Hospital Macon-Bibb County, GA

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

ProcedureCash price List priceInsurers payvs GeorgiaOff 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

ProcedureCash price List priceInsurers payvs GeorgiaOff 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

ProcedureCash price List priceInsurers payvs GeorgiaOff 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

ProcedureCash price List priceInsurers payvs GeorgiaOff 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

ProcedureCash price List priceInsurers payvs GeorgiaOff 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%

Source file: https://monroecountyhospital.pg.quadax.revenuemasters.com/cdm-files/586010602_monroe-county-hospital_standardcharges.csv