Madison County Memorial Hospital
Madison County Memorial Hospital in Madison, FL publishes cash prices for 221 common procedures listed here, from its own machine-readable price file updated Apr 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 189 of 215 procedures and above it for 26. By typical cash price it ranks #11 of 175 Florida hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
224 NW Crane Ave, Madison FL 32340 Collected Sep 29, 2026 Source price file (850) 973-2271
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 101311 · CMS hospital register NPI 1104821461
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 2 actions for a hospital named Madison County Memorial Hospital in Madison, FL:
- Apr 29, 2026 Warning notice
- Jul 6, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. 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 X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE 3V BILATERAL | $262.50 | $525.00 | $15.00–$357.00 | — | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3V RIGHT | $262.50 | $525.00 | $15.00–$357.00 | 47% below | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3V LEFT | $262.50 | $525.00 | $15.00–$357.00 | 47% below | 50% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL | $348.50 | $697.00 | $18.00–$473.96 | — | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RIGHT | $348.50 | $697.00 | $18.00–$473.96 | 30% below | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT | $348.50 | $697.00 | $18.00–$473.96 | 30% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $540.75 | $1,081.50 | $47.00–$735.42 | 88% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELV W/O CON | $1,347.50 | $2,695.00 | $47.00–$1,832.60 | 76% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $1,354.50 | $2,709.00 | $47.00–$1,842.12 | 76% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST | $1,354.50 | $2,709.00 | $47.00–$1,842.12 | 77% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV 1+ SEC/REG | $333.21 | $666.41 | $35.89–$398.86 | 95% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAST | $1,869.50 | $3,739.00 | $47.00–$2,542.52 | 73% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST | $749.00 | $1,498.00 | $47.00–$973.70 | 79% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONTRAST | $400.00 | $800.00 | $16.00–$544.00 | 86% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W/O CONTRAST | $400.00 | $800.00 | $16.00–$544.00 | 86% below | 50% |
| CT scan of the head with contrast CPT 70460 CT BRAIN W/ CONTRAST | $1,648.00 | $3,296.00 | $47.00–$2,241.28 | 56% below | 50% |
| CT scan of the head without and with contrast CPT 70470 CT BRAIN W/WO CONTRAST | $1,648.00 | $3,296.00 | $47.00–$2,241.28 | 63% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $424.88 | $849.75 | $47.00–$577.83 | 87% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT S-SPINE | $805.98 | $1,611.95 | $47.00–$322.39 | 75% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $360.50 | $721.00 | $47.00–$468.65 | 89% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $798.25 | $1,596.50 | $47.00–$319.30 | 81% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID BILATERAL | $772.50 | $1,545.00 | $14.25–$132.61 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DUPLEX | $527.88 | $1,055.75 | $53.67–$717.91 | 76% below | 50% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA/LATERAL VIEW ROUTINE | $38.63 | $77.25 | $2.37–$53.67 | 92% below | 50% |
| Chest X-ray, 2 views CPT 71046 XR DECUB CHEST | $75.71 | $151.41 | $2.37–$98.42 | 85% below | 50% |
| Chest X-ray, single view CPT 71045 CHEST PORTABLE AP | $167.50 | $335.00 | $15.82–$227.80 | 59% below | 50% |
| Chest X-ray, single view CPT 71045 XR CHEST AP (UPRIGHT) VIEW | $167.50 | $335.00 | $15.82–$227.80 | 59% below | 50% |
| Chest X-ray, single view CPT 71045 XR CHEST APICAL LORDOTIC VIEW | $167.50 | $335.00 | $15.82–$227.80 | 59% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US RENAL BILATERAL | $557.00 | $1,114.00 | $18.00–$757.52 | — | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG DETAIL SINGLE | $237.93 | $475.86 | $18.00–$323.58 | 74% below | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA MAMMOGRAM DIAOSTIC BILATERAL | $187.50 | $375.00 | $53.67–$255.00 | — | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MA MAMMOGRAM SCRN TO DIAG RIGHT | $155.00 | $310.00 | $21.50–$91.00 | 61% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MA MAMMOGRAM LEFT | $155.00 | $310.00 | $21.50–$91.00 | 61% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MA MAMMOGRAM SCRN TO DIAG LEFT | $155.00 | $310.00 | $21.50–$91.00 | 61% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM/UNILATERAL | $155.00 | $310.00 | $21.50–$91.00 | 61% below | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOW EXTR ART BILATERAL | $502.13 | $1,004.25 | $2.85–$682.89 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS EXTR BILATERAL | $527.88 | $1,055.75 | $53.67–$717.91 | — | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX FOR DVT | $527.88 | $1,055.75 | $53.67–$717.91 | 71% below | 50% |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3 VIEW | $285.00 | $570.00 | $18.00–$387.60 | 45% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE OTHER | $227.00 | $454.00 | $9.80–$295.10 | 80% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUES OF ABDOMEN | $227.00 | $454.00 | $9.80–$295.10 | 80% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $427.00 | $854.00 | $17.80–$555.10 | 62% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US RUQ | $427.00 | $854.00 | $17.80–$555.10 | 62% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE | $1,339.00 | $2,678.00 | $47.00–$1,821.40 | 84% above | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST (UNSPECIFIED) LOW DOSE | $1,339.00 | $2,678.00 | $47.00–$1,821.40 | 84% above | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $669.50 | $1,339.00 | $53.67–$739.00 | 81% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD NON OB | $111.50 | $223.00 | $18.00–$151.64 | 87% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PVR | $527.88 | $1,055.75 | $35.31–$717.91 | 40% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE | $425.00 | $850.00 | $17.00–$578.00 | 68% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTER>14 WKS SNG | $497.00 | $994.00 | $18.00–$675.92 | 39% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG UTER<14 WK SINGLE | $214.76 | $429.51 | $18.00–$292.70 | 72% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG UTER LTD | $126.18 | $252.35 | $5.47–$171.60 | 80% below | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMOGRAM SCREENING BILATERAL | $171.50 | $343.00 | $68.60–$233.24 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREENING BILATERAL | $187.50 | $375.00 | $75.00–$255.00 | — | 50% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER AP/LATERAL/AXILLARY BILAT | $257.50 | $515.00 | $13.00–$334.75 | — | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER AP/LATERAL/AXILLARY RIGHT | $92.50 | $185.00 | $12.25–$125.80 | 85% below | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER AP/LATERAL/AXILLARY LEFT | $257.50 | $515.00 | $13.00–$334.75 | 58% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAG NON PREG | $309.00 | $618.00 | $18.00–$123.60 | 67% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANS VAG | $368.00 | $736.00 | $5.48–$478.40 | 60% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $528.00 | $1,056.00 | $18.00–$718.80 | 66% below | 50% |
| Ultrasound of the scrotum and testicles both sides CPT 76870 US SCROTUM BILATERAL | $358.00 | $716.00 | $18.00–$486.88 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD AND NECK | $168.92 | $337.84 | $18.00–$229.73 | 85% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID COMPLETE | $355.50 | $711.00 | $18.00–$483.48 | 68% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $355.50 | $711.00 | $18.00–$483.48 | 68% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W KUB | $259.56 | $519.12 | $13.82–$353.00 | 76% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DUPLEX LIMITED OR UNI | $527.88 | $1,055.75 | $53.67–$717.91 | 22% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS EXTREM RIGHT | $342.48 | $684.95 | $53.67–$465.77 | 49% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS EXTR RIGHT | $502.13 | $1,004.25 | $2.85–$682.89 | 26% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS EXTR LEFT | $502.13 | $1,004.25 | $2.85–$682.89 | 26% below | 50% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST 3V BILAT | $240.00 | $480.00 | $17.73–$326.40 | — | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3V LEFT | $240.00 | $480.00 | $17.73–$326.40 | 62% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3V RIGHT | $240.00 | $480.00 | $17.73–$326.40 | 62% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 XR KUB | $193.00 | $386.00 | $17.41–$262.48 | 61% below | 50% |
| X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE 2V BILATERAL | $190.50 | $381.00 | $16.46–$259.80 | — | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V RIGHT | $190.50 | $381.00 | $16.46–$259.80 | 56% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2V LEFT | $190.50 | $381.00 | $16.46–$259.80 | 56% below | 50% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 XR FINGER 2V BILATERAL | $213.50 | $427.00 | $14.22–$277.55 | — | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2V LEFT | $213.50 | $427.00 | $14.22–$277.55 | 50% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER 2V RIGHT | $213.50 | $427.00 | $14.22–$277.55 | 50% below | 50% |
| X-ray of the foot, 2 views both sides CPT 73620 XR FOOT AP/LATERAL VIEW BILAT | $190.50 | $381.00 | $16.46–$259.80 | — | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT AP/LATERAL VIEW LEFT | $190.50 | $381.00 | $16.46–$259.80 | 57% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT AP/LATERAL VIEW RIGHT | $190.50 | $381.00 | $16.46–$259.80 | 57% below | 50% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT AP/LATERAL/OBLIQUE VIEW BILAT | $252.50 | $505.00 | $11.00–$343.40 | — | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT AP/LATERAL/OBLIQUE VIEW RIGHT | $252.50 | $505.00 | $11.00–$343.40 | 53% below | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT AP/LATERAL/OBLIQUE VIEW LEFT | $252.50 | $505.00 | $11.00–$343.40 | 53% below | 50% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND AP/LATERAL/OBLIQUE VIEW BILAT | $265.00 | $530.00 | $16.00–$344.50 | — | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND AP/LATERAL/OBLIQUE VIEW RIGHT | $265.00 | $530.00 | $16.00–$344.50 | 52% below | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND AP/LATERAL/OBLIQUE VIEW LEFT | $265.00 | $530.00 | $16.00–$344.50 | 52% below | 50% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE AP/LATERAL VIEW BILAT | $185.00 | $370.00 | $17.41–$251.60 | — | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP/LATERAL VIEW RIGHT | $185.00 | $370.00 | $17.41–$251.60 | 63% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP/LATERAL VIEW LEFT | $185.00 | $370.00 | $17.41–$251.60 | 63% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE AP/LATERAL VIEW | $150.00 | $300.00 | $6.00–$195.00 | 78% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE AP/LATERAL/OBLIQUE VIEW | $202.00 | $404.00 | $3.67–$274.72 | 82% below | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES-COMPLETE | $216.50 | $433.00 | $17.41–$294.44 | 66% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE AP/LATERAL VIEW | $237.00 | $474.00 | $18.00–$322.32 | 65% below | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS ROUTINE | $283.50 | $567.00 | $17.41–$385.56 | 52% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR COCCYX/SACRUM MIN 2V | $219.00 | $438.00 | $18.00–$297.84 | 66% below | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $27.50 | $55.00 | $7.52–$37.40 | 28% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ED/OP ACUTE HEPATITIS PANEL | $112.50 | $225.00 | $45.00–$665.00 | 31% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $112.50 | $225.00 | $45.00–$153.00 | 31% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GRASSES | $13.91 | $27.81 | $5.56–$21.12 | 78% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TREE | $13.91 | $27.81 | $5.56–$21.12 | 78% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SINGLE RAST | $26.78 | $53.56 | $1.71–$48.93 | 243% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SINGLE TEST IGE | $27.30 | $54.59 | $1.92–$37.12 | 250% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SALAD GROUP | $86.52 | $173.04 | $7.41–$117.67 | 1009% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST VEGETABLE GROUP | $86.52 | $173.04 | $7.41–$117.67 | 1009% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SOUTHEAST REGIO | $153.99 | $307.97 | $7.41–$61.59 | 1874% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE ZN4 | $207.29 | $414.58 | $7.41–$281.91 | 2558% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITTRULLINATED PEPTIDE(CCP)ANTIBO | $46.35 | $92.70 | $6.26–$178.00 | 70% above | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA SCREEN WITH REFLEX TO TITER | $30.90 | $61.80 | $12.36–$47.00 | 12% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 TRIAGE BNP | $90.13 | $180.25 | $25.50–$122.57 | 50% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PROBNP | $103.00 | $206.00 | $14.80–$133.90 | 43% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP SEND OUT REF LAB | $122.57 | $245.14 | $49.30–$166.70 | 33% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $38.63 | $77.25 | $5.21–$52.53 | 89% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 DAILY BMP | $38.63 | $77.25 | $5.21–$52.53 | 89% below | 50% |
| Blood culture for bacteria CPT 87040 BACTERIA BLD CULT | $46.35 | $92.70 | $6.26–$178.00 | 86% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 REFERENCE DRAW FEE QUEST/LABCORP | $6.00 | $12.00 | $2.40–$178.00 | 69% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAW BLOOD | $7.73 | $15.45 | $1.40–$55.11 | 60% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 DNA COLLECTION FEE | $12.88 | $25.75 | $3.00–$73.39 | 33% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 2-HR POSTPRANDIAL-SERUM | $12.88 | $25.75 | $5.15–$296.00 | 72% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 1-HR POSTPRANDIAL-SERUM | $12.88 | $25.75 | $5.15–$178.00 | 72% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING-SERUM | $12.88 | $25.75 | $5.15–$178.00 | 72% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $27.50 | $55.00 | $5.57–$93.00 | 39% below | 50% |
| Blood lead test CPT 83655 LEAD (PEDIATRIC) | $31.42 | $62.83 | $4.84–$178.00 | 133% above | 50% |
| Blood lead test CPT 83655 LEAD | $37.50 | $75.00 | $15.00–$51.00 | 178% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QUALITATIVE | $21.12 | $42.23 | $1.66–$28.72 | 83% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO BLOOD TYPE | $26.27 | $52.53 | $1.51–$35.72 | 51% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN (QUEST) | $28.33 | $56.65 | $4.69–$38.52 | 64% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN (CRP) | $41.20 | $82.40 | $7.34–$178.00 | 47% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B QL REAL TIME PCR | $23.18 | $46.35 | $9.27–$665.00 | 81% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIF STL QL CULT | $23.18 | $46.35 | $9.27–$178.00 | 81% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIF TOX L QL PCR | $23.18 | $46.35 | $9.27–$296.00 | 81% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIF TOX GENS STL QL PCR | $23.18 | $46.35 | $9.27–$665.00 | 81% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9 | $52.02 | $104.03 | $2.81–$67.62 | 6% below | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER AG 125 | $60.77 | $121.54 | $24.31–$82.65 | 34% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RAPID COVID-19 RNA | $84.98 | $169.95 | $11.47–$296.00 | 3% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 INPATIENT COVID-19 | $134.26 | $268.51 | $53.70–$645.00 | 53% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 ED COVID-19 | $249.20 | $498.39 | $99.68–$338.91 | 184% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 QUEST SARS-CoV-2 COVID-19 | $446.89 | $893.77 | $58.95–$178.75 | 410% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PCR SWB/UR | $66.44 | $132.87 | $9.35–$97.85 | 12% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPIDS BODY FLUID | $62.32 | $124.63 | $19.10–$178.00 | 38% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID/REFLEX | $62.32 | $124.63 | $19.10–$178.00 | 38% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $84.00 | $168.00 | $17.00–$114.24 | 17% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $77.25 | $154.50 | $1.43–$38.11 | 85% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL PICCOLO | $77.25 | $154.50 | $1.43–$15.60 | 85% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 DAILY CMP | $77.25 | $154.50 | $1.43–$36.57 | 85% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATG HORMONE(FSH)LEV-SERUM | $45.32 | $90.64 | $7.21–$61.64 | 28% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 DAILY FERRITIN | $41.20 | $82.40 | $16.48–$56.30 | 69% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN-SERUM REF LAB | $41.20 | $82.40 | $16.48–$296.00 | 69% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $41.20 | $82.40 | $16.48–$56.30 | 69% below | 50% |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) REF LAB | $35.69 | $71.38 | $2.87–$178.00 | 74% below | 50% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $37.50 | $75.00 | $2.87–$176.91 | 73% below | 50% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE-SERUM | $109.70 | $219.39 | $21.73–$149.19 | 57% above | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE-SERUM | $39.66 | $79.31 | $12.80–$178.00 | 56% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE (DIRECT) REF LAB | $39.66 | $79.31 | $12.80–$53.93 | 56% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HSV 1&2 IgG | $45.84 | $91.67 | $6.77–$62.34 | 49% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 TOTAL | $45.84 | $91.67 | $12.80–$62.34 | 49% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ALPHA-GAL PANEL | $45.84 | $91.67 | $12.80–$62.34 | 49% below | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE AND TOTAL | $92.70 | $185.40 | $12.51–$126.70 | 199% above | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE (FREE) | $92.70 | $185.40 | $7.40–$126.70 | 199% above | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1 HOUR CHARGE | $21.12 | $42.23 | $8.45–$178.00 | 83% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 2 HOUR CHARGE | $37.50 | $75.00 | $13.00–$51.00 | 70% below | 50% |
| H. pylori antibody blood test CPT 86677 H. PYLORI AB | $25.50 | $50.99 | $1.20–$34.67 | 52% below | 50% |
| H. pylori stool antigen test CPT 87338 H. PYLORI AG (STOOL) | $47.38 | $94.76 | $2.60–$64.44 | 6% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA | $133.90 | $267.80 | $53.56–$182.10 | 24% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 ED/OP HIV AB/AG 4TH GENERATION | $36.57 | $73.13 | $14.63–$665.00 | 53% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C REF LAB | $38.63 | $77.25 | $5.21–$178.00 | 44% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $42.50 | $85.00 | $6.18–$57.80 | 39% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SUR ANTIBODY | $29.36 | $58.71 | $11.74–$39.92 | 43% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $32.45 | $64.89 | $12.98–$44.13 | 37% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGE | $29.36 | $58.71 | $11.74–$39.92 | 29% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $46.87 | $93.73 | $6.92–$63.74 | 1% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV1 IGG SER EIA-ACNC | $38.63 | $77.25 | $5.21–$52.53 | 65% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV1 IGM SER QL IF | $38.63 | $77.25 | $5.21–$1,478.00 | 65% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV2 IGG SER EIA-ACNC | $38.63 | $77.25 | $5.21–$75.91 | 13% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV2 IGM SER QL IF | $38.63 | $77.25 | $5.21–$178.00 | 13% above | 50% |
| Insulin blood test CPT 83525 INSULIN TOLERANCE | $100.43 | $200.85 | $13.55–$136.58 | 298% above | 50% |
| Iron blood test (serum iron) CPT 83540 IRON REF LAB | $17.00 | $33.99 | $6.80–$178.00 | 69% below | 50% |
| Iron blood test (serum iron) CPT 83540 IRON | $17.00 | $33.99 | $6.80–$41.72 | 69% below | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL-SERUM | $77.25 | $154.50 | $1.43–$113.30 | 82% below | 50% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH)-SERUM | $44.81 | $89.61 | $6.93–$74.50 | 29% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE REF LAB | $19.83 | $39.66 | $7.93–$178.00 | 70% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $37.50 | $75.00 | $9.77–$51.00 | 44% below | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL-SERUM | $38.63 | $77.25 | $5.21–$92.70 | 85% below | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE TITER | $70.04 | $140.08 | $2.82–$95.25 | 141% above | 50% |
| Magnesium blood test CPT 83735 MAESIUM SERUM REF LAB | $25.75 | $51.50 | $1.30–$665.00 | 86% above | 50% |
| Magnesium blood test CPT 83735 MAESIUM | $74.50 | $149.00 | $9.51–$96.85 | 438% above | 50% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA VIRUS IGG | $47.59 | $95.17 | $18.29–$64.72 | 69% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE MONO SCREEN | $20.60 | $41.20 | $7.34–$28.20 | 88% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE & TOTAL QUEST | $34.51 | $69.01 | $13.80–$296.00 | 3% above | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $49.96 | $99.91 | $18.30–$67.94 | 49% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE DIAOSTIC | $41.72 | $83.43 | $16.69–$166.86 | 24% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT (PTH) | $153.99 | $307.97 | $28.00–$665.00 | 48% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT | $30.90 | $61.80 | $8.52–$54.80 | 25% below | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE | $41.72 | $83.43 | $1.30–$56.73 | 12% below | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $52.50 | $105.00 | $21.00–$92.70 | 20% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 DAILY PT/INR | $30.90 | $61.80 | $5.58–$47.00 | 8% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR | $30.90 | $61.80 | $5.58–$178.00 | 8% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $30.90 | $61.80 | $5.58–$113.30 | 8% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN-PREEMPLOYMENT ONLY | $10.00 | $20.00 | $4.00–$178.00 | 90% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TOX ROUTN PRIVATE PAY CASH CONTRACT | $22.50 | $45.00 | $3.60–$42.75 | 78% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN CONFIRM | $31.93 | $63.86 | $12.77–$43.42 | 68% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DO NOT ORDER DRUG SCREEN-URINE | $148.32 | $296.64 | $19.58–$192.82 | 48% above | 50% |
| Rapid flu test (influenza antigen) CPT 87804 FLU A AND B AG | $20.60 | $41.20 | $8.24–$42.23 | 85% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 .INFLUENZA B | $20.60 | $41.20 | $8.24–$296.00 | 85% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 .INFLUENZA A | $20.60 | $41.20 | $8.24–$296.00 | 85% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR | $24.21 | $48.41 | $8.60–$178.00 | 4% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS IGG | $28.84 | $57.68 | $2.43–$97.85 | 53% above | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE | $23.18 | $46.35 | $3.83–$33.00 | 72% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 QUEST SEDIMENTATION RATE | $23.18 | $46.35 | $3.83–$178.00 | 72% below | 50% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE EXAM | $64.38 | $128.75 | $12.63–$87.55 | 54% above | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD - STOOL | $33.99 | $67.98 | $3.59–$48.41 | 27% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (RAPID PLASMA REAGIN) | $18.03 | $36.05 | $6.60–$38.63 | 9% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON?-TB LD PLUS | $28.33 | $56.65 | $11.33–$178.00 | 55% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB LD TEST | $61.80 | $123.60 | $8.34–$172.10 | 1% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $59.23 | $118.45 | $8.55–$76.99 | 61% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB | $95.28 | $190.55 | $2.65–$296.00 | 522% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH WITH REFLEX TO FREE T4 | $46.35 | $92.70 | $6.26–$178.00 | 66% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE REF LAB | $46.35 | $92.70 | $6.26–$178.00 | 66% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $74.50 | $149.00 | $11.32–$96.85 | 45% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 UA MICRO CHARGE | $7.73 | $15.45 | $1.40–$178.00 | 95% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 .UA DIPSTICK WITH MICROSCOPIC | $7.73 | $15.45 | $1.40–$178.00 | 95% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE | $7.73 | $15.45 | $1.40–$296.00 | 95% below | 50% |
| Urinalysis with microscope exam, manual CPT 81000 URINE ACETONE | $21.12 | $42.23 | $4.49–$35.20 | 47% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 .UA DIPSTICK CHARGE | $7.73 | $15.45 | $1.40–$15.45 | 91% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK PANEL | $8.50 | $17.00 | $3.18–$197.69 | 90% below | 50% |
| Urine culture for bacteria, with colony count CPT 87086 ROUTINE CULTURE-URINE | $30.90 | $61.80 | $11.46–$178.00 | 84% below | 50% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE QUEST | $30.90 | $61.80 | $11.46–$296.00 | 84% below | 50% |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIA URTH CULT | $30.90 | $61.80 | $11.46–$178.00 | 84% below | 50% |
| Urine culture for bacteria, with colony count CPT 87086 MISC SENDOUT QUEST | $30.90 | $61.80 | $11.46–$178.00 | 84% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 HCG URINE QUALITATIVE | $12.88 | $25.75 | $5.15–$17.51 | 88% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH TOTAL IA REF LAB | $50.47 | $100.94 | $29.00–$178.00 | 7% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 ..ZZ TEST ANA W/ REFLEX | $50.47 | $100.94 | $29.00–$77.25 | 7% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 ..ZZ TEST CULTURE URINE ROUTINE | $50.47 | $100.94 | $23.80–$68.64 | 7% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 ..ZZ TEST VITAMIN D 25-OH TOTAL IA | $50.47 | $100.94 | $29.00–$68.64 | 7% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D | $50.47 | $100.94 | $29.00–$68.64 | 7% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 ..ZZ TEST CBC | $50.47 | $100.94 | $29.00–$77.25 | 7% above | 50% |
| Zinc blood test CPT 84630 ZINC-SERUM | $39.14 | $78.28 | $5.88–$53.23 | 157% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE -QUEST | $42.75 | $85.49 | $3.90–$58.13 | 45% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE (In House) | $42.75 | $85.49 | $17.10–$58.13 | 45% below | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY RUP APP ABSCESS/PERITONITIS | $646.33 | $1,292.65 | $629.72–$1,132.50 | 78% below | 50% |
| Cataract surgery with lens implant CPT 66984 CATARACT AMBUL SURG | $1,884.90 | $3,769.80 | $38.83–$2,563.46 | 54% below | 50% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $1,237.58 | $2,475.15 | $138.71–$246.40 | 42% below | 50% |
| Colonoscopy with polyp removal CPT 45385 COLO POLYP REM SNARE | $779.20 | $1,558.39 | $27.50–$419.00 | 78% below | 50% |
| Colonoscopy with polyp removal CPT 45385 COL/POLYP REM SNA/CU | $1,694.75 | $3,389.50 | $4.00–$677.90 | 53% below | 50% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY/BIOPSY C | $1,266.38 | $2,532.75 | $23.18–$1,722.27 | 65% below | 50% |
| Colonoscopy, diagnostic CPT 45378 COLON DISCONTINUED | $396.55 | $793.10 | $14.17–$539.31 | 87% below | 50% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAOST | $1,087.38 | $2,174.75 | $23.18–$1,478.83 | 64% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION PREMALIANT LESION 1 | $47.90 | $95.79 | $36.38–$88.98 | 83% below | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 EAR IRRIGATION | $23.95 | $47.90 | $9.58–$53.67 | 88% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 ER FB IMPACTED CERUMEN | $48.41 | $96.82 | $19.36–$65.84 | 76% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 CLINIC FB IMPACTED CERUMEN | $56.94 | $113.88 | $22.38–$74.98 | 72% below | 50% |
| Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECTOMY | $3,975.00 | $7,950.00 | $474.21–$853.77 | 70% below | 50% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLECYSTECTOMY WITH CHOLANGIOGRAM | $2,517.50 | $5,035.00 | $88.14–$929.36 | 80% below | 50% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY OPEN | $786.41 | $1,572.81 | $121.79–$1,382.60 | — | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND | $614.08 | $1,228.15 | $24.00–$184.73 | 65% below | 50% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY INTL/EXTL SINGLE GROUP | $1,754.50 | $3,509.00 | $245.98–$446.17 | 68% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ER I&D ASPIR OF ABCESS | $67.47 | $134.93 | $8.50–$91.75 | 89% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ER I&D ABCESS SIMPLE | $71.59 | $143.17 | $7.73–$97.36 | 88% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ER I&D/EXC SKIN LESION | $134.93 | $269.86 | $12.88–$183.50 | 77% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D DRAINAGE ABSCESS SIMPLE PRO CLINIC | $161.71 | $323.42 | $13.41–$121.30 | 73% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D DRAINAGE ABSCESS SIMPLE PRO | $171.10 | $342.20 | $13.41–$121.30 | 71% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE ABSCESS SIMPLE/SINGLE | $186.43 | $372.86 | $53.67–$253.54 | 69% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ART/ASP/IN MAJ JOINT | $104.03 | $208.06 | $5.47–$141.48 | 85% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $71.59 | $143.17 | $28.63–$97.36 | 88% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ART/ASP/IN INT JOINT | $104.03 | $208.06 | $7.73–$141.48 | 82% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ART/ASP/INJ SM JOINT | $104.03 | $208.06 | $21.12–$141.48 | 81% below | 50% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAP APPENDECTOMY | $2,541.00 | $5,082.00 | $432.21–$776.49 | 76% below | 50% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP REPAIR RECURRENT INGUINAL HERNIA | $3,513.35 | $7,026.70 | $43.80–$729.39 | 76% below | 50% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG LASER SURGERY | $607.70 | $1,215.40 | $18.30–$826.47 | 53% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ER RP INT TO 2.5 SCALP | $118.45 | $236.90 | $43.78–$161.90 | 88% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENI LESION T/A/L /<.5CM | $56.65 | $113.30 | $9.31–$55.77 | 97% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENI LESION TRUNK ARMS LEGS </.5CM | $138.02 | $276.04 | $53.35–$187.71 | 92% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENI LESION TRUNK/ARM/LEG < 0.5 CM | $436.45 | $872.90 | $9.31–$55.77 | 76% below | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9 | $350.00 | $700.00 | $14.00–$476.00 | 64% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 CL REMOVAL NAIL PLATE SIMPLE | $90.13 | $180.25 | $36.22–$88.82 | 82% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PART/COMP SIMP 1 | $95.28 | $190.55 | $36.22–$88.82 | 81% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 CL AVULSION NAIL PLATE SIMPLE | $103.52 | $207.03 | $3.50–$134.57 | 79% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PART/COMP SIMPLE 1 | $196.40 | $392.79 | $53.67–$267.10 | 60% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ER PARACENTESIS | $225.06 | $450.11 | $9.20–$419.00 | 85% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 CLINIC FB SUBCUTANEOUS SIMPPROFEE | $60.00 | $120.00 | $75.00–$129.31 | 95% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREI BODY | $97.85 | $195.70 | $39.14–$133.80 | 91% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 OR FB REMOVL INCISION SUBQ TISSUE SIMPLE | $103.00 | $206.00 | $75.00–$129.31 | 91% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 ER FB SUBCUTANEOUS SIMP | $105.06 | $210.12 | $7.73–$142.88 | 90% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 CLINIC FB SUBCUTANEOUS SIMP | $205.06 | $410.12 | $25.24–$278.88 | 81% below | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY/SCREENIN | $653.54 | $1,307.07 | $46.00–$888.81 | 80% below | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLON/HIGH RISK SCRE | $679.80 | $1,359.60 | $46.35–$924.53 | 78% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 ER APP SPLINT SHORT ARM | $70.04 | $140.08 | $28.20–$95.25 | 82% below | 50% |
| Short leg splint (calf to foot) CPT 29515 ER APP SPLINT SHORT LEG | $66.95 | $133.90 | $26.78–$91.50 | 84% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 OR SIMPLE REPAIR <2.5CM | $62.32 | $124.63 | $3.32–$82.92 | 88% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ER RP SIMPLE TO 2.5CM | $110.47 | $220.94 | $15.24–$143.61 | 78% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $142.50 | $285.00 | $53.67–$193.80 | 83% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS 15 OR LESS | $75.00 | $150.00 | $3.00–$97.50 | 83% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $144.20 | $288.40 | $53.67–$489.25 | 88% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ER LUMBAR PUNCTURE | $272.95 | $545.90 | $19.18–$371.21 | 78% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RP SIMPLE 2.6-7.5CM GEN/TRUNK/EXTRM | $79.83 | $159.65 | $13.77–$62.32 | 87% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ER RP SIMPLE 2.6-7.5CM | $116.70 | $233.40 | $36.50–$158.71 | 81% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RP SIMPLE 2.5 OR < FACE | $149.56 | $299.11 | $23.39–$194.42 | 69% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANTL BX SKIN SING LESION | $157.08 | $314.15 | $24.20–$213.62 | 76% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SING LESION P | $180.25 | $360.50 | $25.38–$77.98 | 73% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS w/IMAGING | $192.61 | $385.22 | $25.39–$419.00 | 90% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE/CATH W/IMAGING | $378.01 | $756.02 | $53.67–$514.90 | 80% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE/CATH WITH IMAGING | $406.73 | $813.45 | $74.60–$133.56 | 78% below | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 GI DILATATION | $1,098.38 | $2,196.75 | $42.75–$1,493.79 | 61% below | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH POLYPECTOMY | $628.82 | $1,257.63 | $14.55–$855.19 | 80% below | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY | $1,148.13 | $2,296.25 | $11.33–$1,561.45 | 64% below | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DISCONTINUED | $360.50 | $721.00 | $11.33–$468.65 | 84% below | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD | $628.82 | $1,257.63 | $36.50–$855.19 | 73% below | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD W/O BIOPSY-PROF FEE | $705.55 | $1,411.10 | $82.84–$151.33 | 69% below | 50% |
| Wart removal, up to 14 warts CPT 17110 CUTANEOUS HORN REMOVAL | $137.50 | $275.00 | $53.67–$294.17 | 54% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SUBC 1ST 20CM/LESS | $105.58 | $211.15 | $4.61–$93.21 | 91% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $198.28 | $396.55 | $53.67–$419.00 | 82% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBCU 1ST 20 CM/< | $208.58 | $417.15 | $4.61–$93.21 | 81% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT-SUB 1ST 20CM OR LESS | $360.50 | $721.00 | $41.20–$468.65 | 68% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 CLINIC DEBRIDEMENT-SUB 1ST 20CM OR LESS | $360.50 | $721.00 | $26.25–$468.65 | 68% below | 50% |
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 ADMINISTRATION- OBS | $162.74 | $325.48 | $53.67–$927.00 | 85% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 ER-BLOOD TRANSFUSION | $162.74 | $325.48 | $34.51–$221.33 | 85% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION-FLOOR | $162.74 | $325.48 | $48.93–$221.33 | 85% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 ER BLOOD TRANSFUSION | $162.74 | $325.48 | $38.63–$221.33 | 85% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN IP | $162.74 | $325.48 | $16.61–$221.33 | 85% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB/MDI SUB-IP/SB/CLINIC | $75.00 | $150.00 | $8.21–$62.79 | 70% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 do not use | $76.97 | $153.94 | $1.60–$74.00 | 69% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB/MDI SUB-IP/SB/HOSPICE | $316.24 | $632.47 | $43.80–$411.11 | 26% above | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 PHY-CRITICAL30-90MIN | $206.00 | $412.00 | $146.70–$459.00 | 96% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 ER CRIT CARE 30-74 MIN | $621.09 | $1,242.18 | $7.00–$735.00 | 87% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HR | $621.09 | $1,242.18 | $146.70–$459.00 | 87% below | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG ROUTINE | $203.38 | $406.75 | $45.50–$665.00 | 85% below | 50% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG PRIMARY CARE | $178.71 | $357.41 | $1.80–$62.68 | 17% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ROUTINE W/ELECT | $178.71 | $357.41 | $36.14–$243.40 | 48% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PHY LEVEL I | $39.14 | $78.28 | $12.35–$459.00 | 92% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 | $94.50 | $189.00 | $7.00–$735.00 | 81% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 WI PROCD | $94.50 | $189.00 | $7.00–$735.00 | 81% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PHY-LEVEL II WITH P | $53.05 | $106.09 | $29.76–$459.00 | 94% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PHY-LEVEL II | $53.05 | $106.09 | $29.76–$459.00 | 94% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 | $175.50 | $351.00 | $7.00–$735.00 | 81% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PHY-LEVEL III | $84.98 | $169.95 | $45.80–$459.00 | 95% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PHY-LEVEL III WI PR | $84.98 | $169.95 | $45.80–$459.00 | 95% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 | $269.50 | $539.00 | $7.00–$735.00 | 83% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PHY-LEVEL IV | $120.00 | $239.99 | $13.49–$459.00 | 95% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PHY-LEVEL V | $178.19 | $356.38 | $17.53–$459.00 | 94% below | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY (WITH PATIENT) | $130.31 | $260.62 | $12.21–$129.94 | 72% below | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY (WITHOUT PATIENT) | $125.07 | $250.14 | $18.42–$124.68 | 62% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV/INF HYDRATION 1ST HR -OUTPATIENT | $42.00 | $84.00 | $16.80–$57.12 | 93% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER IV INF/HYDRAT 1ST HR | $43.26 | $86.52 | $17.30–$58.83 | 93% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF/HYDRATE 1ST HR - OBS | $43.26 | $86.52 | $17.30–$58.83 | 93% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER INF/HYDRATION 1ST HR | $43.26 | $86.52 | $17.30–$58.83 | 93% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION/HYDRATION 1ST HR-CLINIC | $97.50 | $195.00 | $39.00–$132.60 | 83% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION THERAPY INITIAL | $97.85 | $195.70 | $39.14–$133.80 | 83% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INF/MED 1ST HR - OP | $80.86 | $161.71 | $15.11–$53.67 | 88% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INF/MED 1ST HR | $80.86 | $161.71 | $15.11–$53.67 | 88% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INF/MED 1ST HR - OBS | $80.86 | $161.71 | $15.11–$53.67 | 88% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 ER IV INF/MED 1ST HR | $80.86 | $161.71 | $15.11–$53.67 | 88% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJECTION SC/IM OP | $24.72 | $49.44 | $9.89–$53.67 | 87% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SC/IM - OBS | $24.72 | $49.44 | $9.89–$53.67 | 87% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION-OR | $24.72 | $49.44 | $9.89–$53.67 | 87% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION-CLINIC | $24.72 | $49.44 | $9.89–$53.67 | 87% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJECTION SC/IM | $24.72 | $49.44 | $9.89–$77.25 | 87% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAOSTIC EVALUATION | $197.69 | $395.37 | $32.80–$268.85 | 23% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO RE EDUCA | $52.02 | $104.03 | $2.81–$82.00 | 66% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSC RE-ED/15M | $54.59 | $109.18 | $7.97–$82.00 | 64% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 LEVEL 3 NEW PT | $179.74 | $359.47 | $53.67–$244.44 | 63% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 LEVEL 4 NEW PT | $276.56 | $553.11 | $11.62–$376.11 | 59% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 LEVEL 5 NEW PT | $349.17 | $698.34 | $53.67–$474.87 | 55% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 2 NEW PT | $126.69 | $253.38 | $5.68–$172.30 | 52% below | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY | $105.06 | $210.12 | $42.20–$142.88 | 78% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY | $201.37 | $402.73 | $8.55–$273.86 | 63% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY | $149.87 | $299.73 | $23.82–$194.82 | 67% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MODERATE COMPLEXITY | $175.62 | $351.23 | $7.25–$238.84 | 63% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY | $56.65 | $113.30 | $22.66–$82.00 | 57% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY/15M | $60.77 | $121.54 | $24.31–$82.65 | 54% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EX | $32.45 | $64.89 | $12.98–$82.00 | 79% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THRPTC EX 15 MIN | $54.59 | $109.18 | $7.97–$82.00 | 65% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TEST THRPTC EX 30 MIN | $128.75 | $257.50 | $51.50–$175.10 | 18% below | 50% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 WELLNESS CHECKUP AGE 18-39 | $75.00 | $150.00 | $9.78–$54.48 | 70% below | 50% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 CRISIS PSYCHOTHERAPY (1ST 60 MIN) | $164.53 | $329.06 | $52.60–$165.58 | 58% below | 50% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOLOGICAL TRAUMA | $164.53 | $329.06 | $52.60–$165.58 | 58% below | 50% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY (30 MIN) | $86.93 | $173.86 | $42.37–$94.97 | 71% below | 50% |
| Psychotherapy session, 30 minutes CPT 90832 IN-PERSON PSYCHOTHERAPY (30 MIN) | $86.93 | $173.86 | $42.37–$94.97 | 71% below | 50% |
| Psychotherapy session, 45 minutes CPT 90834 IN-PERSON PSYCHOTHERAPY (45 MIN) | $115.56 | $231.11 | $14.00–$115.17 | 70% below | 50% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY (53 MIN OR MORE) | $169.49 | $338.97 | $17.64–$148.38 | 61% below | 50% |
| Psychotherapy session, 60 minutes CPT 90837 IN-PERSON PSYCHOTHERAPY (53 MIN+) | $170.00 | $340.00 | $68.00–$231.20 | 61% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 EST PT | $244.11 | $488.22 | $53.67–$331.99 | 62% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 EST PT | $154.50 | $309.00 | $2.85–$212.00 | 55% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 EST PT | $181.28 | $362.56 | $53.67–$246.54 | 66% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 EST PT | $75.19 | $150.38 | $3.80–$97.75 | 77% below | 50% |
| Speech and language evaluation CPT 92523 ST EVAL SOUND PROD W/EVL LANG COMP&EXPR | $87.04 | $174.07 | $34.81–$118.37 | 85% below | 50% |
| Spirometry (breathing test) CPT 94010 PFT SIMPLE | $167.38 | $334.75 | $14.22–$227.63 | 46% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 PFT TOTAL | $218.88 | $437.75 | $27.00–$297.67 | 76% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT ACTIVITIES OF DAILY LIVING EVAL/TREAT | $48.93 | $97.85 | $19.57–$82.00 | 67% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIV | $48.93 | $97.85 | $19.57–$82.00 | 67% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY | $52.02 | $104.03 | $2.81–$82.00 | 65% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $42.75 | $85.49 | $17.10–$74.00 | 86% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 VAC- INFLUENZA INJ SYR [0.5 ML] *65YO&UP | $60.62 | $121.24 | $13.50–$96.99 | 72% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 VAC- PNEUMOCOCCAL 23 INJ [0.5 ML] | $116.83 | $233.66 | $46.73–$198.61 | 71% below | 50% |
| Rabies vaccine, one dose CPT 90675 VAC- RABIES INJ [1 ML (2.5 IU)] SDV *IM* | $396.74 | $793.48 | $158.70–$674.46 | 67% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 VAC- TETANUS DIPH TOX ADULT INJ | $85.42 | $170.83 | $34.17–$145.21 | 41% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER ADMIN IMMUNE INITIAL | $20.60 | $41.20 | $8.24–$85.00 | 83% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CLINIC ADMIN IMMUNE INITIAL | $23.98 | $47.95 | $9.59–$85.00 | 80% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ER INJ IMMUNIZATION EACH ADDITIONAL | $20.60 | $41.20 | $8.24–$85.00 | 81% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJ ADD IMMUNIZATION | $20.60 | $41.20 | $8.24–$85.00 | 81% below | 50% |