Monroe County Hospital
Monroe County Hospital in Forsyth, GA publishes cash prices for 218 common procedures listed here, from its own machine-readable price file updated May 7, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 136 of 216 procedures and above it for 78. By typical cash price it ranks #26 of 89 Georgia hospitals and #1 of 5 hospitals in the Macon, GA area, cheapest first. Click a procedure to compare it with other hospitals nearby.
88 Martin Luther King Jr Dr Forsyth, GA 31029 Collected Sep 29, 2026 Source price file (478) 994-2521
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 111318 · CMS hospital register NPI 1770684284
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE-RT | $159.32 | $212.42 | $29.93–$216.67 | 41% below | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANK COM PST RED LT | $159.32 | $212.42 | $12.29–$216.67 | 41% below | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE-LT | $159.32 | $212.42 | $37.88–$216.67 | 41% below | 25% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANK COM PST RED RT | $159.32 | $212.42 | $12.43–$216.67 | 41% below | 25% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM | $399.00 | $532.00 | $40.32–$542.64 | 16% above | 25% |
| Bone scan, whole body (nuclear medicine) CPT 78306 CT BODY SCAN 15-19 VIEWS | $728.25 | $971.00 | $40.66–$990.42 | 43% below | 25% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILAT COMPLETE | $713.25 | $951.00 | $32.50–$970.02 | — | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT COMPLETE | $713.25 | $951.00 | $32.50–$970.02 | 69% above | 25% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT COMPLETE | $713.25 | $951.00 | $81.26–$970.02 | 69% above | 25% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILAT LIMITED | $351.05 | $468.06 | $32.50–$477.42 | — | 25% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LT LIMITED | $351.05 | $468.06 | $37.20–$477.42 | 5% below | 25% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RT LIMITED | $351.05 | $468.06 | $62.57–$477.42 | 5% below | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $1,168.00 | $1,557.33 | $48.53–$1,588.48 | 21% below | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT STONE SEARCH | $1,247.66 | $1,663.54 | $157.66–$1,696.81 | 43% below | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV WITH ORAL CONTRAST ONLY | $1,247.66 | $1,663.54 | $198.28–$1,696.81 | 43% below | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV W/OUT ORAL OR IV CONTRAST | $1,247.66 | $1,663.54 | $55.13–$1,696.81 | 43% below | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT CHEST/ABD/PELVIS WITH IV CONTR ONLY | $1,431.98 | $1,909.31 | $39.82–$1,947.50 | 45% below | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV WITH ORAL AND IV CONTRAST | $1,431.98 | $1,909.31 | $99.07–$1,947.50 | 45% below | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV WITH IV CONTRAST ONLY | $1,431.98 | $1,909.31 | $99.07–$1,947.50 | 45% below | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT CHEST/ABDOMIN/PELVIS ORAL AND IV CONT | $1,431.98 | $1,909.31 | $144.00–$1,947.50 | 45% below | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO CONTRAST | $1,445.25 | $1,927.00 | $155.71–$1,965.54 | 54% below | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT/CHEST/ABDOMIN/PELVIS WITH AND WITHOUT | $1,445.25 | $1,927.00 | $37.82–$1,965.54 | 54% below | 25% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH IV CONTRAST ONLY | $1,206.00 | $1,608.00 | $33.02–$1,640.16 | 28% below | 25% |
| CT scan of the abdomen with contrast CPT 74160 INACTIVE CODE CT ABDOMEN W/NONIONIC | $1,206.00 | $1,608.00 | $27.67–$1,640.16 | 28% below | 25% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $1,206.00 | $1,608.00 | $8.59–$1,640.16 | 28% below | 25% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O IV OR PO CONTRAST | $1,101.00 | $1,468.00 | $8.59–$1,497.36 | 15% below | 25% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WITH ORAL CONTRAST ONLY | $1,101.00 | $1,468.00 | $11.38–$1,497.36 | 15% below | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/O CONTRAST | $748.41 | $997.88 | $16.37–$1,017.84 | 27% below | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES W/O CONTR | $748.41 | $997.88 | $31.01–$1,017.84 | 27% below | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTR | $748.41 | $997.88 | $31.01–$1,017.84 | 27% below | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O CONTRAST | $471.90 | $629.20 | $44.74–$641.78 | 63% below | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O STROKE PROTOCOL | $862.50 | $1,150.00 | $13.87–$1,173.00 | 33% below | 25% |
| CT scan of the head with contrast CPT 70460 CT BRAIN WITH CONTRAST | $1,206.00 | $1,608.00 | $13.87–$1,640.16 | 24% below | 25% |
| CT scan of the head without and with contrast CPT 70470 CT BRAIN WITH AND WITHOUT CONTRAST | $1,541.25 | $2,055.00 | $13.87–$2,096.10 | 16% below | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR, LIMITED | $1,289.34 | $1,719.12 | $27.86–$1,753.50 | at median | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONT | $1,289.34 | $1,719.12 | $25.78–$1,753.50 | at median | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CON | $1,363.44 | $1,817.92 | $11.35–$1,854.28 | 15% above | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH IV CONTRAST ONLY | $883.50 | $1,178.00 | $9.60–$1,201.56 | 45% below | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $883.50 | $1,178.00 | $9.60–$1,201.56 | 45% below | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DOPPLER | $309.79 | $413.05 | $100.03–$421.31 | 51% below | 25% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $370.50 | $494.00 | $35.12–$503.88 | 60% above | 25% |
| Chest X-ray, single view CPT 71045 PORTABLE CHEST 1 VIEW | $63.94 | $85.25 | $26.91–$86.96 | 63% below | 25% |
| Chest X-ray, single view CPT 71045 EMP HEALTH CHEST 1 VIEW FRONTAL | $63.94 | $85.25 | $12.24–$86.96 | 63% below | 25% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW FRONTAL | $93.75 | $125.00 | $25.20–$127.50 | 46% below | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERIT(RENAL,AORTA,NODES)COMPLETE | $388.16 | $517.55 | $33.10–$527.90 | 23% below | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $1,067.04 | $1,422.72 | $35.02–$1,451.17 | 2% above | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $1,585.74 | $2,114.32 | $11.42–$2,156.61 | 1% above | 25% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MM DX BILAT, DIGITAL, CAD+ | $562.50 | $750.00 | $52.70–$765.00 | — | 25% |
| Diagnostic mammogram, one breast CPT 77065 MM DX MAMMO INCL CAD UNI | $487.50 | $650.00 | $13.34–$663.00 | 105% above | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MM DX UNILAT LT, DIGITAL, CAD+ | $307.50 | $410.00 | $10.85–$418.20 | 29% above | 25% |
| Diagnostic mammogram, one breast one side CPT 77065 MM DX UNILAT RT, DIGITAL CAD+ | $307.50 | $410.00 | $12.19–$418.20 | 29% above | 25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTER DUP LWR EXT BILAT COMPLETE | $561.75 | $749.00 | $84.22–$763.98 | — | 25% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US DOPPLER VENOUS EXT,BIL | $450.00 | $600.00 | $25.92–$612.00 | 53% below | 25% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS DOPPLER/DUPLEX, BIL | $450.00 | $600.00 | $10.34–$612.00 | 53% below | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE WITH DOPPLER | $1,005.75 | $1,341.00 | $32.21–$1,367.82 | 35% below | 25% |
| Knee X-ray, 3 views one side CPT 73562 PATELLA AP/LAT LT | $99.41 | $132.55 | $42.26–$135.20 | 58% below | 25% |
| Knee X-ray, 3 views one side CPT 73562 KNEE AP/LAT & OBL-LT | $99.41 | $132.55 | $23.30–$135.20 | 58% below | 25% |
| Knee X-ray, 3 views one side CPT 73562 KNEE AP/LAT & OBL-RT | $99.41 | $132.55 | $42.26–$135.20 | 58% below | 25% |
| Knee X-ray, 3 views one side CPT 73562 PATELLA AP/LAT RT | $99.41 | $132.55 | $37.42–$135.20 | 58% below | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GB,RUQ,SPLEEN,SINGLE ORGAN/QUAD/LTD | $800.28 | $1,067.04 | $41.06–$1,088.38 | 63% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT LWR EXT-RT W/O CONTRAST | $3,000.00 | $4,000.00 | $47.38–$4,080.00 | 98% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT LWR EXT-LT W/O CONTRAST | $3,000.00 | $4,000.00 | $20.69–$4,080.00 | 98% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXT W/WO CONTRAST | $1,880.25 | $2,507.00 | $20.69–$2,557.14 | 25% below | 25% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WITHOUT CONTRAST | $755.25 | $1,007.00 | $15.91–$1,027.14 | 59% below | 25% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST | $3,000.00 | $4,000.00 | $123.14–$4,080.00 | 42% above | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $2,625.00 | $3,500.00 | $20.69–$3,570.00 | 80% above | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $3,187.50 | $4,250.00 | $20.69–$4,335.00 | 31% above | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONTRAST | $3,000.00 | $4,000.00 | $17.95–$4,080.00 | 69% above | 25% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LSPINE W/WO CONTRAST | $3,187.50 | $4,250.00 | $17.95–$4,335.00 | 34% above | 25% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W/WO CONTRAST | $3,187.50 | $4,250.00 | $22.66–$4,335.00 | 34% above | 25% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONTRAST | $3,000.00 | $4,000.00 | $28.75–$4,080.00 | 70% above | 25% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W/WO CONTRAST | $3,187.50 | $4,250.00 | $22.73–$4,335.00 | 34% above | 25% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONTRAST | $3,000.00 | $4,000.00 | $22.66–$4,080.00 | 70% above | 25% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $3,187.50 | $4,250.00 | $102.82–$4,335.00 | 43% above | 25% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $3,000.00 | $4,000.00 | $28.75–$4,080.00 | 66% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXT-RT W/O CONTRAST | $3,000.00 | $4,000.00 | $20.69–$4,080.00 | 94% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXT-LT W/O CONTRAST | $3,000.00 | $4,000.00 | $13.37–$4,080.00 | 94% above | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON-OB,LMTD OR FOLLOW-UP | $202.50 | $270.00 | $40.44–$275.40 | 45% below | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB | $504.00 | $672.00 | $40.44–$685.44 | 5% above | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GREATER/= 14 WKS,TRANSABDOMINAL | $504.00 | $672.00 | $61.08–$685.44 | 7% below | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LESS THAN 14 WKS,TRANSABDOMINAL | $504.00 | $672.00 | $36.70–$685.44 | at median | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB, LIMITED | $504.00 | $672.00 | $40.44–$685.44 | 91% above | 25% |
| Screening mammogram, both breasts CPT 77067 MM SPECIAL SCREEN, DIG,CAD+ | $347.34 | $463.12 | $12.53–$472.38 | 24% above | 25% |
| Screening mammogram, both breasts CPT 77067 MM SCREEN, DIGITAL, CAD+ | $347.34 | $463.12 | $34.54–$472.38 | 24% above | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMPLETE-RT | $264.91 | $353.21 | $36.26–$360.27 | 22% above | 25% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMPLETE-LT | $264.91 | $353.21 | $32.64–$360.27 | 22% above | 25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOW FUNCTION CINERADIOGRAPHY | $228.75 | $305.00 | $82.06–$311.10 | 39% below | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAGINAL NON-OB | $302.25 | $403.00 | $40.44–$411.06 | 38% below | 25% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $504.00 | $672.00 | $43.54–$685.44 | 31% above | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL,COMPLETE | $309.75 | $413.00 | $32.50–$421.26 | 58% below | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICLE | $504.00 | $672.00 | $28.92–$685.44 | 16% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD & NECK SOFT TISSUES REAL TIME | $622.44 | $829.92 | $44.74–$846.52 | 2% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER/DUPLEX RT/UPP EXT/LTD | $463.13 | $617.50 | $16.03–$629.85 | 23% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER/DUPLEX RT/LOW EXT/LTD | $463.13 | $617.50 | $21.36–$629.85 | 23% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER/DUPLEX LT UPP EXT/LTD | $463.13 | $617.50 | $16.03–$629.85 | 23% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER/DUPLEX LT LOW EXT/LTD | $463.13 | $617.50 | $21.36–$629.85 | 23% below | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COM PST RT | $264.91 | $353.21 | $39.02–$360.27 | 13% above | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COM PST LT | $264.91 | $353.21 | $40.25–$360.27 | 13% above | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE-LT | $264.91 | $353.21 | $39.02–$360.27 | 13% above | 25% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMPLETE-RT | $264.91 | $353.21 | $39.02–$360.27 | 13% above | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2-3 VIEWS W/ PELVIS RIGHT | $129.00 | $172.00 | $23.28–$175.44 | 37% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2-3 VIEWS W/ PELVIS LEFT | $129.00 | $172.00 | $9.41–$175.44 | 37% below | 25% |
| X-ray of the abdomen, 1 view CPT 74018 KUB SUPINE 1 VIEW | $70.95 | $94.60 | $30.89–$96.49 | 69% below | 25% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN LATERAL DECUBITUS | $70.95 | $94.60 | $12.43–$96.49 | 69% below | 25% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $70.95 | $94.60 | $11.14–$96.49 | 69% below | 25% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE AP & LAT | $193.50 | $258.00 | $9.60–$263.16 | 10% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS MIN 2V RT | $165.00 | $220.00 | $39.35–$224.40 | 16% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS MIN 2V LT | $165.00 | $220.00 | $21.65–$224.40 | 16% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS 2V PST RT | $165.00 | $220.00 | $39.35–$224.40 | 16% below | 25% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS 2V PST LT | $165.00 | $220.00 | $39.35–$224.40 | 16% below | 25% |
| X-ray of the foot, 2 views CPT 73620 FOOT AP & LAT | $270.75 | $361.00 | $29.82–$368.22 | 46% above | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE-LT | $264.91 | $353.21 | $35.55–$360.27 | 9% above | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE-RT | $264.91 | $353.21 | $27.67–$360.27 | 9% above | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COM PST RED RT | $264.91 | $353.21 | $17.28–$360.27 | 9% above | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COM PST RED LT | $264.91 | $353.21 | $35.55–$360.27 | 9% above | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS-RT | $159.32 | $212.42 | $30.89–$216.67 | 40% below | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3V POST RT | $159.32 | $212.42 | $30.89–$216.67 | 40% below | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3V POST LT | $159.32 | $212.42 | $30.89–$216.67 | 40% below | 25% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS-LT | $159.32 | $212.42 | $30.89–$216.67 | 40% below | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP/LAT POST LT | $70.95 | $94.60 | $23.30–$96.49 | 62% below | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP & LATERAL-RT | $70.95 | $94.60 | $33.11–$156.86 | 62% below | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP/LAT POST RT | $70.95 | $94.60 | $19.61–$96.49 | 62% below | 25% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP & LATERAL-LT | $112.50 | $150.00 | $10.51–$153.00 | 40% below | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR AP & LATERAL | $251.94 | $335.92 | $14.50–$342.64 | 26% below | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL W/OBLIQ | $370.50 | $494.00 | $29.06–$503.88 | 19% below | 25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE | $300.00 | $400.00 | $19.25–$408.00 | 28% above | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL AP & LAT | $264.91 | $353.21 | $14.50–$360.27 | 7% below | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP 1 VIEW | $300.00 | $400.00 | $27.43–$408.00 | 44% above | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM 2 VIEWS | $300.00 | $400.00 | $12.29–$408.00 | 5% above | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX 2 VIEWS | $300.00 | $400.00 | $33.88–$408.00 | 5% above | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGT MULTIPLE | $33.75 | $45.00 | $5.30–$36.00 | 6% above | 25% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $33.75 | $45.00 | $5.30–$36.00 | 6% above | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSAMNASE SGOT MULTIPLE | $25.50 | $34.00 | $5.18–$27.20 | 18% below | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $25.50 | $34.00 | $5.18–$27.20 | 18% below | 25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE (ACUTE) | $195.75 | $261.00 | $47.63–$208.80 | 30% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IgE | $14.25 | $19.00 | $5.22–$15.20 | 49% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMB IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX (K82) IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT IGE | $25.50 | $34.00 | $5.22–$7,201.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATO FARINAE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOKE IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GREEN PEPPER IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HALIBUT ALLER SPEC IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST FOOD SCREEN SINGLE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST FOOD SCREEN X3 | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALMON ALL SPEC IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOY IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO ALLER SPEC IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CELERY IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 APPLE IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATO PTERONYSSINUS | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ONION IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN IgE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORK IGE | $25.50 | $34.00 | $5.22–$27.20 | 10% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE EA | $31.49 | $41.99 | $5.22–$33.59 | 12% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE EA | $55.50 | $74.00 | $5.22–$59.20 | 97% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MISC ALLER SPEC IGE | $58.50 | $78.00 | $5.22–$62.40 | 107% above | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE (CCP) | $63.75 | $85.00 | $12.95–$68.00 | 33% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE B ANTIBODY | $59.25 | $79.00 | $12.09–$63.20 | 35% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN W/REFLEX TO TITER IFA | $59.25 | $79.00 | $12.09–$63.20 | 35% below | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ISTAT BNP | $126.64 | $168.85 | $39.26–$135.08 | 5% above | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $126.64 | $168.85 | $39.26–$135.08 | 5% above | 25% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC FREQ | $56.10 | $74.80 | $8.46–$59.84 | 52% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROFILE | $56.10 | $74.80 | $8.46–$59.84 | 52% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 BMP-MULTIPLE | $56.10 | $74.80 | $8.46–$59.84 | 52% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 ISTAT BASIC METABOLIC PROFILE | $56.10 | $74.80 | $8.46–$59.84 | 52% below | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL IV | $336.75 | $449.00 | $11.71–$404.10 | 318% above | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH CELL BLOCK-FILTER | $336.75 | $449.00 | $29.57–$404.10 | 318% above | 25% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $38.25 | $51.00 | $10.32–$40.80 | 75% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE COLLECTION FEE | $8.25 | $11.00 | $3.85–$25.72 | 38% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 REF LAB COLLECTION FEE | $15.00 | $20.00 | $7.00–$25.72 | 12% above | 25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $33.00 | $44.00 | $3.93–$35.20 | 11% below | 25% |
| Blood glucose (sugar) test CPT 82947 ISTAT GLUCOSE | $33.00 | $44.00 | $3.93–$35.20 | 11% below | 25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FREQUENCY | $33.00 | $44.00 | $3.93–$35.20 | 11% below | 25% |
| Blood glucose (sugar) test CPT 82947 CSF GLUCOSE | $33.00 | $44.00 | $3.93–$35.20 | 11% below | 25% |
| Blood lead test CPT 83655 LEAD 24 HR URINE | $59.25 | $79.00 | $10.00–$63.20 | 13% below | 25% |
| Blood lead test CPT 83655 LEAD, RANDOM URINE | $59.25 | $79.00 | $10.00–$63.20 | 13% below | 25% |
| Blood lead test CPT 83655 LEAD- BLOOD | $59.25 | $79.00 | $10.00–$63.20 | 13% below | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST-SERUM | $98.18 | $130.91 | $7.52–$104.73 | at median | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO GROUP | $204.70 | $272.93 | $2.99–$218.34 | 270% above | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $31.49 | $41.99 | $5.18–$33.59 | 65% below | 25% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $238.50 | $318.00 | $20.81–$254.40 | 56% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR (SEND OUT) | $150.00 | $200.00 | $22.42–$160.00 | 77% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA,GC GENPROBE APTIMA | $34.65 | $46.20 | $24.67–$156.82 | 59% below | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .CHLAMYDIA,GC/DNA | $34.65 | $46.20 | $24.67–$161.66 | 59% below | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA RNA,TMA | $34.65 | $46.20 | $24.67–$99.30 | 59% below | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 EMP HEALTH LIPID PANEL | $40.84 | $54.45 | $13.39–$43.56 | 46% below | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $74.25 | $99.00 | $13.39–$79.20 | 2% below | 25% |
| Complete blood count (CBC) with differential CPT 85025 .CBC FREQUENCY | $32.42 | $43.22 | $7.77–$7,201.20 | 48% below | 25% |
| Complete blood count (CBC) with differential CPT 85025 .CBC PROFILE | $32.42 | $43.22 | $7.77–$23,403.90 | 48% below | 25% |
| Complete blood count (CBC) with differential CPT 85025 .CBC W/AUTO DIFF | $32.42 | $43.22 | $7.77–$32,405.40 | 48% below | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/MANUAL DIFFERENTIAL | $32.42 | $43.22 | $7.77–$41.45 | 48% below | 25% |
| Complete blood count (CBC), no differential CPT 85027 EMP HEALTH.CBC (W/AUTO DIFF) | $52.50 | $70.00 | $6.47–$56.00 | 7% below | 25% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $52.50 | $70.00 | $6.47–$72.00 | 7% below | 25% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD COUNT W/O DIFFERENTIAL | $52.50 | $70.00 | $6.47–$56.00 | 7% below | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC FREQ | $50.74 | $67.65 | $10.56–$54.12 | 65% below | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP- | $50.74 | $67.65 | $10.56–$54.12 | 65% below | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $50.74 | $67.65 | $10.56–$54.12 | 65% below | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $259.35 | $345.80 | $10.18–$2,017.56 | 168% above | 25% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $108.75 | $145.00 | $22.23–$116.00 | 11% above | 25% |
| Estradiol blood test CPT 82670 ESTRADIOL SERUM | $319.50 | $426.00 | $27.94–$340.80 | 166% above | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $90.75 | $121.00 | $18.58–$96.80 | 28% below | 25% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL | $225.00 | $300.00 | $19.63–$240.00 | 17% below | 25% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $63.91 | $85.21 | $13.63–$68.17 | 31% below | 25% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $64.84 | $86.45 | $14.70–$69.16 | 25% below | 25% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $193.50 | $258.00 | $16.94–$206.40 | 76% above | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $126.90 | $169.20 | $9.02–$135.36 | 67% above | 25% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE & TOTAL | $124.50 | $166.00 | $25.47–$132.80 | 22% below | 25% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $200.25 | $267.00 | $93.45–$272.34 | 20% below | 25% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR | $23.25 | $31.00 | $4.75–$24.80 | 63% below | 25% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR, 50g LOAD | $23.25 | $31.00 | $4.75–$24.80 | 63% below | 25% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 6 HR | $88.50 | $118.00 | $12.87–$94.40 | 7% above | 25% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 5 HR | $88.50 | $118.00 | $12.87–$94.40 | 7% above | 25% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 4 HR | $88.50 | $118.00 | $12.87–$94.40 | 7% above | 25% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 HR | $88.50 | $118.00 | $12.87–$94.40 | 7% above | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC RNA, TMA | $34.65 | $46.20 | $21.42–$99.30 | 58% below | 25% |
| H. pylori antibody blood test CPT 86677 .H PYLORI IGG QUAN | $71.25 | $95.00 | $16.85–$76.00 | 44% below | 25% |
| H. pylori antibody blood test CPT 86677 .H PYLORI IGM QUAN | $71.25 | $95.00 | $16.85–$76.00 | 44% below | 25% |
| H. pylori antibody blood test CPT 86677 ANTIBODY; HELICOBACHER PYLORI | $71.25 | $95.00 | $16.85–$76.00 | 44% below | 25% |
| H. pylori antibody blood test CPT 86677 .H PYLORI IgG QUAL | $71.25 | $95.00 | $16.85–$76.00 | 44% below | 25% |
| H. pylori antibody blood test CPT 86677 .H PYLORI IGA QUANT | $71.25 | $95.00 | $16.85–$76.00 | 44% below | 25% |
| H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN STOOL | $163.50 | $218.00 | $14.38–$174.40 | 23% above | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA, QN bDNA | $424.50 | $566.00 | $19.44–$452.80 | 24% above | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA,QN PCR | $424.50 | $566.00 | $18.67–$452.80 | 24% above | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 ANTIGEN AND ANTIBODIES | $97.50 | $130.00 | $24.08–$104.00 | 13% below | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 CONFIRMATION HIV 1/2 ANTIGEN/ANTIBODY | $114.75 | $153.00 | $24.08–$122.40 | 2% above | 25% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISKS TYPES | $93.75 | $125.00 | $18.25–$100.00 | 20% below | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $43.31 | $57.75 | $9.71–$46.20 | 20% below | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN AIC WITH MPG | $43.31 | $57.75 | $9.71–$46.20 | 20% below | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HBIN A1C | $43.31 | $57.75 | $9.71–$46.20 | 20% below | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB | $53.25 | $71.00 | $10.74–$56.80 | 31% below | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF AG | $84.00 | $112.00 | $10.33–$89.60 | 29% above | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $69.75 | $93.00 | $10.00–$74.40 | 42% below | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA,QUANT PCR | $350.25 | $467.00 | $42.84–$373.60 | 27% above | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPTIMAX HCV RNA | $350.25 | $467.00 | $42.84–$373.60 | 27% above | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IGG AB | $64.50 | $86.00 | $13.19–$68.80 | 4% below | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX II IGG AB | $95.25 | $127.00 | $19.35–$101.60 | 49% above | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES VIRUS I/2 IGM | $95.25 | $127.00 | $19.35–$101.60 | 49% above | 25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP | $63.75 | $85.00 | $12.95–$68.00 | 28% below | 25% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE NUTRITIONAL & CONGENITAL | $82.50 | $110.00 | $17.92–$88.00 | 44% below | 25% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE,CARDIO | $82.50 | $110.00 | $17.92–$88.00 | 44% below | 25% |
| Insulin blood test CPT 83525 INSULIN LEVEL | $130.50 | $174.00 | $11.43–$139.20 | 78% above | 25% |
| Iron blood test (serum iron) CPT 83540 IRON | $31.50 | $42.00 | $6.47–$33.60 | 38% below | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON AND TIBC | $25.01 | $33.35 | $8.74–$26.68 | 56% below | 25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $91.50 | $122.00 | $8.68–$97.60 | 5% above | 25% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $90.75 | $121.00 | $18.52–$96.80 | 29% above | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $41.68 | $55.57 | $6.89–$44.46 | 53% below | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION MULTIPLE | $106.52 | $142.02 | $8.17–$113.62 | at median | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $106.52 | $142.02 | $8.17–$113.62 | at median | 25% |
| Lyme disease antibody test CPT 86618 .LYME AB IGG,IGM W/REFL | $83.25 | $111.00 | $17.03–$88.80 | 15% below | 25% |
| Lyme disease antibody test CPT 86618 LYME AB IGG,IGM WESTERN BLOT | $83.25 | $111.00 | $17.03–$88.80 | 15% below | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE W/O CREATININE | $19.39 | $25.85 | $6.70–$20.68 | 57% below | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $19.39 | $25.85 | $6.70–$20.68 | 57% below | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM, URINE | $19.39 | $25.85 | $6.70–$20.68 | 57% below | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM | $41.25 | $55.00 | $6.70–$44.00 | 8% below | 25% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG AB | $63.00 | $84.00 | $12.88–$67.20 | 21% below | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $63.75 | $85.00 | $5.18–$68.00 | at median | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE SCREEN | $63.75 | $85.00 | $5.18–$68.00 | at median | 25% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $195.00 | $260.00 | $28.08–$208.00 | 57% above | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $210.00 | $280.00 | $18.39–$224.00 | 155% above | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (DIAGNOSTIC) | $84.00 | $112.00 | $18.39–$89.60 | 17% below | 25% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $60.00 | $80.00 | $26.61–$75.31 | 28% above | 25% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THINPREP PAP | $165.75 | $221.00 | $20.26–$176.80 | 232% above | 25% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 SUREPATH PAP SCREEN | $165.75 | $221.00 | $20.26–$176.80 | 232% above | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT AND CALCIUM | $169.13 | $225.50 | $41.28–$180.40 | 4% above | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE-MID | $169.13 | $225.50 | $41.28–$180.40 | 4% above | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE C TER | $169.13 | $225.50 | $41.28–$180.40 | 4% above | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT | $169.13 | $225.50 | $41.28–$180.40 | 4% above | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 .PARTIAL THROMOPLASTIN TI | $23.10 | $30.80 | $6.01–$7,021.17 | 53% below | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBS-MULTIPLE | $23.10 | $30.80 | $6.01–$49.94 | 53% below | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $42.00 | $56.00 | $6.01–$44.80 | 14% below | 25% |
| Progesterone blood test CPT 84144 PROGESTERONE | $233.25 | $311.00 | $20.86–$248.80 | 139% above | 25% |
| Prolactin blood test CPT 84146 PROLACTIN | $95.25 | $127.00 | $19.38–$101.60 | 23% below | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT FREQ | $16.50 | $22.00 | $4.29–$101.11 | 58% below | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN- MULTIPLE | $30.00 | $40.00 | $4.29–$49.94 | 23% below | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $30.00 | $40.00 | $4.29–$32.00 | 23% below | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN (IN-HOUSE) | $37.54 | $50.05 | $11.47–$40.04 | 48% below | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN STUDENT; SPECIAL PRICING | $37.54 | $50.05 | $11.47–$40.04 | 48% below | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 FENTANYL URINE | $37.54 | $50.05 | $11.47–$40.04 | 48% below | 25% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $33.00 | $44.00 | $14.39–$40.72 | 52% below | 25% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITE | $102.00 | $136.00 | $8.90–$108.80 | 26% above | 25% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES, CONCENTRATE SMEAR | $102.00 | $136.00 | $8.90–$108.80 | 26% above | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCCULT SC 1st SPECIMEN | $42.00 | $56.00 | $4.04–$44.80 | 12% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL-CSF | $21.00 | $28.00 | $0.07–$22.40 | 51% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .VDRL, SERUM | $21.00 | $28.00 | $4.27–$22.40 | 51% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $21.00 | $28.00 | $4.27–$22.40 | 51% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $709.50 | $946.00 | $61.98–$756.80 | 327% above | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $294.75 | $393.00 | $25.81–$314.40 | 124% above | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOME | $165.75 | $221.00 | $14.55–$176.80 | 79% above | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE | $165.75 | $221.00 | $14.55–$176.80 | 79% above | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 .ANTI-THYROID PEROXIDASE | $165.75 | $221.00 | $14.55–$176.80 | 79% above | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $51.00 | $68.00 | $16.80–$54.40 | 48% below | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W/REFLEX TO FREE T4 | $51.00 | $68.00 | $16.80–$54.40 | 48% below | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 GLIADIN AB PANEL | $51.00 | $68.00 | $16.80–$54.40 | 48% below | 25% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALS AMPLIF | $75.00 | $100.00 | $12.05–$99.30 | 18% below | 25% |
| Uric acid blood test CPT 84550 URIC ACID | $112.50 | $150.00 | $4.52–$120.00 | 105% above | 25% |
| Urinalysis with microscope exam, automated CPT 81001 .MICROSCOPIC | $18.98 | $25.30 | $3.17–$20.24 | 70% below | 25% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS MULTIPLE | $23.25 | $31.00 | $3.17–$24.80 | 63% below | 25% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS | $33.00 | $44.00 | $3.99–$35.20 | 15% below | 25% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST-URINE | $37.98 | $50.64 | $7.96–$40.51 | 52% below | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $90.77 | $121.03 | $15.08–$96.82 | 12% above | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25(OH) TOTAL | $296.84 | $395.79 | $29.60–$316.63 | 176% above | 25% |
| Zinc blood test CPT 84630 ZINC | $130.50 | $174.00 | $11.39–$139.20 | 102% above | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG QUANT | $232.49 | $309.98 | $8.07–$247.98 | 94% above | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 METATARSAL, EACH | $339.00 | $452.00 | $46.47–$273.48 | 58% below | 25% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECTION HALLUX VALGUS | $5,831.25 | $7,775.00 | $52.15–$7,930.50 | 12% below | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $1,158.00 | $1,544.00 | $64.27–$1,574.88 | 22% below | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,158.00 | $1,544.00 | $44.57–$934.20 | 22% below | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,387.50 | $1,850.00 | $74.35–$1,887.00 | 6% below | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SUBCUTANEOUS ABSCESS | $266.25 | $355.00 | $60.38–$214.79 | 59% below | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS, SIMPLE | $266.25 | $355.00 | $31.76–$214.79 | 59% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJ JOINT | $386.25 | $515.00 | $49.28–$311.60 | 57% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERMED JOINT | $386.25 | $515.00 | $39.80–$1,071.64 | 49% below | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SM JOINT (FINGER/TOE) | $386.25 | $515.00 | $38.73–$311.60 | 22% below | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE UP TO 2.5 CM | $490.50 | $654.00 | $126.59–$395.70 | 3% above | 25% |
| Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PART COMP SINGL | $266.25 | $355.00 | $56.51–$375.00 | 60% below | 25% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ARTRIAL & VENT | $21,375.00 | $28,500.00 | $34.03–$29,070.00 | 153% above | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL MATRIX PARTIAL | $490.50 | $654.00 | $46.32–$395.70 | 47% below | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMOVAL FB/SUBCUT | $490.50 | $654.00 | $76.56–$395.70 | 56% below | 25% |
| Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT | $165.75 | $221.00 | $7.35–$133.72 | 57% below | 25% |
| Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT | $213.75 | $285.00 | $43.71–$172.44 | 46% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURING SIMPLE UP TO 2.5 CM | $266.25 | $355.00 | $49.11–$214.79 | 18% below | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR TAP DIAGNOSTIC | $857.25 | $1,143.00 | $71.22–$691.57 | 32% below | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SUTURING SIMPLE 2.6 TO 7.5 CM | $266.25 | $355.00 | $64.75–$214.79 | 33% below | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR UP TO 2.5 CM | $266.25 | $355.00 | $61.40–$214.79 | 25% below | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BB ADMIN RBC BLD | $730.81 | $974.41 | $29.93–$993.90 | 6% below | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BB BLOOD-DIRECTED DONATION | $730.81 | $974.41 | $42.88–$993.90 | 6% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BEHAV CHNG SMOKING 3-10 MIN | $93.75 | $125.00 | $8.18–$127.50 | 47% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT SUBSEQ, RESP THERAPIST | $187.50 | $250.00 | $8.18–$255.00 | 6% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION SUBSEQ, EACH DAY | $187.50 | $250.00 | $8.18–$255.00 | 6% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI THERAPY TREATMENT EA ADDL | $187.50 | $250.00 | $8.18–$255.00 | 6% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DPI THERAPY EA ADDL TREATMENT | $187.50 | $250.00 | $5.69–$255.00 | 6% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INCENTIVE SPIROMETRY TREATMENT EA ADDL | $187.50 | $250.00 | $5.69–$255.00 | 6% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT INITIAL, RESP THERAPIST | $375.00 | $500.00 | $8.18–$510.00 | 112% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INCENTIVE SPIROMETRY 1ST TREATMENT | $375.00 | $500.00 | $5.69–$510.00 | 112% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI THERAPY FIRST TREATMENT | $375.00 | $500.00 | $8.18–$510.00 | 112% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION INITIAL, EACH DAY | $375.00 | $500.00 | $8.18–$510.00 | 112% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DPI THERAPY 1ST TREATMENT | $375.00 | $500.00 | $8.18–$510.00 | 112% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PR AIRWAY INHALATION TREATMENT | $618.75 | $825.00 | $8.18–$841.50 | 249% above | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 ER MD CRITICARE 30-74 MIN | $1,157.25 | $1,543.00 | $163.48–$857.38 | 37% below | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 ER VISIT CRITICAL CARE | $1,200.00 | $1,600.00 | $12.53–$1,632.00 | 34% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $135.00 | $180.00 | $6.50–$183.60 | 29% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER E&M L1 SELF LTD/MINOR | $337.50 | $450.00 | $12.52–$250.05 | 31% above | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1 | $416.81 | $555.75 | $13.06–$796.95 | 62% above | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER E&M L2 LOW TO MODERATE | $412.50 | $550.00 | $27.00–$305.61 | 8% above | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 | $450.00 | $600.00 | $47.61–$796.95 | 18% above | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER E&M L3 MODERATE | $525.00 | $700.00 | $54.80–$388.96 | 18% below | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 | $648.38 | $864.50 | $30.91–$881.79 | 2% above | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER E&M L4 HIGH | $637.50 | $850.00 | $29.39–$472.31 | 21% below | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 | $787.31 | $1,049.75 | $12.53–$1,070.75 | 2% below | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER E&M L5 HIGH/THREAT TO LIFE | $750.00 | $1,000.00 | $16.13–$555.66 | 35% below | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 | $900.00 | $1,200.00 | $12.53–$1,224.00 | 22% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION, 31 MIN TO 1 HR | $165.83 | $221.10 | $28.92–$225.52 | 43% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION UNIT | $451.50 | $602.00 | $33.37–$614.04 | 56% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION DX INITIAL UP TO 1 HR | $168.71 | $224.95 | $27.67–$229.45 | 42% below | 25% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $451.50 | $602.00 | $64.45–$614.04 | 55% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC/IM | $50.33 | $67.10 | $15.35–$68.44 | 51% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ OF ANTIBIOTIC IM | $50.33 | $67.10 | $10.56–$68.44 | 51% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $153.75 | $205.00 | $15.35–$209.10 | 49% above | 25% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES; 7-8 STUDIES | $392.25 | $523.00 | $84.22–$533.46 | 76% below | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-EDUCATION, EA 15 MIN | $34.65 | $46.20 | $16.17–$145.93 | 47% below | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDUCATION | $34.65 | $46.20 | $16.17–$145.93 | 47% below | 25% |
| New patient office visit, about 30 minutes CPT 99203 OUTPATIENT VISIT LEVEL 3 | $141.00 | $188.00 | $28.75–$191.76 | 10% below | 25% |
| New patient office visit, about 45 minutes CPT 99204 OUTPATIENT VISIT LEVEL 4 | $237.75 | $317.00 | $84.22–$323.34 | 19% above | 25% |
| New patient office visit, about 60 minutes CPT 99205 OUTPATIENT VISIT LEVEL 5 | $310.50 | $414.00 | $54.60–$422.28 | 29% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPATIENT VISIT LEVEL 2 | $133.50 | $178.00 | $11.40–$181.56 | 2% below | 25% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY | $89.51 | $119.35 | $24.43–$145.93 | 49% below | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY | $187.10 | $249.47 | $49.94–$254.46 | 10% below | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY | $83.33 | $111.10 | $31.49–$145.93 | 52% below | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MODERATE COMPLEXITY | $83.33 | $111.10 | $28.82–$145.93 | 53% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY EA 15 MIN | $50.25 | $67.00 | $12.53–$145.93 | 48% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY, EA 15 MIN | $62.06 | $82.74 | $28.96–$145.93 | 36% below | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT EXERCISE (0-15 MIN) | $30.53 | $40.70 | $14.25–$145.93 | 60% below | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 REC THERAPY INDIVIDUAL, EA 15 MIN | $55.50 | $74.00 | $25.90–$145.93 | 27% below | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC PROCEDURE, EA 15 MIN | $68.54 | $91.39 | $31.74–$145.93 | 10% below | 25% |
| Speech and language evaluation CPT 92523 ST EVALUATION SPEECH/SOUND PRODUCTION | $357.75 | $477.00 | $51.38–$486.54 | 52% above | 25% |
| Speech therapy session, individual CPT 92507 ST TX OF SPEECH DISORDER EA 15 MIN | $142.50 | $190.00 | $40.58–$193.80 | at median | 25% |
| Spirometry (breathing test) CPT 94010 PFT BASIC SPIROMETRY | $215.25 | $287.00 | $13.90–$292.74 | 12% below | 25% |
| Spirometry (breathing test) CPT 94010 PR SPIROMETRY TEST | $446.25 | $595.00 | $28.53–$606.90 | 82% above | 25% |
| Spirometry before and after a bronchodilator CPT 94060 PFT BASIC PRE & POST BRONCHODILATOR TREA | $253.50 | $338.00 | $10.34–$344.76 | 43% below | 25% |
| Spirometry before and after a bronchodilator CPT 94060 PR EVALUATION OF WHEEZING | $900.00 | $1,200.00 | $10.30–$1,224.00 | 102% above | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITY, EA 15 MIN | $89.84 | $119.79 | $39.03–$145.93 | 25% above | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITY | $89.84 | $119.79 | $36.50–$145.93 | 25% above | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB THERAPEUTIC PHLEBOTOMY | $165.75 | $221.00 | $11.66–$225.42 | 8% below | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $277.50 | $370.00 | $17.59–$377.40 | 55% above | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 NF-HEPATITIS B VACCINE | $43.50 | $58.00 | $22.04–$73.90 | 69% below | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 23 vaccine | $315.75 | $421.00 | $133.47–$378.90 | 14% below | 25% |
| Rabies vaccine, one dose CPT 90675 INJECTION RABIES VACCINE IM | $449.25 | $599.00 | $12.53–$539.10 | 43% below | 25% |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine 2.5units/1ml vaccine | $1,227.00 | $1,636.00 | $327.78–$1,472.40 | 56% above | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus/diphtheria/pertussis - adult | $114.00 | $152.00 | $38.63–$136.80 | 9% below | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus/diphtheria/pertussis - pediatric | $114.00 | $152.00 | $38.63–$136.80 | 9% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN; 1 VACCINE | $91.50 | $122.00 | $21.69–$124.44 | 99% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION, AGE 19 & UP | $113.00 | $150.67 | $13.97–$153.68 | 146% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $153.75 | $205.00 | $21.69–$209.10 | 234% above | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN, EACH ADD'L | $22.50 | $30.00 | $10.25–$30.60 | 42% below | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $153.75 | $205.00 | $15.58–$209.10 | 295% above | 25% |