Irwin County Hospital
Irwin County Hospital in Ocilla, GA publishes cash prices for 254 common procedures listed here, from its own machine-readable price file updated Oct 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 225 of 253 procedures and above it for 27. By typical cash price it ranks #13 of 96 Georgia hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
710 N Irwin Ave Ocilla, Ga 31774 Collected Nov 3, 2026 Source price file Check a bill from this hospital (229) 468-3845
Rural emergency hospital Government-owned hospital Emergency department CCN 110779 · CMS hospital register NPI 1720098791
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Irwin County Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
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 1 action for a hospital named Irwin County Hospital in Ocilla, GA:
- Jun 11, 2026 Warning notice
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/ & W/O CONTRAST | $1,124.13 | $2,248.25 | $1,461.36–$1,866.05 | 40% below | 50% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN (2 VIEW) | $217.94 | $435.88 | $283.32–$361.78 | 19% below | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE (3 VIEWS) | $161.80 | $323.60 | $210.34–$268.59 | 40% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT EXTREMITY UPPER W/O CONTRAST | $699.50 | $1,399.00 | $909.35–$1,161.17 | 34% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY UPPER W/O CONTRAST RT | $699.50 | $1,399.00 | $909.35–$1,161.17 | 34% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS | $357.10 | $714.20 | $464.23–$592.79 | 4% above | 50% |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE | $268.00 | $536.00 | $348.40–$444.88 | 36% below | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED | $268.00 | $536.00 | $348.40–$444.88 | 23% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN/PELVIS W/ & W/O CONTRAST | $1,947.13 | $3,894.25 | $2,531.26–$3,232.23 | 14% below | 50% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W/WITHOUT | $973.88 | $1,947.75 | $1,266.04–$1,616.63 | 38% below | 50% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK W/WITHOUT | $1,018.50 | $2,037.00 | $1,324.05–$1,690.71 | 40% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WITHOUT | $1,150.88 | $2,301.75 | $1,496.14–$1,910.45 | 22% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $1,770.25 | $3,540.50 | $2,301.33–$2,938.62 | 15% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/ CONTRAST | $1,858.75 | $3,717.50 | $2,416.38–$3,085.53 | 23% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/ & W/O CONTRAST | $1,947.13 | $3,894.25 | $2,531.26–$3,232.23 | 34% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST | $930.00 | $1,860.00 | $1,209.00–$1,543.80 | 45% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $788.00 | $1,576.00 | $1,024.40–$1,308.08 | 37% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $641.63 | $1,283.25 | $834.11–$1,065.10 | 38% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $631.50 | $1,263.00 | $820.95–$1,048.29 | 46% below | 50% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST | $769.00 | $1,538.00 | $999.70–$1,276.54 | 46% below | 50% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/ & W/O CONTRAST | $842.75 | $1,685.50 | $1,095.58–$1,398.97 | 54% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST | $807.13 | $1,614.25 | $1,049.26–$1,339.83 | 37% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST | $807.13 | $1,614.25 | $1,049.26–$1,339.83 | 33% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST | $907.75 | $1,815.50 | $1,180.08–$1,506.87 | 43% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DOPPLER | $544.25 | $1,088.50 | $707.53–$903.46 | 5% above | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DOPPLER CEREBROVASCULAR | $594.50 | $1,189.00 | $772.85–$986.87 | 14% above | 50% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W/ & W/O CONTRAST | $1,150.88 | $2,301.75 | $1,496.14–$1,910.45 | 32% below | 50% |
| Chest X-ray, 2 views CPT 71046 CHEST (2 VIEWS) | $161.80 | $323.60 | $210.34–$268.59 | 28% below | 50% |
| Chest X-ray, single view CPT 71045 CHEST (1 VIEW) | $161.80 | $323.60 | $210.34–$268.59 | 4% below | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE | $161.80 | $323.60 | $210.34–$268.59 | 33% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $344.38 | $688.75 | $447.69–$571.66 | 31% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY - DEXA | $160.32 | $320.64 | $208.42–$266.13 | 58% below | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 CT BONE DENSITY;PERIPHERAL | $211.38 | $422.75 | $274.79–$350.88 | 14% above | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAIL SINGLE FETUS | $327.13 | $654.25 | $425.26–$543.03 | 2% above | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST | $807.13 | $1,614.25 | $1,049.26–$1,339.83 | 20% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGH RESOLUTION | $973.88 | $1,947.75 | $1,266.04–$1,616.63 | 3% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/ CONTRAST | $942.75 | $1,885.50 | $1,225.58–$1,564.97 | 39% below | 50% |
| Diagnostic mammogram, both breasts CPT 77066 DIGITAL DIAGNOSTIC MAMMO WITH CAD | $450.63 | $901.25 | $585.81–$748.04 | 40% above | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 DIGITAL DIAGNOSTIC LEFT OR RIGHT W/ CAD | $370.50 | $741.00 | $481.65–$615.03 | 52% above | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US DOPPLER ARTERIAL LOWER EXTREMITIES | $594.50 | $1,189.00 | $772.85–$986.87 | 1% above | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPPLER BILATERAL | $544.25 | $1,088.50 | $707.53–$903.46 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO DOPPLER M MODE & COLOR FLOW | $1,404.88 | $2,809.75 | $1,826.34–$2,332.09 | 10% below | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW | $161.80 | $323.60 | $210.34–$268.59 | 38% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA/ORBIT, MID/INNER EAR W/O | $677.25 | $1,354.50 | $880.43–$1,124.24 | 37% below | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3 VIEWS OF MORE | $250.13 | $500.25 | $325.16–$415.21 | 18% below | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM | $161.80 | $323.60 | $210.34–$268.59 | 26% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HEEL OS CALCIS | $161.80 | $323.60 | $210.34–$268.59 | 21% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP STUDY | $1,718.63 | $3,437.25 | $2,234.21–$2,852.92 | 211% above | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY - SPLIT NIGHT | $1,804.63 | $3,609.25 | $2,346.01–$2,995.68 | 28% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY - CPAP | $1,839.64 | $3,679.28 | $2,391.53–$3,053.80 | 26% below | 50% |
| Knee X-ray, 3 views CPT 73562 KNEE (3 VIEWS) | $161.80 | $323.60 | $210.34–$268.59 | 32% below | 50% |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE (COMPLETE) | $217.94 | $435.88 | $283.32–$361.78 | 20% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT EXTREMITY LOWER W/O CONTRAST | $692.50 | $1,385.00 | $900.25–$1,149.55 | 33% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LOWER WO CONT LT | $692.50 | $1,385.00 | $900.25–$1,149.55 | 33% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED ORGAN SPECIFIC | $344.38 | $688.75 | $447.69–$571.66 | 30% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON-VASC LMTD | $254.63 | $509.25 | $331.01–$422.68 | 41% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT FOR LUNG CA SCREEN | $202.25 | $404.50 | $262.93–$335.74 | 20% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA & FIBULA 2 VIEW | $161.80 | $323.60 | $210.34–$268.59 | 32% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE COMPLETE | $269.88 | $539.75 | $350.84–$447.99 | 36% below | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/ CONTRAST | $814.75 | $1,629.50 | $1,059.18–$1,352.49 | 47% below | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTRAST | $697.63 | $1,395.25 | $906.91–$1,158.06 | 29% below | 50% |
| Neck soft tissue X-ray CPT 70360 NECK(SOFT TISSUE) | $161.80 | $323.60 | $210.34–$268.59 | 20% below | 50% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $796.38 | $1,592.75 | $1,035.29–$1,321.98 | 38% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER POST VOID | $344.38 | $688.75 | $447.69–$571.66 | 4% above | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON-PREGNANT | $344.38 | $688.75 | $447.69–$571.66 | 29% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPLETE 14 WEEKS OR MORE | $344.38 | $688.75 | $447.69–$571.66 | 37% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 14 WEEKS OR LESS-ABD APPROACH | $344.38 | $688.75 | $447.69–$571.66 | 29% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 FETUS | $225.38 | $450.75 | $292.99–$374.12 | 21% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS (UNILATERAL) | $217.94 | $435.88 | $283.32–$361.78 | 27% below | 50% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMO | $225.00 | $450.00 | $292.50–$373.50 | at median | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMPLETE UNILATERAL | $161.80 | $323.60 | $210.34–$268.59 | 26% below | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 3 VIEWS OR MORE | $161.80 | $323.60 | $210.34–$268.59 | 52% below | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS THAN 4 VIEWS | $217.94 | $435.88 | $283.32–$361.78 | 3% above | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY - INITIAL | $1,839.64 | $3,679.28 | $2,391.53–$3,053.80 | 15% below | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW | $398.50 | $797.00 | $518.05–$661.51 | 22% above | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2 VIEW | $320.88 | $641.75 | $417.14–$532.65 | 42% above | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST | $807.13 | $1,614.25 | $1,049.26–$1,339.83 | 37% below | 50% |
| Toe X-ray, 2 or more views CPT 73660 TOES | $54.13 | $108.25 | $70.36–$89.85 | 70% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-PREGNANT | $344.38 | $688.75 | $447.69–$571.66 | 29% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB | $265.38 | $530.75 | $344.99–$440.52 | 31% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $344.38 | $688.75 | $447.69–$571.66 | 53% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS | $1,062.38 | $2,124.75 | $1,381.09–$1,763.54 | 77% above | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUES OF HEAD & NECK | $344.38 | $688.75 | $447.69–$571.66 | 43% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI (PEDIATRIC) | $366.00 | $732.00 | $475.80–$607.56 | 7% below | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS | $161.80 | $323.60 | $210.34–$268.59 | 31% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER UNILATERAL RIGHT | $310.00 | $620.00 | $403.00–$514.60 | 48% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER UNILATERAL | $344.38 | $688.75 | $447.69–$571.66 | 42% below | 50% |
| Wrist X-ray, 2 views CPT 73100 WRIST (2 VIEWS) | $161.80 | $323.60 | $210.34–$268.59 | 15% below | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST (COMPLETE) | $161.80 | $323.60 | $210.34–$268.59 | 31% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP (2 VIEWS) | $161.80 | $323.60 | $210.34–$268.59 | 14% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN FOR FETAL AGE | $160.38 | $320.75 | $208.49–$266.22 | 25% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN (1 VIEW) | $161.80 | $323.60 | $210.34–$268.59 | 25% below | 50% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE (2 VIEWS) | $161.80 | $323.60 | $210.34–$268.59 | 23% below | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER | $161.80 | $323.60 | $210.34–$268.59 | 18% below | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT WT BEARING | $160.38 | $320.75 | $208.49–$266.22 | 38% below | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT | $161.80 | $323.60 | $210.34–$268.59 | 38% below | 50% |
| X-ray of the hand, 3 or more views CPT 73130 HAND | $161.80 | $323.60 | $210.34–$268.59 | 24% below | 50% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE (2 VIEWS) BILATERAL | $320.88 | $641.75 | $417.14–$532.65 | — | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE (2 VIEWS) | $161.80 | $323.60 | $210.34–$268.59 | 18% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE (2 VIEWS) | $217.94 | $435.88 | $283.32–$361.78 | 36% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE (COMPLETE) | $269.88 | $539.75 | $350.84–$447.99 | 42% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE | $217.94 | $435.88 | $283.32–$361.78 | 18% below | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $161.80 | $323.60 | $210.34–$268.59 | 31% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE (2 VIEWS) | $161.80 | $323.60 | $210.34–$268.59 | 43% below | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS | $217.94 | $435.88 | $283.32–$361.78 | 5% above | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM / COCCYX | $161.80 | $323.60 | $210.34–$268.59 | 38% below | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH (ADRENOCORT HORMONE) | $92.00 | $184.00 | $119.60–$152.72 | 47% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $20.88 | $41.75 | $27.14–$34.65 | 35% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $20.88 | $41.75 | $27.14–$34.65 | 33% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL, ACUTE | $101.88 | $203.75 | $132.44–$169.11 | 63% below | 50% |
| Albumin blood test CPT 82040 ALBUMIN, PLASMA OR SERUM | $9.88 | $19.75 | $12.84–$16.39 | 72% below | 50% |
| Aldosterone blood test CPT 82088 ALDOSTERONE SERUM | $73.38 | $146.75 | $95.39–$121.80 | 55% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOPHATASE | $20.88 | $41.75 | $27.14–$34.65 | 53% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TEST, EACH ALLERGEN | $9.50 | $19.00 | $12.35–$15.77 | 66% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED, COMMON/SHORT | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM NOTATUM | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED, ROUGH | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG EPITHELIUM | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHYAGOIDES PTERONYSSINUS | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHYAGOIDES FAIRNAE | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT HAIR | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AMERICAN COCKROACH | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AMERICAN ELM | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE OAK | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERY | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE HICKORY | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWEET GUM | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STEMPHYLUM BOTRYOSUM | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORRELL/DOCK | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE/BOX ELDER | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN, IGE | $12.38 | $24.75 | $16.09–$20.54 | 56% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS | $45.50 | $91.00 | $59.15–$75.53 | 61% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL | $128.25 | $256.50 | $166.73–$212.90 | 355% above | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN, TUMOR MARKER | $32.38 | $64.75 | $42.09–$53.74 | 63% below | 50% |
| Ammonia blood test CPT 82140 AMMONIA BLOOD | $33.25 | $66.50 | $43.23–$55.20 | 62% below | 50% |
| Amylase blood test CPT 82150 AMYLASE URINE | $20.13 | $40.25 | $26.16–$33.41 | 74% below | 50% |
| Amylase blood test CPT 82150 AMYLASE | $31.00 | $62.00 | $40.30–$51.46 | 60% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP (CYCLIC CITRULLINATED PEPTIDE) AB | $89.63 | $179.25 | $116.51–$148.78 | 5% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA WITH REFLEX | $18.50 | $37.00 | $24.05–$30.71 | 80% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA(ANTINUCLEAR ANTIBODY) | $23.25 | $46.50 | $30.23–$38.60 | 75% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY (ANA) | $23.25 | $46.50 | $30.23–$38.60 | 75% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE ANTIBODY | $33.63 | $67.25 | $43.71–$55.82 | 63% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IgG BY ELISA | $69.00 | $138.00 | $89.70–$114.54 | 25% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IgG BY ELISA WITH REFLEX | $69.00 | $138.00 | $89.70–$114.54 | 25% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP | $173.13 | $346.25 | $225.06–$287.39 | 43% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (BRAIN NATRIURETIC PEPTIDE) | $191.38 | $382.75 | $248.79–$317.68 | 58% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF | $8.38 | $16.75 | $10.89–$13.90 | 89% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT | $28.00 | $56.00 | $36.40–$46.48 | 64% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $33.63 | $67.25 | $43.71–$55.82 | 57% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE REPRODUCTIVE | $33.63 | $67.25 | $43.71–$55.82 | 57% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $33.63 | $67.25 | $43.71–$55.82 | 57% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL | $33.63 | $67.25 | $43.71–$55.82 | 57% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID | $33.63 | $67.25 | $43.71–$55.82 | 57% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BORDETELLA PERTUSSIS | $111.25 | $222.50 | $144.63–$184.68 | 44% above | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROFILE | $118.13 | $236.25 | $153.56–$196.09 | 1% below | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL (NEONATAL) | $19.75 | $39.50 | $25.68–$32.79 | 53% below | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL (NEONATAL)-DAILY | $19.75 | $39.50 | $25.68–$32.79 | 53% below | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL (ADULT) | $23.63 | $47.25 | $30.71–$39.22 | 44% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE LEVEL 4 | $74.64 | $149.28 | $97.03–$123.90 | 11% below | 50% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD SET 2 | $64.88 | $129.75 | $84.34–$107.69 | 57% below | 50% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD SET 1 | $64.88 | $129.75 | $84.34–$107.69 | 57% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $6.88 | $13.75 | $8.94–$11.41 | 49% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE DAILY | $16.00 | $32.00 | $20.80–$26.56 | 56% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $20.88 | $41.75 | $27.14–$34.65 | 43% below | 50% |
| Blood lead test CPT 83655 LEAD, HEAVY METALS (URINE) | $21.13 | $42.25 | $27.46–$35.07 | 69% below | 50% |
| Blood lead test CPT 83655 LEAD, BLOOD PEDIATRIC | $21.13 | $42.25 | $27.46–$35.07 | 69% below | 50% |
| Blood lead test CPT 83655 LEAD LEVEL | $159.13 | $318.25 | $206.86–$264.15 | 135% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST QUAL (BLOOD) | $35.00 | $70.00 | $45.50–$58.10 | 64% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPING | $25.13 | $50.25 | $32.66–$41.71 | 55% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN DAILY | $16.00 | $32.00 | $20.80–$26.56 | 51% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $17.50 | $35.00 | $22.75–$29.05 | 46% below | 50% |
| C-peptide blood test CPT 84681 C-PEPTIDE SERUM | $28.38 | $56.75 | $36.89–$47.10 | 73% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (C-REACTIVE PROTEIN) | $32.38 | $64.75 | $42.09–$53.74 | 63% below | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 SERUM | $40.13 | $80.25 | $52.16–$66.61 | 71% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PCR | $99.75 | $199.50 | $129.68–$165.59 | 16% above | 50% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $19.75 | $39.50 | $25.68–$32.79 | 33% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA (CARCINOEMBYRONIC ANTIGEN) | $33.63 | $67.25 | $43.71–$55.82 | 66% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG | $29.13 | $58.25 | $37.86–$48.35 | 60% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM | $40.38 | $80.75 | $52.49–$67.02 | 45% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TEST BY DNA PROBE | $52.64 | $105.27 | $68.43–$87.37 | 34% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC URINE | $66.13 | $132.25 | $85.96–$109.77 | 17% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL (PHYSICIAN OFFICE) | $31.88 | $63.75 | $41.44–$52.91 | 58% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $39.38 | $78.75 | $51.19–$65.36 | 48% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ AUTO DIFF (PHYSICIAN OFFICE) | $18.00 | $36.00 | $23.40–$29.88 | 71% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ AUTO DIFF DAILY | $46.25 | $92.50 | $60.13–$76.78 | 25% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ AUTO DIFF DAILY OB | $46.25 | $92.50 | $60.13–$76.78 | 25% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ AUTO DIFF | $55.50 | $111.00 | $72.15–$92.13 | 10% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ AUTO DIFF OB | $55.50 | $111.00 | $72.15–$92.13 | 10% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC DAILY OB | $27.25 | $54.50 | $35.43–$45.24 | 52% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC DAILY | $27.25 | $54.50 | $35.43–$45.24 | 52% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $32.75 | $65.50 | $42.58–$54.37 | 42% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC OB | $32.75 | $65.50 | $42.58–$54.37 | 42% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/ MANUAL DIFF OB | $48.00 | $96.00 | $62.40–$79.68 | 15% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITH MANUAL DIFF | $48.00 | $96.00 | $62.40–$79.68 | 15% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP (PHYSICIAN OFFICE) | $31.88 | $63.75 | $41.44–$52.91 | 78% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PROFILE | $75.88 | $151.75 | $98.64–$125.95 | 47% below | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL | $31.38 | $62.75 | $40.79–$52.08 | 69% below | 50% |
| Cortisol blood test, total CPT 82533 DEXAMETHASONE TEST | $38.00 | $76.00 | $49.40–$63.08 | 63% below | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL DAILY | $25.75 | $51.50 | $33.48–$42.75 | 50% below | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL | $31.00 | $62.00 | $40.30–$51.46 | 40% below | 50% |
| Creatinine blood test CPT 82565 CREATININE DAILY (SERUM) | $19.75 | $39.50 | $25.68–$32.79 | 4% below | 50% |
| Creatinine blood test CPT 82565 CREATININE SERUM | $23.63 | $47.25 | $30.71–$39.22 | 14% above | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB QUANT IGG | $25.88 | $51.75 | $33.64–$42.95 | 73% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $84.13 | $168.25 | $109.36–$139.65 | 13% below | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $40.00 | $80.00 | $52.00–$66.40 | 59% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL (URINE OR SERUM) | $21.38 | $42.75 | $27.79–$35.48 | 83% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN INDUST COCH | $33.00 | $66.00 | $42.90–$54.78 | 74% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CLARITY DRUG SCREEN URINE MEDICAL | $60.50 | $120.99 | $78.64–$100.42 | 53% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE MEDICAL (MEDICARE) | $143.63 | $287.25 | $186.71–$238.42 | 12% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE MEDICAL | $143.63 | $287.25 | $186.71–$238.42 | 12% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LHLUDS | $155.13 | $310.25 | $201.66–$257.51 | 21% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETS/ETG (URINE) | $171.50 | $343.00 | $222.95–$284.69 | 34% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SERUM DRUG SCREEN (13 PANEL) | $265.88 | $531.75 | $345.64–$441.35 | 107% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT PROFILE (URINE) | $305.88 | $611.75 | $397.64–$507.75 | 138% above | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL | $49.13 | $98.25 | $63.86–$81.55 | 45% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB VCA (IGG) | $34.75 | $69.50 | $45.18–$57.69 | 52% below | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL | $53.75 | $107.50 | $69.88–$89.23 | 55% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH (FOLLICLE STIMULATION HORM) | $67.75 | $135.50 | $88.08–$112.47 | 46% below | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL | $224.00 | $448.00 | $291.20–$371.84 | 2% above | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $53.00 | $106.00 | $68.90–$87.98 | 29% below | 50% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $41.38 | $82.75 | $53.79–$68.68 | 54% below | 50% |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $28.00 | $56.00 | $36.40–$46.48 | 68% below | 50% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $66.13 | $132.25 | $85.96–$109.77 | 32% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $31.88 | $63.75 | $41.44–$52.91 | 58% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT (GAMMA GLUTAMYL TRANFERASE) | $13.88 | $27.75 | $18.04–$23.03 | 70% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYL GAMMA (GGT) | $25.75 | $51.50 | $33.48–$42.75 | 45% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, 2HOUR POST PRANDIAL | $29.13 | $58.25 | $37.86–$48.35 | 34% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 1 HR | $50.50 | $101.00 | $65.65–$83.83 | 14% above | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 4 HR | $50.50 | $101.00 | $65.65–$83.83 | 32% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 5 HR | $50.50 | $101.00 | $65.65–$83.83 | 32% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE TEST | $50.50 | $101.00 | $65.65–$83.83 | 32% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2 HR | $50.50 | $101.00 | $65.65–$83.83 | 32% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 HR | $50.50 | $101.00 | $65.65–$83.83 | 32% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA PROBE | $52.64 | $105.27 | $68.43–$87.37 | 35% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDA URINE | $66.13 | $132.25 | $85.96–$109.77 | 19% below | 50% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB (IGM) | $18.00 | $36.00 | $23.40–$29.88 | 86% below | 50% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB (IGA) | $28.00 | $56.00 | $36.40–$46.48 | 78% below | 50% |
| H. pylori antibody blood test CPT 86677 H. PYLORI (IGG) | $42.63 | $85.25 | $55.41–$70.76 | 67% below | 50% |
| H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN (STOOL) | $43.75 | $87.50 | $56.88–$72.63 | 65% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY BDNA, VIRAL LOAD, (QUANT) | $321.75 | $643.50 | $418.28–$534.11 | 6% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REFLEX TESTING POSITIVE HIV1RNA | $380.88 | $761.75 | $495.14–$632.25 | 11% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 AB SCREEN | $26.38 | $52.75 | $34.29–$43.78 | 76% below | 50% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN DAILY | $11.75 | $23.50 | $15.28–$19.51 | 49% below | 50% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $13.88 | $27.75 | $18.04–$23.03 | 40% below | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY, TOTAL | $22.75 | $45.50 | $29.58–$37.77 | 75% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS EXPOSURE PROFILE (NEEDLESTICK) | $17.50 | $35.00 | $22.75–$29.05 | 77% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B VIRUS, POSTVACCINE | $18.88 | $37.75 | $24.54–$31.33 | 76% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB QUALITATIVE | $21.38 | $42.75 | $27.79–$35.48 | 72% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG(ANTIGEN) | $19.88 | $39.75 | $25.84–$32.99 | 69% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $27.50 | $55.00 | $35.75–$45.65 | 77% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV NUCLEIC ACID AMPLIFICATION | $233.38 | $466.75 | $303.39–$387.40 | 94% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS GTIA NS5A PROFILE | $4,402.75 | $8,805.50 | $5,723.58–$7,308.57 | 1498% above | 50% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HEPATITIS C VIRUS QUAN RT PCR,NO GRAPH | $134.38 | $268.75 | $174.69–$223.06 | 51% below | 50% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HEPATITIS C VIRUS QUAN RT PCR (GRAPH) | $500.50 | $1,001.00 | $650.65–$830.83 | 82% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1,2 (IgG) | $58.63 | $117.25 | $76.21–$97.32 | 13% below | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HS/CARDIO | $25.00 | $50.00 | $32.50–$41.50 | 72% below | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE URINE | $26.88 | $53.75 | $34.94–$44.61 | 80% below | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE BLOOD | $29.50 | $59.00 | $38.35–$48.97 | 78% below | 50% |
| Insulin blood test CPT 83525 1 HR INSULIN | $5.75 | $11.50 | $7.48–$9.55 | 92% below | 50% |
| Insulin blood test CPT 83525 INSULIN, TOTAL | $24.63 | $49.25 | $32.01–$40.88 | 66% below | 50% |
| Kidney function blood test panel CPT 80069 RENAL PROFILE | $89.63 | $179.25 | $116.51–$148.78 | 3% above | 50% |
| LH (luteinizing hormone) test CPT 83002 LH (LEUTINIZING HORMONE) | $35.63 | $71.25 | $46.31–$59.14 | 50% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (LACTATE) | $33.63 | $67.25 | $43.71–$55.82 | 66% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH DAILY | $25.13 | $50.25 | $32.66–$41.71 | 49% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $30.13 | $60.25 | $39.16–$50.01 | 39% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $27.13 | $54.25 | $35.26–$45.03 | 72% below | 50% |
| Liver function blood test panel CPT 80076 LIVER PANEL | $94.50 | $189.00 | $122.85–$156.87 | 11% below | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE TOTAL AB (EIA) | $60.50 | $121.00 | $78.65–$100.43 | 42% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $23.38 | $46.75 | $30.39–$38.80 | 48% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM BLOOD | $27.63 | $55.25 | $35.91–$45.86 | 39% below | 50% |
| Magnesium blood test CPT 83735 RBC MAGNESIUM | $71.38 | $142.75 | $92.79–$118.48 | 59% above | 50% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGM AB (RUBEOLA) | $23.25 | $46.50 | $30.23–$38.60 | 71% below | 50% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG AB (RUBEOLA) | $23.25 | $46.50 | $30.23–$38.60 | 71% below | 50% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA VIRUS (MEASLES) | $43.75 | $87.50 | $56.88–$72.63 | 45% below | 50% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS IgG ANTIBODY | $17.37 | $34.74 | $22.58–$28.83 | 69% below | 50% |
| Mumps immunity blood test CPT 86735 MUMPS IGM | $49.50 | $99.00 | $64.35–$82.17 | 10% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $42.75 | $85.50 | $55.58–$70.97 | 48% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREEN (PHYSICIAN OFFICE) | $31.88 | $63.75 | $41.44–$52.91 | 68% below | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY CERVICAL/VAG W/SCREENING A | $124.38 | $248.75 | $161.69–$206.46 | 166% above | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR | $24.63 | $49.25 | $32.01–$40.88 | 52% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATHOLOGY, CERVICAL OR VAGINAL | $95.13 | $190.25 | $123.66–$157.91 | 87% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE (PTH) | $56.77 | $113.54 | $73.80–$94.24 | 63% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (THROMBOPLASTIN) DAILY | $28.13 | $56.25 | $36.56–$46.69 | 43% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $35.00 | $70.00 | $45.50–$58.10 | 29% below | 50% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLOOD | $22.00 | $44.00 | $28.60–$36.52 | 37% below | 50% |
| Potassium blood test CPT 84132 POTASSIUM, PLASMA OR SERUM | $22.63 | $45.25 | $29.41–$37.56 | 33% below | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE | $39.25 | $78.50 | $51.03–$65.16 | 59% below | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $37.38 | $74.75 | $48.59–$62.04 | 68% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT PRO TIME DAILY | $21.38 | $42.75 | $27.79–$35.48 | 45% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT PROTIME | $25.63 | $51.25 | $33.31–$42.54 | 34% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN SERUM | $8.25 | $16.50 | $10.73–$13.70 | 89% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PCP | $16.75 | $33.50 | $21.78–$27.81 | 77% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 MARIJUANA | $16.75 | $33.50 | $21.78–$27.81 | 77% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 BARBITUATES | $16.75 | $33.50 | $21.78–$27.81 | 77% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 AMPHETAMINES | $16.75 | $33.50 | $21.78–$27.81 | 77% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 BENZODIAZEPINES | $16.75 | $33.50 | $21.78–$27.81 | 77% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 COCAINE | $16.75 | $33.50 | $21.78–$27.81 | 77% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 OPIATES | $16.75 | $33.50 | $21.78–$27.81 | 77% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 ETHANOL | $24.75 | $49.50 | $32.18–$41.09 | 66% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 ICH DRUG SCREEN W/ETOH POST INCID (COCH) | $33.00 | $66.00 | $42.90–$54.78 | 54% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 ECTASY (MDMA) | $48.13 | $96.25 | $62.56–$79.89 | 33% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 NICOTINE (URINE) | $59.38 | $118.75 | $77.19–$98.56 | 18% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 METHADONE | $77.25 | $154.50 | $100.43–$128.24 | 7% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN GASTRIC CONTENT | $278.00 | $556.00 | $361.40–$461.48 | 286% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN | $39.38 | $78.75 | $51.19–$65.36 | 45% below | 50% |
| Renin blood test CPT 84244 RENIN | $39.63 | $79.25 | $51.51–$65.78 | 62% below | 50% |
| Rh blood typing CPT 86901 RH BLOOD TYPING | $20.88 | $41.75 | $27.14–$34.65 | 55% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 RA (RHEUMATOID FACTOR) | $34.75 | $69.50 | $45.18–$57.69 | 54% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS SCREEN | $23.00 | $46.00 | $29.90–$38.18 | 67% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE DAILY | $17.75 | $35.50 | $23.08–$29.47 | 46% below | 50% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS/SPERM COUNT | $157.50 | $315.00 | $204.75–$261.45 | 45% above | 50% |
| Sodium blood test CPT 84295 SODIUM, PLASMA OR SERUM | $18.50 | $37.00 | $24.05–$30.71 | 43% below | 50% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $23.88 | $47.75 | $31.04–$39.63 | 71% below | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $15.00 | $30.00 | $19.50–$24.90 | 60% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA (ABS) | $43.13 | $86.25 | $56.06–$71.59 | 35% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR - SYPHILIS TEST | $25.13 | $50.25 | $32.66–$41.71 | 41% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL | $28.00 | $56.00 | $36.40–$46.48 | 34% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR CONFIRMATORY WITH REFLEX TO QUANT R | $63.75 | $127.50 | $82.88–$105.83 | 50% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $169.75 | $339.50 | $220.68–$281.79 | 2% above | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $49.75 | $99.50 | $64.68–$82.59 | 62% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL ANTIBODIES | $17.50 | $35.00 | $22.75–$29.05 | 81% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TPO-AB | $28.00 | $56.00 | $36.40–$46.48 | 70% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL (LKM) AB | $70.63 | $141.25 | $91.81–$117.24 | 24% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH3 | $57.75 | $115.50 | $75.08–$95.87 | 35% below | 50% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E (IGE) | $12.63 | $25.25 | $16.41–$20.96 | 83% below | 50% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL | $25.13 | $50.25 | $32.66–$41.71 | 13% below | 50% |
| Total thyroxine (T4) blood test CPT 84436 T7 INDEX | $32.00 | $64.00 | $41.60–$53.12 | 37% below | 50% |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL | $32.00 | $64.00 | $41.60–$53.12 | 37% below | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $24.25 | $48.50 | $31.53–$40.26 | 71% below | 50% |
| Transferrin blood test CPT 84466 TRANSFERRIN SERUM | $33.88 | $67.75 | $44.04–$56.23 | 62% below | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG BY NAA (URINE) | $109.75 | $219.50 | $142.68–$182.19 | 20% above | 50% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $24.63 | $49.25 | $32.01–$40.88 | 38% below | 50% |
| Troponin test, quantitative CPT 84484 TROPONIN 1 | $63.88 | $127.75 | $83.04–$106.03 | 49% below | 50% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $22.88 | $45.75 | $29.74–$37.97 | 56% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 UA WITH MICRO CHARGE | $30.38 | $60.75 | $39.49–$50.42 | 51% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINE KETONE | $7.00 | $14.00 | $9.10–$11.62 | 81% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINE SPECIFIC GRAVITY | $7.00 | $14.00 | $9.10–$11.62 | 81% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 UA W/OUT MICRO CHARGE | $24.63 | $49.25 | $32.01–$40.88 | 32% below | 50% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $28.38 | $56.75 | $36.89–$47.10 | 67% below | 50% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE EYE | $28.38 | $56.75 | $36.89–$47.10 | 67% below | 50% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, RANDOM URINE | $30.63 | $61.25 | $39.81–$50.84 | 46% below | 50% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, 24 HR URINE | $30.63 | $61.25 | $39.81–$50.84 | 46% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST QUAL (URINE) | $35.00 | $70.00 | $45.50–$58.10 | 56% below | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B -12 | $38.13 | $76.25 | $49.56–$63.29 | 53% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D3 (VIT D, D2, D3) | $20.63 | $41.25 | $26.81–$34.24 | 78% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D | $66.13 | $132.25 | $85.96–$109.77 | 29% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2/VIT D3/25-HYDROXY | $329.38 | $658.75 | $428.19–$546.76 | 253% above | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1,25 DIHYDROXY | $69.25 | $138.50 | $90.03–$114.96 | 49% below | 50% |
| Zinc blood test CPT 84630 ZINC PLASMA/SERUM | $24.63 | $49.25 | $32.01–$40.88 | 62% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG (QUANTITATIVE) | $60.63 | $121.25 | $78.81–$100.64 | 49% below | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, EXTERNAL | $556.25 | $1,112.50 | $723.13–$923.38 | 62% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BREAST BIOPSY US GUIDANCE - 1ST LESION | $1,791.42 | $3,582.84 | $2,328.85–$2,973.76 | 18% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BREAST BIOPSY 1ST LESION W/US GUIDANCE | $2,814.00 | $5,628.00 | $3,658.20–$4,671.24 | 29% above | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION (>= 4 UNITS/DAY) | $315.13 | $630.25 | $409.66–$523.11 | 59% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION (1-3 UNITS/DAY) | $595.59 | $1,191.18 | $774.27–$988.68 | 23% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 ER Visit Critical - 30 to 74 min | $1,590.13 | $3,180.25 | $2,067.16–$2,639.61 | 13% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG (FREQUENCY) | $96.13 | $192.25 | $124.96–$159.57 | 49% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $127.25 | $254.50 | $165.43–$211.24 | 33% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1 | $108.90 | $217.80 | $141.57–$180.77 | 53% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 | $215.13 | $430.25 | $279.66–$357.11 | 40% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 | $387.00 | $774.00 | $503.10–$642.42 | 39% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 | $558.88 | $1,117.75 | $726.54–$927.73 | 30% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 | $988.50 | $1,977.00 | $1,285.05–$1,640.91 | 10% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV FLUIDS HYDRATION 1ST HR, INITIAL | $305.25 | $610.50 | $396.83–$506.72 | 5% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INFUSION 1ST HR, INITIAL | $305.25 | $610.50 | $396.83–$506.72 | 5% above | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV MED INFUSION 1ST HR, INITIAL | $387.00 | $774.00 | $503.10–$642.42 | 33% above | 50% |
| IV push of a medicine, first drug CPT 96374 IV PUSH, SINGLE/INITIAL | $305.25 | $610.50 | $396.83–$506.72 | 46% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $61.97 | $123.94 | $80.56–$102.87 | 38% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 INITIAL CONSULT - 20-29 MINUTES | $100.00 | $200.00 | $130.00–$166.00 | 36% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 INITIAL CONSULT - 10 MINUTES | $75.00 | $150.00 | $97.50–$124.50 | 45% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED CONSULT - 20-29 MINUTES | $85.00 | $170.00 | $110.50–$141.10 | 44% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED CONSULT - 30-39 MINUTES | $126.50 | $253.00 | $164.45–$209.99 | 27% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED CONSULT - 10 MINUTES | $60.00 | $120.00 | $78.00–$99.60 | 52% below | 50% |
| Spirometry (breathing test) CPT 94010 PFT PRE ONLY | $253.38 | $506.75 | $329.39–$420.60 | 3% above | 50% |
| Spirometry before and after a bronchodilator CPT 94060 PFT PRE AND POST | $377.50 | $755.00 | $490.75–$626.65 | 9% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $70.00 | $140.00 | $91.00–$116.20 | 61% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE *PEDIATRIC 1 DOSE | $10.70 | $21.40 | $13.91–$17.76 | 84% below | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE ADULT 1 DOSE | $100.65 | $201.30 | $130.85–$167.08 | 48% above | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCAL (PNEUMONIA) VACCINE 0.5 ML | $204.50 | $409.00 | $265.85–$339.47 | 33% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PREVNAR 20 (PNEUMONIA) VACCINE 0.5 ML | $471.23 | $942.45 | $612.59–$782.23 | 55% above | 50% |
| Rabies vaccine, one dose CPT 90675 IMOVAX RABIES VACCINE 1 DOSE (1 ML) | $307.75 | $615.50 | $400.08–$510.87 | 61% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TET/DIP/PERT-ADULT) INJ 0.5ML | $75.40 | $150.80 | $98.02–$125.16 | 23% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION | $92.96 | $185.91 | $120.84–$154.31 | 92% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA (FLU) ADMINISTRATION | $92.96 | $185.91 | $120.84–$154.31 | 92% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $92.96 | $185.91 | $120.84–$154.31 | 92% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADDITIONAL | $22.50 | $45.00 | $29.25–$37.35 | 42% below | 50% |
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.