Northwest Florida Community Hospital
Northwest Florida Community Hospital in Chipley, FL publishes cash prices for 313 common procedures listed here, from its own machine-readable price file updated May 19, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 275 of 308 procedures and above it for 32. By typical cash price it ranks #24 of 171 Florida hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1360 Brickyard Road Chipley, FL 32428 Collected Sep 29, 2026 Source price file (850) 638-1610
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 2 of 5 CCN 101308 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Northwest Florida Community Hospital in Chipley, FL:
- Sep 10, 2025 Warning notice
- Dec 12, 2025 Corrective action plan requested
- Dec 22, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT 3+VIEWS COMPLETE | $420.00 | $525.00 | $55.85–$603.75 | 15% below | 20% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT 3+VIEWS COMPLETE | $420.00 | $525.00 | $55.85–$603.75 | 15% below | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 *US ARTERIAL DOPPLER | $199.20 | $249.00 | $47.78–$286.35 | 67% below | 20% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE/BRACHIAL INDICES | $238.40 | $298.00 | $57.19–$342.70 | 60% below | 20% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW ESOPHAGUS | $597.60 | $747.00 | $124.30–$859.05 | 29% below | 20% |
| Bone scan, whole body (nuclear medicine) CPT 78306 *BONE SCAN COMPLETE | $205.60 | $257.00 | $49.32–$453.18 | 92% below | 20% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAGING; WHOLE BODY | $1,874.40 | $2,343.00 | $448.91–$2,694.45 | 26% below | 20% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST, UNILATERAL; COMPLETE | $557.60 | $697.00 | $111.23–$801.55 | 9% above | 20% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST, UNILATERAL; LIMITED | $557.60 | $697.00 | $111.23–$801.55 | 47% above | 20% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY, CHEST | $3,131.20 | $3,914.00 | $751.10–$4,501.10 | 33% below | 20% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS W/O CONTRAST | $2,167.20 | $2,709.00 | $519.86–$3,115.35 | 61% below | 20% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS WITH CONTRAST | $2,686.40 | $3,358.00 | $644.40–$3,861.70 | 55% below | 20% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL WITH & W/O CONTRAST | $2,991.20 | $3,739.00 | $717.51–$4,299.85 | 57% below | 20% |
| CT scan of the abdomen with contrast CPT 74160 *CT KIDNEYS WITH CONTRAST | $2,188.00 | $2,735.00 | $524.85–$3,145.25 | 42% below | 20% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD WITH CONTRAST | $2,188.00 | $2,735.00 | $524.85–$3,145.25 | 42% below | 20% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD W/O CONTRAST | $1,812.80 | $2,266.00 | $434.85–$2,605.90 | 43% below | 20% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES (FACE) W/O CONTRAST | $1,747.20 | $2,184.00 | $419.11–$2,511.60 | 41% below | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST | $2,455.20 | $3,069.00 | $496.69–$3,529.35 | 21% below | 20% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONTRAST | $2,636.80 | $3,296.00 | $595.35–$3,790.40 | 30% below | 20% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W & W/O CONTRAST | $2,636.80 | $3,296.00 | $632.50–$3,790.40 | 40% below | 20% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $2,431.20 | $3,039.00 | $583.18–$3,494.85 | 26% below | 20% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV.SPINE W/O CONTRAST | $2,451.20 | $3,064.00 | $587.98–$3,523.60 | 28% below | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $2,316.00 | $2,895.00 | $555.55–$3,329.25 | 45% below | 20% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID EXAM W/DOPPLER & COLO | $826.40 | $1,033.00 | $198.23–$1,187.95 | 62% below | 20% |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 VIEW | $350.40 | $438.00 | $64.17–$503.70 | 30% below | 20% |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 VIEW | $268.00 | $335.00 | $49.83–$385.25 | 36% below | 20% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US ABDOMEN RENAL | $891.20 | $1,114.00 | $207.33–$1,281.10 | 30% below | 20% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY DEXA STUDY | $220.80 | $276.00 | $52.96–$328.68 | 63% below | 20% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST | $2,286.40 | $2,858.00 | $548.45–$3,286.70 | 25% below | 20% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/CONTRAST | $3,008.00 | $3,760.00 | $721.54–$4,324.00 | 25% below | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMOGRAPHY DIAG, INC CAD BILATERAL | $300.00 | $375.00 | $71.96–$431.25 | — | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY DIAG, INC CAD UNIL RIGHT | $248.00 | $310.00 | $59.49–$356.50 | 38% below | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAPHY DIAG, INC CAD UNIL LEFT | $248.00 | $310.00 | $59.49–$356.50 | 38% below | 20% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US BILAT LOWER EXT ART | $1,032.00 | $1,290.00 | $247.55–$1,483.50 | — | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UPPER EXT VENOUS BILAT | $730.40 | $913.00 | $175.20–$1,049.95 | — | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LOWER EXT VENOUS BILAT W/REFULX | $1,460.80 | $1,826.00 | $350.41–$2,099.90 | — | 20% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LOWER EXT VENOUS BILAT | $1,460.80 | $1,826.00 | $350.41–$2,099.90 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE &INTERP | $738.40 | $923.00 | $177.12–$1,061.45 | 78% below | 20% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY IMAGING | $763.20 | $954.00 | $183.07–$1,097.10 | 62% below | 20% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY, W/CPAP | $1,301.60 | $1,627.00 | $312.22–$1,871.05 | 75% below | 20% |
| Knee X-ray, 3 views one side CPT 73562 KNEE/PATELLA RT 3VIEWS | $369.60 | $462.00 | $60.39–$531.30 | 29% below | 20% |
| Knee X-ray, 3 views one side CPT 73562 KNEE/PAT LT 3VIEWS | $369.60 | $462.00 | $60.39–$531.30 | 29% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 *US ABDOMEN SPLEEN | $224.80 | $281.00 | $53.92–$323.15 | 81% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 *US ABDOMEN PANCREAS | $249.60 | $312.00 | $59.87–$358.80 | 79% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 *US ABDOMEN APPENDIX | $528.80 | $661.00 | $126.85–$760.15 | 55% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 *US ABDOMEN GALLBLADDER | $535.20 | $669.00 | $128.38–$769.35 | 54% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 *US ABDOMEN LIVER | $535.20 | $669.00 | $128.38–$769.35 | 54% below | 20% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $683.20 | $854.00 | $149.47–$982.10 | 41% below | 20% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING | $1,160.00 | $1,450.00 | $278.26–$1,667.50 | 59% above | 20% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JNT LWR EXTREM W/O CONTRAST LT | $2,760.80 | $3,451.00 | $662.25–$3,968.65 | 3% below | 20% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JNT LWR EXTREM W/O CONTRAST RT | $2,760.80 | $3,451.00 | $662.25–$3,968.65 | 3% below | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JNT LWR EXTREM WITH W/O CONTRAST LT | $3,220.80 | $4,026.00 | $772.59–$4,629.90 | 18% below | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JNT LWR EXTREM WITH W/O CONTRAST RT | $3,220.80 | $4,026.00 | $772.59–$4,629.90 | 18% below | 20% |
| MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CONTRAST | $2,482.40 | $3,103.00 | $595.47–$3,568.45 | 31% below | 20% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD WITH W/O CONTRAST | $3,220.80 | $4,026.00 | $772.59–$4,629.90 | 26% below | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $2,484.80 | $3,106.00 | $596.04–$3,571.90 | 30% below | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $3,220.80 | $4,026.00 | $772.59–$4,629.90 | 35% below | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $2,482.40 | $3,103.00 | $595.47–$3,568.45 | 34% below | 20% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WITH W/O CONTRAST | $3,220.80 | $4,026.00 | $772.59–$4,629.90 | 40% below | 20% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST/SPINE W/O CONTRAST | $2,482.40 | $3,103.00 | $595.47–$3,568.45 | 34% below | 20% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK/SPINE WITH W/O CONTRAST | $3,220.80 | $4,026.00 | $772.59–$4,629.90 | 33% below | 20% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK/SPINE W/O CONTRAST | $2,482.40 | $3,103.00 | $595.47–$3,568.45 | 35% below | 20% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WITH W/O CONTRAST | $3,220.80 | $4,026.00 | $772.59–$4,629.90 | 22% below | 20% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $2,484.80 | $3,106.00 | $596.04–$3,571.90 | 24% below | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O CONTRAST RT | $2,484.80 | $3,106.00 | $596.04–$3,571.90 | 1% above | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT UPR EXTREM W/O CONTRAST LT | $2,484.80 | $3,106.00 | $596.04–$3,571.90 | 1% above | 20% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HEART STRESS/REST | $3,223.20 | $4,029.00 | $773.17–$4,633.35 | 45% below | 20% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED | $457.60 | $572.00 | $109.77–$657.80 | 48% below | 20% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC | $680.00 | $850.00 | $161.03–$977.50 | 49% below | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 *OB STUDY COMPLETE | $212.00 | $265.00 | $50.85–$304.75 | 74% below | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPLETE >14WEEKS | $795.20 | $994.00 | $190.75–$1,143.10 | 3% below | 20% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB COMPLETE <14WEEKS | $792.80 | $991.00 | $190.17–$1,139.65 | 5% above | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $94.40 | $118.00 | $22.64–$150.89 | 85% below | 20% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US LIMITED-OB | $94.40 | $118.00 | $22.64–$150.89 | 85% below | 20% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMOGRAPHY SCREENING;INC CAD BILATERAL | $274.40 | $343.00 | $65.82–$394.45 | — | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT 2+VIEWS COMPLETE | $412.00 | $515.00 | $60.39–$592.25 | 35% below | 20% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT 2+VIEWS COMPLETE | $412.00 | $515.00 | $60.39–$592.25 | 35% below | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY, 4 OR MORE | $1,236.80 | $1,546.00 | $296.68–$1,777.90 | 78% below | 20% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SW W VIDEO | $793.60 | $992.00 | $136.87–$1,140.80 | 19% below | 20% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL-NON OB | $494.40 | $618.00 | $118.59–$710.70 | 50% below | 20% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL-OB | $588.80 | $736.00 | $141.24–$846.40 | 37% below | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $844.80 | $1,056.00 | $202.65–$1,214.40 | 47% below | 20% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICLES | $572.80 | $716.00 | $137.40–$823.40 | 44% below | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 *US SOFT TISSUE HEAD & NECK | $470.40 | $588.00 | $112.84–$676.20 | 58% below | 20% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID, HEAD SOFT TISSUES | $568.80 | $711.00 | $136.44–$817.65 | 49% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UPPER EXT VENOUS UNILAT | $534.40 | $668.00 | $128.19–$768.20 | 23% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LOWER EXT VENOUS UNILAT | $534.40 | $668.00 | $128.19–$768.20 | 23% below | 20% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT 3VIEWS COMP | $384.00 | $480.00 | $55.85–$552.00 | 40% below | 20% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT COMP 3 | $384.00 | $480.00 | $55.85–$552.00 | 40% below | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LT HIP 2+ VIEWS | $416.80 | $521.00 | $60.39–$599.15 | 26% below | 20% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 RT HIP 2+ VIEWS | $416.80 | $521.00 | $60.39–$599.15 | 26% below | 20% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $308.80 | $386.00 | $54.84–$443.90 | 38% below | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2VIEWS | $304.80 | $381.00 | $51.85–$438.15 | 30% below | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2 VIEWS | $304.80 | $381.00 | $51.85–$438.15 | 30% below | 20% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RT 2+VIEWS | $341.60 | $427.00 | $44.79–$491.05 | 19% below | 20% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LT 2+ VIEWS | $341.60 | $427.00 | $44.79–$491.05 | 19% below | 20% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2VIEWS | $351.20 | $439.00 | $51.85–$504.85 | 21% below | 20% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2VIEWS | $351.20 | $439.00 | $51.85–$504.85 | 21% below | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT 3+VIEWS-WEIGHT BEARING | $404.00 | $505.00 | $55.85–$580.75 | 24% below | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT 3+VIEWS-WEIGHT BEARING | $404.00 | $505.00 | $55.85–$580.75 | 24% below | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT 3+VIEWS COMPLETE | $404.00 | $505.00 | $55.85–$580.75 | 24% below | 20% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT 3+VIEWS | $404.00 | $505.00 | $55.85–$580.75 | 24% below | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND RT 3+VIEWS COMPLETE | $424.00 | $530.00 | $55.85–$609.50 | 23% below | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND LT 3+VIEWS COMPLETE | $424.00 | $530.00 | $55.85–$609.50 | 23% below | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LT 1-2VIEWS | $296.00 | $370.00 | $54.84–$425.50 | 40% below | 20% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT 1-2 VIEWS | $296.00 | $370.00 | $54.84–$425.50 | 40% below | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMB 2-3 VIEWS | $403.20 | $504.00 | $70.47–$579.60 | 42% below | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMB 4+ VIEWS | $593.60 | $742.00 | $96.61–$853.30 | 47% below | 20% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEW | $207.20 | $259.00 | $49.70–$297.85 | 67% below | 20% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE COMP.3+VIEWS | $341.60 | $427.00 | $54.84–$491.05 | 47% below | 20% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2-3 VIEWS | $379.20 | $474.00 | $63.41–$545.10 | 44% below | 20% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS | $453.60 | $567.00 | $54.84–$652.05 | 27% below | 20% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX 2+VIEWS | $350.40 | $438.00 | $60.39–$503.70 | 46% below | 20% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT ALT | $60.00 | $75.00 | $5.30–$54.75 | 51% above | 20% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT AST | $60.00 | $75.00 | $5.18–$54.75 | 10% above | 20% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $49.63 | $62.04 | $11.91–$209.31 | 70% below | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INDIVIDUAL | $3.81 | $4.76 | $0.91–$23.56 | 51% below | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE RAST | $15.20 | $19.00 | $3.65–$23.56 | 95% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX SPECIFIC IGE | $15.20 | $19.00 | $3.65–$23.56 | 95% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST F2 MILK | $15.20 | $19.00 | $3.65–$23.56 | 95% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, FOOD-BASIC | $28.80 | $36.00 | $5.22–$26.28 | 269% above | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS, AREA 3 | $111.49 | $139.36 | $5.22–$101.73 | 1329% above | 20% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE (CCP) ABS | $44.00 | $55.00 | $10.55–$45.38 | 61% above | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $14.43 | $18.04 | $3.46–$54.54 | 53% below | 20% |
| Basic metabolic panel (blood test) CPT 80048 DO NOT USE CHEM 7 BASIC METAB PANEL | $28.80 | $36.00 | $6.91–$37.21 | 92% below | 20% |
| Basic metabolic panel (blood test) CPT 80048 DAILY CHEM 8 BASIC METAB PANEL | $118.40 | $148.00 | $8.46–$108.04 | 69% below | 20% |
| Basic metabolic panel (blood test) CPT 80048 CHEM 8 BASIC METAB PANEL | $118.40 | $148.00 | $8.46–$108.04 | 69% below | 20% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 MICROSCOPIC ANALYSIS, LEVEL 4 | $29.81 | $37.26 | $7.15–$283.02 | 75% below | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $8.80 | $11.00 | $2.11–$9.54 | 56% below | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $13.60 | $17.00 | $3.26–$12.41 | 32% below | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SIROLIMUS COLLECTION ONLY | $20.00 | $25.00 | $4.80–$18.25 | at median | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRAWING BLOOD FOR SPECIMEN | $20.00 | $25.00 | $4.80–$18.25 | at median | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $28.80 | $36.00 | $3.93–$26.28 | 42% below | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE (SERUM) | $31.20 | $39.00 | $3.93–$28.47 | 37% below | 20% |
| Blood lead test CPT 83655 LEAD LEVEL | $11.09 | $13.86 | $2.66–$54.63 | 19% below | 20% |
| Blood lead test CPT 83655 LEAD 24 HR URINE | $40.80 | $51.00 | $9.79–$54.63 | 199% above | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG (QUALITATIVE) | $102.40 | $128.00 | $7.52–$93.44 | 18% below | 20% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST | $102.40 | $128.00 | $7.52–$93.44 | 18% below | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP | $28.00 | $35.00 | $2.99–$25.55 | 49% below | 20% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP SEND OUT PANEL COMPONENT | $28.00 | $35.00 | $2.99–$25.55 | 49% below | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN (IN HOUSE) | $23.48 | $29.35 | $5.18–$23.34 | 70% below | 20% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $23.48 | $29.35 | $5.18–$23.34 | 70% below | 20% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF QUIK CHECK | $113.60 | $142.00 | $27.25–$117.15 | 6% below | 20% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF BY PCR | $113.60 | $142.00 | $27.25–$117.15 | 6% below | 20% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $68.80 | $86.00 | $16.50–$70.95 | 22% above | 20% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $22.70 | $28.38 | $5.45–$23.41 | 76% below | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 RAPID PCR | $164.00 | $205.00 | $39.34–$169.13 | 78% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 [MERS-COV] SEND OUT | $164.00 | $205.00 | $39.34–$169.13 | 78% above | 20% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 [MERS-COV] IN-HOUSE | $164.00 | $205.00 | $39.34–$169.13 | 78% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPO PROFILE | $36.00 | $45.00 | $8.64–$60.45 | 66% below | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $156.00 | $195.00 | $13.39–$142.35 | 49% above | 20% |
| Complete blood count (CBC) with differential CPT 85025 RL CBC | $23.20 | $29.00 | $5.57–$35.11 | 69% below | 20% |
| Complete blood count (CBC) with differential CPT 85025 CBC (W/ AUTO DIFF) | $108.00 | $135.00 | $7.77–$98.55 | 44% above | 20% |
| Complete blood count (CBC) with differential CPT 85025 DAILY CBC | $108.00 | $135.00 | $7.77–$98.55 | 44% above | 20% |
| Complete blood count (CBC) with differential CPT 85025 REFERRAL CBC | $108.00 | $135.00 | $7.77–$98.55 | 44% above | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 DO NOT USE -CHEM 12 PANEL | $19.20 | $24.00 | $4.61–$46.46 | 96% below | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 STONE RISK PROFILE | $143.74 | $179.68 | $10.56–$131.17 | 72% below | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 CHEM 14 WITH LIVER PROFILE | $172.00 | $215.00 | $10.56–$156.95 | 66% below | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 DAILY CHEM 14 COMP METAB PANEL | $180.00 | $225.00 | $10.56–$164.25 | 64% below | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 CHEM 14 COMP METAB PANEL | $180.00 | $225.00 | $10.56–$164.25 | 64% below | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HOSPITAL PROFILE | $172.00 | $215.00 | — | — | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S, SERUM (AT SH) | $16.54 | $20.68 | $3.97–$100.36 | 63% below | 20% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE SEND OUT | $88.20 | $110.25 | $21.16–$100.36 | 96% above | 20% |
| Estradiol blood test CPT 82670 ESTRADIOL SENSITIVE, LC/MS SEND OUT | $25.02 | $31.28 | $6.00–$126.12 | 33% below | 20% |
| Estradiol blood test CPT 82670 ESTRADIOL | $81.60 | $102.00 | $19.57–$126.12 | 117% above | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH- MALE | $62.40 | $78.00 | $14.97–$83.89 | 2% below | 20% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $67.64 | $84.55 | $16.23–$83.89 | 6% above | 20% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $172.80 | $216.00 | $19.63–$178.20 | 37% above | 20% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $123.20 | $154.00 | $13.63–$112.42 | 10% below | 20% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $96.00 | $120.00 | $14.70–$87.60 | 34% below | 20% |
| Free T3 thyroid hormone test CPT 84481 FREE T-3 (TRI-IODOTHYRONINE) | $17.19 | $21.49 | $4.12–$69.10 | 78% below | 20% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $101.60 | $127.00 | $9.02–$92.71 | 13% above | 20% |
| Free testosterone test CPT 84402 HIRSUTISM PROFILE | $34.40 | $43.00 | $8.25–$114.93 | 11% above | 20% |
| Free testosterone test CPT 84402 TEST,FREE ONLY | $69.60 | $87.00 | $16.70–$114.93 | 125% above | 20% |
| Free testosterone test CPT 84402 TEST,FREE/TOTAL NO SBGH | $69.60 | $87.00 | $16.70–$114.93 | 125% above | 20% |
| Free testosterone test CPT 84402 TEST,FREE/TOTAL WITH SBGH | $69.60 | $87.00 | $16.70–$114.93 | 125% above | 20% |
| Free testosterone test CPT 84402 TESTOSTERONE, BIOAVAILABLE | $69.60 | $87.00 | $16.70–$114.93 | 125% above | 20% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL CHARGE | $124.00 | $155.00 | $29.74–$159.41 | 17% below | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTATIONAL GLUCOSE SCREEN-1HR | $9.50 | $11.87 | $2.28–$18.09 | 87% below | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST PRANDIAL | $65.60 | $82.00 | $4.75–$59.86 | 11% below | 20% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE TEST SERUM | $27.20 | $34.00 | $6.52–$50.91 | 78% below | 20% |
| Glucose tolerance test, 3 samples CPT 82951 FIRST 3 GLUCOSE SPECIMENS | $81.60 | $102.00 | $12.87–$74.46 | 34% below | 20% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE TEST | $81.60 | $102.00 | $12.87–$74.46 | 34% below | 20% |
| Glucose tolerance test, 3 samples CPT 82951 6 HR GTT | $81.60 | $102.00 | $12.87–$74.46 | 34% below | 20% |
| Glucose tolerance test, 3 samples CPT 82951 4 HR GTT | $81.60 | $102.00 | $12.87–$74.46 | 34% below | 20% |
| Glucose tolerance test, 3 samples CPT 82951 5 HR GTT | $81.60 | $102.00 | $12.87–$74.46 | 34% below | 20% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGM | $12.00 | $15.00 | $2.88–$65.51 | 77% below | 20% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB,SCREEN(IgG) | $62.40 | $78.00 | $14.97–$65.51 | 19% above | 20% |
| H. pylori antibody blood test CPT 86677 H PYLORI IgG | $62.40 | $78.00 | $14.97–$65.51 | 19% above | 20% |
| H. pylori antibody blood test CPT 86677 H PYLORI IgG/IgM/IgA | $62.40 | $78.00 | $14.97–$65.51 | 19% above | 20% |
| H. pylori stool antigen test CPT 87338 H PYLORI AG,STOOL | $26.81 | $33.51 | $6.43–$27.65 | 41% below | 20% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV BY PCR,QUANTITATIVE | $52.10 | $65.12 | $12.50–$85.10 | 53% below | 20% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/2 (SCREEN) | $46.40 | $58.00 | $11.13–$60.48 | 9% below | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C GLYCOSYLATED | $21.60 | $27.00 | $5.18–$43.82 | 70% below | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C-GLYCOSYLATED | $21.60 | $27.00 | $5.18–$43.82 | 70% below | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $89.60 | $112.00 | $9.71–$81.76 | 26% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN | $89.60 | $112.00 | $9.71–$81.76 | 26% above | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C | $89.60 | $112.00 | $9.71–$81.76 | 26% above | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB TITER | $36.00 | $45.00 | $8.64–$47.19 | 30% below | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIGEN | $50.40 | $63.00 | $10.33–$45.99 | 15% above | 20% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS PANEL A&B | $50.40 | $63.00 | $10.33–$45.99 | 15% above | 20% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $12.57 | $15.71 | $3.01–$62.74 | 73% below | 20% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA/PCR,QUAN | $72.69 | $90.86 | $17.44–$74.96 | 38% below | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES TYPE I, IGG | $44.80 | $56.00 | $10.75–$59.53 | 91% above | 20% |
| Herpes blood test, HSV-1 antibody CPT 86695 VIRAL RESPIRATORY PANEL | $44.80 | $56.00 | $10.75–$59.53 | 91% above | 20% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES TYPE II, IGG | $65.60 | $82.00 | $15.74–$67.65 | 92% above | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HS | $56.00 | $70.00 | $12.95–$57.75 | 9% above | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $56.00 | $70.00 | $12.95–$57.75 | 9% above | 20% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $23.48 | $29.35 | $5.63–$24.21 | 59% below | 20% |
| Insulin blood test CPT 83525 INSULIN FREE AND TOTAL | $16.14 | $20.18 | $3.87–$51.61 | 42% below | 20% |
| Iron blood test (serum iron) CPT 83540 IRON, SERUM | $76.80 | $96.00 | $6.47–$70.08 | 41% above | 20% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON AND TIBC | $68.00 | $85.00 | $8.74–$62.05 | 28% below | 20% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC-DO NOT USE THIS | $76.80 | $96.00 | $8.74–$70.08 | 19% below | 20% |
| Kidney function blood test panel CPT 80069 RENAL WITH LIVER PROF | $105.60 | $132.00 | $8.68–$108.90 | 75% below | 20% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $105.60 | $132.00 | $8.68–$108.90 | 75% below | 20% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $70.78 | $88.48 | $16.98–$83.60 | 11% above | 20% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE- MALE | $121.60 | $152.00 | $18.52–$110.96 | 90% above | 20% |
| LH (luteinizing hormone) test CPT 83002 FSH/LH/PROLACT (AMENORRHEA PROF) | $121.60 | $152.00 | $18.52–$110.96 | 90% above | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 SEND OUT LIPASE, FLUID | $40.00 | $50.00 | $6.89–$36.50 | 40% below | 20% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $129.60 | $162.00 | $6.89–$118.26 | 94% above | 20% |
| Liver function blood test panel CPT 80076 LIVER PROF HEPATIC FUNC | $100.00 | $125.00 | $8.17–$91.25 | 65% below | 20% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES | $29.07 | $36.34 | $6.97–$66.21 | 10% below | 20% |
| Lyme disease antibody test CPT 86618 LYME AB,IGM,IGG/CSF | $51.20 | $64.00 | $12.28–$66.21 | 59% above | 20% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $80.00 | $100.00 | $6.70–$73.00 | 459% above | 20% |
| Magnesium blood test CPT 83735 DAILY MAGNESIUM SERUM | $80.00 | $100.00 | $6.70–$73.00 | 459% above | 20% |
| Magnesium blood test CPT 83735 MAGNESIUM-URINE 24HR | $80.00 | $100.00 | $6.70–$73.00 | 459% above | 20% |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM | $80.00 | $100.00 | $6.70–$73.00 | 459% above | 20% |
| Magnesium blood test CPT 83735 MAGNESIUM IONIZED | $80.00 | $100.00 | $6.70–$73.00 | 459% above | 20% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB /MEASLES | $43.20 | $54.00 | $10.36–$58.16 | 53% above | 20% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $110.40 | $138.00 | $5.18–$100.74 | 35% below | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL + % FREE | $11.84 | $14.80 | $2.84–$83.03 | 80% below | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $160.80 | $201.00 | $18.39–$146.73 | 177% above | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ULTRA SENSITIVE PSA | $160.80 | $201.00 | $18.39–$146.73 | 177% above | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE, INTACT | $50.63 | $63.29 | $12.15–$186.28 | 52% below | 20% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, BIO-INTACT (N TERMINAL PARATHYROID) | $209.60 | $262.00 | $41.28–$191.26 | 100% above | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $110.40 | $138.00 | $6.01–$100.74 | 168% above | 20% |
| Progesterone blood test CPT 84144 PROGESTERONE SERUM | $70.40 | $88.00 | $16.89–$94.16 | 42% above | 20% |
| Progesterone blood test CPT 84144 PROGESTERONE URINE | $70.40 | $88.00 | $16.89–$94.16 | 42% above | 20% |
| Progesterone blood test CPT 84144 PROGESTERONE FREE AND TOTAL | $219.60 | $274.50 | $20.86–$200.39 | 342% above | 20% |
| Prolactin blood test CPT 84146 PROLACTIN | $29.22 | $36.52 | $7.01–$87.45 | 57% below | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR | $10.40 | $13.00 | $2.49–$17.74 | 71% below | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR POC | $56.00 | $70.00 | $4.29–$51.10 | 54% above | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 DAILY PROTIME/INR | $59.20 | $74.00 | $4.29–$54.02 | 63% above | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR | $59.20 | $74.00 | $4.29–$54.02 | 63% above | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR & PTT | $59.20 | $74.00 | $4.29–$54.02 | 63% above | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN, PRESUMPTIVE, BY DIRECT OPTI | $28.00 | $35.00 | $6.72–$62.26 | 72% below | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 FENTANYL RAPID TESTING | $28.00 | $35.00 | $6.72–$62.26 | 72% below | 20% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B RAPID TEST (QUICKVUE) | $31.20 | $39.00 | $7.48–$32.18 | 77% below | 20% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A RAPID TEST (QUICKVUE) | $31.20 | $39.00 | $7.48–$32.18 | 77% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY, W/ OPTIC | $8.80 | $11.00 | $2.11–$16.53 | 93% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP-CASSETTE | $12.80 | $16.00 | $3.07–$16.53 | 90% below | 20% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION INFECTIOUS AGENT/STREPTOCOCCUS | $31.20 | $39.00 | $7.48–$32.18 | 77% below | 20% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR IgG IgM IgA | $201.60 | $252.00 | $5.67–$183.96 | 661% above | 20% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $48.80 | $61.00 | $11.71–$64.97 | 159% above | 20% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER | $48.80 | $61.00 | $11.71–$64.97 | 159% above | 20% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SPERM COUNT TOTAL | $40.80 | $51.00 | $9.79–$54.41 | 87% below | 20% |
| Stool ova and parasites exam CPT 87177 ..TEST O&P | $62.40 | $78.00 | $8.90–$56.94 | 50% above | 20% |
| Stool ova and parasites exam CPT 87177 O&P | $62.40 | $78.00 | $8.90–$56.94 | 50% above | 20% |
| Stool ova and parasites exam CPT 87177 GIARDIA w/ OC&P | $132.20 | $165.25 | $8.90–$120.63 | 217% above | 20% |
| Stool ova and parasites exam CPT 87177 ..TEST GIARDIA w/ OC&P | $132.20 | $165.25 | $8.90–$120.63 | 217% above | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT, GUAIAC, QUAL;COLRECTAL NEO | $5.60 | $7.00 | $1.34–$11.42 | 88% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 DNUHEMMOCULT | $8.80 | $11.00 | $2.11–$11.42 | 82% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 DNU HEMOCCULT | $8.80 | $11.00 | $2.11–$11.42 | 82% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD, OTHER SOURCES | $8.80 | $11.00 | $2.11–$11.42 | 82% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCULT | $12.80 | $16.00 | $3.07–$11.68 | 73% below | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREENING | $50.40 | $63.00 | $4.38–$45.99 | 5% above | 20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD (DRAINAGE) | $50.40 | $63.00 | $4.38–$45.99 | 5% above | 20% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCLT FECAL HBG DETER IA QUIAL FECES | $12.80 | $16.00 | $3.07–$15.92 | 80% below | 20% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL IMMUNOCHEMICAL TEST | $63.20 | $79.00 | $15.16–$65.18 | 2% below | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 STS/VDRL | $5.81 | $7.26 | $1.39–$19.27 | 71% below | 20% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD | $73.60 | $92.00 | $17.65–$75.90 | 15% above | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE-TOTAL | $14.24 | $17.80 | $3.42–$116.52 | 61% below | 20% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE-TOTAL (CHILD/FEMALE) | $93.60 | $117.00 | $22.45–$116.52 | 155% above | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID MICROSOMAL ABS | $7.20 | $9.00 | $1.73–$65.67 | 54% below | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-LIVER KIDNEY MICROSOME ANTIBODY | $48.80 | $61.00 | $11.71–$65.67 | 213% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH REFLEX TO FT4 IF ABN | $134.40 | $168.00 | $16.80–$122.64 | at median | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID PANEL TSH | $134.40 | $168.00 | $16.80–$122.64 | at median | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $140.00 | $175.00 | $16.80–$127.75 | 4% above | 20% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA URINE | $86.20 | $107.75 | $20.68–$88.89 | 71% above | 20% |
| Uric acid blood test CPT 84550 URIC ACID | $56.80 | $71.00 | $4.52–$51.83 | 46% below | 20% |
| Urinalysis with microscope exam, automated CPT 81001 DNU STAT CHARGE | $20.80 | $26.00 | $3.17–$18.98 | 87% below | 20% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTOMATED WITH MICROSCOPIC | $76.80 | $96.00 | $3.17–$70.08 | 53% below | 20% |
| Urinalysis without microscope exam, automated CPT 81003 UA AUTOMATED W/O MICROSCOPIC | $55.20 | $69.00 | $2.25–$50.37 | 34% below | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICRO; AUTOMATED | $55.20 | $69.00 | $2.25–$50.37 | 34% below | 20% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTOMATED W/O MICROSCOPY | $7.20 | $9.00 | $1.73–$11.54 | 67% below | 20% |
| Urinalysis without microscope exam, manual CPT 81002 DNUURINALYSIS | $8.80 | $11.00 | $2.11–$11.54 | 60% below | 20% |
| Urinalysis without microscope exam, manual CPT 81002 ROUTINE VENIPUNCTURE | $8.80 | $11.00 | $2.11–$11.54 | 60% below | 20% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS | $8.80 | $11.00 | $2.11–$11.54 | 60% below | 20% |
| Urinalysis without microscope exam, manual CPT 81002 DNU URINALYSIS | $8.80 | $11.00 | $2.11–$11.54 | 60% below | 20% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE (URINE) | $7.75 | $9.69 | $1.86–$36.44 | 96% below | 20% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST-URINE | $7.20 | $9.00 | $1.73–$28.56 | 94% below | 20% |
| Urine pregnancy test, read by color change CPT 81025 DNU UCG | $8.80 | $11.00 | $2.11–$28.56 | 93% below | 20% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $25.60 | $32.00 | $6.14–$28.56 | 79% below | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 MEGALOBLASTIC / VIT B ANEMIA CASCADE | $24.00 | $30.00 | $5.76–$68.02 | 84% below | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $106.40 | $133.00 | $15.08–$97.09 | 29% below | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D(1,25 DIHYDROXY/25-HYDROXY)PROF | $27.59 | $34.49 | $6.62–$133.59 | 44% below | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D,25-HYDROXY | $84.00 | $105.00 | $20.15–$133.59 | 69% above | 20% |
| Zinc blood test CPT 84630 ZINC LEVEL,WHOLE BLOOD | $36.00 | $45.00 | $8.64–$51.42 | 122% above | 20% |
| Zinc blood test CPT 84630 ZINC 24 HR URINE | $36.00 | $45.00 | $8.64–$51.42 | 122% above | 20% |
| Zinc blood test CPT 84630 ZINC LEVEL,SERUM | $36.00 | $45.00 | $8.64–$51.42 | 122% above | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 URINE PREGNANCY TEST | $31.20 | $39.00 | $7.48–$67.92 | 60% below | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUAL (PREGNANCY TEST) | $163.20 | $204.00 | $15.05–$148.92 | 110% above | 20% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG (QUANTITATIVE) | $163.20 | $204.00 | $15.05–$148.92 | 110% above | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY W/ABSCESS OR PERIT | $1,222.40 | $1,528.00 | $629.72–$1,052.48 | 58% below | 20% |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $888.00 | $1,110.00 | $460.29–$770.60 | 87% below | 20% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 DIGITAL NEEDLE LOC R OR L | $388.80 | $486.00 | $93.26–$558.90 | 89% below | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EDP CARDIOVERSION | $244.80 | $306.00 | $72.92–$165.79 | 88% below | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $780.80 | $976.00 | $187.29–$1,122.40 | 63% below | 20% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CR CARDIOVERSION | $820.00 | $1,025.00 | $196.70–$1,178.75 | 61% below | 20% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $1,336.80 | $1,671.00 | $320.66–$1,921.65 | 67% below | 20% |
| Carpal tunnel release, open surgery one side CPT 64721 CARPAL TUNNEL RELEASE LEFT WRIST | $379.20 | $474.00 | $90.96–$1,332.42 | 91% below | 20% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $291.20 | $364.00 | $138.71–$228.47 | 86% below | 20% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W REM POLYP/TUMOR BY SNARE | $441.60 | $552.00 | $171.91–$481.47 | 88% below | 20% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY | $382.40 | $478.00 | $135.22–$390.39 | 89% below | 20% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W BX SINGLE OR MULTIPLE | $667.20 | $834.00 | $135.22–$390.39 | 81% below | 20% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLEXIBLE | $316.80 | $396.00 | $124.61–$367.11 | 89% below | 20% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY | $352.80 | $441.00 | $124.61–$367.11 | 88% below | 20% |
| Colonoscopy, diagnostic CPT 45378 DNU COLONSCOPY VIDEO W/2 PICTURES | $479.20 | $599.00 | $114.95–$1,332.42 | 84% below | 20% |
| Colonoscopy, diagnostic CPT 45378 DNU COLONOSCOPY DIAG | $504.80 | $631.00 | $121.09–$1,332.42 | 83% below | 20% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Conization of Cervix | $254.40 | $318.00 | $107.99–$195.17 | 94% below | 20% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilitation and Curettage | $2,648.00 | $3,310.00 | $157.02–$274.02 | 37% below | 20% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTR BENIGN LESIONS; 1ST LESION | $46.40 | $58.00 | $11.13–$66.70 | 83% below | 20% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY, LOCAL/TOPICAL ANESTHESIA | $1,628.00 | $2,035.00 | $390.52–$2,340.25 | 52% above | 20% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 EDP REMOVAL IMPACT CERUMEN USING IRRIG/L | $70.40 | $88.00 | $9.96–$17.46 | 64% below | 20% |
| Earwax removal with instruments, one ear CPT 69210 DNU REMOVE IMPACTED EAR WAX | $25.60 | $32.00 | $6.14–$36.80 | 87% below | 20% |
| Earwax removal with instruments, one ear CPT 69210 EAR WAX REMOVAL | $28.80 | $36.00 | $6.91–$41.40 | 86% below | 20% |
| Earwax removal with instruments, one ear CPT 69210 EDP REMOVAL IMPACT CEROMEN | $70.40 | $88.00 | $22.38–$61.33 | 65% below | 20% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF CERUMEN (EAR WAX) | $74.40 | $93.00 | $17.85–$106.95 | 64% below | 20% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX | $292.00 | $365.00 | $70.04–$419.75 | 43% above | 20% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL W OR W/O SAMPLING | $60.80 | $76.00 | $14.58–$87.40 | 86% below | 20% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECT SPINE CERVICAL/THORACIC W/IMAGING | $1,940.00 | $2,425.00 | $465.36–$2,788.75 | 12% below | 20% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,560.80 | $1,951.00 | $374.40–$2,243.65 | 30% below | 20% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLEXIBLE DIAGNOSTIC | $183.20 | $229.00 | $37.77–$95.08 | 93% below | 20% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DNU FLEX SIGMOID DIAG | $273.60 | $342.00 | $65.63–$992.16 | 90% below | 20% |
| Gallbladder removal, laparoscopic CPT 47562 Laparascopic Cholecystectomy | $1,008.80 | $1,261.00 | $474.21–$792.48 | 92% below | 20% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSOCPY CHOLECYSTECTOMY | $1,008.80 | $1,261.00 | $474.21–$792.48 | 92% below | 20% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparscopic chole with choleangiography | $1,080.80 | $1,351.00 | $515.96–$861.93 | 91% below | 20% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARSCOPIC CHOLE W/CHOLEANGIOGRAPHY | $1,080.80 | $1,351.00 | $515.96–$861.93 | 91% below | 20% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY | $1,218.40 | $1,523.00 | $724.80–$1,282.64 | — | 20% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOID BANDING | $168.80 | $211.00 | $40.49–$242.65 | 90% below | 20% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorroidectomy by simple ligature | $190.40 | $238.00 | $132.13–$220.97 | 89% below | 20% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORROIDECTOMY BY SIMPLE LIGATURE | $217.60 | $272.00 | $132.13–$220.97 | 88% below | 20% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY-SIMPLE | $680.00 | $850.00 | $245.98–$433.91 | 88% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DNU I&D ABSCESS SIMPLE | $58.40 | $73.00 | $14.01–$83.95 | 90% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS SIMPLE | $84.80 | $106.00 | $20.34–$121.90 | 86% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE | $127.20 | $159.00 | $68.70–$121.21 | 79% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS-SIMPLE | $140.80 | $176.00 | $33.77–$202.40 | 77% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D OF ABSCESS, SINGLE | $184.00 | $230.00 | $44.14–$264.50 | 69% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 EDP I&D ABSCESS-CYST-SIMPLE | $192.80 | $241.00 | $68.70–$121.21 | 68% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE | $384.00 | $480.00 | $92.11–$552.00 | 36% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SKIN LESION | $384.00 | $480.00 | $92.11–$552.00 | 36% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS CYST SIMPLE | $384.00 | $480.00 | $92.11–$552.00 | 36% below | 20% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF INGUINAL HERNIA>5YRS | $718.40 | $898.00 | $375.43–$626.85 | 92% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 DNU INJECTION TRIGGER POINT | $54.40 | $68.00 | $13.05–$78.20 | 90% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 DUN INJECTION TRIGGER POINT | $54.40 | $68.00 | $13.05–$78.20 | 90% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 EDP INJECTION TENDON SHEATH | $60.80 | $76.00 | $26.54–$91.94 | 89% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TRIGGER POINT INJECTION | $88.00 | $110.00 | $21.11–$126.50 | 84% below | 20% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION TENDON SHEATH | $313.60 | $392.00 | $75.22–$450.80 | 44% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS-LG JOINT | $76.80 | $96.00 | $30.69–$94.30 | 89% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis-Large Joint | $76.80 | $96.00 | $30.69–$94.30 | 89% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION OF KNEE JOINT | $105.60 | $132.00 | $30.69–$94.30 | 85% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION OF JOINT | $105.60 | $132.00 | $30.69–$94.30 | 85% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 EDP INJ OR ASP LARGE JOINT | $117.60 | $147.00 | $30.69–$94.30 | 83% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT JOINT/BURSA | $582.40 | $728.00 | $139.70–$837.20 | 15% below | 20% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ OR ASP LARGE JOINT | $1,013.60 | $1,267.00 | $243.14–$1,457.05 | 48% above | 20% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE | $85.60 | $107.00 | $20.53–$123.05 | 73% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis-Intermediate Joint | $86.40 | $108.00 | $25.15–$78.34 | 85% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS-MED JOINT | $86.40 | $108.00 | $25.15–$78.34 | 85% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 EDP INJ OR ASP MEDIUM JOINT | $130.40 | $163.00 | $25.15–$78.34 | 78% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ OR ASP MEDIUM JOINT | $201.60 | $252.00 | $48.36–$289.80 | 65% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthorcentesis-Small Joint | $60.80 | $76.00 | $24.23–$68.90 | 89% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS-SM JOINT | $60.80 | $76.00 | $24.23–$68.90 | 89% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR/INJ SMALL JT/BURSA | $240.00 | $300.00 | $57.57–$345.00 | 56% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT, JOINT/BURS | $358.40 | $448.00 | $85.97–$515.20 | 35% below | 20% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHOSCOPY/SURGERY | $1,650.40 | $2,063.00 | $395.89–$3,180.00 | 85% below | 20% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHOSCOPY/SURGERY | $1,180.80 | $1,476.00 | $283.24–$3,180.00 | 80% below | 20% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHOSCOPY/SURGERY | $1,650.40 | $2,063.00 | $395.89–$3,180.00 | 85% below | 20% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPIC APPENDECTOMY | $808.80 | $1,011.00 | $432.21–$721.66 | 92% below | 20% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAP APPENDECTOMY | $880.80 | $1,101.00 | $432.21–$721.66 | 92% below | 20% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY SURGICAL ESOPHAGEAL | $1,544.00 | $1,930.00 | $771.55–$1,293.57 | 92% below | 20% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY, SURGICAL ESOPHAGEAL | $1,544.00 | $1,930.00 | $771.55–$1,293.57 | 92% below | 20% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP INGUINAL HERNIA | $657.60 | $822.00 | $310.19–$518.20 | 82% below | 20% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPARSCOPIC REPAIR OF REC ING. HERN | $771.20 | $964.00 | $403.80–$676.95 | 95% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WD REPAIR S/TR/EXT 2.5CM OR LESS | $136.00 | $170.00 | $32.62–$195.50 | 86% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WD REPAIR S/TR/EXT/2.5CM OR LESS | $147.20 | $184.00 | $101.99–$172.85 | 85% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WD REPAIR S/TR/EXT 2.5 CM OR LESS | $155.20 | $194.00 | $37.23–$223.10 | 84% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE WOUND REPAIR/BODY <2.5CM | $207.20 | $259.00 | $101.99–$172.85 | 79% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND | $264.80 | $331.00 | $101.99–$172.85 | 73% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTER WOUNDS STE UP TO 2.5 CM | $291.20 | $364.00 | $69.85–$418.60 | 70% below | 20% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 EDP INTER WOUNDS STE UP TO 2.5 CM | $344.00 | $430.00 | $101.99–$172.85 | 64% below | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 LUMB SAC CAUDAL INTERLAMINAR ESI W/IMAGI | $1,840.80 | $2,301.00 | $441.56–$2,646.15 | 21% below | 20% |
| Lower-back epidural injection, without imaging guidance CPT 62322 EDP INJ, SGL, LUMBAR, SACRAL (CAUDAL) | $203.20 | $254.00 | $54.92–$91.80 | 91% below | 20% |
| Lower-back epidural injection, without imaging guidance CPT 62322 LUMBAR SACRAL CAUDAL INTERLAMINAR ESI | $1,560.80 | $1,951.00 | $374.40–$2,243.65 | 29% below | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $1,560.80 | $1,951.00 | $374.40–$2,243.65 | 29% below | 20% |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $1,235.20 | $1,544.00 | $472.68–$790.50 | 88% below | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC-BENIGN TRUNK/ARM/LEGS <0.5 CM | $71.20 | $89.00 | $17.08–$102.35 | 96% below | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC-BENIGN TRUCK/ARM/LEGS <0.5 CM | $71.20 | $89.00 | $17.08–$102.35 | 96% below | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5<CM | $71.20 | $89.00 | $17.08–$102.35 | 96% below | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 DNU REMOVAL OF SKIN LESION .5CM OR LESS | $100.00 | $125.00 | $23.99–$143.75 | 94% below | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF LESION <5CM | $166.40 | $208.00 | $39.92–$239.20 | 91% below | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 DNU BENIGN CAT 1 .5CM | $180.00 | $225.00 | $43.18–$258.75 | 90% below | 20% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 BENIGN SKIN LESION REM .5 CM OR LESS | $523.20 | $654.00 | $125.50–$752.10 | 71% below | 20% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC-BENIGN FACE/EARS/ETC .5CM OR < | $90.40 | $113.00 | $21.68–$129.95 | 91% below | 20% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BENIGN FACE/EARS/ETC .5CM OR < | $97.60 | $122.00 | $70.38–$123.67 | 90% below | 20% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION OF BENIGN LESION <.5CM | $151.20 | $189.00 | $70.38–$123.67 | 85% below | 20% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION OF BENIGN LESION <.05CM | $204.00 | $255.00 | $70.38–$123.67 | 79% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $48.80 | $61.00 | $11.71–$70.15 | 90% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAILPLATE (NAILPLATE REMOVAL | $129.60 | $162.00 | $36.22–$71.25 | 74% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion of nailplate (mail removal) | $129.60 | $162.00 | $36.22–$71.25 | 74% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE, P/C SIMPLE; SING | $164.00 | $205.00 | $39.34–$235.75 | 67% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 EDP AVULSION OF NAIL | $166.40 | $208.00 | $36.22–$71.25 | 67% below | 20% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL | $198.40 | $248.00 | $47.59–$285.20 | 60% below | 20% |
| Paracentesis with imaging guidance CPT 49083 EDP ABDOMINAL PARACENTESIS W/IMAGING GUI | $200.80 | $251.00 | $71.53–$120.77 | 88% below | 20% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/IMAGING GUIDANC | $1,784.00 | $2,230.00 | $427.94–$2,564.50 | 4% above | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISE NAIL & MATRIX/PERM REMOVAL | $88.80 | $111.00 | $21.30–$127.65 | 93% below | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC OF NAIL & NAIL MATRIX, PARTIAL/COMPL | $91.20 | $114.00 | $21.88–$131.10 | 92% below | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EDP EXCISION-INGROWN NAIL(S) | $200.00 | $250.00 | $68.53–$139.63 | 83% below | 20% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION INGROWN NAIL(S) | $526.40 | $658.00 | $126.27–$756.70 | 56% below | 20% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 NEUROLYSIS LUMBAR SACRAL SINGLE JOINT | $2,468.00 | $3,085.00 | $592.01–$3,547.75 | 27% below | 20% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTR PARAVERTEBRL NERVE L/S | $2,468.00 | $3,085.00 | $592.01–$3,547.75 | 27% below | 20% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION OF BREAST CYST | $374.40 | $468.00 | $89.81–$1,523.22 | 91% below | 20% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION OF BREAST CYST (MAL/BENIGN) | $536.80 | $671.00 | $286.83–$497.90 | 87% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 I&D REMOVE FB SIMPLE | $90.40 | $113.00 | $21.68–$129.95 | 91% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 I&D RMV FB SIMPLE | $90.40 | $113.00 | $21.68–$129.95 | 91% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL FOREIGN BODY-SIMPLE | $144.00 | $180.00 | $70.15–$120.52 | 86% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 EDP I&D REMOVAL FB SIMPLE | $191.20 | $239.00 | $70.15–$120.52 | 82% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 I&D REMOVAL FB SIMPLE | $596.80 | $746.00 | $143.16–$857.90 | 43% below | 20% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FOREIGN BODY SIMPLE | $596.80 | $746.00 | $143.16–$857.90 | 43% below | 20% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $55.20 | $69.00 | $13.24–$79.35 | 91% below | 20% |
| Short arm cast (elbow to hand) CPT 29075 EDP CASTING OF SHORT ARM | $68.00 | $85.00 | $41.77–$74.03 | 89% below | 20% |
| Short arm cast (elbow to hand) CPT 29075 CASTING OF SHORT ARM | $324.80 | $406.00 | $77.91–$466.90 | 48% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF FOREARM SPLINT | $35.20 | $44.00 | $8.44–$50.60 | 91% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 EDP APPLICATION OF SPLINT SHORT ARM | $136.80 | $171.00 | $27.00–$59.76 | 64% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $300.80 | $376.00 | $72.15–$432.40 | 22% below | 20% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SPLINT SHORT ARM | $300.80 | $376.00 | $72.15–$432.40 | 22% below | 20% |
| Short leg cast (below the knee) CPT 29405 APPL OF SHORT LEG CAST BELOW KNEE TO TOE | $52.80 | $66.00 | $12.67–$75.90 | 92% below | 20% |
| Short leg cast (below the knee) CPT 29405 EDP CASTING OF SHORT LEG | $78.40 | $98.00 | $39.22–$78.61 | 87% below | 20% |
| Short leg cast (below the knee) CPT 29405 CASTING OF SHORT LEG | $324.80 | $406.00 | $77.91–$466.90 | 48% below | 20% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF LOWER LEG SPLINT | $44.00 | $55.00 | $10.55–$63.25 | 89% below | 20% |
| Short leg splint (calf to foot) CPT 29515 EDP APPLICATION OF SPLINT SHORT LEG | $104.00 | $130.00 | $33.22–$66.57 | 75% below | 20% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $136.00 | $170.00 | $32.62–$195.50 | 67% below | 20% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SPLINT SHORT LEG | $325.60 | $407.00 | $78.10–$468.05 | 21% below | 20% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 ARTHROSCOPY, SHOULDER, MUMFORD PROCEDURE | $803.20 | $1,004.00 | $192.67–$3,180.00 | 95% below | 20% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY, SHOULDER, SUBACROMIAL DECM | $2,236.00 | $2,795.00 | $536.36–$3,214.25 | 79% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR OF SUPERFICIAL WOUND BODY<2.5CM | $40.00 | $50.00 | $9.60–$57.50 | 92% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICAL WOUND 2.5CM OR < | $40.00 | $50.00 | $9.60–$57.50 | 92% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICAL WOUND 2.5CM OR< | $42.40 | $53.00 | $30.32–$138.33 | 92% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 DNU REP SUPERFICIAL WD UP TO 2.5 CM | $62.40 | $78.00 | $14.97–$89.70 | 88% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR OF SUPERFICIAL WOUND < 2.5CM | $221.60 | $277.00 | $53.16–$318.55 | 56% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR OF SUPERFICIAL WOUND <2.5CM | $221.60 | $277.00 | $30.32–$138.33 | 56% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIM RPR SUPERFICIAL WND >2.6 CM | $240.00 | $300.00 | $57.57–$345.00 | 52% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 EDP SURG PROC SNT UP TO 2.5 CM | $284.00 | $355.00 | $30.32–$138.33 | 44% below | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SURG PROC SNT UP TO 2.5 CM | $376.00 | $470.00 | $90.19–$540.50 | 25% below | 20% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX OF SKIN; SINGLE LESIONS | $44.00 | $55.00 | $31.61–$53.88 | 94% below | 20% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX OF SKIN, SINGLE LESION | $48.00 | $60.00 | $11.51–$69.00 | 94% below | 20% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX OF SKIN; SINGLE LESION | $327.20 | $409.00 | $78.49–$470.35 | 58% below | 20% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC-MALIG TRUNK/ARM/LEGS <0.5 CM | $105.60 | $132.00 | $25.33–$151.80 | 94% below | 20% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC-MALIG TRUNK/ARMS/LEGS <0.5 CM | $105.60 | $132.00 | $25.33–$151.80 | 94% below | 20% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5<CM | $106.40 | $133.00 | $25.52–$152.95 | 94% below | 20% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC-BENIGN TRUNK/ARM/LEGS <0.5CM | $115.20 | $144.00 | $82.61–$140.46 | 93% below | 20% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION OF MALIGNANT LESION <.5CM | $148.80 | $186.00 | $82.61–$140.46 | 91% below | 20% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION OF MALIGNANT LESION <0.5CM | $148.80 | $186.00 | $82.61–$140.46 | 91% below | 20% |
| Skin tag removal, up to 15 tags CPT 11200 DNU REM SKIN TAGS UP TO 15 LESIONS | $54.40 | $68.00 | $13.05–$78.20 | 88% below | 20% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS | $107.20 | $134.00 | $25.71–$154.10 | 76% below | 20% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL MULTIPLE SKIN TAGS | $115.20 | $144.00 | $50.27–$86.76 | 74% below | 20% |
| Skin tag removal, up to 15 tags CPT 11200 ERP REM OF SKIN TAGS; MULTIPLE FIBROCUTA | $136.00 | $170.00 | $32.62–$195.50 | 69% below | 20% |
| Skin tag removal, up to 15 tags CPT 11200 REMOV OF SKIN TAGS, MULTIPLE FIBROCUTANE | $405.60 | $507.00 | $97.29–$583.05 | 8% below | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 EDP DIAG SPINAL LUMBAR PUNCT | $411.20 | $514.00 | $42.00–$146.93 | 68% below | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $798.40 | $998.00 | $191.52–$1,147.70 | 38% below | 20% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DIAG SPINAL/LUMBAR PUNCT | $798.40 | $998.00 | $191.52–$1,147.70 | 38% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICAL WOUND 2.6-7.5CM | $52.80 | $66.00 | $12.67–$75.90 | 91% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 DNU REP OF SUPERFICIAL WOUND 2.6-7.5CM | $83.20 | $104.00 | $19.96–$119.60 | 86% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR OF SUPERFICIAL WOUND 2.6-7.5cm | $83.20 | $104.00 | $19.96–$119.60 | 86% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR OF SUPERFICIAL WOUND 2.6CM- 7.5CM | $172.00 | $215.00 | $40.11–$150.00 | 70% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND BODY 2.6-7.5CM | $184.80 | $231.00 | $40.11–$150.00 | 68% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR OF SUPERFICIAL WOUND 2.6-7.5CM | $235.20 | $294.00 | $56.42–$338.10 | 59% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR OF SUPERFICIAL WOUND 2.6- 7.5CM | $235.20 | $294.00 | $40.11–$150.00 | 59% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIM RPR SUPERFICIAL WND 2.6-7.5 CM | $240.00 | $300.00 | $57.57–$345.00 | 58% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 EDP SURG PROC SNT 2.6 TO 7.5 CM | $366.40 | $458.00 | $40.11–$150.00 | 36% below | 20% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SURG PROC SNT 2.6 CM TO 7.5 CM | $376.00 | $470.00 | $90.19–$540.50 | 35% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR OF SUPERFICIAL WOUND/FACE <2.5CM | $49.60 | $62.00 | $11.90–$71.30 | 90% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUND BODY<2.5CM | $53.60 | $67.00 | $37.61–$144.69 | 89% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 EDP SURG PROC FEE UP TO 2.5 CM | $344.00 | $430.00 | $37.61–$144.69 | 29% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SURG PROC FEE UP TO 2.5 CM | $376.80 | $471.00 | $90.38–$541.65 | 22% below | 20% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX OF SKIN; SINGLE LESION | $327.20 | $409.00 | $78.49–$470.35 | 51% below | 20% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $1,212.80 | $1,516.00 | $290.92–$1,743.40 | 47% below | 20% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SINGLE/MULT TRIG POINT(S) 1 OR 2 MUS | $86.40 | $108.00 | $20.73–$124.20 | 88% below | 20% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US GUIDANCE BREAST BIOPSY | $726.40 | $908.00 | $174.25–$1,044.20 | 79% below | 20% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UPPER GI W/BALLOON ESOPHAGUS <30 MM | $272.80 | $341.00 | $103.61–$183.00 | 90% below | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI END W BIOPSY SINGLE OR MULTIPLE | $244.80 | $306.00 | $93.22–$275.75 | 92% below | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY | $262.40 | $328.00 | $93.22–$275.75 | 92% below | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 DNU GASTROSCOPY BIOPSY | $316.00 | $395.00 | $75.80–$1,332.42 | 90% below | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 DNU GASTROSCOPY VIDEO W/BIOPSY | $499.20 | $624.00 | $119.75–$1,332.42 | 84% below | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY | $208.00 | $260.00 | $82.84–$256.10 | 91% below | 20% |
| Wart removal, up to 14 warts CPT 17110 DESTR BEIGN LES OTH THAN SKN TAGS 14OR< | $52.80 | $66.00 | $12.67–$75.90 | 82% below | 20% |
| Wart removal, up to 14 warts CPT 17110 DESTR BENIGN LES OTH THAN SKN TAGS 14OR< | $52.80 | $66.00 | $12.67–$75.90 | 82% below | 20% |
| Wart removal, up to 14 warts CPT 17110 DESTR OF BENIGN LESIONS, UP TO 14 | $60.80 | $76.00 | $14.58–$87.40 | 80% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 EDP DEBRIDEMENT OF SKIN/SUBCUT TISSUE | $55.20 | $69.00 | $40.61–$78.03 | 95% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE | $55.20 | $69.00 | $13.24–$1,332.42 | 95% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN FULL THICKNESS | $99.20 | $124.00 | $40.61–$78.03 | 91% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT OF SKIN AND SUBCUT. TISSUE | $124.80 | $156.00 | $40.61–$78.03 | 88% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT OF SKIN & SUBCUT TISSUE | $226.40 | $283.00 | $54.31–$1,332.42 | 78% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WOUND DEBRIDEMENT (SUBQ & TISSUE) | $408.00 | $510.00 | $97.87–$1,332.42 | 61% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WOUND DEBRIDEMENT (FULL THICKNESS) | $408.00 | $510.00 | $97.87–$1,332.42 | 61% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN PARTIAL THICK | $408.00 | $510.00 | $97.87–$1,332.42 | 61% below | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PROCESSING FEE | $441.60 | $552.00 | $105.93–$634.80 | 62% below | 20% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $514.40 | $643.00 | $123.39–$739.45 | 56% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY TREATMENT | $29.60 | $37.00 | $7.10–$42.55 | 89% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INDUCED SPUTUM VIA AEROSOL | $86.40 | $108.00 | $20.73–$124.20 | 67% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL SUBSEQUENT TREATMENTS | $94.40 | $118.00 | $22.64–$135.70 | 64% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB/EzPAP, SUBSEQUENT | $94.40 | $118.00 | $22.64–$135.70 | 64% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQUENT TREATMENTS | $94.40 | $118.00 | $22.64–$135.70 | 64% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CROUPETTE PER DAY | $96.80 | $121.00 | $23.22–$139.15 | 63% below | 20% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL W/MEDS ALTERNATE SUBSEQUENT TX | $100.00 | $125.00 | $23.99–$143.75 | 62% below | 20% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN, INTRAVENOUS INF UP TO 1 HR | $1,153.60 | $1,442.00 | $276.72–$1,658.30 | 18% above | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 PEDIATRIC CRITICAL CARE 30-74 MINUTES | $311.20 | $389.00 | $146.07–$245.61 | 94% below | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $377.60 | $472.00 | $146.07–$245.61 | 92% below | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 EDP CRITICAL CARE FIRST HOUR | $873.60 | $1,092.00 | $146.07–$245.61 | 82% below | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 EDP CRITICAL CARE FIRST HOUR W/PROC | $873.60 | $1,092.00 | $146.07–$245.61 | 82% below | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 ER VISIT;CRITICAL, <74 MIN | $1,388.00 | $1,735.00 | $332.95–$1,995.25 | 72% below | 20% |
| Critical care, first 30 to 74 minutes CPT 99291 ER VISIT; CRITICAL, < 74 MIN | $1,388.00 | $1,735.00 | $332.95–$1,995.25 | 72% below | 20% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM W/ INTERP & REPORT | $30.40 | $38.00 | $7.29–$43.70 | 80% below | 20% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG W/INTERP & REPORT - MARLING | $284.00 | $355.00 | $68.12–$408.25 | 85% above | 20% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM | $234.40 | $293.00 | $56.23–$336.95 | 33% below | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 RET PHY VISIT W/I 24HR | $56.80 | $71.00 | $11.32–$18.37 | 89% below | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EDP ER VISIT MINOR PF | $132.00 | $165.00 | $11.32–$18.37 | 73% below | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EDP ER VISIT MINOR W/PROCEDURE PF | $132.00 | $165.00 | $11.32–$18.37 | 73% below | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT; LEVEL I W/ANCILLARY | $172.00 | $215.00 | $41.26–$247.25 | 65% below | 20% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT; LEVEL I | $172.00 | $215.00 | $41.26–$247.25 | 65% below | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EDP ER VISIT LOW | $163.20 | $204.00 | $29.76–$48.70 | 82% below | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EDP ER VISIT LOW W/PROCEDURE | $163.20 | $204.00 | $29.76–$48.70 | 82% below | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT; LEVEL II W/ANCILLARY | $324.00 | $405.00 | $77.72–$465.75 | 64% below | 20% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT; LEVEL II | $324.00 | $405.00 | $77.72–$465.75 | 64% below | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EDP ER VISIT MODERATE | $246.40 | $308.00 | $45.80–$82.92 | 84% below | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EDP ER VISIT MODERATE W/PROCEDURE | $246.40 | $308.00 | $45.80–$82.92 | 84% below | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT; LEVEL III W/ANCILLARY | $432.80 | $541.00 | $103.82–$622.15 | 72% below | 20% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT; LEVEL III | $432.80 | $541.00 | $103.82–$622.15 | 72% below | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EDP ER VISIT HIGH W/PROCEDURE | $468.80 | $586.00 | $84.15–$141.14 | 81% below | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EDP ER VISIT HIGH | $468.80 | $586.00 | $84.15–$141.14 | 81% below | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT; LEVEL IV | $700.80 | $876.00 | $168.10–$1,007.40 | 71% below | 20% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT; LEVEL IV W/ANCILLARY | $700.80 | $876.00 | $168.10–$1,007.40 | 71% below | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EDP ER VISIT LIFE THREATENING W/PROC | $684.80 | $856.00 | $122.23–$204.52 | 79% below | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EDP ER VISIT LIFE THREATENING | $684.80 | $856.00 | $122.23–$204.52 | 79% below | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT; LEVEL V W/ANCILLARY | $1,009.60 | $1,262.00 | $242.18–$1,451.30 | 69% below | 20% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT; LEVEL V | $1,009.60 | $1,262.00 | $242.18–$1,451.30 | 69% below | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CR STRESS TEST | $398.40 | $498.00 | $95.57–$572.70 | 74% below | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CR LEXISCAN NUC STRESS TEST | $398.40 | $498.00 | $95.57–$572.70 | 74% below | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CR PHARMOCOL STRESS | $398.40 | $498.00 | $95.57–$572.70 | 74% below | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CR DOBUTAMINE NUC STRESS TEST | $398.40 | $498.00 | $95.57–$572.70 | 74% below | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CR NUCLEAR STRESS TEST WALKING | $398.40 | $498.00 | $95.57–$572.70 | 74% below | 20% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL STRESS TEST | $698.40 | $873.00 | $167.53–$1,003.95 | 55% below | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY WITH PT PER SESSION,30 MI | $202.40 | $253.00 | $48.55–$290.95 | 62% below | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY WITH PT PER SESSION, 1 HR | $262.40 | $328.00 | $62.94–$377.20 | 51% below | 20% |
| Family therapy with the patient, 50 minutes CPT 90847 *FAMILY THERAPY WITH PATIENT PER SESSION | $283.20 | $354.00 | $67.93–$407.10 | 47% below | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PATIENT PER SESSION | $283.20 | $354.00 | $67.93–$407.10 | 15% below | 20% |
| Group psychotherapy session CPT 90853 *GROUP THERAPY PER SESSION | $138.40 | $173.00 | $33.20–$198.95 | 54% below | 20% |
| Group psychotherapy session CPT 90853 GROUP THERAPY PER SESSION | $180.00 | $225.00 | $43.18–$258.75 | 40% below | 20% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HOLTER MONITOR/W INTER | $136.00 | $170.00 | $32.62–$195.50 | 57% below | 20% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HOLTER RECORDING W/ANALY,INTER & RPT 24H | $673.60 | $842.00 | $161.58–$968.30 | 111% above | 20% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HOLTER RECORDING W/ANALY,INTER & RPT 48H | $932.80 | $1,166.00 | $223.76–$1,340.90 | 193% above | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION; INITITAL | $290.40 | $363.00 | $69.66–$417.45 | 49% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION; INITIAL | $290.40 | $363.00 | $69.66–$417.45 | 49% below | 20% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION INIT 31M-1HR | $748.80 | $936.00 | $179.62–$1,076.40 | 31% above | 20% |
| IV infusion of a medicine, first hour CPT 96365 CR IV INFUSION PHARM/ST | $305.60 | $382.00 | $73.31–$439.30 | 53% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 CR BUBBLE STUDY | $305.60 | $382.00 | $73.31–$439.30 | 53% below | 20% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION, IV INITIAL | $321.60 | $402.00 | $77.14–$462.30 | 51% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF ANTIBIOTIC | $20.80 | $26.00 | $4.99–$29.90 | 88% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 *INJECTION OF ANTIBIOTIC | $51.20 | $64.00 | $12.28–$73.60 | 71% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ADMINISTRATION | $64.00 | $80.00 | $15.35–$92.00 | 64% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 *INJECTION, SC/IM | $82.40 | $103.00 | $19.77–$118.45 | 54% below | 20% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, SC/IM | $114.40 | $143.00 | $27.44–$164.45 | 36% below | 20% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION | $236.00 | $295.00 | $56.61–$339.25 | 9% below | 20% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDY, 7-8 STUDIES | $121.60 | $152.00 | $29.17–$209.37 | 89% below | 20% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 CR EMG NCS 7-8 | $398.40 | $498.00 | $95.57–$572.70 | 63% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE/ED 15MIN | $47.20 | $59.00 | $11.32–$16,803.09 | 69% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-REDUCTION, 15 MIN | $47.20 | $59.00 | $11.32–$16,803.09 | 69% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE/ED 15MIN (KX) | $47.20 | $59.00 | $11.32–$16,803.09 | 69% below | 20% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-REDUCTION (KX), 15 MIN | $47.20 | $59.00 | $11.32–$16,803.09 | 69% below | 20% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT, LEVEL III, NEW | $24.00 | $30.00 | $5.76–$34.50 | 95% below | 20% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT 30 MIN NEW | $67.20 | $84.00 | $16.12–$96.60 | 86% below | 20% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT-LEVEL 111-30 MINS | $110.40 | $138.00 | $26.48–$158.70 | 77% below | 20% |
| New patient office visit, about 30 minutes CPT 99203 RHC-LEVEL III NEW PT 30 MINS | $147.20 | $184.00 | $35.31–$211.60 | 70% below | 20% |
| New patient office visit, about 30 minutes CPT 99203 LEVEL III NEW PT 30 MINS | $147.20 | $184.00 | $51.23–$94.60 | 70% below | 20% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT-LEVEL III | $158.40 | $198.00 | $51.23–$94.60 | 68% below | 20% |
| New patient office visit, about 30 minutes CPT 99203 NEW OP VISIT (INTERMEDIATE) 30 MIN | $232.00 | $290.00 | $55.65–$333.50 | 53% below | 20% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT, LEVEL IV, NEW | $35.20 | $44.00 | $8.44–$50.60 | 95% below | 20% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT 45 MIN NEW | $112.80 | $141.00 | $27.06–$162.15 | 83% below | 20% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT-LEVEL 1V-45 MINS | $207.20 | $259.00 | $49.70–$297.85 | 70% below | 20% |
| New patient office visit, about 45 minutes CPT 99204 RHC-LEVEL IV NEW PT 45 MINS | $207.20 | $259.00 | $49.70–$297.85 | 70% below | 20% |
| New patient office visit, about 45 minutes CPT 99204 LEVEL IV NEW PT 45 MINS | $207.20 | $259.00 | $87.62–$153.51 | 70% below | 20% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT-LEVEL IV | $224.80 | $281.00 | $87.62–$153.51 | 67% below | 20% |
| New patient office visit, about 45 minutes CPT 99204 NEW OP VISIT (EXTENSIVE) 30 MIN | $296.00 | $370.00 | $71.00–$425.50 | 57% below | 20% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT, LEVEL V, NEW | $44.80 | $56.00 | $10.75–$64.40 | 94% below | 20% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT 60 MIN NEW | $147.20 | $184.00 | $35.31–$211.60 | 81% below | 20% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT-LEVEL V | $216.80 | $271.00 | $52.00–$311.65 | 72% below | 20% |
| New patient office visit, about 60 minutes CPT 99205 RHC-LEVEL V NEW PT 60 MINS | $262.40 | $328.00 | $62.94–$377.20 | 66% below | 20% |
| New patient office visit, about 60 minutes CPT 99205 LEVEL V NEW PT 60 MINS | $265.60 | $332.00 | $114.42–$208.81 | 66% below | 20% |
| New patient office visit, about 60 minutes CPT 99205 NEW OP VISIT (COMPLEX) >30 MIN | $436.80 | $546.00 | $104.78–$627.90 | 43% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT, LEVEL II, NEW | $16.00 | $20.00 | $3.84–$23.00 | 94% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT 20 MIN NEW | $44.00 | $55.00 | $10.55–$63.25 | 83% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 DNU CAT II RHC NEW PT | $50.40 | $63.00 | $12.09–$72.45 | 81% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT-LEVEL 11-20 MINUTES | $97.60 | $122.00 | $23.41–$140.30 | 63% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT-LEVEL II-20 MINUTES | $97.60 | $122.00 | $33.00–$60.30 | 63% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL II NEW PT 20 MINS | $97.60 | $122.00 | $33.00–$60.30 | 63% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHC-LEVEL II NEW PT 20 MINS | $97.60 | $122.00 | $23.41–$140.30 | 63% below | 20% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OP VISIT (LIMITED) 15 MIN | $181.60 | $227.00 | $43.56–$261.05 | 31% below | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION; LOW COMPLEXTY, 30 MIN | $212.80 | $266.00 | $51.05–$53,558.31 | 55% below | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXTY, 30 MIN (KX) | $212.80 | $266.00 | $51.05–$53,558.31 | 55% below | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION;HIGH COMPLEX,30 MIN | $212.80 | $266.00 | $51.05–$50,760.99 | 61% below | 20% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION;HIGH COMPLEX,30 MIN (KX) | $212.80 | $266.00 | $51.05–$50,760.99 | 61% below | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION;LOW COMPLEX,20 MIN (KX) | $212.80 | $266.00 | $51.05–$50,760.99 | 53% below | 20% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION;LOW COMPLEX,20 MIN | $212.80 | $266.00 | $51.05–$50,760.99 | 53% below | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION;MOD COMPLEX,30 MIN (KX) | $212.80 | $266.00 | $51.05–$50,760.99 | 55% below | 20% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION;MOD COMPLEX,30 MIN | $212.80 | $266.00 | $51.05–$50,760.99 | 55% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MYOFACIAL RELEASE 15MIN (KX) | $47.20 | $59.00 | $11.32–$14,003.16 | 64% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY (KX), 15 MIN | $47.20 | $59.00 | $11.32–$14,003.16 | 64% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MYOFACIAL RELEASE 15MIN | $47.20 | $59.00 | $11.32–$14,003.16 | 64% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT JOINT MOBILIZ/15MIN | $47.20 | $59.00 | $11.32–$14,003.16 | 64% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT JOINT MOBILIZ/15MIN (KX) | $47.20 | $59.00 | $11.32–$14,003.16 | 64% below | 20% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY, 15 MIN | $47.20 | $59.00 | $11.32–$14,003.16 | 64% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAP. EXER EACH 15 (KX) | $47.20 | $59.00 | $11.32–$15,052.90 | 70% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPUETIC EXERCISES (KX), 15 MIN | $47.20 | $59.00 | $11.32–$15,052.90 | 70% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPUETIC EXERCISES, 15 MIN | $47.20 | $59.00 | $11.32–$15,052.90 | 70% below | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAP. EXER EACH 15 | $47.20 | $59.00 | $11.32–$15,052.90 | 70% below | 20% |
| Preventive checkup, new patient aged 18–39 CPT 99385 ANNUAL FAMILY PLANNING NEW PT 18-39YRS | $83.20 | $104.00 | $59.57–$114.62 | 44% below | 20% |
| Preventive checkup, new patient aged 18–39 CPT 99385 MCD CHCUP(ESPDT) NEW 18-39YRS | $83.20 | $104.00 | $19.96–$119.60 | 44% below | 20% |
| Preventive checkup, new patient aged 18–39 CPT 99385 ANNUAL FAMILY PLANNING NEW PT-18-39YRS | $83.20 | $104.00 | $19.96–$119.60 | 44% below | 20% |
| Preventive checkup, new patient aged 40–64 CPT 99386 ANNUAL FAMILY PLANNING NEW PT 40-64YRS | $83.20 | $104.00 | $79.15–$136.51 | 61% below | 20% |
| Preventive checkup, new patient aged 40–64 CPT 99386 ANNUAL FAMILY PLANNING NEW PT-40-64 YRS | $83.20 | $104.00 | $19.96–$119.60 | 61% below | 20% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PHYSICAL PREVENTATIVE NEW 65+YR | $71.20 | $89.00 | $17.08–$102.35 | 70% below | 20% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PHYSICAL PREVENTATIVE NEW 65 +YR | $167.20 | $209.00 | $84.92–$147.93 | 29% below | 20% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PHYSICAL PREVENTATIVE EST 18-39 YR | $47.20 | $59.00 | $11.32–$67.85 | 81% below | 20% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 MCD0 CHCUP(ESPDT) EST 18-39YRS | $83.20 | $104.00 | $19.96–$119.60 | 67% below | 20% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 ANNUAL FAMILY PLANNING EST PT 18-39YRS | $83.20 | $104.00 | $19.96–$119.60 | 67% below | 20% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 MCD CHCUP(ESPDT) EST 18-39YRS | $83.20 | $104.00 | $19.96–$119.60 | 67% below | 20% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PHYSICAL PREVENTATIVE EST 18-39YR | $109.60 | $137.00 | $54.48–$97.57 | 57% below | 20% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PHYSICAL PREVENTATIVE EST 40-64YR | $52.80 | $66.00 | $12.67–$75.90 | 72% below | 20% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 ANNUAL FAMILY PLANNING EST PT 40-64YRS | $83.20 | $104.00 | $64.61–$106.65 | 56% below | 20% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 ANNUAL FAMILY PLANNING EST PT-40-64 YRS | $83.20 | $104.00 | $19.96–$119.60 | 56% below | 20% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PHYSICAL PREVENTATIVE EST 65+ | $59.20 | $74.00 | $14.20–$85.10 | 70% below | 20% |
| Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAGNOSTIC EVAL W/MED SVCS | $257.60 | $322.00 | $61.79–$370.30 | 34% below | 20% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTHERAPY FOR CRISIS FIRST 30-74 MIN | $276.00 | $345.00 | $66.21–$396.75 | 30% below | 20% |
| Psychotherapy session, 30 minutes CPT 90832 INDIIVIDUAL PSYCHOTHERAPY 30MIN (59 MOD) | $150.40 | $188.00 | $36.08–$216.20 | 57% below | 20% |
| Psychotherapy session, 30 minutes CPT 90832 INDIIVIDUAL PSYCHOTHERAPY, 30 MINUTES | $150.40 | $188.00 | $36.08–$216.20 | 57% below | 20% |
| Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL PSYCHOTHERAPY, 45 MINUTES | $180.00 | $225.00 | $43.18–$258.75 | 54% below | 20% |
| Psychotherapy session, 45 minutes CPT 90834 INDIVIDUAL PSYCHOTHERAPY, 45MIN (59 MOD) | $180.00 | $225.00 | $43.18–$258.75 | 54% below | 20% |
| Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL PSYCHOTHERAPY, 60MIN (59 MOD) | $208.00 | $260.00 | $49.89–$299.00 | 53% below | 20% |
| Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL PSYCHOTHERAPY, 60 MINUTES | $208.00 | $260.00 | $49.89–$299.00 | 53% below | 20% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOB CESS CNSL INTERM, ASYM 3-10MIN | $27.20 | $34.00 | $8.08–$13.54 | 56% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT, LEVEL V, EST | $31.20 | $39.00 | $7.48–$44.85 | 95% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT 40 MIN EST | $96.00 | $120.00 | $23.03–$138.00 | 85% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL V EST PT 40 MINS | $141.60 | $177.00 | $67.08–$165.09 | 78% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT LEVEL V | $141.60 | $177.00 | $33.97–$203.55 | 78% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHC-LEVEL V EST PT 40 MINS | $141.60 | $177.00 | $33.97–$203.55 | 78% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT; LEVEL V | $250.40 | $313.00 | $60.06–$359.95 | 61% below | 20% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST OP VISIT (COMPLEX) >30 MIN | $296.00 | $370.00 | $71.00–$425.50 | 53% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT, LEVEL III, EST | $15.20 | $19.00 | $3.65–$21.85 | 96% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT 15 MIN EST | $44.80 | $56.00 | $10.75–$64.40 | 87% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LEVEL III | $50.40 | $63.00 | $12.09–$72.45 | 85% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHC-LEVEL III EST PT 15 MINS | $80.80 | $101.00 | $19.38–$116.15 | 76% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL III EST PT 15 MINS | $80.80 | $101.00 | $29.62–$75.46 | 76% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT; LEVEL III | $170.40 | $213.00 | $40.87–$244.95 | 50% below | 20% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST OP VISIT (INTERMEDIATE) 30 MIN | $205.60 | $257.00 | $49.32–$295.55 | 40% below | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT, LEVEL IV, EST | $23.20 | $29.00 | $5.57–$33.35 | 96% below | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT 25 MIN EST | $68.00 | $85.00 | $16.31–$97.75 | 87% below | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT LEVEL IV | $92.00 | $115.00 | $22.07–$132.25 | 83% below | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHC-LEVEL IV EST PT 25 MINS | $124.80 | $156.00 | $29.94–$179.40 | 77% below | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL IV EST PT 25 MINS | $124.80 | $156.00 | $46.15–$111.14 | 77% below | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT; LEVEL IV | $194.40 | $243.00 | $46.63–$279.45 | 64% below | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST OP VISIT (EXTENSIVE) 30 MIN | $232.00 | $290.00 | $55.65–$333.50 | 57% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT 10 MIN EST | $11.20 | $14.00 | $2.69–$16.10 | 97% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LEVEL II | $37.60 | $47.00 | $9.02–$54.05 | 88% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL II EST PT 10 MINS | $50.40 | $63.00 | $17.48–$40.56 | 84% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHC-LEVEL II EST PT 10 MINS | $50.40 | $63.00 | $12.09–$72.45 | 84% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT; LEVEL II | $163.20 | $204.00 | $39.15–$234.60 | 49% below | 20% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED OP VISIT (LIMITED) 15 MIN | $181.60 | $227.00 | $43.56–$261.05 | 44% below | 20% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULTATION, 40 MIN | $30.40 | $38.00 | $7.29–$43.70 | 89% below | 20% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 O/P OFFICE CONSULT-40 MINUTES | $67.20 | $84.00 | $16.12–$96.60 | 77% below | 20% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 O/P CONSULT-40 MINUTES | $141.60 | $177.00 | $33.97–$203.55 | 51% below | 20% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULTATION, 60 MIN | $44.80 | $56.00 | $10.75–$64.40 | 58% below | 20% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 O/P CONSULT-60 MINUTES | $208.00 | $260.00 | $49.89–$299.00 | 93% above | 20% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 LEVEL IV O/P CONSULT | $208.00 | $260.00 | $101.76–$163.19 | 93% above | 20% |
| Speech and language evaluation CPT 92523 ST EVAL-LANG COMPREHENSION & EXPRES (KX) | $404.00 | $505.00 | $96.91–$103,999.00 | 31% below | 20% |
| Speech and language evaluation CPT 92523 ST EVAL-LANG COMPREHENSION & EXPRESSION | $404.00 | $505.00 | $96.91–$103,999.00 | 31% below | 20% |
| Speech therapy session, individual CPT 92507 ST PARKINSON'S VISIT-15 MIN | $37.60 | $47.00 | $9.02–$34,666.89 | 90% below | 20% |
| Speech therapy session, individual CPT 92507 ST VISIT | $128.00 | $160.00 | $30.70–$34,666.89 | 65% below | 20% |
| Speech therapy session, individual CPT 92507 ST VISIT (KX) | $128.00 | $160.00 | $30.70–$34,666.89 | 65% below | 20% |
| Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION TEST | $124.00 | $155.00 | $29.74–$178.25 | 60% below | 20% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $436.80 | $546.00 | $98.63–$627.90 | 51% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES (59 MOD), 15 MIN | $47.20 | $59.00 | $11.32–$21,696.18 | 68% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES, 15 MIN | $47.20 | $59.00 | $11.32–$21,696.18 | 68% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES (KX), 15 MIN | $47.20 | $59.00 | $11.32–$21,696.18 | 68% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACT (KX/59 MOD), 15 MIN | $47.20 | $59.00 | $11.32–$21,696.18 | 68% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPY ACT/ISOKIN/EX 15 | $47.20 | $59.00 | $11.32–$21,696.18 | 68% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPY ACT/ISOKIN/EX 15 (KX) | $47.20 | $59.00 | $11.32–$21,696.18 | 68% below | 20% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPY ACT/ISOKIN (59 MOD)/EX 15 | $47.20 | $59.00 | $11.32–$21,696.18 | 68% below | 20% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THER SPX | $101.60 | $127.00 | $24.37–$146.05 | 67% below | 20% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY; THERAPEUTIC | $115.20 | $144.00 | $27.63–$165.60 | 63% below | 20% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 STRESS TEST W/SUPERVIS,INTERP, & RPT | $1,201.60 | $1,502.00 | $288.23–$1,727.30 | 52% below | 20% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD(HIGH DOSE>65 YO)VACCINE:0.5ML | $68.00 | $85.00 | $16.31–$70.13 | 69% below | 20% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD 25-26(HIGH DOSE>65YO)VACCINE:0.5ML | $68.00 | $85.00 | $16.31–$70.13 | 69% below | 20% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU(HIGH DOSE>65 YO)FLUAD VAC:0.5ML | $504.00 | $630.00 | $120.90–$519.75 | 129% above | 20% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID(SPIKEVAX) VACCINE :0.5ML | $221.60 | $277.00 | $53.16–$228.53 | 1% below | 20% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID(SPIKEVAX)25-26 VACCINE :0.5ML | $328.00 | $410.00 | $78.68–$338.25 | 46% above | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE PFS:0.5ML | $28.00 | $35.00 | $6.72–$28.88 | 62% below | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE PFS:0.5ML (TRIVALENT) | $28.00 | $35.00 | $6.72–$28.88 | 62% below | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU PEDIATRIC VACCINE PFS:0.25ML | $88.00 | $110.00 | $21.11–$90.75 | 19% above | 20% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 ZOSTER VACCINE LIVE(ZOSTAVAX):0.65ML | $668.00 | $835.00 | $160.24–$688.88 | 802% above | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE ADULT | $41.60 | $52.00 | $9.98–$42.90 | 75% below | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE,PED IM:0.5ML | $212.00 | $265.00 | $50.85–$218.63 | 28% above | 20% |
| Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE IM:1ML | $212.00 | $265.00 | $50.85–$218.63 | 28% above | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE (ADULT) | $41.60 | $52.00 | $9.98–$42.90 | 83% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 DNU HEP B VACCINAS, ADULT IM | $41.60 | $52.00 | $9.98–$42.90 | 83% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 DNU HEP B VACCINE, ADULT, IM | $41.60 | $52.00 | $9.98–$42.90 | 83% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACCINE,PED IM:0.5ML | $150.40 | $188.00 | $36.08–$155.10 | 39% below | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACCINE,IM:1ML | $329.60 | $412.00 | $79.06–$339.90 | 33% above | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACCINE IM:1ML | $452.00 | $565.00 | $108.42–$466.13 | 83% above | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU(HIGH DOSE>65 YO)VACCINE:0.5ML | $68.00 | $85.00 | $16.31–$70.13 | 75% below | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE FLU VACCINE:0.5ML | $371.20 | $464.00 | $89.04–$382.80 | 36% above | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 DNU PNEUMOCOCCAL VACC, ADULT/ILL | $29.60 | $37.00 | $7.10–$30.53 | 93% below | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNUEMOCOCCAL VACCINE | $29.60 | $37.00 | $7.10–$30.53 | 93% below | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX-23 (PNEUMOCOCCAL) VACCINE INJ | $379.20 | $474.00 | $90.96–$391.05 | 5% below | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX-23(PNEUMOCOCCAL)VACCINE INJ: | $379.20 | $474.00 | $90.96–$391.05 | 5% below | 20% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE:1 ML | $404.00 | $505.00 | $96.91–$416.63 | 67% below | 20% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE(RABAVERT):1ML | $1,292.00 | $1,615.00 | $309.92–$1,332.38 | 4% above | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPTH (Td), 7YRS OR OLDER | $81.60 | $102.00 | $19.57–$84.15 | 44% below | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA TETANUS ADULT (Td) | $453.60 | $567.00 | $108.81–$467.78 | 209% above | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS DIPTH Tdap > 7YRS | $81.60 | $102.00 | $19.57–$84.15 | 61% below | 20% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS/DIPTH/PERTUSSIS(ADACEL) | $331.20 | $414.00 | $79.45–$341.55 | 60% above | 20% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE 25MCG IM:0.5ML | $356.80 | $446.00 | $85.59–$367.95 | 29% above | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION | $12.00 | $15.00 | $2.88–$17.25 | 90% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU VACCINE ADMINISTRATION | $24.00 | $30.00 | $5.76–$34.50 | 80% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AMINISTRATION OF INFLUENZA VIRUS VACCINE | $24.00 | $30.00 | $5.76–$34.50 | 80% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION VACCINE IM | $24.00 | $30.00 | $5.76–$34.50 | 80% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION | $51.20 | $64.00 | $12.28–$73.60 | 57% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION, SINGLE VACC | $64.00 | $80.00 | $15.35–$92.00 | 47% below | 20% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TD VACCINE ADMINISTRATION > 7 YRS, IM | $84.00 | $105.00 | $20.15–$120.75 | 30% below | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN, EACH ADD'L | $12.00 | $15.00 | $2.88–$17.25 | 90% below | 20% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMADM PRQ ID SUBQ/IM NJXS EA VACC | $48.80 | $61.00 | $11.71–$70.15 | 58% below | 20% |