	60%
Urinalysis without microscope exam, manual CPT 81002 NON AUTOMATED WO MICROSCOPY	$5.60	$14.00	$4.35–$11.90	75% below	60%
Urinalysis without microscope exam, manual CPT 81002 ACETONE(URINE)	$8.80	$22.00	$4.35–$18.70	60% below	60%
Urinalysis without microscope exam, manual CPT 81002 .CLINITEST (REDUCING SUBSTANCES)	$21.60	$54.00	$4.35–$45.90	2% below	60%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$15.20	$38.00	$7.47–$32.30	92% below	60%
Urine pregnancy test, read by color change CPT 81025 BETA HCG URINE (QUALITATIVE)	$18.80	$47.00	$10.76–$39.95	83% below	60%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$41.92	$104.81	$13.96–$89.09	70% below	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25 HYDROXY (CALCIFERD)	$62.80	$157.00	$27.41–$133.45	34% above	60%
Zinc blood test CPT 84630 ZINC	$20.80	$52.00	$14.23–$44.20	37% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG (QUANTITATIVE)	$35.20	$88.00	$13.94–$74.80	55% below	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GOGADOTROPIN	$42.40	$106.00	$13.94–$90.10	45% below	60%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRO ACL REP/AUG/RECON	$5,059.60	$12,649.00	$1,000.00–$10,751.65	82% below	60%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHRO SHLDR W/ROTATOR CUFF REP	$5,034.80	$12,587.00	$1,000.00–$10,698.95	78% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY BREAST, W/PLACEMNT OF BRST LOCAT	$1,453.20	$3,633.00	$638.85–$3,088.05	59% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MM BREAST BIOPSY W/STEREO GUIDE 1ST LESI	$1,465.20	$3,663.00	$638.85–$3,113.55	59% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MM BREAST BIOPSY NEEDLE	$1,465.20	$3,663.00	$638.85–$3,113.55	59% below	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED ELECTIVE CARDIOVERSION	$406.40	$1,016.00	$195.13–$863.60	81% below	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 DEFIBRILLATION (15 MIN)	$422.80	$1,057.00	$195.13–$898.45	80% below	60%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL	$1,446.00	$3,615.00	$419.00–$3,072.75	65% below	60%
Cataract surgery with lens implant CPT 66984 CARATRACT REMOVAL PLAIN	$1,579.60	$3,949.00	$670.75–$3,356.65	61% below	60%
Cataract surgery with lens implant CPT 66984 EXT CAP CATARACT REM/INST LENS 1 STG	$1,579.60	$3,949.00	$670.75–$3,356.65	61% below	60%
Cataract surgery with lens implant CPT 66984 CATARACT RMVL INSERTION OF LENS	$1,724.80	$4,312.00	$670.75–$3,665.20	58% below	60%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION AGE >28 DAYS	$1,522.40	$3,806.00	$252.11–$3,235.10	29% below	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 LD CIRCUMCISION, USING CLAMP	$534.40	$1,336.00	$189.91–$1,135.60	46% below	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 LD CIRCUMCISION, OTHER THAN CLAMP	$534.40	$1,336.00	$189.91–$1,135.60	46% below	60%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK	$1,522.40	$3,806.00	$189.91–$3,235.10	53% above	60%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ED CL TRMT DISTAL RAD FRAC WO MANIPULATI	$254.40	$636.00	$203.52–$540.60	54% below	60%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TX OF DISTAL RADIAL	$254.40	$636.00	$203.52–$540.60	54% below	60%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/SNARE REMOVAL	$869.60	$2,174.00	$419.00–$3,000.00	76% below	60%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX COLON	$840.80	$2,102.00	$419.00–$3,000.00	77% below	60%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY ABORTED	$637.60	$1,594.00	$419.00–$3,000.00	79% below	60%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DISCONTINUED	$637.60	$1,594.00	$419.00–$3,000.00	79% below	60%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAG	$637.60	$1,594.00	$419.00–$3,000.00	79% below	60%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY SCREENING	$637.60	$1,594.00	$419.00–$3,000.00	79% below	60%
Colonoscopy, diagnostic CPT 45378 COLONSCOPY DIAGNOSTIC	$637.60	$1,594.00	$419.00–$3,000.00	79% below	60%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY OF CERVIX WITH BIOPSY	$367.20	$918.00	$220.45–$3,000.00	43% below	60%
Complex cataract surgery with lens implant CPT 66982 CATARACT REMOVAL COMPLEX	$1,579.60	$3,949.00	$919.31–$3,356.65	52% below	60%
Complex cataract surgery with lens implant CPT 66982 XCAPSULAR CATARACT RMVL INSJ LENS PROSTH	$1,724.80	$4,312.00	$919.31–$3,665.20	48% below	60%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C, DX OR TX	$2,096.00	$5,240.00	$386.29–$4,454.00	47% below	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 ED DESTRUCTION FACIAL LESION/ONE	$151.60	$379.00	$83.94–$322.15	46% below	60%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTUCT PRE-MALIGNANT LESION FIRST	$151.60	$379.00	$83.94–$3,000.00	46% below	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACTED CERUMEN IRRG/LAV UNI	$50.40	$126.00	$18.49–$107.10	74% below	60%
Earwax removal with instruments, one ear CPT 69210 ED FB REMO EAR IMPACTED CERUMEN	$46.40	$116.00	$37.12–$98.60	77% below	60%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ED ENDOMETRIAL BIOPSY	$118.40	$296.00	$94.72–$251.60	73% below	60%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REP ANT ABD HERNIA, ANY AP, TOT DEF < 3C	$3,432.40	$8,581.00	$2,745.92–$7,293.85	78% below	60%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 REP ANT ABD HERNIA, ANY AP, TOT DEF < 3C	$3,432.40	$8,581.00	$2,745.92–$7,293.85	70% below	60%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REP ANT ABD HERNIA, ANY AP, TOT DEF < 3	$3,432.40	$8,581.00	$2,745.92–$7,293.85	57% below	60%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDSCOPY FLEXIABLE	$637.60	$1,594.00	$234.88–$3,000.00	77% below	60%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY	$637.60	$1,594.00	$234.88–$3,000.00	77% below	60%
Gallbladder removal, laparoscopic CPT 47562 LAP SURG CHOLECYSTECTOMY	$4,031.20	$10,078.00	$886.25–$8,566.30	70% below	60%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP SURG CHOLECYSTECTOMY W/CHOLANGIOGRA	$4,031.20	$10,078.00	$964.71–$8,566.30	68% below	60%
Hammertoe correction surgery CPT 28285 CORRECTION, HAMMERTOE	$2,328.40	$5,821.00	$479.00–$4,947.85	50% below	60%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMRRHOIDECTOMY W/BANDING	$637.60	$1,594.00	$363.25–$3,000.00	64% below	60%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY, IN/EX, SNGL COL/GRP	$2,072.40	$5,181.00	$479.00–$4,403.85	62% below	60%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABD HYSTERECTOMY W/WO REM TUBES,OV	$5,840.00	$14,600.00	$1,327.83–$12,410.00	5% below	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 US CATHERIZATION & INTROD SOHOHYST	$72.00	$180.00	$57.60–$225.00	83% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 ED I & D ABCESS-SIMPLE	$123.20	$308.00	$98.56–$261.80	79% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS; SIMPLE OR SINGLE	$175.20	$438.00	$140.16–$3,000.00	71% below	60%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$2,613.60	$6,534.00	$591.00–$5,553.90	69% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON SHTH OR LIGAMENT APONEUR	$219.60	$549.00	$73.18–$3,000.00	61% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 RT ARTHROCENTESIS	$141.60	$354.00	$82.64–$3,000.00	79% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 BILATERIAL ARTHROCENTESIS	$141.60	$354.00	$82.64–$300.90	79% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 LT ARTHROCENTESIS	$141.60	$354.00	$82.64–$300.90	79% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ED ARTH ASP OR INJ MAJOR JOINT	$158.40	$396.00	$82.64–$336.60	77% below	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ED ARTH ASP OR INJ INTERMED JOINT	$219.60	$549.00	$69.53–$466.65	62% below	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ED ARTH-ASP OR INJ-SMALL JOINT	$158.40	$396.00	$67.44–$336.60	71% below	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ATHRO/ASP/INJ SMALL JOINT OR BURSA W/O G	$263.60	$659.00	$67.44–$3,000.00	52% below	60%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHRS KNEE W/MENISCUS RPR MED OR LAT	$2,374.80	$5,937.00	$896.93–$5,046.45	85% below	60%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHRS KNEE LATERAL RELEASE	$2,374.80	$5,937.00	$896.93–$5,046.45	85% below	60%
Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SURG W/MENISC MED/LAT W/SHVG	$2,374.80	$5,937.00	$703.58–$5,046.45	83% below	60%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNEE W/MENISC MED&LAT W/SHAVING	$2,374.80	$5,937.00	$730.80–$5,046.45	63% below	60%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR C	$2,374.80	$5,937.00	$808.99–$5,046.45	78% below	60%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPIC APPENDECTOMY	$4,031.20	$10,078.00	$806.04–$8,566.30	63% below	60%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 SURG LAP INITIAL INGUINAL HERNIA	$4,904.00	$12,260.00	$576.48–$10,421.00	12% below	60%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPROSCOPY, SURGICAL W/REM OF ADNEXAL ST	$5,008.00	$12,520.00	$674.00–$10,642.00	50% below	60%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG CAPSULOTOMY	$438.40	$1,096.00	$350.72–$3,000.00	66% below	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED WND PR-INT-S/A/T/E 2.5 CM OR<	$129.60	$324.00	$103.68–$331.53	87% below	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED WND PR-INTEMED-scal/arm/lgs EXT 2.5CM	$129.60	$324.00	$103.68–$331.53	87% below	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REP INTERMEDIATE WNDS SATE; 2.5 CM OR <	$342.00	$855.00	$273.60–$3,000.00	65% below	60%
Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL PROCEDURE	$408.40	$1,021.00	$177.54–$867.85	81% below	60%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ DX/TX SOLN LUMBAR/CAUDIL EPIDURAL	$470.80	$1,177.00	$177.54–$3,000.00	79% below	60%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NRV BLK EPIDURAL,SINGL LVL L/S	$577.20	$1,443.00	$311.29–$3,000.00	73% below	60%
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY, PARTIAL	$2,499.60	$6,249.00	$479.00–$5,311.65	76% below	60%
Mastectomy (total removal of the breast) CPT 19303 MASTERCTOMY SIMPLE AND COMPLETE	$5,759.60	$14,399.00	$591.00–$12,239.15	76% below	60%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LESION TAL, 0.5CM OR <	$591.20	$1,478.00	$159.89–$3,000.00	67% below	60%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC B9 LESION MRGN XCP SK TG FEENLM 0.5C	$514.40	$1,286.00	$178.98–$3,000.00	48% below	60%
Nail removal (partial or complete), one nail CPT 11730 ED NAILS-AVUISION-SIMPLE	$83.20	$208.00	$66.56–$176.80	83% below	60%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH AGT/STEROID GRTR OPTICAL NERV	$253.20	$633.00	$97.96–$538.05	71% below	60%
Paracentesis with imaging guidance CPT 49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUI	$667.60	$1,669.00	$373.70–$3,000.00	57% below	60%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE GUID	$697.60	$1,744.00	$373.70–$3,000.00	55% below	60%
Partial knee replacement (one compartment) CPT 27446 ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT C	$9,088.00	$22,720.00	$1,511.08–$19,312.00	57% below	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED REMOVAL OF NAIL	$302.80	$757.00	$200.09–$643.45	75% below	60%
Removal of a breast lump, open surgery CPT 19120 EXC CYST/FIBRO BREAST TISS 1 IR MORE LES	$2,499.60	$6,249.00	$479.00–$5,311.65	38% below	60%
Removal of a foreign object under the skin, simple CPT 10120 ED FB REMO-SUBCUTANEOUS-SIMPLE	$279.20	$698.00	$186.95–$593.30	75% below	60%
Removal of a foreign object under the skin, simple CPT 10120 INS/REM FB SUBQ TISSUE SMPL	$361.60	$904.00	$3,000.00	67% below	60%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCRN SCOPE LOW RISK	$637.60	$1,594.00	$419.00–$1,354.90	80% below	60%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCRN SCOPE HI RISK	$637.20	$1,593.00	$419.00–$1,354.05	80% below	60%
Short arm cast (elbow to hand) CPT 29075 ED CAST PLACEMENT SHORT ARM	$102.00	$255.00	$81.60–$216.75	84% below	60%
Short arm splint (forearm and hand) CPT 29125 ED SPLINT PLACEMENT SHORT ARM SPLINT	$70.40	$176.00	$56.32–$149.60	82% below	60%
Short leg cast (below the knee) CPT 29405 ED CAST PLACEMENT SHORT LEG	$106.00	$265.00	$84.80–$225.25	83% below	60%
Short leg splint (calf to foot) CPT 29515 ER APPLICATION SHORT LEG SPLINT(CALF/FO	$53.20	$133.00	$42.56–$113.05	87% below	60%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 ARTHRS SHOULDER DISTAL CLAVICULECTOMY	$2,374.80	$5,937.00	$880.35–$5,046.45	89% below	60%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY SHLDR DECOMPRESS W/LIGAMENT	$931.60	$2,329.00	$227.94–$3,000.00	94% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED WND RP-SIMPLE-scal/arm/leg UP TO 2.5C	$129.60	$324.00	$103.68–$275.40	74% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED WND RP-SIMPLE-TRUNK UP TO 2.5C	$129.60	$324.00	$103.68–$275.40	74% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED WND RP-SIMP-SNAGTE 2.5CMOR<	$129.60	$324.00	$103.68–$275.40	74% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP REP SUPERFICIAL WNDS SNAT EXT GENIT	$177.60	$444.00	$119.59–$3,000.00	65% below	60%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SINGLE LESION	$156.80	$392.00	$125.44–$3,000.00	82% below	60%
Skin tag removal, up to 15 tags CPT 11200 RMVL OF SKIN TAG, UP TO 15	$151.60	$379.00	$112.54–$322.15	66% below	60%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKN TAGS MLT FIBRQ TAGS ANY AREA UP	$151.60	$379.00	$112.54–$3,000.00	66% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$98.40	$246.00	$78.72–$3,000.00	92% below	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ED LUMBAR PUNCTURE	$529.60	$1,324.00	$160.64–$1,125.40	57% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED WND RP-SIMPLE-scal/arm/lgs 2.6-7.5CM	$129.60	$324.00	$103.68–$275.40	79% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED WND RP-SIMPLE-TRUND 2.6-7.5CM	$129.60	$324.00	$103.68–$275.40	79% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED WND RP-SIMP-SNAGTE 2.6-7.5 CM	$129.60	$324.00	$103.68–$275.40	79% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED WND RP-SIMPLE-FACE MEM TO 2.5C	$129.60	$324.00	$103.68–$275.40	73% below	60%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$11,934.40	$29,836.00	$1,682.09–$25,360.60	45% below	60%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$11,934.40	$29,836.00	$1,680.25–$25,360.60	48% below	60%
Total shoulder replacement CPT 23472 ARTHROPLASTY GLENOHUMERAL JNT	$5,860.00	$14,650.00	$1,892.29–$12,452.50	76% below	60%
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION	$1,212.40	$3,031.00	$419.00–$3,000.00	47% below	60%
Trigger point injections, 1 or 2 muscles CPT 20552 ED INJ(S) SINGLE OR MULTI 1OR2 MUSCLES	$142.00	$355.00	$68.25–$301.75	80% below	60%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPROSCOPIC TUBAL CATERY	$6,596.00	$16,490.00	$479.00–$14,016.50	16% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BREAST BIOPSY PERC LOC 1ST LESION	$1,210.80	$3,027.00	$645.85–$3,000.00	66% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BIL SPECIMEN RADIOGRAPH	$1,465.20	$3,663.00	$645.85–$3,113.55	58% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US LT SPECIMEN RADIOGRAPH	$1,465.20	$3,663.00	$645.85–$3,113.55	58% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US RT SPECIMEN RADIOGRAPH	$1,465.20	$3,663.00	$645.85–$3,113.55	58% below	60%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 GASTR W ESOPHGL DILATATION EGD W/ESOP DI	$1,282.00	$3,205.00	$419.00–$3,000.00	54% below	60%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 GASTROSCOPY W/BALLOON DILATION	$1,282.00	$3,205.00	$419.00–$3,000.00	54% below	60%
Upper endoscopy (EGD) with biopsy CPT 43239 ED ENDOSCOPY W/BIOPSY, SINGLE OR MULT	$349.60	$874.00	$279.68–$742.90	89% below	60%
Upper endoscopy (EGD) with biopsy CPT 43239 GASTROSCOPY W/BX	$800.00	$2,000.00	$419.00–$3,000.00	75% below	60%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 GASTROSCOPY W/REMOV OF LESIONS W/SNARE	$712.40	$1,781.00	$419.00–$3,000.00	79% below	60%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 GASTROSCOPY W/INSERT WIRE W/ DILATION	$471.20	$1,178.00	$376.96–$3,000.00	84% below	60%
Upper endoscopy (EGD), diagnostic CPT 43235 GASTRO PRIMARY EXAM	$667.60	$1,669.00	$312.00–$3,000.00	71% below	60%
Upper endoscopy (EGD), diagnostic CPT 43235 GASTROSCOPY DIA	$667.60	$1,669.00	$312.00–$3,000.00	71% below	60%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY, UNILATERAL/BILATERAL	$1,772.00	$4,430.00	$312.00–$3,765.50	—	60%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF LESION UP TO 14	$69.60	$174.00	$55.68–$3,000.00	77% below	60%
Wart removal, up to 14 warts CPT 17110 ED DESTRUCTION LESION UP TO 14	$69.60	$174.00	$55.68–$147.90	77% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SQ TISS 1ST 20 SQ CM OR<	$125.60	$314.00	$100.48–$419.00	89% below	60%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIEDMENT OF SUBQ TISSUE 1ST 20	$455.20	$1,138.00	$162.43–$3,000.00	59% below	60%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BB APHERESIS PLATELETS HLA MATCHED	$295.60	$739.00	$46.33–$628.15	73% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION/ADM	$336.80	$842.00	$46.33–$715.70	69% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 ED BLOOD TRANSFUSION	$336.80	$842.00	$46.33–$715.70	69% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$344.40	$861.00	$46.33–$731.85	69% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT	$49.60	$124.00	$13.61–$105.40	80% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION VIA NEB	$49.60	$124.00	$13.61–$105.40	80% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX INITIAL	$163.20	$408.00	$13.61–$346.80	35% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQUENT #3	$167.20	$418.00	$13.61–$355.30	33% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ASSESSMENT PROTOCOL	$167.20	$418.00	$13.61–$355.30	33% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREAMENT INITIAL	$167.20	$418.00	$13.61–$355.30	33% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI Tx PRN SUBSEQUENT	$167.20	$418.00	$13.61–$355.30	33% below	60%
Chemotherapy IV infusion, first hour CPT 96413 IV CHEMOTHERAPY ADMIN UP TO 1 HR	$274.80	$687.00	$96.85–$583.95	72% below	60%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HR	$722.40	$1,806.00	$352.11–$1,535.10	85% below	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 ****ELECTROENCEPHALOGRAM	$201.60	$504.00	$122.54–$428.40	85% below	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 ****EEG FOR ADULT	$201.60	$504.00	$122.54–$428.40	85% below	60%
EEG (brain wave test), awake and drowsy, routine CPT 95816 ****EEG AWAKE & DROWSY	$201.60	$504.00	$122.54–$428.40	85% below	60%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ****ECG DISABILITY DETERMINATION	$33.60	$84.00	$17.94–$71.40	78% below	60%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ****EKG GLOBAL	$40.00	$100.00	$17.94–$85.00	74% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG DAY SURGERY	$61.60	$154.00	$7.53–$130.90	82% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY	$61.60	$154.00	$7.53–$130.90	82% below	60%
Electroconvulsive therapy (ECT), one session CPT 90870 ELECTRIC SHOCK (ONE TIME CHG)	$386.40	$966.00	$216.09–$821.10	72% below	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1-MINIMAL	$64.80	$162.00	$28.33–$750.00	87% below	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2-ROUTINE	$118.80	$297.00	$54.96–$750.00	87% below	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED OBVS LOW COMPLEXITY	$152.80	$382.00	$54.96–$750.00	83% below	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3-URGENT	$212.40	$531.00	$93.79–$750.00	86% below	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED OBVS MED COMPLEXITY	$305.20	$763.00	$93.79–$750.00	80% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4-COMPLEX	$354.00	$885.00	$157.84–$752.25	85% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED OBVS HIGH COMPLEXITY	$458.00	$1,145.00	$157.84–$973.25	81% below	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5-CRITICAL	$526.80	$1,317.00	$229.56–$1,119.45	84% below	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST	$224.80	$562.00	$42.66–$477.70	85% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED INFUSION INTRAVENOUS THERAPY-1ST HR	$74.00	$185.00	$41.90–$157.25	87% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED INTRAVENOUS INFUSION,HYDRATION>31<60	$74.00	$185.00	$41.90–$157.25	87% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INIT 31MIN-1HR	$163.20	$408.00	$41.90–$346.80	72% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration Init 31 min to 1 hr	$166.00	$415.00	$41.90–$352.75	72% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INIT 31 MIN TO 1 HR	$197.20	$493.00	$41.90–$419.05	66% below	60%
IV infusion of a medicine, first hour CPT 96365 INFUSION IV THERAPY-1ST HR	$78.00	$195.00	$62.40–$165.75	88% below	60%
IV infusion of a medicine, first hour CPT 96365 ED INFUSION IV THERAPY-1ST HR	$121.20	$303.00	$82.65–$257.55	82% below	60%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY-1ST HR	$163.20	$408.00	$82.65–$346.80	76% below	60%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION UP TO 1 HR	$197.20	$493.00	$82.65–$419.05	70% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED THERAP, PROHYL OR DIAG INJECTION	$22.80	$57.00	$17.71–$48.45	88% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED INJ INTRA-ARTERIAL	$23.20	$58.00	$17.71–$1,500.00	87% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, IM OR SUBQ THERAPEUTIC	$29.60	$74.00	$17.71–$62.90	84% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TX INJ,IM THERAPEUTIC	$29.60	$74.00	$17.71–$62.90	84% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED INJ,IM THERAPEUTIC	$29.60	$74.00	$17.71–$62.90	84% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ, IM/SQ THERAPEUTIC	$53.60	$134.00	$17.71–$113.90	71% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 LD INJECTION, IM	$59.20	$148.00	$17.71–$125.80	68% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED INJ, IM	$63.60	$159.00	$17.71–$135.15	65% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE EDUCATION PER 15 MIN	$34.00	$85.00	$25.12–$72.25	78% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY/PER 15 MIN	$35.60	$89.00	$22.54–$75.65	73% below	60%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION, INTERMED 3-10 MIN	$29.60	$74.00	$19.34–$62.90	47% below	60%
Spirometry (breathing test) CPT 94010 PFT COMPLETE	$60.00	$150.00	$22.55–$127.50	81% below	60%
Spirometry before and after a bronchodilator CPT 94060 PFT COMPLETE PRE-POST BRONCHODILATOR	$110.00	$275.00	$34.74–$233.75	88% below	60%
Spirometry before and after a bronchodilator CPT 94060 PEAK FLOW PRE-POST BRONCHODILATOR	$122.40	$306.00	$34.74–$260.10	86% below	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY(THERAPEUTIC)	$56.80	$142.00	$45.44–$123.76	82% below	60%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 STRESS TEST W/INTERPRETATION	$90.00	$225.00	$72.00–$191.25	96% below	60%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 US ECHO STRESS MEDS	$104.40	$261.00	$83.52–$221.85	96% below	60%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 *****EKG W/IGXT	$170.80	$427.00	$87.94–$362.95	93% below	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE ADULT VACCINE 2013-2014	$12.40	$31.00	$9.92–$26.35	83% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE >65YO VACCINE 2016-17 HI DOSE	$12.44	$31.10	$9.95–$26.44	83% below	60%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE-1 ML	$58.00	$145.00	$46.40–$123.25	65% below	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ED INJ IM ADMIN HEP B, ADULT DOSE	$28.40	$71.00	$22.72–$60.35	89% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD INFLUENZA 2019/2020	$24.00	$60.00	$19.20–$87.43	91% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD	$24.80	$62.00	$19.84–$87.43	91% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HI DOSE QUAD 2020/2021	$31.20	$78.00	$24.96–$87.43	89% below	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VACCINE:MMR	$90.80	$227.00	$72.64–$192.95	58% below	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA 23 (PNEUMOVAX)	$53.20	$133.00	$42.56–$113.05	87% below	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23	$55.60	$139.00	$44.48–$118.15	86% below	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VACCINE 0.5ML	$60.00	$150.00	$48.00–$127.50	85% below	60%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE	$126.90	$317.25	$101.52–$269.66	89% below	60%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 1ML:1ML	$210.40	$526.00	$168.32–$447.10	83% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDVAX - 0.5 ML SDV	$12.80	$32.00	$10.24–$27.20	91% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC - 0.5 ML SYRINGE	$20.40	$51.00	$16.32–$43.35	86% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPH-TET PED	$27.60	$69.00	$22.08–$58.65	81% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (Tdap)	$23.52	$58.81	$18.82–$49.99	88% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN-INFLUENZA	$34.00	$85.00	$20.56–$72.25	71% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN-PNEUNOCOCCAL	$34.00	$85.00	$20.56–$72.25	71% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED ADM TETANUS, DIPHTHERIA TOXIOD	$52.40	$131.00	$20.56–$111.35	56% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED INJ IM ADMIN 1 VACCINE(SINGLE OR COM	$52.40	$131.00	$20.56–$111.35	56% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN	$53.60	$134.00	$20.56–$113.90	55% below	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED EA ADDL INJ IM ADMIN 1 VACCINE(SINGL	$14.80	$37.00	$11.84–$31.45	87% below	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADM RABIES VACCINE EA ADD'L	$15.20	$38.00	$12.16–$32.30	86% below	60%

Source file: https://doctorsmemorialhospital.pg.quadax.revenuemasters.com/cdm-files/593122517_doctors-memorial-hospital_standardcharges.csv