Jupiter Medical Center
Jupiter Medical Center in Jupiter, FL publishes cash prices for 363 common procedures listed here, from its own machine-readable price file updated Oct 1, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the Florida median for 196 of 358 procedures and below it for 160. By typical cash price it ranks #96 of 171 Florida hospitals and #23 of 36 hospitals in the Miami, FL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
1210 S Old Dixie Hwy, Jupiter, FL 33458 Collected Oct 29, 2026 Source price file Check a bill from this hospital (561) 747-2234
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 100253 · CMS hospital register
The price file shows no self-pay discount
For 1232 of the 1232 prices listed here, the cash price in Jupiter Medical Center'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.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Jupiter Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
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 Jupiter Medical Center in Jupiter, FL:
- Aug 19, 2025 Warning notice
- Nov 18, 2025 Case closed
- Jul 16, 2026 Warning notice
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.
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 HC CT ABDOMEN W/O & W/DYE - CT ABDOMEN W WO CONTRAST | $1,242.00 | $1,242.00 | — | 69% below | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/O & W/DYE - CT ABDOMEN W WO CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS - XR ABDOMEN 2 VW POSTER W DECUBITUS | $677.00 | $677.00 | — | 6% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS - XR ABDOMEN 2 VW POSTER W DECUBITUS | $677.00 | $677.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY ANKLE 3+ VIEWS | $501.00 | $501.00 | — | 19% below | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-RAY ANKLE 3+ VIEWS | $501.00 | $501.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $758.00 | $758.00 | — | 23% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $758.00 | $758.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST | $1,242.00 | $1,242.00 | — | 47% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW | $613.00 | $613.00 | — | 27% below | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW | $613.00 | $613.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING, WHOLE BODY - NM BONE WHOLE BODY | $2,463.00 | $2,463.00 | — | 3% below | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING, WHOLE BODY - NM BONE WHOLE BODY | $2,463.00 | $2,463.00 | — | — | — |
| Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE - US BREAST COMPLETE | $765.00 | $765.00 | — | 32% above | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST COMPLETE - US BREAST COMPLETE | $765.00 | $765.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED | $730.00 | $730.00 | — | 40% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST LIMITED | $730.00 | $730.00 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PELV W/O&W/DYE - CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST | $1,242.00 | $1,242.00 | — | 79% below | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD&PELV W/O&W/DYE - CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIO,HEAD COMBO - CT HEAD ANGIO W AND WO IV CONTRAST | $1,242.00 | $1,242.00 | — | 65% below | — |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO,HEAD COMBO - CT HEAD ANGIO W AND WO IV CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO,NECK COMBO - CT NECK ANGIO W AND WO IV CONTRAST | $1,242.00 | $1,242.00 | — | 70% below | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO,NECK COMBO - CT NECK ANGIO W AND WO IV CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST W/ W/O CONT | $1,242.00 | $1,242.00 | — | 73% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST W/ W/O CONT | $1,242.00 | $1,242.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT HEART CORONARY ANGIOGRAM | $1,639.00 | $1,639.00 | — | 16% below | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT HEART CORONARY ANGIOGRAM | $1,639.00 | $1,639.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST | $1,480.00 | $1,480.00 | — | 174% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST | $1,480.00 | $1,480.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST | $1,242.00 | $1,242.00 | — | 78% below | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $1,242.00 | $1,242.00 | — | 79% below | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W/O CONTRAST 1/> BODY RE | $1,242.00 | $1,242.00 | — | 82% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST - UROGRAM | $1,242.00 | $1,242.00 | — | 82% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST - UROGRAM | $1,242.00 | $1,242.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W/O CONTRAST 1/> BODY RE | $1,242.00 | $1,242.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST | $1,242.00 | $1,242.00 | — | 64% below | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST | $1,242.00 | $1,242.00 | — | 61% below | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS WO CONTRAST | $1,150.00 | $1,150.00 | — | 60% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CONE BEAM CT FOR BRONCHSCOPY | $1,242.00 | $1,242.00 | — | 56% below | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS WO CONTRAST | $1,150.00 | $1,150.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CONE BEAM CT FOR BRONCHSCOPY | $1,242.00 | $1,242.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST | $1,480.00 | $1,480.00 | — | 52% below | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST | $1,480.00 | $1,480.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST | $1,242.00 | $1,242.00 | — | 67% below | — |
| CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST | $1,242.00 | $1,242.00 | — | 72% below | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST | $1,242.00 | $1,242.00 | — | 62% below | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST | $1,242.00 | $1,242.00 | — | 63% below | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $1,242.00 | $1,242.00 | — | 71% below | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT - CV US DOPPLER CAROTID | $901.00 | $901.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT - CV US DOPPLER CAROTID | $901.00 | $901.00 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 HC CAT SCAN OF CHEST COMBO - CT CHEST W WO CONTRAST | $1,242.00 | $1,242.00 | — | 69% below | — |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CAT SCAN OF CHEST COMBO - CT CHEST W WO CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - FL/XR CHEST 2 VIEWS W/ FLUORO | $501.00 | $501.00 | — | 1% above | — |
| Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS | $702.00 | $702.00 | — | 41% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - FL/XR CHEST 2 VIEWS W/ FLUORO | $501.00 | $501.00 | — | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS | $702.00 | $702.00 | — | — | — |
| Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW | $702.00 | $702.00 | — | 68% above | — |
| Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - POST PROCEDURE | $1,185.00 | $1,185.00 | — | 183% above | — |
| Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW | $702.00 | $702.00 | — | — | — |
| Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - POST PROCEDURE | $1,185.00 | $1,185.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC X-RAY CLAVICLE - XR CLAVICLE | $535.00 | $535.00 | — | 3% below | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC X-RAY CLAVICLE - XR CLAVICLE | $535.00 | $535.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RETROPERITONEUM | $832.00 | $832.00 | — | 35% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RENAL COMPLETE | $899.00 | $899.00 | — | 29% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RETROPERITONEUM | $832.00 | $832.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE - US RENAL COMPLETE | $899.00 | $899.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL - DEXA BONE DENSITY | $617.00 | $617.00 | — | 1% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL - DEXA BONE DENSITY | $617.00 | $617.00 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST | $972.00 | $972.00 | — | 5% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST | $972.00 | $972.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST | $1,242.00 | $1,242.00 | — | 57% below | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST | $1,242.00 | $1,242.00 | — | 68% below | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC | $448.00 | $448.00 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC | $448.00 | $448.00 | — | — | — |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD - MAMMO BREAST DIAGNOSTIC | $368.00 | $368.00 | — | 15% below | — |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI - MG BREAST POST BIOPSY CLIP | $805.00 | $805.00 | — | 85% above | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD - MAMMO BREAST DIAGNOSTIC | $368.00 | $368.00 | — | — | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI - MG BREAST POST BIOPSY CLIP | $805.00 | $805.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL DUPLEX | $901.00 | $901.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL DUPLEX | $901.00 | $901.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX EXTREM VENOUS,BILAT - UPPER EXTREMITY DVT | $901.00 | $901.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX EXTREM VENOUS,BILAT - LOWER EXTREMITY DVT | $901.00 | $901.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX EXTREM VENOUS,BILAT - LOWER EXTREMITY DVT | $901.00 | $901.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX EXTREM VENOUS,BILAT - UPPER EXTREMITY DVT | $901.00 | $901.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE | $1,637.00 | $1,637.00 | — | 51% below | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE | $1,637.00 | $1,637.00 | — | — | — |
| Elbow X-ray, 2 views CPT 73070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS | $501.00 | $501.00 | — | at median | — |
| Elbow X-ray, 2 views inpatient CPT 73070 HC X-RAY ELBOW 2 VW - XR ELBOW 1-2 VIEWS | $501.00 | $501.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS | $501.00 | $501.00 | — | 16% below | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC X-RAY ELBOW 3+ VW - XR ELBOW 3+ VIEWS | $501.00 | $501.00 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O - CT AUDITORY CANALS WO CONT | $1,150.00 | $1,150.00 | — | 56% below | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O - CT ORBITS/SELLA WO IV CONT | $1,242.00 | $1,242.00 | — | 53% below | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O - CT AUDITORY CANALS WO CONT | $1,150.00 | $1,150.00 | — | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O - CT ORBITS/SELLA WO IV CONT | $1,242.00 | $1,242.00 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-RAY FACIAL BONES 3+ VW - XR FACIAL BONES 3+ VIEWS | $763.00 | $763.00 | — | 1% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC X-RAY FACIAL BONES 3+ VW - XR FACIAL BONES 3+ VIEWS | $763.00 | $763.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-RAY FOREARM 2 VIEWS | $501.00 | $501.00 | — | 12% below | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC X-RAY FOREARM 2 VIEWS | $501.00 | $501.00 | — | — | — |
| Hand X-ray, 2 views CPT 73120 HC X-RAY HAND 2 VIEWS | $501.00 | $501.00 | — | 3% below | — |
| Hand X-ray, 2 views inpatient CPT 73120 HC X-RAY HAND 2 VIEWS | $501.00 | $501.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-RAY HEEL 2+ VIEWS | $518.00 | $518.00 | — | 5% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC X-RAY HEEL 2+ VIEWS | $518.00 | $518.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP STDY W/4 ADL PRMTRS AND CPA | $4,781.00 | $4,781.00 | — | 7% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP STDY W/4 ADL PRMTRS AND CPA | $4,781.00 | $4,781.00 | — | — | — |
| Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEWS | $501.00 | $501.00 | — | 27% below | — |
| Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY KNEE 3 VIEWS | $501.00 | $501.00 | — | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 HC X-RAY KNEE 4+ VIEWS | $501.00 | $501.00 | — | 35% below | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-RAY KNEE 4+ VIEWS | $501.00 | $501.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST | $1,242.00 | $1,242.00 | — | 53% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE WO IV CONTRAST | $1,242.00 | $1,242.00 | — | 53% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE WO IV CONTRAST | $1,242.00 | $1,242.00 | — | 53% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT WO IV CONTRAST | $1,242.00 | $1,242.00 | — | 53% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA WO IV CONT | $1,242.00 | $1,242.00 | — | 53% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR WO IV CONTRAST | $1,242.00 | $1,242.00 | — | 53% below | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT ANKLE WO IV CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FOOT WO IV CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT KNEE WO IV CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT FEMUR WO IV CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - CT TIBIA FIBULA WO IV CONT | $1,242.00 | $1,242.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED LIVER | $1,096.00 | $1,096.00 | — | 3% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US PYLORIC STENOSIS INFANT | $1,096.00 | $1,096.00 | — | 3% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL REAL TIME W/IMAGE LIMITED | $1,096.00 | $1,096.00 | — | 3% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US PYLORIC STENOSIS INFANT | $1,096.00 | $1,096.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED LIVER | $1,096.00 | $1,096.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMINAL REAL TIME W/IMAGE LIMITED | $1,096.00 | $1,096.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG | $730.00 | $730.00 | — | 15% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG | $730.00 | $730.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LOW DOSE LUNG SCREENING | $1,510.00 | $1,510.00 | — | 107% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LOW DOSE LUNG SCREENING | $1,510.00 | $1,510.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-RAY TIBIA & FIBULA 2 VIEWS | $501.00 | $501.00 | — | 20% below | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-RAY TIBIA & FIBULA 2 VIEWS | $501.00 | $501.00 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR ANGIO, HEAD - MR HEAD ANGIO WO IV CONTRAST | $1,533.00 | $1,533.00 | — | 48% below | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MR ANGIO, HEAD - MR HEAD ANGIO WO IV CONTRAST | $1,533.00 | $1,533.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 HC MR BREAST W/W/O CONTR | $1,434.00 | $1,434.00 | — | 62% below | — |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HC MR BREAST W/W/O CONTR | $1,434.00 | $1,434.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI ANY JOINT LOWER EXTREM W/O CONTRAST | $2,300.00 | $2,300.00 | — | 34% below | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI ANY JOINT LOWER EXTREM W/O CONTRAST | $2,300.00 | $2,300.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, JOINT OF LEG. COMBO - LOWER EXTREMITY W AND WO IV CONTRAST | $2,300.00 | $2,300.00 | — | 53% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI, JOINT OF LEG. COMBO - LOWER EXTREMITY W AND WO IV CONTRAST | $2,300.00 | $2,300.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 HC MRI, ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST | $1,533.00 | $1,533.00 | — | 56% below | — |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST | $1,533.00 | $1,533.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/O & W/CONTRAST MATERIAL | $1,533.00 | $1,533.00 | — | 64% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/O & W/CONTRAST MATERIAL | $1,533.00 | $1,533.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST | $1,533.00 | $1,533.00 | — | 56% below | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST | $1,533.00 | $1,533.00 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO - MR PITUITARY W/WO IV CONTRAST | $1,419.00 | $1,419.00 | — | 71% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST | $1,533.00 | $1,533.00 | — | 69% below | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO - MR PITUITARY W/WO IV CONTRAST | $1,419.00 | $1,419.00 | — | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST | $1,533.00 | $1,533.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST | $1,533.00 | $1,533.00 | — | 59% below | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST | $1,533.00 | $1,533.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST | $1,533.00 | $1,533.00 | — | 69% below | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST | $1,533.00 | $1,533.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST | $1,533.00 | $1,533.00 | — | 59% below | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST | $1,533.00 | $1,533.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST | $1,533.00 | $1,533.00 | — | 68% below | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST | $1,533.00 | $1,533.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRAST | $1,533.00 | $1,533.00 | — | 59% below | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRAST | $1,533.00 | $1,533.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/O & W/CONTRAST MATERIAL | $1,533.00 | $1,533.00 | — | 59% below | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/O & W/CONTRAST MATERIAL | $1,533.00 | $1,533.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST | $1,533.00 | $1,533.00 | — | 53% below | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST | $1,533.00 | $1,533.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI ANY JOINT UPPER EXTREM W/O CONTRAST | $2,300.00 | $2,300.00 | — | 30% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI ANY JOINT UPPER EXTREM W/O CONTRAST | $2,300.00 | $2,300.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS - XR CERVICAL SPINE COMP 4-5 VIEWS | $501.00 | $501.00 | — | 43% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS - XR CERVICAL SPINE COMP 4-5 VIEWS | $501.00 | $501.00 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE CONTRAST - CT SOFT TISSUE NECK W CONTRAST | $1,242.00 | $1,242.00 | — | 63% below | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK TISSUE CONTRAST - CT SOFT TISSUE NECK W CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST - CT SOFT TISSUE NECK WO CONT | $1,242.00 | $1,242.00 | — | 59% below | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST - CT SOFT TISSUE NECK WO CONT | $1,242.00 | $1,242.00 | — | — | — |
| Neck soft tissue X-ray CPT 70360 HC X-RAY NECK SOFT TISSUE - XR NECK SOFT TISSUE | $519.00 | $519.00 | — | 7% below | — |
| Neck soft tissue X-ray inpatient CPT 70360 HC X-RAY NECK SOFT TISSUE - XR NECK SOFT TISSUE | $519.00 | $519.00 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST EXERCISE W MYOCARD PERF | $1,556.00 | $1,556.00 | — | 72% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST EXERCISE W MYOCARD PERF | $1,556.00 | $1,556.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH | $4,644.00 | $4,644.00 | — | 19% below | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH | $4,644.00 | $4,644.00 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST - CT PELVIS WO CONTRAST | $1,242.00 | $1,242.00 | — | 59% below | — |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST - CT PELVIS WO CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED | $730.00 | $730.00 | — | 17% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC SONO PELVIS LIMITED - US PELVIS LIMITED | $730.00 | $730.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) - US PELVIS | $601.00 | $601.00 | — | 55% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) - US PELVIS | $601.00 | $601.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST | $601.00 | $601.00 | — | 27% below | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST | $601.00 | $601.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 WKS SINGLE FETUS - US OB < 14 WEEKS SINGLE OR FIRST GEST | $601.00 | $601.00 | — | 20% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB US < 14 WKS SINGLE FETUS - US OB < 14 WEEKS SINGLE OR FIRST GEST | $601.00 | $601.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES | $547.00 | $547.00 | — | 15% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES | $547.00 | $547.00 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS W/ CHEST ANTEROPOSTERIOR | $524.00 | $524.00 | — | 24% below | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC X-RAY RIBS, CHEST 3+ VW - XR RIBS 2 VWS W/ CHEST ANTEROPOSTERIOR | $524.00 | $524.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING | $358.00 | $358.00 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD - MAMMO BREAST SCREENING | $358.00 | $358.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS | $603.00 | $603.00 | — | 17% below | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS | $603.00 | $603.00 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY SINUSES 3+ VW - XR PARANASAL SINUSES 3+ VIEWS | $598.00 | $598.00 | — | 30% below | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-RAY SINUSES 3+ VW - XR PARANASAL SINUSES 3+ VIEWS | $598.00 | $598.00 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY SKULL <4 VW - XR SKULL 1-3 VIEWS | $623.00 | $623.00 | — | 3% below | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-RAY SKULL <4 VW - XR SKULL 1-3 VIEWS | $623.00 | $623.00 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC SLEEP STUDY W/4 ADDL PARMETRS | $3,532.00 | $3,532.00 | — | 34% below | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC SLEEP STUDY W/4 ADDL PARMETRS | $3,532.00 | $3,532.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO & SPEECH | $501.00 | $501.00 | — | 49% below | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO & SPEECH | $501.00 | $501.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY FEMUR 2+ VIEWS | $501.00 | $501.00 | — | 5% below | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY FEMUR 2+ VIEWS | $501.00 | $501.00 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST - CT THORACIC SPINE WO CONTRAST | $1,242.00 | $1,242.00 | — | 59% below | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST - CT THORACIC SPINE WO CONTRAST | $1,242.00 | $1,242.00 | — | — | — |
| Toe X-ray, 2 or more views CPT 73660 HC X-RAY TOE(S) 2+ VIEWS | $498.00 | $498.00 | — | 2% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC X-RAY TOE(S) 2+ VIEWS | $498.00 | $498.00 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL | $953.00 | $953.00 | — | 5% below | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL | $953.00 | $953.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL | $953.00 | $953.00 | — | 4% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL | $953.00 | $953.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN | $1,210.00 | $1,210.00 | — | 21% below | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN | $1,210.00 | $1,210.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC ECHO,SCROTUM & CONTENTS - US SCROTUM | $877.00 | $877.00 | — | 19% below | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC ECHO,SCROTUM & CONTENTS - US SCROTUM | $877.00 | $877.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME | $735.00 | $735.00 | — | 37% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME | $735.00 | $735.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY UPPER GI TRC SINGLE CONTRAST STUDY - PEDS | $501.00 | $501.00 | — | 56% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY UPPER GI TRC SINGLE CONTRAST STUDY | $501.00 | $501.00 | — | 56% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-RAY UPPER GI TRC SINGLE CONTRAST STUDY - PEDS | $501.00 | $501.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-RAY UPPER GI TRC SINGLE CONTRAST STUDY | $501.00 | $501.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC X-RAY HUMERUS 2+ VIEWS | $550.00 | $550.00 | — | 6% below | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC X-RAY HUMERUS 2+ VIEWS | $550.00 | $550.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD | $770.00 | $770.00 | — | 10% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD | $770.00 | $770.00 | — | — | — |
| Wrist X-ray, 2 views CPT 73100 HC X-RAY WRIST 2 VIEWS | $695.00 | $695.00 | — | 13% above | — |
| Wrist X-ray, 2 views inpatient CPT 73100 HC X-RAY WRIST 2 VIEWS | $695.00 | $695.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY WRIST 3+ VIEWS | $645.00 | $645.00 | — | 9% below | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-RAY WRIST 3+ VIEWS | $645.00 | $645.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY HIP W/ PELVIS 2-3 VIEWS | $501.00 | $501.00 | — | 14% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY HIP W/ PELVIS 2-3 VIEWS | $501.00 | $501.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW | $468.00 | $468.00 | — | 5% below | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW | $468.00 | $468.00 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VIEWS | $390.00 | $390.00 | — | 20% below | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VIEWS | $390.00 | $390.00 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY FINGER(S) 2+ VIEWS | $502.00 | $502.00 | — | 6% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-RAY FINGER(S) 2+ VIEWS | $502.00 | $502.00 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VIEWS | $508.00 | $508.00 | — | 4% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY FOOT 2 VIEWS | $508.00 | $508.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT 3+ VIEWS | $532.00 | $532.00 | — | 12% below | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY FOOT 3+ VIEWS | $532.00 | $532.00 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND 3+ VIEWS | $501.00 | $501.00 | — | 21% below | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY HAND 3+ VIEWS | $501.00 | $501.00 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1-2 VIEWS | $501.00 | $501.00 | — | 17% below | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-RAY KNEE 1-2 VIEWS | $501.00 | $501.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS | $501.00 | $501.00 | — | 28% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS | $501.00 | $501.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS | $501.00 | $501.00 | — | 55% below | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS | $501.00 | $501.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS | $501.00 | $501.00 | — | 19% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS | $501.00 | $501.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES | $646.00 | $646.00 | — | at median | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES | $646.00 | $646.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS | $501.00 | $501.00 | — | 27% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS | $501.00 | $501.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS | $501.00 | $501.00 | — | 19% below | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS | $501.00 | $501.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS | $667.00 | $667.00 | — | 2% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS | $667.00 | $667.00 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE | $308.00 | $308.00 | — | 575% above | — |
| ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC HORMONE | $308.00 | $308.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALANINE AMINO (ALT) (SGPT) - ARUP | $60.00 | $60.00 | — | 52% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) | $111.00 | $111.00 | — | 182% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALANINE AMINO (ALT) (SGPT) - ARUP | $60.00 | $60.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) | $111.00 | $111.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE (AST) (SGOT) - ARUP | $60.00 | $60.00 | — | 10% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT) | $111.00 | $111.00 | — | 103% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE (AST) (SGOT) - ARUP | $60.00 | $60.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT) | $111.00 | $111.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE | $277.00 | $277.00 | — | 71% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE | $277.00 | $277.00 | — | — | — |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM SEND OUT | $51.00 | $51.00 | — | 202% above | — |
| Albumin blood test CPT 82040 HC ALBUMIN | $117.00 | $117.00 | — | 592% above | — |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM SEND OUT | $51.00 | $51.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN | $117.00 | $117.00 | — | — | — |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE,24HR URINE | $279.00 | $279.00 | — | 898% above | — |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE | $302.00 | $302.00 | — | 981% above | — |
| Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE,24HR URINE | $279.00 | $279.00 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE | $302.00 | $302.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY OF ALKALINE PHOSPHATASE | $76.00 | $76.00 | — | 74% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY OF ALKALINE PHOSPHATASE | $76.00 | $76.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT/FILBERT IGE | $19.00 | $19.00 | — | 144% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: RANA O 3 CASHEW NUT | $19.00 | $19.00 | — | 144% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG, WHOLE IGE | $25.00 | $25.00 | — | 221% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCONUT IGE | $25.00 | $25.00 | — | 221% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE | $25.00 | $25.00 | — | 221% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CASHEW IGE | $28.00 | $28.00 | — | 259% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CODFISH IGE | $31.00 | $31.00 | — | 297% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CORN IGE | $31.00 | $31.00 | — | 297% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHRIMP IGE | $31.00 | $31.00 | — | 297% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLAMS IGE | $31.00 | $31.00 | — | 297% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHEAT IGE | $31.00 | $31.00 | — | 297% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN D FARINAE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ALLSPICE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHOCOLATE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HONEYBEE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CAT HAIR/DANDER,STAN | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLUE CHEESE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WATERMELON IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BAHIA GRASS IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CURVULARIA LUNATA IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOCKWEED, YELLOW IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ALTERNARIA TENUIS | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - AUREOBASIDIUM PULLULANS IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OCCUPATIONAL: LATEX | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WASP, PAPER IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PORK IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN APPLE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ORANGE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS FUMAGATUS IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MANGO IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WALNUT IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN AVOCADO IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ONION IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BANANA IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SESAME SEED IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SCALLOP IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, GREEN IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PINEAPPLE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, LIMA IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MACADAMIA NUT IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKLEBUR IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKROACH, AMERICAN IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: LOBSTER IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TURKEY IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PIGWEED, ROUGH IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEEF IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TUNA IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BERMUDA GRASS IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SALMON IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLUEBERRY IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAT IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BRAZIL NUT IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LETTUCE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORSE DANDER IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CINNAMON IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GLUTEN IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TIMOTHY IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SUNFLOWER POLLEN IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED, SHORT/COMMON IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEANUT IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN STACHYBOTRYS CHARTARUM IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PISTACHIO | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PINE NUT, PIGNOLES | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: GRAPEFRUIT | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEAR | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: STRAWBERRY IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PECAN NUT IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SOYBEAN IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN POTATO IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PENICILLIUM IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RABBIT EPITHELIUM IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN JOHNSON GRASS IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: SWEET CHESTNUT | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COW EPITHELIA/DANDER IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRAB IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRANBERRY IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORMODENDRUM HORDEI | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OYSTER IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GREEN PEA | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG WHITE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MELALEUCA IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FLOUNDER IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FIRE ANT (INVICTA) IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOG DANDER | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN D PTERONYSSINUS | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MARSHELDER, ROUGH IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COTTONWOOD TREE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BUMBLEBEE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSTARD IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CANDIDA ALBICANS IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HOUSE DUST: GREER IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: OIL PALM | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSSEL IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB'S QUARTER IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSHROOM IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CELERY IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN, SERUM PROTEINS IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLRGN FOOD WALNUT JUGSPP IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAK, LIVE/VIRGINIA IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: CEDAR | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GUM, SWEET IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: CHESTNUT | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PARASITE: ANISAKIS IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BROCCOLI IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TOMATO IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BUCKWHEAT IGE | $41.00 | $41.00 | — | 426% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN - IGE AB, CRUDE ALLERGEN EXTRACT - ARUP | $48.00 | $48.00 | — | 515% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TROUT IGE | $101.00 | $101.00 | — | 1195% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: LUPIN | $101.00 | $101.00 | — | 1195% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG YOLK IGE | $105.00 | $105.00 | — | 1246% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT/FILBERT IGE | $19.00 | $19.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: RANA O 3 CASHEW NUT | $19.00 | $19.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG, WHOLE IGE | $25.00 | $25.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE | $25.00 | $25.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCONUT IGE | $25.00 | $25.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CASHEW IGE | $28.00 | $28.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHEAT IGE | $31.00 | $31.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CODFISH IGE | $31.00 | $31.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHRIMP IGE | $31.00 | $31.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CORN IGE | $31.00 | $31.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLAMS IGE | $31.00 | $31.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BRAZIL NUT IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED, SHORT/COMMON IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SOYBEAN IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RABBIT EPITHELIUM IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OYSTER IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MELALEUCA IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MARSHELDER, ROUGH IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HONEYBEE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WATERMELON IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OCCUPATIONAL: LATEX | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WASP, PAPER IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PORK IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ORANGE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MANGO IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WALNUT IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ONION IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SESAME SEED IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SCALLOP IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PINEAPPLE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MACADAMIA NUT IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: LOBSTER IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TURKEY IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PIGWEED, ROUGH IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TUNA IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SALMON IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAT IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LETTUCE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAK, LIVE/VIRGINIA IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GUM, SWEET IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PARASITE: ANISAKIS IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TOMATO IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSTARD IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HOUSE DUST: GREER IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSSEL IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB'S QUARTER IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSHROOM IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PECAN NUT IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GLUTEN IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TIMOTHY IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SUNFLOWER POLLEN IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEANUT IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN STACHYBOTRYS CHARTARUM IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: STRAWBERRY IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORSE DANDER IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN POTATO IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PENICILLIUM IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN JOHNSON GRASS IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORMODENDRUM HORDEI | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GREEN PEA | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG WHITE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FLOUNDER IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FIRE ANT (INVICTA) IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOG DANDER | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN D PTERONYSSINUS | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN D FARINAE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHOCOLATE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CAT HAIR/DANDER,STAN | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLUE CHEESE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BAHIA GRASS IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOCKWEED, YELLOW IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - AUREOBASIDIUM PULLULANS IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ALTERNARIA TENUIS | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CURVULARIA LUNATA IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRANBERRY IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRAB IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COW EPITHELIA/DANDER IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: SWEET CHESTNUT | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEAR | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: GRAPEFRUIT | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PINE NUT, PIGNOLES | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PISTACHIO | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COTTONWOOD TREE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKROACH, AMERICAN IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKLEBUR IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CINNAMON IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN, SERUM PROTEINS IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CELERY IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: OIL PALM | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CANDIDA ALBICANS IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BUMBLEBEE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BUCKWHEAT IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BROCCOLI IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: CHESTNUT | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: CEDAR | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLRGN FOOD WALNUT JUGSPP IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLUEBERRY IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BERMUDA GRASS IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEEF IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, LIMA IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, GREEN IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BANANA IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN AVOCADO IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS FUMAGATUS IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN APPLE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ALLSPICE IGE | $41.00 | $41.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN - IGE AB, CRUDE ALLERGEN EXTRACT - ARUP | $48.00 | $48.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: LUPIN | $101.00 | $101.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TROUT IGE | $101.00 | $101.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG YOLK IGE | $105.00 | $105.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN, SERUM - ALPHA FETOPROTEIN, MATERNAL | $162.00 | $162.00 | — | 381% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN, SERUM - ALPHA-FETOPROTEIN MARKER | $175.00 | $175.00 | — | 420% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN, SERUM - ALPHA FETOPROTEIN, MATERNAL | $162.00 | $162.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN, SERUM - ALPHA-FETOPROTEIN MARKER | $175.00 | $175.00 | — | — | — |
| Ammonia blood test CPT 82140 HC AMMONIA | $265.00 | $265.00 | — | 132% above | — |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA | $265.00 | $265.00 | — | — | — |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID | $104.00 | $104.00 | — | 232% above | — |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE | $153.00 | $153.00 | — | 388% above | — |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID | $104.00 | $104.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASE | $153.00 | $153.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC ANTI-CCP - ARUP | $60.00 | $60.00 | — | 120% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP AB - ANALYZER ANA PANEL - ARUP | $78.00 | $78.00 | — | 186% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP IGG & IGA ARUP | $125.00 | $125.00 | — | 358% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY | $137.00 | $137.00 | — | 402% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC ANTI-CCP - ARUP | $60.00 | $60.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP AB - ANALYZER ANA PANEL - ARUP | $78.00 | $78.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP IGG & IGA ARUP | $125.00 | $125.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY | $137.00 | $137.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR AB - ANALYZER ANA PANEL - ARUP | $78.00 | $78.00 | — | 169% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES) | $152.00 | $152.00 | — | 425% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR AB - ANALYZER ANA PANEL - ARUP | $78.00 | $78.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES) | $152.00 | $152.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE - PROBNP | $313.00 | $313.00 | — | 88% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE - PROBNP | $313.00 | $313.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC GC CULTURE | $225.00 | $225.00 | — | 201% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE EAR | $225.00 | $225.00 | — | 201% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE THROAT | $243.00 | $243.00 | — | 225% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE EYE | $243.00 | $243.00 | — | 225% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE RESPIRATORY | $243.00 | $243.00 | — | 225% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE FLUID | $243.00 | $243.00 | — | 225% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE GENITAL | $243.00 | $243.00 | — | 225% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE MISCELLANEOUS | $243.00 | $243.00 | — | 225% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CSF | $243.00 | $243.00 | — | 225% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE WOUND | $243.00 | $243.00 | — | 225% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CHARGE FOR NOCARDIA CULTURE | $243.00 | $243.00 | — | 225% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BONE | $243.00 | $243.00 | — | 225% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE TISSUE | $243.00 | $243.00 | — | 225% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE EAR | $225.00 | $225.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC GC CULTURE | $225.00 | $225.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE FLUID | $243.00 | $243.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CHARGE FOR NOCARDIA CULTURE | $243.00 | $243.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE TISSUE | $243.00 | $243.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE EYE | $243.00 | $243.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CSF | $243.00 | $243.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE RESPIRATORY | $243.00 | $243.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE MISCELLANEOUS | $243.00 | $243.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE GENITAL | $243.00 | $243.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE THROAT | $243.00 | $243.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE WOUND | $243.00 | $243.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BONE | $243.00 | $243.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $410.00 | $410.00 | — | 24% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED CHARGE | $410.00 | $410.00 | — | — | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID | $60.00 | $60.00 | — | 154% above | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - POCT BILIRUBINOMETRY | $122.00 | $122.00 | — | 416% above | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL | $539.00 | $539.00 | — | 2180% above | — |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID | $60.00 | $60.00 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - POCT BILIRUBINOMETRY | $122.00 | $122.00 | — | — | — |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL | $539.00 | $539.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV - CELL BLOCK CYTOLOGY | $432.00 | $432.00 | — | 272% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH,LEVEL IV - CELL BLOCK CYTOLOGY | $432.00 | $432.00 | — | — | — |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $620.00 | $620.00 | — | 82% above | — |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $620.00 | $620.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC PROMETHEUS COLLECTION | $20.00 | $20.00 | — | 6% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC 25 COLLECTION AND PREP | $25.00 | $25.00 | — | 32% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC 35 COLLECTION AND PREP | $35.00 | $35.00 | — | 85% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC CIRCULOGENE COLLECTION | $40.00 | $40.00 | — | 111% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE | $45.00 | $45.00 | — | 138% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC PROMETHEUS COLLECTION | $20.00 | $20.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC 25 COLLECTION AND PREP | $25.00 | $25.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC 35 COLLECTION AND PREP | $35.00 | $35.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC CIRCULOGENE COLLECTION | $40.00 | $40.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE | $45.00 | $45.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE ABL | $9.00 | $9.00 | — | 80% below | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE | $76.00 | $76.00 | — | 70% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE ABL | $9.00 | $9.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE | $76.00 | $76.00 | — | — | — |
| Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD 24HR URINE | $101.00 | $101.00 | — | 828% above | — |
| Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD | $110.00 | $110.00 | — | 911% above | — |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - LEAD 24HR URINE | $101.00 | $101.00 | — | — | — |
| Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD | $110.00 | $110.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC PREGNANCY TEST SERUM | $54.00 | $54.00 | — | 57% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC PREGNANCY TEST SERUM | $54.00 | $54.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD RH | $47.00 | $47.00 | — | 1% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - CROSSMATCH | $154.00 | $154.00 | — | 224% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC CORD BLOOD EVALUATION | $154.00 | $154.00 | — | 224% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPE | $167.00 | $167.00 | — | 252% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD RH | $47.00 | $47.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC CORD BLOOD EVALUATION | $154.00 | $154.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - CROSSMATCH | $154.00 | $154.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPE | $167.00 | $167.00 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN, QUAN - BLOOD UREA NITROGEN | $54.00 | $54.00 | — | 20% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN, QUAN - UREA NITROGEN, BODY FLUID | $60.00 | $60.00 | — | 33% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN, QUAN - BLOOD UREA NITROGEN | $54.00 | $54.00 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN, QUAN - UREA NITROGEN, BODY FLUID | $60.00 | $60.00 | — | — | — |
| C-peptide blood test CPT 84681 HC C-PEPTIDE | $207.00 | $207.00 | — | 466% above | — |
| C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE | $207.00 | $207.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN | $208.00 | $208.00 | — | 187% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN | $208.00 | $208.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM DIFF TOXIN GENE | $204.00 | $204.00 | — | 80% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM DIFF TOXIN GENE | $204.00 | $204.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 | $158.00 | $158.00 | — | 187% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 | $158.00 | $158.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC MMUNOASSAY, TUMOR CA 125 | $207.00 | $207.00 | — | 150% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC MMUNOASSAY, TUMOR CA 125 | $207.00 | $207.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR | $200.00 | $200.00 | — | 128% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR | $200.00 | $200.00 | — | — | — |
| Calcium blood test, total CPT 82310 HC URINE CALCIUM RANDOM | $54.00 | $54.00 | — | 9% above | — |
| Calcium blood test, total CPT 82310 HC CALCIUM | $61.00 | $61.00 | — | 24% above | — |
| Calcium blood test, total inpatient CPT 82310 HC URINE CALCIUM RANDOM | $54.00 | $54.00 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM | $61.00 | $61.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONIC ANTIGEN) | $155.00 | $155.00 | — | 32% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONIC ANTIGEN) | $155.00 | $155.00 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGM | $140.00 | $140.00 | — | 669% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG | $140.00 | $140.00 | — | 669% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGM | $140.00 | $140.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG | $140.00 | $140.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA (GENEXPERT) | $162.00 | $162.00 | — | 286% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - LYMPHOGRANULOMA VENEREUM ANTIBODY | $334.00 | $334.00 | — | 695% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA (GENEXPERT) | $162.00 | $162.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - LYMPHOGRANULOMA VENEREUM ANTIBODY | $334.00 | $334.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $220.00 | $220.00 | — | 117% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $220.00 | $220.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE | $327.00 | $327.00 | — | 382% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC - ADDITIONAL CHARGE | $327.00 | $327.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - CBC | $268.00 | $268.00 | — | 172% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC - CBC | $268.00 | $268.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE | $560.00 | $560.00 | — | 22% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL,COMPREHENSIVE - BUNDLED CHARGE | $560.00 | $560.00 | — | — | — |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - CORTISOL | $178.00 | $178.00 | — | 177% above | — |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 1 HOUR | $178.00 | $178.00 | — | 177% above | — |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 30 MINUTES | $178.00 | $178.00 | — | 177% above | — |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 30 MINUTES | $178.00 | $178.00 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 1 HOUR | $178.00 | $178.00 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - CORTISOL | $178.00 | $178.00 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK (CPK) - CK | $154.00 | $154.00 | — | 107% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC ASSAY OF CK (CPK) - CK | $154.00 | $154.00 | — | — | — |
| Creatinine blood test CPT 82565 HC CREATININE - ARUP | $72.00 | $72.00 | — | 32% above | — |
| Creatinine blood test CPT 82565 HC RAD CREATININE | $85.00 | $85.00 | — | 56% above | — |
| Creatinine blood test CPT 82565 HC CREATININE | $93.00 | $93.00 | — | 70% above | — |
| Creatinine blood test inpatient CPT 82565 HC CREATININE - ARUP | $72.00 | $72.00 | — | — | — |
| Creatinine blood test inpatient CPT 82565 HC RAD CREATININE | $85.00 | $85.00 | — | — | — |
| Creatinine blood test inpatient CPT 82565 HC CREATININE | $93.00 | $93.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - CMV IGG | $34.00 | $34.00 | — | 21% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - CYTOMEGALOVIRUS IGG | $141.00 | $141.00 | — | 404% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - CMV IGG | $34.00 | $34.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - CYTOMEGALOVIRUS IGG | $141.00 | $141.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE | $516.00 | $516.00 | — | 161% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE | $516.00 | $516.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE | $204.00 | $204.00 | — | 353% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE | $204.00 | $204.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CEM ANYZER-BENZODIAZEPINE URINE QUAL - ARUP | $92.00 | $92.00 | — | 44% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC FENTANYL , URINE SCREEN WITH REFLEX TO QUANTITATION - ARUP | $181.00 | $181.00 | — | 184% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN MEDICAL | $308.00 | $308.00 | — | 384% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL 1, SERUM | $1,772.00 | $1,772.00 | — | 2683% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CEM ANYZER-BENZODIAZEPINE URINE QUAL - ARUP | $92.00 | $92.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC FENTANYL , URINE SCREEN WITH REFLEX TO QUANTITATION - ARUP | $181.00 | $181.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN MEDICAL | $308.00 | $308.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL 1, SERUM | $1,772.00 | $1,772.00 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL - BUNDLED CHARGE | $253.00 | $253.00 | — | 16% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL - BUNDLED CHARGE | $253.00 | $253.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV AB TO VIRAL CAPSID AG IGM - ARUP | $110.00 | $110.00 | — | 282% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV AB TO VIRAL CAPSID AG IGG - ARUP | $111.00 | $111.00 | — | 285% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA ANTIBODY PANEL | $112.00 | $112.00 | — | 289% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGA | $131.00 | $131.00 | — | 355% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGM | $153.00 | $153.00 | — | 431% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGG | $153.00 | $153.00 | — | 431% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV AB TO VIRAL CAPSID AG IGM - ARUP | $110.00 | $110.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV AB TO VIRAL CAPSID AG IGG - ARUP | $111.00 | $111.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA ANTIBODY PANEL | $112.00 | $112.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGA | $131.00 | $131.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGG | $153.00 | $153.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VCA, IGM | $153.00 | $153.00 | — | — | — |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL | $239.00 | $239.00 | — | 637% above | — |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL | $239.00 | $239.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE | $185.00 | $185.00 | — | 194% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE | $185.00 | $185.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY FOR CALPROTECTIN FECAL | $141.00 | $141.00 | — | 18% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL - ARUP | $200.00 | $200.00 | — | 68% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC ASSAY FOR CALPROTECTIN FECAL | $141.00 | $141.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL - ARUP | $200.00 | $200.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN - ARUP | $60.00 | $60.00 | — | 52% below | — |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN - FERRITIN | $121.00 | $121.00 | — | 2% below | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN - ARUP | $60.00 | $60.00 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN - FERRITIN | $121.00 | $121.00 | — | — | — |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN, ACTIVITY | $114.00 | $114.00 | — | 45% above | — |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN, ACTIVITY | $114.00 | $114.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID | $110.00 | $110.00 | — | 12% below | — |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID | $110.00 | $110.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 HC T3 FREE | $183.00 | $183.00 | — | 193% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE | $183.00 | $183.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 | $102.00 | $102.00 | — | 21% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 DIRECT DIALYSIS | $338.00 | $338.00 | — | 302% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 | $102.00 | $102.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 DIRECT DIALYSIS | $338.00 | $338.00 | — | — | — |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE | $371.00 | $371.00 | — | 1227% above | — |
| Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE | $371.00 | $371.00 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT | $123.00 | $123.00 | — | 166% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT | $123.00 | $123.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 2 HR PP | $55.00 | $55.00 | — | 22% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE 2 HR PP | $55.00 | $55.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 HC OB 2HR GLUCOSE TOLERANCE | $110.00 | $110.00 | — | 12% below | — |
| Glucose tolerance test, 3 samples CPT 82951 HC OB 3 HR GLUCOSE TOLERANCE | $205.00 | $205.00 | — | 63% above | — |
| Glucose tolerance test, 3 samples CPT 82951 HC GTT FIRST 3 SPECIMENS | $222.00 | $222.00 | — | 77% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC OB 2HR GLUCOSE TOLERANCE | $110.00 | $110.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC OB 3 HR GLUCOSE TOLERANCE | $205.00 | $205.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GTT FIRST 3 SPECIMENS | $222.00 | $222.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR | $374.00 | $374.00 | — | 801% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR | $374.00 | $374.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 HC HPYLORI ANTIGEN | $204.00 | $204.00 | — | 331% above | — |
| H. pylori stool antigen test inpatient CPT 87338 HC HPYLORI ANTIGEN | $204.00 | $204.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV-1 RNA, ULTRASENSITIVE QUANT, PCR | $166.00 | $166.00 | — | 50% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV 1 RNA QUANT BY PCR | $349.00 | $349.00 | — | 215% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV RNA, QUANTITATIVE, PCR | $442.00 | $442.00 | — | 299% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV-1 RNA, ULTRASENSITIVE QUANT, PCR | $166.00 | $166.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV 1 RNA QUANT BY PCR | $349.00 | $349.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV RNA, QUANTITATIVE, PCR | $442.00 | $442.00 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV RAPID 1 AND 2 | $172.00 | $172.00 | — | 246% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV RAPID 1 AND 2 | $172.00 | $172.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV COMBO ANTIGEN/ANTIBODY BY CIA ARUP | $124.00 | $124.00 | — | 59% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV COMBO ANTIGEN/ANTIBODY BY CIA ARUP | $124.00 | $124.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C | $140.00 | $140.00 | — | 101% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C W EAG WITH REFLEX TO 1,5 ANHYDROGLUCITOL - ARUP | $155.00 | $155.00 | — | 123% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C | $140.00 | $140.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C W EAG WITH REFLEX TO 1,5 ANHYDROGLUCITOL - ARUP | $155.00 | $155.00 | — | — | — |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN INTRA OP | $46.00 | $46.00 | — | 16% below | — |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $50.00 | $50.00 | — | 8% below | — |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN INTRA OP | $46.00 | $46.00 | — | — | — |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $50.00 | $50.00 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE TOTAL AB | $126.00 | $126.00 | — | 254% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE TOTAL AB | $126.00 | $126.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $156.00 | $156.00 | — | 255% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $156.00 | $156.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN | $91.00 | $91.00 | — | 153% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN | $91.00 | $91.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST | $156.00 | $156.00 | — | 235% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST | $156.00 | $156.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C HCV BY NAAT | $313.00 | $313.00 | — | 177% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR | $313.00 | $313.00 | — | 177% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C HCV BY NAAT | $313.00 | $313.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR | $313.00 | $313.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV I GLYCOPROTEIN G AB IGG | $103.00 | $103.00 | — | 340% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV I GLYCOPROTEIN G AB IGG | $103.00 | $103.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 GLYCOPROTEIN G AB IGG | $188.00 | $188.00 | — | 470% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 GLYCOPROTEIN G AB IGG | $188.00 | $188.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP HIGH SENSITIVITY (HSCRP) | $208.00 | $208.00 | — | 392% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP HIGH SENSITIVITY (HSCRP) | $208.00 | $208.00 | — | — | — |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE | $41.00 | $41.00 | — | 24% below | — |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL | $228.00 | $228.00 | — | 325% above | — |
| Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE | $41.00 | $41.00 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL | $228.00 | $228.00 | — | — | — |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN,TOTAL - INSULIN, FASTING | $145.00 | $145.00 | — | 474% above | — |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN,TOTAL - INSULIN, TOTAL | $154.00 | $154.00 | — | 510% above | — |
| Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN,TOTAL - INSULIN, FASTING | $145.00 | $145.00 | — | — | — |
| Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN,TOTAL - INSULIN, TOTAL | $154.00 | $154.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 HC IRON | $76.00 | $76.00 | — | 39% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $76.00 | $76.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST - IRON + TRANSFERRIN + TIBC | $208.00 | $208.00 | — | 131% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST - IRON + TRANSFERRIN + TIBC | $208.00 | $208.00 | — | — | — |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $208.00 | $208.00 | — | 49% below | — |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $208.00 | $208.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE | $142.00 | $142.00 | — | 125% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE | $142.00 | $142.00 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID ABL | $26.00 | $26.00 | — | 65% below | — |
| Lactate (lactic acid) blood test CPT 83605 HC LACTATE | $110.00 | $110.00 | — | 48% above | — |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $110.00 | $110.00 | — | 48% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID ABL | $26.00 | $26.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID | $110.00 | $110.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE | $110.00 | $110.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE | $107.00 | $107.00 | — | 100% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE | $107.00 | $107.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE BODY FLUID | $66.00 | $66.00 | — | 13% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE | $142.00 | $142.00 | — | 144% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE BODY FLUID | $66.00 | $66.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE | $142.00 | $142.00 | — | — | — |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $243.00 | $243.00 | — | 5% above | — |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $243.00 | $243.00 | — | — | — |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT | $114.00 | $114.00 | — | 338% above | — |
| Lyme disease antibody test CPT 86618 HC LYME TEST CSF | $116.00 | $116.00 | — | 345% above | — |
| Lyme disease antibody test CPT 86618 HC LYME ANTIBODIES DETECTION | $143.00 | $143.00 | — | 449% above | — |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT | $114.00 | $114.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC LYME TEST CSF | $116.00 | $116.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC LYME ANTIBODIES DETECTION | $143.00 | $143.00 | — | — | — |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - OB MAGNESIUM | $81.00 | $81.00 | — | 511% above | — |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM URINE | $104.00 | $104.00 | — | 685% above | — |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - ARUP | $136.00 | $136.00 | — | 926% above | — |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM | $196.00 | $196.00 | — | 1379% above | — |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - OB MAGNESIUM | $81.00 | $81.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM URINE | $104.00 | $104.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - ARUP | $136.00 | $136.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM | $196.00 | $196.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 HC MEASLES IGG | $140.00 | $140.00 | — | 430% above | — |
| Measles (rubeola) antibody test CPT 86765 HC MEASLES IGM | $180.00 | $180.00 | — | 581% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES IGG | $140.00 | $140.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES IGM | $180.00 | $180.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONONUCLEOSIS SCREEN | $76.00 | $76.00 | — | 55% below | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONONUCLEOSIS SCREEN | $76.00 | $76.00 | — | — | — |
| Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY | $116.00 | $116.00 | — | 614% above | — |
| Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGM ANTIBODY | $167.00 | $167.00 | — | 928% above | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY | $116.00 | $116.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGM ANTIBODY | $167.00 | $167.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $132.00 | $132.00 | — | 322% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $132.00 | $132.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA | $132.00 | $132.00 | — | 135% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - ULTRASENSITIVE | $330.00 | $330.00 | — | 488% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA | $132.00 | $132.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - ULTRASENSITIVE | $330.00 | $330.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT | $253.00 | $253.00 | — | 157% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT | $253.00 | $253.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT LA SCREEN (PTT-D) | $76.00 | $76.00 | — | 98% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $275.00 | $275.00 | — | 616% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT LA SCREEN (PTT-D) | $76.00 | $76.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $275.00 | $275.00 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS BODY FLUID | $86.00 | $86.00 | — | 41% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS BODY FLUID | $86.00 | $86.00 | — | — | — |
| Potassium blood test CPT 84132 HC POTASSIUM SERUM | $52.00 | $52.00 | — | 22% below | — |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM | $52.00 | $52.00 | — | — | — |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $185.00 | $185.00 | — | 294% above | — |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $185.00 | $185.00 | — | — | — |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN | $151.00 | $151.00 | — | 133% above | — |
| Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN | $151.00 | $151.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY - ARUP | $42.00 | $42.00 | — | 15% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $165.00 | $165.00 | — | 353% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY - ARUP | $42.00 | $42.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $165.00 | $165.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA ASSAY W/OPTIC | $83.00 | $83.00 | — | 34% below | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA ASSAY W/OPTIC | $83.00 | $83.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC - POCT RAPID STREP A | $718.00 | $718.00 | — | 528% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC - POCT RAPID STREP A | $718.00 | $718.00 | — | — | — |
| Renin blood test CPT 84244 HC PLASMA RENIN ACTIVITY | $242.00 | $242.00 | — | 1110% above | — |
| Renin blood test inpatient CPT 84244 HC PLASMA RENIN ACTIVITY | $242.00 | $242.00 | — | — | — |
| Rh blood typing CPT 86901 HC BLOOD RH | $47.00 | $47.00 | — | 12% above | — |
| Rh blood typing inpatient CPT 86901 HC BLOOD RH | $47.00 | $47.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR - ARUP | $60.00 | $60.00 | — | 146% above | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR | $103.00 | $103.00 | — | 323% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR - ARUP | $60.00 | $60.00 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR | $103.00 | $103.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG | $112.00 | $112.00 | — | 494% above | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM | $135.00 | $135.00 | — | 616% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG | $112.00 | $112.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM | $135.00 | $135.00 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE RBC AUTOMATED | $91.00 | $91.00 | — | 17% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE RBC AUTOMATED | $91.00 | $91.00 | — | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS,VOLUME, COUNT, MOTILITY, DIFF - SEMEN ANALYSIS | $184.00 | $184.00 | — | 26% below | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS,VOLUME, COUNT, MOTILITY, DIFF - SEMEN ANALYSIS | $184.00 | $184.00 | — | — | — |
| Sodium blood test CPT 84295 HC SODIUM ABL | $11.00 | $11.00 | — | 84% below | — |
| Sodium blood test CPT 84295 HC SODIUM | $54.00 | $54.00 | — | 20% below | — |
| Sodium blood test inpatient CPT 84295 HC SODIUM ABL | $11.00 | $11.00 | — | — | — |
| Sodium blood test inpatient CPT 84295 HC SODIUM | $54.00 | $54.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITE EXAMINATION SMEARS | $210.00 | $210.00 | — | 403% above | — |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITE EXAMINATION SMEARS | $210.00 | $210.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC SCREENING FECAL-OCCULT BLOOD | $72.00 | $72.00 | — | 36% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC SCREENING FECAL-OCCULT BLOOD | $72.00 | $72.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM | $106.00 | $106.00 | — | 626% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM | $106.00 | $106.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP ANTIBODY QUAL - VDRL CSF | $92.00 | $92.00 | — | 365% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL | $95.00 | $95.00 | — | 380% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP ANTIBODY QUAL - RAPID PLASMA REAGIN | $103.00 | $103.00 | — | 420% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP ANTIBODY QUAL - VDRL CSF | $92.00 | $92.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL | $95.00 | $95.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP ANTIBODY QUAL - RAPID PLASMA REAGIN | $103.00 | $103.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - GOLD PLUS 4TUBE | $454.00 | $454.00 | — | 637% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST, CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON - GOLD PLUS 4TUBE | $454.00 | $454.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE | $221.00 | $221.00 | — | 637% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE | $221.00 | $221.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB EA - ANALYZER ANA PANEL - ARUP | $78.00 | $78.00 | — | 474% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTITHYROID PEROXIDASE AB | $153.00 | $153.00 | — | 1025% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB | $154.00 | $154.00 | — | 1032% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER/KIDNEY AB | $154.00 | $154.00 | — | 1032% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB EA - ANALYZER ANA PANEL - ARUP | $78.00 | $78.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTITHYROID PEROXIDASE AB | $153.00 | $153.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB | $154.00 | $154.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER/KIDNEY AB | $154.00 | $154.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $196.00 | $196.00 | — | 57% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $196.00 | $196.00 | — | — | — |
| Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE - IMMUNOGLOBULIN IGE | $153.00 | $153.00 | — | 546% above | — |
| Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE - IMMUNOGLOBULIN IGE | $153.00 | $153.00 | — | — | — |
| Total cholesterol blood test CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL | $94.00 | $94.00 | — | 225% above | — |
| Total cholesterol blood test inpatient CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL | $94.00 | $94.00 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) | $122.00 | $122.00 | — | 34% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) | $122.00 | $122.00 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL | $158.00 | $158.00 | — | 103% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL | $158.00 | $158.00 | — | — | — |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $128.00 | $128.00 | — | 66% above | — |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN | $128.00 | $128.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMON VAGINALIS (GENEXPERT) | $143.00 | $143.00 | — | 192% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMON VAGINALIS (GENEXPERT) | $143.00 | $143.00 | — | — | — |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES BODY FLUID | $65.00 | $65.00 | — | 106% above | — |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES | $114.00 | $114.00 | — | 261% above | — |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES BODY FLUID | $65.00 | $65.00 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES | $114.00 | $114.00 | — | — | — |
| Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE | $243.00 | $243.00 | — | 63% above | — |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE | $243.00 | $243.00 | — | — | — |
| Uric acid blood test CPT 84550 HC URIC ACID | $100.00 | $100.00 | — | 21% above | — |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID | $100.00 | $100.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC | $192.00 | $192.00 | — | 18% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC | $192.00 | $192.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE SPEC GRAVITY | $39.00 | $39.00 | — | 53% below | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - POCT KETONE, URINE | $39.00 | $39.00 | — | 53% below | — |
| Urinalysis without microscope exam, automated CPT 81003 HC DIPSTICK URINE PROTEIN | $43.00 | $43.00 | — | 49% below | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE PH | $43.00 | $43.00 | — | 49% below | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE KETONES | $43.00 | $43.00 | — | 49% below | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE SPEC GRAVITY | $39.00 | $39.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - POCT KETONE, URINE | $39.00 | $39.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE PH | $43.00 | $43.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC DIPSTICK URINE PROTEIN | $43.00 | $43.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE KETONES | $43.00 | $43.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - POCT ASCORBIC ACID, URINE, QUAL, DIP | $83.00 | $83.00 | — | 311% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - POCT ASCORBIC ACID, URINE, QUAL, DIP | $83.00 | $83.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE | $277.00 | $277.00 | — | 63% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE | $277.00 | $277.00 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE | $250.00 | $250.00 | — | 783% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE | $250.00 | $250.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $98.00 | $98.00 | — | 22% below | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST | $98.00 | $98.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 | $117.00 | $117.00 | — | 5% below | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 | $117.00 | $117.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-OH VIT D2 D3, SERUM - ARUP | $126.00 | $126.00 | — | 174% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN-D 25 HYDROXY | $335.00 | $335.00 | — | 628% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-OH VIT D2 D3, SERUM - ARUP | $126.00 | $126.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN-D 25 HYDROXY | $335.00 | $335.00 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25 DIHYDROXY | $371.00 | $371.00 | — | 864% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1 25 DIHYDROXY | $371.00 | $371.00 | — | — | — |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC | $123.00 | $123.00 | — | 723% above | — |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC | $123.00 | $123.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT | $222.00 | $222.00 | — | 276% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT | $222.00 | $222.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST WITH CLIP PLACEMENT 1ST LESION | $8,752.00 | $8,752.00 | — | 146% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST WITH CLIP PLACEMENT 1ST LESION | $8,752.00 | $8,752.00 | — | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TX METATARSAL FRACTURE W/O MANIPULATION | $4,978.00 | $4,978.00 | — | 577% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED TX METATARSAL FRACTURE W/O MANIPULATION | $4,978.00 | $4,978.00 | — | — | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY | $8,836.00 | $8,836.00 | — | 28% below | — |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY | $8,836.00 | $8,836.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXT | $1,002.00 | $1,002.00 | — | 52% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION, ELECTIVE;EXTERN | $1,002.00 | $1,002.00 | — | 52% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIO DEFIBRILLATION | $1,002.00 | $1,002.00 | — | 52% below | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIO DEFIBRILLATION | $1,002.00 | $1,002.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTRIC EXT | $1,002.00 | $1,002.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION, ELECTIVE;EXTERN | $1,002.00 | $1,002.00 | — | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $73,160.00 | $73,160.00 | — | 47% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $73,160.00 | $73,160.00 | — | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED RX DIST RAD/ULNA FX | $463.00 | $463.00 | — | 17% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED RX DIST RAD/ULNA FX | $463.00 | $463.00 | — | — | — |
| Colonoscopy with polyp removal CPT 45385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY | $8,803.00 | $8,803.00 | — | 145% above | — |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ - COLONOSCOPY | $8,803.00 | $8,803.00 | — | — | — |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY | $2,916.00 | $2,916.00 | — | 19% below | — |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE - COLONOSCOPY | $2,916.00 | $2,916.00 | — | — | — |
| Colonoscopy, diagnostic CPT 45378 HC GI COLONOSCOPY DIAGNOSTIC | $2,433.00 | $2,433.00 | — | 19% below | — |
| Colonoscopy, diagnostic inpatient CPT 45378 HC GI COLONOSCOPY DIAGNOSTIC | $2,433.00 | $2,433.00 | — | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 HC URETERAL STENT PLMT NEW W/CATH | $3,462.00 | $3,462.00 | — | 29% below | — |
| Cystoscopy with ureteral stent placement CPT 52332 HC INDWEL UR STENT REM&REP TRANSUR | $3,996.00 | $3,996.00 | — | 18% below | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HC URETERAL STENT PLMT NEW W/CATH | $3,462.00 | $3,462.00 | — | — | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HC INDWEL UR STENT REM&REP TRANSUR | $3,996.00 | $3,996.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY | $1,549.00 | $1,549.00 | — | 19% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY | $1,549.00 | $1,549.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $159.00 | $159.00 | — | 16% below | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $159.00 | $159.00 | — | — | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC RMVL IMPACTED WAX W INST RT | $159.00 | $159.00 | — | 21% below | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC RMVL IMPACTED WAX W INST RT | $159.00 | $159.00 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $2,612.00 | $2,612.00 | — | 18% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $2,612.00 | $2,612.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL - BILAT | $3,001.00 | $3,001.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL - UNILAT | $3,001.00 | $3,001.00 | — | 34% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL - BILAT | $3,001.00 | $3,001.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL - UNILAT | $3,001.00 | $3,001.00 | — | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEX SIG DX W/WO BRUSH/WASH | $3,348.00 | $3,348.00 | — | 20% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEX SIG DX W/WO BRUSH/WASH | $3,348.00 | $3,348.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE | $408.00 | $408.00 | — | 32% below | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE | $408.00 | $408.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,929.00 | $1,929.00 | — | 189% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $1,929.00 | $1,929.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC INJECTION FOR ELBOW | $478.00 | $478.00 | — | 16% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC INJECTION FOR ANKLE | $549.00 | $549.00 | — | 4% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC INJECTION FOR WRIST | $818.00 | $818.00 | — | 43% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $1,929.00 | $1,929.00 | — | 238% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC INJECTION FOR ELBOW | $478.00 | $478.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC INJECTION FOR ANKLE | $549.00 | $549.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC INJECTION FOR WRIST | $818.00 | $818.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $1,929.00 | $1,929.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $1,929.00 | $1,929.00 | — | 250% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $1,929.00 | $1,929.00 | — | — | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 HC LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $52,056.00 | $52,056.00 | — | 160% above | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 HC LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $52,056.00 | $52,056.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $380.00 | $380.00 | — | 61% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $380.00 | $380.00 | — | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $8,836.00 | $8,836.00 | — | 22% below | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $8,836.00 | $8,836.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $2,700.00 | $2,700.00 | — | 15% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $2,700.00 | $2,700.00 | — | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $3,575.00 | $3,575.00 | — | 63% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $3,575.00 | $3,575.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $3,001.00 | $3,001.00 | — | 37% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $3,001.00 | $3,001.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE | $317.00 | $317.00 | — | 36% below | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE | $317.00 | $317.00 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECT NERV BLCK,GREAT OCCIPTL | $1,458.00 | $1,458.00 | — | 61% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT NERV BLCK,GREAT OCCIPTL | $1,458.00 | $1,458.00 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 HCINS DUAL LEAD PACER GEN SYS | $20,190.00 | $20,190.00 | — | 2% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HCINS DUAL LEAD PACER GEN SYS | $20,190.00 | $20,190.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS | $1,847.00 | $1,847.00 | — | 19% above | — |
| Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $3,904.00 | $3,904.00 | — | 152% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS | $1,847.00 | $1,847.00 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $3,904.00 | $3,904.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED | $1,293.00 | $1,293.00 | — | 11% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED | $1,293.00 | $1,293.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTR FACET LUM/SAC SINGLE LVL | $2,135.00 | $2,135.00 | — | 37% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTR FACET LUM/SAC SINGLE LVL | $2,135.00 | $2,135.00 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $789.00 | $789.00 | — | 20% below | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $789.00 | $789.00 | — | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC GI COLONOSCOPY SCREEN | $2,071.00 | $2,071.00 | — | 36% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC GI COLONOSCOPY SCREEN | $2,071.00 | $2,071.00 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC PBB COLORECTAL SCRN; HI RISK IND | $8,609.00 | $8,609.00 | — | 176% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLORECTAL SCRN; HI RISK IND | $8,609.00 | $8,609.00 | — | 176% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLORECTAL SCRN; HI RISK IND | $8,609.00 | $8,609.00 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC PBB COLORECTAL SCRN; HI RISK IND | $8,609.00 | $8,609.00 | — | — | — |
| Short arm cast (elbow to hand) CPT 29075 HC APPLY FOREARM CAST | $702.00 | $702.00 | — | 13% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY FOREARM CAST | $702.00 | $702.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT,STATIC | $314.00 | $314.00 | — | 18% below | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT,STATIC | $314.00 | $314.00 | — | — | — |
| Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST | $1,066.00 | $1,066.00 | — | 80% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST | $1,066.00 | $1,066.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT | $314.00 | $314.00 | — | 24% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT | $314.00 | $314.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM | $380.00 | $380.00 | — | 24% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RESUPERF WND BODY <2.5CM | $380.00 | $380.00 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $378.00 | $378.00 | — | 54% below | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $378.00 | $378.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $1,693.00 | $1,693.00 | — | 36% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC W/ GUIDE | $2,405.00 | $2,405.00 | — | 93% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC | $1,693.00 | $1,693.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC W/ GUIDE | $2,405.00 | $2,405.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR SPRFICIAL WND 2.6 -7.5CM | $562.00 | $562.00 | — | 2% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RPR SPRFICIAL WND 2.6 -7.5CM | $562.00 | $562.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RESUPERF WND FACE <2.5 CM | $540.00 | $540.00 | — | 12% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RESUPERF WND FACE <2.5 CM | $540.00 | $540.00 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENT BIOPSY SKIN SINGLE LESION | $378.00 | $378.00 | — | 39% below | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENT BIOPSY SKIN SINGLE LESION | $378.00 | $378.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS | $2,160.00 | $2,160.00 | — | 15% above | — |
| Thoracentesis with imaging guidance CPT 32555 HC ASPIRATE PLEURA W/IMAGING | $2,160.00 | $2,160.00 | — | 15% above | — |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $2,160.00 | $2,160.00 | — | 15% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS | $2,160.00 | $2,160.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $2,160.00 | $2,160.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC ASPIRATE PLEURA W/IMAGING | $2,160.00 | $2,160.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2 | $2,318.00 | $2,318.00 | — | 275% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2 | $2,318.00 | $2,318.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BREAST BIOPSY WITH PLACEMENT OF DEVICE | $3,358.00 | $3,358.00 | — | 4% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC US GUIDE NEEDLE PLACE LT | $3,358.00 | $3,358.00 | — | 4% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BREAST BIOPSY WITH PLACEMENT OF DEVICE | $3,358.00 | $3,358.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC US GUIDE NEEDLE PLACE LT | $3,358.00 | $3,358.00 | — | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM - EGD | $2,400.00 | $2,400.00 | — | 15% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM - EGD | $2,400.00 | $2,400.00 | — | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC GI GASTROSCOPY | $1,979.00 | $1,979.00 | — | 36% below | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC GI GASTROSCOPY | $1,979.00 | $1,979.00 | — | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION - EGD | $2,544.00 | $2,544.00 | — | at median | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION - EGD | $2,544.00 | $2,544.00 | — | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH - EGD | $2,400.00 | $2,400.00 | — | 13% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH - 1 OF 2 | $2,544.00 | $2,544.00 | — | 8% below | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH - EGD | $2,400.00 | $2,400.00 | — | — | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH - 1 OF 2 | $2,544.00 | $2,544.00 | — | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W GUIDE WIRE DIL WO BALLN | $2,400.00 | $2,400.00 | — | 2% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD DILATION W/O BALLOON | $3,132.00 | $3,132.00 | — | 33% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W GUIDE WIRE DIL WO BALLN | $2,400.00 | $2,400.00 | — | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD DILATION W/O BALLOON | $3,132.00 | $3,132.00 | — | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,979.00 | $1,979.00 | — | 14% below | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,979.00 | $1,979.00 | — | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 HC SP ENDOVENOUS RF 1ST VEIN | $6,264.00 | $6,264.00 | — | at median | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC SP ENDOVENOUS RF 1ST VEIN | $6,264.00 | $6,264.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $2,543.00 | $2,543.00 | — | 128% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $2,543.00 | $2,543.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE | $1,347.00 | $1,347.00 | — | 22% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE | $1,347.00 | $1,347.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INDUCED SPUTUM | $243.00 | $243.00 | — | 7% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $243.00 | $243.00 | — | 7% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT HAND HELD NEBULIZER | $243.00 | $243.00 | — | 7% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INHALATION TREATMENT | $243.00 | $243.00 | — | 7% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INDUCED SPUTUM | $243.00 | $243.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $243.00 | $243.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT HAND HELD NEBULIZER | $243.00 | $243.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INHALATION TREATMENT | $243.00 | $243.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMN IV INFUS UP TO 1 HR | $1,719.00 | $1,719.00 | — | 77% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMN IV INFUS UP TO 1 HR | $1,719.00 | $1,719.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $3,433.00 | $3,433.00 | — | 30% below | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $3,433.00 | $3,433.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE | $1,188.00 | $1,188.00 | — | 21% below | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE | $1,188.00 | $1,188.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING | $536.00 | $536.00 | — | 46% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING | $536.00 | $536.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB | $549.00 | $549.00 | — | 11% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINOR PROB | $549.00 | $549.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY | $1,530.00 | $1,530.00 | — | 68% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SEVERITY | $1,530.00 | $1,530.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY | $1,557.00 | $1,557.00 | — | 5% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY | $1,557.00 | $1,557.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $2,264.00 | $2,264.00 | — | 9% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $2,264.00 | $2,264.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC | $2,921.00 | $2,921.00 | — | 15% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC | $2,921.00 | $2,921.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY | $1,475.00 | $1,475.00 | — | 2% below | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY | $1,475.00 | $1,475.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN | $439.00 | $439.00 | — | 22% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN | $439.00 | $439.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR | $425.00 | $425.00 | — | 35% below | — |
| IV infusion of a medicine, first hour CPT 96365 HC INF GAMMA INIT 1HR W LAB | $1,719.00 | $1,719.00 | — | 162% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR | $425.00 | $425.00 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC INF GAMMA INIT 1HR W LAB | $1,719.00 | $1,719.00 | — | — | — |
| IV push of a medicine, first drug CPT 96374 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG | $224.00 | $224.00 | — | 30% below | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG | $224.00 | $224.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT | $99.00 | $99.00 | — | 45% below | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT | $99.00 | $99.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $200.00 | $200.00 | — | 36% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $200.00 | $200.00 | — | 36% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $200.00 | $200.00 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $200.00 | $200.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 HC CLINIC VISIT NEW PT UP TO 60 MIN | $370.00 | $370.00 | — | 43% below | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC CLINIC VISIT NEW PT UP TO 60 MIN | $370.00 | $370.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN | $108.00 | $108.00 | — | 62% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN | $108.00 | $108.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX, INPT 30 MINS | $362.00 | $362.00 | — | 24% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $1,000.00 | $1,000.00 | — | 111% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX, INPT 30 MINS | $362.00 | $362.00 | — | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $1,000.00 | $1,000.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $1,000.00 | $1,000.00 | — | 90% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $1,000.00 | $1,000.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $1,000.00 | $1,000.00 | — | 123% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $1,000.00 | $1,000.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX, INPT 30 MINS | $362.00 | $362.00 | — | 19% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $1,000.00 | $1,000.00 | — | 123% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX, INPT 30 MINS | $362.00 | $362.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $1,000.00 | $1,000.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $200.00 | $200.00 | — | 54% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $200.00 | $200.00 | — | 54% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $200.00 | $200.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $200.00 | $200.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES | $200.00 | $200.00 | — | 38% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES | $200.00 | $200.00 | — | 38% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES | $200.00 | $200.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES | $200.00 | $200.00 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $120.00 | $120.00 | — | 93% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $120.00 | $120.00 | — | — | — |
| Speech and language evaluation CPT 92523 HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $1,000.00 | $1,000.00 | — | 70% above | — |
| Speech and language evaluation inpatient CPT 92523 HC SLP EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $1,000.00 | $1,000.00 | — | — | — |
| Speech therapy session, individual CPT 92507 HC SLP SPEECH/HEARING THERAPY, INDIVIDUAL | $600.00 | $600.00 | — | 67% above | — |
| Speech therapy session, individual inpatient CPT 92507 HC SLP SPEECH/HEARING THERAPY, INDIVIDUAL | $600.00 | $600.00 | — | — | — |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST - OCC HEALTH | $194.00 | $194.00 | — | 36% below | — |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST - SPIROMETRY WITHOUT BRONCHODILATOR | $337.00 | $337.00 | — | 12% above | — |
| Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST - OCC HEALTH | $194.00 | $194.00 | — | — | — |
| Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST - SPIROMETRY WITHOUT BRONCHODILATOR | $337.00 | $337.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR | $404.00 | $404.00 | — | 55% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHODILATOR | $404.00 | $404.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $200.00 | $200.00 | — | 34% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $200.00 | $200.00 | — | 34% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $200.00 | $200.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $200.00 | $200.00 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $255.00 | $255.00 | — | 18% below | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $255.00 | $255.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR | $1,028.26 | $1,028.26 | — | 261% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR | $1,028.26 | $1,028.26 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $177.83 | $177.83 | — | 80% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $177.83 | $177.83 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $225.80 | $225.80 | — | 205% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $225.80 | $225.80 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY | $779.24 | $779.24 | — | 138% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY | $779.24 | $779.24 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP | $492.48 | $492.48 | — | 185% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP | $492.48 | $492.48 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $471.07 | $471.07 | — | 69% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $471.07 | $471.07 | — | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $575.61 | $575.61 | — | 45% above | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $575.61 | $575.61 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING ACY&W-135 DIPHTH CONJ IM SOLN | $955.95 | $955.95 | — | 69% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING ACY&W-135 DIPHTH CONJ IM SOLN | $955.95 | $955.95 | — | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP | $1,455.60 | $1,455.60 | — | 149% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP | $1,455.60 | $1,455.60 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $1,632.70 | $1,632.70 | — | 71% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $1,632.70 | $1,632.70 | — | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY | $3,343.04 | $3,343.04 | — | 161% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY | $3,343.04 | $3,343.04 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $3,343.04 | $3,343.04 | — | 110% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $3,343.04 | $3,343.04 | — | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR | $2,559.89 | $2,559.89 | — | 117% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $2,736.39 | $2,736.39 | — | 132% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR | $2,559.89 | $2,559.89 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $2,736.39 | $2,736.39 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR | $1,179.67 | $1,179.67 | — | 214% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR | $1,179.67 | $1,179.67 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ | $254.00 | $254.00 | — | 73% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ | $254.00 | $254.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP | $293.97 | $293.97 | — | 44% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP | $293.97 | $293.97 | — | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOSY | $785.94 | $785.94 | — | 168% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOSY | $785.94 | $785.94 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $162.00 | $162.00 | — | 35% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $162.00 | $162.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL | $162.00 | $162.00 | — | 49% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL | $162.00 | $162.00 | — | — | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.jupitermed.com/documents/content/59-1460239_jupiter-medical-center_standardcharges.csv