Washington County Regional Medical Center
Washington County Regional Medical Center in Sandersville, GA publishes cash prices for 291 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 227 of 287 procedures and above it for 58. By typical cash price it ranks #5 of 89 Georgia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
610 Sparta Road Sandersville, GA 31082 Collected Sep 29, 2026 Source price file (478) 240-2100
Acute care hospital No emergency department CCN 110086 · CMS hospital register NPI 1396770004
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Washington County Regional Medical Center in Sandersville, GA:
- Mar 12, 2026 Warning notice
- Jun 15, 2026 Corrective action plan requested
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.
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 Georgia | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 VIEWS LEFT | $243.60 | $487.20 | $44.05–$404.38 | 10% below | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 VIEWS RIGHT | $243.60 | $487.20 | $44.05–$404.38 | 10% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US SEGMENTAL BP ARTERY BILATER | $172.50 | $345.00 | $109.50–$286.35 | 57% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RF BA-SWALLOW ESOPHAGRA | $105.50 | $211.00 | $73.85–$199.81 | 69% below | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE | $700.50 | $1,401.00 | $350.32–$2,241.60 | 45% below | 50% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL | $325.00 | $650.00 | $91.61–$1,040.00 | — | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT RT | $523.50 | $1,047.00 | $91.61–$1,675.20 | 24% above | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT LT | $523.50 | $1,047.00 | $91.61–$1,675.20 | 24% above | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED | $108.00 | $216.00 | $75.60–$345.60 | 71% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $376.00 | $752.00 | $153.69–$1,203.20 | 75% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST/PE PROTOCOL | $1,797.50 | $3,595.00 | $153.69–$2,983.85 | 21% above | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT STONE PROTOCOL | $1,176.50 | $2,353.00 | $209.09–$3,764.80 | 47% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $1,988.50 | $3,977.00 | $209.09–$6,363.20 | 10% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/CONTRAST | $4,131.40 | $8,262.80 | $305.72–$13,220.48 | 60% above | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W &W/O CONTR | $1,601.50 | $3,203.00 | $305.72–$5,124.80 | 49% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRA | $1,883.50 | $3,767.00 | $153.69–$6,027.20 | 12% above | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTR | $182.00 | $364.00 | $91.61–$582.40 | 86% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT TEMPORAL W/O CON | $167.50 | $335.00 | $91.61–$536.00 | 84% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W/O CON | $192.43 | $384.86 | $91.61–$615.78 | 81% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $287.00 | $574.00 | $91.61–$918.40 | 72% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O CONTRAST | $222.25 | $444.50 | $91.61–$711.20 | 83% below | 50% |
| CT scan of the head with contrast CPT 70460 CT BRAIN W/CONTRAST | $449.00 | $898.00 | $153.69–$1,436.80 | 72% below | 50% |
| CT scan of the head without and with contrast CPT 70470 CT BRAIN W-W/O CONTR | $469.50 | $939.00 | $153.69–$1,502.40 | 75% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST | $431.00 | $862.00 | $91.61–$1,379.20 | 67% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SP 5-7 W/O CONTRAS | $431.00 | $862.00 | $91.61–$1,379.20 | 64% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $1,883.50 | $3,767.00 | $153.69–$6,027.20 | 18% above | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DUPLEX DOPPL | $275.75 | $551.50 | $193.03–$457.75 | 56% below | 50% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA & LATERAL | $225.25 | $450.50 | $37.86–$373.92 | 2% below | 50% |
| Chest X-ray, single view CPT 71045 XR CHEST X-RAY | $43.25 | $86.50 | $20.71–$99.13 | 75% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM | $138.50 | $277.00 | $91.61–$443.20 | 72% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ULTRASOUND ABD BACK WALL COMP | $194.00 | $388.00 | $91.61–$620.80 | 61% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DX DUAL BONE DENSITY ST | $266.50 | $533.00 | $61.88–$442.39 | 31% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST/ABD W/ CONTRAST | $1,425.00 | $2,850.00 | $91.61–$2,365.50 | 36% above | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST/ABD W/WO CONTRAST | $1,425.00 | $2,850.00 | $91.61–$4,560.00 | 36% above | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST/ABD/PELVIS W/O CONTRAST | $1,425.00 | $2,850.00 | $91.61–$4,560.00 | 36% above | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRA | $1,425.00 | $2,850.00 | $91.61–$4,560.00 | 36% above | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST/ABD W/O CONTRAST | $1,425.00 | $2,850.00 | $91.61–$2,365.50 | 36% above | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST/ABD/PELVIS W/ CONTRAST | $1,700.00 | $3,400.00 | $153.69–$5,440.00 | 9% above | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $2,636.90 | $5,273.80 | $153.69–$8,438.08 | 69% above | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MM DIAGNOSTIC MAMMO/CAD BILATERAL | $214.50 | $429.00 | $98.81–$686.40 | — | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MM DIAGNOSTIC MAMMO/CAD UNILATERAL | $103.75 | $207.50 | $72.63–$332.00 | 56% below | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOWER EX ARTERIAL BILATERAL | $260.38 | $520.75 | $182.26–$434.03 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LOWER EXT ART BILATERAL | $564.00 | $1,128.00 | $209.09–$936.24 | — | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS DOPPLER BIL UPPER | $235.50 | $471.00 | $164.85–$390.93 | 75% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS DOPPLER BIL LOWER | $268.25 | $536.50 | $187.78–$445.30 | 72% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TRANSTHORACIC | $1,388.38 | $2,776.76 | $424.00–$2,304.71 | 11% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HIDA IMAGING ONLY | $1,127.00 | $2,254.00 | $350.32–$3,606.40 | 12% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP TEST TYPE III | $995.00 | $1,990.00 | $133.90–$1,651.70 | 80% above | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY SPLIT NIGHT | $1,243.00 | $2,486.00 | $752.53–$2,063.38 | 50% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY WITH TITRATION | $1,243.00 | $2,486.00 | $752.53–$2,063.38 | 50% below | 50% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LEFT | $253.50 | $507.00 | $50.90–$420.81 | 8% above | 50% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RIGHT | $253.50 | $507.00 | $50.90–$420.81 | 8% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN | $138.50 | $277.00 | $91.61–$443.20 | 72% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD FOLLOW-UP | $138.50 | $277.00 | $91.61–$443.20 | 72% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD (SPECIFY OR | $138.50 | $277.00 | $91.61–$443.20 | 72% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABDOMINAL LIMITED | $194.00 | $388.00 | $91.61–$620.80 | 60% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIVER | $291.00 | $582.00 | $91.61–$483.06 | 41% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GB | $407.50 | $815.00 | $91.61–$1,304.00 | 17% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD-BILIARY TR | $407.50 | $815.00 | $91.61–$676.45 | 17% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE | $293.00 | $586.00 | $91.61–$937.60 | 17% above | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT W/O CONT L | $374.75 | $749.50 | $209.09–$622.09 | 75% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT W/O CONT R | $1,873.20 | $3,746.40 | $209.09–$3,109.51 | 24% above | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXT JOINT W&WO CONT RI | $562.00 | $1,124.00 | $305.72–$932.92 | 78% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXT JOINT W&WO CONT LE | $562.00 | $1,124.00 | $305.72–$932.92 | 78% below | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI-ABDOMEN W/O CONTRAST | $455.00 | $910.00 | $209.09–$755.30 | 75% below | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/ & W/O CONTRAST | $605.00 | $1,210.00 | $305.72–$1,004.30 | 71% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&W/O CONT | $3,231.00 | $6,462.00 | $305.72–$5,363.46 | 33% above | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $1,873.20 | $3,746.40 | $209.09–$3,109.51 | 5% above | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI ANGIO L-SPINE W & W/O | $761.00 | $1,522.00 | $305.72–$1,263.26 | 68% below | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CO | $2,238.00 | $4,476.00 | $305.72–$3,715.08 | 6% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $273.50 | $547.00 | $191.45–$600.00 | 84% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CO | $1,598.50 | $3,197.00 | $305.72–$2,653.51 | 33% below | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $1,873.20 | $3,746.40 | $209.09–$3,109.51 | 6% above | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONTRAST | $2,238.00 | $4,476.00 | $305.72–$3,715.08 | 1% above | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $955.00 | $1,910.00 | $209.09–$1,585.30 | 47% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER JOINT W/O CONT RIGHT | $1,679.25 | $3,358.50 | $209.09–$2,787.56 | 8% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER JOINT W/O CONT LEFT | $1,873.20 | $3,746.40 | $209.09–$3,109.51 | 21% above | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL/HEART WALL MOTION | $2,840.50 | $5,681.00 | $800.11–$9,089.60 | 11% above | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTRASOUND PELVIC LIMITED | $194.00 | $388.00 | $46.11–$620.80 | 48% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED - BLADDER | $194.50 | $389.00 | $46.11–$622.40 | 47% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND PELVIC COMPLETE | $194.00 | $388.00 | $91.61–$620.80 | 60% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC GENERAL | $407.50 | $815.00 | $91.61–$1,304.00 | 15% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PELVIS OB GREATER THAN 14 | $291.00 | $582.00 | $91.61–$931.20 | 46% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LESS THAN 14WKS | $407.50 | $815.00 | $91.61–$1,304.00 | 19% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $104.00 | $208.00 | $72.80–$332.80 | 61% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND LIMITED | $138.50 | $277.00 | $91.61–$443.20 | 48% below | 50% |
| Screening mammogram, both breasts both sides CPT 77067 MM DIGITAL SCREENING MAMMO/CAD BILATERAL | $179.50 | $359.00 | $81.43–$574.40 | — | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER INT-EXT RIGHT | $243.60 | $487.20 | $38.56–$404.38 | 12% above | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER INT-EXT LEFT | $243.60 | $487.20 | $38.56–$404.38 | 12% above | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY PSG | $1,416.25 | $2,832.50 | $752.53–$2,350.98 | 45% below | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 RF MODIFIED BA SWALLOW | $152.50 | $305.00 | $106.75–$253.15 | 59% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $114.00 | $228.00 | $79.80–$364.80 | 77% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND TVS | $194.00 | $388.00 | $91.61–$620.80 | 60% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $407.50 | $815.00 | $91.61–$1,304.00 | 6% above | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD SURVEY | $148.50 | $297.00 | $91.61–$246.51 | 80% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMINAL COMPLETE | $194.00 | $388.00 | $91.61–$620.80 | 73% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE | $652.00 | $1,304.00 | $91.61–$2,086.40 | 11% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCROTUM | $194.00 | $388.00 | $70.11–$620.80 | 68% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICLE | $291.00 | $582.00 | $70.11–$931.20 | 51% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID (E) | $140.00 | $280.00 | $91.61–$448.00 | 77% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE/THYROID | $196.00 | $392.00 | $91.61–$627.20 | 68% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $264.50 | $529.00 | $91.61–$846.40 | 57% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $407.50 | $815.00 | $91.61–$1,304.00 | 33% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF GI SERIES | $190.25 | $380.50 | $133.18–$315.82 | 60% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR G I W BARIUM SWALLOW | $444.00 | $888.00 | $151.07–$737.04 | 8% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RF GI W SMALL BOWEL SERIES | $457.00 | $914.00 | $151.07–$758.62 | 5% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER UNIL RT UPPE | $144.00 | $288.00 | $91.61–$239.04 | 76% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER UNIL LT UPPE | $144.00 | $288.00 | $91.61–$239.04 | 76% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER UNIL RT LOWE | $581.00 | $1,162.00 | $91.61–$964.46 | 3% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER UNIL LT LOW | $581.00 | $1,162.00 | $91.61–$964.46 | 3% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST W OBLIQUES RIGHT | $243.60 | $487.20 | $50.90–$404.38 | 4% above | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST W OBLIQUES LEFT | $243.60 | $487.20 | $50.90–$404.38 | 4% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP AP UNILATERAL LEFT | $185.25 | $370.50 | $58.45–$307.52 | 10% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP AP UNILATERAL RIGHT | $185.25 | $370.50 | $58.45–$307.52 | 10% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN FLAT/KUB | $142.50 | $285.00 | $35.13–$236.55 | 37% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE AP LAT RIGHT | $125.00 | $250.00 | $41.30–$207.50 | 42% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE AP LAT LEFT | $174.00 | $348.00 | $41.30–$288.84 | 19% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/LEFT HAND 2ND DIGIT | $42.00 | $84.00 | $29.40–$99.14 | 79% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/LEFT HAND 3RD DIGIT | $42.00 | $84.00 | $29.40–$99.14 | 79% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/RIGHT HAND 3RD DIGIT | $125.00 | $250.00 | $48.84–$207.50 | 37% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/RIGHT HAND THUMB | $125.00 | $250.00 | $48.84–$207.50 | 37% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/LEFT HAND 5TH DIGIT | $125.00 | $250.00 | $48.84–$207.50 | 37% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/RIGHT HAND 5TH DIGIT | $125.00 | $250.00 | $48.84–$207.50 | 37% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/LEFT HAND THUMB | $174.00 | $348.00 | $48.84–$288.84 | 12% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/LEFT HAND 4TH DIGIT | $174.00 | $348.00 | $48.84–$288.84 | 12% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/RIGHT HAND 4TH DIGIT | $174.00 | $348.00 | $48.84–$288.84 | 12% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/RIGHT HAND 2ND DIGIT | $174.00 | $348.00 | $48.84–$288.84 | 12% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT AP/LAT LEFT | $189.25 | $378.50 | $35.81–$314.16 | 2% above | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT AP/LAT RIGHT | $189.25 | $378.50 | $35.81–$314.16 | 2% above | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT LEFT | $243.60 | $487.20 | $40.62–$404.38 | at median | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT RIGHT | $243.60 | $487.20 | $40.62–$404.38 | at median | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND LEFT | $189.00 | $378.00 | $44.73–$313.74 | 29% below | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND RIGHT | $243.60 | $487.20 | $44.73–$404.38 | 8% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 2 VIEWS RIGHT | $142.50 | $285.00 | $44.05–$236.55 | 24% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 2 VIEWS LEFT | $168.75 | $337.50 | $44.05–$280.13 | 10% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBOSACRAL SP INDUS | $52.50 | $105.00 | $36.75–$119.09 | 85% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBOSACRAL SPINE | $322.00 | $644.00 | $46.11–$534.52 | 6% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBOSACRAL SPINE W/ OBLIQUE | $386.40 | $772.80 | $63.94–$641.42 | 15% below | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES | $174.00 | $348.00 | $46.79–$288.84 | 26% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE LIMIT | $322.00 | $644.00 | $42.68–$534.52 | 13% above | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS | $72.75 | $145.50 | $44.73–$120.77 | 65% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM & COCCYX | $174.00 | $348.00 | $37.86–$288.84 | 39% below | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT | $9.50 | $19.00 | $4.45–$15.77 | 70% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST | $9.50 | $19.00 | $4.45–$15.77 | 70% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $118.30 | $236.60 | $41.92–$196.38 | 58% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST - EACH ALLERGEN | $5.25 | $10.50 | $4.03–$8.72 | 81% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE | $9.50 | $19.00 | $4.60–$15.77 | 66% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOUTHEASTERN RAST (1 OF 3 BUNDLE) | $13.30 | $26.60 | $4.60–$22.08 | 53% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HYMENOPTERA PANEL (B) | $18.00 | $36.00 | $4.60–$29.88 | 36% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PROFILE (B) | $19.00 | $38.00 | $4.60–$31.54 | 33% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COD RAST | $19.00 | $38.00 | $4.60–$31.54 | 33% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BASS RAST | $19.00 | $38.00 | $4.60–$31.54 | 33% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PERCH RAST | $19.00 | $38.00 | $4.60–$31.54 | 33% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA RAST | $19.00 | $38.00 | $4.60–$31.54 | 33% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHELLFISH PANEL (B) | $31.50 | $63.00 | $4.60–$52.29 | 12% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA IgE | $39.00 | $78.00 | $4.60–$64.74 | 38% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTICYCLIC CITRULLINATED PEPTI | $92.00 | $184.00 | $11.40–$152.72 | 3% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA CASCADING REFLEX (B) | $41.50 | $83.00 | $10.64–$68.89 | 55% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANALYZER PANEL (B) | $41.50 | $83.00 | $10.64–$68.89 | 55% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $100.00 | $200.00 | $10.64–$166.00 | 9% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO-BNP | $78.52 | $157.04 | $29.88–$130.34 | 35% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $78.52 | $157.04 | $29.88–$130.34 | 35% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $34.25 | $68.50 | $7.46–$56.86 | 71% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK | $84.50 | $169.00 | $45.66–$140.27 | 5% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL IV | $166.50 | $333.00 | $45.66–$276.39 | 106% above | 50% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $20.50 | $41.00 | $9.09–$34.03 | 86% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION FEE - DRUG SCREEN | $10.00 | $20.00 | $7.00–$16.60 | 25% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $12.50 | $25.00 | $8.75–$20.75 | 7% below | 50% |
| Blood glucose (sugar) test CPT 82947 FAST & 2 HR P GLUCOLA (B) | $14.77 | $29.54 | $3.45–$24.52 | 60% below | 50% |
| Blood glucose (sugar) test CPT 82947 FAST & 2 HR P PERAND (B) | $14.77 | $29.54 | $3.45–$24.52 | 60% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 2 HR POST PRANDIAL | $14.77 | $29.54 | $3.45–$24.52 | 60% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $14.77 | $29.54 | $3.45–$24.52 | 60% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM | $18.25 | $36.50 | $3.45–$30.30 | 51% below | 50% |
| Blood lead test CPT 83655 HEAVY METALS URINE (B) | $21.00 | $42.00 | $7.00–$34.86 | 69% below | 50% |
| Blood lead test CPT 83655 HEAVY METALS BLOOD (B) | $21.00 | $42.00 | $7.00–$34.86 | 69% below | 50% |
| Blood lead test CPT 83655 LEAD 24HR URINE | $43.00 | $86.00 | $7.00–$71.38 | 37% below | 50% |
| Blood lead test CPT 83655 LEAD | $63.00 | $126.00 | $7.00–$104.58 | 7% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE | $15.04 | $30.08 | $5.65–$24.97 | 85% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ANTIBODY PANEL (B) | $19.00 | $38.00 | $2.63–$151.57 | 66% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB RHIG WORKUP (OB) (B) | $19.00 | $38.00 | $2.63–$151.57 | 66% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE | $19.00 | $38.00 | $2.63–$151.57 | 66% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB CROSSMATCH (B) | $69.00 | $138.00 | $2.63–$424.00 | 25% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB TYPE & RH (B) | $69.00 | $138.00 | $2.63–$151.57 | 25% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $10.36 | $20.72 | $4.56–$17.20 | 88% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $37.50 | $75.00 | $18.31–$62.25 | 61% below | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $37.50 | $75.00 | $18.31–$62.25 | 76% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 DPH COVID 19 PCR | $40.00 | $80.00 | $30.72–$66.70 | 53% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 PCR | $107.80 | $215.60 | $35.92–$178.95 | 27% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GC DNA AMPLIFICATION (B) | $64.25 | $128.50 | $17.27–$106.66 | 23% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $22.00 | $44.00 | $11.80–$36.52 | 71% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC/PLT & DIFF | $70.25 | $140.50 | $6.84–$116.62 | 14% above | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF | $12.94 | $25.88 | $5.70–$21.48 | 77% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 CHARGE CBC W/O DIFF | $12.94 | $25.88 | $5.70–$21.48 | 77% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITH MANUAL DIFF | $12.94 | $25.88 | $5.70–$21.48 | 77% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBCMD | $12.94 | $25.88 | $5.70–$21.48 | 77% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE PANEL | $90.00 | $180.00 | $9.30–$149.40 | 39% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER TRIAGE BACK UP | $76.81 | $153.61 | $8.96–$127.50 | 20% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER | $103.75 | $207.50 | $8.96–$172.23 | 7% above | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS | $55.50 | $111.00 | $19.57–$92.13 | 44% below | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL, ULTRASENSITIVE | $99.00 | $198.00 | $24.60–$164.34 | 17% below | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL | $190.25 | $380.50 | $24.60–$315.82 | 59% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $66.00 | $132.00 | $16.36–$109.56 | 48% below | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTON - STOOL | $270.50 | $541.00 | $17.28–$449.03 | at median | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL | $28.00 | $56.00 | $11.99–$46.48 | 70% below | 50% |
| Folate (folic acid) blood test CPT 82746 RBC FOLATE | $29.00 | $58.00 | $12.94–$48.14 | 67% below | 50% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $68.25 | $136.50 | $12.94–$113.30 | 21% below | 50% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $56.75 | $113.50 | $14.91–$94.21 | 49% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 BY EQUIL DIALYSIS | $32.00 | $64.00 | $7.94–$53.12 | 58% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $43.50 | $87.00 | $7.94–$72.21 | 43% below | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE-FREE | $61.50 | $123.00 | $22.41–$102.09 | 62% below | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $180.00 | $360.00 | $126.00–$298.80 | 28% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE ADDITIONAL | $16.50 | $33.00 | $4.19–$27.39 | 73% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3HR (B) | $31.00 | $62.00 | $11.33–$51.46 | 63% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 4HR (B) | $44.00 | $88.00 | $11.33–$73.04 | 47% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 5HR (B) | $44.00 | $88.00 | $11.33–$73.04 | 47% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 6HR (B) | $44.00 | $88.00 | $11.33–$73.04 | 47% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 2HR | $91.00 | $182.00 | $11.33–$151.06 | 10% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA/GC DNA AMPLIFICATION (B) | $64.25 | $128.50 | $14.99–$106.66 | 22% below | 50% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGA AB | $51.50 | $103.00 | $12.78–$85.49 | 60% below | 50% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGG AB | $51.50 | $103.00 | $12.78–$85.49 | 60% below | 50% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGM AB | $51.50 | $103.00 | $12.78–$85.49 | 60% below | 50% |
| H. pylori stool antigen test CPT 87338 H PYLORI AG | $26.00 | $52.00 | $12.66–$43.16 | 80% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QUANT PCR | $92.50 | $185.00 | $39.55–$153.55 | 73% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, Quant, RNA with Reflex to Genotype | $106.50 | $213.00 | $39.55–$176.79 | 69% below | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV AB | $24.50 | $49.00 | $10.47–$40.67 | 78% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN | $20.00 | $40.00 | $8.54–$33.20 | 63% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QL | $19.50 | $39.00 | $9.46–$32.37 | 75% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUANT | $32.50 | $64.99 | $9.46–$53.94 | 58% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG | $77.00 | $154.00 | $9.09–$127.82 | 19% above | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIB | $35.70 | $71.40 | $7.00–$59.26 | 70% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL LOAD | $76.00 | $152.00 | $37.71–$126.16 | 72% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 ENCEPHALITIS PANEL, SERUM (B) | $45.50 | $91.00 | $11.61–$75.53 | 32% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 AB, IGG | $45.50 | $91.00 | $11.61–$75.53 | 32% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 TORCH TITER-IGG&IGM (B) | $45.50 | $91.00 | $11.61–$75.53 | 32% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 TORCH TITER-IGM(B) | $45.50 | $91.00 | $11.61–$75.53 | 32% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS AB PANEL | $47.00 | $94.00 | $11.61–$78.02 | 30% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 AB, IGG | $40.00 | $80.00 | $17.05–$66.40 | 38% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 TORCH TITER-IGM(B) | $66.50 | $133.00 | $17.05–$110.39 | 4% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 ENCEPHALITIS PANEL, SERUM (B) | $66.50 | $133.00 | $17.05–$110.39 | 4% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 TORCH TITER-IGG&IGM (B) | $66.50 | $133.00 | $17.05–$110.39 | 4% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX PANEL | $68.50 | $137.00 | $17.05–$113.71 | 7% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 GLYCOPROTEIN G SPEC | $68.50 | $137.00 | $17.05–$113.71 | 7% above | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HS CARDIAC | $62.00 | $124.00 | $11.40–$102.92 | 30% below | 50% |
| Homocysteine blood test CPT 83090 METHYLMALONIC AND HOMOCYSTINE( | $30.00 | $60.00 | $14.85–$49.80 | 80% below | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE LEVEL | $60.00 | $120.00 | $14.85–$99.60 | 59% below | 50% |
| Insulin blood test CPT 83525 INSULIN | $110.36 | $220.72 | $10.07–$183.20 | 51% above | 50% |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $24.58 | $49.16 | $5.71–$40.80 | 52% below | 50% |
| Iron blood test (serum iron) CPT 83540 I & IBC (B) | $24.58 | $49.16 | $5.71–$40.80 | 52% below | 50% |
| Iron blood test (serum iron) CPT 83540 IRON | $30.50 | $61.00 | $5.71–$50.63 | 40% below | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 I & IBC (B) | $17.75 | $35.50 | $7.69–$29.47 | 69% below | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $21.00 | $42.00 | $7.64–$34.86 | 76% below | 50% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $33.00 | $66.00 | $16.30–$54.78 | 53% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $31.75 | $63.50 | $6.06–$52.71 | 64% below | 50% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION PANEL | $28.00 | $56.00 | $7.20–$46.48 | 74% below | 50% |
| Lyme disease antibody test CPT 86618 LYME | $37.50 | $75.00 | $14.99–$62.25 | 62% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM | $11.50 | $23.00 | $5.89–$19.09 | 74% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $11.50 | $23.00 | $5.89–$19.09 | 74% below | 50% |
| Magnesium blood test CPT 83735 24HR MAGNESIUM URINE | $11.50 | $23.00 | $5.89–$19.09 | 74% below | 50% |
| Magnesium blood test CPT 83735 STONE RISK DIAGONSTIC (B) | $11.50 | $23.00 | $5.89–$19.09 | 74% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM | $15.50 | $31.00 | $5.89–$25.73 | 66% below | 50% |
| Measles (rubeola) antibody test CPT 86765 ENCEPHALITIS PANEL, SERUM (B) | $44.50 | $89.00 | $11.34–$73.87 | 44% below | 50% |
| Measles (rubeola) antibody test CPT 86765 MMR TITER (B) | $44.50 | $89.00 | $11.34–$73.87 | 44% below | 50% |
| Measles (rubeola) antibody test CPT 86765 MENINGOENCEPHALITIS (B) | $46.00 | $92.00 | $11.34–$76.36 | 42% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT | $18.00 | $36.00 | $4.56–$29.88 | 72% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $54.50 | $109.00 | $4.56–$90.47 | 15% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $32.50 | $65.00 | $16.19–$53.95 | 61% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $9.25 | $18.50 | $7.10–$24.29 | 91% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH - INTACT | $83.75 | $167.50 | $36.33–$139.03 | 48% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH C-TERMINAL (B) | $146.50 | $293.00 | $36.33–$243.19 | 10% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT - IRMA (B) | $146.50 | $293.00 | $36.33–$243.19 | 10% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH N-TERMINAL (B) | $146.50 | $293.00 | $36.33–$243.19 | 10% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $9.29 | $18.57 | $5.28–$15.41 | 81% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAGULANT (B) | $20.50 | $41.00 | $5.28–$34.03 | 58% below | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE LEVEL | $117.50 | $235.00 | $17.93–$195.05 | 21% above | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $34.50 | $69.00 | $17.06–$57.27 | 72% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS ANTICOAGULANT (B) | $7.00 | $14.00 | $3.46–$11.62 | 82% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $7.00 | $14.00 | $3.46–$11.62 | 82% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PAIN MANAGEMENT FENTANYL | $95.50 | $191.00 | $8.03–$158.53 | 33% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN | $8.25 | $16.50 | $6.34–$21.48 | 89% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 RA TEST | $66.50 | $133.00 | $5.00–$110.39 | 12% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 TORCH TITER-IGM(B) | $40.00 | $80.00 | $10.24–$66.40 | 42% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 TORCH TITER-IGG&IGM(B) | $40.00 | $80.00 | $10.24–$66.40 | 42% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 MMR TITER (B) | $40.00 | $80.00 | $10.24–$66.40 | 42% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER IGG&M (B) | $40.00 | $80.00 | $10.24–$66.40 | 42% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $41.50 | $83.00 | $10.24–$68.89 | 40% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $41.50 | $83.00 | $10.24–$68.89 | 40% below | 50% |
| Stool ova and parasites exam CPT 87177 O & P | $22.40 | $44.80 | $7.83–$37.18 | 72% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR ROUTINE | $11.20 | $22.40 | $3.26–$18.59 | 74% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $31.50 | $63.00 | $3.26–$52.29 | 26% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $263.00 | $526.00 | $54.55–$436.58 | 58% above | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE-FREE (B) | $27.00 | $54.00 | $20.74–$44.82 | 79% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $27.00 | $54.00 | $20.74–$44.82 | 79% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, BIOAVAILABLE | $27.00 | $54.00 | $20.74–$44.82 | 79% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODY PAN (B) | $25.00 | $50.00 | $12.81–$41.50 | 73% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THY PEROXIDASE ANTIBODY | $26.00 | $52.00 | $12.81–$43.16 | 72% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANA ANALYZER PANEL (B) | $50.00 | $100.00 | $12.81–$83.00 | 46% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTIMICROSOMAL ANTIB | $51.50 | $103.00 | $12.81–$85.49 | 44% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB LK | $51.50 | $103.00 | $12.81–$85.49 | 44% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THY MICROSOMAL AB | $51.50 | $103.00 | $12.81–$85.49 | 44% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HARMONE | $21.00 | $42.00 | $14.78–$34.86 | 79% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THY-STIMULATING IMM. (B) | $21.00 | $42.00 | $14.78–$34.86 | 79% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $56.75 | $113.50 | $14.78–$94.21 | 43% below | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICH VAG BY NAA | $62.50 | $125.00 | $14.99–$103.75 | 31% below | 50% |
| Uric acid blood test CPT 84550 URIC ACID | $16.00 | $32.00 | $3.98–$26.56 | 71% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 CHARGE FOR URINE W/MICRO | $7.50 | $15.00 | $2.79–$12.45 | 88% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $7.50 | $15.00 | $2.79–$12.45 | 88% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 CHARGE FOR UA W/O MICRO | $7.50 | $15.00 | $1.98–$12.45 | 79% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICRO | $10.25 | $20.50 | $1.98–$17.02 | 72% below | 50% |
| Urinalysis without microscope exam, manual CPT 81002 SUGAR & ACETONE URINE | $9.00 | $18.00 | $2.25–$14.94 | 76% below | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK | $9.50 | $19.00 | $2.25–$15.77 | 74% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 HCG URINE | $93.80 | $187.60 | $5.57–$155.71 | 18% above | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VIT B-12 | $30.75 | $61.50 | $13.27–$51.05 | 62% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (B) | $32.50 | $65.00 | $24.96–$53.95 | 70% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $32.50 | $65.00 | $24.96–$53.95 | 70% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D | $32.50 | $65.00 | $24.96–$53.95 | 70% below | 50% |
| Zinc blood test CPT 84630 ZINC | $20.50 | $41.00 | $10.02–$34.03 | 68% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TRIPLE TEST (B) | $23.00 | $46.00 | $5.65–$38.18 | 81% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER | $23.00 | $46.00 | $5.65–$38.18 | 81% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANT HCG BETA HCG | $116.75 | $233.50 | $5.65–$193.81 | 3% below | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $13,637.50 | $27,275.00 | $5,560.00–$22,638.25 | 21% above | 50% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $13,650.00 | $27,300.00 | $5,560.00–$22,659.00 | 21% above | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $3,000.00 | $6,000.00 | $1,389.78–$4,980.00 | 34% above | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED FRACTURE REDUCTION W/O MANIPULAT | $315.75 | $631.50 | $202.14–$524.15 | 47% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED FRACTURE REDUCTION W/O MANIPULAT | $315.75 | $631.50 | $202.14–$524.15 | 61% below | 50% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECT HALLUX VALGUS (BUN)MCT | $991.50 | $1,983.00 | $694.05–$3,868.00 | 85% below | 50% |
| Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VGS RSC PRX PHLX BS | $6,000.00 | $12,000.00 | $2,774.64–$9,960.00 | 3% above | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $860.60 | $1,721.19 | $557.89–$1,428.59 | 42% below | 50% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL RELEASE | $1,513.50 | $3,027.00 | $1,059.45–$3,141.00 | 9% above | 50% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $3,750.00 | $7,500.00 | $1,655.07–$6,225.00 | 169% above | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $139.00 | $278.00 | $97.30–$2,381.38 | 91% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FRACTURE DISTAL RADIUS NO RED | $381.50 | $763.00 | $202.14–$633.29 | 38% below | 50% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $2,362.50 | $4,725.00 | $1,011.55–$3,921.75 | 54% above | 50% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $2,278.25 | $4,556.50 | $1,011.55–$3,781.90 | 64% above | 50% |
| Colonoscopy, diagnostic CPT 45378 SCREENING COLONSCOPY | $2,362.50 | $4,725.00 | $783.45–$3,921.75 | 40% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST. SURG CURETTEMENT 1ST LES | $66.50 | $133.00 | $46.55–$659.00 | 60% below | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN - syringe irrig | $85.28 | $170.55 | $51.69–$141.56 | 15% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN | $55.50 | $111.00 | $38.85–$92.13 | 85% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $1,822.50 | $3,645.00 | $592.79–$3,025.35 | 22% above | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 NERVE BLOCK/STERILE NEEDLE INJECTION U/S | $1,126.10 | $2,252.19 | $775.08–$1,869.32 | 48% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $2,362.50 | $4,725.00 | $775.08–$3,921.75 | 10% above | 50% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $7,058.12 | $14,116.24 | $2,965.65–$11,716.48 | 14% below | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $1,404.73 | $2,809.46 | $783.45–$2,331.85 | 10% above | 50% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $11,000.00 | $22,000.00 | $3,146.00–$18,260.00 | 33% below | 50% |
| Hammertoe correction surgery CPT 28285 CORRECTION HAMMERTOE | $496.00 | $992.00 | $347.20–$3,727.50 | 77% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS | $121.50 | $243.00 | $85.05–$228.56 | 81% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D OF ABSCESS SIMPLE OR SINGL | $128.50 | $257.00 | $89.95–$659.00 | 80% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I-D SMALL ABSCESS | $164.50 | $329.00 | $115.15–$659.00 | 74% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I-D SEBACEOUS CYST | $345.00 | $690.00 | $171.61–$572.70 | 46% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $750.00 | $1,500.00 | $171.61–$1,245.00 | 16% above | 50% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $7,058.12 | $14,116.24 | $2,965.65–$11,716.48 | 14% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SING TDEON SHEATH OR LIGAM | $159.50 | $319.00 | $111.65–$349.68 | 86% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJECTION | $59.50 | $119.00 | — | 93% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION/INJECTION KNEE | $104.00 | $208.00 | $72.80–$349.68 | 89% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIR OR INJECT MARJOR JOINT | $200.50 | $401.00 | $140.35–$349.68 | 78% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $750.00 | $1,500.00 | $253.88–$1,245.00 | 17% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION/INJECTION ELBOW WRI | $104.00 | $208.00 | $72.80–$349.68 | 86% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIR OR INJECT INTERMID JT | $151.50 | $303.00 | $106.05–$349.68 | 80% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIR OR INJECT SMALL JT/BURSA | $134.50 | $269.00 | $94.15–$349.68 | 73% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION/INJECTION W/O US - FINGER | $400.25 | $800.49 | $253.88–$664.41 | 19% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $575.00 | $1,150.00 | $253.88–$954.50 | 16% above | 50% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHO KNEE W/ MED OR LAT MENIS | $1,500.50 | $3,001.00 | $1,050.35–$3,868.00 | 87% below | 50% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHO KNEE W/ MED OR LAT CHOND | $1,316.50 | $2,633.00 | $921.55–$3,868.00 | 88% below | 50% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $6,250.00 | $12,500.00 | $2,774.64–$10,375.00 | 45% below | 50% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHO KNEE W MED/LAT MENISCECT | $2,603.50 | $5,207.00 | $1,822.45–$4,321.81 | 70% below | 50% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY KNEE CHONDROPLASTY | $2,603.50 | $5,207.00 | $1,822.45–$4,321.81 | 70% below | 50% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $8,751.54 | $17,503.08 | $2,323.00–$14,527.56 | 18% below | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $11,000.00 | $22,000.00 | $4,946.07–$18,260.00 | 2% below | 50% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $11,000.00 | $22,000.00 | $4,946.07–$18,260.00 | 15% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE WOUND REPAIR 2.5C | $205.00 | $410.00 | $143.50–$463.10 | 57% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,822.50 | $3,645.00 | $592.79–$3,025.35 | 36% above | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,780.58 | $3,561.16 | $775.08–$2,955.76 | 7% above | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA &/STRD TFRM EPI L/S 1 | $2,362.50 | $4,725.00 | $775.08–$3,921.75 | 50% above | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISE LESION 0.5 CM TRUNK/LIM | $328.50 | $657.00 | $229.95–$806.71 | 72% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVUL OF NAIL PLATE PAR COM SIN | $76.50 | $153.00 | $53.55–$228.56 | 89% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 NAIL EVULSION COMPLETE OR PART | $446.50 | $893.00 | $171.61–$741.19 | 33% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 ACULSION OF NAIL PLATE PART/CO | $983.76 | $1,967.51 | $171.61–$1,633.03 | 48% above | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 GREATER OCCIPITAL NERVE BLOCK | $400.25 | $800.49 | $253.88–$664.41 | 56% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W IMAGING GUIDANC | $1,239.59 | $2,479.17 | $777.04–$2,057.71 | 21% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL&NAIL MATRIX PART/COMP | $190.50 | $381.00 | $133.35–$659.00 | 80% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC OF NAIL &NAIL MATRIX | $328.50 | $657.00 | $229.95–$545.31 | 65% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $800.00 | $1,600.00 | $341.80–$1,328.00 | 14% below | 50% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $6,550.00 | $13,100.00 | $3,141.00–$10,873.00 | 2% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY SUBCUT SI | $594.50 | $1,189.00 | $341.80–$986.87 | 47% below | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $1,750.00 | $3,500.00 | $783.45–$2,905.00 | 15% above | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN HI RISK IND | $1,750.00 | $3,500.00 | $783.45–$2,905.00 | 15% above | 50% |
| Short arm cast (elbow to hand) CPT 29075 SHORT ARM | $102.00 | $204.00 | $71.40–$659.00 | 89% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 CAST ELBOW TO FINGER (SHORT AR | $143.00 | $286.00 | $100.10–$318.62 | 84% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 OT SPLINT SHORT ARM STATIC | $49.50 | $99.00 | $34.65–$424.00 | 87% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 PT SPLINT SHORT ARM STATIC | $49.50 | $99.00 | $34.65–$424.00 | 87% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT SHORT ARM | $424.20 | $848.40 | $109.50–$704.17 | 10% above | 50% |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CAST | $117.50 | $235.00 | $82.25–$659.00 | 65% below | 50% |
| Short leg cast (below the knee) CPT 29405 CAST SHORT LEG | $369.57 | $739.14 | $230.21–$613.49 | 9% above | 50% |
| Short leg splint (calf to foot) CPT 29515 PT SPLINT SHORT LEG | $63.50 | $127.00 | $44.45–$424.00 | 83% below | 50% |
| Short leg splint (calf to foot) CPT 29515 IMMOB - LG KNEE SUPER SPLINT | $211.00 | $422.00 | $135.07–$422.00 | 45% below | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLY SPLINT SHORT LEG | $381.50 | $763.00 | $135.07–$633.29 | 1% below | 50% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $6,000.00 | $12,000.00 | $2,774.64–$9,960.00 | 36% below | 50% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $4,346.63 | $8,693.25 | $659.00–$7,215.40 | 50% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SUPER WOUND 2.5< | $159.00 | $318.00 | $111.30–$659.00 | 45% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURES UP TO 2.5CM SIMPLE SCA | $227.46 | $454.92 | $159.22–$377.58 | 21% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $400.00 | $800.00 | $171.61–$664.00 | 39% above | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $253.17 | $506.34 | $177.22–$659.00 | 56% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG | $92.50 | $185.00 | $64.75–$659.00 | 71% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP | $112.00 | $224.00 | — | 91% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $318.00 | $636.00 | $222.60–$1,452.00 | 75% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 RF SPINE PUNCTURE LUMBA | $364.50 | $729.00 | $255.15–$1,452.00 | 71% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 RF LUMBAR PUNCTURE DIAGNOSTIC | $636.00 | $1,272.00 | $445.20–$1,452.00 | 50% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR | $76.00 | $152.00 | $53.20–$659.00 | 81% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SUTURES 2.6 - 7.5 CM SIMPLE SC | $206.25 | $412.50 | $144.38–$342.38 | 48% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SUTURES UP TO 2.5CM SIMPLE FAC | $86.00 | $172.00 | $60.20–$228.56 | 76% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SUTURES UP TO 2.5CM SIMPLE FA | $253.40 | $506.80 | $171.61–$420.64 | 28% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $1,564.38 | $3,128.76 | $171.61–$2,596.87 | 179% above | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING GUIDANCE | $828.06 | $1,656.12 | $538.49–$1,374.58 | 41% below | 50% |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $35,500.00 | $71,000.00 | $6,286.00–$58,930.00 | 130% above | 50% |
| Trigger finger release surgery CPT 26055 TENDON SHEATH INCIS (TRIGGER F | $677.50 | $1,355.00 | $474.25–$2,175.00 | 85% below | 50% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $3,250.00 | $6,500.00 | $1,377.70–$5,395.00 | 27% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJECT S/M 1OR2 MUS | $373.50 | $747.00 | $253.88–$620.01 | 69% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION | $400.25 | $800.49 | $253.88–$664.41 | 67% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $2,430.36 | $4,860.72 | $1,389.78–$4,034.40 | 11% above | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $2,362.50 | $4,725.00 | $777.04–$3,921.75 | 68% above | 50% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $3,793.98 | $7,587.96 | $1,631.11–$6,298.01 | 185% above | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $2,362.50 | $4,725.00 | $777.04–$3,921.75 | 53% above | 50% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC | $2,827.50 | $5,655.00 | $1,979.25–$4,693.65 | 77% below | 50% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 DELIVERY VAGINAL | $2,684.00 | $5,368.00 | $1,878.80–$4,455.44 | — | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION WART | $86.50 | $173.00 | $60.55–$659.00 | 92% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DRBDE SUCUT EPID&DERMIS 20CM< | $97.00 | $194.00 | $67.90–$659.00 | 91% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ (1ST 20SQ CM) | $164.15 | $328.30 | $114.91–$463.10 | 85% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIEDMENT SKIN AND SUBCUT TI | $778.50 | $1,557.00 | $341.80–$1,292.31 | 31% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $799.06 | $1,598.12 | $341.80–$1,326.44 | 29% below | 50% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL | $13,750.00 | $27,500.00 | $5,560.00–$22,825.00 | 47% above | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD | $293.50 | $587.00 | $205.45–$502.58 | 62% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BB ADM-PC,FFP,PLT,CRYO | $600.00 | $1,200.00 | $372.11–$996.00 | 22% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 ADM-PC,FFP,PLT,CRYO | $713.00 | $1,426.00 | $372.11–$1,183.58 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 JET NEB SUBSEQUENT 3RD MED | $40.50 | $81.00 | $28.35–$249.46 | 77% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQUENT MED 2 | $40.50 | $81.00 | $28.35–$249.46 | 77% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 JET NEB SUBSEQUENT 2ND MED | $84.26 | $168.52 | $58.98–$249.46 | 52% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT | $101.50 | $203.00 | $71.05–$249.46 | 43% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQUENT | $101.50 | $203.00 | $71.05–$249.46 | 43% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 JET NEB SUBSEQUENT | $113.75 | $227.50 | $79.63–$249.46 | 36% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 JET NEBULIZER INITIAL | $113.75 | $227.50 | $79.63–$249.46 | 36% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADM INFUSION/IV PUSH UP | $308.50 | $617.00 | $215.95–$512.11 | 26% below | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 OC CHEMO ADM INFUSION UP TO 1 HOU | $537.00 | $1,074.00 | $289.45–$891.42 | 28% above | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE TIME PER HOUR | $285.50 | $571.00 | $199.85–$941.01 | 84% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 TRAUMA/CODE CARE | $573.75 | $1,147.50 | $401.63–$1,147.50 | 69% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE | $744.50 | $1,489.00 | $521.15–$1,489.00 | 59% below | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG | $429.50 | $859.00 | $189.21–$712.97 | 25% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $99.75 | $199.50 | $51.69–$424.00 | 48% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E.R.EM LEVEL 1 | $62.50 | $125.00 | $50.00–$132.00 | 76% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E.R.EM LEVEL 2 | $229.25 | $458.50 | $132.00–$458.50 | 40% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E.R.EM LEVEL-3 | $496.34 | $992.67 | $132.00–$992.67 | 22% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E.R.EM LEVEL 4 | $593.25 | $1,186.50 | $132.00–$1,186.50 | 26% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E.R.EM LEVEL 5 | $810.50 | $1,621.00 | $132.00–$1,621.00 | 29% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM STRESS EKG | $601.00 | $1,202.00 | $189.21–$997.66 | 29% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL STRESS TEST | $1,304.80 | $2,609.60 | $189.21–$2,165.97 | 53% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OC IV INFUSION HYDRATION | $229.00 | $458.00 | $160.30–$380.14 | 21% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION | $266.71 | $533.41 | $183.73–$442.73 | 8% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1 HOUR | $82.50 | $165.00 | $57.75–$242.31 | 72% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HOUR | $177.00 | $354.00 | $123.90–$293.82 | 39% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION IST HOUR | $177.00 | $354.00 | $123.90–$293.82 | 39% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV START AND MONITOR 8 HR | $177.00 | $354.00 | $123.90–$293.82 | 39% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV START AND MONITOR 7 HR | $177.00 | $354.00 | $123.90–$293.82 | 39% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION MED IST HOUR | $296.67 | $593.33 | $183.73–$492.46 | 2% above | 50% |
| IV infusion of a medicine, first hour CPT 96365 OC IV INFUSION 1 HOUR | $351.50 | $703.00 | $183.73–$583.49 | 20% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OC INJ IM/SUBQ THERA PROPHYLACTIC | $31.00 | $62.00 | $21.70–$82.02 | 70% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SUBQ TRANQUALIZER | $45.50 | $91.00 | $31.85–$82.02 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM ANTIOBIOTIC | $45.50 | $91.00 | $31.85–$82.02 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SUBQ STEROID | $45.50 | $91.00 | $31.85–$82.02 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SUBQ THERAPEUTIC | $45.50 | $91.00 | $31.85–$82.02 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM TRANQUALIZER | $45.50 | $91.00 | $31.85–$82.02 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ | $45.50 | $91.00 | $31.85–$82.02 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM THERAPEUTIC | $45.50 | $91.00 | $31.85–$82.02 | 56% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM STEROID | $61.50 | $123.00 | $43.05–$102.09 | 40% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION ANY MED | $188.50 | $377.00 | $60.38–$312.91 | 83% above | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO MUSCULAR RE-ED/PER 15 MI | $19.00 | $38.00 | $13.30–$424.00 | 71% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO MUSCULAR RE-ED | $42.50 | $85.00 | $29.75–$424.00 | 35% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT TILT TABLE | $42.50 | $85.00 | $29.75–$424.00 | 35% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO MUSCULAR RE-ED | $94.95 | $189.90 | $31.10–$424.00 | 45% above | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEURO MUSCULAR RE ED PER 15 MI | $157.50 | $315.00 | $31.10–$424.00 | 141% above | 50% |
| New patient office visit, about 30 minutes CPT 99203 NEW OUTPATIENT LEVEL 3 | $97.50 | $195.00 | $68.25–$161.85 | 38% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 NEW PT VISIT LEVEL 3 | $97.50 | $195.00 | $68.25–$161.85 | 38% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 LEVEL 3 OFFICE VISIT NEW PAT | $97.50 | $195.00 | $68.25–$161.85 | 38% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 ONCOLOGY NEW PT VISI | $97.50 | $195.00 | $68.25–$161.85 | 38% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 EVALUATION/ MANAGEMENT LEVEL 3 | $97.50 | $195.00 | $68.25–$161.85 | 38% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 NEW OUTPATIENT LEVEL 4 | $103.00 | $206.00 | $72.10–$170.98 | 34% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 E&M NEW PT VISIT INTERMEDIATE | $128.50 | $257.00 | $89.95–$213.31 | 18% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 TREATMENT ROOM 9-16 | $160.00 | $320.00 | $112.00–$265.60 | 20% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 TREATMENT ROOM 0-8 | $160.00 | $320.00 | $112.00–$265.60 | 20% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 TREATMENT ROOM 17-24 | $160.00 | $320.00 | $112.00–$265.60 | 20% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 EVALUATION/ MANAGEMENT LEVEL 4 | $165.00 | $330.00 | $115.50–$273.90 | 17% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 E&M NEW PT VISIT EXTENDED | $165.00 | $330.00 | $115.50–$273.90 | 17% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT VISIT LEVEL 4 | $165.00 | $330.00 | $115.50–$273.90 | 17% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 NEW OUTPATIENT LEVEL 5 | $165.00 | $330.00 | $115.50–$273.90 | 17% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 NEW PT VISIT LEVEL 5 | $215.00 | $430.00 | $150.50–$356.90 | 11% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 ONCOLOGY NEW PT VISI | $215.00 | $430.00 | $150.50–$356.90 | 11% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 EVALUATION/ MANAGEMENT LEVEL 5 | $215.00 | $430.00 | $150.50–$356.90 | 11% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 E&M NEW PT VISIT COMPLEX | $217.50 | $435.00 | $152.25–$361.05 | 9% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CR PHASE III INTERIM SUMMARY (CAR | $34.00 | $68.00 | $23.80–$56.44 | 75% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CR INITIAL H&P CARD | $34.00 | $68.00 | $23.80–$424.00 | 75% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 EVALUATION/ MANAGEMENT LEVEL 1 | $34.00 | $68.00 | $23.80–$212.00 | 75% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CR INITIAL EVALUATION PHASE III | $44.00 | $88.00 | $30.80–$73.04 | 68% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 EVALUATION/ MANAGEMENT LEVEL 2 | $64.00 | $128.00 | $44.80–$106.24 | 53% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW OUTPATIENT LEVEL 2 | $64.00 | $128.00 | $44.80–$106.24 | 53% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT VISIT LEVEL 2 | $64.00 | $128.00 | $44.80–$106.24 | 53% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 E&M NEW VISIT (BRIEF) | $67.50 | $135.00 | $47.25–$112.05 | 51% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 DRESS | $80.00 | $160.00 | $56.00–$132.80 | 41% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 2 OFFICE VISIT NEW PAT | $84.50 | $169.00 | $59.15–$140.27 | 38% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 E&M NEW PT VISIT LIMITED | $97.00 | $194.00 | $67.90–$161.02 | 29% below | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $244.50 | $489.00 | $95.33–$424.00 | 40% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $244.50 | $489.00 | $92.95–$424.00 | 17% above | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $206.36 | $412.72 | $92.95–$424.00 | 18% above | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $206.36 | $412.72 | $92.95–$424.00 | 17% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY / PER 15MIN | $38.00 | $76.00 | $26.38–$424.00 | 61% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT SPRAY AND STRETCH | $38.00 | $76.00 | $26.38–$424.00 | 61% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY PER 15 MIN | $85.67 | $171.33 | $26.38–$424.00 | 12% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY PER 15 MIN | $101.50 | $203.00 | $26.38–$424.00 | 4% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE/PER 15 MI | $40.50 | $81.00 | $27.64–$424.00 | 47% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE/PER 15 MIN | $40.50 | $81.00 | $27.64–$424.00 | 47% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CR EXERCISE FOR 15 MIN INTERVALS | $40.50 | $81.00 | $27.64–$424.00 | 47% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE PER 15 MIN | $45.87 | $91.73 | $27.64–$424.00 | 39% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE PER 15 MI | $90.73 | $181.46 | $27.64–$424.00 | 20% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OC EVALUATION/ MANAGEMENT LEVEL 5 | $141.00 | $282.00 | $98.70–$234.06 | 33% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED OUTPATIENT LEVEL 5 | $141.00 | $282.00 | $98.70–$234.06 | 33% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PT VISIT LEVEL 5 | $141.00 | $282.00 | $98.70–$234.06 | 33% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ONCOLOGY EST PATIENT | $141.00 | $282.00 | $98.70–$234.06 | 33% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EVALUATION/ MANAGEMENT LEVEL 5 | $141.00 | $282.00 | $98.70–$234.06 | 33% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 BREAST CLINIC EST PATIENT | $65.00 | $130.00 | $45.50–$107.90 | 57% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EVALUATION/ MANAGEMENT LEVEL 3 | $65.00 | $130.00 | $45.50–$107.90 | 57% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PT VISIT LEVEL 3 | $65.00 | $130.00 | $45.50–$107.90 | 57% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CR CLINIC VISIT | $65.00 | $130.00 | $45.50–$107.90 | 57% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OC EVALUATION/ MANAGEMENT LEVEL 3 | $65.00 | $130.00 | $45.50–$107.90 | 57% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED OUTPATIENT LEVEL 3 | $65.00 | $130.00 | $45.50–$107.90 | 57% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 OFFICE VISIT EST PAT | $74.00 | $148.00 | $51.80–$122.84 | 51% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PT VISIT LEVEL 4 | $99.50 | $199.00 | $69.65–$165.17 | 42% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OC EVALUATION/ MANAGEMENT LEVEL 4 | $99.50 | $199.00 | $69.65–$165.17 | 42% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAIN MGT CLINIC VISI | $99.50 | $199.00 | $69.65–$165.17 | 42% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EVALUATION/ MANAGEMENT LEVEL 4 | $99.50 | $199.00 | $69.65–$165.17 | 42% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED OUTPATIENT LEVEL 4 | $99.50 | $199.00 | $69.65–$165.17 | 42% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EVALUATION/ MANAGEMENT LEVEL 2 | $32.50 | $65.00 | $22.75–$53.95 | 74% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EVAL/MAMAGEMENT LEVEL 2 EST | $32.50 | $65.00 | $22.75–$53.95 | 74% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED OUTPATIENT LEVEL 2 | $32.50 | $65.00 | $22.75–$53.95 | 74% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PT VISIT LEVEL 2 | $32.50 | $65.00 | $22.75–$53.95 | 74% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 OFFICE VISIT EST PAT | $37.00 | $74.00 | $25.90–$61.42 | 71% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OC EVALUATION/ MANAGEMENT LEVEL 2 | $39.00 | $78.00 | $27.30–$64.74 | 69% below | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 FOLLOW-UP CONSULT OUTPT LEVEL | $121.50 | $243.00 | $85.05–$201.69 | 71% below | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 ONCOLOGY OUTPATIENT CONSULT LE | $121.50 | $243.00 | $85.05–$201.69 | 71% below | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 ESTABLISHED PAT LEVEL 3 W/REF | $121.50 | $243.00 | $85.05–$201.69 | 71% below | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 INITIAL OUTPATIENT CONSULT LEV | $121.50 | $243.00 | $85.05–$201.69 | 71% below | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 FOLLOW-UP CONSULT OUTPT LEVEL | $195.00 | $390.00 | $136.50–$323.70 | 71% below | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 ONCOLOGY OUTPATIENT CONSULT LE | $195.00 | $390.00 | $136.50–$323.70 | 71% below | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 INITIAL OUTPATIENT CONSULT LEV | $195.00 | $390.00 | $136.50–$323.70 | 71% below | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 ESTABLISHED PAT LEVEL 4 W/REF | $195.00 | $390.00 | $136.50–$323.70 | 71% below | 50% |
| Speech and language evaluation CPT 92523 ST EVALUATION SOUND PRODUCTION LA | $245.00 | $490.00 | $171.50–$424.00 | 4% above | 50% |
| Speech and language evaluation CPT 92523 ST EVALUATION OF LANGUAGE ONLY | $245.00 | $490.00 | $171.50–$424.00 | 4% above | 50% |
| Speech and language evaluation CPT 92523 ST EVALUATION OF LANGUAGE | $245.00 | $490.00 | $171.50–$424.00 | 4% above | 50% |
| Speech therapy session, individual CPT 92507 SLP THERAPY | $35.75 | $71.50 | $25.03–$424.00 | 75% below | 50% |
| Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION TEST SIMPLE | $255.00 | $510.00 | $133.89–$424.00 | 4% above | 50% |
| Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCTION TEST COMPLETE | $473.00 | $946.00 | $269.05–$785.18 | 6% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 TRANSFER TRAIN/PER 15 MIN | $43.50 | $87.00 | $30.45–$424.00 | 40% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT TRANSFER TRAIN PER 15 MIN | $84.50 | $169.00 | $32.97–$424.00 | 17% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVIT PER 15 MIN | $142.64 | $285.28 | $32.97–$424.00 | 98% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES PER 15 | $213.96 | $427.92 | $32.97–$424.00 | 197% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $292.00 | $584.00 | $109.50–$484.72 | 63% above | 50% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 STRESS TEST, TREADMILL, PHARMA | $129.00 | $258.00 | $90.30–$424.00 | 88% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VIR VACC RCMB(ENGERIX-B) 20MCG/1ML | $98.50 | $197.00 | $70.38–$163.51 | 30% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOC VAC 23 (PNEUMOVAX) 25MCG/0.5ML | $149.00 | $298.00 | $114.43–$247.34 | 59% below | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES (RABAVERT) 2.5 IU/1ML VACCINE | $550.50 | $1,101.00 | $319.75–$913.83 | 30% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS,DIPHTH,PERTUSSIS (ADACEL) DOSE | $67.00 | $134.00 | $38.63–$111.22 | 47% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $87.00 | $174.00 | $60.38–$144.42 | 89% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJECTION ADM EACH ADD'L RABIE | $24.00 | $48.00 | $16.80–$212.00 | 38% below | 50% |