Hospital Jacksonville, FL

ED Fraser Memorial Hospital

Listed in its price file as “Baker County Medical Services Inc.”.

ED Fraser Memorial Hospital in Macclenny, FL publishes cash prices for 216 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 Florida median for 110 of 213 procedures and below it for 100. By typical cash price it ranks #96 of 175 Florida hospitals and #12 of 14 hospitals in the Jacksonville, FL area, cheapest first. Click a procedure to compare it with other hospitals nearby.

159 North Third Street, MacClenny, FL 32063 Collected Sep 29, 2026 Source price file (904) 259-3151

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 100134 · CMS hospital register NPI 1104926401

The price file shows no self-pay discount

For 730 of the 730 prices listed here, the cash price in ED Fraser Memorial Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Abdominal CT scan without and with contrast CPT 74170 CT thoracic spine w con	$2,373.00	$2,373.00	$178.25	40% below	—
Abdominal CT scan without and with contrast CPT 74170 CT FOOT/ANKLE W/WO CON	$2,785.00	$2,785.00	$178.25	30% below	—
Abdominal CT scan without and with contrast CPT 74170 CT-PAROTID W/WO CONTRAST	$2,795.00	$2,795.00	$188.32–$2,268.00	29% below	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT thoracic spine w con	$2,373.00	$2,373.00	$178.25	—	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT FOOT/ANKLE W/WO CON	$2,785.00	$2,785.00	$178.25	—	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT-PAROTID W/WO CONTRAST	$2,795.00	$2,795.00	$188.32–$2,268.00	—	—
Abdominal X-ray, 2 views CPT 74019 XR-UPPER EXTREMITY INFANT (RT)	$398.00	$398.00	$466.40	38% below	—
Abdominal X-ray, 2 views inpatient CPT 74019 XR-UPPER EXTREMITY INFANT (RT)	$398.00	$398.00	$466.40	—	—
Ankle X-ray, complete, 3 or more views CPT 73610 XR thoracic spine 3V	$497.00	$497.00	$27.15–$318.40	18% below	—
Ankle X-ray, complete, 3 or more views CPT 73610 THORACENTESIS;W/IMAGING	$2,586.00	$2,586.00	$27.15–$318.40	328% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ribs RT min 3V w CXR1V	$514.00	$514.00	$27.15–$318.40	15% below	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR thoracic spine 3V	$497.00	$497.00	$27.15–$318.40	—	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 THORACENTESIS;W/IMAGING	$2,586.00	$2,586.00	$27.15–$318.40	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ribs RT min 3V w CXR1V	$514.00	$514.00	$27.15–$318.40	—	—
Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT inter audit canal BI w/wo	$2,376.00	$2,376.00	$104.74–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT soft tissue neck wo con	$2,025.00	$2,025.00	$104.74–$1,733.60	14% below	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT abdomen wo con	$2,490.00	$2,490.00	$104.74–$1,733.60	6% above	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT renal wo con	$2,545.00	$2,545.00	$112.49–$1,733.60	8% above	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-LIVER W\WO CONTRAST	$2,835.00	$2,835.00	$112.49–$1,733.60	20% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT femur LT wo con	$2,191.00	$2,191.00	$112.49–$1,733.60	7% below	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT shoulder LT w con	$2,373.00	$2,373.00	$104.74–$1,733.60	1% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT shoulder RT w con	$2,373.00	$2,373.00	$104.74–$1,733.60	1% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT hand LT w con	$2,444.00	$2,444.00	$112.49–$1,733.60	4% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT shoulder RT w/wo con	$2,785.00	$2,785.00	$104.74–$1,733.60	18% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT hand RT w/wo con	$2,785.00	$2,785.00	$104.74–$1,733.60	18% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT humerus LT w/wo con	$2,785.00	$2,785.00	$104.74–$1,733.60	18% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT lower leg LT w/wo con	$2,785.00	$2,785.00	$112.49–$1,733.60	18% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT humerus RT w/wo con	$2,785.00	$2,785.00	$104.74–$1,733.60	18% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 CT inter audit canal BI w/wo	$2,376.00	$2,376.00	$104.74–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT soft tissue neck wo con	$2,025.00	$2,025.00	$104.74–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT abdomen wo con	$2,490.00	$2,490.00	$104.74–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT renal wo con	$2,545.00	$2,545.00	$112.49–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-LIVER W\WO CONTRAST	$2,835.00	$2,835.00	$112.49–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT femur LT wo con	$2,191.00	$2,191.00	$112.49–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT shoulder LT w con	$2,373.00	$2,373.00	$104.74–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT shoulder RT w con	$2,373.00	$2,373.00	$104.74–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT hand LT w con	$2,444.00	$2,444.00	$112.49–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT hand RT w/wo con	$2,785.00	$2,785.00	$104.74–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT lower leg LT w/wo con	$2,785.00	$2,785.00	$112.49–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT humerus RT w/wo con	$2,785.00	$2,785.00	$104.74–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT shoulder RT w/wo con	$2,785.00	$2,785.00	$104.74–$1,733.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT humerus LT w/wo con	$2,785.00	$2,785.00	$104.74–$1,733.60	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM gastric emptying study	$1,709.00	$1,709.00	$425.08–$1,372.00	33% below	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM gastric emptying study	$1,709.00	$1,709.00	$425.08–$1,372.00	—	—
Breast ultrasound, complete, one breast CPT 76641 US-GUIDANCE THYROID BIOPSY	$1,695.00	$1,695.00	$106.66–$592.00	204% above	—
Breast ultrasound, complete, one breast inpatient CPT 76641 US-GUIDANCE THYROID BIOPSY	$1,695.00	$1,695.00	$106.66–$592.00	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 US-FETAL STUDY (FOLLOW UP)	$670.00	$670.00	$46.38–$438.40	35% above	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-FETAL STUDY (FOLLOW UP)	$670.00	$670.00	$46.38–$438.40	—	—
CT angiography (CTA) of the abdomen and pelvis both sides CPT 74174 CT angio LE BI	$5,794.00	$5,794.00	$371.58–$2,317.60	—	—
CT angiography (CTA) of the abdomen and pelvis inpatient both sides CPT 74174 CT angio LE BI	$5,794.00	$5,794.00	$371.58–$2,317.60	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT abdomen pelvis wo con	$5,032.00	$5,032.00	$177.53–$2,317.60	12% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT abdomen pelvis wo con	$5,032.00	$5,032.00	$177.53–$2,317.60	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA of heart w con w calc scor	$2,275.00	$2,275.00	$377.80–$1,820.00	17% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA of heart w con w calc scor	$2,275.00	$2,275.00	$377.80–$1,820.00	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT angio chest PE protocol	$2,897.00	$2,897.00	$315.52–$4,533.60	51% below	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT angio chest PE protocol	$2,897.00	$2,897.00	$315.52–$4,533.60	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT abdomen pelvis w/wo con	$5,913.00	$5,913.00	$373.09–$4,730.40	15% below	—
CT scan of abdomen and pelvis, without and then with contrast dye one side CPT 74178 CT angio LE RT	$2,897.00	$2,897.00	$373.09–$4,730.40	58% below	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT abdomen pelvis w/wo con	$5,913.00	$5,913.00	$373.09–$4,730.40	—	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient one side CPT 74178 CT angio LE RT	$2,897.00	$2,897.00	$373.09–$4,730.40	—	—
CT scan of the abdomen without contrast CPT 74150 CT abdomen w con	$2,835.00	$2,835.00	$113.86–$1,992.00	11% below	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT abdomen w con	$2,835.00	$2,835.00	$113.86–$1,992.00	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT orbit w/wo con	$2,676.00	$2,676.00	$112.49–$2,572.80	4% below	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MANDIBLE W CONTRAST	$3,203.00	$3,203.00	$112.49–$2,572.80	15% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT orbit w/wo con	$2,676.00	$2,676.00	$112.49–$2,572.80	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MANDIBLE W CONTRAST	$3,203.00	$3,203.00	$112.49–$2,572.80	—	—
CT scan of the head without and with contrast CPT 70470 CT head/brain w con	$2,295.00	$2,295.00	$187.55–$2,477.15	48% below	—
CT scan of the head without and with contrast inpatient CPT 70470 CT head/brain w con	$2,295.00	$2,295.00	$187.55–$2,477.15	—	—
CT scan of the lower back (lumbar spine) without contrast one side CPT 72131 CT LE RT w/wo con	$2,785.00	$2,785.00	$104.74–$1,744.00	15% below	—
CT scan of the lower back (lumbar spine) without contrast inpatient one side CPT 72131 CT LE RT w/wo con	$2,785.00	$2,785.00	$104.74–$1,744.00	—	—
CT scan of the neck (cervical spine), no contrast dye one side CPT 72125 CT femur LT w/wo con	$2,785.00	$2,785.00	$104.74–$1,651.20	18% below	—
CT scan of the neck (cervical spine), no contrast dye inpatient one side CPT 72125 CT femur LT w/wo con	$2,785.00	$2,785.00	$104.74–$1,651.20	—	—
Collarbone (clavicle) X-ray, complete CPT 73000 XR-SI JOINTS LESS THAN 3 VIEWS	$475.00	$475.00	$284.17–$318.40	12% below	—
Collarbone (clavicle) X-ray, complete CPT 73000 XR-SCOLIOSIS SURVEY	$660.00	$660.00	$284.17–$318.40	22% above	—
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR-SI JOINTS LESS THAN 3 VIEWS	$475.00	$475.00	$284.17–$318.40	—	—
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR-SCOLIOSIS SURVEY	$660.00	$660.00	$284.17–$318.40	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR-FOREARM (BIL) 2 VIEWS	$770.00	$770.00	$106.22–$542.40	29% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR-FOREARM (BIL) 2 VIEWS	$770.00	$770.00	$106.22–$542.40	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR-FOREARM (RT) 2 VIEWS	$398.00	$398.00	$87.80–$239.20	42% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR-FOREARM (RT) 2 VIEWS	$398.00	$398.00	$87.80–$239.20	—	—
Diagnostic mammogram, one breast both sides CPT 77065 MM tomosynthesis diagnostic BI	$393.00	$393.00	$78.70–$146.40	—	—
Diagnostic mammogram, one breast inpatient both sides CPT 77065 MM tomosynthesis diagnostic BI	$393.00	$393.00	$78.70–$146.40	—	—
Elbow X-ray, 2 views CPT 73070 XR bone age wrist hand	$375.00	$375.00	$88.16–$318.40	26% below	—
Elbow X-ray, 2 views inpatient CPT 73070 XR bone age wrist hand	$375.00	$375.00	$88.16–$318.40	—	—
Elbow X-ray, complete, 3 or more views CPT 73080 XR-LOWER LEG	$403.00	$403.00	$93.15–$321.60	33% below	—
Elbow X-ray, complete, 3 or more views CPT 73080 XR-LOWER LEG (LT)	$403.00	$403.00	$93.15–$321.60	33% below	—
Elbow X-ray, complete, 3 or more views CPT 73080 XR-LOWER LEG (BIL)	$804.00	$804.00	$93.15–$321.60	34% above	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR-LOWER LEG (LT)	$403.00	$403.00	$93.15–$321.60	—	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR-LOWER LEG	$403.00	$403.00	$93.15–$321.60	—	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR-LOWER LEG (BIL)	$804.00	$804.00	$93.15–$321.60	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT orbit w con	$2,295.00	$2,295.00	$112.49	13% below	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT orbit w con	$2,295.00	$2,295.00	$112.49	—	—
Facial bones X-ray, complete, 3 or more views one side CPT 70150 XR knee LT 2V	$417.00	$417.00	$437.68	44% below	—
Facial bones X-ray, complete, 3 or more views inpatient one side CPT 70150 XR knee LT 2V	$417.00	$417.00	$437.68	—	—
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR AC JOINT BI	$402.00	$402.00	$54.70–$318.40	—	—
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR-HUMERUS (BILAT) AP & LAT	$761.00	$761.00	$54.70–$318.40	—	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 XR-HUMERUS (RT) AP&LAT	$398.00	$398.00	$54.70–$318.40	30% below	—
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XR AC JOINT BI	$402.00	$402.00	$54.70–$318.40	—	—
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XR-HUMERUS (BILAT) AP & LAT	$761.00	$761.00	$54.70–$318.40	—	—
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR-HUMERUS (RT) AP&LAT	$398.00	$398.00	$54.70–$318.40	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM parathyroid SPECT	$1,557.00	$1,557.00	$400.50–$1,607.20	21% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM parathyroid SPECT	$1,557.00	$1,557.00	$400.50–$1,607.20	—	—
Hand X-ray, 2 views one side CPT 73120 XR HIP 1 VIEW LT	$235.00	$235.00	$56.32–$231.20	54% below	—
Hand X-ray, 2 views inpatient one side CPT 73120 XR HIP 1 VIEW LT	$235.00	$235.00	$56.32–$231.20	—	—
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR-ELBOW (BIL) 2 VIEWS	$618.00	$618.00	$294.17	25% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR elbow RT 2V	$398.00	$398.00	$294.17	19% below	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR elbow LT 2V	$398.00	$398.00	$294.17	19% below	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XR-ELBOW (BIL) 2 VIEWS	$618.00	$618.00	$294.17	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR elbow LT 2V	$398.00	$398.00	$294.17	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR elbow RT 2V	$398.00	$398.00	$294.17	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Home Sleep Study	$595.00	$595.00	$151.55–$445.66	9% below	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Home Sleep Study	$595.00	$595.00	$151.55–$445.66	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CPAP w/titration	$3,985.00	$3,985.00	$754.61–$3,188.00	23% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Split night sleep study	$3,985.00	$3,985.00	$754.61–$3,188.00	23% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Split night sleep study	$3,985.00	$3,985.00	$754.61–$3,188.00	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CPAP w/titration	$3,985.00	$3,985.00	$754.61–$3,188.00	—	—
Knee X-ray, 3 views both sides CPT 73562 XR-HIP (BILATERAL) WITH PELVIS	$660.00	$660.00	$54.30–$457.00	—	—
Knee X-ray, 3 views both sides CPT 73562 XR-KNEE (BILAT) 4 VIEWS	$876.00	$876.00	$54.30–$457.00	—	—
Knee X-ray, 3 views CPT 73562 XR-FEMUR (BIL) 2 VIEWS	$886.00	$886.00	$54.30–$457.00	29% above	—
Knee X-ray, 3 views inpatient both sides CPT 73562 XR-HIP (BILATERAL) WITH PELVIS	$660.00	$660.00	$54.30–$457.00	—	—
Knee X-ray, 3 views inpatient both sides CPT 73562 XR-KNEE (BILAT) 4 VIEWS	$876.00	$876.00	$54.30–$457.00	—	—
Knee X-ray, 3 views inpatient CPT 73562 XR-FEMUR (BIL) 2 VIEWS	$886.00	$886.00	$54.30–$457.00	—	—
Knee X-ray, complete, 4 or more views CPT 73564 XR-FINGER (LT) MIN 2 VIEWS	$398.00	$398.00	$106.42–$500.00	48% below	—
Knee X-ray, complete, 4 or more views CPT 73564 XR-FINGER (RT) MIN 2 VIEWS	$398.00	$398.00	$106.42–$500.00	48% below	—
Knee X-ray, complete, 4 or more views CPT 73564 XR-HAND (LT) 3 VIEWS	$398.00	$398.00	$106.42–$500.00	48% below	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR-HAND (LT) 3 VIEWS	$398.00	$398.00	$106.42–$500.00	—	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR-FINGER (LT) MIN 2 VIEWS	$398.00	$398.00	$106.42–$500.00	—	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR-FINGER (RT) MIN 2 VIEWS	$398.00	$398.00	$106.42–$500.00	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT HIP WO CON BIL	$2,127.00	$2,127.00	$118.77–$205.78	20% below	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT FOOT/ANKLE WO CON	$2,127.00	$2,127.00	$104.74–$1,752.80	20% below	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT ANGIO HEART	$2,275.00	$2,275.00	$112.49–$1,752.80	15% below	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT thoracic spine w/wo con	$2,785.00	$2,785.00	$104.74–$1,752.80	4% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT soft tissue neck w/wo con	$2,795.00	$2,795.00	$104.74–$1,752.80	4% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT facial bones w/wo con	$3,943.00	$3,943.00	$112.49–$1,752.80	47% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ankle LT wo con	$289.00	$289.00	$112.49–$1,752.80	89% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT femur RT wo con	$2,127.00	$2,127.00	$104.74–$1,752.80	20% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT UE LT wo con	$2,167.00	$2,167.00	$104.74–$1,752.80	19% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT lower leg RT w con	$2,191.00	$2,191.00	$112.49–$1,752.80	18% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE LT wo con	$2,191.00	$2,191.00	$104.74–$1,752.80	18% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT knee RT w con	$2,373.00	$2,373.00	$112.49–$1,752.80	11% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT knee LT w con	$2,373.00	$2,373.00	$112.49–$1,752.80	11% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT hip RT w con	$2,373.00	$2,373.00	$112.49–$1,752.80	11% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE RT w con	$2,373.00	$2,373.00	$104.74–$1,752.80	11% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT foot RT w con	$2,444.00	$2,444.00	$112.49–$1,752.80	9% below	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT hand LT w/wo con	$2,785.00	$2,785.00	$104.74–$1,752.80	4% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT knee LT w/wo con	$2,785.00	$2,785.00	$112.49–$1,752.80	4% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE LT w/wo con	$2,868.00	$2,868.00	$104.74–$1,752.80	7% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT hip LT w/wo con	$2,868.00	$2,868.00	$104.74–$1,752.80	7% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT FOOT/ANKLE WO CON	$2,127.00	$2,127.00	$104.74–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT HIP WO CON BIL	$2,127.00	$2,127.00	$118.77–$205.78	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT ANGIO HEART	$2,275.00	$2,275.00	$112.49–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT thoracic spine w/wo con	$2,785.00	$2,785.00	$104.74–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT soft tissue neck w/wo con	$2,795.00	$2,795.00	$104.74–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT facial bones w/wo con	$3,943.00	$3,943.00	$112.49–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ankle LT wo con	$289.00	$289.00	$112.49–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT femur RT wo con	$2,127.00	$2,127.00	$104.74–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT UE LT wo con	$2,167.00	$2,167.00	$104.74–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT lower leg RT w con	$2,191.00	$2,191.00	$112.49–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE LT wo con	$2,191.00	$2,191.00	$104.74–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE RT w con	$2,373.00	$2,373.00	$104.74–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT knee RT w con	$2,373.00	$2,373.00	$112.49–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT knee LT w con	$2,373.00	$2,373.00	$112.49–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT hip RT w con	$2,373.00	$2,373.00	$112.49–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT foot RT w con	$2,444.00	$2,444.00	$112.49–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT hand LT w/wo con	$2,785.00	$2,785.00	$104.74–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT knee LT w/wo con	$2,785.00	$2,785.00	$112.49–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT hip LT w/wo con	$2,868.00	$2,868.00	$104.74–$1,752.80	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE LT w/wo con	$2,868.00	$2,868.00	$104.74–$1,752.80	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Soft tissues of Head & Neck	$453.00	$453.00	$106.66–$690.40	60% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US Upper Extremity RT	$453.00	$453.00	$106.66–$690.40	60% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Soft tissues of Head & Neck	$453.00	$453.00	$106.66–$690.40	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 US Upper Extremity RT	$453.00	$453.00	$106.66–$690.40	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Penis	$453.00	$453.00	$112.49–$362.40	29% below	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Lower Back	$453.00	$453.00	$112.49–$362.40	29% below	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Axilla(armpit)RT	$453.00	$453.00	$112.49–$362.40	29% below	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Upper Back	$453.00	$453.00	$112.49–$362.40	29% below	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Nerves, Peripheral	$453.00	$453.00	$112.49–$362.40	29% below	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-PROSTATE GLAND	$863.00	$863.00	$112.49–$362.40	35% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Nerves, Peripheral	$453.00	$453.00	$112.49–$362.40	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Lower Back	$453.00	$453.00	$112.49–$362.40	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Upper Back	$453.00	$453.00	$112.49–$362.40	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Axilla(armpit)RT	$453.00	$453.00	$112.49–$362.40	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Penis	$453.00	$453.00	$112.49–$362.40	—	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-PROSTATE GLAND	$863.00	$863.00	$112.49–$362.40	—	—
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR-KNEE (BILAT) 3 VIEWS	$909.00	$909.00	$199.08–$322.40	—	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR-KNEE (RT) 3 VIEWS	$457.00	$457.00	$199.08–$322.40	27% below	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR-KNEE (LT) 3 VIEWS	$457.00	$457.00	$199.08–$322.40	27% below	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR-CYSTOGRAM (AP,LAT,O)	$1,489.00	$1,489.00	$199.08–$322.40	136% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR-KNEE (BILAT) 3 VIEWS	$909.00	$909.00	$199.08–$322.40	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR-KNEE (RT) 3 VIEWS	$457.00	$457.00	$199.08–$322.40	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR-KNEE (LT) 3 VIEWS	$457.00	$457.00	$199.08–$322.40	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR-CYSTOGRAM (AP,LAT,O)	$1,489.00	$1,489.00	$199.08–$322.40	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ankle LT wo con	$3,645.00	$3,645.00	$255.70–$2,916.00	4% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR femur RT w/wo con	$4,801.00	$4,801.00	$255.70–$2,916.00	37% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR foot LT w/wo con	$4,801.00	$4,801.00	$255.70–$2,916.00	37% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR foot RT w/wo con	$4,801.00	$4,801.00	$255.70–$2,916.00	37% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR lower leg RT w/wo con	$4,801.00	$4,801.00	$255.70–$2,916.00	37% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR lower leg LT w/wo con	$4,801.00	$4,801.00	$255.70–$2,916.00	37% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR ankle LT wo con	$3,645.00	$3,645.00	$255.70–$2,916.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR foot RT w/wo con	$4,801.00	$4,801.00	$255.70–$2,916.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR foot LT w/wo con	$4,801.00	$4,801.00	$255.70–$2,916.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR femur RT w/wo con	$4,801.00	$4,801.00	$255.70–$2,916.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR lower leg LT w/wo con	$4,801.00	$4,801.00	$255.70–$2,916.00	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR lower leg RT w/wo con	$4,801.00	$4,801.00	$255.70–$2,916.00	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR hip RT w con	$4,400.00	$4,400.00	$373.58–$377.80	10% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ankle RT w con	$4,400.00	$4,400.00	$373.58–$377.80	10% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR hip LT w con	$4,400.00	$4,400.00	$373.58–$377.80	10% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR knee RT w con	$4,400.00	$4,400.00	$373.58–$377.80	10% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR knee LT w con	$4,400.00	$4,400.00	$373.58–$377.80	10% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ankle LT w/wo con	$5,759.00	$5,759.00	$373.58–$377.80	18% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR hip RT w con	$4,400.00	$4,400.00	$373.58–$377.80	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR knee RT w con	$4,400.00	$4,400.00	$373.58–$377.80	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR ankle RT w con	$4,400.00	$4,400.00	$373.58–$377.80	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR hip LT w con	$4,400.00	$4,400.00	$373.58–$377.80	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR knee LT w con	$4,400.00	$4,400.00	$373.58–$377.80	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR ankle LT w/wo con	$5,759.00	$5,759.00	$373.58–$377.80	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR elbow LT wo con	$3,645.00	$3,645.00	$238.76–$2,916.00	10% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR Fingers Left WO	$3,645.00	$3,645.00	$238.76–$2,916.00	10% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR elbow RT wo con	$3,645.00	$3,645.00	$238.76–$2,916.00	10% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR humerus LT w/wo con	$5,759.00	$5,759.00	$238.76–$2,916.00	74% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR forearm RT w/wo con	$5,759.00	$5,759.00	$238.76–$2,916.00	74% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR humerus RT w/wo con	$5,759.00	$5,759.00	$238.76–$2,916.00	74% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR hand RT w/wo con	$5,759.00	$5,759.00	$238.76–$2,916.00	74% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR hand LT w/wo con	$5,759.00	$5,759.00	$238.76–$2,916.00	74% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR Fingers Left WO	$3,645.00	$3,645.00	$238.76–$2,916.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR elbow LT wo con	$3,645.00	$3,645.00	$238.76–$2,916.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR elbow RT wo con	$3,645.00	$3,645.00	$238.76–$2,916.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR humerus LT w/wo con	$5,759.00	$5,759.00	$238.76–$2,916.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR humerus RT w/wo con	$5,759.00	$5,759.00	$238.76–$2,916.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR hand RT w/wo con	$5,759.00	$5,759.00	$238.76–$2,916.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR hand LT w/wo con	$5,759.00	$5,759.00	$238.76–$2,916.00	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR forearm RT w/wo con	$5,759.00	$5,759.00	$238.76–$2,916.00	—	—
Neck (cervical spine) X-ray, 4 or 5 views both sides CPT 72050 XR-KNEE W/PATELLA(BILAT)3 VIE	$994.00	$994.00	$112.49–$529.60	—	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient both sides CPT 72050 XR-KNEE W/PATELLA(BILAT)3 VIE	$994.00	$994.00	$112.49–$529.60	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM muga	$2,192.00	$2,192.00	$1,377.56–$7,900.00	61% below	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM muga	$2,192.00	$2,192.00	$1,377.56–$7,900.00	—	—
Pelvic CT scan without contrast CPT 72192 CT-PARATHYROID W CONTRAST	$2,535.00	$2,535.00	$112.03–$2,545.00	17% below	—
Pelvic CT scan without contrast inpatient CPT 72192 CT-PARATHYROID W CONTRAST	$2,535.00	$2,535.00	$112.03–$2,545.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Buttock	$453.00	$453.00	$112.49–$362.40	49% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Abdominal Wall	$453.00	$453.00	$112.49–$362.40	49% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Axilla(armpit)LT	$453.00	$453.00	$112.49–$362.40	49% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 XR-KNEE (LT) 4 VIEWS	$500.00	$500.00	$106.66	43% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US pelvic complete	$863.00	$863.00	$112.49–$362.40	2% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Axilla(armpit)LT	$453.00	$453.00	$112.49–$362.40	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Buttock	$453.00	$453.00	$112.49–$362.40	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Abdominal Wall	$453.00	$453.00	$112.49–$362.40	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 XR-KNEE (LT) 4 VIEWS	$500.00	$500.00	$106.66	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US pelvic complete	$863.00	$863.00	$112.49–$362.40	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 XR-CLAVICLE COMPLT AP/OBL RGHT	$398.00	$398.00	$93.15–$339.20	45% below	—
Shoulder X-ray, complete, 2 or more views CPT 73030 XR-KNEES (BIL) STANDING AP	$417.00	$417.00	$93.15–$339.20	43% below	—
Shoulder X-ray, complete, 2 or more views CPT 73030 XR-CLAVICLE (BIL) AP,20 DEG	$795.00	$795.00	$93.15–$339.20	9% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR-CLAVICLE COMPLT AP/OBL RGHT	$398.00	$398.00	$93.15–$339.20	—	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR-KNEES (BIL) STANDING AP	$417.00	$417.00	$93.15–$339.20	—	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR-CLAVICLE (BIL) AP,20 DEG	$795.00	$795.00	$93.15–$339.20	—	—
Sleep study in a lab (polysomnography) CPT 95810 Sleep Study w/staging >/= 6yrs	$3,985.00	$3,985.00	$754.61–$3,188.00	27% below	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study w/staging >/= 6yrs	$3,985.00	$3,985.00	$754.61–$3,188.00	—	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR-HAND (RT) 3 VIEWS	$398.00	$398.00	$88.16–$355.20	24% below	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR acute abdomen and CXR1V	$837.00	$837.00	$88.16–$355.20	60% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR ribs LT min 3V w CXR1V	$514.00	$514.00	$88.16–$355.20	2% below	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR-HAND (RT) 3 VIEWS	$398.00	$398.00	$88.16–$355.20	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR acute abdomen and CXR1V	$837.00	$837.00	$88.16–$355.20	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR ribs LT min 3V w CXR1V	$514.00	$514.00	$88.16–$355.20	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT lung screening low-dose	$2,365.00	$2,365.00	$104.74–$2,086.00	22% below	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT lung screening low-dose	$2,365.00	$2,365.00	$104.74–$2,086.00	—	—
Ultrasound of the abdomen, complete CPT 76700 US thyroid	$453.00	$453.00	$112.49–$885.00	71% below	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US thyroid	$453.00	$453.00	$112.49–$885.00	—	—
Upper arm X-ray (humerus), 2 views CPT 73060 XR-SCAPULA (AP&LAT) COMPLETE	$398.00	$398.00	$284.17–$318.40	32% below	—
Upper arm X-ray (humerus), 2 views CPT 73060 XR-SHOULDER (RT) COMPL 2 VIEWS	$424.00	$424.00	$284.17–$318.40	27% below	—
Upper arm X-ray (humerus), 2 views CPT 73060 XR-SHOULDER(BIL);MIN 2 VIEW	$848.00	$848.00	$284.17–$318.40	46% above	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR-SCAPULA (AP&LAT) COMPLETE	$398.00	$398.00	$284.17–$318.40	—	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR-SHOULDER (RT) COMPL 2 VIEWS	$424.00	$424.00	$284.17–$318.40	—	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR-SHOULDER(BIL);MIN 2 VIEW	$848.00	$848.00	$284.17–$318.40	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US abdomen limited	$863.00	$863.00	$106.22–$690.40	at median	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US arterial duplex LE LT	$863.00	$863.00	$112.03–$690.40	at median	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US abdomen limited	$863.00	$863.00	$106.22–$690.40	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US arterial duplex LE LT	$863.00	$863.00	$112.03–$690.40	—	—
Wrist X-ray, 2 views CPT 73100 XR LUMB/SAC W/BEND 6 VW COMPL	$289.00	$289.00	$92.87–$188.00	53% below	—
Wrist X-ray, 2 views CPT 73100 XR LUMB/SAC BEND ONLY 2-3 VW	$289.00	$289.00	$92.87–$188.00	53% below	—
Wrist X-ray, 2 views inpatient CPT 73100 XR LUMB/SAC W/BEND 6 VW COMPL	$289.00	$289.00	$92.87–$188.00	—	—
Wrist X-ray, 2 views inpatient CPT 73100 XR LUMB/SAC BEND ONLY 2-3 VW	$289.00	$289.00	$92.87–$188.00	—	—
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR-WRIST (BILAT) MIN 3 VIEWS	$708.00	$708.00	$41.03–$318.40	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 XR-DEXA APPENDICULAR SKELETON	$299.00	$299.00	$41.03–$318.40	58% below	—
Wrist X-ray, complete, 3 or more views CPT 73110 XR-HUMERUS (LT) AP&LAT	$398.00	$398.00	$41.03–$318.40	44% below	—
Wrist X-ray, complete, 3 or more views CPT 73110 XR-WRIST (RT) MIN 3 VIEWS	$398.00	$398.00	$41.03–$318.40	44% below	—
Wrist X-ray, complete, 3 or more views CPT 73110 XR BONE SURVEY PEDIATRIC	$414.00	$414.00	$41.03–$318.40	42% below	—
Wrist X-ray, complete, 3 or more views CPT 73110 XR-DEXA SCAN	$678.00	$678.00	$41.03–$318.40	4% below	—
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR-WRIST (BILAT) MIN 3 VIEWS	$708.00	$708.00	$41.03–$318.40	—	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR-DEXA APPENDICULAR SKELETON	$299.00	$299.00	$41.03–$318.40	—	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR-WRIST (RT) MIN 3 VIEWS	$398.00	$398.00	$41.03–$318.40	—	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR-HUMERUS (LT) AP&LAT	$398.00	$398.00	$41.03–$318.40	—	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR BONE SURVEY PEDIATRIC	$414.00	$414.00	$41.03–$318.40	—	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR-DEXA SCAN	$678.00	$678.00	$41.03–$318.40	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR-FOOT (RT) AP/LAT WT BEARING	$429.00	$429.00	$54.70–$398.00	26% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR-FOOT (BIL) AP/LAT WT BEARIN	$628.00	$628.00	$54.70–$398.00	8% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR-FOOT (RT) AP/LAT WT BEARING	$429.00	$429.00	$54.70–$398.00	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR-FOOT (BIL) AP/LAT WT BEARIN	$628.00	$628.00	$54.70–$398.00	—	—
X-ray of the abdomen, 1 view both sides CPT 74018 XR ribs BI min 4V w CXR1V	$660.00	$660.00	$54.70–$318.40	—	—
X-ray of the abdomen, 1 view one side CPT 74018 XR-HIP RT 2VW WITH PELVIS	$398.00	$398.00	$54.70–$318.40	19% below	—
X-ray of the abdomen, 1 view inpatient both sides CPT 74018 XR ribs BI min 4V w CXR1V	$660.00	$660.00	$54.70–$318.40	—	—
X-ray of the abdomen, 1 view inpatient one side CPT 74018 XR-HIP RT 2VW WITH PELVIS	$398.00	$398.00	$54.70–$318.40	—	—
X-ray of the ankle, 2 views CPT 73600 XR soft tissue neck	$398.00	$398.00	$93.15–$318.40	19% below	—
X-ray of the ankle, 2 views CPT 73600 XR-FOOT (LT) AP/LAT	$429.00	$429.00	$93.15–$318.40	12% below	—
X-ray of the ankle, 2 views inpatient CPT 73600 XR soft tissue neck	$398.00	$398.00	$93.15–$318.40	—	—
X-ray of the ankle, 2 views inpatient CPT 73600 XR-FOOT (LT) AP/LAT	$429.00	$429.00	$93.15–$318.40	—	—
X-ray of the finger(s), 2 or more views CPT 73140 XR-WATERS VIEW ONLY	$398.00	$398.00	$88.16–$318.40	16% below	—
X-ray of the finger(s), 2 or more views CPT 73140 XR-MASTOIDS 3+ VIEW	$562.00	$562.00	$88.16–$318.40	19% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR-WATERS VIEW ONLY	$398.00	$398.00	$88.16–$318.40	—	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR-MASTOIDS 3+ VIEW	$562.00	$562.00	$88.16–$318.40	—	—
X-ray of the foot, 2 views CPT 73620 XR-ELBOW (RT) 3 VIEWS	$402.00	$402.00	$93.15–$343.20	17% below	—
X-ray of the foot, 2 views CPT 73620 XR-ELBOW (LT) MINIMUM 3 VIEWS	$402.00	$402.00	$93.15–$343.20	17% below	—
X-ray of the foot, 2 views CPT 73620 XR-FOOT (LT) 3 VIEWS	$408.00	$408.00	$93.15–$343.20	16% below	—
X-ray of the foot, 2 views CPT 73620 XR-FOOT (RT) 3 VIEWS	$408.00	$408.00	$93.15–$343.20	16% below	—
X-ray of the foot, 2 views CPT 73620 XR-FOOT (BIL) AP/LAT	$628.00	$628.00	$93.15–$343.20	29% above	—
X-ray of the foot, 2 views CPT 73620 XR-FOOT (BIL) 3+ VIEWS	$814.00	$814.00	$93.15–$343.20	67% above	—
X-ray of the foot, 2 views inpatient CPT 73620 XR-ELBOW (LT) MINIMUM 3 VIEWS	$402.00	$402.00	$93.15–$343.20	—	—
X-ray of the foot, 2 views inpatient CPT 73620 XR-ELBOW (RT) 3 VIEWS	$402.00	$402.00	$93.15–$343.20	—	—
X-ray of the foot, 2 views inpatient CPT 73620 XR-FOOT (RT) 3 VIEWS	$408.00	$408.00	$93.15–$343.20	—	—
X-ray of the foot, 2 views inpatient CPT 73620 XR-FOOT (LT) 3 VIEWS	$408.00	$408.00	$93.15–$343.20	—	—
X-ray of the foot, 2 views inpatient CPT 73620 XR-FOOT (BIL) AP/LAT	$628.00	$628.00	$93.15–$343.20	—	—
X-ray of the foot, 2 views inpatient CPT 73620 XR-FOOT (BIL) 3+ VIEWS	$814.00	$814.00	$93.15–$343.20	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 XR-TOES (RT) 2+ VIEWS	$398.00	$398.00	$54.70–$408.00	34% below	—
X-ray of the foot, complete, 3 or more views CPT 73630 XR-TOES (LT) 2+ VIEWS	$398.00	$398.00	$54.70–$408.00	34% below	—
X-ray of the foot, complete, 3 or more views CPT 73630 XR-ELBOW (BIL) 3+ VIEWS	$797.00	$797.00	$54.70–$408.00	33% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR-TOES (RT) 2+ VIEWS	$398.00	$398.00	$54.70–$408.00	—	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR-TOES (LT) 2+ VIEWS	$398.00	$398.00	$54.70–$408.00	—	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR-ELBOW (BIL) 3+ VIEWS	$797.00	$797.00	$54.70–$408.00	—	—
X-ray of the hand, 3 or more views CPT 73130 XR-WRIST/NAVICULAR (RT) 3+	$398.00	$398.00	$47.33–$318.40	37% below	—
X-ray of the hand, 3 or more views CPT 73130 XR-WRIST/NAVICULAR (LT) 3+	$398.00	$398.00	$47.33–$318.40	37% below	—
X-ray of the hand, 3 or more views CPT 73130 XR-WRIST/NAVICULAR (BIL)	$770.00	$770.00	$47.33–$318.40	21% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 XR-WRIST/NAVICULAR (RT) 3+	$398.00	$398.00	$47.33–$318.40	—	—
X-ray of the hand, 3 or more views inpatient CPT 73130 XR-WRIST/NAVICULAR (LT) 3+	$398.00	$398.00	$47.33–$318.40	—	—
X-ray of the hand, 3 or more views inpatient CPT 73130 XR-WRIST/NAVICULAR (BIL)	$770.00	$770.00	$47.33–$318.40	—	—
X-ray of the knee, 1 or 2 views both sides CPT 73560 FLUOROSCOPIC GUIDANCE BILAT	$823.00	$823.00	$54.70–$333.60	—	—
X-ray of the knee, 1 or 2 views CPT 73560 FLUOROSCOPIC GUIDANCE	$412.00	$412.00	$54.70–$333.60	31% below	—
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 FLUOROSCOPIC GUIDANCE BILAT	$823.00	$823.00	$54.70–$333.60	—	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 FLUOROSCOPIC GUIDANCE	$412.00	$412.00	$54.70–$333.60	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR-KNEE WITH PATELLA (LT) 3 VW	$500.00	$500.00	$54.70–$837.00	28% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR-KNEE WITH PATELLA (LT) 3 VW	$500.00	$500.00	$54.70–$837.00	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR-CHEST COMPLETE (4 VIEWS)	$742.00	$742.00	$490.40	15% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR-CHEST COMPLETE (4 VIEWS)	$742.00	$742.00	$490.40	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR-GALLBLADDER KUB OBQ	$791.00	$791.00	$54.70–$318.40	18% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR-GALLBLADDER KUB OBQ	$791.00	$791.00	$54.70–$318.40	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR-C-SPINE (LIMITED) 2 TO 3 VI	$398.00	$398.00	$112.49–$398.00	33% below	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR-C-SPINE MIN 4 VIEWS	$662.00	$662.00	$112.49–$398.00	11% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR-C-SPINE (LIMITED) 2 TO 3 VI	$398.00	$398.00	$112.49–$398.00	—	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR-C-SPINE MIN 4 VIEWS	$662.00	$662.00	$112.49–$398.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR-CERVICAL SPINE;<6 VIEWS	$884.00	$884.00	$94.66–$351.20	35% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR-CERVICAL SPINE;<6 VIEWS	$884.00	$884.00	$94.66–$351.20	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
ACTH blood test CPT 82024 ACTH	$289.00	$289.00	$266.77	436% above	—
ACTH blood test inpatient CPT 82024 ACTH	$289.00	$289.00	$266.77	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) LIVER	$54.00	$54.00	$5.19	41% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$54.00	$54.00	$5.19	41% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT)	$54.00	$54.00	$5.19	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) LIVER	$54.00	$54.00	$5.19	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$54.00	$54.00	$5.08	1% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)-LIVER	$54.00	$54.00	$5.08	1% below	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)-LIVER	$54.00	$54.00	$5.08	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)	$54.00	$54.00	$5.08	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEP PROFILE	$445.00	$445.00	$46.68–$356.00	171% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEP PROFILE	$445.00	$445.00	$46.68–$356.00	—	—
Albumin blood test CPT 82040 ALBUMIN	$54.00	$54.00	$4.85	160% above	—
Albumin blood test CPT 82040 ALBUMIN - LIVER	$54.00	$54.00	$4.85	160% above	—
Albumin blood test inpatient CPT 82040 ALBUMIN	$54.00	$54.00	$4.85	—	—
Albumin blood test inpatient CPT 82040 ALBUMIN - LIVER	$54.00	$54.00	$4.85	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN (AFP)	$166.00	$166.00	$16.43	384% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN (AFP)	$166.00	$166.00	$16.43	—	—
Ammonia blood test CPT 82140 AMMONIA	$157.00	$157.00	$14.28–$157.00	29% above	—
Ammonia blood test inpatient CPT 82140 AMMONIA	$157.00	$157.00	$14.28–$157.00	—	—
Amylase blood test CPT 82150 AMYLASE	$113.00	$113.00	$6.35–$113.00	190% above	—
Amylase blood test inpatient CPT 82150 AMYLASE	$113.00	$113.00	$6.35–$113.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP	$123.00	$123.00	$12.69	351% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP	$123.00	$123.00	$12.69	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA)	$364.00	$364.00	$11.85–$291.20	1224% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA)	$364.00	$364.00	$11.85–$291.20	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (B TYPE NAT PEPTIDE)	$400.00	$400.00	$22.78–$400.00	120% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP (B TYPE NAT PEPTIDE)	$400.00	$400.00	$22.78–$400.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 C & S, WOUND	$253.00	$253.00	$180.64–$253.00	194% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 C & S, ROUTINE (MISC)	$253.00	$253.00	$180.64–$253.00	194% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 C & S, SPUTUM	$253.00	$253.00	$180.64–$253.00	194% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 C & S, VAGINAL/URETHRAL	$253.00	$253.00	$180.64–$253.00	194% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 C & S, WOUND	$253.00	$253.00	$180.64–$253.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 C & S, ROUTINE (MISC)	$253.00	$253.00	$180.64–$253.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 C & S, VAGINAL/URETHRAL	$253.00	$253.00	$180.64–$253.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 C & S, SPUTUM	$253.00	$253.00	$180.64–$253.00	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$303.00	$303.00	$8.29–$303.00	9% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$303.00	$303.00	$8.29–$303.00	—	—
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL	$54.00	$54.00	$43.20–$54.00	129% above	—
Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN-LIVER	$54.00	$54.00	$43.20–$54.00	129% above	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL	$54.00	$54.00	$43.20–$54.00	—	—
Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN-LIVER	$54.00	$54.00	$43.20–$54.00	—	—
Blood culture for bacteria CPT 87040 C & S, BLOOD	$229.00	$229.00	$113.13–$229.00	28% below	—
Blood culture for bacteria inpatient CPT 87040 C & S, BLOOD	$229.00	$229.00	$113.13–$229.00	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION/HANDLING FEE	$17.00	$17.00	$2.51–$17.00	12% below	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION/HANDLING FEE	$17.00	$17.00	$2.51–$17.00	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANTITATIVE	$111.00	$111.00	$3.85–$88.80	137% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE, FLUID	$111.00	$111.00	$3.85–$88.80	137% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANTITATIVE	$111.00	$111.00	$3.85–$88.80	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, FLUID	$111.00	$111.00	$3.85–$88.80	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG Pregnancy	$116.00	$116.00	$57.30–$92.80	8% below	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG TEST HCG, QUAL	$116.00	$116.00	$57.30–$92.80	8% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG TEST HCG, QUAL	$116.00	$116.00	$57.30–$92.80	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG Pregnancy	$116.00	$116.00	$57.30–$92.80	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$58.00	$58.00	$40.12–$46.40	8% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$58.00	$58.00	$40.12–$46.40	—	—
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN;QUANTITATIVE	$11.00	$11.00	$3.87–$71.20	75% below	—
Blood urea nitrogen (BUN) test CPT 84520 BUN (BLOOD UREA NITROGEN)	$89.00	$89.00	$3.87–$71.20	98% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN;QUANTITATIVE	$11.00	$11.00	$3.87–$71.20	—	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN (BLOOD UREA NITROGEN)	$89.00	$89.00	$3.87–$71.20	—	—
C-peptide blood test CPT 84681 C-PEPTIDE	$191.00	$191.00	$20.39	422% above	—
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$191.00	$191.00	$20.39	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN (CRP)	$72.00	$72.00	$5.08–$72.00	3% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN (CRP)	$72.00	$72.00	$5.08–$72.00	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$209.00	$209.00	$3.68–$209.00	106% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$209.00	$209.00	$3.68–$209.00	—	—
Complete blood count (CBC) with differential CPT 85025 CBC W/ DIFF	$130.00	$130.00	$4.84–$130.00	77% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ DIFF	$130.00	$130.00	$4.84–$130.00	—	—
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF	$117.00	$117.00	$6.34–$117.00	22% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF	$117.00	$117.00	$6.34–$117.00	—	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$308.00	$308.00	$7.35–$308.00	36% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$308.00	$308.00	$7.35–$308.00	—	—
Cortisol blood test, total CPT 82533 CORTISOL, URINE	$141.00	$141.00	$15.97	87% above	—
Cortisol blood test, total CPT 82533 CORTISOL, SERUM	$141.00	$141.00	$15.97	87% above	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL, URINE	$141.00	$141.00	$15.97	—	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL, SERUM	$141.00	$141.00	$15.97	—	—
Creatine kinase (CK) blood test, total CPT 82550 CPK	$157.00	$157.00	$6.38–$157.00	126% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$157.00	$157.00	$6.38–$157.00	—	—
Creatinine blood test CPT 82565 CREATININE, SERUM	$105.00	$105.00	$5.02–$84.00	92% above	—
Creatinine blood test inpatient CPT 82565 CREATININE, SERUM	$105.00	$105.00	$5.02–$84.00	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE (DHEAS)	$263.00	$263.00	$21.79	484% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE (DHEAS)	$263.00	$263.00	$21.79	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATES	$111.00	$111.00	$56.37–$183.20	77% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN (TYLENOL) (LAB)	$153.00	$153.00	$56.37–$183.20	144% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATES	$111.00	$111.00	$56.37–$183.20	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN (TYLENOL) (LAB)	$153.00	$153.00	$56.37–$183.20	—	—
Estradiol blood test CPT 82670 ESTRADIOL (E2)	$213.00	$213.00	$27.38	505% above	—
Estradiol blood test CPT 82670 ESTRADIOL(FREE)	$464.00	$464.00	$27.38	1218% above	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL (E2)	$213.00	$213.00	$27.38	—	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL(FREE)	$464.00	$464.00	$27.38	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$180.00	$180.00	$18.21	184% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$180.00	$180.00	$18.21	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN (STOOL)	$241.00	$241.00	$19.24	99% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN (STOOL)	$241.00	$241.00	$19.24	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN, SERUM	$103.00	$103.00	$9.80–$103.00	23% below	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN, SERUM	$103.00	$103.00	$9.80–$103.00	—	—
Fibrinogen blood test CPT 85384 FIBRINOGEN	$114.00	$114.00	$91.20	37% above	—
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$114.00	$114.00	$91.20	—	—
Folate (folic acid) blood test CPT 82746 FOLATE, SERUM	$167.00	$167.00	$14.41–$167.00	21% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE, SERUM	$167.00	$167.00	$14.41–$167.00	—	—
Free T3 thyroid hormone test CPT 84481 T3, FREE	$76.00	$76.00	$16.60–$76.00	3% above	—
Free T3 thyroid hormone test inpatient CPT 84481 T3, FREE	$76.00	$76.00	$16.60–$76.00	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, FREE	$164.00	$164.00	$8.84–$164.00	82% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, FREE	$164.00	$164.00	$8.84–$164.00	—	—
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$399.00	$399.00	$24.96–$399.00	1187% above	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$399.00	$399.00	$24.96–$399.00	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$56.00	$56.00	$7.06–$56.00	23% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$56.00	$56.00	$7.06–$56.00	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE, TOTAL 3 SPECIMENS	$170.00	$170.00	$12.61	35% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE, TOTAL 3 SPECIMENS	$170.00	$170.00	$12.61	—	—
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN (STOOL)	$183.00	$183.00	$14.09	310% above	—
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN (STOOL)	$183.00	$183.00	$14.09	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$84.00	$84.00	$4.42–$84.00	21% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN	$84.00	$84.00	$4.42–$84.00	—	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN (HGB)	$54.00	$54.00	$2.32–$43.20	1% below	—
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN (HGB)	$54.00	$54.00	$2.32–$43.20	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG	$91.00	$91.00	$10.12	107% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG	$91.00	$91.00	$10.12	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB	$114.00	$114.00	$13.98	145% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB	$114.00	$114.00	$13.98	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA BY PCR	$538.00	$538.00	$41.98	365% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA BY BRANCHED DNA	$538.00	$538.00	$41.98	365% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA BY PCR	$538.00	$538.00	$41.98	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA BY BRANCHED DNA	$538.00	$538.00	$41.98	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I (IGG)	$114.00	$114.00	$91.20	387% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I (IGM)	$114.00	$114.00	$91.20	387% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX I (IGG)	$114.00	$114.00	$91.20	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX I (IGM)	$114.00	$114.00	$91.20	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 ACETYLCHOLINE REC MODULATING A	$393.00	$393.00	$12.69	714% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 ACETYLCHOLINE REC MODULATING A	$393.00	$393.00	$12.69	—	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$232.00	$232.00	$17.56	316% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$232.00	$232.00	$17.56	—	—
Insulin blood test CPT 83525 INSULIN, TOTAL	$54.00	$54.00	$11.20	95% above	—
Insulin blood test inpatient CPT 83525 INSULIN, TOTAL	$54.00	$54.00	$11.20	—	—
Iron blood test (serum iron) CPT 83540 IRON, SERUM	$67.00	$67.00	$4.42–$67.00	23% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON, SERUM	$67.00	$67.00	$4.42–$67.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON, BINDING	$99.00	$99.00	$8.57–$70.69	8% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON, BINDING	$99.00	$99.00	$8.57–$70.69	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$303.00	$303.00	$8.51–$303.00	22% below	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$303.00	$303.00	$8.51–$303.00	—	—
LH (luteinizing hormone) test CPT 83002 LH	$182.00	$182.00	$18.15	186% above	—
LH (luteinizing hormone) test inpatient CPT 83002 LH	$182.00	$182.00	$18.15	—	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$118.00	$118.00	$58.29–$118.00	36% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$118.00	$118.00	$58.29–$118.00	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH, FLUID	$105.00	$105.00	$5.92–$84.00	92% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$105.00	$105.00	$5.92–$84.00	92% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH, FLUID	$105.00	$105.00	$5.92–$84.00	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$105.00	$105.00	$5.92–$84.00	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$96.00	$96.00	$6.75–$96.00	44% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$96.00	$96.00	$6.75–$96.00	—	—
Liver function blood test panel CPT 80076 LIVER PROFILE	$368.00	$368.00	$8.01–$368.00	41% above	—
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE	$368.00	$368.00	$8.01–$368.00	—	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB (IGM)	$325.00	$325.00	$16.69	1018% above	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB (IGM, IGG)	$325.00	$325.00	$16.69	1018% above	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB (IGM, IGG)	$325.00	$325.00	$16.69	—	—
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB (IGM)	$325.00	$325.00	$16.69	—	—
Magnesium blood test CPT 83735 MAGNESIUM	$77.00	$77.00	$6.57–$61.60	447% above	—
Magnesium blood test CPT 83735 MAGNESIUM RBC	$163.00	$163.00	$6.57	1058% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$77.00	$77.00	$6.57–$61.60	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$163.00	$163.00	$6.57	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$71.00	$71.00	$5.08–$56.80	54% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$71.00	$71.00	$5.08–$56.80	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$111.00	$111.00	$18.02	229% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$111.00	$111.00	$18.02	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA	$125.00	$125.00	$18.02–$125.00	123% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA	$125.00	$125.00	$18.02–$125.00	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH (N-TERMINAL)	$320.00	$320.00	$40.45–$320.00	205% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH (C-TERMINAL)	$320.00	$320.00	$40.45–$320.00	205% above	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH (INTACT)	$320.00	$320.00	$40.45–$320.00	205% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH (N-TERMINAL)	$320.00	$320.00	$40.45–$320.00	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH (C-TERMINAL)	$320.00	$320.00	$40.45–$320.00	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH (INTACT)	$320.00	$320.00	$40.45–$320.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$134.00	$134.00	$5.89–$134.00	225% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$134.00	$134.00	$5.89–$134.00	—	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOURUS	$61.00	$61.00	$4.65–$61.00	3% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOURUS	$61.00	$61.00	$4.65–$61.00	—	—
Potassium blood test CPT 84132 POTASSIUM, SERUM	$95.00	$95.00	$4.42–$76.00	50% above	—
Potassium blood test inpatient CPT 84132 POTASSIUM, SERUM	$95.00	$95.00	$4.42–$76.00	—	—
Prolactin blood test CPT 84146 PROLACTIN	$151.00	$151.00	$18.99	129% above	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$151.00	$151.00	$18.99	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT	$118.00	$118.00	$4.20–$118.00	238% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT	$118.00	$118.00	$4.20–$118.00	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN	$77.00	$77.00	$4.01–$77.00	40% below	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN	$77.00	$77.00	$4.01–$77.00	—	—
Rh blood typing CPT 86901 RH TYPE	$58.00	$58.00	$46.40	25% above	—
Rh blood typing inpatient CPT 86901 RH TYPE	$58.00	$58.00	$46.40	—	—
Rheumatoid factor (RF) test CPT 86431 RA LATEX / RHEMATOID FACTOR	$74.00	$74.00	$5.56	197% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RA LATEX / RHEMATOID FACTOR	$74.00	$74.00	$5.56	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA (IGM)	$118.00	$118.00	$58.29	526% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA (IGG)	$118.00	$118.00	$58.29	526% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA (IGM)	$118.00	$118.00	$58.29	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA (IGG)	$118.00	$118.00	$58.29	—	—
Sodium blood test CPT 84295 SODIUM, SERUM	$57.00	$57.00	$4.71	15% below	—
Sodium blood test inpatient CPT 84295 SODIUM, SERUM	$57.00	$57.00	$4.71	—	—
Stool ova and parasites exam CPT 87177 O & P, SPUTUM	$231.00	$231.00	$8.72	454% above	—
Stool ova and parasites exam inpatient CPT 87177 O & P, SPUTUM	$231.00	$231.00	$8.72	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 MHA-TREPONEMA PALLIDUM AB	$157.00	$157.00	$12.98	919% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 MHA-TREPONEMA PALLIDUM AB	$157.00	$157.00	$12.98	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SEROLOGY	$76.00	$76.00	$4.18	284% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL (SERUM/CSF)	$76.00	$76.00	$4.18	284% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL (SERUM/CSF)	$76.00	$76.00	$4.18	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR SEROLOGY	$76.00	$76.00	$4.18	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 MRSA CULTURE SCREEN	$59.00	$59.00	$60.74–$93.00	5% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON	$93.00	$93.00	$60.74–$93.00	50% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 MRSA CULTURE SCREEN	$59.00	$59.00	$60.74–$93.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON	$93.00	$93.00	$60.74–$93.00	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$207.00	$207.00	$25.29–$207.00	463% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$207.00	$207.00	$25.29–$207.00	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXITASE AB	$216.00	$216.00	$14.26	1294% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB SCR	$216.00	$216.00	$14.26	1294% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID MICROSOMAL AB	$216.00	$216.00	$14.26	1294% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL AB	$216.00	$216.00	$14.26	1294% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID PEROXITASE AB	$216.00	$216.00	$14.26	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL AB SCR	$216.00	$216.00	$14.26	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL AB	$216.00	$216.00	$14.26	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID MICROSOMAL AB	$216.00	$216.00	$14.26	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$126.00	$126.00	$16.46–$126.00	5% below	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$126.00	$126.00	$16.46–$126.00	—	—
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E	$128.00	$128.00	$16.13	433% above	—
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E	$128.00	$128.00	$16.13	—	—
Total thyroxine (T4) blood test CPT 84436 T4, TOTAL	$75.00	$75.00	$6.73–$75.00	2% below	—
Total thyroxine (T4) blood test inpatient CPT 84436 T4, TOTAL	$75.00	$75.00	$6.73–$75.00	—	—
Total triiodothyronine (T3) blood test CPT 84480 T3, TOTAL	$136.00	$136.00	$13.90	80% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, TOTAL	$136.00	$136.00	$13.90	—	—
Transferrin blood test CPT 84466 TRANSFERRIN	$110.00	$110.00	$12.50–$75.60	38% above	—
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$110.00	$110.00	$12.50–$75.60	—	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$54.00	$54.00	$38.56	73% above	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$54.00	$54.00	$38.56	—	—
Troponin test, quantitative CPT 84484 TROPONIN I	$209.00	$209.00	$103.25–$209.00	47% above	—
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$209.00	$209.00	$103.25–$209.00	—	—
Uric acid blood test CPT 84550 URIC ACID	$61.00	$61.00	$4.43–$61.00	26% below	—
Uric acid blood test inpatient CPT 84550 URIC ACID	$61.00	$61.00	$4.43–$61.00	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH REFLEX TO CULT	$118.00	$118.00	$3.11–$118.00	25% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH REFLEX TO CULT	$118.00	$118.00	$3.11–$118.00	—	—
Urine culture for bacteria, with colony count CPT 87086 C & S, URINE	$188.00	$188.00	$7.91–$188.00	1% below	—
Urine culture for bacteria, with colony count inpatient CPT 87086 C & S, URINE	$188.00	$188.00	$7.91–$188.00	—	—
Urine pregnancy test, read by color change CPT 81025 PREG TEST UCG, QUAL	$116.00	$116.00	$2.39–$116.00	1% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST UCG, QUAL	$116.00	$116.00	$2.39–$116.00	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$142.00	$142.00	$14.78–$142.00	at median	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$142.00	$142.00	$14.78–$142.00	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (25-OH)	$328.00	$328.00	$29.01–$328.00	598% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D (25-OH)	$328.00	$328.00	$29.01–$328.00	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D (1,25-DIHYDROXY)	$361.00	$361.00	$37.73	802% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D (1,25-DIHYDROXY)	$361.00	$361.00	$37.73	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG, SERUM QUANTITATIVE	$213.00	$213.00	$105.22–$170.40	259% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG, SERUM QUANTITATIVE	$213.00	$213.00	$105.22–$170.40	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Bunion correction with removal of part of the big toe joint CPT 28292 OR - Bunionectomy w/sesamoidec	$12,336.00	$12,336.00	$7,532.15	37% above	—
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 OR - Bunionectomy w/sesamoidec	$12,336.00	$12,336.00	$7,532.15	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$1,548.00	$1,548.00	$628.83–$692.23	26% below	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$1,548.00	$1,548.00	$628.83–$692.23	—	—
Cataract surgery with lens implant CPT 66984 OR - Xcapsl ctrc rmvl w/o ecp	$8,881.00	$8,881.00	$2,412.66–$7,104.80	107% above	—
Cataract surgery with lens implant inpatient CPT 66984 OR - Xcapsl ctrc rmvl w/o ecp	$8,881.00	$8,881.00	$2,412.66–$7,104.80	—	—
Colonoscopy with polyp removal CPT 45385 OR GI - Colon removal w/snare	$4,497.00	$4,497.00	$621.11–$4,497.00	25% above	—
Colonoscopy with polyp removal inpatient CPT 45385 OR GI - Colon removal w/snare	$4,497.00	$4,497.00	$621.11–$4,497.00	—	—
Colonoscopy with tissue sample CPT 45380 OR GI - Colonoscopy w/bx	$4,497.00	$4,497.00	$982.26–$4,497.00	25% above	—
Colonoscopy with tissue sample inpatient CPT 45380 OR GI - Colonoscopy w/bx	$4,497.00	$4,497.00	$982.26–$4,497.00	—	—
Colonoscopy, diagnostic CPT 45378 OR GI - Colonoscopy	$3,483.00	$3,483.00	$882.13–$2,786.40	15% above	—
Colonoscopy, diagnostic inpatient CPT 45378 OR GI - Colonoscopy	$3,483.00	$3,483.00	$882.13–$2,786.40	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN	$83.00	$83.00	$130.91	56% below	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVL IMPACTED CERUMEN/UNILAT	$265.00	$265.00	$130.91	40% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMPACTED CERUMEN	$83.00	$83.00	$130.91	—	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVL IMPACTED CERUMEN/UNILAT	$265.00	$265.00	$130.91	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 OR GI - Flex Sigmoidoscopy(FS)	$3,483.00	$3,483.00	$960.54	24% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 OR GI - Flex Sigmoidoscopy(FS)	$3,483.00	$3,483.00	$960.54	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D/SINGLE SIMPLE	$618.00	$618.00	$171.69–$494.40	3% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D/SINGLE SIMPLE	$618.00	$618.00	$171.69–$494.40	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT MAJOR JNT-ER ONLY	$735.00	$735.00	$121.95–$588.00	9% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENT MAJOR JNT-ER ONLY	$735.00	$735.00	$121.95–$588.00	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS/INTERMDT JNT	$735.00	$735.00	$312.27–$588.00	28% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS/INTERMDT JNT	$735.00	$735.00	$312.27–$588.00	—	—
Removal of a foreign object under the skin, simple CPT 10120 INCISION/REMVL FORGN BDY/SIMPL	$810.00	$810.00	$171.69–$648.00	26% below	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION/REMVL FORGN BDY/SIMPL	$810.00	$810.00	$171.69–$648.00	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colorectal Screen; High Risk	$3,762.00	$3,762.00	$883.06–$960.54	15% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colorectal Screen; High Risk	$3,762.00	$3,762.00	$883.06–$960.54	—	—
Short arm splint (forearm and hand) CPT 29125 APP SHRTARM SPLNT FA-HND;STATI	$487.00	$487.00	$347.72–$389.60	20% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 APP SHRTARM SPLNT FA-HND;STATI	$487.00	$487.00	$347.72–$389.60	—	—
Short leg splint (calf to foot) CPT 29515 App short leg splint;calf-foot	$600.00	$600.00	$160.00–$428.40	45% above	—
Short leg splint (calf to foot) inpatient CPT 29515 App short leg splint;calf-foot	$600.00	$600.00	$160.00–$428.40	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF WOUND < 2.5CM	$175.00	$175.00	$86.45–$175.00	65% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR OF WOUND < 2.5CM	$175.00	$175.00	$86.45–$175.00	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE;LUMBAR,DIAGN	$1,401.00	$1,401.00	$1,120.80	9% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE;LUMBAR,DIAGN	$1,401.00	$1,401.00	$1,120.80	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR WOUND 2.6 TO 7.5	$412.00	$412.00	$186.93–$329.60	32% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR WOUND 2.6 TO 7.5	$412.00	$412.00	$186.93–$329.60	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF WOUND <2.5	$412.00	$412.00	$186.93–$329.60	15% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR OF WOUND <2.5	$412.00	$412.00	$186.93–$329.60	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 OR GI - EGD Esoph dilation <30	$7,252.00	$7,252.00	$494.24–$5,801.60	158% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 OR GI - EGD Esoph dilation <30	$7,252.00	$7,252.00	$494.24–$5,801.60	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 OR GI - EGD Flex w/bx	$3,455.00	$3,455.00	$493.88–$2,764.00	7% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 OR GI - EGD Flex w/bx	$3,455.00	$3,455.00	$493.88–$2,764.00	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 OR GI - EGD removal w/snare	$7,252.00	$7,252.00	$2,004.47	118% above	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 OR GI - EGD removal w/snare	$7,252.00	$7,252.00	$2,004.47	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 OR GI - EGD Flex transoral	$3,455.00	$3,455.00	$992.78	51% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 OR GI - EGD Flex transoral	$3,455.00	$3,455.00	$992.78	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION-MED SURG	$1,101.00	$1,101.00	$419.43–$1,534.00	at median	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION-ER	$1,534.00	$1,534.00	$419.43–$1,534.00	39% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION-MED SURG	$1,101.00	$1,101.00	$419.43–$1,534.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION-ER	$1,534.00	$1,534.00	$419.43–$1,534.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ban-Neb (high speed neb)	$518.00	$518.00	$255.89–$518.00	99% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBUL.UPDRAFT TREAT 2.5ML	$518.00	$518.00	$255.89–$518.00	99% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB.TX. 2.5ML(SUBSEQUENT)	$518.00	$518.00	$255.89–$518.00	99% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PEDIATRIC NEBULIZER INCLUDES M	$518.00	$518.00	$255.89–$518.00	99% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBUL.UPDRAFT TREAT 2.5ML	$518.00	$518.00	$255.89–$518.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB.TX. 2.5ML(SUBSEQUENT)	$518.00	$518.00	$255.89–$518.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ban-Neb (high speed neb)	$518.00	$518.00	$255.89–$518.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PEDIATRIC NEBULIZER INCLUDES M	$518.00	$518.00	$255.89–$518.00	—	—
Critical care, first 30 to 74 minutes CPT 99291 Critical Care 30-74 mins	$4,201.00	$4,201.00	$468.74–$3,360.80	13% below	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care 30-74 mins	$4,201.00	$4,201.00	$468.74–$3,360.80	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM LEVEL 1	$457.00	$457.00	$50.96–$365.60	7% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY ROOM LEVEL 1	$457.00	$457.00	$50.96–$365.60	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM LEVEL 2	$749.00	$749.00	$167.52–$599.20	18% below	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY ROOM LEVEL 2	$749.00	$749.00	$167.52–$599.20	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM LEVEL 3	$1,184.00	$1,184.00	$176.41–$947.20	26% below	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY ROOM LEVEL 3	$1,184.00	$1,184.00	$176.41–$947.20	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM LEVEL 4	$2,136.00	$2,136.00	$176.41–$2,136.00	13% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY ROOM LEVEL 4	$2,136.00	$2,136.00	$176.41–$2,136.00	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM LEVEL 5	$3,030.00	$3,030.00	$408.72–$2,649.90	8% below	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY ROOM LEVEL 5	$3,030.00	$3,030.00	$408.72–$2,649.90	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRAVENOUS INFUSION HYDR 31 M	$558.00	$558.00	$221.97–$446.40	3% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INTRAVENOUS INFUSION HYDR 31 M	$558.00	$558.00	$221.97–$446.40	—	—
IV infusion of a medicine, first hour CPT 96365 ALTEPLASE 2 MG VIAL	$427.00	$427.00	$207.94–$653.60	35% below	—
IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag iv inf init	$817.00	$817.00	$207.94–$653.60	24% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 ALTEPLASE 2 MG VIAL	$427.00	$427.00	$207.94–$653.60	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Ther/proph/diag iv inf init	$817.00	$817.00	$207.94–$653.60	—	—
IV push of a medicine, first drug CPT 96374 Ther/proph/diag inj iv push	$817.00	$817.00	$207.94–$653.60	157% above	—
IV push of a medicine, first drug inpatient CPT 96374 Ther/proph/diag inj iv push	$817.00	$817.00	$207.94–$653.60	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN OF/THERAPEUTIC DRUG(IM,S	$183.00	$183.00	$68.35–$76.80	at median	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN OF/THERAPEUTIC DRUG(IM,S	$183.00	$183.00	$68.35–$76.80	—	—
Neuromuscular re-education, 15 minutes CPT 97112 ICE PACKS/PT	$103.00	$103.00	$23.57–$175.64	28% below	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 ICE PACKS/PT	$103.00	$103.00	$23.57–$175.64	—	—
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient Visit New	$275.00	$275.00	$260.39–$269.64	39% below	—
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient Visit New	$275.00	$275.00	$260.39–$269.64	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient Visit New	$275.00	$275.00	$269.64	5% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpatient Visit New	$275.00	$275.00	$269.64	—	—
Occupational therapy evaluation, low complexity CPT 97165 OT - EVAL MOD COMPLEX 45 MIN	$185.00	$185.00	$96.27–$157.59	61% below	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT - EVAL MOD COMPLEX 45 MIN	$185.00	$185.00	$96.27–$157.59	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT - EVAL MOD COMPLEX 30 MIN	$185.00	$185.00	$72.29–$171.00	59% below	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT - EVAL MOD COMPLEX 30 MIN	$185.00	$185.00	$72.29–$171.00	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT - EVAL HIGH COMPLEX 45 MIN	$200.00	$200.00	$74.08–$172.44	57% below	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT - EVAL HIGH COMPLEX 45 MIN	$200.00	$200.00	$74.08–$172.44	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PHYSICAL PERFORM TESTING/OT	$77.00	$77.00	$17.76–$108.80	41% below	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PHYSICAL PERFORM TESTING/PT	$77.00	$77.00	$20.13–$108.80	41% below	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 CANE INSTRUCTION\PT	$115.00	$115.00	$20.13–$108.80	11% below	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PARAFFIN BATH OT	$126.00	$126.00	$17.76–$108.80	3% below	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PHYSICAL PERFORM TESTING/OT	$77.00	$77.00	$17.76–$108.80	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PHYSICAL PERFORM TESTING/PT	$77.00	$77.00	$20.13–$108.80	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 CANE INSTRUCTION\PT	$115.00	$115.00	$20.13–$108.80	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PARAFFIN BATH OT	$126.00	$126.00	$17.76–$108.80	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 FINE MOTOR COORDINATION/OT	$82.00	$82.00	$18.69–$82.00	43% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 GAIT TRAINING W/CRUTCHES	$82.00	$82.00	$20.99–$117.10	43% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TRIGGER POINT RELEASE - MASSAG	$115.00	$115.00	$20.99–$117.10	21% below	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 FINE MOTOR COORDINATION/OT	$82.00	$82.00	$18.69–$82.00	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 GAIT TRAINING W/CRUTCHES	$82.00	$82.00	$20.99–$117.10	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TRIGGER POINT RELEASE - MASSAG	$115.00	$115.00	$20.99–$117.10	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Visit Est	$275.00	$275.00	$221.47–$269.64	17% below	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/Outpatient Visit Est	$275.00	$275.00	$221.47–$269.64	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Visit Est	$275.00	$275.00	$260.39–$269.64	46% below	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpatient Visit Est	$275.00	$275.00	$260.39–$269.64	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Visit Est	$275.00	$275.00	$240.00–$269.64	15% below	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/Outpatient Visit Est	$275.00	$275.00	$240.00–$269.64	—	—
Speech and language evaluation CPT 92523 EVAL OF SPEECH SOUND PRODUCTIO	$155.00	$155.00	$215.75–$610.00	74% below	—
Speech and language evaluation inpatient CPT 92523 EVAL OF SPEECH SOUND PRODUCTIO	$155.00	$155.00	$215.75–$610.00	—	—
Speech therapy session, individual CPT 92507 SPEECH-FUNC.TRAING/15M	$101.00	$101.00	$49.89–$80.80	72% below	—
Speech therapy session, individual inpatient CPT 92507 SPEECH-FUNC.TRAING/15M	$101.00	$101.00	$49.89–$80.80	—	—
Spirometry before and after a bronchodilator CPT 94060 PFT pre/post bronchodilator	$1,196.00	$1,196.00	$104.14–$1,196.00	33% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT pre/post bronchodilator	$1,196.00	$1,196.00	$104.14–$1,196.00	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Group Therapy	$87.00	$87.00	$23.65–$161.36	40% below	—
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNCTIONAL ACTIVITIES/PT	$113.00	$113.00	$23.65–$161.36	22% below	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Group Therapy	$87.00	$87.00	$23.65–$161.36	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FUNCTIONAL ACTIVITIES/PT	$113.00	$113.00	$23.65–$161.36	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 ROTAURUS TD 7+ YEARS	$38.00	$38.00	$25.05–$88.00	72% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 THIAMINE 200MG/2ML MDV,100MG	$55.00	$55.00	$25.05–$88.00	60% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 ROTAURUS TD 7+ YEARS	$38.00	$38.00	$25.05–$88.00	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 THIAMINE 200MG/2ML MDV,100MG	$55.00	$55.00	$25.05–$88.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ceFAZolin SODIUM 1G INJ,SDV	$31.00	$31.00	$25.05–$126.00	84% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7YRS/>IM	$134.00	$134.00	$25.05–$126.00	32% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ceFAZolin SODIUM 1G INJ,SDV	$31.00	$31.00	$25.05–$126.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7YRS/>IM	$134.00	$134.00	$25.05–$126.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin	$87.00	$87.00	$104.23–$211.00	26% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF/IMMUNIZATION DRUG	$211.00	$211.00	$104.23–$211.00	78% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization admin	$87.00	$87.00	$104.23–$211.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OF/IMMUNIZATION DRUG	$211.00	$211.00	$104.23–$211.00	—	—

Source file: https://hospitalpricetransparencyfiles.com/baker-county-medical-services-inc/593202547_Baker-County-Medical-Services-Inc_standardcharges.csv