HCA Florida Englewood Hospital
HCA Florida Englewood Hospital in Englewood, FL publishes cash prices for 287 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 246 of 285 procedures and below it for 38. By typical cash price it ranks #146 of 171 Florida hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
700 MEDICAL BLVD, ENGLEWOOD, FL, 34223 Collected Oct 30, 2026 Source price file Check a bill from this hospital (941) 475-6571
Acute care hospital For-profit hospital Emergency department CMS star rating 3 of 5 CCN 100267 · CMS hospital register NPI 1639122864
The price file shows no self-pay discount
For 863 of the 863 prices listed here, the cash price in HCA Florida Englewood 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 3 actions for a hospital named HCA Florida Englewood Hospital in Englewood, FL:
- Jun 21, 2023 Warning notice
- Oct 5, 2023 Case closed
- May 5, 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 | $13,960.50 | $13,960.50 | $401.74–$1,975.00 | 252% above | — |
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CONT | $13,960.50 | $13,960.50 | $656.14–$12,843.66 | 252% above | — |
| Abdominal CT scan without and with contrast CPT 74170 Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections UNSCHEDULED | $13,960.50 | $13,960.50 | $7,955.50–$8,122.98 | 252% above | — |
| Abdominal X-ray, 2 views CPT 74019 Radiologic examination, abdomen; 2 views | $6,282.66 | $6,282.66 | — | 881% above | — |
| Abdominal X-ray, 2 views CPT 74019 ABD XR 2V | $6,282.66 | $6,282.66 | $295.29–$5,780.05 | 881% above | — |
| Abdominal X-ray, 2 views CPT 74019 Radiologic examination, abdomen; 2 views UNSCHEDULED | $6,282.66 | $6,282.66 | $476.62–$486.66 | 881% above | — |
| Abdominal X-ray, 2 views CPT 74019 Radiologic examination, abdomen; 2 views Other Diagnostic Radiology FS | $6,282.66 | $6,282.66 | $245.18 | 881% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT | $3,141.31 | $3,141.31 | $147.64–$2,890.01 | 406% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT | $3,141.31 | $3,141.31 | $147.64–$2,890.01 | 406% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a UNSCHEDULED | $482.03 | $482.03 | $513.66–$524.48 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a SCHEDULED | $482.03 | $482.03 | $73.15–$74.69 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis a | $482.03 | $482.03 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART 1-2 LEVELS BIL | $482.03 | $482.03 | $22.66–$443.47 | 22% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT RT | $9,271.05 | $9,271.05 | $435.74–$8,529.37 | 294% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT LT | $9,271.05 | $9,271.05 | $435.74–$8,529.37 | 294% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $5,275.25 | $5,275.25 | $247.94–$4,853.23 | 528% 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 | $5,275.25 | $5,275.25 | $401.74 | 528% 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 | $5,275.25 | $5,275.25 | — | 528% 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 | $5,275.25 | $5,275.25 | $798.28–$815.08 | 528% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body | $11,830.84 | $11,830.84 | $848.52 | 366% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $11,830.84 | $11,830.84 | $556.05–$10,884.37 | 366% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone and/or joint imaging; whole body UNSCHEDULED | $11,830.84 | $11,830.84 | $528.29–$539.41 | 366% above | — |
| Breast ultrasound, complete, one breast CPT 76641 US BRST UNI W AX COMP | $622.82 | $622.82 | $29.27–$572.99 | 7% above | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BRST UNI W AX LTD | $622.82 | $622.82 | $29.27–$572.99 | 20% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PEL W CONT | $24,412.23 | $24,412.23 | $1,147.37–$22,459.25 | 312% 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 | $24,412.23 | $24,412.23 | $4,926.13–$5,029.84 | 312% 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 | $24,412.23 | $24,412.23 | $767.00–$1,975.00 | 312% above | — |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD | $22,103.43 | $22,103.43 | $1,038.86–$20,335.16 | 525% 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 | $22,103.43 | $22,103.43 | $401.74–$1,975.00 | 525% 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 | $22,103.43 | $22,103.43 | $3,674.62–$3,751.98 | 525% 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 | $22,103.43 | $22,103.43 | $3,083.95–$3,148.87 | 428% 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 | $22,103.43 | $22,103.43 | $401.74–$1,975.00 | 428% above | — |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK | $22,103.43 | $22,103.43 | $1,038.86–$20,335.16 | 428% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $16,435.18 | $16,435.18 | $772.45–$15,120.37 | 267% 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 | $16,435.18 | $16,435.18 | $3,061.54–$3,125.99 | 267% 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 | $16,435.18 | $16,435.18 | $401.74–$1,975.00 | 267% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material UNSCHEDULED | $20,754.14 | $20,754.14 | $3,956.30–$4,039.59 | 275% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $20,754.14 | $20,754.14 | $975.44–$19,093.81 | 275% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Computed tomography, abdomen and pelvis; without contrast material | $20,754.14 | $20,754.14 | $517.79–$1,975.00 | 275% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) | $24,033.42 | $24,033.42 | $767.00–$1,975.00 | 303% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $24,033.42 | $24,033.42 | $1,129.57–$22,110.75 | 303% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Computed tomography, abdomen and pelvis; with contrast material(s) UNSCHEDULED | $24,033.42 | $24,033.42 | $4,598.64–$4,695.45 | 303% 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 | $27,318.23 | $27,318.23 | $767.00–$1,975.00 | 292% 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 | $27,318.23 | $27,318.23 | $4,969.02–$5,073.63 | 292% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $27,318.23 | $27,318.23 | $1,283.96–$25,132.77 | 292% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $13,139.31 | $13,139.31 | $617.55–$12,088.17 | 284% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) UNSCHEDULED | $13,139.31 | $13,139.31 | $2,844.18–$2,904.05 | 284% above | — |
| CT scan of the abdomen with contrast CPT 74160 Computed tomography, abdomen; with contrast material(s) | $13,139.31 | $13,139.31 | $401.74–$1,975.00 | 284% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material | $11,825.95 | $11,825.95 | $245.18–$1,975.00 | 270% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $11,825.95 | $11,825.95 | $555.82–$10,879.87 | 270% above | — |
| CT scan of the abdomen without contrast CPT 74150 Computed tomography, abdomen; without contrast material UNSCHEDULED | $11,825.95 | $11,825.95 | $2,868.54–$2,928.93 | 270% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $19,172.54 | $19,172.54 | $901.11–$17,638.74 | 573% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material UNSCHEDULED | $19,172.54 | $19,172.54 | $2,014.70–$2,057.12 | 573% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Computed tomography, maxillofacial area; without contrast material | $19,172.54 | $19,172.54 | $245.18–$1,975.00 | 573% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material | $14,781.71 | $14,781.71 | $245.18–$1,975.00 | 384% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONT | $14,781.71 | $14,781.71 | $694.74–$13,599.17 | 384% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Computed tomography, head or brain; without contrast material UNSCHEDULED | $14,781.71 | $14,781.71 | $2,074.16–$2,117.83 | 384% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) UNSCHEDULED | $15,279.41 | $15,279.41 | $3,342.24–$3,412.61 | 308% above | — |
| CT scan of the head with contrast CPT 70460 Computed tomography, head or brain; with contrast material(s) | $15,279.41 | $15,279.41 | $401.74–$1,975.00 | 308% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $15,279.41 | $15,279.41 | $718.13–$14,057.06 | 308% 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 | $23,369.79 | $23,369.79 | $2,827.61–$2,887.14 | 430% 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 | $23,369.79 | $23,369.79 | $401.74–$1,975.00 | 430% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $23,369.79 | $23,369.79 | $1,098.38–$21,500.21 | 430% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $19,797.45 | $19,797.45 | $930.48–$18,213.65 | 503% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material | $19,797.45 | $19,797.45 | $245.18–$1,975.00 | 503% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Computed tomography, lumbar spine; without contrast material UNSCHEDULED | $19,797.45 | $19,797.45 | $2,345.13–$2,394.50 | 503% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $18,542.11 | $18,542.11 | $871.48–$17,058.74 | 446% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material UNSCHEDULED | $18,542.11 | $18,542.11 | $2,336.35–$2,385.54 | 446% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Computed tomography, cervical spine; without contrast material | $18,542.11 | $18,542.11 | $245.18–$1,975.00 | 446% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $15,235.19 | $15,235.19 | $716.05–$14,016.37 | 255% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) | $15,235.19 | $15,235.19 | $401.74–$1,975.00 | 255% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Computed tomography, pelvis; with contrast material(s) UNSCHEDULED | $15,235.19 | $15,235.19 | $2,851.00–$2,911.02 | 255% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study | $5,351.78 | $5,351.78 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex scan of extracranial arteries; complete bilateral study SCHEDULED | $5,351.78 | $5,351.78 | $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 | $5,351.78 | $5,351.78 | $1,027.33–$1,048.96 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $5,351.78 | $5,351.78 | $251.53–$4,923.64 | 116% above | — |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W&W/O CONT | $30,741.28 | $30,741.28 | $1,444.84–$28,281.98 | 672% 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 | $30,741.28 | $30,741.28 | $401.74–$1,975.00 | 672% 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 | $30,741.28 | $30,741.28 | $2,816.88–$2,876.19 | 672% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views Other Diagnostic Radiology FS | $2,379.95 | $2,379.95 | $182.03 | 379% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views UNSCHEDULED | $2,379.95 | $2,379.95 | $446.41–$455.81 | 379% above | — |
| Chest X-ray, 2 views CPT 71046 Radiologic examination, chest; 2 views | $2,379.95 | $2,379.95 | — | 379% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 V | $2,379.95 | $2,379.95 | $111.86–$2,189.55 | 379% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view | $896.03 | $896.03 | — | 114% above | — |
| Chest X-ray, single view CPT 71045 CHEST XRAY 1 V | $896.03 | $896.03 | $42.11–$824.35 | 114% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view UNSCHEDULED | $896.03 | $896.03 | $375.26–$383.16 | 114% above | — |
| Chest X-ray, single view CPT 71045 Radiologic examination, chest; single view Other Diagnostic Radiology FS | $896.03 | $896.03 | $182.03 | 114% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP LT | $2,750.25 | $2,750.25 | $129.26–$2,530.23 | 400% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP RT | $2,750.25 | $2,750.25 | $129.26–$2,530.23 | 400% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $6,653.46 | $6,653.46 | $312.71–$6,121.18 | 423% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $1,082.49 | $1,082.49 | $50.88–$995.89 | 77% 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) | $494.65 | $494.65 | — | 77% 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 | $494.65 | $494.65 | $182.03 | 77% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY PERIPHL | $494.65 | $494.65 | $23.25–$455.08 | 77% 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 | $494.65 | $494.65 | $213.46–$217.95 | 77% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL | $5,460.46 | $5,460.46 | $256.64–$5,023.62 | 492% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material UNSCHEDULED | $14,870.14 | $14,870.14 | $2,138.49–$2,183.51 | 410% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $14,870.14 | $14,870.14 | $698.90–$13,680.53 | 410% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Computed tomography, thorax, diagnostic; without contrast material | $14,870.14 | $14,870.14 | $245.18–$1,975.00 | 410% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $19,717.23 | $19,717.23 | $926.71–$18,139.85 | 414% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) | $19,717.23 | $19,717.23 | $401.74–$1,975.00 | 414% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Computed tomography, thorax, diagnostic; with contrast material(s) UNSCHEDULED | $19,717.23 | $19,717.23 | $2,431.88–$2,483.07 | 414% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG CAD BI | $1,798.70 | $1,798.70 | $84.54–$1,654.80 | — | — |
| Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG CAD UNI | $575.69 | $575.69 | $27.06–$529.63 | 33% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CAD UNI RT | $575.69 | $575.69 | $27.06–$529.63 | 33% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG CAD UNI LT | $1,403.47 | $1,403.47 | $65.96–$1,291.19 | 223% 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 | $3,918.01 | $3,918.01 | — | — | — |
| 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 | $3,918.01 | $3,918.01 | $216.60–$221.16 | — | — |
| 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 | $3,918.01 | $3,918.01 | $1,223.25–$1,249.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $3,918.01 | $3,918.01 | $184.15–$3,604.57 | 87% above | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study UNSCHEDULED | $4,748.59 | $4,748.59 | $980.55–$1,001.20 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study SCHEDULED | $4,748.59 | $4,748.59 | $161.50–$164.90 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study | $4,748.59 | $4,748.59 | — | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $4,748.59 | $4,748.59 | $223.18–$4,368.70 | 160% 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 | $19,227.92 | $19,227.92 | $1,813.92–$1,852.11 | 474% 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 | $19,227.92 | $19,227.92 | — | 474% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D COMP W CF DOP | $19,227.92 | $19,227.92 | $903.71–$17,689.69 | 474% 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 | $19,227.92 | $19,227.92 | $134.90–$137.74 | 474% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT | $2,750.25 | $2,750.25 | $129.26–$2,530.23 | 446% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT | $2,750.25 | $2,750.25 | $129.26–$2,530.23 | 446% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V RT | $3,780.98 | $3,780.98 | $177.71–$3,478.50 | 532% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V LT | $3,780.98 | $3,780.98 | $177.71–$3,478.50 | 532% 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 | $10,454.50 | $10,454.50 | $245.18–$1,975.00 | 299% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/IAC WO | $10,454.50 | $10,454.50 | $491.36–$9,618.14 | 299% 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 | $10,454.50 | $10,454.50 | $2,329.53–$2,378.58 | 299% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Radiologic examination, facial bones; complete, minimum of 3 views UNSCHEDULED | $4,591.57 | $4,591.57 | $524.39–$535.43 | 506% 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 | $4,591.57 | $4,591.57 | $245.18 | 506% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3 + V | $4,591.57 | $4,591.57 | $215.80–$4,224.24 | 506% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Radiologic examination, facial bones; complete, minimum of 3 views | $4,591.57 | $4,591.57 | — | 506% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT | $2,949.71 | $2,949.71 | $138.64–$2,713.73 | 417% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT | $2,949.71 | $2,949.71 | $138.64–$2,713.73 | 417% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; | $6,513.56 | $6,513.56 | $848.52 | 220% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging, including gallbladder when present; UNSCHEDULED | $6,513.56 | $6,513.56 | $1,771.03–$1,808.31 | 220% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPA IMAG INCL GB | $6,513.56 | $6,513.56 | $306.14–$5,992.48 | 220% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V RT | $2,040.70 | $2,040.70 | $95.91–$1,877.44 | 294% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V LT | $2,040.70 | $2,040.70 | $95.91–$1,877.44 | 294% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V RT | $2,408.46 | $2,408.46 | $113.20–$2,215.78 | 389% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V LT | $2,408.46 | $2,408.46 | $113.20–$2,215.78 | 389% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT | $3,050.66 | $3,050.66 | $143.38–$2,806.61 | 345% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT | $3,050.66 | $3,050.66 | $143.38–$2,806.61 | 345% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V RT | $3,301.88 | $3,301.88 | $155.19–$3,037.73 | 327% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V LT | $3,301.88 | $3,301.88 | $155.19–$3,037.73 | 327% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C RT | $10,255.39 | $10,255.39 | $482.00–$9,434.96 | 288% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C LT | $10,255.39 | $10,255.39 | $482.00–$9,434.96 | 288% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $5,411.44 | $5,411.44 | $254.34–$4,978.52 | 379% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NON VASC LTD | $2,079.79 | $2,079.79 | $97.75–$1,913.41 | 226% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREM NON VASC LTD | $2,079.79 | $2,079.79 | $97.75–$1,913.41 | 226% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREM NON VASC LTD | $2,079.79 | $2,079.79 | $97.75–$1,913.41 | 226% 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) | $13,388.23 | $13,388.23 | $182.03 | 1738% 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 | $13,388.23 | $13,388.23 | $625.76–$638.93 | 1738% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG CA SCREEN WO CON | $13,388.23 | $13,388.23 | $629.25–$12,317.17 | 1738% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V LT | $3,780.98 | $3,780.98 | $177.71–$3,478.50 | 500% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V RT | $3,780.98 | $3,780.98 | $177.71–$3,478.50 | 500% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography, head; without contrast material(s) UNSCHEDULED | $7,483.48 | $7,483.48 | $2,531.29–$2,584.58 | 155% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HD W/O CONT | $7,483.48 | $7,483.48 | $351.72–$6,884.80 | 155% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Magnetic resonance angiography, head; without contrast material(s) | $7,483.48 | $7,483.48 | $517.79–$3,623.00 | 155% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT | $11,509.70 | $11,509.70 | $540.96–$10,588.92 | 229% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT | $11,509.70 | $11,509.70 | $540.96–$10,588.92 | 229% 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 | $11,509.70 | $11,509.70 | $540.96–$10,588.92 | 136% 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 | $11,509.70 | $11,509.70 | $540.96–$10,588.92 | 136% above | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) | $3,515.46 | $3,515.46 | $517.79–$3,623.00 | at median | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $3,515.46 | $3,515.46 | $165.23–$3,234.22 | at median | — |
| MRI of the abdomen without contrast CPT 74181 Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) UNSCHEDULED | $3,515.46 | $3,515.46 | $3,268.17–$3,336.97 | at median | — |
| 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 | $10,439.28 | $10,439.28 | $828.27–$3,623.00 | 144% 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 | $10,439.28 | $10,439.28 | $4,130.78–$4,217.74 | 144% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $10,439.28 | $10,439.28 | $490.65–$9,604.14 | 144% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material UNSCHEDULED | $7,665.63 | $7,665.63 | $2,487.43–$2,539.80 | 121% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $7,665.63 | $7,665.63 | $360.28–$7,052.38 | 121% above | — |
| MRI of the brain, no contrast dye CPT 70551 Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material | $7,665.63 | $7,665.63 | $517.79–$3,623.00 | 121% 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 | $9,308.81 | $9,308.81 | $3,632.70–$3,709.18 | 89% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $9,308.81 | $9,308.81 | $437.51–$8,564.11 | 89% 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 | $9,308.81 | $9,308.81 | $828.27–$3,623.00 | 89% 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 | $11,566.04 | $11,566.04 | $2,529.35–$2,582.60 | 213% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material | $11,566.04 | $11,566.04 | $517.79–$3,623.00 | 213% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $11,566.04 | $11,566.04 | $543.60–$10,640.76 | 213% 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 | $13,853.33 | $13,853.33 | $828.27–$3,623.00 | 179% 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 | $13,853.33 | $13,853.33 | $3,501.12–$3,574.83 | 179% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $13,853.33 | $13,853.33 | $651.11–$12,745.06 | 179% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $12,429.88 | $12,429.88 | $584.20–$11,435.49 | 229% 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 | $12,429.88 | $12,429.88 | $517.79–$3,623.00 | 229% 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 | $12,429.88 | $12,429.88 | $2,509.85–$2,562.69 | 229% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $16,750.95 | $16,750.95 | $787.29–$15,410.87 | 251% 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 | $16,750.95 | $16,750.95 | $4,053.77–$4,139.12 | 251% 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 | $16,750.95 | $16,750.95 | $828.27–$3,623.00 | 251% 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 | $5,534.22 | $5,534.22 | $2,374.37–$2,424.36 | 47% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $5,534.22 | $5,534.22 | $260.11–$5,091.48 | 47% 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 | $5,534.22 | $5,534.22 | $517.79–$3,623.00 | 47% 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 | $3,091.04 | $3,091.04 | $828.27–$3,623.00 | 17% below | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $3,091.04 | $3,091.04 | $145.28–$2,843.76 | 17% below | — |
| 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 | $3,091.04 | $3,091.04 | $3,229.18–$3,297.17 | 17% below | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) UNSCHEDULED | $3,515.46 | $3,515.46 | $2,782.77–$2,841.35 | 8% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $3,515.46 | $3,515.46 | $165.23–$3,234.22 | 8% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) | $3,515.46 | $3,515.46 | $517.79–$3,623.00 | 8% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT | $8,204.59 | $8,204.59 | $385.62–$7,548.22 | 148% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT | $8,204.59 | $8,204.59 | $385.62–$7,548.22 | 148% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radiologic examination, spine, cervical; 4 or 5 views Other Diagnostic Radiology FS | $6,412.11 | $6,412.11 | $245.18 | 629% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radiologic examination, spine, cervical; 4 or 5 views | $6,412.11 | $6,412.11 | — | 629% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radiologic examination, spine, cervical; 4 or 5 views UNSCHEDULED | $6,412.11 | $6,412.11 | $651.10–$664.81 | 629% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE 4-5 V | $6,412.11 | $6,412.11 | $301.37–$5,899.14 | 629% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 Computed tomography, soft tissue neck; with contrast material(s) | $12,437.00 | $12,437.00 | $401.74–$1,975.00 | 274% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST | $12,437.00 | $12,437.00 | $584.54–$11,442.04 | 274% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 Computed tomography, soft tissue neck; with contrast material(s) UNSCHEDULED | $12,437.00 | $12,437.00 | $3,383.19–$3,454.41 | 274% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 Computed tomography, soft tissue neck; without contrast material UNSCHEDULED | $12,492.29 | $12,492.29 | $3,071.28–$3,135.94 | 317% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST | $12,492.29 | $12,492.29 | $587.14–$11,492.91 | 317% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 Computed tomography, soft tissue neck; without contrast material | $12,492.29 | $12,492.29 | $245.18–$1,975.00 | 317% above | — |
| Neck soft tissue X-ray CPT 70360 Radiologic examination; neck, soft tissue Other Diagnostic Radiology FS | $3,597.11 | $3,597.11 | $182.03 | 545% above | — |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $3,597.11 | $3,597.11 | $169.06–$3,309.34 | 545% above | — |
| Neck soft tissue X-ray CPT 70360 Radiologic examination; neck, soft tissue UNSCHEDULED | $3,597.11 | $3,597.11 | $322.63–$329.42 | 545% above | — |
| Neck soft tissue X-ray CPT 70360 Radiologic examination; neck, soft tissue | $3,597.11 | $3,597.11 | — | 545% 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 | $13,843.12 | $13,843.12 | $2,938.37 | 151% 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 | $13,843.12 | $13,843.12 | $3,623.94–$3,700.23 | 151% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $13,843.12 | $13,843.12 | $650.63–$12,735.67 | 151% above | — |
| Pelvic CT scan without contrast CPT 72192 Computed tomography, pelvis; without contrast material UNSCHEDULED | $13,841.61 | $13,841.61 | $2,448.44–$2,499.99 | 355% above | — |
| Pelvic CT scan without contrast CPT 72192 Computed tomography, pelvis; without contrast material | $13,841.61 | $13,841.61 | $245.18–$1,975.00 | 355% above | — |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $13,841.61 | $13,841.61 | $650.56–$12,734.28 | 355% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD OR FU | $1,560.45 | $1,560.45 | $73.34–$1,435.61 | 77% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $5,291.43 | $5,291.43 | $248.70–$4,868.12 | 298% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $6,090.03 | $6,090.03 | $286.23–$5,602.83 | 644% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR | $4,762.27 | $4,762.27 | $223.83–$4,381.29 | 531% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V RT | $2,335.91 | $2,335.91 | $109.79–$2,149.04 | 301% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V LT | $2,335.91 | $2,335.91 | $109.79–$2,149.04 | 301% 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 | $3,475.38 | $3,475.38 | $163.34–$3,197.35 | 407% 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 | $3,597.11 | $3,597.11 | $169.06–$3,309.34 | 425% above | — |
| 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 | $1,484.10 | $1,484.10 | $87.36 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR CAD BI | $1,484.10 | $1,484.10 | $69.75–$1,365.37 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed | $1,484.10 | $1,484.10 | $217.46 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT | $3,597.11 | $3,597.11 | $169.06–$3,309.34 | 394% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT | $3,597.11 | $3,597.11 | $169.06–$3,309.34 | 394% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Radiologic examination, sinuses, paranasal, complete, minimum of 3 views | $5,969.29 | $5,969.29 | — | 597% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Radiologic examination, sinuses, paranasal, complete, minimum of 3 views Other Diagnostic Radiology FS | $5,969.29 | $5,969.29 | $182.03 | 597% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3 + V | $5,969.29 | $5,969.29 | $280.56–$5,491.75 | 597% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Radiologic examination, sinuses, paranasal, complete, minimum of 3 views UNSCHEDULED | $5,969.29 | $5,969.29 | $671.56–$685.70 | 597% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 Radiologic examination, skull; less than 4 views | $2,949.71 | $2,949.71 | — | 360% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 Radiologic examination, skull; less than 4 views Other Diagnostic Radiology FS | $2,949.71 | $2,949.71 | $245.18 | 360% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 Radiologic examination, skull; less than 4 views UNSCHEDULED | $2,949.71 | $2,949.71 | $438.61–$447.85 | 360% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 V | $2,949.71 | $2,949.71 | $138.64–$2,713.73 | 360% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or SCHEDULED | $12,129.99 | $12,129.99 | $151.05–$154.23 | 356% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or UNSCHEDULED | $12,129.99 | $12,129.99 | $1,558.54–$1,591.35 | 356% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or | $12,129.99 | $12,129.99 | — | 356% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS W CONT ECG | $12,129.99 | $12,129.99 | $570.11–$11,159.59 | 356% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $3,628.17 | $3,628.17 | $170.52–$3,337.92 | 272% 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 | $3,628.17 | $3,628.17 | $575.07–$587.18 | 272% 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 | $3,628.17 | $3,628.17 | $401.74 | 272% 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 | $3,628.17 | $3,628.17 | — | 272% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Radiologic examination, femur; minimum 2 views | $3,270.04 | $3,270.04 | — | 521% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR MIN 2 VIEWS | $3,270.04 | $3,270.04 | $153.69–$3,008.44 | 521% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Radiologic examination, femur; minimum 2 views Other Diagnostic Radiology FS | $3,270.04 | $3,270.04 | $182.03 | 521% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Radiologic examination, femur; minimum 2 views UNSCHEDULED | $3,270.04 | $3,270.04 | $470.78–$480.69 | 521% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST | $11,563.23 | $11,563.23 | $543.47–$10,638.17 | 284% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Computed tomography, thoracic spine; without contrast material | $11,563.23 | $11,563.23 | $245.18–$1,975.00 | 284% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Computed tomography, thoracic spine; without contrast material UNSCHEDULED | $11,563.23 | $11,563.23 | $2,143.36–$2,188.48 | 284% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V LT | $1,460.59 | $1,460.59 | $68.65–$1,343.74 | 199% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V RT | $1,460.59 | $1,460.59 | $68.65–$1,343.74 | 199% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $1,325.30 | $1,325.30 | $62.29–$1,219.28 | 32% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UT TRANSVAGINAL | $1,170.94 | $1,170.94 | $55.03–$1,077.26 | 28% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $6,339.87 | $6,339.87 | $297.97–$5,832.68 | 311% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents | $3,145.42 | $3,145.42 | $245.18 | 192% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CNTS | $3,145.42 | $3,145.42 | $147.83–$2,893.79 | 192% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound, scrotum and contents UNSCHEDULED | $3,145.42 | $3,145.42 | $710.55–$725.51 | 192% 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 | $4,015.09 | $4,015.09 | $245.18 | 244% 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 | $4,015.09 | $4,015.09 | $936.69–$956.41 | 244% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK | $4,015.09 | $4,015.09 | $188.71–$3,693.88 | 244% 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 | $8,781.74 | $8,781.74 | $401.74 | 678% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SNGL CONTRAST | $8,781.74 | $8,781.74 | $412.74–$8,079.20 | 678% 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 | $8,781.74 | $8,781.74 | — | 678% 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 | $8,781.74 | $8,781.74 | $2,061.49–$2,104.89 | 678% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V RT | $3,597.11 | $3,597.11 | $169.06–$3,309.34 | 517% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V LT | $3,597.11 | $3,597.11 | $169.06–$3,309.34 | 517% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI RT | $3,040.47 | $3,040.47 | $142.90–$2,797.23 | 254% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN UNI LT | $3,040.47 | $3,040.47 | $142.90–$2,797.23 | 254% above | — |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RT | $2,315.19 | $2,315.19 | $108.81–$2,129.97 | 275% above | — |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LT | $2,315.19 | $2,315.19 | $108.81–$2,129.97 | 275% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT | $3,141.31 | $3,141.31 | $147.64–$2,890.01 | 343% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT | $3,141.31 | $3,141.31 | $147.64–$2,890.01 | 343% 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 | $2,882.04 | $2,882.04 | $135.46–$2,651.48 | 395% 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 | $2,882.04 | $2,882.04 | $440.56–$449.84 | 395% 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 | $2,882.04 | $2,882.04 | $182.03 | 395% 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 | $2,882.04 | $2,882.04 | — | 395% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABD XR 1V | $1,020.34 | $1,020.34 | $47.96–$938.71 | 107% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view | $1,020.34 | $1,020.34 | — | 107% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view Other Diagnostic Radiology FS | $1,020.34 | $1,020.34 | $182.03 | 107% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radiologic examination, abdomen; 1 view UNSCHEDULED | $1,020.34 | $1,020.34 | $472.73–$482.68 | 107% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT | $2,711.43 | $2,711.43 | $127.44–$2,494.52 | 454% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT | $2,711.43 | $2,711.43 | $127.44–$2,494.52 | 454% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT | $1,460.59 | $1,460.59 | $68.65–$1,343.74 | 209% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT | $1,460.59 | $1,460.59 | $68.65–$1,343.74 | 209% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT | $2,315.19 | $2,315.19 | $108.81–$2,129.97 | 372% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT | $2,750.25 | $2,750.25 | $129.26–$2,530.23 | 461% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT | $2,750.25 | $2,750.25 | $129.26–$2,530.23 | 357% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT | $2,750.25 | $2,750.25 | $129.26–$2,530.23 | 357% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT | $2,408.46 | $2,408.46 | $113.20–$2,215.78 | 280% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT | $2,408.46 | $2,408.46 | $113.20–$2,215.78 | 280% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT | $3,452.09 | $3,452.09 | $162.25–$3,175.92 | 472% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT | $3,452.09 | $3,452.09 | $162.25–$3,175.92 | 472% 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 | $3,685.15 | $3,685.15 | $245.18 | 433% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $3,685.15 | $3,685.15 | $173.20–$3,390.34 | 433% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views UNSCHEDULED | $3,685.15 | $3,685.15 | $477.60–$487.66 | 433% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radiologic examination, spine, lumbosacral; 2 or 3 views | $3,685.15 | $3,685.15 | — | 433% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views UNSCHEDULED | $5,516.09 | $5,516.09 | $785.61–$802.15 | 393% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Radiologic examination, spine, lumbosacral; minimum of 4 views | $5,516.09 | $5,516.09 | — | 393% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $5,516.09 | $5,516.09 | $259.26–$5,074.80 | 393% 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 | $5,516.09 | $5,516.09 | $245.18 | 393% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views | $1,929.31 | $1,929.31 | — | 210% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views UNSCHEDULED | $1,929.31 | $1,929.31 | $498.08–$508.56 | 210% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radiologic examination, spine; thoracic, 2 views Other Diagnostic Radiology FS | $1,929.31 | $1,929.31 | $245.18 | 210% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $1,929.31 | $1,929.31 | $90.68–$1,774.97 | 210% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $3,597.11 | $3,597.11 | $169.06–$3,309.34 | 458% 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 | $3,597.11 | $3,597.11 | $182.03 | 458% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views UNSCHEDULED | $3,597.11 | $3,597.11 | $387.93–$396.10 | 458% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Radiologic examination, nasal bones, complete, minimum of 3 views | $3,597.11 | $3,597.11 | — | 458% 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 | $3,294.12 | $3,294.12 | $182.03 | 378% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views | $3,294.12 | $3,294.12 | — | 378% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radiologic examination, spine, cervical; 2 or 3 views UNSCHEDULED | $3,294.12 | $3,294.12 | $422.05–$430.93 | 378% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $3,294.12 | $3,294.12 | $154.82–$3,030.59 | 378% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views UNSCHEDULED | $3,822.41 | $3,822.41 | $390.86–$399.09 | 517% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views Other Diagnostic Radiology FS | $3,822.41 | $3,822.41 | $245.18 | 517% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic examination, pelvis; 1 or 2 views | $3,822.41 | $3,822.41 | — | 517% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $3,822.41 | $3,822.41 | $179.65–$3,516.62 | 517% 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 | $4,521.63 | $4,521.63 | $182.03 | 593% 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 | $4,521.63 | $4,521.63 | $450.31–$459.79 | 593% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radiologic examination, sacrum and coccyx, minimum of 2 views | $4,521.63 | $4,521.63 | — | 593% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $4,521.63 | $4,521.63 | $212.52–$4,159.90 | 593% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) | $14.83 | $14.83 | $38.62 | 67% below | — |
| ACTH blood test CPT 82024 ACTH QN | $14.83 | $14.83 | $0.70–$13.64 | 67% below | — |
| ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) Other Outpatient | $14.83 | $14.83 | $38.62 | 67% below | — |
| ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) UNSCHEDULED | $14.83 | $14.83 | $13.64–$13.93 | 67% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) | $587.06 | $587.06 | $5.30 | 1390% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $587.06 | $587.06 | $27.59–$540.10 | 1390% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) UNSCHEDULED | $587.06 | $587.06 | $152.06–$155.26 | 1390% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) Other Outpatient | $587.06 | $587.06 | $5.30 | 1390% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) | $587.06 | $587.06 | $5.18 | 975% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $587.06 | $587.06 | $27.59–$540.10 | 975% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) UNSCHEDULED | $587.06 | $587.06 | $179.34–$183.12 | 975% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase; aspartate amino (AST) (SGOT) Other Outpatient | $587.06 | $587.06 | $5.18 | 975% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA | $456.75 | $456.75 | $47.63 | 182% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA UNSCHEDULED | $456.75 | $456.75 | $315.80–$322.45 | 182% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $456.75 | $456.75 | $21.47–$420.21 | 182% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsA Other Outpatient | $456.75 | $456.75 | $47.63 | 182% above | — |
| Albumin blood test CPT 82040 Albumin; serum, plasma or whole blood | $524.44 | $524.44 | $4.95 | 3003% above | — |
| Albumin blood test CPT 82040 Albumin; serum, plasma or whole blood Other Outpatient | $524.44 | $524.44 | $4.95 | 3003% above | — |
| Albumin blood test CPT 82040 Albumin; serum, plasma or whole blood UNSCHEDULED | $524.44 | $524.44 | $140.35–$143.31 | 3003% above | — |
| Albumin blood test CPT 82040 ALBUMIN SERUM QN | $524.44 | $524.44 | $24.65–$482.48 | 3003% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (ALP) | $989.33 | $989.33 | $46.50–$910.18 | 2161% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase, alkaline; UNSCHEDULED | $989.33 | $989.33 | $170.57–$174.16 | 2161% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase, alkaline; Other Outpatient | $989.33 | $989.33 | $5.18 | 2161% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase, alkaline; | $989.33 | $989.33 | $5.18 | 2161% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each UNSCHEDULED | $6.90 | $6.90 | $113.07–$115.45 | 12% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each | $6.90 | $6.90 | $5.22 | 12% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each Other Outpatient | $6.90 | $6.90 | $5.22 | 12% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EACH | $6.90 | $6.90 | $0.32–$6.35 | 12% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT SERUM | $75.35 | $75.35 | $3.54–$69.32 | 124% above | — |
| Ammonia blood test CPT 82140 AMMONIA | $1,472.06 | $1,472.06 | $69.19–$1,354.30 | 1191% above | — |
| Ammonia blood test CPT 82140 Ammonia | $1,472.06 | $1,472.06 | $14.57 | 1191% above | — |
| Ammonia blood test CPT 82140 Ammonia Other Outpatient | $1,472.06 | $1,472.06 | $14.57 | 1191% above | — |
| Ammonia blood test CPT 82140 Ammonia UNSCHEDULED | $1,472.06 | $1,472.06 | $225.16–$229.90 | 1191% above | — |
| Amylase blood test CPT 82150 AMYLASE PANCREATIC | $11.81 | $11.81 | $0.56–$10.87 | 62% below | — |
| Amylase blood test CPT 82150 AMYLASE | $11.81 | $11.81 | $0.56–$10.87 | 62% below | — |
| Amylase blood test CPT 82150 AMYLASE FL | $81.43 | $81.43 | $3.83–$74.92 | 160% above | — |
| Amylase blood test CPT 82150 AMYLASE BLD | $1,746.25 | $1,746.25 | $82.07–$1,606.55 | 5470% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody Other Outpatient | $140.36 | $140.36 | $12.95 | 414% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP | $140.36 | $140.36 | $6.60–$129.13 | 414% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody UNSCHEDULED | $140.36 | $140.36 | $154.00–$157.25 | 414% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic citrullinated peptide (CCP), antibody | $140.36 | $140.36 | $12.95 | 414% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide | $601.93 | $601.93 | $39.26 | 262% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide UNSCHEDULED | $601.93 | $601.93 | $186.17–$190.09 | 262% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $601.93 | $601.93 | $28.29–$553.78 | 262% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide Other Outpatient | $601.93 | $601.93 | $39.26 | 262% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATHETER TIP | $311.70 | $311.70 | $14.65–$286.76 | 317% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT ENVIRON EPIDEMI | $541.81 | $541.81 | $25.47–$498.47 | 626% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT THROAT | $1,267.81 | $1,267.81 | $59.59–$1,166.39 | 1598% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT NOSE | $1,349.11 | $1,349.11 | $63.41–$1,241.18 | 1707% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL | $1,625.42 | $1,625.42 | $76.39–$1,495.39 | 2077% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE | $1,796.07 | $1,796.07 | $84.42–$1,652.38 | 2306% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR | $1,796.07 | $1,796.07 | $84.42–$1,652.38 | 2306% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF | $1,899.02 | $1,899.02 | $89.25–$1,747.10 | 2444% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $1,936.96 | $1,936.96 | $91.04–$1,782.00 | 2494% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY | $1,936.96 | $1,936.96 | $91.04–$1,782.00 | 2494% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE | $2,532.93 | $2,532.93 | $119.05–$2,330.30 | 3293% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SURGICAL SPEC | $2,665.67 | $2,665.67 | $125.29–$2,452.42 | 3470% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $2,665.67 | $2,665.67 | $125.29–$2,452.42 | 3470% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE NOT MARROW | $2,665.67 | $2,665.67 | $125.29–$2,452.42 | 3470% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE MARROW | $2,765.93 | $2,765.93 | $130.00–$2,544.66 | 3605% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID | $2,765.93 | $2,765.93 | $130.00–$2,544.66 | 3605% above | — |
| Basic metabolic panel (blood test) CPT 80048 BMP TOTAL CALCIUM | $953.57 | $953.57 | $44.82–$877.28 | 189% 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 | $953.57 | $953.57 | $8.46 | 189% 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 | $953.57 | $953.57 | $214.43–$218.95 | 189% 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 | $953.57 | $953.57 | $8.46 | 189% above | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOT | $19.90 | $19.90 | $0.94–$18.31 | 16% below | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOT BLD | $1,063.83 | $1,063.83 | $50.00–$978.72 | 4400% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $2,234.94 | $2,234.94 | $105.04–$2,056.14 | 1823% 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 | $2,386.65 | $2,386.65 | $10.32 | 600% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) | $2,386.65 | $2,386.65 | $10.32 | 600% above | — |
| Blood culture for bacteria CPT 87040 Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate) UNSCHEDULED | $2,386.65 | $2,386.65 | $249.53–$254.78 | 600% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $2,386.65 | $2,386.65 | $112.17–$2,195.72 | 600% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipuncture Other Outpatient | $214.57 | $214.57 | $9.34 | 1033% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $214.57 | $214.57 | $10.08–$197.40 | 1033% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipuncture | $214.57 | $214.57 | $3.00 | 1033% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $840.30 | $840.30 | $39.49–$773.08 | 1776% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) Other Outpatient | $840.30 | $840.30 | $3.93 | 1776% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) | $840.30 | $840.30 | $3.93 | 1776% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose; quantitative, blood (except reagent strip) UNSCHEDULED | $840.30 | $840.30 | $52.63–$53.74 | 1776% above | — |
| Blood lead test CPT 83655 LEAD BLOOD | $4.00 | $4.00 | $0.19–$3.68 | 63% below | — |
| Blood lead test CPT 83655 Lead | $4.00 | $4.00 | $12.11 | 63% below | — |
| Blood lead test CPT 83655 Lead Other Outpatient | $4.00 | $4.00 | $12.11 | 63% below | — |
| Blood lead test CPT 83655 Lead UNSCHEDULED | $4.00 | $4.00 | $7.80–$7.96 | 63% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE SERUM | $2,866.66 | $2,866.66 | $134.73–$2,637.33 | 2182% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative | $2,866.66 | $2,866.66 | $7.52 | 2182% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative UNSCHEDULED | $2,866.66 | $2,866.66 | $118.91–$121.41 | 2182% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin, chorionic (hCG); qualitative Other Outpatient | $2,866.66 | $2,866.66 | $7.52 | 2182% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $29.00 | $29.00 | $1.36–$26.68 | 39% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen; quantitative UNSCHEDULED | $989.33 | $989.33 | $50.68–$51.75 | 2092% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $989.33 | $989.33 | $46.50–$910.18 | 2092% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen; quantitative Other Outpatient | $989.33 | $989.33 | $3.95 | 2092% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen; quantitative | $989.33 | $989.33 | $3.58–$6.08 | 2092% above | — |
| C-peptide blood test CPT 84681 C-peptide UNSCHEDULED | $197.40 | $197.40 | $74.08–$75.64 | 439% above | — |
| C-peptide blood test CPT 84681 C-PEPTIDE | $197.40 | $197.40 | $9.28–$181.61 | 439% above | — |
| C-peptide blood test CPT 84681 C-peptide Other Outpatient | $197.40 | $197.40 | $20.81 | 439% above | — |
| C-peptide blood test CPT 84681 C-peptide | $197.40 | $197.40 | $20.81 | 439% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; UNSCHEDULED | $352.20 | $352.20 | $108.20–$110.47 | 386% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $352.20 | $352.20 | $16.55–$324.02 | 386% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; Other Outpatient | $352.20 | $352.20 | $5.18 | 386% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein; | $352.20 | $352.20 | $5.18 | 386% 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 | $57.00 | $57.00 | $37.27 | 50% below | — |
| 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 | $57.00 | $57.00 | $154.00–$157.25 | 50% below | — |
| 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 | $57.00 | $57.00 | $37.27 | 50% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOX GENE AMP PROB | $57.00 | $57.00 | $2.68–$52.44 | 50% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QN | $208.37 | $208.37 | $9.79–$191.70 | 279% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 UNSCHEDULED | $208.37 | $208.37 | $156.93–$160.23 | 279% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 | $208.37 | $208.37 | $20.81 | 279% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay for tumor antigen, quantitative; CA 19-9 Other Outpatient | $208.37 | $208.37 | $20.81 | 279% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 Other Outpatient | $208.37 | $208.37 | $20.81 | 152% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 | $208.37 | $208.37 | $20.81 | 152% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QN | $208.37 | $208.37 | $9.79–$191.70 | 152% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay for tumor antigen, quantitative; CA 125 UNSCHEDULED | $208.37 | $208.37 | $163.75–$167.20 | 152% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA/RNA AMP | $70.94 | $70.94 | $3.33–$65.26 | 19% below | — |
| Calcium blood test, total CPT 82310 Calcium; total Other Outpatient | $1,746.25 | $1,746.25 | $5.16 | 3437% above | — |
| Calcium blood test, total CPT 82310 Calcium; total | $1,746.25 | $1,746.25 | $4.68–$7.95 | 3437% above | — |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $1,746.25 | $1,746.25 | $82.07–$1,606.55 | 3437% above | — |
| Calcium blood test, total CPT 82310 Calcium; total UNSCHEDULED | $1,746.25 | $1,746.25 | $43.86–$44.78 | 3437% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $195.31 | $195.31 | $9.18–$179.69 | 66% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) UNSCHEDULED | $195.31 | $195.31 | $171.55–$175.16 | 66% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) | $195.31 | $195.31 | $18.96 | 66% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) Other Outpatient | $195.31 | $195.31 | $18.96 | 66% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER IGM | $42.00 | $42.00 | $1.97–$38.64 | 131% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARIC ZOSTER IGG | $139.80 | $139.80 | $6.57–$128.62 | 668% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMP PROBE | $294.06 | $294.06 | $13.82–$270.54 | 600% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique UNSCHEDULED | $294.06 | $294.06 | $102.34–$104.50 | 600% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique Other Outpatient | $294.06 | $294.06 | $35.09 | 600% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique | $294.06 | $294.06 | $35.09 | 600% 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 | $1,880.34 | $1,880.34 | $217.36–$221.94 | 1757% 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 | $1,880.34 | $1,880.34 | $13.39 | 1757% 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) | $1,880.34 | $1,880.34 | $13.39 | 1757% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $1,880.34 | $1,880.34 | $88.38–$1,729.91 | 1757% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | $742.01 | $742.01 | $6.47 | 653% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Other Outpatient | $742.01 | $742.01 | $6.47 | 653% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTOMATED | $742.01 | $742.01 | $34.87–$682.65 | 653% above | — |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) UNSCHEDULED | $742.01 | $742.01 | $120.86–$123.40 | 653% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 Other Outpatient | $2,500.19 | $2,500.19 | $10.56 | 443% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 | $2,500.19 | $2,500.19 | $10.56 | 443% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $2,500.19 | $2,500.19 | $117.51–$2,300.17 | 443% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 UNSCHEDULED | $2,500.19 | $2,500.19 | $318.72–$325.44 | 443% above | — |
| Cortisol blood test, total CPT 82533 Cortisol; total UNSCHEDULED | $171.01 | $171.01 | $127.69–$130.38 | 166% above | — |
| Cortisol blood test, total CPT 82533 Cortisol; total Other Outpatient | $171.01 | $171.01 | $16.30 | 166% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $171.01 | $171.01 | $8.04–$157.33 | 166% above | — |
| Cortisol blood test, total CPT 82533 Cortisol; total | $171.01 | $171.01 | $16.30 | 166% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (CK), (CPK); total Other Outpatient | $1,123.44 | $1,123.44 | $6.51 | 1412% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (CK), (CPK); total | $1,123.44 | $1,123.44 | $6.51 | 1412% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (CK), (CPK); total UNSCHEDULED | $1,123.44 | $1,123.44 | $111.11–$113.45 | 1412% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREAT KINASE (CK) TOTAL | $1,123.44 | $1,123.44 | $52.80–$1,033.56 | 1412% above | — |
| Creatinine blood test CPT 82565 Creatinine; blood | $896.95 | $896.95 | $5.12 | 1543% above | — |
| Creatinine blood test CPT 82565 Creatinine; blood UNSCHEDULED | $896.95 | $896.95 | $51.66–$52.75 | 1543% above | — |
| Creatinine blood test CPT 82565 CREATININE BLD | $896.95 | $896.95 | $42.16–$825.19 | 1543% above | — |
| Creatinine blood test CPT 82565 Creatinine; blood Other Outpatient | $896.95 | $896.95 | $5.12 | 1543% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Antibody; cytomegalovirus (CMV) Other Outpatient | $153.62 | $153.62 | $14.39 | 449% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG QUAL | $153.62 | $153.62 | $7.22–$141.33 | 449% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Antibody; cytomegalovirus (CMV) UNSCHEDULED | $153.62 | $153.62 | $102.34–$104.50 | 449% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Antibody; cytomegalovirus (CMV) | $153.62 | $153.62 | $14.39 | 449% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative Other Outpatient | $852.25 | $852.25 | $10.18 | 331% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT | $852.25 | $852.25 | $40.06–$784.07 | 331% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative UNSCHEDULED | $852.25 | $852.25 | $163.75–$167.20 | 331% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation products, D-dimer; quantitative | $852.25 | $852.25 | $10.18 | 331% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $225.13 | $225.13 | $10.58–$207.12 | 400% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) UNSCHEDULED | $225.13 | $225.13 | $75.05–$76.63 | 400% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) | $225.13 | $225.13 | $22.23 | 400% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-sulfate (DHEA-S) Other Outpatient | $225.13 | $225.13 | $22.23 | 400% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR ANY NBR PER DOS | $4,291.10 | $4,291.10 | $201.68–$3,947.81 | 6639% 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 | $2,172.34 | $2,172.34 | $7.01 | 895% 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 | $2,172.34 | $2,172.34 | $158.88–$162.22 | 895% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $2,172.34 | $2,172.34 | $102.10–$1,998.55 | 895% 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) | $2,172.34 | $2,172.34 | $7.01 | 895% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID IGG QUAL | $10.18 | $10.18 | $0.48–$9.37 | 65% below | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID IGM QUAL | $10.18 | $10.18 | $0.48–$9.37 | 65% below | — |
| Estradiol blood test CPT 82670 Estradiol; total Other Outpatient | $277.11 | $277.11 | $27.94 | 754% above | — |
| Estradiol blood test CPT 82670 Estradiol; total UNSCHEDULED | $277.11 | $277.11 | $75.05–$76.63 | 754% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $277.11 | $277.11 | $13.02–$254.94 | 754% above | — |
| Estradiol blood test CPT 82670 Estradiol; total | $277.11 | $277.11 | $27.94 | 754% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) | $191.75 | $191.75 | $18.58 | 204% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) UNSCHEDULED | $191.75 | $191.75 | $39.97–$40.81 | 204% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin; follicle stimulating hormone (FSH) Other Outpatient | $191.75 | $191.75 | $18.58 | 204% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $191.75 | $191.75 | $9.01–$176.41 | 204% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal | $100.00 | $100.00 | $19.63 | 16% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $100.00 | $100.00 | $4.70–$92.00 | 16% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal Other Outpatient | $100.00 | $100.00 | $19.63 | 16% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, fecal UNSCHEDULED | $100.00 | $100.00 | $75.05–$76.63 | 16% below | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $146.66 | $146.66 | $6.89–$134.93 | 18% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $146.66 | $146.66 | $13.63 | 18% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Other Outpatient | $146.66 | $146.66 | $13.63 | 18% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin UNSCHEDULED | $146.66 | $146.66 | $132.56–$135.35 | 18% above | — |
| Fibrinogen blood test CPT 85384 Fibrinogen; activity Other Outpatient | $1,394.60 | $1,394.60 | $9.72 | 1674% above | — |
| Fibrinogen blood test CPT 85384 Fibrinogen; activity | $1,394.60 | $1,394.60 | $9.72 | 1674% above | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $1,394.60 | $1,394.60 | $65.55–$1,283.03 | 1674% above | — |
| Fibrinogen blood test CPT 85384 Fibrinogen; activity UNSCHEDULED | $1,394.60 | $1,394.60 | $142.31–$145.31 | 1674% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) SER | $156.42 | $156.42 | $7.35–$143.91 | 25% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum | $156.42 | $156.42 | $14.70 | 25% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum Other Outpatient | $156.42 | $156.42 | $14.70 | 25% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid; serum UNSCHEDULED | $156.42 | $156.42 | $133.53–$136.34 | 25% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free Other Outpatient | $165.73 | $165.73 | $16.94 | 166% above | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $165.73 | $165.73 | $7.79–$152.47 | 166% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free | $165.73 | $165.73 | $16.94 | 166% above | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3; free UNSCHEDULED | $165.73 | $165.73 | $168.63–$172.17 | 166% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free Other Outpatient | $104.53 | $104.53 | $9.02 | 24% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free | $104.53 | $104.53 | $9.02 | 24% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine; free UNSCHEDULED | $104.53 | $104.53 | $115.99–$118.43 | 24% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $104.53 | $104.53 | $4.91–$96.17 | 24% above | — |
| Free testosterone test CPT 84402 Testosterone; free Other Outpatient | $8.00 | $8.00 | $25.47 | 71% below | — |
| Free testosterone test CPT 84402 Testosterone; free | $8.00 | $8.00 | $25.47 | 71% below | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $8.00 | $8.00 | $0.38–$7.36 | 71% below | — |
| Free testosterone test CPT 84402 Testosterone; free UNSCHEDULED | $8.00 | $8.00 | $34.11–$34.83 | 71% below | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase, gamma (GGT) Other Outpatient | $989.33 | $989.33 | $7.20 | 2039% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT | $989.33 | $989.33 | $46.50–$910.18 | 2039% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase, gamma (GGT) | $989.33 | $989.33 | $7.20 | 2039% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase, gamma (GGT) UNSCHEDULED | $989.33 | $989.33 | $59.46–$60.71 | 2039% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) | $896.95 | $896.95 | $4.75 | 1169% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) Other Outpatient | $896.95 | $896.95 | $4.75 | 1169% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose; post glucose dose (includes glucose) UNSCHEDULED | $896.95 | $896.95 | $75.05–$76.63 | 1169% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR W GLUCOLA | $896.95 | $896.95 | $42.16–$825.19 | 1169% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) | $768.82 | $768.82 | $12.87 | 513% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPECIMENS | $768.82 | $768.82 | $36.13–$707.31 | 513% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) UNSCHEDULED | $768.82 | $768.82 | $75.05–$76.63 | 513% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose; tolerance test (GTT), 3 specimens (includes glucose) Other Outpatient | $768.82 | $768.82 | $12.87 | 513% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique UNSCHEDULED | $294.06 | $294.06 | $102.34–$104.50 | 609% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique Other Outpatient | $294.06 | $294.06 | $35.09 | 609% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMP PROBE | $294.06 | $294.06 | $13.82–$270.54 | 609% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique | $294.06 | $294.06 | $35.09 | 609% above | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGG | $7.00 | $7.00 | $0.33–$6.44 | 79% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGA | $12.09 | $12.09 | $0.57–$11.12 | 63% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL IGM | $19.63 | $19.63 | $0.92–$18.06 | 41% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QUAL | $154.65 | $154.65 | $7.27–$142.28 | 368% above | — |
| H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL | $153.45 | $153.45 | $7.21–$141.17 | 224% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN | $92.00 | $92.00 | $4.32–$84.64 | 17% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed Other Outpatient | $92.00 | $92.00 | $85.10 | 17% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed UNSCHEDULED | $92.00 | $92.00 | $91.62–$93.55 | 17% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed | $92.00 | $92.00 | $85.10 | 17% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1&2 AB QUAL | $578.35 | $578.35 | $27.18–$532.08 | 1064% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) | $397.51 | $397.51 | $9.71 | 472% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $397.51 | $397.51 | $18.68–$365.71 | 472% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) UNSCHEDULED | $397.51 | $397.51 | $121.84–$124.40 | 472% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin; glycosylated (A1C) Other Outpatient | $397.51 | $397.51 | $9.71 | 472% above | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $405.26 | $405.26 | $19.05–$372.84 | 642% above | — |
| Hemoglobin blood test CPT 85018 Blood count; hemoglobin (Hgb) Other Outpatient | $405.26 | $405.26 | $2.37 | 642% above | — |
| Hemoglobin blood test CPT 85018 Blood count; hemoglobin (Hgb) UNSCHEDULED | $405.26 | $405.26 | $51.66–$52.75 | 642% above | — |
| Hemoglobin blood test CPT 85018 Blood count; hemoglobin (Hgb) | $405.26 | $405.26 | $2.37 | 642% above | — |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL | $132.20 | $132.20 | $6.21–$121.62 | 271% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total Other Outpatient | $132.20 | $132.20 | $12.05 | 271% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total UNSCHEDULED | $132.20 | $132.20 | $87.72–$89.57 | 271% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody (HBcAb); total | $132.20 | $132.20 | $12.05 | 271% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB QUAL | $120.30 | $120.30 | $5.65–$110.68 | 173% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) UNSCHEDULED | $120.30 | $120.30 | $124.76–$127.39 | 173% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) | $120.30 | $120.30 | $9.74–$16.54 | 173% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody (HBsAb) Other Outpatient | $120.30 | $120.30 | $10.74 | 173% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC Other Outpatient | $116.53 | $116.53 | $10.33 | 225% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA QL | $116.53 | $116.53 | $5.48–$107.21 | 225% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC | $116.53 | $116.53 | $10.33 | 225% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay ºEIA», enzyme-linked immunosorbent assay ºELISA», fluorescence immunoassay ºFIA», immunochemiluminometric assay ºIMC UNSCHEDULED | $116.53 | $116.53 | $99.42–$101.51 | 225% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; UNSCHEDULED | $152.47 | $152.47 | $121.84–$124.40 | 227% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; | $152.47 | $152.47 | $14.27 | 227% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB QUAL | $152.47 | $152.47 | $7.17–$140.27 | 227% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody; Other Outpatient | $152.47 | $152.47 | $14.27 | 227% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed | $66.79 | $66.79 | $42.84 | 41% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed UNSCHEDULED | $66.79 | $66.79 | $102.34–$104.50 | 41% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA QN | $66.79 | $66.79 | $3.14–$61.45 | 41% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed Other Outpatient | $66.79 | $66.79 | $42.84 | 41% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Antibody; herpes simplex, type 1 Other Outpatient | $142.63 | $142.63 | $13.19 | 510% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AB IGG | $142.63 | $142.63 | $6.70–$131.22 | 510% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Antibody; herpes simplex, type 1 UNSCHEDULED | $142.63 | $142.63 | $75.05–$76.63 | 510% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Antibody; herpes simplex, type 1 | $142.63 | $142.63 | $13.19 | 510% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 AB IGG | $198.85 | $198.85 | $9.35–$182.94 | 503% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Antibody; herpes simplex, type 2 UNSCHEDULED | $198.85 | $198.85 | $61.41–$62.70 | 503% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Antibody; herpes simplex, type 2 Other Outpatient | $198.85 | $198.85 | $19.35 | 503% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Antibody; herpes simplex, type 2 | $198.85 | $198.85 | $19.35 | 503% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QN | $12.22 | $12.22 | $0.57–$11.24 | 77% below | — |
| Insulin blood test CPT 83525 Insulin; total | $126.58 | $126.58 | $11.43 | 402% above | — |
| Insulin blood test CPT 83525 INSULIN TOTAL | $126.58 | $126.58 | $5.95–$116.45 | 402% above | — |
| Insulin blood test CPT 83525 Insulin; total Other Outpatient | $126.58 | $126.58 | $11.43 | 402% above | — |
| Insulin blood test CPT 83525 Insulin; total UNSCHEDULED | $126.58 | $126.58 | $75.05–$76.63 | 402% above | — |
| Iron blood test (serum iron) CPT 83540 Iron Other Outpatient | $81.38 | $81.38 | $6.47 | 49% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $81.38 | $81.38 | $3.82–$74.87 | 49% above | — |
| Iron blood test (serum iron) CPT 83540 Iron | $81.38 | $81.38 | $6.47 | 49% above | — |
| Iron blood test (serum iron) CPT 83540 Iron UNSCHEDULED | $81.38 | $81.38 | $82.85–$84.59 | 49% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity UNSCHEDULED | $102.05 | $102.05 | $94.54–$96.53 | 13% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $102.05 | $102.05 | $8.74 | 13% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity Other Outpatient | $102.05 | $102.05 | $8.74 | 13% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $102.05 | $102.05 | $4.80–$93.89 | 13% 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 | $953.57 | $953.57 | $8.68 | 135% 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 | $953.57 | $953.57 | $159.85–$163.21 | 135% 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 | $953.57 | $953.57 | $8.68 | 135% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $953.57 | $953.57 | $44.82–$877.28 | 135% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) Other Outpatient | $191.16 | $191.16 | $18.52 | 203% above | — |
| LH (luteinizing hormone) test CPT 83002 LH | $191.16 | $191.16 | $8.98–$175.87 | 203% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) | $191.16 | $191.16 | $18.52 | 203% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin; luteinizing hormone (LH) UNSCHEDULED | $191.16 | $191.16 | $39.97–$40.81 | 203% above | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $1,022.10 | $1,022.10 | $48.04–$940.33 | 1274% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate (lactic acid) UNSCHEDULED | $1,022.10 | $1,022.10 | $130.61–$133.36 | 1274% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate (lactic acid) | $1,022.10 | $1,022.10 | $11.57 | 1274% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate (lactic acid) Other Outpatient | $1,022.10 | $1,022.10 | $11.57 | 1274% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD) | $1,647.89 | $1,647.89 | $77.45–$1,516.06 | 2973% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $1,731.33 | $1,731.33 | $81.37–$1,592.82 | 646% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani Other Outpatient | $1,731.33 | $1,731.33 | $8.17 | 646% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani UNSCHEDULED | $1,731.33 | $1,731.33 | $258.30–$263.73 | 646% above | — |
| Liver function blood test panel CPT 80076 Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alani | $1,731.33 | $1,731.33 | $8.17 | 646% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM QL | $16.20 | $16.20 | $0.76–$14.90 | 35% below | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG QL | $16.20 | $16.20 | $0.76–$14.90 | 35% below | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB QL | $177.65 | $177.65 | $8.35–$163.44 | 612% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $5.00 | $5.00 | $0.23–$4.60 | 62% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $83.39 | $83.39 | $3.92–$76.72 | 529% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $1,048.94 | $1,048.94 | $49.30–$965.02 | 7817% above | — |
| Measles (rubeola) antibody test CPT 86765 Antibody; rubeola Other Outpatient | $139.80 | $139.80 | $12.88 | 429% above | — |
| Measles (rubeola) antibody test CPT 86765 Antibody; rubeola UNSCHEDULED | $139.80 | $139.80 | $151.08–$154.26 | 429% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $139.80 | $139.80 | $6.57–$128.62 | 429% above | — |
| Measles (rubeola) antibody test CPT 86765 Antibody; rubeola | $139.80 | $139.80 | $12.88 | 429% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCR (HETEROPHILE) | $977.97 | $977.97 | $45.96–$899.73 | 474% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening Other Outpatient | $977.97 | $977.97 | $5.18 | 474% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening | $977.97 | $977.97 | $5.18 | 474% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibodies; screening UNSCHEDULED | $977.97 | $977.97 | $115.99–$118.43 | 474% above | — |
| Mumps immunity blood test CPT 86735 MUMPS IGM QUAL | $7.34 | $7.34 | $0.34–$6.75 | 55% below | — |
| Mumps immunity blood test CPT 86735 MUMPS IGG QUAL | $141.27 | $141.27 | $6.64–$129.97 | 769% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROS SPEC AG (PSA) TOTAL | $190.09 | $190.09 | $8.93–$174.88 | 239% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) | $398.79 | $398.79 | $41.28 | 305% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) Other Outpatient | $398.79 | $398.79 | $41.28 | 305% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) | $398.79 | $398.79 | $18.74–$366.89 | 305% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) UNSCHEDULED | $398.79 | $398.79 | $156.93–$160.23 | 305% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood UNSCHEDULED | $2,431.61 | $2,431.61 | $125.73–$128.38 | 6232% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood Other Outpatient | $2,431.61 | $2,431.61 | $6.01 | 6232% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $2,431.61 | $2,431.61 | $114.29–$2,237.08 | 6232% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time, partial (PTT); plasma or whole blood | $2,431.61 | $2,431.61 | $6.01 | 6232% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus inorganic (phosphate); UNSCHEDULED | $989.33 | $989.33 | $73.10–$74.64 | 1522% above | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLD | $989.33 | $989.33 | $46.50–$910.18 | 1522% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus inorganic (phosphate); Other Outpatient | $989.33 | $989.33 | $4.74 | 1522% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus inorganic (phosphate); | $989.33 | $989.33 | $4.30–$7.30 | 1522% above | — |
| Potassium blood test CPT 84132 POTASSIUM BLD | $1,048.94 | $1,048.94 | $49.30–$965.02 | 1480% above | — |
| Potassium blood test CPT 84132 Potassium; serum, plasma or whole blood UNSCHEDULED | $1,048.94 | $1,048.94 | $45.81–$46.77 | 1480% above | — |
| Potassium blood test CPT 84132 Potassium; serum, plasma or whole blood | $1,048.94 | $1,048.94 | $4.76 | 1480% above | — |
| Potassium blood test CPT 84132 Potassium; serum, plasma or whole blood Other Outpatient | $1,048.94 | $1,048.94 | $4.76 | 1480% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $212.59 | $212.59 | $9.99–$195.58 | 352% above | — |
| Progesterone blood test CPT 84144 Progesterone | $212.59 | $212.59 | $20.86 | 352% above | — |
| Progesterone blood test CPT 84144 Progesterone Other Outpatient | $212.59 | $212.59 | $20.86 | 352% above | — |
| Progesterone blood test CPT 84144 Progesterone UNSCHEDULED | $212.59 | $212.59 | $75.05–$76.63 | 352% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $199.09 | $199.09 | $9.36–$183.16 | 207% above | — |
| Prolactin blood test CPT 84146 Prolactin UNSCHEDULED | $199.09 | $199.09 | $72.12–$73.64 | 207% above | — |
| Prolactin blood test CPT 84146 Prolactin Other Outpatient | $199.09 | $199.09 | $19.38 | 207% above | — |
| Prolactin blood test CPT 84146 Prolactin | $199.09 | $199.09 | $19.38 | 207% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $2,264.75 | $2,264.75 | $106.44–$2,083.57 | 6122% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; Other Outpatient | $2,264.75 | $2,264.75 | $4.29 | 6122% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; UNSCHEDULED | $2,264.75 | $2,264.75 | $99.42–$101.51 | 6122% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time; | $2,264.75 | $2,264.75 | $4.29 | 6122% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A Other Outpatient | $1,094.45 | $1,094.45 | $16.53 | 857% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A | $1,094.45 | $1,094.45 | $16.53 | 857% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A UNSCHEDULED | $1,094.45 | $1,094.45 | $115.02–$117.44 | 857% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A OPTICAL IA | $1,094.45 | $1,094.45 | $51.44–$1,006.89 | 857% above | — |
| Renin blood test CPT 84244 Renin | $10.00 | $10.00 | $21.99 | 48% below | — |
| Renin blood test CPT 84244 Renin Other Outpatient | $10.00 | $10.00 | $21.99 | 48% below | — |
| Renin blood test CPT 84244 Renin UNSCHEDULED | $10.00 | $10.00 | $23.39–$23.88 | 48% below | — |
| Renin blood test CPT 84244 RENIN | $10.00 | $10.00 | $0.47–$9.20 | 48% below | — |
| Rh blood typing CPT 86901 Blood typing, serologic; Rh (D) UNSCHEDULED | $295.03 | $295.03 | $47.76–$48.76 | 604% above | — |
| Rh blood typing CPT 86901 Blood typing, serologic; Rh (D) Other Outpatient | $295.03 | $295.03 | $2.99 | 604% above | — |
| Rh blood typing CPT 86901 RH TYPE | $295.03 | $295.03 | $13.87–$271.43 | 604% above | — |
| Rh blood typing CPT 86901 Blood typing, serologic; Rh (D) | $295.03 | $295.03 | $2.99 | 604% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative | $19.00 | $19.00 | $5.67 | 22% below | — |
| Rheumatoid factor (RF) test CPT 86431 RA QN | $19.00 | $19.00 | $0.89–$17.48 | 22% below | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative UNSCHEDULED | $19.00 | $19.00 | $58.48–$59.71 | 22% below | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor; quantitative Other Outpatient | $19.00 | $19.00 | $5.67 | 22% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $7.50 | $7.50 | $0.35–$6.90 | 60% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB QUAL | $10.66 | $10.66 | $0.50–$9.81 | 43% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $153.62 | $153.62 | $7.22–$141.33 | 715% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $2,905.40 | $2,905.40 | $136.55–$2,672.97 | 2536% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated Other Outpatient | $2,905.40 | $2,905.40 | $2.70 | 2536% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated | $2,905.40 | $2,905.40 | $2.70 | 2536% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate, erythrocyte; automated UNSCHEDULED | $2,905.40 | $2,905.40 | $71.16–$72.65 | 2536% above | — |
| Sodium blood test CPT 84295 Sodium; serum, plasma or whole blood | $920.80 | $920.80 | $4.81 | 1270% above | — |
| Sodium blood test CPT 84295 SODIUM BLD | $920.80 | $920.80 | $43.28–$847.14 | 1270% above | — |
| Sodium blood test CPT 84295 Sodium; serum, plasma or whole blood Other Outpatient | $920.80 | $920.80 | $4.81 | 1270% above | — |
| Sodium blood test CPT 84295 Sodium; serum, plasma or whole blood UNSCHEDULED | $920.80 | $920.80 | $46.79–$47.77 | 1270% above | — |
| Stool ova and parasites exam CPT 87177 O&P SMEAR CONC ID | $103.49 | $103.49 | $4.86–$95.21 | 148% 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 | $634.71 | $634.71 | $4.38 | 1098% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD SCN 3 SPEC | $634.71 | $634.71 | $29.83–$583.93 | 1098% 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 | $634.71 | $634.71 | $4.38 | 1098% 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 UNSCHEDULED | $634.71 | $634.71 | $56.53–$57.72 | 1098% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA AB CONFIRM | $6.00 | $6.00 | $0.28–$5.52 | 59% below | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 MHA TP CONFIRM | $132.40 | $132.40 | $6.22–$121.81 | 807% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL | $61.27 | $61.27 | $2.88–$56.37 | 209% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF QUAL | $61.27 | $61.27 | $2.88–$56.37 | 209% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS EIA SCREEN | $61.27 | $61.27 | $2.88–$56.37 | 209% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon Other Outpatient | $60.00 | $60.00 | $61.98 | 3% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GAMMA INTERFERON RESP | $60.00 | $60.00 | $2.82–$55.20 | 3% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon | $60.00 | $60.00 | $61.98 | 3% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon UNSCHEDULED | $60.00 | $60.00 | $113.07–$115.45 | 3% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total | $8.00 | $8.00 | $25.81 | 73% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $8.00 | $8.00 | $0.38–$7.36 | 73% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total Other Outpatient | $8.00 | $8.00 | $25.81 | 73% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; total UNSCHEDULED | $8.00 | $8.00 | $34.11–$34.83 | 73% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICRO AB | $13.16 | $13.16 | $0.62–$12.11 | 3% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $155.01 | $155.01 | $7.29–$142.61 | 1040% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) | $1,811.81 | $1,811.81 | $16.80 | 1352% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) Other Outpatient | $1,811.81 | $1,811.81 | $16.80 | 1352% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid stimulating hormone (TSH) UNSCHEDULED | $1,811.81 | $1,811.81 | $176.42–$180.14 | 1352% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $1,811.81 | $1,811.81 | $85.16–$1,666.87 | 1352% above | — |
| Total IgE blood test CPT 82785 IGE | $172.50 | $172.50 | $8.11–$158.70 | 628% above | — |
| Total cholesterol blood test CPT 82465 Cholesterol, serum or whole blood, total | $1,746.25 | $1,746.25 | $4.35 | 5934% above | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL BLD | $1,746.25 | $1,746.25 | $82.07–$1,606.55 | 5934% above | — |
| Total cholesterol blood test CPT 82465 Cholesterol, serum or whole blood, total UNSCHEDULED | $1,746.25 | $1,746.25 | $22.42–$22.89 | 5934% above | — |
| Total cholesterol blood test CPT 82465 Cholesterol, serum or whole blood, total Other Outpatient | $1,746.25 | $1,746.25 | $4.35 | 5934% above | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine; total Other Outpatient | $1,471.01 | $1,471.01 | $6.87 | 1513% above | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine; total UNSCHEDULED | $1,471.01 | $1,471.01 | $119.89–$122.41 | 1513% above | — |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE T4 TOTAL | $1,471.01 | $1,471.01 | $69.14–$1,353.33 | 1513% above | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine; total | $1,471.01 | $1,471.01 | $6.87 | 1513% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) | $151.59 | $151.59 | $14.18 | 95% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) UNSCHEDULED | $151.59 | $151.59 | $128.66–$131.37 | 95% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3; total (TT-3) Other Outpatient | $151.59 | $151.59 | $14.18 | 95% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $151.59 | $151.59 | $7.12–$139.46 | 95% above | — |
| Transferrin blood test CPT 84466 TRANSFERRIN | $138.74 | $138.74 | $6.52–$127.64 | 79% above | — |
| Transferrin blood test CPT 84466 Transferrin Other Outpatient | $138.74 | $138.74 | $12.76 | 79% above | — |
| Transferrin blood test CPT 84466 Transferrin UNSCHEDULED | $138.74 | $138.74 | $95.52–$97.53 | 79% above | — |
| Transferrin blood test CPT 84466 Transferrin | $138.74 | $138.74 | $12.76 | 79% above | — |
| Triglycerides blood test CPT 84478 Triglycerides Other Outpatient | $497.65 | $497.65 | $5.74 | 1475% above | — |
| Triglycerides blood test CPT 84478 Triglycerides | $497.65 | $497.65 | $5.74 | 1475% above | — |
| Triglycerides blood test CPT 84478 Triglycerides UNSCHEDULED | $497.65 | $497.65 | $57.50–$58.71 | 1475% above | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $497.65 | $497.65 | $23.39–$457.84 | 1475% above | — |
| Troponin test, quantitative CPT 84484 Troponin, quantitative UNSCHEDULED | $1,627.01 | $1,627.01 | $193.96–$198.04 | 988% above | — |
| Troponin test, quantitative CPT 84484 TROPONIN QUANT | $1,627.01 | $1,627.01 | $76.47–$1,496.85 | 988% above | — |
| Troponin test, quantitative CPT 84484 Troponin, quantitative | $1,627.01 | $1,627.01 | $12.47 | 988% above | — |
| Troponin test, quantitative CPT 84484 Troponin, quantitative Other Outpatient | $1,627.01 | $1,627.01 | $12.47 | 988% above | — |
| Uric acid blood test CPT 84550 URIC ACID BLD | $1,689.60 | $1,689.60 | $79.41–$1,554.43 | 1940% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood UNSCHEDULED | $1,689.60 | $1,689.60 | $91.62–$93.55 | 1940% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood | $1,689.60 | $1,689.60 | $4.52 | 1940% above | — |
| Uric acid blood test CPT 84550 Uric acid; blood Other Outpatient | $1,689.60 | $1,689.60 | $4.52 | 1940% 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 | $2,294.53 | $2,294.53 | $3.17 | 1306% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA W MICRO AUTO | $2,294.53 | $2,294.53 | $107.84–$2,110.97 | 1306% 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 | $2,294.53 | $2,294.53 | $111.11–$113.45 | 1306% 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 | $2,294.53 | $2,294.53 | $3.17 | 1306% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA W O MICRO AUTO | $214.57 | $214.57 | $10.08–$197.40 | 157% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine Other Outpatient | $1,452.03 | $1,452.03 | $8.07 | 757% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine UNSCHEDULED | $1,452.03 | $1,452.03 | $173.50–$177.15 | 757% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Culture, bacterial; quantitative colony count, urine | $1,452.03 | $1,452.03 | $8.07 | 757% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT COLONY COUNT UR | $1,452.03 | $1,452.03 | $68.25–$1,335.87 | 757% above | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QN | $38.40 | $38.40 | $1.80–$35.33 | 36% above | — |
| Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative | $38.40 | $38.40 | $5.78 | 36% above | — |
| Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative Other Outpatient | $38.40 | $38.40 | $5.78 | 36% above | — |
| Urine microalbumin (albumin) test CPT 82043 Albumin; urine (eg, microalbumin), quantitative UNSCHEDULED | $38.40 | $38.40 | $113.07–$115.45 | 36% above | — |
| Urine pregnancy test, read by color change CPT 81025 PREG URINE QUAL BY DOO | $2,223.03 | $2,223.03 | $104.48–$2,045.19 | 1672% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods | $2,223.03 | $2,223.03 | $8.61 | 1672% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods Other Outpatient | $2,223.03 | $2,223.03 | $8.61 | 1672% above | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test, by visual color comparison methods UNSCHEDULED | $2,223.03 | $2,223.03 | $119.89–$122.41 | 1672% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); | $159.84 | $159.84 | $15.08 | 30% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $159.84 | $159.84 | $7.51–$147.05 | 30% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); UNSCHEDULED | $159.84 | $159.84 | $136.46–$139.33 | 30% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12); Other Outpatient | $159.84 | $159.84 | $15.08 | 30% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed | $292.34 | $292.34 | $29.60 | 536% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH W/WO FRAC | $292.34 | $292.34 | $13.74–$268.95 | 536% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed Other Outpatient | $292.34 | $292.34 | $29.60 | 536% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed UNSCHEDULED | $292.34 | $292.34 | $115.99–$118.43 | 536% above | — |
| Zinc blood test CPT 84630 ZINC BLOOD | $9.20 | $9.20 | $0.43–$8.46 | 38% below | — |
| Zinc blood test CPT 84630 ZINC URINE | $9.22 | $9.22 | $0.43–$8.48 | 38% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT TUMOR | $9.00 | $9.00 | $0.42–$8.28 | 85% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $2,866.66 | $2,866.66 | $134.73–$2,637.33 | 4759% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $2,778.11 | $2,778.11 | $130.57–$2,555.86 | 32% 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 | $1,410.01 | $1,410.01 | $66.27–$1,297.21 | 28% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX AC AWY OBST | $595.52 | $595.52 | $27.99–$547.88 | 129% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI VENT | $595.52 | $595.52 | $27.99–$547.88 | 129% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST 30-74 MINS | $11,860.65 | $11,860.65 | $1,755.38–$10,081.55 | 143% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy SCHEDULED | $5,355.97 | $5,355.97 | $309.70–$316.22 | 255% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG REC AW & DROWSY | $5,355.97 | $5,355.97 | $251.73–$4,927.49 | 255% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram (EEG); including recording awake and drowsy UNSCHEDULED | $5,355.97 | $5,355.97 | $738.82–$754.38 | 255% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $632.62 | $632.62 | $29.73–$582.01 | 73% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LVL 1 EMER DEPT | $2,075.23 | $2,075.23 | $307.13–$1,763.95 | 319% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LVL 2 EMER DEPT | $3,627.26 | $3,627.26 | $536.83–$3,083.17 | 299% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LVL 3 EMER DEPT | $5,925.91 | $5,925.91 | $877.03–$5,037.02 | 263% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LVL 4 EMER DEPT | $7,413.30 | $7,413.30 | $1,097.17–$6,301.31 | 199% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LVL 5 EMER DEPT | $11,405.08 | $11,405.08 | $1,687.95–$9,694.32 | 234% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $4,932.88 | $4,932.88 | $231.85–$4,538.25 | 228% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1HR | $164.67 | $164.67 | $7.74–$151.50 | 71% below | — |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $1,554.99 | $1,554.99 | $73.08–$1,430.59 | 137% above | — |
| IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL DRUG | $1,014.44 | $1,014.44 | $81.16–$862.27 | 219% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $591.48 | $591.48 | $27.80–$544.16 | 226% above | — |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NP | $378.87 | $378.87 | $17.81–$348.56 | 17% below | — |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NP | $483.15 | $483.15 | $22.71–$444.50 | 25% below | — |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NP | $605.44 | $605.44 | $28.46–$557.00 | 21% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NP | $310.73 | $310.73 | $14.60–$285.87 | 18% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 BASIC CARE NP | $898.35 | $898.35 | $42.22–$826.48 | 241% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSESS EA 15MIN | $63.49 | $63.49 | $2.98–$58.41 | 5% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes | $63.49 | $63.49 | $30.68–$36.09 | 5% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes UNSCHEDULED | $63.49 | $63.49 | $39.97–$40.81 | 5% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes Other Outpatient | $63.49 | $63.49 | $30.68 | 5% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes SCHEDULED | $63.49 | $63.49 | $36.10–$36.86 | 5% 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 | $513.60 | $513.60 | $95.60–$108.42 | 8% 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 | $513.60 | $513.60 | $98.56 | 8% 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 | $513.60 | $513.60 | $95.00–$97.00 | 8% 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 | $837.10 | $837.10 | $90.25–$92.15 | 59% 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 | $837.10 | $837.10 | $96.00 | 59% 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 | $837.10 | $837.10 | $93.12–$105.60 | 59% 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 | $513.60 | $513.60 | $96.00 | 14% 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 | $513.60 | $513.60 | $93.12–$105.60 | 14% 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 | $513.60 | $513.60 | $90.25–$92.15 | 14% 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 | $634.91 | $634.91 | $93.12–$105.60 | 41% 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 | $634.91 | $634.91 | $90.25–$92.15 | 41% 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 | $634.91 | $634.91 | $96.00 | 41% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKECESS 3-10 MIN | $179.22 | $179.22 | $8.42–$164.88 | 188% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $553.29 | $553.29 | $26.00–$509.03 | 14% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $398.94 | $398.94 | $18.75–$367.02 | 14% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $854.81 | $854.81 | $40.18–$786.43 | 63% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $596.30 | $596.30 | $28.03–$548.60 | 75% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $2,556.50 | $2,556.50 | $120.16–$2,351.98 | 749% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration SCHEDULED | $2,563.18 | $2,563.18 | $46.55–$47.53 | 185% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCH EV SPIR PRE/POST | $2,563.18 | $2,563.18 | $120.47–$2,358.13 | 185% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration UNSCHEDULED | $2,563.18 | $2,563.18 | $479.55–$489.65 | 185% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, therapeutic (separate procedure) SCHEDULED | $94.46 | $94.46 | $102.60–$104.76 | 70% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, therapeutic (separate procedure) UNSCHEDULED | $94.46 | $94.46 | $394.75–$403.06 | 70% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEB | $94.46 | $94.46 | $4.44–$86.90 | 70% below | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use UNSCHEDULED | $149.41 | $149.41 | $158.88–$162.22 | 52% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VAC <7YRS IM | $149.41 | $149.41 | $9.11–$137.46 | 52% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use | $149.41 | $149.41 | $79.64 | 52% above | — |
| 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 | $8.52–$92.17 | 35% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVAC IIV3 PF 0.5ML IM | $151.19 | $151.19 | $12.85–$139.09 | 104% 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 | $670.86 | $670.86 | $158.88–$162.22 | 18% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWY-D OR -CRM VAC IM | $670.86 | $670.86 | $40.92–$617.19 | 18% 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 | $670.86 | $670.86 | $178.28–$183.79 | 18% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use UNSCHEDULED | $660.10 | $660.10 | $158.88–$162.22 | 11% below | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), for intramuscular use | $660.10 | $660.10 | $648.05 | 11% below | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C 2 DOSE IM | $660.10 | $660.10 | $40.27–$607.29 | 11% below | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use UNSCHEDULED | $758.61 | $758.61 | $698.86–$713.57 | 30% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use | $758.61 | $758.61 | $554.38 | 30% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VAC IM | $758.61 | $758.61 | $64.48–$697.92 | 30% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use Other Outpatient | $758.61 | $758.61 | — | 30% above | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Other Outpatient | $707.43 | $707.43 | — | 8% below | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use UNSCHEDULED | $707.43 | $707.43 | $158.88–$162.22 | 8% below | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use | $707.43 | $707.43 | $579.02 | 8% below | — |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VAC IM | $707.43 | $707.43 | $60.13–$650.84 | 8% below | — |
| 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 | $496.10 | $496.10 | — | 25% 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 | $496.10 | $496.10 | $150.10–$153.26 | 25% 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 | $496.10 | $496.10 | $286.96 | 25% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VAC IMSQ | $496.10 | $496.10 | $42.17–$456.41 | 25% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $1,415.86 | $1,415.86 | $120.35–$1,302.59 | 20% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use | $1,415.86 | $1,415.86 | $305.76–$315.22 | 20% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine, for intramuscular use UNSCHEDULED | $1,415.86 | $1,415.86 | $732.00–$747.41 | 20% 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 | $246.63 | $246.63 | $83.31 | 68% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VAC PF >=7YRS IM | $246.63 | $246.63 | $15.04–$226.90 | 68% 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 | $246.63 | $246.63 | $96.49–$98.52 | 68% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VAC >=7YRS IM | $209.09 | $209.09 | $12.75–$192.36 | 2% 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 | $209.09 | $209.09 | $158.88–$162.22 | 2% 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 | $209.09 | $209.09 | $84.88 | 2% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADMIN SGL | $811.28 | $811.28 | $64.90–$689.59 | 575% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition UNSCHEDULED | $406.83 | $406.83 | $59.46–$60.71 | 274% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition SCHEDULED | $406.83 | $406.83 | $13.30–$13.58 | 274% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN EA ADDTL | $406.83 | $406.83 | $19.12–$374.28 | 274% above | — |