Hospital Augusta-Richmond County, GA-SC

Piedmont Augusta

Piedmont Augusta in Augusta, GA publishes cash prices for 314 common procedures listed here, from its own machine-readable price file updated Jul 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 254 of 308 procedures and above it for 54. Click a procedure to compare it with other hospitals nearby.

1350 Walton Way, Augusta, GA 30901 Collected Sep 29, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 HC Xr Ankle >=3v Complt	$208.86	$696.21	$33.77–$626.59	20% below	70%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Xr Ankle >=3v Complt	$208.86	$696.21	$33.77–$626.59	—	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC Study Ext Artery 1-2 Lvls Bi	$470.46	$1,568.21	$145.91–$1,411.39	—	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC Study Ext Artery 1-2 Lvls Bi	$470.46	$1,568.21	$145.91–$1,411.39	—	70%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esophagus W Cntrst	$264.86	$882.87	$74.96–$794.58	14% below	70%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Xr Esophagus W Cntrst	$264.86	$882.87	$74.96–$794.58	—	70%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM Bn/Jnt Img Wb	$983.62	$3,278.75	$270.21–$2,950.88	12% below	70%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM Bn/Jnt Img Wb	$983.62	$3,278.75	$270.21–$2,950.88	—	70%
Breast ultrasound, complete, one breast CPT 76641 HC US Breast Uni Complete	$357.98	$1,193.28	$97.70–$1,073.95	6% below	70%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US Breast Uni Complete	$357.98	$1,193.28	$97.70–$1,073.95	—	70%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US Breast Uni Limited	$256.22	$854.08	$80.44–$768.67	33% below	70%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US Breast Uni Limited	$256.22	$854.08	$80.44–$768.67	—	70%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest W/WO Cntrst	$1,142.39	$3,807.97	$437.65–$3,427.17	39% below	70%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest W/WO Cntrst	$1,142.39	$3,807.97	$437.65–$3,427.17	—	70%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Coronaries W Cntrst	$455.43	$1,518.10	$174.12–$1,518.10	64% below	70%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Cta Coronaries W Cntrst	$455.43	$1,518.10	$174.12–$1,518.10	—	70%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Hrt W/O Cntrst W Ca Test	$90.00	$300.00	$33.61–$300.00	10% below	70%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Hrt W/O Cntrst W Ca Test	$90.00	$300.00	$33.61–$300.00	—	70%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd&Pelvis WO Cntrst	$1,419.30	$4,731.01	$358.03–$4,257.91	36% below	70%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd&Pelvis WO Cntrst	$1,419.30	$4,731.01	$358.03–$4,257.91	—	70%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd&Pelvis W Cntrst	$1,747.41	$5,824.71	$432.70–$5,242.24	45% below	70%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd&Pelvis W Cntrst	$1,747.41	$5,824.71	$432.70–$5,242.24	—	70%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd&Pelvis W/WO Cntrst 1+ Reg	$1,999.99	$6,666.64	$536.62–$5,999.98	36% below	70%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd&Pelvis W/WO Cntrst 1+ Reg	$1,999.99	$6,666.64	$536.62–$5,999.98	—	70%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W Cntrst	$1,076.86	$3,589.54	$432.70–$3,230.59	37% below	70%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W Cntrst	$1,076.86	$3,589.54	$432.70–$3,230.59	—	70%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen WO Cntrst	$898.60	$2,995.34	$261.88–$2,695.81	34% below	70%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen WO Cntrst	$898.60	$2,995.34	$261.88–$2,695.81	—	70%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxfac WO Cntrst	$665.08	$2,216.93	$261.88–$1,995.24	43% below	70%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Maxfac WO Cntrst	$665.08	$2,216.93	$261.88–$1,995.24	—	70%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain WO Cntrst	$834.82	$2,782.72	$261.88–$2,504.45	39% below	70%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head/Brain WO Cntrst	$834.82	$2,782.72	$261.88–$2,504.45	—	70%
CT scan of the head with contrast CPT 70460 HC CT Head/Brain W Cntrst	$867.61	$2,892.02	$358.03–$2,602.82	45% below	70%
CT scan of the head with contrast inpatient CPT 70460 HC CT Head/Brain W Cntrst	$867.61	$2,892.02	$358.03–$2,602.82	—	70%
CT scan of the head without and with contrast CPT 70470 HC CT Head/Brain W/WO Cntrst	$979.56	$3,265.19	$437.65–$2,938.67	48% below	70%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head/Brain W/WO Cntrst	$979.56	$3,265.19	$437.65–$2,938.67	—	70%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine WO Cntrst	$702.99	$2,343.30	$261.88–$2,108.97	53% below	70%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Lumbar Spine WO Cntrst	$702.99	$2,343.30	$261.88–$2,108.97	—	70%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cerv Spine WO Cntrst	$916.71	$3,055.70	$261.88–$2,750.13	29% below	70%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Cerv Spine WO Cntrst	$916.71	$3,055.70	$261.88–$2,750.13	—	70%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W Cntrst	$1,026.83	$3,422.78	$432.70–$3,080.50	36% below	70%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W Cntrst	$1,026.83	$3,422.78	$432.70–$3,080.50	—	70%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Dup Scan Extcr Arty Bi	$681.62	$2,272.06	$250.85–$2,044.85	—	70%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Dup Scan Extcr Arty Bi	$681.62	$2,272.06	$250.85–$2,044.85	—	70%
Chest X-ray, 2 views CPT 71046 HC Xr Chest 2v	$119.35	$397.84	$17.35–$358.06	59% below	70%
Chest X-ray, 2 views inpatient CPT 71046 HC Xr Chest 2v	$119.35	$397.84	$17.35–$358.06	—	70%
Chest X-ray, single view CPT 71045 HC Xr Chest 1v	$95.48	$318.27	$9.41–$286.44	56% below	70%
Chest X-ray, single view inpatient CPT 71045 HC Xr Chest 1v	$95.48	$318.27	$9.41–$286.44	—	70%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitoneal Complete	$385.72	$1,285.72	$124.81–$1,157.15	34% below	70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitoneal Complete	$385.72	$1,285.72	$124.81–$1,157.15	—	70%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Xr DXA Bn Density Axial	$297.17	$990.58	$52.49–$891.52	27% below	70%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Xr DXA Bn Density Axial	$297.17	$990.58	$52.49–$891.52	—	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Xr Bone Density Appendicular	$134.59	$448.64	$24.54–$403.78	43% below	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Xr Bone Density Appendicular	$134.59	$448.64	$24.54–$403.78	—	70%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB Complt Txabd 1st Fetus	$244.51	$815.02	$156.15–$733.52	55% below	70%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB Complt Txabd 1st Fetus	$244.51	$815.02	$156.15–$733.52	—	70%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax WO Cntrst Dx	$774.58	$2,581.92	$261.88–$2,323.73	40% below	70%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Thorax WO Cntrst Dx	$774.58	$2,581.92	$261.88–$2,323.73	—	70%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax W Cntrst Dx	$986.04	$3,286.81	$437.65–$2,958.13	37% below	70%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Thorax W Cntrst Dx	$986.04	$3,286.81	$437.65–$2,958.13	—	70%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi	$245.54	$818.46	$47.66–$736.61	—	70%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Dx Mammo Incl Cad Bi	$245.54	$818.46	$47.66–$736.61	—	70%
Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni	$179.35	$597.84	$37.92–$538.06	49% below	70%
Diagnostic mammogram, one breast inpatient CPT 77065 HC Dx Mammo Incl Cad Uni	$179.35	$597.84	$37.92–$538.06	—	70%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Dup Scan Lwr Ext Arty Bi	$522.51	$1,741.69	$282.15–$1,567.52	—	70%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Dup Scan Lwr Ext Arty Bi	$522.51	$1,741.69	$282.15–$1,567.52	—	70%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Dup Scan Ext Vein Bi	$532.70	$1,775.67	$273.62–$1,598.10	—	70%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Dup Scan Ext Vein Bi	$532.70	$1,775.67	$273.62–$1,598.10	—	70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo Tte 2d W Dplr Complt W Contr	$1,197.35	$3,991.16	$295.63–$3,592.04	35% below	70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo Tte 2d W Dplr Complt	$1,197.35	$3,991.16	$295.63–$3,592.04	35% below	70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echo Tte 2d W Dplr Complt W Contr	$1,197.35	$3,991.16	$295.63–$3,592.04	—	70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echo Tte 2d W Dplr Complt	$1,197.35	$3,991.16	$295.63–$3,592.04	—	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary Sys Img	$987.19	$3,290.63	$231.62–$2,961.57	11% below	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hepatobiliary Sys Img	$987.19	$3,290.63	$231.62–$2,961.57	—	70%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Slp Stdy Unatnd W Hrt/O2/Resp Efft	$419.70	$1,399.00	$176.24–$1,399.00	43% below	70%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Slp Stdy Unatnd W Hrt/O2/Resp Efft	$419.70	$1,399.00	$176.24–$1,399.00	—	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Psg W Cpap/Bipap Incomplt	$1,921.41	$6,404.70	$176.24–$5,764.23	41% below	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Psg W Cpap/Bipap	$2,252.28	$7,507.61	$176.24–$6,756.85	31% below	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Psg W Cpap/Bipap Incomplt	$1,921.41	$6,404.70	$176.24–$5,764.23	—	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Psg W Cpap/Bipap	$2,252.28	$7,507.61	$176.24–$6,756.85	—	70%
Knee X-ray, 3 views CPT 73562 HC Xr Knee 3v	$181.66	$605.54	$36.02–$544.99	33% below	70%
Knee X-ray, 3 views inpatient CPT 73562 HC Xr Knee 3v	$181.66	$605.54	$36.02–$544.99	—	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abd Ltd	$354.93	$1,183.10	$89.73–$1,064.79	28% below	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abd Ltd	$354.93	$1,183.10	$89.73–$1,064.79	—	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Lung Cancer Scr C-	$193.87	$646.25	$81.24–$646.25	30% below	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Thorax Lung Cancer Scr C-	$193.87	$646.25	$81.24–$646.25	—	70%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast W/WO Cntrst Bi	$1,661.17	$5,537.24	$251.96–$4,983.52	—	70%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI Breast W/WO Cntrst Bi	$1,661.17	$5,537.24	$251.96–$4,983.52	—	70%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lwr Ext Jnt WO Cntrst	$1,168.60	$3,895.32	$353.96–$3,505.79	33% below	70%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lwr Ext Jnt WO Cntrst	$1,168.60	$3,895.32	$353.96–$3,505.79	—	70%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lwr Ext Jnt W&WO Cntrst	$1,934.18	$6,447.26	$651.42–$5,802.53	20% below	70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lwr Ext Jnt W&WO Cntrst	$1,934.18	$6,447.26	$651.42–$5,802.53	—	70%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen WO Cntrst	$1,172.16	$3,907.20	$427.85–$3,516.48	38% below	70%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen WO Cntrst	$1,172.16	$3,907.20	$427.85–$3,516.48	—	70%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W&WO Cntrst	$1,612.32	$5,374.41	$656.88–$4,836.97	41% below	70%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W&WO Cntrst	$1,612.32	$5,374.41	$656.88–$4,836.97	—	70%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Cntrst	$1,035.53	$3,451.77	$353.96–$3,106.59	40% below	70%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain WO Cntrst	$1,035.53	$3,451.77	$353.96–$3,106.59	—	70%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/WO Cntrst	$1,698.07	$5,660.22	$542.11–$5,094.20	38% below	70%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/WO Cntrst	$1,698.07	$5,660.22	$542.11–$5,094.20	—	70%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumb Spine WO Cntrst	$1,318.96	$4,396.55	$353.96–$3,956.90	26% below	70%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumb Spine WO Cntrst	$1,318.96	$4,396.55	$353.96–$3,956.90	—	70%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumb Spine W/WO Cntrst	$1,629.88	$5,432.93	$542.11–$4,889.64	44% below	70%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Lumb Spine W/WO Cntrst	$1,629.88	$5,432.93	$542.11–$4,889.64	—	70%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thorac Spine WO Cntrst	$1,238.05	$4,126.85	$353.96–$3,714.17	30% below	70%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Thorac Spine WO Cntrst	$1,238.05	$4,126.85	$353.96–$3,714.17	—	70%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Cerv Spine W/WO Cntrst	$1,756.33	$5,854.43	$542.11–$5,268.99	32% below	70%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Cerv Spine W/WO Cntrst	$1,756.33	$5,854.43	$542.11–$5,268.99	—	70%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Cerv Spine WO Cntrst	$1,173.18	$3,910.59	$353.96–$3,519.53	33% below	70%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Cerv Spine WO Cntrst	$1,173.18	$3,910.59	$353.96–$3,519.53	—	70%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W&WO Cntrst	$1,491.47	$4,971.56	$656.88–$4,474.40	41% below	70%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis W&WO Cntrst	$1,491.47	$4,971.56	$656.88–$4,474.40	—	70%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis WO Cntrst	$1,253.32	$4,177.74	$428.14–$3,759.97	31% below	70%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis WO Cntrst	$1,253.32	$4,177.74	$428.14–$3,759.97	—	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upr Ext Jnt WO Cntrst	$1,088.20	$3,627.32	$353.96–$3,264.59	30% below	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI Upr Ext Jnt WO Cntrst	$1,088.20	$3,627.32	$353.96–$3,264.59	—	70%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Mpi Spect Mult	$1,881.76	$6,272.55	$284.05–$5,645.30	47% below	70%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Mpi Spect Mult	$1,881.76	$6,272.55	$284.05–$5,645.30	—	70%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet/CT Tumor Skull to Thigh	$2,262.14	$7,540.46	$1,221.55–$7,540.46	36% below	70%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet/CT Tumor Skull to Thigh	$2,262.14	$7,540.46	$1,221.55–$7,540.46	—	70%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvis Ltd/Fu	$256.21	$854.04	$48.79–$768.64	34% below	70%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Pelvis Ltd/Fu	$256.21	$854.04	$48.79–$768.64	—	70%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Complete	$371.47	$1,238.23	$96.49–$1,114.41	36% below	70%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvis Complete	$371.47	$1,238.23	$96.49–$1,114.41	—	70%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB > 1st Trimst Txabd Sngl	$418.28	$1,394.28	$132.87–$1,254.85	27% below	70%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB > 1st Trimst Txabd Sngl	$418.28	$1,394.28	$132.87–$1,254.85	—	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB 1st Trimst Txabd Sngl	$332.03	$1,106.77	$70.26–$996.09	38% below	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB 1st Trimst Txabd Sngl	$332.03	$1,106.77	$70.26–$996.09	—	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB Ltd Txabd >=1 Fetus	$158.51	$528.37	$89.73–$475.53	54% below	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB Ltd Txabd >=1 Fetus	$158.51	$528.37	$89.73–$475.53	—	70%
Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad	$216.64	$722.12	$41.04–$649.91	—	70%
Screening mammogram, both breasts CPT 77067 HC Scr Mammo Uni Incl Cad	$216.64	$722.12	$41.04–$649.91	2% below	70%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad	$216.64	$722.12	$41.04–$649.91	—	70%
Screening mammogram, both breasts inpatient CPT 77067 HC Scr Mammo Uni Incl Cad	$216.64	$722.12	$41.04–$649.91	—	70%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Xr Shoulder Complt>=2v	$167.58	$558.59	$36.02–$502.73	47% below	70%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Xr Shoulder Complt>=2v	$167.58	$558.59	$36.02–$502.73	—	70%
Sleep study in a lab (polysomnography) CPT 95810 HC Psg >4 Param Incomplt	$985.20	$3,284.00	$176.24–$2,955.60	68% below	70%
Sleep study in a lab (polysomnography) CPT 95810 HC Psg >4 Param	$1,951.47	$6,504.89	$176.24–$5,854.40	36% below	70%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Psg >4 Param Incomplt	$985.20	$3,284.00	$176.24–$2,955.60	—	70%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Psg >4 Param	$1,951.47	$6,504.89	$176.24–$5,854.40	—	70%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Tte Stress W Cont Ecg W Contr	$937.50	$3,125.00	$295.63–$2,812.50	22% below	70%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Tte Stress W Cont Ecg WO Contr	$937.50	$3,125.00	$295.63–$2,812.50	22% below	70%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Echo Tte Stress W Cont Ecg W Contr	$937.50	$3,125.00	$295.63–$2,812.50	—	70%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Echo Tte Stress W Cont Ecg WO Contr	$937.50	$3,125.00	$295.63–$2,812.50	—	70%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Swallowing Study W Video	$251.38	$837.92	$82.34–$754.13	60% below	70%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Xr Swallowing Study W Video	$251.38	$837.92	$82.34–$754.13	—	70%
Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal	$376.05	$1,253.49	$96.49–$1,128.14	26% below	70%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal	$376.05	$1,253.49	$96.49–$1,128.14	—	70%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB Transvaginal	$297.43	$991.43	$81.29–$892.29	7% below	70%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB Transvaginal	$297.43	$991.43	$81.29–$892.29	—	70%
Ultrasound of the abdomen, complete CPT 76700 HC US Abd Complete	$448.05	$1,493.50	$124.81–$1,344.15	44% below	70%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abd Complete	$448.05	$1,493.50	$124.81–$1,344.15	—	70%
Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum	$462.55	$1,541.85	$96.49–$1,387.67	16% below	70%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Scrotum	$462.55	$1,541.85	$96.49–$1,387.67	—	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Head&Neck Soft Tiss	$473.75	$1,579.16	$89.73–$1,421.24	22% below	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Head&Neck Soft Tiss	$473.75	$1,579.16	$89.73–$1,421.24	—	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Upper GI	$285.98	$953.26	$92.32–$857.93	42% below	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Xr Upper GI	$285.98	$953.26	$92.32–$857.93	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Dup Scan Ext Vein Uni	$426.37	$1,421.25	$204.97–$1,279.13	33% below	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Dup Scan Ext Vein Uni	$426.37	$1,421.25	$204.97–$1,279.13	—	70%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Xr Wrist>=3v Complt	$159.02	$530.06	$33.77–$477.05	33% below	70%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Xr Wrist>=3v Complt	$159.02	$530.06	$33.77–$477.05	—	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC Xr Hip Uni W Pelvis 2-3v	$158.00	$526.67	$40.31–$474.00	16% below	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC Xr Hip Uni W Pelvis 2-3v	$158.00	$526.67	$40.31–$474.00	—	70%
X-ray of the abdomen, 1 view CPT 74018 HC Xr Abdomen 1v	$165.89	$552.96	$16.08–$497.66	42% below	70%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC Xr Abdomen 1v	$165.89	$552.96	$16.08–$497.66	—	70%
X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 2v	$179.63	$598.76	$31.18–$538.88	10% below	70%
X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 1v	$179.63	$598.76	$31.18–$538.88	10% below	70%
X-ray of the ankle, 2 views inpatient CPT 73600 HC Xr Ankle 1v	$179.63	$598.76	$31.18–$538.88	—	70%
X-ray of the ankle, 2 views inpatient CPT 73600 HC Xr Ankle 2v	$179.63	$598.76	$31.18–$538.88	—	70%
X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Finger(S)>=2v	$152.15	$507.16	$26.69–$456.44	16% below	70%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Xr Finger(S)>=2v	$152.15	$507.16	$26.69–$456.44	—	70%
X-ray of the foot, 2 views CPT 73620 HC Xr Foot 2v	$139.17	$463.91	$31.18–$417.52	25% below	70%
X-ray of the foot, 2 views CPT 73620 HC Xr Foot 1v	$139.17	$463.91	$31.18–$417.52	25% below	70%
X-ray of the foot, 2 views inpatient CPT 73620 HC Xr Foot 1v	$139.17	$463.91	$31.18–$417.52	—	70%
X-ray of the foot, 2 views inpatient CPT 73620 HC Xr Foot 2v	$139.17	$463.91	$31.18–$417.52	—	70%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot >=3v Complt	$175.05	$583.49	$33.77–$525.14	33% below	70%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Xr Foot >=3v Complt	$175.05	$583.49	$33.77–$525.14	—	70%
X-ray of the hand, 3 or more views CPT 73130 HC Xr Hand>=3v	$153.97	$513.25	$33.77–$461.93	42% below	70%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC Xr Hand>=3v	$153.97	$513.25	$33.77–$461.93	—	70%
X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee 1-2v	$156.40	$521.35	$33.15–$469.22	14% below	70%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Xr Knee 1-2v	$156.40	$521.35	$33.15–$469.22	—	70%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr Spine Lumbosacral 2-3v	$274.53	$915.10	$42.47–$823.59	20% below	70%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Xr Spine Lumbosacral 2-3v	$274.53	$915.10	$42.47–$823.59	—	70%
X-ray of the lower back, 4 or more views CPT 72110 HC Xr Spine Lumbosacral >=4v	$342.72	$1,142.39	$57.87–$1,028.15	32% below	70%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xr Spine Lumbosacral >=4v	$342.72	$1,142.39	$57.87–$1,028.15	—	70%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr Spine Thorac 2v	$205.83	$686.11	$41.25–$617.50	37% below	70%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Xr Spine Thorac 2v	$205.83	$686.11	$41.25–$617.50	—	70%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Xr Nasal Bn>=3v	$181.41	$604.70	$33.15–$544.23	29% below	70%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Xr Nasal Bn>=3v	$181.41	$604.70	$33.15–$544.23	—	70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr Spine Cerv 2-3v	$220.33	$734.45	$37.96–$661.01	37% below	70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Xr Spine Cerv 2-3v	$220.33	$734.45	$37.96–$661.01	—	70%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1-2v	$159.53	$531.76	$33.15–$478.58	34% below	70%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Xr Pelvis 1-2v	$159.53	$531.76	$33.15–$478.58	—	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Xr Sacrum Coccyx>=2v	$202.53	$675.09	$36.02–$607.58	29% below	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Xr Sacrum Coccyx>=2v	$202.53	$675.09	$36.02–$607.58	—	70%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino	$31.95	$106.50	$0.01–$95.85	27% below	70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Transferase Alanine Amino	$31.95	$106.50	$0.01–$95.85	—	70%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino	$31.20	$104.00	$0.01–$93.60	18% below	70%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Transferase Aspartate Amino	$31.20	$104.00	$0.01–$93.60	—	70%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel	$278.44	$928.15	$0.01–$835.34	23% below	70%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel	$278.44	$928.15	$0.01–$835.34	—	70%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Ige Quant/Semi Ea	$28.21	$94.05	$0.01–$84.65	24% below	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Ige Quant/Semi Ea	$28.21	$94.05	$0.01–$84.65	—	70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Pept Ab	$94.48	$314.93	$0.01–$283.44	27% below	70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Citrullinated Pept Ab	$94.48	$314.93	$0.01–$283.44	—	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies (Ana)	$91.77	$305.90	$0.01–$275.31	29% below	70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies (Ana)	$91.77	$305.90	$0.01–$275.31	—	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide	$121.05	$403.50	$0.01–$363.15	12% below	70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide	$121.05	$403.50	$0.01–$363.15	—	70%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel (Bmp)	$131.38	$437.95	$0.01–$394.16	60% above	70%
Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel (Bmp)	$131.38	$437.95	$0.01–$394.16	—	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Muscle Biopsy	$124.02	$413.40	$0.01–$372.06	11% above	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path Gross Micro Level 4	$223.72	$745.75	$0.01–$671.18	101% above	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Prostate Ndl Bx	$2,436.18	$8,120.60	$0.01–$7,308.54	2085% above	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Muscle Biopsy	$124.02	$413.40	$0.01–$372.06	—	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path Gross Micro Level 4	$223.72	$745.75	$0.01–$671.18	—	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Prostate Ndl Bx	$2,436.18	$8,120.60	$0.01–$7,308.54	—	70%
Blood culture for bacteria CPT 87040 HC Cult Blood Isol W Pres ID	$150.76	$502.55	$0.01–$452.30	66% above	70%
Blood culture for bacteria inpatient CPT 87040 HC Cult Blood Isol W Pres ID	$150.76	$502.55	$0.01–$452.30	—	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture	$13.39	$44.65	$0.01–$40.19	3% above	70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Venipuncture	$13.39	$44.65	$0.01–$40.19	—	70%
Blood glucose (sugar) test CPT 82947 HC Glucose Bld Quant POC	$37.07	$123.57	$2.48–$111.21	1% above	70%
Blood glucose (sugar) test CPT 82947 HC Glucose Bld Quant	$39.04	$130.15	$2.48–$117.14	6% above	70%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Bld Quant POC	$37.07	$123.57	$2.48–$111.21	—	70%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Bld Quant	$39.04	$130.15	$2.48–$117.14	—	70%
Blood lead test CPT 83655 HC Lead	$67.80	$226.00	$0.01–$203.40	13% above	70%
Blood lead test inpatient CPT 83655 HC Lead	$67.80	$226.00	$0.01–$203.40	—	70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Pregnancy Test Serum	$98.24	$327.48	$0.33–$294.73	27% below	70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Pregnancy Test Serum	$98.24	$327.48	$0.33–$294.73	—	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo	$55.38	$184.60	$0.01–$166.14	17% below	70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Abo	$55.38	$184.60	$0.01–$166.14	—	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein	$87.78	$292.60	$0.01–$263.34	37% below	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein	$87.78	$292.60	$0.01–$263.34	—	70%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Difficile Toxin Amp Probe	$88.35	$294.50	$0.01–$265.05	1% below	70%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C Difficile Toxin Amp Probe	$88.35	$294.50	$0.01–$265.05	—	70%
CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassy Tumor Ca 19-9	$96.04	$320.15	$0.01–$288.14	11% above	70%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Immunoassy Tumor Ca 19-9	$96.04	$320.15	$0.01–$288.14	—	70%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassy Tumor Ca 125	$153.33	$511.10	$0.01–$459.99	9% above	70%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassy Tumor Ca 125	$153.33	$511.10	$0.01–$459.99	—	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Infect Agnt Detct Nucleic Acid Dna/Rna Covid19	$75.70	$252.33	$0.01–$227.10	38% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Infect Agnt Detct Nucleic Acid Dna/Rna Covid19	$75.70	$252.33	$0.01–$227.10	—	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Trach Dna Ampl Prb	$87.77	$292.56	$0.01–$263.30	17% above	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chlamydia Trach Dna Ampl Prb	$87.77	$292.56	$0.01–$263.30	—	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel	$98.32	$327.75	$0.01–$294.98	16% above	70%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel	$98.32	$327.75	$0.01–$294.98	—	70%
Complete blood count (CBC) with differential CPT 85025 HC Cbc W Auto Diff	$61.81	$206.03	$0.21–$185.43	5% below	70%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc W Auto Diff	$61.81	$206.03	$0.21–$185.43	—	70%
Complete blood count (CBC), no differential CPT 85027 HC Cbc Auto WO Diff	$56.43	$188.10	$4.10–$169.29	19% above	70%
Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc Auto WO Diff	$56.43	$188.10	$4.10–$169.29	—	70%
Comprehensive metabolic panel (blood test) CPT 80053 HC Compr Metabolic Panel (Cmp)	$146.77	$489.25	$0.01–$440.33	37% above	70%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Compr Metabolic Panel (Cmp)	$146.77	$489.25	$0.01–$440.33	—	70%
D-dimer blood test (blood clot marker) CPT 85379 HC D-Dimer Quant	$96.61	$322.05	$0.01–$289.85	9% below	70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-Dimer Quant	$96.61	$322.05	$0.01–$289.85	—	70%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea Sulfate	$73.32	$244.40	$0.01–$219.96	57% below	70%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dhea Sulfate	$73.32	$244.40	$0.01–$219.96	—	70%
Estradiol blood test CPT 82670 HC Estradiol	$119.98	$399.95	$0.01–$359.96	14% above	70%
Estradiol blood test inpatient CPT 82670 HC Estradiol	$119.98	$399.95	$0.01–$359.96	—	70%
FSH (follicle-stimulating hormone) test CPT 83001 HC Fsh (Follicle Stim Hormone)	$126.15	$420.50	$0.01–$378.45	18% below	70%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Fsh (Follicle Stim Hormone)	$126.15	$420.50	$0.01–$378.45	—	70%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin	$146.64	$488.80	$0.01–$439.92	60% below	70%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin	$146.64	$488.80	$0.01–$439.92	—	70%
Ferritin blood test (iron stores) CPT 82728 HC Ferritin	$67.35	$224.50	$0.01–$202.05	50% below	70%
Ferritin blood test (iron stores) inpatient CPT 82728 HC Ferritin	$67.35	$224.50	$0.01–$202.05	—	70%
Folate (folic acid) blood test CPT 82746 HC Folate	$86.58	$288.60	$0.01–$259.74	42% below	70%
Folate (folic acid) blood test inpatient CPT 82746 HC Folate	$86.58	$288.60	$0.01–$259.74	—	70%
Free T3 thyroid hormone test CPT 84481 HC T3 Free	$96.87	$322.90	$0.01–$290.61	41% below	70%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 Free	$96.87	$322.90	$0.01–$290.61	—	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 Free	$60.06	$200.20	$0.01–$180.18	56% below	70%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 Free	$60.06	$200.20	$0.01–$180.18	—	70%
Free testosterone test CPT 84402 HC Testosterone Free	$160.45	$534.85	$0.01–$481.37	23% below	70%
Free testosterone test inpatient CPT 84402 HC Testosterone Free	$160.45	$534.85	$0.01–$481.37	—	70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Postdose	$37.50	$125.00	$0.01–$112.50	52% below	70%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose Postdose	$37.50	$125.00	$0.01–$112.50	—	70%
Glucose tolerance test, 3 samples CPT 82951 HC Gtt 3 Specimens	$70.68	$235.60	$0.01–$212.04	35% below	70%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Gtt 3 Specimens	$70.68	$235.60	$0.01–$212.04	—	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Neisseria Gonorr Dna Ampl	$82.29	$274.30	$0.01–$246.87	10% above	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Neisseria Gonorr Dna Ampl	$82.29	$274.30	$0.01–$246.87	—	70%
H. pylori antibody blood test CPT 86677 HC H Pylori Ab	$127.50	$425.00	$0.01–$382.50	30% above	70%
H. pylori antibody blood test inpatient CPT 86677 HC H Pylori Ab	$127.50	$425.00	$0.01–$382.50	—	70%
H. pylori stool antigen test CPT 87338 HC H Pylori Stool Ag Eia	$125.97	$419.90	$0.01–$377.91	27% below	70%
H. pylori stool antigen test inpatient CPT 87338 HC H Pylori Stool Ag Eia	$125.97	$419.90	$0.01–$377.91	—	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Nucleic Acid Rev Trans Qn Hiv	$342.57	$1,141.90	$0.01–$1,027.71	23% above	70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Nucleic Acid Rev Trans Qn Hiv	$342.57	$1,141.90	$0.01–$1,027.71	—	70%
HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv 1 Hiv 2 Sngl Ab	$109.72	$365.75	$0.01–$329.18	63% above	70%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv 1 Hiv 2 Sngl Ab	$109.72	$365.75	$0.01–$329.18	—	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$118.84	$396.15	$0.01–$356.54	23% above	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$118.84	$396.15	$0.01–$356.54	—	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv High Risk	$117.13	$390.45	$0.01–$351.41	6% above	70%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Hpv High Risk	$117.13	$390.45	$0.01–$351.41	—	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin A1c	$53.85	$179.50	$0.01–$161.55	42% below	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin A1c	$53.85	$179.50	$0.01–$161.55	—	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hep B Surf Ab	$77.10	$257.00	$0.01–$231.30	5% below	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hep B Surf Ab	$77.10	$257.00	$0.01–$231.30	—	70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Ag Eia	$64.95	$216.50	$0.01–$194.85	1% below	70%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Hepatitis B Surface Ag Eia	$64.95	$216.50	$0.01–$194.85	—	70%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab	$120.55	$401.85	$0.01–$361.67	14% below	70%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Ab	$120.55	$401.85	$0.01–$361.67	—	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hep C Quant	$275.59	$918.65	$0.01–$826.79	33% above	70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Hep C Quant	$275.59	$918.65	$0.01–$826.79	—	70%
Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Type 1 Ab	$67.26	$224.20	$0.01–$201.78	30% below	70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Herpes Simplex Type 1 Ab	$67.26	$224.20	$0.01–$201.78	—	70%
Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Type 2 Ab	$51.48	$171.60	$0.01–$154.44	47% below	70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Herpes Simplex Type 2 Ab	$51.48	$171.60	$0.01–$154.44	—	70%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein Sensitive	$87.78	$292.60	$0.01–$263.34	4% below	70%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein Sensitive	$87.78	$292.60	$0.01–$263.34	—	70%
Homocysteine blood test CPT 83090 HC Homocysteine	$103.17	$343.90	$0.01–$309.51	64% below	70%
Homocysteine blood test inpatient CPT 83090 HC Homocysteine	$103.17	$343.90	$0.01–$309.51	—	70%
Insulin blood test CPT 83525 HC Insulin Total	$81.12	$270.40	$0.01–$243.36	28% above	70%
Insulin blood test inpatient CPT 83525 HC Insulin Total	$81.12	$270.40	$0.01–$243.36	—	70%
Iron blood test (serum iron) CPT 83540 HC Iron	$50.70	$169.00	$0.01–$152.10	4% above	70%
Iron blood test (serum iron) inpatient CPT 83540 HC Iron	$50.70	$169.00	$0.01–$152.10	—	70%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity (Tibc)	$57.22	$190.75	$0.01–$171.68	51% below	70%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity (Tibc)	$57.22	$190.75	$0.01–$171.68	—	70%
Kidney function blood test panel CPT 80069 HC Renal Function Panel	$86.92	$289.75	$0.01–$260.78	40% below	70%
Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel	$86.92	$289.75	$0.01–$260.78	—	70%
LH (luteinizing hormone) test CPT 83002 HC Lh (Lutenizing Hormone)	$70.59	$235.30	$0.01–$211.77	19% below	70%
LH (luteinizing hormone) test inpatient CPT 83002 HC Lh (Lutenizing Hormone)	$70.59	$235.30	$0.01–$211.77	—	70%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase	$76.83	$256.11	$0.01–$230.50	38% below	70%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase	$76.83	$256.11	$0.01–$230.50	—	70%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel	$106.30	$354.35	$0.01–$318.92	at median	70%
Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel	$106.30	$354.35	$0.01–$318.92	—	70%
Lyme disease antibody test CPT 86618 HC Lyme Disease Ab	$123.69	$412.30	$0.01–$371.07	59% above	70%
Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Ab	$123.69	$412.30	$0.01–$371.07	—	70%
Magnesium blood test CPT 83735 HC Magnesium	$45.00	$150.00	$0.01–$135.00	31% below	70%
Magnesium blood test inpatient CPT 83735 HC Magnesium	$45.00	$150.00	$0.01–$135.00	—	70%
Measles (rubeola) antibody test CPT 86765 HC Rubeola Ab	$79.51	$265.05	$0.01–$238.55	33% above	70%
Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola Ab	$79.51	$265.05	$0.01–$238.55	—	70%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Ab Screen	$55.57	$185.25	$0.19–$166.73	30% below	70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Heterophile Ab Screen	$55.57	$185.25	$0.19–$166.73	—	70%
Obstetric blood test panel CPT 80055 HC Obstetric Panel	$124.20	$414.00	$0.01–$372.60	3% below	70%
Obstetric blood test panel inpatient CPT 80055 HC Obstetric Panel	$124.20	$414.00	$0.01–$372.60	—	70%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa Free	$61.56	$205.20	$0.01–$184.68	53% below	70%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa Free	$61.56	$205.20	$0.01–$184.68	—	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Total	$100.89	$336.30	$0.01–$302.67	41% below	70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Psa Total	$100.89	$336.30	$0.01–$302.67	—	70%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Outr/Thin Prep Imager Pap Scre	$27.30	$91.00	$0.01–$89.41	77% below	70%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Outr/Thin Prep Imager Pap Scre	$27.30	$91.00	$0.01–$89.41	—	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytpath Cerv/Vag Screen	$49.59	$165.30	$0.01–$148.77	32% below	70%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cytpath Cerv/Vag Screen	$49.59	$165.30	$0.01–$148.77	—	70%
Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone (Pth)	$146.25	$487.50	$0.01–$438.75	32% below	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormone (Pth)	$146.25	$487.50	$0.01–$438.75	—	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt	$49.02	$163.40	$3.80–$147.06	6% above	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Mixng Studies	$54.72	$182.40	$3.80–$164.16	18% above	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt	$49.02	$163.40	$3.80–$147.06	—	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt Mixng Studies	$54.72	$182.40	$3.80–$164.16	—	70%
Progesterone blood test CPT 84144 HC Progesterone	$54.43	$181.45	$0.01–$163.31	67% below	70%
Progesterone blood test inpatient CPT 84144 HC Progesterone	$54.43	$181.45	$0.01–$163.31	—	70%
Prolactin blood test CPT 84146 HC Prolactin	$118.20	$394.00	$0.01–$354.60	36% below	70%
Prolactin blood test inpatient CPT 84146 HC Prolactin	$118.20	$394.00	$0.01–$354.60	—	70%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Protime	$39.06	$130.20	$2.49–$117.18	1% above	70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Protime	$39.06	$130.20	$2.49–$117.18	—	70%
Rapid flu test (influenza antigen) CPT 87804 HC Influenza W Dir Optic Obv	$79.51	$265.05	$7.59–$238.55	9% above	70%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC Influenza W Dir Optic Obv	$79.51	$265.05	$7.59–$238.55	—	70%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quant	$75.24	$250.80	$0.01–$225.72	5% below	70%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor Quant	$75.24	$250.80	$0.01–$225.72	—	70%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Ab	$69.15	$230.50	$0.01–$207.45	4% below	70%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Ab	$69.15	$230.50	$0.01–$207.45	—	70%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sedimentation Rate Auto	$33.06	$110.20	$1.71–$99.18	15% below	70%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Sedimentation Rate Auto	$33.06	$110.20	$1.71–$99.18	—	70%
Stool ova and parasites exam CPT 87177 HC Ova & Parasite	$81.22	$270.75	$0.01–$243.68	15% below	70%
Stool ova and parasites exam inpatient CPT 87177 HC Ova & Parasite	$81.22	$270.75	$0.01–$243.68	—	70%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Bld Feces Screening	$75.90	$253.00	$2.03–$227.70	105% above	70%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Occult Bld Feces Screening	$75.90	$253.00	$2.03–$227.70	—	70%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Occult Blood Feces Immunoassy	$36.00	$120.00	$0.01–$108.00	65% below	70%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Occult Blood Feces Immunoassy	$36.00	$120.00	$0.01–$108.00	—	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Qual	$42.46	$141.55	$0.01–$127.40	6% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Qual	$42.46	$141.55	$0.01–$127.40	—	70%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test Cell Immunity Measure	$166.15	$553.85	$0.01–$498.47	6% below	70%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB Test Cell Immunity Measure	$166.15	$553.85	$0.01–$498.47	—	70%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone Total	$131.40	$438.00	$0.01–$394.20	23% below	70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone Total	$131.40	$438.00	$0.01–$394.20	—	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Ab Ea	$92.34	$307.80	$0.01–$277.02	24% below	70%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Ab Ea	$92.34	$307.80	$0.01–$277.02	—	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Tsh	$65.52	$218.40	$0.01–$196.56	58% below	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone	$73.03	$243.43	$0.01–$219.09	53% below	70%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Tsh	$65.52	$218.40	$0.01–$196.56	—	70%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone	$73.03	$243.43	$0.01–$219.09	—	70%
Trichomonas test (NAAT) CPT 87661 HC Nucleic Acid Trichomon Amp	$91.20	$304.00	$0.01–$273.60	6% below	70%
Trichomonas test (NAAT) inpatient CPT 87661 HC Nucleic Acid Trichomon Amp	$91.20	$304.00	$0.01–$273.60	—	70%
Uric acid blood test CPT 84550 HC Uric Acid Blood	$41.61	$138.70	$0.01–$124.83	44% below	70%
Uric acid blood test inpatient CPT 84550 HC Uric Acid Blood	$41.61	$138.70	$0.01–$124.83	—	70%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Auto W Micro	$63.27	$210.90	$2.01–$189.81	53% above	70%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis Auto W Micro	$63.27	$210.90	$2.01–$189.81	—	70%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto WO Micro	$36.19	$120.65	$0.01–$108.59	29% above	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Auto WO Micro	$36.19	$120.65	$0.01–$108.59	—	70%
Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Non-Auto WO Micro	$36.76	$122.55	$0.01–$110.30	2% below	70%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalysis Non-Auto WO Micro	$36.76	$122.55	$0.01–$110.30	—	70%
Urine culture for bacteria, with colony count CPT 87086 HC Cult/Colony Count Quant Urine	$85.78	$285.95	$0.01–$257.36	26% above	70%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC Cult/Colony Count Quant Urine	$85.78	$285.95	$0.01–$257.36	—	70%
Urine pregnancy test, read by color change CPT 81025 HC Pregnancy Test Urine	$115.14	$383.80	$4.01–$345.42	47% above	70%
Urine pregnancy test, read by color change inpatient CPT 81025 HC Pregnancy Test Urine	$115.14	$383.80	$4.01–$345.42	—	70%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B12	$81.12	$270.40	$0.01–$243.36	30% below	70%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Vitamin B12	$81.12	$270.40	$0.01–$243.36	—	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D 25 Hydroxy	$78.75	$262.50	$0.01–$236.25	64% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Vitamin D 25 Hydroxy	$78.75	$262.50	$0.01–$236.25	—	70%
Zinc blood test CPT 84630 HC Zinc	$46.02	$153.40	$0.01–$138.06	59% below	70%
Zinc blood test inpatient CPT 84630 HC Zinc	$46.02	$153.40	$0.01–$138.06	—	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Gonadotropin Chorionic Quant	$106.19	$353.98	$0.01–$318.58	33% below	70%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Gonadotropin Chorionic Quant	$106.19	$353.98	$0.01–$318.58	—	70%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast Stereotc Clip Plc	$1,462.97	$4,876.58	$570.89–$4,625.00	46% below	70%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Bx Breast Stereotc Clip Plc	$1,462.97	$4,876.58	$570.89–$4,625.00	—	70%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Tx Cfx Distl Fib WO Manip	$404.54	$1,348.48	$218.45–$1,348.48	34% below	70%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Tx Cfx Distl Fib WO Manip	$404.54	$1,348.48	$218.45–$1,348.48	—	70%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC Cors&Angio W Lt Hrt Cath	$5,671.63	$18,905.42	$881.19–$17,014.88	43% below	70%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC Cors&Angio W Lt Hrt Cath	$5,671.63	$18,905.42	$881.19–$17,014.88	—	70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardiovsn Elect Extrnl	$1,143.15	$3,810.51	$295.63–$3,429.46	44% below	70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardiovsn Elect Extrnl	$1,143.15	$3,810.51	$295.63–$3,429.46	—	70%
Catheter ablation for atrial fibrillation CPT 93656 HC Comp Ep Eval Txsept Cath a Fib	$9,610.84	$32,036.13	$881.19–$28,832.52	42% below	70%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Comp Ep Eval Txsept Cath a Fib	$9,610.84	$32,036.13	$881.19–$28,832.52	—	70%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circum W/Clamp / Other Dvc	$1,168.18	$3,893.94	$630.82–$3,893.94	24% below	70%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circum W/Clamp / Other Dvc	$1,168.18	$3,893.94	$630.82–$3,893.94	—	70%
Circumcision, surgical, older than a newborn CPT 54160 HC Circumcision Neonate	$1,168.18	$3,893.94	$630.82–$3,893.94	53% below	70%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC Circumcision Neonate	$1,168.18	$3,893.94	$630.82–$3,893.94	—	70%
Colonoscopy with polyp removal CPT 45385 HC Colonoscopy W Rmvl Snare	$1,179.01	$3,930.04	$525.88–$3,930.04	70% below	70%
Colonoscopy with polyp removal inpatient CPT 45385 HC Colonoscopy W Rmvl Snare	$1,179.01	$3,930.04	$525.88–$3,930.04	—	70%
Colonoscopy with tissue sample CPT 45380 HC Colonoscopy Bx	$1,072.91	$3,576.36	$525.88–$3,576.36	73% below	70%
Colonoscopy with tissue sample inpatient CPT 45380 HC Colonoscopy Bx	$1,072.91	$3,576.36	$525.88–$3,576.36	—	70%
Coronary stent placement, one artery CPT 92928 HC Plc Stnt Sngl Maj Cor Arty 1 Les	$8,864.07	$29,546.89	$881.19–$29,546.89	2% above	70%
Coronary stent placement, one artery inpatient CPT 92928 HC Plc Stnt Sngl Maj Cor Arty 1 Les	$8,864.07	$29,546.89	$881.19–$29,546.89	—	70%
Cystoscopy with ureteral stent placement CPT 52332 HC Cystoscopy W Insert Stent	$2,516.23	$8,387.42	$994.90–$7,548.68	39% below	70%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC Cystoscopy W Insert Stent	$2,516.23	$8,387.42	$994.90–$7,548.68	—	70%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystoscopy	$1,285.80	$4,285.99	$694.33–$3,857.39	21% below	70%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystoscopy	$1,285.80	$4,285.99	$694.33–$3,857.39	—	70%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Dest Lesn Premalig 1st Les	$142.20	$474.00	$76.79–$474.00	19% above	70%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC Dest Lesn Premalig 1st Les	$142.20	$474.00	$76.79–$474.00	—	70%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Rmvl Impacted Cerumen Uni	$75.98	$253.27	$41.03–$253.27	49% below	70%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Rmvl Impacted Cerumen Uni	$75.98	$253.27	$41.03–$253.27	—	70%
Earwax removal with instruments, one ear CPT 69210 HC Rmvl Impacted Cerumen	$458.11	$1,527.04	$137.36–$1,527.04	80% above	70%
Earwax removal with instruments, one ear inpatient CPT 69210 HC Rmvl Impacted Cerumen	$458.11	$1,527.04	$137.36–$1,527.04	—	70%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Inj Cerv/Thorac Sngl W Img	$1,152.43	$3,841.43	$85.28–$3,457.29	65% below	70%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Inj Cerv/Thorac Sngl W Img	$1,152.43	$3,841.43	$85.28–$3,457.29	—	70%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC Inj Meds Intravitreal	$431.84	$1,439.46	$85.28–$1,439.46	39% below	70%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC Inj Meds Intravitreal	$431.84	$1,439.46	$85.28–$1,439.46	—	70%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Paravrt Jt L/S 1 Lvl	$1,844.70	$6,149.00	$85.28–$5,534.10	39% below	70%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Inj Paravrt Jt L/S 1 Lvl	$1,844.70	$6,149.00	$85.28–$5,534.10	—	70%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoid Flex	$928.23	$3,094.10	$501.24–$3,094.10	57% below	70%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC Sigmoid Flex	$928.23	$3,094.10	$501.24–$3,094.10	—	70%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC Lap Cholecyst W/Ioc	$2,203.50	$7,345.00	$525.88–$7,345.00	87% below	70%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC Lap Cholecyst W/Ioc	$2,203.50	$7,345.00	$525.88–$7,345.00	—	70%
Hammertoe correction surgery CPT 28285 HC Repair/Revision of Hammertoe	$1,671.60	$5,572.00	$85.28–$5,155.99	75% below	70%
Hammertoe correction surgery inpatient CPT 28285 HC Repair/Revision of Hammertoe	$1,671.60	$5,572.00	$85.28–$5,155.99	—	70%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC Hemorrhoid Lig Band	$1,377.16	$4,590.53	$525.88–$4,131.48	104% above	70%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC Hemorrhoid Lig Band	$1,377.16	$4,590.53	$525.88–$4,131.48	—	70%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC Rmvl Int/Ext Hem 1 Group	$2,134.20	$7,114.00	$525.88–$6,402.60	68% below	70%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC Rmvl Int/Ext Hem 1 Group	$2,134.20	$7,114.00	$525.88–$6,402.60	—	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath W Inj Cntrst Hsg	$482.54	$1,608.46	$260.57–$1,608.46	22% below	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Cath W Inj Cntrst Hsg	$482.54	$1,608.46	$260.57–$1,608.46	—	70%
IUD insertion (the device itself billed separately) CPT 58300 HC Ins Intrauterine Device	$359.32	$1,197.75	$194.04–$1,197.75	18% below	70%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC Ins Intrauterine Device	$359.32	$1,197.75	$194.04–$1,197.75	—	70%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Absc Smpl/Sngl	$644.70	$2,149.01	$85.28–$2,149.01	17% above	70%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D Absc Smpl/Sngl	$644.70	$2,149.01	$85.28–$2,149.01	—	70%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inj Sngl Tndn/Shth/Lgmnt	$1,008.60	$3,362.00	$85.28–$3,217.23	21% below	70%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Inj Sngl Tndn/Shth/Lgmnt	$1,008.60	$3,362.00	$85.28–$3,217.23	—	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 HC Arthcs Asp/Inj Mjr Jt Bi	$883.33	$2,944.45	$355.32–$2,944.45	—	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthcs Asp/Inj Mjr Jt	$795.00	$2,650.00	$355.32–$2,650.00	8% below	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 HC Arthcs Asp/Inj Mjr Jt Bi	$883.33	$2,944.45	$355.32–$2,944.45	—	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthcs Asp/Inj Mjr Jt	$795.00	$2,650.00	$355.32–$2,650.00	—	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthcs Asp/Inj Int Jt	$694.87	$2,316.24	$355.32–$2,316.24	8% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthcs Asp/Inj Int Jt	$694.87	$2,316.24	$355.32–$2,316.24	—	70%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthcs Asp/Inj Sm Jt	$382.62	$1,275.39	$206.61–$1,275.39	37% below	70%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthcs Asp/Inj Sm Jt	$382.62	$1,275.39	$206.61–$1,275.39	—	70%
Left heart catheterization, diagnostic one side CPT 93452 HC Lt Hrt Cath Si	$4,050.52	$13,501.75	$881.19–$12,876.33	48% below	70%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Lt Hrt Cath Si	$4,050.52	$13,501.75	$881.19–$12,876.33	—	70%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Inj Lumb/Sac Sngl W Img	$1,035.64	$3,452.15	$85.28–$3,217.23	41% below	70%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Inj Lumb/Sac Sngl W Img	$1,035.64	$3,452.15	$85.28–$3,217.23	—	70%
Lower-back epidural injection, without imaging guidance CPT 62322 HC Inj Lumb/Sac Sngl WO Img	$1,278.90	$4,263.00	$85.28–$3,836.70	27% below	70%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Inj Lumb/Sac Sngl WO Img	$1,278.90	$4,263.00	$85.28–$3,836.70	—	70%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj Anes Foramen Epi Lumb Sngl	$1,217.38	$4,057.93	$85.28–$3,652.14	64% below	70%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inj Anes Foramen Epi Lumb Sngl	$1,217.38	$4,057.93	$85.28–$3,652.14	—	70%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Excsn Lesn Tr/Limb <=0.5cm	$1,183.33	$3,944.44	$85.28–$3,550.00	89% above	70%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Excsn Lesn Tr/Limb <=0.5cm	$1,183.33	$3,944.44	$85.28–$3,550.00	—	70%
Nail removal (partial or complete), one nail CPT 11730 HC Avul Nail Plate Smpl	$886.80	$2,956.01	$85.28–$2,956.01	113% above	70%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avul Nail Plate Smpl	$886.80	$2,956.01	$85.28–$2,956.01	—	70%
Occipital nerve block (injection for headaches) CPT 64405 HC Inj Anes Occipital	$868.80	$2,896.00	$85.28–$2,896.00	11% above	70%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Inj Anes Occipital	$868.80	$2,896.00	$85.28–$2,896.00	—	70%
Pacemaker implant (dual chamber) CPT 33208 HC Ins/Rplc Pcmkr Atrial & Vent	$3,666.85	$12,222.82	$881.19–$12,222.82	68% below	70%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC Ins/Rplc Pcmkr Atrial & Vent	$3,666.85	$12,222.82	$881.19–$12,222.82	—	70%
Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W Img	$1,207.59	$4,025.31	$652.10–$3,622.78	15% below	70%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W Img	$1,207.59	$4,025.31	$652.10–$3,622.78	—	70%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excsn Nail Bed Partial/Complt	$1,912.80	$6,376.00	$85.28–$5,738.40	156% above	70%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excsn Nail Bed Partial/Complt	$1,912.80	$6,376.00	$85.28–$5,738.40	—	70%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Dest Lumb/Sac Facet Jnt	$984.30	$3,281.00	$85.28–$3,281.00	76% below	70%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Dest Lumb/Sac Facet Jnt	$984.30	$3,281.00	$85.28–$3,281.00	—	70%
Removal of a foreign object under the skin, simple CPT 10120 HC Incsn/Rmvl FB Sq Smpl	$1,116.30	$3,721.00	$520.21–$3,348.90	15% above	70%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Incsn/Rmvl FB Sq Smpl	$1,116.30	$3,721.00	$520.21–$3,348.90	—	70%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC Colonoscopy Scrn Low Risk	$1,176.00	$3,920.00	$525.88–$3,920.00	44% below	70%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC Colonoscopy Scrn Low Risk	$1,176.00	$3,920.00	$525.88–$3,920.00	—	70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC Colonoscopy Scrn High Risk	$1,176.00	$3,920.00	$525.88–$3,920.00	26% below	70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC Colonoscopy Scrn High Risk	$1,176.00	$3,920.00	$525.88–$3,920.00	—	70%
Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 HC Lithotripsy Bi	$9,411.57	$31,371.91	$5,082.25–$28,234.72	—	70%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC Lithotripsy Uni	$9,411.57	$31,371.91	$5,082.25–$28,234.72	35% below	70%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient both sides CPT 50590 HC Lithotripsy Bi	$9,411.57	$31,371.91	$5,082.25–$28,234.72	—	70%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC Lithotripsy Uni	$9,411.57	$31,371.91	$5,082.25–$28,234.72	—	70%
Short arm splint (forearm and hand) CPT 29125 HC App Splint Short Arm Static	$334.53	$1,115.10	$180.65–$1,115.10	13% below	70%
Short arm splint (forearm and hand) inpatient CPT 29125 HC App Splint Short Arm Static	$334.53	$1,115.10	$180.65–$1,115.10	—	70%
Short leg cast (below the knee) CPT 29405 HC App Cast Knee-Toe	$243.90	$813.00	$131.71–$813.00	70% below	70%
Short leg cast (below the knee) inpatient CPT 29405 HC App Cast Knee-Toe	$243.90	$813.00	$131.71–$813.00	—	70%
Short leg splint (calf to foot) CPT 29515 HC App Splint Short Leg	$384.49	$1,281.63	$206.50–$1,281.63	at median	70%
Short leg splint (calf to foot) inpatient CPT 29515 HC App Splint Short Leg	$384.49	$1,281.63	$206.50–$1,281.63	—	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Rpr Not Feeynolm<=2.5cm	$221.40	$738.00	$119.56–$738.00	35% below	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Rpr Not Feeynolm<=2.5cm	$221.40	$738.00	$119.56–$738.00	—	70%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Bx Skin Single Les	$790.78	$2,635.92	$85.28–$2,635.92	41% above	70%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Bx Skin Single Les	$790.78	$2,635.92	$85.28–$2,635.92	—	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Punc Lumb Dx	$977.10	$3,257.01	$355.32–$3,217.23	52% below	70%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Punc Lumb Dx	$977.10	$3,257.01	$355.32–$3,217.23	—	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Rpr Feeynolm<=2.5cm	$273.16	$910.55	$147.51–$910.55	22% below	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Rpr Feeynolm<=2.5cm	$273.16	$910.55	$147.51–$910.55	—	70%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangntl Bx Skin Single Les	$586.21	$1,954.02	$85.28–$1,954.02	10% above	70%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangntl Bx Skin Single Les	$586.21	$1,954.02	$85.28–$1,954.02	—	70%
Thoracentesis with imaging guidance CPT 32555 HC Thora W Img Guid	$1,087.43	$3,624.76	$587.21–$3,262.28	57% below	70%
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thora W Img Guid	$1,087.43	$3,624.76	$587.21–$3,262.28	—	70%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj Trigger Pnt<=2 Mscl	$987.35	$3,291.17	$85.28–$3,217.23	10% below	70%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inj Trigger Pnt<=2 Mscl	$987.35	$3,291.17	$85.28–$3,217.23	—	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast Ultrasonic Clip Plc	$1,688.03	$5,626.76	$567.26–$5,064.08	38% below	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast Ultrasonic Clip Plc	$1,688.03	$5,626.76	$567.26–$5,064.08	—	70%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC Egd W Baln Dil	$1,604.92	$5,349.75	$525.88–$4,814.78	65% below	70%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC Egd W Baln Dil	$1,604.92	$5,349.75	$525.88–$4,814.78	—	70%
Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Bx	$1,071.13	$3,570.43	$525.88–$3,570.43	24% below	70%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Egd Bx	$1,071.13	$3,570.43	$525.88–$3,570.43	—	70%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC Egd W Submuc Inj	$909.49	$3,031.65	$491.13–$3,031.65	80% below	70%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC Egd W Submuc Inj	$909.49	$3,031.65	$491.13–$3,031.65	—	70%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC Egd W Rmvl Snare	$893.92	$2,979.73	$482.72–$2,979.73	80% below	70%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC Egd W Rmvl Snare	$893.92	$2,979.73	$482.72–$2,979.73	—	70%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC Egd W Dil Guide Wire	$1,424.58	$4,748.59	$525.88–$4,586.00	68% below	70%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC Egd W Dil Guide Wire	$1,424.58	$4,748.59	$525.88–$4,586.00	—	70%
Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Dx	$1,189.10	$3,963.66	$525.88–$3,567.29	9% above	70%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Egd Dx	$1,189.10	$3,963.66	$525.88–$3,567.29	—	70%
Vein ablation, radiofrequency, first vein CPT 36475 HC Endovenous Ablt Rf 1st Vein	$1,768.29	$5,894.30	$954.88–$5,894.30	77% below	70%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC Endovenous Ablt Rf 1st Vein	$1,768.29	$5,894.30	$954.88–$5,894.30	—	70%
Wart removal, up to 14 warts CPT 17110 HC Dest Benign Skin Lesn <=14	$858.60	$2,862.00	$85.28–$2,862.00	68% below	70%
Wart removal, up to 14 warts inpatient CPT 17110 HC Dest Benign Skin Lesn <=14	$858.60	$2,862.00	$85.28–$2,862.00	—	70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Dbrd Skin & Sq Tiss<=20scm	$1,313.01	$4,376.70	$85.28–$3,939.03	42% above	70%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Dbrd Skin & Sq Tiss<=20scm	$1,313.01	$4,376.70	$85.28–$3,939.03	—	70%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Txfus Bld	$701.53	$2,338.44	$62.54–$2,338.44	9% below	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Txfus Bld	$701.53	$2,338.44	$62.54–$2,338.44	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Tx Inhal Aero Sputum	$89.50	$298.34	$48.33–$298.34	53% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Tx Inhal Aero Sputum Rpeat	$89.50	$298.34	$48.33–$298.34	53% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Tx Inhal Aero Sputum	$89.50	$298.34	$48.33–$298.34	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Tx Inhal Aero Sputum Rpeat	$89.50	$298.34	$48.33–$298.34	—	70%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemo IV Inf 1st Hr	$296.29	$987.65	$160.00–$987.65	57% below	70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo IV Inf 1st Hr	$296.29	$987.65	$160.00–$987.65	—	70%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC Exam Eye Compr	$207.01	$690.05	$85.28–$690.05	41% above	70%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HC Exam Eye Compr	$207.01	$690.05	$85.28–$690.05	—	70%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Complete Audiogram	$98.70	$329.00	$77.35–$329.00	75% below	70%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC Complete Audiogram	$98.70	$329.00	$77.35–$329.00	—	70%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care 30-74min	$1,407.60	$4,692.00	$130.53–$4,222.80	39% below	70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care 30-74min	$1,407.60	$4,692.00	$130.53–$4,222.80	—	70%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Incl Awake & Drowsy	$441.18	$1,470.61	$238.24–$1,470.61	45% below	70%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Incl Awake & Drowsy	$441.18	$1,470.61	$238.24–$1,470.61	—	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ekg 12 Lead Trace Only	$146.55	$488.51	$79.14–$439.66	46% below	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ekg 12 Lead Trace Only	$146.55	$488.51	$79.14–$439.66	—	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Visit Level 1	$231.28	$770.92	$84.28–$770.92	3% above	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Visit Level 1	$231.28	$770.92	$84.28–$770.92	—	70%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Visit Level 2	$358.49	$1,194.97	$100.96–$1,194.97	5% above	70%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Visit Level 2	$358.49	$1,194.97	$100.96–$1,194.97	—	70%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Visit Level 3	$485.71	$1,619.02	$147.60–$1,619.02	25% below	70%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Visit Level 3	$485.71	$1,619.02	$147.60–$1,619.02	—	70%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Visit Level 4	$638.87	$2,129.58	$296.48–$2,129.58	27% below	70%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Visit Level 4	$638.87	$2,129.58	$296.48–$2,129.58	—	70%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Visit Level 5	$894.83	$2,982.77	$296.48–$2,684.49	26% below	70%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Visit Level 5 W Proc	$894.83	$2,982.77	$296.48–$2,684.49	26% below	70%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Visit Level 5 W Proc	$894.83	$2,982.77	$296.48–$2,684.49	—	70%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Visit Level 5	$894.83	$2,982.77	$296.48–$2,684.49	—	70%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Stress Test Trace Only	$837.84	$2,792.79	$176.24–$2,513.51	36% above	70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Stress Test Trace Only	$837.84	$2,792.79	$176.24–$2,513.51	—	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Inf Hydrat Init 31min-1hr	$183.42	$611.40	$71.06–$571.00	38% below	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Inf Hydrat Init 31min-1hr	$183.42	$611.40	$71.06–$571.00	—	70%
IV infusion of a medicine, first hour CPT 96365 HC IV Inf Ther Init 1st Hr	$127.27	$424.22	$68.72–$424.22	57% below	70%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Inf Ther Init 1st Hr	$127.27	$424.22	$68.72–$424.22	—	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Inj Ther Sq/Im	$99.50	$331.68	$28.85–$331.68	24% above	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Inj Ther Sq/Im	$99.50	$331.68	$28.85–$331.68	—	70%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nrv Condct 7-8 Studies	$1,612.85	$5,376.18	$105.17–$4,838.56	102% above	70%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Nrv Condct 7-8 Studies	$1,612.85	$5,376.18	$105.17–$4,838.56	—	70%
Neuromuscular re-education, 15 minutes CPT 97112 HC Re-ED Neuromscl Ea 15min (Go)	$50.32	$167.73	$38.07–$167.73	43% below	70%
Neuromuscular re-education, 15 minutes CPT 97112 HC Re-ED Neuromscl Ea 15min (Gp)	$50.32	$167.73	$38.07–$167.73	43% below	70%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Re-ED Neuromscl Ea 15min (Gp)	$50.32	$167.73	$38.07–$167.73	—	70%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Re-ED Neuromscl Ea 15min (Go)	$50.32	$167.73	$38.07–$167.73	—	70%
New patient office visit, about 30 minutes CPT 99203 HC New E&M Hrt/Trn/Vad Lv3	$120.90	$403.00	$65.29–$403.00	46% below	70%
New patient office visit, about 30 minutes CPT 99203 HC New Eval Visit Level 3	$120.97	$403.23	$0.40–$403.23	46% below	70%
New patient office visit, about 30 minutes inpatient CPT 99203 HC New E&M Hrt/Trn/Vad Lv3	$120.90	$403.00	$65.29–$403.00	—	70%
New patient office visit, about 30 minutes inpatient CPT 99203 HC New Eval Visit Level 3	$120.97	$403.23	$0.40–$403.23	—	70%
New patient office visit, about 45 minutes CPT 99204 HC New E&M Hrt/Trn/Vad Lv4	$153.60	$512.00	$0.51–$512.00	26% below	70%
New patient office visit, about 45 minutes CPT 99204 HC New Eval Visit Level 4	$153.82	$512.72	$0.51–$512.72	26% below	70%
New patient office visit, about 45 minutes inpatient CPT 99204 HC New E&M Hrt/Trn/Vad Lv4	$153.60	$512.00	$0.51–$512.00	—	70%
New patient office visit, about 45 minutes inpatient CPT 99204 HC New Eval Visit Level 4	$153.82	$512.72	$0.51–$512.72	—	70%
New patient office visit, about 60 minutes CPT 99205 HC New E&M Hrt/Trn/Vad Lv5	$165.90	$553.00	$0.55–$553.00	39% below	70%
New patient office visit, about 60 minutes CPT 99205 HC New Eval Visit Level 5	$166.07	$553.58	$0.55–$553.58	39% below	70%
New patient office visit, about 60 minutes inpatient CPT 99205 HC New E&M Hrt/Trn/Vad Lv5	$165.90	$553.00	$0.55–$553.00	—	70%
New patient office visit, about 60 minutes inpatient CPT 99205 HC New Eval Visit Level 5	$166.07	$553.58	$0.55–$553.58	—	70%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC New E&M Hrt/Trn/Vad Lv2	$105.00	$350.00	$0.35–$350.00	34% below	70%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC New Eval Visit Level 2	$105.24	$350.81	$0.35–$350.81	34% below	70%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC New E&M Hrt/Trn/Vad Lv2	$105.00	$350.00	$0.35–$350.00	—	70%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC New Eval Visit Level 2	$105.24	$350.81	$0.35–$350.81	—	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt Init Indv Ea 15min	$24.55	$81.83	$13.26–$81.83	42% below	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Mnt Init Indv Ea 15min	$24.55	$81.83	$13.26–$81.83	—	70%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complex 30 Min	$134.95	$449.84	$59.70–$419.00	12% below	70%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Low Complex 30 Min	$134.95	$449.84	$59.70–$419.00	—	70%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complex 45 Min	$160.66	$535.54	$59.70–$481.99	22% below	70%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval High Complex 45 Min	$160.66	$535.54	$59.70–$481.99	—	70%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complex 20 Min	$134.95	$449.84	$59.70–$419.00	19% below	70%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Low Complex 20 Min	$134.95	$449.84	$59.70–$419.00	—	70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Mod Complex 30 Min	$136.33	$454.45	$59.70–$419.00	28% below	70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Mod Complex 30 Min	$136.33	$454.45	$59.70–$419.00	—	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Thrpy Manual Ea 15min (Gp)	$83.04	$276.79	$41.50–$276.79	15% below	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Thrpy Manual Ea 15min (Go)	$83.04	$276.79	$41.50–$276.79	15% below	70%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Thrpy Manual Ea 15min (Go)	$83.04	$276.79	$41.50–$276.79	—	70%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Thrpy Manual Ea 15min (Gp)	$83.04	$276.79	$41.50–$276.79	—	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Thrpy Proc Dirct Ea 15min (Gp)	$58.45	$194.83	$38.07–$194.83	34% below	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Thrpy Proc Dirct Ea 15min (Go)	$58.45	$194.83	$38.07–$194.83	34% below	70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Thrpy Proc Dirct Ea 15min (Go)	$58.45	$194.83	$38.07–$194.83	—	70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Thrpy Proc Dirct Ea 15min (Gp)	$58.45	$194.83	$38.07–$194.83	—	70%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smok Cess Coun Inter >3min<10 Min	$19.50	$65.00	$10.53–$65.00	62% below	70%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Smok Cess Coun Inter >3min<10 Min	$19.50	$65.00	$10.53–$65.00	—	70%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Est E&M Hrt/Trn/Vad Lv5	$156.59	$521.97	$0.52–$521.97	29% below	70%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Est Eval Visit Level 5	$163.30	$544.33	$0.54–$544.33	26% below	70%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Est E&M Hrt/Trn/Vad Lv5	$156.59	$521.97	$0.52–$521.97	—	70%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Est Eval Visit Level 5	$163.30	$544.33	$0.54–$544.33	—	70%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Est E&M Hrt/Trn/Vad Lv3	$116.40	$388.00	$0.39–$388.00	36% below	70%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Est Eval Visit Level 3	$119.37	$397.91	$0.40–$397.91	34% below	70%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Est E&M Hrt/Trn/Vad Lv3	$116.40	$388.00	$0.39–$388.00	—	70%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Est Eval Visit Level 3	$119.37	$397.91	$0.40–$397.91	—	70%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Est E&M Hrt/Trn/Vad Lv4	$133.20	$444.00	$0.44–$444.00	21% below	70%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Est Eval Visit Level 4	$133.23	$444.10	$0.44–$444.10	21% below	70%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Est E&M Hrt/Trn/Vad Lv4	$133.20	$444.00	$0.44–$444.00	—	70%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Est Eval Visit Level 4	$133.23	$444.10	$0.44–$444.10	—	70%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Est E&M Hrt/Trn/Vad Lv2	$96.90	$323.00	$0.32–$323.00	24% below	70%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Est Eval Visit Level 2	$96.91	$323.05	$0.32–$323.05	24% below	70%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Est E&M Hrt/Trn/Vad Lv2	$96.90	$323.00	$0.32–$323.00	—	70%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Est Eval Visit Level 2	$96.91	$323.05	$0.32–$323.05	—	70%
Speech and language evaluation CPT 92523 HC Eval Speech Prod W Comprehension	$164.48	$548.26	$88.82–$493.43	33% below	70%
Speech and language evaluation inpatient CPT 92523 HC Eval Speech Prod W Comprehension	$164.48	$548.26	$88.82–$493.43	—	70%
Speech therapy session, individual CPT 92507 HC Thrpy Speech/Hearing Indv	$104.08	$346.95	$66.05–$346.95	38% below	70%
Speech therapy session, individual inpatient CPT 92507 HC Thrpy Speech/Hearing Indv	$104.08	$346.95	$66.05–$346.95	—	70%
Spirometry (breathing test) CPT 94010 HC Spirometry Breathing Capacity	$189.23	$630.76	$102.18–$567.68	54% below	70%
Spirometry (breathing test) inpatient CPT 94010 HC Spirometry Breathing Capacity	$189.23	$630.76	$102.18–$567.68	—	70%
Spirometry before and after a bronchodilator CPT 94060 HC Bronchodil Responsiveness	$293.35	$977.84	$158.41–$880.06	52% below	70%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Bronchodil Responsiveness	$293.35	$977.84	$158.41–$880.06	—	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Thrpy Actvty Dirct 15min (Go)	$55.15	$183.84	$36.92–$183.84	30% below	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Thrpy Actvty Dirct 15min (Gp)	$55.15	$183.84	$36.92–$183.84	30% below	70%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Thrpy Actvty Dirct 15min (Gp)	$55.15	$183.84	$36.92–$183.84	—	70%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Thrpy Actvty Dirct 15min (Go)	$55.15	$183.84	$36.92–$183.84	—	70%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy Therapeutic	$138.22	$460.75	$27.38–$459.00	11% below	70%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy Therapeutic	$138.22	$460.75	$27.38–$459.00	—	70%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC Flu Vaccine Adjuvant Im	$60.60	$202.00	$28.80–$191.41	72% below	70%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC Flu Vaccine Adjuvant Im	$60.60	$202.00	$28.80–$191.41	—	70%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC Varivax	$142.20	$474.00	$9.40–$449.26	69% below	70%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC Varivax	$142.20	$474.00	$9.40–$449.26	—	70%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Flu Vaccine Trivalent Split Virus No Preser .5 Ml Im	$7.18	$23.92	$3.88–$23.92	90% below	70%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC Flu Vaccine Trivalent Split Virus No Preser .5 Ml Im	$7.18	$23.92	$3.88–$23.92	—	70%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC Pf Hpv Nonvalent Im 3 Dose	$127.20	$424.00	$68.69–$424.00	89% below	70%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC Pf Hpv Nonvalent Im 3 Dose	$127.20	$424.00	$68.69–$424.00	—	70%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC Hep a/Hep B Vacc Adult Im	$62.70	$209.00	$33.86–$209.00	88% below	70%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC Hep a/Hep B Vacc Adult Im	$62.70	$209.00	$33.86–$209.00	—	70%
Hepatitis A vaccine, adult dose CPT 90632 HC Havrix Adult	$76.50	$255.00	$41.31–$229.50	20% below	70%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$161.96	$539.87	$56.66–$485.88	69% above	70%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC Havrix Adult	$76.50	$255.00	$41.31–$229.50	—	70%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$161.96	$539.87	$56.66–$485.88	—	70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HB Hep B Vaccine Adult 3 Dose Imhc Hib Vaccine Hboc 4 Dose Im	$64.80	$216.00	$34.99–$194.40	69% below	70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$141.57	$471.91	$69.73–$424.72	32% below	70%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HB Hep B Vaccine Adult 3 Dose Imhc Hib Vaccine Hboc 4 Dose Im	$64.80	$216.00	$34.99–$194.40	—	70%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$141.57	$471.91	$69.73–$424.72	—	70%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Flu Vacc Prsv Free Inc Antig	$33.00	$110.00	$17.82–$110.00	81% below	70%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC Flu Vacc Prsv Free Inc Antig	$33.00	$110.00	$17.82–$110.00	—	70%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC Mmr Vaccine Sc	$82.50	$275.00	$11.75–$247.50	76% below	70%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$176.76	$589.21	$11.75–$530.29	48% below	70%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC Mmr Vaccine Sc	$82.50	$275.00	$11.75–$247.50	—	70%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$176.76	$589.21	$11.75–$530.29	—	70%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Meningococcal Vaccine Im	$141.90	$473.00	$9.40–$425.70	72% below	70%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$159.88	$532.93	$9.40–$479.64	69% below	70%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC Meningococcal Vaccine Im	$141.90	$473.00	$9.40–$425.70	—	70%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$159.88	$532.93	$9.40–$479.64	—	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HB Pcv20 Vaccine Im	$135.90	$453.00	$73.39–$453.00	87% below	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$558.65	$1,862.16	$301.67–$1,675.94	47% below	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HB Pcv20 Vaccine Im	$135.90	$453.00	$73.39–$453.00	—	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$558.65	$1,862.16	$301.67–$1,675.94	—	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Pneumococcal Vaccine > 2 Yrs	$117.90	$393.00	$9.40–$353.70	75% below	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC Pneumococcal Vaccine > 2 Yrs	$117.90	$393.00	$9.40–$353.70	—	70%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$1,077.54	$3,591.79	$550.96–$3,232.61	19% below	70%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$1,077.54	$3,591.79	$550.96–$3,232.61	—	70%
Rabies vaccine, one dose CPT 90675 HC Rabies Vaccine Im	$167.70	$559.00	$90.56–$559.00	84% below	70%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$786.99	$2,623.30	$174.71–$2,360.97	23% below	70%
Rabies vaccine, one dose inpatient CPT 90675 HC Rabies Vaccine Im	$167.70	$559.00	$90.56–$559.00	—	70%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$786.99	$2,623.30	$174.71–$2,360.97	—	70%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC Hzv Vacc Recombinant Im Njx	$174.90	$583.00	$94.45–$524.70	75% below	70%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC Hzv Vacc Recombinant Im Njx	$174.90	$583.00	$94.45–$524.70	—	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Td Vaccine No Prsrv >/= 7 Im	$29.70	$99.00	$11.75–$99.00	79% below	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$141.57	$471.91	$11.75–$424.72	2% above	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC Td Vaccine No Prsrv >/= 7 Im	$29.70	$99.00	$11.75–$99.00	—	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$141.57	$471.91	$11.75–$424.72	—	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vaccine >7 Im	$45.90	$153.00	$24.79–$137.70	77% below	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC Tdap Vaccine >7 Im	$45.90	$153.00	$24.79–$137.70	—	70%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC Typhoid Vaccine Im	$77.70	$259.00	$41.96–$259.00	90% below	70%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC Typhoid Vaccine Im	$77.70	$259.00	$41.96–$259.00	—	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Vacc Sngl	$33.72	$112.41	$18.21–$112.41	46% below	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Vacc Sngl	$33.72	$112.41	$18.21–$112.41	—	70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Admin Vacc Add	$29.98	$99.92	$16.19–$99.92	12% below	70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Admin Vacc Add	$29.98	$99.92	$16.19–$99.92	—	70%

Source file: https://www.piedmont.org/-/media/files/patients-and-visitors/price-estimates/price-estimates-2026/581581103_piedmont-augusta-hospital_standardcharges.zip