Hospital Tampa-St. Petersburg-Clearwater, FL

HCA Florida Oak Hill Hospital

HCA Florida Oak Hill Hospital in Brooksville, FL publishes cash prices for 299 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Florida median for 243 of 297 procedures and below it for 54. By typical cash price it ranks #161 of 171 Florida hospitals and #31 of 33 hospitals in the Tampa, FL area, cheapest first. Select a procedure to compare it with other hospitals nearby.

11375 CORTEZ BOULEVARD, BROOKSVILLE, FL, 34613 Collected Oct 24, 2026 Source price file Check a bill from this hospital (352) 596-6632

Acute care hospital For-profit hospital Emergency department CMS star rating 1 of 5 CCN 100264 · CMS hospital register NPI 1013961838

The price file shows no self-pay discount

For 769 of the 769 prices listed here, the cash price in HCA Florida Oak Hill Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named HCA Florida Oak Hill Hospital in Brooksville, FL:

Jun 22, 2023 Warning notice
Oct 2, 2023 Case closed
Apr 25, 2025 Met requirements
May 2, 2025 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Abdominal CT scan without and with contrast CPT 74170 Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED	$24,201.21	$24,201.21	$7,955.50–$8,122.98	510% above	—
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CONT	$24,201.21	$24,201.21	$1,137.46–$22,265.11	510% above	—
Abdominal CT scan without and with contrast CPT 74170 Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections	$24,201.21	$24,201.21	$401.74–$1,975.00	510% above	—
Abdominal X-ray, 2 views CPT 74019 ABD XR 2V	$2,958.45	$2,958.45	$139.05–$2,721.77	362% above	—
Abdominal X-ray, 2 views CPT 74019 Radiologic examination, abdomen; 2 views UNSCHEDULED	$2,958.45	$2,958.45	$476.62–$486.66	362% above	—
Abdominal X-ray, 2 views CPT 74019 Radiologic examination, abdomen; 2 views	$2,958.45	$2,958.45	—	362% above	—
Abdominal X-ray, 2 views CPT 74019 Radiologic examination, abdomen; 2 views Other Diagnostic Radiology FS	$2,958.45	$2,958.45	$245.18	362% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT	$2,726.13	$2,726.13	$128.13–$2,508.04	339% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT	$2,726.13	$2,726.13	$128.13–$2,508.04	339% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL	$2,538.58	$2,538.58	$119.31–$2,335.49	312% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT LT	$14,963.73	$14,963.73	$703.30–$13,766.63	536% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT RT	$14,963.73	$14,963.73	$703.30–$13,766.63	536% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Other Diagnostic Radiology FS	$3,096.39	$3,096.39	$401.74	268% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$3,096.39	$3,096.39	$145.53–$2,848.68	268% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study	$3,096.39	$3,096.39	—	268% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED	$3,096.39	$3,096.39	$798.28–$815.08	268% above	—
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body UNSCHEDULED	$13,704.46	$13,704.46	$528.29–$539.41	440% above	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY	$13,704.46	$13,704.46	$644.11–$12,608.10	440% above	—
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body	$13,704.46	$13,704.46	$848.52	440% above	—
Breast ultrasound, complete, one breast CPT 76641 US BRST UNI W AX COMP	$10,811.35	$10,811.35	$508.13–$9,946.44	1765% above	—
Breast ultrasound, limited (one breast or one area) CPT 76642 US BRST UNI W AX LTD	$10,811.35	$10,811.35	$508.13–$9,946.44	1980% above	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing	$52,683.01	$52,683.01	$767.00–$1,975.00	790% above	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED	$52,683.01	$52,683.01	$4,926.13–$5,029.84	790% above	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PEL W CONT	$52,683.01	$52,683.01	$2,476.10–$48,468.37	790% above	—
CT angiography (CTA) of the head CPT 70496 Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED	$19,883.85	$19,883.85	$3,674.62–$3,751.98	462% above	—
CT angiography (CTA) of the head CPT 70496 CTA HEAD	$19,883.85	$19,883.85	$934.54–$18,293.14	462% above	—
CT angiography (CTA) of the head CPT 70496 Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing	$19,883.85	$19,883.85	$401.74–$1,975.00	462% above	—
CT angiography (CTA) of the neck CPT 70498 CTA NECK	$21,773.00	$21,773.00	$1,023.33–$20,031.16	420% above	—
CT angiography (CTA) of the neck CPT 70498 Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED	$21,773.00	$21,773.00	$3,083.95–$3,148.87	420% above	—
CT angiography (CTA) of the neck CPT 70498 Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing	$21,773.00	$21,773.00	$401.74–$1,975.00	420% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$26,341.51	$26,341.51	$1,238.05–$24,234.19	481% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing	$26,341.51	$26,341.51	$1,478.00	481% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing UNSCHEDULED	$26,341.51	$26,341.51	$3,061.54–$3,125.99	481% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo	$25,949.47	$25,949.47	$1,478.00–$13,822.00	1230% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and mo UNSCHEDULED	$25,949.47	$25,949.47	$2,159.94–$2,205.41	1230% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART W CN ART/GRAFTS	$25,949.47	$25,949.47	$1,219.63–$23,873.51	1230% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material UNSCHEDULED	$36,982.99	$36,982.99	$3,956.30–$4,039.59	568% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material	$36,982.99	$36,982.99	$517.79–$1,975.00	568% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT	$36,982.99	$36,982.99	$1,738.20–$34,024.35	568% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT	$44,521.21	$44,521.21	$2,092.50–$40,959.51	646% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s)	$44,521.21	$44,521.21	$767.00–$1,975.00	646% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED	$44,521.21	$44,521.21	$4,598.64–$4,695.45	646% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions UNSCHEDULED	$44,436.68	$44,436.68	$4,969.02–$5,073.63	537% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions	$44,436.68	$44,436.68	$767.00–$1,975.00	537% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT	$44,436.68	$44,436.68	$2,088.52–$40,881.75	537% above	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT	$24,286.97	$24,286.97	$1,141.49–$22,344.01	610% above	—
CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) UNSCHEDULED	$24,286.97	$24,286.97	$2,844.18–$2,904.05	610% above	—
CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s)	$24,286.97	$24,286.97	$401.74–$1,975.00	610% above	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT	$21,042.83	$21,042.83	$989.01–$19,359.40	559% above	—
CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material	$21,042.83	$21,042.83	$245.18–$1,975.00	559% above	—
CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material UNSCHEDULED	$21,042.83	$21,042.83	$2,868.54–$2,928.93	559% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT	$15,541.99	$15,541.99	$730.47–$14,298.63	445% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material	$15,541.99	$15,541.99	$245.18–$1,975.00	445% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material UNSCHEDULED	$15,541.99	$15,541.99	$2,014.70–$2,057.12	445% above	—
CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material	$16,594.38	$16,594.38	$1,478.00	443% above	—
CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material UNSCHEDULED	$16,594.38	$16,594.38	$2,074.16–$2,117.83	443% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT	$16,594.38	$16,594.38	$779.94–$15,266.83	443% above	—
CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s)	$15,728.22	$15,728.22	$401.74–$1,975.00	320% above	—
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT	$15,728.22	$15,728.22	$739.23–$14,469.96	320% above	—
CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) UNSCHEDULED	$15,728.22	$15,728.22	$3,342.24–$3,412.61	320% above	—
CT scan of the head without and with contrast CPT 70470 Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections	$18,624.42	$18,624.42	$1,478.00	323% above	—
CT scan of the head without and with contrast CPT 70470 Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED	$18,624.42	$18,624.42	$2,827.61–$2,887.14	323% above	—
CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT	$18,624.42	$18,624.42	$875.35–$17,134.47	323% above	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material	$17,221.65	$17,221.65	$1,478.00	425% above	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST	$17,221.65	$17,221.65	$809.42–$15,843.92	425% above	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material UNSCHEDULED	$17,221.65	$17,221.65	$2,345.13–$2,394.50	425% above	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material UNSCHEDULED	$18,106.19	$18,106.19	$2,336.35–$2,385.54	433% above	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material	$18,106.19	$18,106.19	$245.18–$1,975.00	433% above	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST	$18,106.19	$18,106.19	$850.99–$16,657.69	433% above	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$20,234.24	$20,234.24	$951.01–$18,615.50	372% above	—
CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s)	$20,234.24	$20,234.24	$401.74–$1,975.00	372% above	—
CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) UNSCHEDULED	$20,234.24	$20,234.24	$2,851.00–$2,911.02	372% above	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study	$7,675.03	$7,675.03	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study SCHEDULED	$7,675.03	$7,675.03	$161.50–$164.90	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study UNSCHEDULED	$7,675.03	$7,675.03	$1,027.33–$1,048.96	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL	$7,675.03	$7,675.03	$360.73–$7,061.03	209% above	—
Chest CT scan without and with contrast CPT 71270 Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED	$24,201.21	$24,201.21	$2,816.88–$2,876.19	507% above	—
Chest CT scan without and with contrast CPT 71270 Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections	$24,201.21	$24,201.21	$401.74–$1,975.00	507% above	—
Chest CT scan without and with contrast CPT 71270 CT CHEST W&W/O CONT	$24,201.21	$24,201.21	$1,137.46–$22,265.11	507% above	—
Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views Other Diagnostic Radiology FS	$2,450.25	$2,450.25	$182.03	393% above	—
Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views UNSCHEDULED	$2,450.25	$2,450.25	$446.41–$455.81	393% above	—
Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views	$2,450.25	$2,450.25	—	393% above	—
Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V	$2,450.25	$2,450.25	$115.16–$2,254.23	393% above	—
Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view UNSCHEDULED	$2,153.80	$2,153.80	$375.26–$383.16	415% above	—
Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view	$2,153.80	$2,153.80	—	415% above	—
Chest X-ray, single view CPT 71045 CHEST XRAY 1 V	$2,153.80	$2,153.80	$101.23–$1,981.50	415% above	—
Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view Other Diagnostic Radiology FS	$2,153.80	$2,153.80	$182.03	415% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP LT	$2,534.95	$2,534.95	$119.14–$2,332.15	361% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP RT	$2,534.95	$2,534.95	$119.14–$2,332.15	361% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM	$5,460.73	$5,460.73	$256.65–$5,023.87	329% above	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) UNSCHEDULED	$3,924.03	$3,924.03	$213.46–$217.95	543% above	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)	$3,924.03	$3,924.03	—	543% above	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine) Other Diagnostic Radiology FS	$3,924.03	$3,924.03	$245.18	543% above	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$3,924.03	$3,924.03	$184.43–$3,610.11	543% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)	$4,279.77	$4,279.77	—	1428% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) Other Diagnostic Radiology FS	$4,279.77	$4,279.77	$182.03	1428% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY PERIPHL	$4,279.77	$4,279.77	$201.15–$3,937.39	1428% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel) UNSCHEDULED	$4,279.77	$4,279.77	$213.46–$217.95	1428% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation	$6,667.10	$6,667.10	$517.79	622% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; single or first gestation UNSCHEDULED	$6,667.10	$6,667.10	$526.34–$537.42	622% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL	$6,667.10	$6,667.10	$313.35–$6,133.73	622% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material	$19,891.21	$19,891.21	$245.18–$1,975.00	583% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$19,891.21	$19,891.21	$934.89–$18,299.91	583% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material UNSCHEDULED	$19,891.21	$19,891.21	$2,138.49–$2,183.51	583% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) UNSCHEDULED	$24,339.65	$24,339.65	$2,431.88–$2,483.07	534% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s)	$24,339.65	$24,339.65	$1,478.00	534% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST	$24,339.65	$24,339.65	$1,143.96–$22,392.48	534% above	—
Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Other Outpatient	$968.00	$968.00	$106.06	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI	$968.00	$968.00	$45.50–$890.56	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	$968.00	$968.00	$263.00	—	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CAD UNI RT	$693.33	$693.33	$32.59–$637.86	60% above	—
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CAD UNI LT	$693.33	$693.33	$32.59–$637.86	60% above	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study	$11,082.39	$11,082.39	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study UNSCHEDULED	$11,082.39	$11,082.39	$1,223.25–$1,249.00	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study SCHEDULED	$11,082.39	$11,082.39	$216.60–$221.16	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL	$11,082.39	$11,082.39	$520.87–$10,195.80	428% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL	$10,933.56	$10,933.56	$513.88–$10,058.88	498% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc SCHEDULED	$14,193.16	$14,193.16	$134.90–$137.74	324% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc UNSCHEDULED	$14,193.16	$14,193.16	$1,813.92–$1,852.11	324% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP	$14,193.16	$14,193.16	$667.08–$13,057.71	324% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc	$14,193.16	$14,193.16	—	324% above	—
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT	$1,963.83	$1,963.83	$92.30–$1,806.72	290% above	—
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT	$1,963.83	$1,963.83	$92.30–$1,806.72	290% above	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V LT	$2,999.59	$2,999.59	$140.98–$2,759.62	402% above	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V RT	$2,999.59	$2,999.59	$140.98–$2,759.62	402% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/IAC WO	$17,464.22	$17,464.22	$820.82–$16,067.08	566% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material UNSCHEDULED	$17,464.22	$17,464.22	$2,329.53–$2,378.58	566% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material	$17,464.22	$17,464.22	$1,478.00	566% above	—
Facial bones X-ray, complete, 3 or more views CPT 70150 Radiologic examination, facial bones; complete, minimum of 3 views UNSCHEDULED	$3,702.60	$3,702.60	$524.39–$535.43	388% above	—
Facial bones X-ray, complete, 3 or more views CPT 70150 Radiologic examination, facial bones; complete, minimum of 3 views Other Diagnostic Radiology FS	$3,702.60	$3,702.60	$245.18	388% above	—
Facial bones X-ray, complete, 3 or more views CPT 70150 Radiologic examination, facial bones; complete, minimum of 3 views	$3,702.60	$3,702.60	—	388% above	—
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3 + V	$3,702.60	$3,702.60	$174.02–$3,406.39	388% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT	$2,770.90	$2,770.90	$130.23–$2,549.23	386% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT	$2,770.90	$2,770.90	$130.23–$2,549.23	386% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB	$16,977.51	$16,977.51	$797.94–$15,619.31	733% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present;	$16,977.51	$16,977.51	$848.52	733% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; UNSCHEDULED	$16,977.51	$16,977.51	$1,771.03–$1,808.31	733% above	—
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V RT	$2,770.90	$2,770.90	$130.23–$2,549.23	435% above	—
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V LT	$2,770.90	$2,770.90	$130.23–$2,549.23	435% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V RT	$2,404.27	$2,404.27	$113.00–$2,211.93	388% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V LT	$2,404.27	$2,404.27	$113.00–$2,211.93	388% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a UNSCHEDULED	$39,758.18	$39,758.18	$5,954.44–$6,079.80	673% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLY >4 PAR W/CPAP OR BV	$39,758.18	$39,758.18	$1,868.63–$36,577.53	673% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a SCHEDULED	$39,758.18	$39,758.18	$515.85–$526.71	673% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a	$39,758.18	$39,758.18	$1,992.00	673% above	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT	$1,477.41	$1,477.41	$69.44–$1,359.22	116% above	—
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT	$1,477.41	$1,477.41	$69.44–$1,359.22	116% above	—
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V LT	$2,739.44	$2,739.44	$128.75–$2,520.28	254% above	—
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V RT	$2,739.44	$2,739.44	$128.75–$2,520.28	254% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C RT	$14,145.34	$14,145.34	$664.83–$13,013.71	435% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C LT	$14,145.34	$14,145.34	$664.83–$13,013.71	435% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)	$5,294.96	$5,294.96	$245.18	368% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up) UNSCHEDULED	$5,294.96	$5,294.96	$570.20–$582.20	368% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD	$5,294.96	$5,294.96	$248.86–$4,871.36	368% above	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NON VASC LTD	$5,112.25	$5,112.25	$240.28–$4,703.27	702% above	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREM NON VASC LTD	$5,112.25	$5,112.25	$240.28–$4,703.27	702% above	—
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREM NON VASC LTD	$5,112.25	$5,112.25	$240.28–$4,703.27	702% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)	$18,417.38	$18,417.38	$182.03	2428% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON	$18,417.38	$18,417.38	$865.62–$16,943.99	2428% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s) UNSCHEDULED	$18,417.38	$18,417.38	$625.76–$638.93	2428% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V LT	$2,756.38	$2,756.38	$129.55–$2,535.87	338% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V RT	$2,756.38	$2,756.38	$129.55–$2,535.87	338% above	—
MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography, head; without contrast material(s)	$9,324.00	$9,324.00	$517.79–$3,623.00	218% above	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA HD W/O CONT	$9,324.00	$9,324.00	$438.23–$8,578.08	218% above	—
MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography, head; without contrast material(s) UNSCHEDULED	$9,324.00	$9,324.00	$2,531.29–$2,584.58	218% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT	$10,247.00	$10,247.00	$481.61–$9,427.24	193% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT	$10,247.00	$10,247.00	$481.61–$9,427.24	193% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT RT	$10,247.00	$10,247.00	$481.61–$9,427.24	110% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT LT	$10,247.00	$10,247.00	$481.61–$9,427.24	110% above	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT	$10,247.00	$10,247.00	$481.61–$9,427.24	191% above	—
MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) UNSCHEDULED	$10,247.00	$10,247.00	$3,268.17–$3,336.97	191% above	—
MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)	$10,247.00	$10,247.00	$517.79–$3,623.00	191% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT	$10,247.00	$10,247.00	$481.61–$9,427.24	139% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences	$10,247.00	$10,247.00	$828.27–$3,623.00	139% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences UNSCHEDULED	$10,247.00	$10,247.00	$4,130.78–$4,217.74	139% above	—
MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material	$12,087.00	$12,087.00	$517.79–$3,623.00	248% above	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$12,087.00	$12,087.00	$568.09–$11,120.04	248% above	—
MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material UNSCHEDULED	$12,087.00	$12,087.00	$2,487.43–$2,539.80	248% above	—
MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences UNSCHEDULED	$14,186.00	$14,186.00	$3,632.70–$3,709.18	188% above	—
MRI of the brain, with and without contrast dye CPT 70553 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences	$14,186.00	$14,186.00	$828.27–$3,623.00	188% above	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT	$14,186.00	$14,186.00	$666.74–$13,051.12	188% above	—
MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material UNSCHEDULED	$12,087.00	$12,087.00	$2,529.35–$2,582.60	227% above	—
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT	$12,087.00	$12,087.00	$568.09–$11,120.04	227% above	—
MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material	$12,087.00	$12,087.00	$517.79–$3,623.00	227% above	—
MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar UNSCHEDULED	$14,186.00	$14,186.00	$3,501.12–$3,574.83	185% above	—
MRI of the lower back, without and then with contrast dye CPT 72158 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar	$14,186.00	$14,186.00	$828.27–$3,623.00	185% above	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT	$14,186.00	$14,186.00	$666.74–$13,051.12	185% above	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material UNSCHEDULED	$12,087.00	$12,087.00	$2,509.85–$2,562.69	220% above	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT	$12,087.00	$12,087.00	$568.09–$11,120.04	220% above	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material	$12,087.00	$12,087.00	$517.79–$3,623.00	220% above	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical UNSCHEDULED	$13,945.00	$13,945.00	$4,053.77–$4,139.12	192% above	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical	$13,945.00	$13,945.00	$828.27–$3,623.00	192% above	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT	$13,945.00	$13,945.00	$655.41–$12,829.40	192% above	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material	$12,087.00	$12,087.00	$517.79–$3,623.00	221% above	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material UNSCHEDULED	$12,087.00	$12,087.00	$2,374.37–$2,424.36	221% above	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT	$12,087.00	$12,087.00	$568.09–$11,120.04	221% above	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT	$13,945.00	$13,945.00	$655.41–$12,829.40	275% above	—
MRI of the pelvis without and with contrast CPT 72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences	$13,945.00	$13,945.00	$828.27–$3,623.00	275% above	—
MRI of the pelvis without and with contrast CPT 72197 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences UNSCHEDULED	$13,945.00	$13,945.00	$3,229.18–$3,297.17	275% above	—
MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) UNSCHEDULED	$12,087.00	$12,087.00	$2,782.77–$2,841.35	272% above	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT	$12,087.00	$12,087.00	$568.09–$11,120.04	272% above	—
MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)	$12,087.00	$12,087.00	$1,922.00	272% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT	$10,247.00	$10,247.00	$481.61–$9,427.24	210% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT	$10,247.00	$10,247.00	$481.61–$9,427.24	210% above	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE 4-5 V	$3,844.17	$3,844.17	$180.68–$3,536.64	337% above	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radiologic examination, spine, cervical; 4 or 5 views Other Diagnostic Radiology FS	$3,844.17	$3,844.17	$245.18	337% above	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radiologic examination, spine, cervical; 4 or 5 views UNSCHEDULED	$3,844.17	$3,844.17	$651.10–$664.81	337% above	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radiologic examination, spine, cervical; 4 or 5 views	$3,844.17	$3,844.17	—	337% above	—
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST	$17,846.46	$17,846.46	$838.78–$16,418.74	436% above	—
Neck soft tissue CT scan with contrast CPT 70491 Computed tomography, soft tissue neck; with contrast material(s) UNSCHEDULED	$17,846.46	$17,846.46	$3,383.19–$3,454.41	436% above	—
Neck soft tissue CT scan with contrast CPT 70491 Computed tomography, soft tissue neck; with contrast material(s)	$17,846.46	$17,846.46	$401.74–$1,975.00	436% above	—
Neck soft tissue CT scan without contrast CPT 70490 Computed tomography, soft tissue neck; without contrast material UNSCHEDULED	$19,390.13	$19,390.13	$3,071.28–$3,135.94	547% above	—
Neck soft tissue CT scan without contrast CPT 70490 Computed tomography, soft tissue neck; without contrast material	$19,390.13	$19,390.13	$1,478.00	547% above	—
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$19,390.13	$19,390.13	$911.34–$17,838.92	547% above	—
Neck soft tissue X-ray CPT 70360 Radiologic examination; neck, soft tissue	$2,436.94	$2,436.94	—	337% above	—
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$2,436.94	$2,436.94	$114.54–$2,241.98	337% above	—
Neck soft tissue X-ray CPT 70360 Radiologic examination; neck, soft tissue UNSCHEDULED	$2,436.94	$2,436.94	$322.63–$329.42	337% above	—
Neck soft tissue X-ray CPT 70360 Radiologic examination; neck, soft tissue Other Diagnostic Radiology FS	$2,436.94	$2,436.94	$182.03	337% above	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT	$25,765.74	$25,765.74	$1,210.99–$23,704.48	368% above	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat	$25,765.74	$25,765.74	$2,938.37	368% above	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantificat UNSCHEDULED	$25,765.74	$25,765.74	$3,623.94–$3,700.23	368% above	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$15,940.16	$15,940.16	$749.19–$14,664.95	424% above	—
Pelvic CT scan without contrast CPT 72192 Computed tomography, pelvis; without contrast material	$15,940.16	$15,940.16	$245.18–$1,975.00	424% above	—
Pelvic CT scan without contrast CPT 72192 Computed tomography, pelvis; without contrast material UNSCHEDULED	$15,940.16	$15,940.16	$2,448.44–$2,499.99	424% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles) UNSCHEDULED	$5,294.96	$5,294.96	$418.14–$426.95	500% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU	$5,294.96	$5,294.96	$248.86–$4,871.36	500% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)	$5,294.96	$5,294.96	$245.18	500% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$6,518.27	$6,518.27	$306.36–$5,996.81	390% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	$6,518.27	$6,518.27	$245.18	390% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete UNSCHEDULED	$6,518.27	$6,518.27	$1,050.73–$1,072.85	390% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation	$6,425.10	$6,425.10	$245.18	685% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI	$6,425.10	$6,425.10	$301.98–$5,911.09	685% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation UNSCHEDULED	$6,425.10	$6,425.10	$917.20–$936.51	685% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR	$6,425.10	$6,425.10	$301.98–$5,911.09	751% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation UNSCHEDULED	$6,425.10	$6,425.10	$616.01–$628.98	751% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation	$6,425.10	$6,425.10	$245.18	751% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD	$6,018.54	$6,018.54	$282.87–$5,537.06	831% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses	$6,018.54	$6,018.54	$245.18	831% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses UNSCHEDULED	$6,018.54	$6,018.54	$436.67–$445.86	831% above	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V LT	$3,369.85	$3,369.85	$158.38–$3,100.26	392% above	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V RT	$3,369.85	$3,369.85	$158.38–$3,100.26	392% above	—
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI	$492.47	$492.47	$23.15–$453.07	—	—
Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed	$492.47	$492.47	$217.46	—	—
Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed Other Outpatient	$492.47	$492.47	$87.36	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT	$2,780.58	$2,780.58	$130.69–$2,558.13	282% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT	$2,780.58	$2,780.58	$130.69–$2,558.13	282% above	—
Sinus X-ray, complete, 3 or more views CPT 70220 Radiologic examination, sinuses, paranasal, complete, minimum of 3 views UNSCHEDULED	$3,751.00	$3,751.00	$671.56–$685.70	338% above	—
Sinus X-ray, complete, 3 or more views CPT 70220 Radiologic examination, sinuses, paranasal, complete, minimum of 3 views	$3,751.00	$3,751.00	—	338% above	—
Sinus X-ray, complete, 3 or more views CPT 70220 Radiologic examination, sinuses, paranasal, complete, minimum of 3 views Other Diagnostic Radiology FS	$3,751.00	$3,751.00	$182.03	338% above	—
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3 + V	$3,751.00	$3,751.00	$176.30–$3,450.92	338% above	—
Skull X-ray, fewer than 4 views CPT 70250 Radiologic examination, skull; less than 4 views UNSCHEDULED	$2,256.65	$2,256.65	$438.61–$447.85	252% above	—
Skull X-ray, fewer than 4 views CPT 70250 Radiologic examination, skull; less than 4 views	$2,256.65	$2,256.65	—	252% above	—
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 V	$2,256.65	$2,256.65	$106.06–$2,076.12	252% above	—
Skull X-ray, fewer than 4 views CPT 70250 Radiologic examination, skull; less than 4 views Other Diagnostic Radiology FS	$2,256.65	$2,256.65	$245.18	252% above	—
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist UNSCHEDULED	$33,448.03	$33,448.03	$5,412.51–$5,526.46	529% above	—
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist SCHEDULED	$33,448.03	$33,448.03	$493.05–$503.43	529% above	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY >4 PAR	$33,448.03	$33,448.03	$1,572.06–$30,772.19	529% above	—
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist	$33,448.03	$33,448.03	$1,992.00	529% above	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study UNSCHEDULED	$4,168.45	$4,168.45	$575.07–$587.18	327% above	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study	$4,168.45	$4,168.45	—	327% above	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study Other Diagnostic Radiology FS	$4,168.45	$4,168.45	$401.74	327% above	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V	$4,168.45	$4,168.45	$195.92–$3,834.97	327% above	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Radiologic examination, femur; minimum 2 views Other Diagnostic Radiology FS	$2,756.38	$2,756.38	$182.03	424% above	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Radiologic examination, femur; minimum 2 views UNSCHEDULED	$2,756.38	$2,756.38	$470.78–$480.69	424% above	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR MIN 2 VIEWS	$2,756.38	$2,756.38	$129.55–$2,535.87	424% above	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Radiologic examination, femur; minimum 2 views	$2,756.38	$2,756.38	—	424% above	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST	$22,008.23	$22,008.23	$1,034.39–$20,247.57	631% above	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 Computed tomography, thoracic spine; without contrast material UNSCHEDULED	$22,008.23	$22,008.23	$2,143.36–$2,188.48	631% above	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 Computed tomography, thoracic spine; without contrast material	$22,008.23	$22,008.23	$245.18–$1,975.00	631% above	—
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V RT	$2,416.37	$2,416.37	$113.57–$2,223.06	395% above	—
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V LT	$2,416.37	$2,416.37	$113.57–$2,223.06	395% above	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$6,579.98	$6,579.98	$309.26–$6,053.58	555% above	—
Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal	$6,579.98	$6,579.98	$245.18	555% above	—
Transvaginal pelvic ultrasound CPT 76830 Ultrasound, transvaginal UNSCHEDULED	$6,579.98	$6,579.98	$943.51–$963.37	555% above	—
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL	$6,579.98	$6,579.98	$309.26–$6,053.58	621% above	—
Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal UNSCHEDULED	$6,579.98	$6,579.98	$456.16–$465.76	621% above	—
Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal	$6,579.98	$6,579.98	$245.18	621% above	—
Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete	$16,164.39	$16,164.39	$245.18	949% above	—
Ultrasound of the abdomen, complete CPT 76700 Ultrasound, abdominal, real time with image documentation; complete UNSCHEDULED	$16,164.39	$16,164.39	$1,387.97–$1,417.19	949% above	—
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$16,164.39	$16,164.39	$759.73–$14,871.24	949% above	—
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents	$6,241.18	$6,241.18	$245.18	479% above	—
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents UNSCHEDULED	$6,241.18	$6,241.18	$710.55–$725.51	479% above	—
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS	$6,241.18	$6,241.18	$293.34–$5,741.89	479% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation	$5,505.50	$5,505.50	$245.18	371% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation UNSCHEDULED	$5,505.50	$5,505.50	$936.69–$956.41	371% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK	$5,505.50	$5,505.50	$258.76–$5,065.06	371% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST	$6,586.03	$6,586.03	$309.54–$6,059.15	484% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study Other Diagnostic Radiology FS	$6,586.03	$6,586.03	$401.74	484% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study UNSCHEDULED	$6,586.03	$6,586.03	$2,061.49–$2,104.89	484% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study	$6,586.03	$6,586.03	—	484% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V RT	$2,756.38	$2,756.38	$129.55–$2,535.87	372% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V LT	$2,756.38	$2,756.38	$129.55–$2,535.87	372% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI RT	$6,340.40	$6,340.40	$298.00–$5,833.17	638% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI LT	$6,340.40	$6,340.40	$298.00–$5,833.17	638% above	—
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RT	$1,958.99	$1,958.99	$92.07–$1,802.27	218% above	—
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LT	$1,958.99	$1,958.99	$92.07–$1,802.27	218% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT	$2,562.78	$2,562.78	$120.45–$2,357.76	261% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT	$2,562.78	$2,562.78	$120.45–$2,357.76	261% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP W PEL UN 2-3 VIEW	$2,184.05	$2,184.05	$102.65–$2,009.33	275% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views Other Diagnostic Radiology FS	$2,184.05	$2,184.05	$182.03	275% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views UNSCHEDULED	$2,184.05	$2,184.05	$440.56–$449.84	275% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views	$2,184.05	$2,184.05	—	275% above	—
X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V	$2,485.34	$2,485.34	$116.81–$2,286.51	403% above	—
X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view	$2,485.34	$2,485.34	—	403% above	—
X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view UNSCHEDULED	$2,485.34	$2,485.34	$472.73–$482.68	403% above	—
X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view Other Diagnostic Radiology FS	$2,485.34	$2,485.34	$182.03	403% above	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT	$2,478.08	$2,478.08	$116.47–$2,279.83	406% above	—
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT	$2,478.08	$2,478.08	$116.47–$2,279.83	406% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT	$2,380.07	$2,380.07	$111.86–$2,189.66	404% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT	$2,380.07	$2,380.07	$111.86–$2,189.66	404% above	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$2,478.08	$2,478.08	$116.47–$2,279.83	405% above	—
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$2,478.08	$2,478.08	$116.47–$2,279.83	405% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT	$2,583.35	$2,583.35	$121.42–$2,376.68	329% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT	$2,583.35	$2,583.35	$121.42–$2,376.68	329% above	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT	$2,562.78	$2,562.78	$120.45–$2,357.76	304% above	—
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT	$2,562.78	$2,562.78	$120.45–$2,357.76	304% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT	$1,776.28	$1,776.28	$83.49–$1,634.18	195% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT	$1,776.28	$1,776.28	$83.49–$1,634.18	195% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS	$3,280.31	$3,280.31	$154.17–$3,017.89	374% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views	$3,280.31	$3,280.31	—	374% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views Other Diagnostic Radiology FS	$3,280.31	$3,280.31	$245.18	374% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views UNSCHEDULED	$3,280.31	$3,280.31	$477.60–$487.66	374% above	—
X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views Other Diagnostic Radiology FS	$4,564.12	$4,564.12	$245.18	308% above	—
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS	$4,564.12	$4,564.12	$214.51–$4,198.99	308% above	—
X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views UNSCHEDULED	$4,564.12	$4,564.12	$785.61–$802.15	308% above	—
X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views	$4,564.12	$4,564.12	—	308% above	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views Other Diagnostic Radiology FS	$2,756.38	$2,756.38	$245.18	343% above	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views UNSCHEDULED	$2,756.38	$2,756.38	$498.08–$508.56	343% above	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS	$2,756.38	$2,756.38	$129.55–$2,535.87	343% above	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views	$2,756.38	$2,756.38	—	343% above	—
X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views Other Diagnostic Radiology FS	$2,756.38	$2,756.38	$182.03	327% above	—
X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views	$2,756.38	$2,756.38	—	327% above	—
X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views UNSCHEDULED	$2,756.38	$2,756.38	$387.93–$396.10	327% above	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP	$2,756.38	$2,756.38	$129.55–$2,535.87	327% above	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views Other Diagnostic Radiology FS	$2,756.38	$2,756.38	$182.03	300% above	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS	$2,756.38	$2,756.38	$129.55–$2,535.87	300% above	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views UNSCHEDULED	$2,756.38	$2,756.38	$422.05–$430.93	300% above	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views	$2,756.38	$2,756.38	—	300% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views Other Diagnostic Radiology FS	$2,534.95	$2,534.95	$245.18	309% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views UNSCHEDULED	$2,534.95	$2,534.95	$390.86–$399.09	309% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views	$2,534.95	$2,534.95	—	309% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS	$2,534.95	$2,534.95	$119.14–$2,332.15	309% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views	$4,282.19	$4,282.19	—	556% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views UNSCHEDULED	$4,282.19	$4,282.19	$450.31–$459.79	556% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V	$4,282.19	$4,282.19	$201.26–$3,939.61	556% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views Other Diagnostic Radiology FS	$4,282.19	$4,282.19	$182.03	556% above	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$709.04	$709.04	$33.32–$652.32	1700% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT)	$724.26	$724.26	$4.69–$7.04	1226% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) UNSCHEDULED	$724.26	$724.26	$179.34–$183.12	1226% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$724.26	$724.26	$34.04–$666.32	1226% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) Other Outpatient	$724.26	$724.26	$5.18	1226% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$108.25	$108.25	$5.09–$99.59	33% below	—
Albumin blood test CPT 82040 ALBUMIN SERUM QN	$444.20	$444.20	$20.88–$408.66	2528% above	—
Albumin blood test CPT 82040 Albumin; serum, plasma or whole blood Other Outpatient	$444.20	$444.20	$4.95	2528% above	—
Albumin blood test CPT 82040 Albumin; serum, plasma or whole blood UNSCHEDULED	$444.20	$444.20	$140.35–$143.31	2528% above	—
Albumin blood test CPT 82040 Albumin; serum, plasma or whole blood	$444.20	$444.20	$4.95	2528% above	—
Aldosterone blood test CPT 82088 ALDOSTERONE UR QN	$17.10	$17.10	$0.80–$15.73	39% below	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (ALP)	$1,067.35	$1,067.35	$50.17–$981.96	2340% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Other Outpatient	$3.26	$3.26	$5.22	58% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH	$3.26	$3.26	$0.15–$3.00	58% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each	$3.26	$3.26	$5.22	58% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each UNSCHEDULED	$3.26	$3.26	$113.07–$115.45	58% below	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT SERUM	$1,469.68	$1,469.68	$69.07–$1,352.11	4264% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT SERUM MAT	$2,131.75	$2,131.75	$100.19–$1,961.21	6229% above	—
Ammonia blood test CPT 82140 Ammonia UNSCHEDULED	$863.85	$863.85	$225.16–$229.90	657% above	—
Ammonia blood test CPT 82140 Ammonia	$863.85	$863.85	$14.57	657% above	—
Ammonia blood test CPT 82140 AMMONIA	$863.85	$863.85	$40.60–$794.74	657% above	—
Ammonia blood test CPT 82140 Ammonia Other Outpatient	$863.85	$863.85	$14.57	657% above	—
Amylase blood test CPT 82150 AMYLASE BLD	$794.92	$794.92	$37.36–$731.33	2436% above	—
Amylase blood test CPT 82150 AMYLASE UR	$1,531.44	$1,531.44	$71.98–$1,408.92	4785% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP	$12.42	$12.42	$0.58–$11.43	55% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN	$1,308.08	$1,308.08	$61.48–$1,203.43	4417% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$1,043.25	$1,043.25	$49.03–$959.79	527% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR	$82.07	$82.07	$3.86–$75.50	10% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE NOT MARROW	$82.07	$82.07	$3.86–$75.50	10% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ASPIRATE	$82.07	$82.07	$3.86–$75.50	10% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF	$955.26	$955.26	$44.90–$878.84	1179% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY	$1,050.01	$1,050.01	$49.35–$966.01	1306% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT THROAT	$1,154.09	$1,154.09	$54.24–$1,061.76	1446% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$1,533.15	$1,533.15	$72.06–$1,410.50	1954% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$1,917.26	$1,917.26	$90.11–$1,763.88	2468% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATHETER TIP	$1,973.95	$1,973.95	$92.78–$1,816.03	2544% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRONCH WASH	$1,973.95	$1,973.95	$92.78–$1,816.03	2544% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL	$2,350.46	$2,350.46	$110.47–$2,162.42	3048% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TRACHEA	$3,226.18	$3,226.18	$151.63–$2,968.09	4221% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRONCH BRUSH	$3,226.18	$3,226.18	$151.63–$2,968.09	4221% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SINUS	$3,226.18	$3,226.18	$151.63–$2,968.09	4221% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE MARROW	$3,226.18	$3,226.18	$151.63–$2,968.09	4221% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID	$3,226.18	$3,226.18	$151.63–$2,968.09	4221% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SURGICAL SPEC	$3,226.18	$3,226.18	$151.63–$2,968.09	4221% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE	$3,226.18	$3,226.18	$151.63–$2,968.09	4221% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT NASOPHARYNGEAL	$3,226.18	$3,226.18	$151.63–$2,968.09	4221% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE	$3,226.18	$3,226.18	$151.63–$2,968.09	4221% above	—
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium UNSCHEDULED	$605.81	$605.81	$214.43–$218.95	84% above	—
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium	$605.81	$605.81	$8.46	84% above	—
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium Other Outpatient	$605.81	$605.81	$8.46	84% above	—
Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM	$605.81	$605.81	$28.47–$557.35	84% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOT NEONATAL	$973.45	$973.45	$45.75–$895.57	4018% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOT FL	$973.45	$973.45	$45.75–$895.57	4018% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOT BLD	$1,031.81	$1,031.81	$48.50–$949.27	4265% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4	$3,128.04	$3,128.04	$147.02–$2,877.80	2591% above	—
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$1,010.67	$1,010.67	$47.50–$929.82	196% above	—
Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) UNSCHEDULED	$1,010.67	$1,010.67	$249.53–$254.78	196% above	—
Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) Other Outpatient	$1,010.67	$1,010.67	$10.32	196% above	—
Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)	$1,010.67	$1,010.67	$10.32	196% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$175.57	$175.57	$8.25–$161.52	827% above	—
Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) Other Outpatient	$497.09	$497.09	$3.93	1010% above	—
Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip)	$497.09	$497.09	$3.93	1010% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN	$497.09	$497.09	$23.36–$457.32	1010% above	—
Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) UNSCHEDULED	$497.09	$497.09	$52.63–$53.74	1010% above	—
Blood lead test CPT 83655 LEAD URINE	$11.54	$11.54	$0.54–$10.62	6% above	—
Blood lead test CPT 83655 LEAD BLOOD	$66.75	$66.75	$3.14–$61.41	514% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM	$605.81	$605.81	$28.47–$557.35	382% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative UNSCHEDULED	$605.81	$605.81	$118.91–$121.41	382% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative Other Outpatient	$605.81	$605.81	$7.52	382% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative	$605.81	$605.81	$7.52	382% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE	$20.00	$20.00	$0.94–$18.40	58% below	—
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN OTHER	$38.08	$38.08	$1.79–$35.03	16% below	—
Blood urea nitrogen (BUN) test CPT 84520 BUN	$497.09	$497.09	$23.36–$457.32	1001% above	—
C-peptide blood test CPT 84681 C-PEPTIDE	$10.00	$10.00	$0.47–$9.20	73% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$628.64	$628.64	$29.55–$578.35	767% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB	$820.72	$820.72	$38.57–$755.06	622% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique UNSCHEDULED	$820.72	$820.72	$154.00–$157.25	622% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique Other Outpatient	$820.72	$820.72	$37.27	622% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique	$820.72	$820.72	$37.27	622% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 FLUID QN	$912.53	$912.53	$42.89–$839.53	1003% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP	$51.31	$51.31	$2.41–$47.21	41% below	—
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$863.85	$863.85	$40.60–$794.74	1650% above	—
Calcium blood test, total CPT 82310 Calcium; total UNSCHEDULED	$863.85	$863.85	$43.86–$44.78	1650% above	—
Calcium blood test, total CPT 82310 Calcium; total	$863.85	$863.85	$5.16	1650% above	—
Calcium blood test, total CPT 82310 Calcium; total Other Outpatient	$863.85	$863.85	$5.16	1650% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$1,035.20	$1,035.20	$48.65–$952.38	780% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER IGM	$13.49	$13.49	$0.63–$12.41	26% below	—
Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER AB QUAL	$45.00	$45.00	$2.12–$41.40	147% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$1,397.77	$1,397.77	$65.70–$1,285.95	1280% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) UNSCHEDULED	$1,397.77	$1,397.77	$217.36–$221.94	1280% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)	$1,397.77	$1,397.77	$13.39	1280% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) Other Outpatient	$1,397.77	$1,397.77	$13.39	1280% above	—
Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) UNSCHEDULED	$720.89	$720.89	$120.86–$123.40	631% above	—
Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)	$720.89	$720.89	$6.47	631% above	—
Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Other Outpatient	$720.89	$720.89	$6.47	631% above	—
Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED	$720.89	$720.89	$33.88–$663.22	631% above	—
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL	$25.00	$25.00	$1.18–$23.00	95% below	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL SALIVARY	$92.55	$92.55	$4.35–$85.15	44% above	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$270.33	$270.33	$12.71–$248.70	320% above	—
Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (CK), (CPK); total Other Outpatient	$612.16	$612.16	$6.51	724% above	—
Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (CK), (CPK); total	$612.16	$612.16	$6.51	724% above	—
Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (CK), (CPK); total UNSCHEDULED	$612.16	$612.16	$111.11–$113.45	724% above	—
Creatine kinase (CK) blood test, total CPT 82550 CREAT KINASE (CK) TOTAL	$612.16	$612.16	$28.77–$563.19	724% above	—
Creatinine blood test CPT 82565 Creatinine; blood Other Outpatient	$481.44	$481.44	$5.12	782% above	—
Creatinine blood test CPT 82565 CREATININE BLD	$481.44	$481.44	$22.63–$442.92	782% above	—
Creatinine blood test CPT 82565 Creatinine; blood UNSCHEDULED	$481.44	$481.44	$51.66–$52.75	782% above	—
Creatinine blood test CPT 82565 Creatinine; blood	$481.44	$481.44	$5.12	782% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG QUAL	$9.31	$9.31	$0.44–$8.57	67% below	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB QL SQN	$977.26	$977.26	$45.93–$899.08	3390% above	—
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative UNSCHEDULED	$450.56	$450.56	$163.75–$167.20	128% above	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT	$450.56	$450.56	$21.18–$414.52	128% above	—
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative Other Outpatient	$450.56	$450.56	$10.18	128% above	—
D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative	$450.56	$450.56	$10.18	128% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$14.90	$14.90	$0.70–$13.71	67% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR ANY NBR PER DOS	$511.47	$511.47	$24.04–$470.55	703% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) Other Outpatient	$1,169.74	$1,169.74	$7.01	436% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) UNSCHEDULED	$1,169.74	$1,169.74	$158.88–$162.22	436% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)	$1,169.74	$1,169.74	$7.01	436% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$1,169.74	$1,169.74	$54.98–$1,076.16	436% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID IGM QUAL	$505.13	$505.13	$23.74–$464.72	1654% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID IGG QUAL	$505.13	$505.13	$23.74–$464.72	1654% above	—
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$18.00	$18.00	$0.85–$16.56	45% below	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$1,965.49	$1,965.49	$92.38–$1,808.25	3020% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Other Outpatient	$162.90	$162.90	$19.63	37% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$162.90	$162.90	$7.66–$149.87	37% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal	$162.90	$162.90	$19.63	37% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal UNSCHEDULED	$162.90	$162.90	$75.05–$76.63	37% above	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$881.64	$881.64	$41.44–$811.11	611% above	—
Fibrinogen blood test CPT 85384 FUNCT FIBRINOGEN ACT CFF	$48.60	$48.60	$2.28–$44.71	38% below	—
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$788.15	$788.15	$37.04–$725.10	902% above	—
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER	$1,439.22	$1,439.22	$67.64–$1,324.08	1047% above	—
Free T3 thyroid hormone test CPT 84481 FREE T3 EQ DIALYSIS	$60.00	$60.00	$2.82–$55.20	4% below	—
Free T3 thyroid hormone test CPT 84481 T3 FREE	$858.78	$858.78	$40.36–$790.08	1276% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$1,340.23	$1,340.23	$62.99–$1,233.01	1495% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT	$799.57	$799.57	$37.58–$735.60	1629% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose)	$720.45	$720.45	$4.75	919% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) Other Outpatient	$720.45	$720.45	$4.75	919% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR W GLUCOLA	$720.45	$720.45	$33.86–$662.81	919% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) UNSCHEDULED	$720.45	$720.45	$75.05–$76.63	919% above	—
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose)	$3,961.02	$3,961.02	$12.87	3056% above	—
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) Other Outpatient	$3,961.02	$3,961.02	$12.87	3056% above	—
Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) UNSCHEDULED	$3,961.02	$3,961.02	$75.05–$76.63	3056% above	—
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS	$3,961.02	$3,961.02	$186.17–$3,644.14	3056% above	—
H. pylori antibody blood test CPT 86677 H PYLORI AB QUAL	$13.04	$13.04	$0.61–$12.00	61% below	—
H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGG	$1,300.89	$1,300.89	$61.14–$1,196.82	3833% above	—
H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL	$27.00	$27.00	$1.27–$24.84	43% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN	$74.93	$74.93	$3.52–$68.94	32% below	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 DNA QN	$92.00	$92.00	$4.32–$84.64	17% below	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL	$184.04	$184.04	$8.65–$169.32	270% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1P24AG HIV-1/2AB SGL	$338.87	$338.87	$15.93–$311.76	334% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1AG HIV-1/2AB SINGLE	$384.79	$384.79	$18.09–$354.01	393% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$798.30	$798.30	$37.52–$734.44	1048% above	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$261.46	$261.46	$12.29–$240.54	379% above	—
Hemoglobin blood test CPT 85018 Blood count; hemoglobin (Hgb)	$261.46	$261.46	$2.37	379% above	—
Hemoglobin blood test CPT 85018 Blood count; hemoglobin (Hgb) Other Outpatient	$261.46	$261.46	$2.37	379% above	—
Hemoglobin blood test CPT 85018 Blood count; hemoglobin (Hgb) UNSCHEDULED	$261.46	$261.46	$51.66–$52.75	379% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL	$475.51	$475.51	$22.35–$437.47	981% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL	$457.73	$457.73	$21.51–$421.11	1175% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL	$158.64	$158.64	$7.46–$145.95	240% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN	$100.00	$100.00	$4.70–$92.00	12% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C DNA QN	$230.00	$230.00	$10.81–$211.60	103% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGM	$31.47	$31.47	$1.48–$28.95	34% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG	$31.47	$31.47	$1.48–$28.95	34% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG	$6.50	$6.50	$0.31–$5.98	80% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB QL	$49.72	$49.72	$2.34–$45.74	51% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) Other Outpatient	$15.83	$15.83	$12.95	63% below	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP)	$15.83	$15.83	$12.95	63% below	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein; high sensitivity (hsCRP) UNSCHEDULED	$15.83	$15.83	$127.69–$130.38	63% below	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$15.83	$15.83	$0.74–$14.56	63% below	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE QN	$20.75	$20.75	$0.98–$19.09	61% below	—
Iron blood test (serum iron) CPT 83540 IRON	$978.52	$978.52	$45.99–$900.24	1692% above	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING	$1,010.67	$1,010.67	$47.50–$929.82	1023% above	—
Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i	$1,479.41	$1,479.41	$7.87–$11.80	265% above	—
Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i UNSCHEDULED	$1,479.41	$1,479.41	$159.85–$163.21	265% above	—
Kidney function blood test panel CPT 80069 Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus i Other Outpatient	$1,479.41	$1,479.41	$8.68	265% above	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$1,479.41	$1,479.41	$69.53–$1,361.06	265% above	—
LH (luteinizing hormone) test CPT 83002 LH	$1,775.96	$1,775.96	$83.47–$1,633.88	2713% above	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$178.96	$178.96	$8.41–$164.64	141% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD) BODY FLUID	$538.11	$538.11	$25.29–$495.06	903% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD)	$574.51	$574.51	$27.00–$528.55	971% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD) CSF	$814.40	$814.40	$38.28–$749.25	1419% above	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase UNSCHEDULED	$748.79	$748.79	$151.08–$154.26	1186% above	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$748.79	$748.79	$35.19–$688.89	1186% above	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$748.79	$748.79	$6.89	1186% above	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Other Outpatient	$748.79	$748.79	$6.89	1186% above	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$18.75	$18.75	$0.88–$17.25	92% below	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB QL	$9.75	$9.75	$0.46–$8.97	63% below	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG QL	$18.16	$18.16	$0.85–$16.71	30% below	—
Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL	$1,080.05	$1,080.05	$50.76–$993.65	4048% above	—
Magnesium blood test CPT 83735 MAGNESIUM URINE	$4.00	$4.00	$0.19–$3.68	70% below	—
Magnesium blood test CPT 83735 MAGNESIUM RBC	$5.00	$5.00	$0.23–$4.60	62% below	—
Magnesium blood test CPT 83735 MAGNESIUM BLD	$550.40	$550.40	$25.87–$506.37	4054% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM	$7.49	$7.49	$0.35–$6.89	72% below	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB QUAL	$32.25	$32.25	$1.52–$29.67	22% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening Other Outpatient	$906.17	$906.17	$5.18	432% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE)	$906.17	$906.17	$42.59–$833.68	432% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening	$906.17	$906.17	$5.18	432% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening UNSCHEDULED	$906.17	$906.17	$115.99–$118.43	432% above	—
Mumps immunity blood test CPT 86735 MUMPS IGM QUAL	$9.01	$9.01	$0.42–$8.29	45% below	—
Mumps immunity blood test CPT 86735 MUMPS AB QUAL	$43.75	$43.75	$2.06–$40.25	169% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PROS SPEC AG FREE	$12.00	$12.00	$0.56–$11.04	62% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL	$39.00	$39.00	$1.83–$35.88	30% below	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$15.00	$15.00	$0.70–$13.80	85% below	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH N TERMINAL	$26.40	$26.40	$1.24–$24.29	73% below	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH)	$27.92	$27.92	$1.31–$25.69	72% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$703.10	$703.10	$33.05–$646.85	1731% above	—
Phosphorus (phosphate) blood test CPT 84100 Phosphorus inorganic (phosphate); UNSCHEDULED	$481.44	$481.44	$73.10–$74.64	689% above	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLD	$481.44	$481.44	$22.63–$442.92	689% above	—
Phosphorus (phosphate) blood test CPT 84100 Phosphorus inorganic (phosphate);	$481.44	$481.44	$4.30–$6.45	689% above	—
Phosphorus (phosphate) blood test CPT 84100 Phosphorus inorganic (phosphate); Other Outpatient	$481.44	$481.44	$4.74	689% above	—
Potassium blood test CPT 84132 Potassium; serum, plasma or whole blood Other Outpatient	$412.90	$412.90	$4.76	522% above	—
Potassium blood test CPT 84132 Potassium; serum, plasma or whole blood	$412.90	$412.90	$4.76	522% above	—
Potassium blood test CPT 84132 POTASSIUM BLD	$412.90	$412.90	$19.41–$379.87	522% above	—
Potassium blood test CPT 84132 Potassium; serum, plasma or whole blood UNSCHEDULED	$412.90	$412.90	$45.81–$46.77	522% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$417.55	$417.55	$19.62–$384.15	1047% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA	$687.87	$687.87	$32.33–$632.84	501% above	—
Rh blood typing CPT 86901 RH TYPE	$324.91	$324.91	$15.27–$298.92	675% above	—
Rh blood typing CPT 86901 Blood typing, serologic; Rh (D) Other Outpatient	$324.91	$324.91	$2.99	675% above	—
Rh blood typing CPT 86901 Blood typing, serologic; Rh (D)	$324.91	$324.91	$2.99	675% above	—
Rh blood typing CPT 86901 Blood typing, serologic; Rh (D) UNSCHEDULED	$324.91	$324.91	$47.76–$48.76	675% above	—
Rheumatoid factor (RF) test CPT 86431 RA QN	$973.45	$973.45	$45.75–$895.57	3896% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM	$6.11	$6.11	$0.29–$5.62	68% below	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB QUAL	$43.75	$43.75	$2.06–$40.25	132% above	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated	$581.27	$581.27	$2.70	427% above	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated UNSCHEDULED	$581.27	$581.27	$71.16–$72.65	427% above	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated Other Outpatient	$581.27	$581.27	$2.70	427% above	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO	$581.27	$581.27	$27.32–$534.77	427% above	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE	$1,644.83	$1,644.83	$77.31–$1,513.24	560% above	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen analysis; volume, count, motility, and differential Other Outpatient	$1,644.83	$1,644.83	$12.31	560% above	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen analysis; volume, count, motility, and differential	$1,644.83	$1,644.83	$12.31	560% above	—
Sodium blood test CPT 84295 SODIUM BLD	$444.20	$444.20	$20.88–$408.66	561% above	—
Sodium blood test CPT 84295 Sodium; serum, plasma or whole blood	$444.20	$444.20	$4.81	561% above	—
Sodium blood test CPT 84295 Sodium; serum, plasma or whole blood UNSCHEDULED	$444.20	$444.20	$46.79–$47.77	561% above	—
Sodium blood test CPT 84295 Sodium; serum, plasma or whole blood Other Outpatient	$444.20	$444.20	$4.81	561% above	—
Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID	$12.95	$12.95	$0.61–$11.91	69% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o UNSCHEDULED	$390.05	$390.05	$56.53–$57.72	636% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o	$390.05	$390.05	$4.38	636% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards o Other Outpatient	$390.05	$390.05	$4.38	636% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC	$390.05	$390.05	$18.33–$358.85	636% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations UNSCHEDULED	$64.35	$64.35	$146.21–$149.28	29% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations	$64.35	$64.35	$15.92	29% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLD CRC IA	$64.35	$64.35	$3.02–$59.20	29% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations Other Outpatient	$64.35	$64.35	$15.92	29% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 MHA TP CONFIRM	$7.33	$7.33	$0.34–$6.74	50% below	—
Syphilis antibody test (Treponema pallidum) CPT 86780 Antibody; Treponema pallidum	$7.33	$7.33	$13.24	50% below	—
Syphilis antibody test (Treponema pallidum) CPT 86780 Antibody; Treponema pallidum UNSCHEDULED	$7.33	$7.33	$83.83–$85.59	50% below	—
Syphilis antibody test (Treponema pallidum) CPT 86780 Antibody; Treponema pallidum Other Outpatient	$7.33	$7.33	$13.24	50% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL	$3.26	$3.26	$0.15–$3.00	84% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS EIA SCREEN	$4.10	$4.10	$0.19–$3.77	79% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL	$535.16	$535.16	$25.15–$492.35	2603% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon UNSCHEDULED	$41.25	$41.25	$113.07–$115.45	33% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP	$41.25	$41.25	$1.94–$37.95	33% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Other Outpatient	$41.25	$41.25	$61.98	33% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon	$41.25	$41.25	$61.98	33% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL AB	$6.00	$6.00	$0.28–$5.52	56% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB	$10.72	$10.72	$0.50–$9.86	21% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB	$12.44	$12.44	$0.58–$11.44	9% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) UNSCHEDULED	$1,517.05	$1,517.05	$176.42–$180.14	1116% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH)	$1,517.05	$1,517.05	$16.80	1116% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) Other Outpatient	$1,517.05	$1,517.05	$16.80	1116% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$1,517.05	$1,517.05	$71.30–$1,395.69	1116% above	—
Total IgE blood test CPT 82785 IGE	$10.00	$10.00	$0.47–$9.20	58% below	—
Total cholesterol blood test CPT 82465 CHOLESTEROL BLD	$17.00	$17.00	$0.80–$15.64	41% below	—
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4 TOTAL	$889.67	$889.67	$41.81–$818.50	876% above	—
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$581.27	$581.27	$27.32–$534.77	648% above	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$605.39	$605.39	$28.45–$556.96	1816% above	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES OTHER	$879.95	$879.95	$41.36–$809.55	2685% above	—
Troponin test, quantitative CPT 84484 Troponin, quantitative	$1,292.42	$1,292.42	$12.47	764% above	—
Troponin test, quantitative CPT 84484 TROPONIN QUANT	$1,292.42	$1,292.42	$60.74–$1,189.03	764% above	—
Troponin test, quantitative CPT 84484 Troponin, quantitative Other Outpatient	$1,292.42	$1,292.42	$12.47	764% above	—
Troponin test, quantitative CPT 84484 Troponin, quantitative UNSCHEDULED	$1,292.42	$1,292.42	$193.96–$198.04	764% above	—
Uric acid blood test CPT 84550 Uric acid; blood	$467.89	$467.89	$4.52	465% above	—
Uric acid blood test CPT 84550 Uric acid; blood Other Outpatient	$467.89	$467.89	$4.52	465% above	—
Uric acid blood test CPT 84550 Uric acid; blood UNSCHEDULED	$467.89	$467.89	$91.62–$93.55	465% above	—
Uric acid blood test CPT 84550 URIC ACID BLD	$467.89	$467.89	$21.99–$430.46	465% above	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w	$947.64	$947.64	$3.17	481% above	—
Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO	$947.64	$947.64	$44.54–$871.83	481% above	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w UNSCHEDULED	$947.64	$947.64	$111.11–$113.45	481% above	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, w Other Outpatient	$947.64	$947.64	$3.17	481% above	—
Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO	$8.75	$8.75	$0.41–$8.05	90% below	—
Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR	$1,704.45	$1,704.45	$80.11–$1,568.09	905% above	—
Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine UNSCHEDULED	$1,704.45	$1,704.45	$173.50–$177.15	905% above	—
Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine	$1,704.45	$1,704.45	$8.07	905% above	—
Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine Other Outpatient	$1,704.45	$1,704.45	$8.07	905% above	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QN	$5.50	$5.50	$0.26–$5.06	81% below	—
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods UNSCHEDULED	$394.70	$394.70	$119.89–$122.41	215% above	—
Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO	$394.70	$394.70	$18.55–$363.12	215% above	—
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods	$394.70	$394.70	$8.61	215% above	—
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods Other Outpatient	$394.70	$394.70	$8.61	215% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$886.71	$886.71	$41.68–$815.77	621% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 25-OH	$38.00	$38.00	$1.79–$34.96	17% below	—
Zinc blood test CPT 84630 Zinc	$4.28	$4.28	$11.39	71% below	—
Zinc blood test CPT 84630 Zinc UNSCHEDULED	$4.28	$4.28	$20.47–$20.90	71% below	—
Zinc blood test CPT 84630 ZINC BLOOD	$4.28	$4.28	$0.20–$3.94	71% below	—
Zinc blood test CPT 84630 Zinc Other Outpatient	$4.28	$4.28	$11.39	71% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE	$1,764.97	$1,764.97	$82.95–$1,623.77	2891% above	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$4,026.25	$4,026.25	$189.23–$3,704.15	92% above	—
Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including	$154,851.88	$154,851.88	$47,009.00	212% above	—
Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including UNSCHEDULED	$154,851.88	$154,851.88	$29,561.67–$30,184.02	212% above	—
Catheter ablation for atrial fibrillation CPT 93656 Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including SCHEDULED	$154,851.88	$154,851.88	$1,278.70–$1,305.62	212% above	—
Catheter ablation for atrial fibrillation CPT 93656 COM EP REPO CTH TX AFIB	$154,851.88	$154,851.88	$12,388.15–$142,463.73	212% above	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$3,162.25	$3,162.25	$148.63–$2,909.27	187% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST	$759.88	$759.88	$35.71–$699.09	192% above	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV SING/IN DR 1 HR	$2,037.00	$2,037.00	$95.74–$1,874.04	110% above	—
Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS	$11,262.90	$11,262.90	$1,475.44–$9,573.47	131% above	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy SCHEDULED	$5,503.65	$5,503.65	$309.70–$316.22	264% above	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY	$5,503.65	$5,503.65	$258.67–$5,063.36	264% above	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy UNSCHEDULED	$5,503.65	$5,503.65	$738.82–$754.38	264% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY	$41.25	$41.25	$1.94–$37.95	89% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT	$1,637.90	$1,637.90	$214.56–$1,392.21	230% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT	$2,712.60	$2,712.60	$355.35–$2,305.71	198% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT	$5,591.30	$5,591.30	$732.46–$4,752.60	243% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT	$6,201.80	$6,201.80	$812.44–$5,271.53	150% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT	$9,032.10	$9,032.10	$1,183.21–$7,677.28	164% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$6,628.09	$6,628.09	$311.52–$6,097.84	341% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation an SCHEDULED	$6,628.09	$6,628.09	$59.85–$61.11	341% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation an UNSCHEDULED	$6,628.09	$6,628.09	$1,076.07–$1,098.72	341% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation an	$6,628.09	$6,628.09	—	341% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR	$2,137.00	$2,137.00	$100.44–$1,966.04	280% above	—
IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR	$2,137.00	$2,137.00	$100.44–$1,966.04	226% above	—
IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL DRUG	$987.36	$987.36	$46.41–$908.37	210% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ	$685.30	$685.30	$53.45–$582.50	278% above	—
New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP	$998.80	$998.80	$33.96–$918.90	120% above	—
New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP	$1,131.90	$1,131.90	$38.48–$1,041.35	76% above	—
New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP	$1,265.00	$1,265.00	$43.01–$1,163.80	64% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 BASIC CARE NP	$56.75	$56.75	$1.93–$52.21	78% below	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 SUTURE/STAPLE REM NP	$865.70	$865.70	$29.43–$796.44	228% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP	$865.70	$865.70	$29.43–$796.44	228% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN	$37.51	$37.51	$1.76–$34.51	44% below	—
Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or	$1,466.52	$1,466.52	$95.60–$108.42	209% above	—
Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or Other Outpatient	$1,466.52	$1,466.52	$98.56	209% above	—
Occupational therapy evaluation, low complexity CPT 97165 Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or SCHEDULED	$1,466.52	$1,466.52	$95.00–$97.00	209% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination	$2,198.57	$2,198.57	$93.12–$105.60	318% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination Other Outpatient	$2,198.57	$2,198.57	$96.00	318% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination SCHEDULED	$2,198.57	$2,198.57	$90.25–$92.15	318% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st SCHEDULED	$1,466.52	$1,466.52	$90.25–$92.15	227% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st Other Outpatient	$1,466.52	$1,466.52	$96.00	227% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using st	$1,466.52	$1,466.52	$93.12–$105.60	227% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o SCHEDULED	$1,831.94	$1,831.94	$90.25–$92.15	308% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o Other Outpatient	$1,831.94	$1,831.94	$96.00	308% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination o	$1,831.94	$1,831.94	$93.12–$105.60	308% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN	$169.40	$169.40	$7.96–$155.85	173% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST	$665.50	$665.50	$22.63–$612.26	4% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST	$492.80	$492.80	$16.76–$453.38	41% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST	$572.00	$572.00	$19.45–$526.24	9% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST	$412.50	$412.50	$14.03–$379.50	21% above	—
Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)	$517.88	$517.88	$215.65–$244.55	12% below	—
Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) UNSCHEDULED	$517.88	$517.88	$232.95–$237.85	12% below	—
Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) Other Outpatient	$517.88	$517.88	$222.32	12% below	—
Speech and language evaluation CPT 92523 Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language) SCHEDULED	$517.88	$517.88	$204.25–$208.55	12% below	—
Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual UNSCHEDULED	$1,375.77	$1,375.77	$232.95–$237.85	282% above	—
Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual Other Outpatient	$1,375.77	$1,375.77	$74.90	282% above	—
Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual SCHEDULED	$1,375.77	$1,375.77	$83.60–$85.36	282% above	—
Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual	$1,375.77	$1,375.77	$72.64–$82.39	282% above	—
Spirometry (breathing test) CPT 94010 SPIROMETRY	$28.25	$28.25	$1.33–$25.99	91% below	—
Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST	$4,346.32	$4,346.32	$204.28–$3,998.61	383% above	—
Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration SCHEDULED	$4,346.32	$4,346.32	$46.55–$47.53	383% above	—
Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration UNSCHEDULED	$4,346.32	$4,346.32	$479.55–$489.65	383% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, therapeutic (separate procedure) UNSCHEDULED	$1,383.03	$1,383.03	$394.75–$403.06	346% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, therapeutic (separate procedure) SCHEDULED	$1,383.03	$1,383.03	$102.60–$104.76	346% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB	$1,383.03	$1,383.03	$65.00–$1,272.39	346% above	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use	$64.75	$64.75	$495.34	77% below	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VAC LIVE SQ	$64.75	$64.75	$2.20–$59.57	77% below	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella virus vaccine (VAR), live, for subcutaneous use UNSCHEDULED	$64.75	$64.75	$158.88–$162.22	77% below	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DAPTACEL < 7 YRS VAC IM	$154.55	$154.55	$5.25–$142.19	57% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VAC <7YRS IM	$213.48	$213.48	$7.26–$196.40	117% above	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use	$494.84	$494.84	$114.34–$117.88	47% above	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPB-IPV VAC IM	$494.84	$494.84	$16.82–$455.25	47% above	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use UNSCHEDULED	$494.84	$494.84	$158.88–$162.22	47% above	—
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use UNSCHEDULED	$405.14	$405.14	$158.88–$162.22	1% below	—
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use	$405.14	$405.14	$303.73	1% below	—
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VAC IM	$405.14	$405.14	$13.77–$372.73	1% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRI 0.5 ML PF IM	$100.19	$100.19	$7.81–$92.17	35% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVAC IIV3 PF 0.5ML IM	$127.00	$127.00	$9.91–$116.84	72% above	—
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use UNSCHEDULED	$92.50	$92.50	$60.43–$61.70	46% below	—
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use	$92.50	$92.50	$158.52	46% below	—
Hepatitis A vaccine, adult dose CPT 90632 HEPA VAC ADULT IM	$92.50	$92.50	$3.15–$85.10	46% below	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use UNSCHEDULED	$289.12	$289.12	$158.88–$162.22	194% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use	$289.12	$289.12	$40.88–$42.14	194% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VAC PED 2DOSE IM	$289.12	$289.12	$9.83–$265.99	194% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use Other Outpatient	$139.67	$139.67	—	39% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use	$139.67	$139.67	$71.38	39% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use UNSCHEDULED	$139.67	$139.67	$158.88–$162.22	39% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX PED 5MCG IM	$139.67	$139.67	$10.89–$128.50	39% above	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use UNSCHEDULED	$209.34	$209.34	$158.88–$162.22	151% above	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use	$209.34	$209.34	$80.88	151% above	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 PEDVAXHIB 3 DOSE VAC IM	$209.34	$209.34	$7.12–$192.59	151% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VAC LIVE SQ	$64.75	$64.75	$2.20–$59.57	66% below	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWY-D OR -CRM VAC IM	$1,502.16	$1,502.16	$51.07–$1,381.99	165% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use UNSCHEDULED	$1,502.16	$1,502.16	$158.88–$162.22	165% above	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use	$1,502.16	$1,502.16	$455.59	165% above	—
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use	$403.92	$403.92	$456.62	33% below	—
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VAC IM	$403.92	$403.92	$13.73–$371.61	33% below	—
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use UNSCHEDULED	$403.92	$403.92	$158.88–$162.22	33% below	—
Meningococcal B vaccine (Trumenba) CPT 90621 Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use UNSCHEDULED	$587.90	$587.90	$158.88–$162.22	2% below	—
Meningococcal B vaccine (Trumenba) CPT 90621 MENB-FHBP 2 OR 3 DOSE IM	$587.90	$587.90	$19.99–$540.87	2% below	—
Meningococcal B vaccine (Trumenba) CPT 90621 Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use	$587.90	$587.90	$582.52	2% below	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use Other Outpatient	$804.22	$804.22	—	38% above	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use	$804.22	$804.22	$554.38	38% above	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use UNSCHEDULED	$804.22	$804.22	$698.86–$713.57	38% above	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VAC IM	$804.22	$804.22	$62.73–$739.88	38% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Other Outpatient	$784.26	$784.26	—	2% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VAC IM	$784.26	$784.26	$61.17–$721.52	2% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use	$784.26	$784.26	$579.02	2% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use UNSCHEDULED	$784.26	$784.26	$158.88–$162.22	2% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use	$553.85	$553.85	$286.96	39% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use UNSCHEDULED	$553.85	$553.85	$150.10–$153.26	39% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use Other Outpatient	$553.85	$553.85	—	39% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ	$553.85	$553.85	$43.20–$509.54	39% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS 0.5 ML IM	$1,534.28	$1,534.28	$52.17–$1,411.54	3% below	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use UNSCHEDULED	$1,534.28	$1,534.28	$1,048.78–$1,070.86	3% below	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use	$1,534.28	$1,534.28	$1,535.25	3% below	—
Rabies vaccine, one dose CPT 90675 RABIES VAC IM	$1,513.42	$1,513.42	$118.05–$1,392.35	29% above	—
Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use UNSCHEDULED	$1,513.42	$1,513.42	$732.00–$747.41	29% above	—
Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use	$1,513.42	$1,513.42	$677.72	29% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM	$269.10	$269.10	$9.15–$247.57	84% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use UNSCHEDULED	$269.10	$269.10	$96.49–$98.52	84% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use	$269.10	$269.10	$83.31	84% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use UNSCHEDULED	$431.64	$431.64	$158.88–$162.22	111% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VAC >=7YRS IM	$431.64	$431.64	$14.68–$397.11	111% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use	$431.64	$431.64	$84.88	111% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL	$148.50	$148.50	$11.58–$126.22	24% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL	$115.23	$115.23	$3.92–$106.01	6% above	—

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1113740_HCA-FLORIDA-OAK-HILL-HOSPITAL_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2f9NpMuCoRStjTb2bhIy9Y6LM%3D