North Okaloosa Medical Center
North Okaloosa Medical Center in Crestview, FL publishes cash prices for 348 common procedures listed here, from its own machine-readable price file updated Dec 2, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 236 of 341 procedures and above it for 105. Select a procedure to compare it with other hospitals nearby.
151 East Redstone Ave, Crestview, FL 32539 Collected Nov 12, 2026 Source price file Check a bill from this hospital
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 North Okaloosa Medical Center in Crestview, FL:
- Jul 17, 2025 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT-ABDOMEN WWO | $2,120.47 | $11,780.38 | $160.68–$10,602.34 | 47% below | 82% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABDOMEN WWO | $3,180.70 | $11,780.38 | $2,332.52–$8,835.28 | — | 73% |
| Abdominal X-ray, 2 views CPT 74019 CH-ABDOMEN 2 VWS DR | $387.00 | $2,150.00 | $24.58–$1,935.00 | 40% below | 82% |
| Abdominal X-ray, 2 views inpatient CPT 74019 CH-ABDOMEN 2 VWS DR | $580.50 | $2,150.00 | $425.70–$1,612.50 | — | 73% |
| Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR | $331.45 | $1,841.37 | $26.60–$1,657.23 | 47% below | 82% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 LE-ANKLE 3VPLUS DR | $497.17 | $1,841.37 | $364.59–$1,381.03 | — | 73% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD | $355.44 | $1,974.69 | $66.68–$4,256.00 | 42% below | 82% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-EXT ARTERIAL LTD | $533.17 | $1,974.69 | $390.99–$1,481.02 | — | 73% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXT WO | $1,208.75 | $6,715.26 | $96.15–$6,043.73 | 49% below | 82% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-UPPER EXT WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS | $516.74 | $2,870.79 | $65.26–$2,583.71 | 39% below | 82% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL-ESOPHAGUS | $775.11 | $2,870.79 | $568.42–$2,153.09 | — | 73% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY | $1,686.93 | $9,371.85 | $216.60–$8,434.67 | 34% below | 82% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE SCAN BODY | $2,530.40 | $9,371.85 | $1,855.63–$7,028.89 | — | 73% |
| Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE | $714.03 | $3,966.86 | $64.32–$3,570.17 | 23% above | 82% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US-BREAST COMPLETE | $1,071.05 | $3,966.86 | $785.44–$2,975.14 | — | 73% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED | $357.02 | $1,983.43 | $49.92–$1,785.09 | 31% below | 82% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US-BREAST LIMITED | $535.53 | $1,983.43 | $392.72–$1,487.57 | — | 73% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN PELVIS | $4,375.68 | $24,309.34 | $271.05–$21,878.41 | 26% below | 82% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA-ABDOMEN PELVIS | $6,563.52 | $24,309.34 | $4,813.25–$18,232.00 | — | 73% |
| CT angiography (CTA) of the head CPT 70496 CTA-HEAD | $2,188.33 | $12,157.40 | $160.68–$10,941.66 | 38% below | 82% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD | $3,282.50 | $12,157.40 | $2,407.17–$9,118.05 | — | 73% |
| CT angiography (CTA) of the neck CPT 70498 CTA-NECK | $2,188.33 | $12,157.40 | $160.68–$10,941.66 | 48% below | 82% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA-NECK | $3,282.50 | $12,157.40 | $2,407.17–$9,118.05 | — | 73% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST | $2,188.33 | $12,157.40 | $160.68–$10,941.66 | 52% below | 82% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST | $3,282.50 | $12,157.40 | $2,407.17–$9,118.05 | — | 73% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART WO QUAL | $19.67 | $109.28 | $19.67–$2,281.00 | 96% below | 82% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT-HEART WO QUAL | $29.51 | $109.28 | $21.64–$81.96 | — | 73% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO | $2,417.89 | $13,432.70 | $100.17–$12,089.43 | 56% below | 82% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD PELVIS WO | $3,626.83 | $13,432.70 | $2,659.67–$10,074.53 | — | 73% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W | $3,828.65 | $21,270.26 | $212.82–$19,143.23 | 36% below | 82% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD PELVIS W | $5,742.97 | $21,270.26 | $4,211.51–$15,952.70 | — | 73% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO | $4,241.92 | $23,566.23 | $240.51–$21,209.61 | 39% below | 82% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD PELVIS WWO | $6,362.88 | $23,566.23 | $4,666.11–$17,674.67 | — | 73% |
| CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W | $1,913.93 | $10,632.94 | $160.68–$9,569.65 | 44% below | 82% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN W | $2,870.89 | $10,632.94 | $2,105.32–$7,974.70 | — | 73% |
| CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO | $1,208.75 | $6,715.26 | $79.35–$6,043.73 | 62% below | 82% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO | $1,208.75 | $6,715.26 | $85.91–$6,043.73 | 58% below | 82% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-MAXILLOFACIAL WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO | $1,208.75 | $6,715.26 | $64.95–$6,043.73 | 60% below | 82% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| CT scan of the head with contrast CPT 70460 CT-HEAD W | $1,913.93 | $10,632.94 | $93.11–$9,569.65 | 49% below | 82% |
| CT scan of the head with contrast inpatient CPT 70460 CT-HEAD W | $2,870.89 | $10,632.94 | $2,105.32–$7,974.70 | — | 73% |
| CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO | $2,120.47 | $11,780.38 | $111.44–$10,602.34 | 52% below | 82% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD WWO | $3,180.70 | $11,780.38 | $2,332.52–$8,835.28 | — | 73% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO | $1,208.75 | $6,715.26 | $80.59–$6,043.73 | 63% below | 82% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMB SPINE WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO | $1,208.75 | $6,715.26 | $81.53–$6,043.73 | 64% below | 82% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERV SPINE WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W | $1,913.93 | $10,632.94 | $160.68–$9,569.65 | 55% below | 82% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS W | $2,870.89 | $10,632.94 | $2,105.32–$7,974.70 | — | 73% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN | $1,114.92 | $6,193.99 | $143.84–$5,574.59 | 55% below | 82% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US-CAROTID DPLX SCAN | $1,672.38 | $6,193.99 | $1,226.41–$4,645.49 | — | 73% |
| Chest CT scan without and with contrast CPT 71270 CT-CHEST DIAG WWO | $2,120.47 | $11,780.38 | $134.60–$10,602.34 | 47% below | 82% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT-CHEST DIAG WWO | $3,180.70 | $11,780.38 | $2,332.52–$8,835.28 | — | 73% |
| Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR | $241.75 | $1,343.05 | $21.85–$1,208.74 | 51% below | 82% |
| Chest X-ray, 2 views inpatient CPT 71046 CH-CHEST 2V DR | $362.62 | $1,343.05 | $265.92–$1,007.29 | — | 73% |
| Chest X-ray, single view CPT 71045 CH-CHEST 1V DR | $190.21 | $1,056.74 | $16.15–$951.07 | 55% below | 82% |
| Chest X-ray, single view inpatient CPT 71045 CH-CHEST 1V DR | $285.32 | $1,056.74 | $209.23–$792.56 | — | 73% |
| Collarbone (clavicle) X-ray, complete CPT 73000 UE-CLAVICLE DR | $306.66 | $1,703.68 | $22.80–$1,533.31 | 44% below | 82% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 UE-CLAVICLE DR | $459.99 | $1,703.68 | $337.33–$1,277.76 | — | 73% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER | $807.27 | $4,484.85 | $69.32–$4,036.37 | 37% below | 82% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-ABDOMEN RETROPER | $1,210.91 | $4,484.85 | $888.00–$3,363.64 | — | 73% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL | $220.51 | $1,225.03 | $28.02–$1,102.53 | 64% below | 82% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL | $330.76 | $1,225.03 | $242.56–$918.77 | — | 73% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US-PLV PRG 2T DETAIL | $772.26 | $4,290.33 | $83.45–$3,861.30 | 16% below | 82% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US-PLV PRG 2T DETAIL | $1,158.39 | $4,290.33 | $849.49–$3,217.75 | — | 73% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO | $1,208.75 | $6,715.26 | $80.60–$6,043.73 | 59% below | 82% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-CHEST DIAG WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W | $1,913.93 | $10,632.94 | $109.87–$9,569.65 | 50% below | 82% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-CHEST DIAG W | $2,870.89 | $10,632.94 | $2,105.32–$7,974.70 | — | 73% |
| Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BILAT | $277.55 | $1,541.94 | $100.22–$1,387.75 | — | 82% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BR-DIG MAMMO BILAT | $416.32 | $1,541.94 | $305.30–$1,156.45 | — | 73% |
| Diagnostic mammogram, one breast one side CPT 77065 BR-DIG MAMMO UNILAT | $187.66 | $1,042.53 | $78.05–$938.28 | 57% below | 82% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 BR-DIG MAMMO UNILAT | $281.48 | $1,042.53 | $206.42–$781.90 | — | 73% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-LW EXT DPX ART BI | $1,066.73 | $5,926.25 | $191.57–$5,333.63 | — | 82% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-LW EXT DPX ART BI | $1,600.09 | $5,926.25 | $1,173.40–$4,444.69 | — | 73% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC | $1,827.38 | $10,152.11 | $145.71–$9,136.90 | at median | 82% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US-EXT VEINS DPLX WC | $2,741.07 | $10,152.11 | $2,010.12–$7,614.08 | — | 73% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP | $1,143.64 | $6,353.54 | $121.62–$5,718.19 | 66% below | 82% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 NI-TTE 2D W DOPP | $1,715.46 | $6,353.54 | $1,258.00–$4,765.15 | — | 73% |
| Elbow X-ray, 2 views CPT 73070 UE-ELBOW 2V DR | $263.98 | $1,466.54 | $19.95–$1,319.89 | 48% below | 82% |
| Elbow X-ray, 2 views inpatient CPT 73070 UE-ELBOW 2V DR | $395.97 | $1,466.54 | $290.37–$1,099.90 | — | 73% |
| Elbow X-ray, complete, 3 or more views CPT 73080 UE-ELBOW 3V DR | $350.13 | $1,945.18 | $21.85–$1,750.66 | 41% below | 82% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 UE-ELBOW 3V DR | $525.20 | $1,945.18 | $385.15–$1,458.88 | — | 73% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT-ORBIT EAR WO | $1,208.75 | $6,715.26 | $96.15–$6,043.73 | 54% below | 82% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-ORBIT EAR WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HE-FACIAL BNES 3V DR | $468.75 | $2,604.14 | $32.30–$2,343.73 | 38% below | 82% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HE-FACIAL BNES 3V DR | $703.12 | $2,604.14 | $515.62–$1,953.11 | — | 73% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 UE-FOREARM 2V DR | $350.13 | $1,945.18 | $20.50–$1,750.66 | 39% below | 82% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UE-FOREARM 2V DR | $525.20 | $1,945.18 | $385.15–$1,458.88 | — | 73% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS | $1,201.08 | $6,672.64 | $247.13–$6,005.38 | 41% below | 82% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM-HEPATOBILIARY SYS | $1,801.61 | $6,672.64 | $1,321.18–$5,004.48 | — | 73% |
| Hand X-ray, 2 views CPT 73120 UE-HAND 2V DR | $256.11 | $1,422.83 | $21.85–$1,280.55 | 51% below | 82% |
| Hand X-ray, 2 views inpatient CPT 73120 UE-HAND 2V DR | $384.16 | $1,422.83 | $281.72–$1,067.12 | — | 73% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 LE-CALCANEUS 2PLS DR | $236.04 | $1,311.36 | $19.88–$1,180.22 | 52% below | 82% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 LE-CALCANEUS 2PLS DR | $354.07 | $1,311.36 | $259.65–$983.52 | — | 73% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLPSTDY UNATT RS EFF | $114.68 | $637.10 | $48.53–$1,309.82 | 84% below | 82% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLPSTDY UNATT RS EFF | $172.02 | $637.10 | $126.15–$477.83 | — | 73% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYS-CPAP GT4 GE6YO | $1,373.78 | $7,632.12 | $502.20–$6,868.91 | 73% below | 82% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYS-CPAP GT4 GE6YO | $2,060.67 | $7,632.12 | $1,511.16–$5,724.09 | — | 73% |
| Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR | $345.81 | $1,921.14 | $29.45–$1,729.03 | 50% below | 82% |
| Knee X-ray, 3 views inpatient CPT 73562 LE-KNEE 3V DR | $518.71 | $1,921.14 | $380.39–$1,440.86 | — | 73% |
| Knee X-ray, complete, 4 or more views CPT 73564 LE-KNEE 4V PLUS DR | $374.92 | $2,082.88 | $32.30–$1,874.59 | 51% below | 82% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 LE-KNEE 4V PLUS DR | $562.38 | $2,082.88 | $412.41–$1,562.16 | — | 73% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXT WO | $1,208.75 | $6,715.26 | $80.90–$6,043.73 | 54% below | 82% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-LOWER EXT WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO | $623.94 | $3,466.36 | $56.18–$3,119.72 | 45% below | 82% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN LTD WO | $935.92 | $3,466.36 | $686.34–$2,599.77 | — | 73% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXT LTD JNT UNI | $298.79 | $1,659.96 | $29.28–$1,493.96 | 53% below | 82% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXT LTD JNT UNI | $448.19 | $1,659.96 | $328.67–$1,244.97 | — | 73% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LUNG LOWDSE SC WO | $1,208.75 | $6,715.26 | $85.15–$6,043.73 | 66% above | 82% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT-LUNG LOWDSE SC WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LE-TIB FIB 2V DR | $318.86 | $1,771.43 | $22.69–$1,594.29 | 49% below | 82% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LE-TIB FIB 2V DR | $478.29 | $1,771.43 | $350.74–$1,328.57 | — | 73% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD WO | $1,392.47 | $7,735.93 | $156.04–$6,962.34 | 53% below | 82% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-HEAD WO | $2,088.70 | $7,735.93 | $1,531.71–$5,801.95 | — | 73% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO | $1,392.47 | $7,735.93 | $136.15–$6,962.34 | 60% below | 82% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR-LW JOINT WO | $2,088.70 | $7,735.93 | $1,531.71–$5,801.95 | — | 73% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR-LW JOINT WWO | $2,154.30 | $11,968.35 | $278.38–$10,771.52 | 56% below | 82% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR-LW JOINT WWO | $3,231.45 | $11,968.35 | $2,369.73–$8,976.26 | — | 73% |
| MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO | $1,392.47 | $7,735.93 | $125.20–$6,962.34 | 60% below | 82% |
| MRI of the abdomen without contrast inpatient CPT 74181 MR-ABDOMEN WO | $2,088.70 | $7,735.93 | $1,531.71–$5,801.95 | — | 73% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN WWO | $2,154.30 | $11,968.35 | $230.51–$10,771.52 | 50% below | 82% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR-ABDOMEN WWO | $3,231.45 | $11,968.35 | $2,369.73–$8,976.26 | — | 73% |
| MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO | $1,392.47 | $7,735.93 | $124.57–$6,962.34 | 60% below | 82% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR-BRAIN WO | $2,088.70 | $7,735.93 | $1,531.71–$5,801.95 | — | 73% |
| MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO | $2,154.30 | $11,968.35 | $207.35–$10,771.52 | 56% below | 82% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-BRAIN WWO | $3,231.45 | $11,968.35 | $2,369.73–$8,976.26 | — | 73% |
| MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO | $1,392.47 | $7,735.93 | $119.57–$6,962.34 | 62% below | 82% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR-LUMB SPINE WO | $2,088.70 | $7,735.93 | $1,531.71–$5,801.95 | — | 73% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMB SPINE WWO | $2,154.30 | $11,968.35 | $207.97–$10,771.52 | 57% below | 82% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR-LUMB SPINE WWO | $3,231.45 | $11,968.35 | $2,369.73–$8,976.26 | — | 73% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO | $1,392.47 | $7,735.93 | $118.94–$6,962.34 | 63% below | 82% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR-THOR SPINE WO | $2,088.70 | $7,735.93 | $1,531.71–$5,801.95 | — | 73% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERV SPINE WWO | $2,154.30 | $11,968.35 | $208.60–$10,771.52 | 55% below | 82% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR-CERV SPINE WWO | $3,231.45 | $11,968.35 | $2,369.73–$8,976.26 | — | 73% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO | $1,392.47 | $7,735.93 | $119.25–$6,962.34 | 63% below | 82% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR-CERV SPINE WO | $2,088.70 | $7,735.93 | $1,531.71–$5,801.95 | — | 73% |
| MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS WWO | $2,154.30 | $11,968.35 | $229.26–$10,771.52 | 42% below | 82% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR-PELVIS WWO | $3,231.45 | $11,968.35 | $2,369.73–$8,976.26 | — | 73% |
| MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO | $1,392.47 | $7,735.93 | $157.11–$6,962.34 | 57% below | 82% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-PELVIS WO | $2,088.70 | $7,735.93 | $1,531.71–$5,801.95 | — | 73% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO | $1,392.47 | $7,735.93 | $136.46–$6,962.34 | 58% below | 82% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR-UPPER JOINT WO | $2,088.70 | $7,735.93 | $1,531.71–$5,801.95 | — | 73% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SP-CERV SP 4TO5VW DR | $608.01 | $3,377.84 | $37.05–$3,040.06 | 31% below | 82% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SP-CERV SP 4TO5VW DR | $912.02 | $3,377.84 | $668.81–$2,533.38 | — | 73% |
| Neck soft tissue CT scan with contrast CPT 70491 CT-NECK SOFT TIS W | $1,913.93 | $10,632.94 | $117.06–$9,569.65 | 42% below | 82% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK SOFT TIS W | $2,870.89 | $10,632.94 | $2,105.32–$7,974.70 | — | 73% |
| Neck soft tissue CT scan without contrast CPT 70490 CT-NECK SOFT TIS WO | $1,208.75 | $6,715.26 | $88.10–$6,043.73 | 60% below | 82% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK SOFT TIS WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| Neck soft tissue X-ray CPT 70360 SP-NECK SOFT TISS DR | $350.13 | $1,945.18 | $21.45–$1,750.66 | 37% below | 82% |
| Neck soft tissue X-ray inpatient CPT 70360 SP-NECK SOFT TISS DR | $525.20 | $1,945.18 | $385.15–$1,458.88 | — | 73% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT | $3,547.95 | $19,710.83 | $338.09–$17,739.75 | 36% below | 82% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYOCRD SPECT MULT | $5,321.92 | $19,710.83 | $3,902.74–$14,783.12 | — | 73% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-IMG /CT SKL-THI | $2,286.68 | $12,703.80 | $1,368.15–$11,433.42 | 60% below | 82% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-IMG /CT SKL-THI | $3,430.03 | $12,703.80 | $2,515.35–$9,527.85 | — | 73% |
| Pelvic CT scan without contrast CPT 72192 CT-PELVIS WO | $1,208.75 | $6,715.26 | $80.29–$6,043.73 | 60% below | 82% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU | $339.71 | $1,887.27 | $24.90–$1,698.54 | 61% below | 82% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS NON OB FU | $509.56 | $1,887.27 | $373.68–$1,415.45 | — | 73% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB | $711.87 | $3,954.84 | $69.01–$3,559.36 | 46% below | 82% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS NON OB | $1,067.81 | $3,954.84 | $783.06–$2,966.13 | — | 73% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG | $772.26 | $4,290.33 | $83.90–$3,861.30 | 6% below | 82% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US-PELVIS PREG | $1,158.39 | $4,290.33 | $849.49–$3,217.75 | — | 73% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS | $401.67 | $2,231.50 | $66.82–$2,008.35 | 47% below | 82% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US-PELV PREG 14 WKS | $602.51 | $2,231.50 | $441.84–$1,673.63 | — | 73% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD | $355.44 | $1,974.69 | $47.74–$1,777.22 | 45% below | 82% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-PELVIS PREG LTD | $533.17 | $1,974.69 | $390.99–$1,481.02 | — | 73% |
| Rib X-ray, one side, 2 views one side CPT 71100 CH-RIBS UNILAT DR | $349.74 | $1,943.00 | $24.70–$1,748.70 | 40% below | 82% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 CH-RIBS UNILAT DR | $524.61 | $1,943.00 | $384.71–$1,457.25 | — | 73% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 CH-RIB UNI PA CXR DR | $349.74 | $1,943.00 | $27.55–$1,748.70 | 49% below | 82% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 CH-RIB UNI PA CXR DR | $524.61 | $1,943.00 | $384.71–$1,457.25 | — | 73% |
| Screening mammogram, both breasts both sides CPT 77067 BR-DIG MAMMO SCRN BI | $260.83 | $1,449.05 | $82.51–$1,304.14 | — | 82% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 BR-DIG MAMMO SCRN BI | $391.24 | $1,449.05 | $286.91–$1,086.79 | — | 73% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR | $331.45 | $1,841.37 | $23.75–$1,657.23 | 54% below | 82% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 UE-SHLDR 2VW PLUS DR | $497.17 | $1,841.37 | $364.59–$1,381.03 | — | 73% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HE-SINUSES 3VPLUS DR | $436.09 | $2,422.74 | $25.82–$2,180.47 | 49% below | 82% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HE-SINUSES 3VPLUS DR | $654.14 | $2,422.74 | $479.70–$1,817.05 | — | 73% |
| Skull X-ray, fewer than 4 views CPT 70250 HE-SKULL LIMITED DR | $294.86 | $1,638.11 | $25.65–$1,474.30 | 54% below | 82% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HE-SKULL LIMITED DR | $442.29 | $1,638.11 | $324.35–$1,228.58 | — | 73% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNO GT4 GE6YO | $1,220.35 | $6,779.73 | $479.80–$6,101.76 | 77% below | 82% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNO GT4 GE6YO | $1,830.53 | $6,779.73 | $1,342.39–$5,084.80 | — | 73% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 NI-TTE STRESS CON WO | $1,248.87 | $6,938.19 | $142.76–$6,244.37 | 53% below | 82% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 NI-TTE STRESS CON WO | $1,873.31 | $6,938.19 | $1,373.76–$5,203.64 | — | 73% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW | $623.94 | $3,466.36 | $93.73–$3,119.72 | 36% below | 82% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL-MOD BA SWALLOW | $935.92 | $3,466.36 | $686.34–$2,599.77 | — | 73% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 LE-FEMUR 2V DR | $353.28 | $1,962.67 | $25.52–$1,766.40 | 33% below | 82% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LE-FEMUR 2V DR | $529.92 | $1,962.67 | $388.61–$1,472.00 | — | 73% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THOR SPINE WO | $1,208.75 | $6,715.26 | $81.22–$6,043.73 | 60% below | 82% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THOR SPINE WO | $1,813.12 | $6,715.26 | $1,329.62–$5,036.44 | — | 73% |
| Toe X-ray, 2 or more views CPT 73660 LE-TOE S 2VPLUS DR | $284.63 | $1,581.28 | $21.76–$1,423.15 | 42% below | 82% |
| Toe X-ray, 2 or more views inpatient CPT 73660 LE-TOE S 2VPLUS DR | $426.95 | $1,581.28 | $313.09–$1,185.96 | — | 73% |
| Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL | $459.11 | $2,550.60 | $82.02–$2,295.54 | 54% below | 82% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL | $688.66 | $2,550.60 | $505.02–$1,912.95 | — | 73% |
| Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV | $401.67 | $2,231.50 | $54.00–$2,008.35 | 56% below | 82% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US-PLV PRG TRNSV | $602.51 | $2,231.50 | $441.84–$1,673.63 | — | 73% |
| Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO | $836.19 | $4,645.49 | $74.20–$4,180.94 | 46% below | 82% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN COMP WO | $1,254.28 | $4,645.49 | $919.81–$3,484.12 | — | 73% |
| Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM | $459.11 | $2,550.60 | $66.19–$2,295.54 | 57% below | 82% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM | $688.66 | $2,550.60 | $505.02–$1,912.95 | — | 73% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS | $772.26 | $4,290.33 | $79.02–$3,861.30 | 34% below | 82% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-HEAD NECK SFT TIS | $1,158.39 | $4,290.33 | $849.49–$3,217.75 | — | 73% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE | $860.08 | $4,778.23 | $79.80–$4,300.41 | 24% below | 82% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL-UPPER GI SINGLE | $1,290.12 | $4,778.23 | $946.09–$3,583.67 | — | 73% |
| Upper arm X-ray (humerus), 2 views CPT 73060 UE-HUMERUS DR | $365.28 | $2,029.33 | $22.80–$1,826.40 | 37% below | 82% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 UE-HUMERUS DR | $547.92 | $2,029.33 | $401.81–$1,522.00 | — | 73% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD | $1,216.94 | $6,760.80 | $92.66–$6,084.72 | 42% above | 82% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-EXT VEINS DPX LTD | $1,825.42 | $6,760.80 | $1,338.64–$5,070.60 | — | 73% |
| Wrist X-ray, 2 views CPT 73100 UE-WRIST 2V DR | $266.53 | $1,480.74 | $24.57–$1,332.67 | 57% below | 82% |
| Wrist X-ray, 2 views inpatient CPT 73100 UE-WRIST 2V DR | $399.80 | $1,480.74 | $293.19–$1,110.56 | — | 73% |
| Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR | $333.22 | $1,851.20 | $30.40–$1,666.08 | 53% below | 82% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 UE-WRIST 3V PLUS DR | $499.82 | $1,851.20 | $366.54–$1,388.40 | — | 73% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR | $273.22 | $1,517.90 | $34.20–$1,366.11 | 53% below | 82% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 LE-HIP PV UN2OR3V DR | $409.83 | $1,517.90 | $300.54–$1,138.43 | — | 73% |
| X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR | $377.67 | $2,098.18 | $19.95–$1,888.36 | 24% below | 82% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CH-ABDOMEN 1 VIEW DR | $566.51 | $2,098.18 | $415.44–$1,573.63 | — | 73% |
| X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR | $275.78 | $1,532.11 | $23.32–$1,378.90 | 44% below | 82% |
| X-ray of the ankle, 2 views inpatient CPT 73600 LE-ANKLE 2V DR | $413.67 | $1,532.11 | $303.36–$1,149.08 | — | 73% |
| X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR | $284.63 | $1,581.28 | $28.50–$1,423.15 | 40% below | 82% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 UE-FINGER S 2VPLS DR | $426.95 | $1,581.28 | $313.09–$1,185.96 | — | 73% |
| X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR | $232.50 | $1,291.69 | $19.95–$1,162.52 | 53% below | 82% |
| X-ray of the foot, 2 views inpatient CPT 73620 LE-FOOT 2V DR | $348.76 | $1,291.69 | $255.75–$968.77 | — | 73% |
| X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR | $329.09 | $1,828.25 | $24.70–$1,645.42 | 45% below | 82% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 LE-FOOT 3V PLUS DR | $493.63 | $1,828.25 | $361.99–$1,371.19 | — | 73% |
| X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR | $337.54 | $1,875.24 | $26.60–$1,687.72 | 47% below | 82% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 UE-HAND 3V DR | $506.31 | $1,875.24 | $371.30–$1,406.43 | — | 73% |
| X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR | $250.80 | $1,393.32 | $24.70–$1,253.99 | 58% below | 82% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 LE-KNEE 1 TO 2V DR | $376.20 | $1,393.32 | $275.88–$1,044.99 | — | 73% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR | $377.67 | $2,098.18 | $26.60–$1,888.36 | 45% below | 82% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP-LS SPN 2 TO 3V DR | $566.51 | $2,098.18 | $415.44–$1,573.63 | — | 73% |
| X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR | $585.98 | $3,255.45 | $35.15–$2,929.90 | 48% below | 82% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SP-LS SPNE 4VPLUS DR | $878.97 | $3,255.45 | $644.58–$2,441.59 | — | 73% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SP-T SPINE 2 VIEW DR | $318.86 | $1,771.43 | $22.07–$1,594.29 | 49% below | 82% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SP-T SPINE 2 VIEW DR | $478.29 | $1,771.43 | $350.74–$1,328.57 | — | 73% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR | $294.86 | $1,638.11 | $27.55–$1,474.30 | 54% below | 82% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HE-NASAL BONES DR | $442.29 | $1,638.11 | $324.35–$1,228.58 | — | 73% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR | $297.81 | $1,654.50 | $26.60–$1,489.05 | 57% below | 82% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SP-CERV SP 2TO3VW DR | $446.72 | $1,654.50 | $327.59–$1,240.88 | — | 73% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR | $254.34 | $1,412.99 | $18.63–$1,271.69 | 59% below | 82% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 LE-PELVIS DR | $381.51 | $1,412.99 | $279.77–$1,059.74 | — | 73% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR | $296.43 | $1,646.85 | $22.80–$1,482.16 | 55% below | 82% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SP-SCRM COCCYX 2V DR | $444.65 | $1,646.85 | $326.08–$1,235.14 | — | 73% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT | $33.24 | $184.68 | $4.70–$184.68 | 16% below | 82% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT | $49.86 | $184.68 | $36.57–$138.51 | — | 73% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST | $30.69 | $170.48 | $4.60–$170.48 | 44% below | 82% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST | $46.03 | $170.48 | $33.76–$127.86 | — | 73% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANE | $296.43 | $1,646.85 | $42.28–$1,482.16 | 83% above | 82% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANE | $444.65 | $1,646.85 | $326.08–$1,235.14 | — | 73% |
| Albumin blood test CPT 82040 Q7558 ALBUMIN SERUM | $4.46 | $24.75 | $4.40–$32.57 | 74% below | 82% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $25.37 | $140.97 | $4.40–$140.97 | 50% above | 82% |
| Albumin blood test inpatient CPT 82040 Q7558 ALBUMIN SERUM | $6.68 | $24.75 | $4.90–$18.56 | — | 73% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $38.06 | $140.97 | $27.91–$105.73 | — | 73% |
| Aldosterone blood test inpatient CPT 82088 Q13856 ALDOS U24 RIA | $11.00 | $40.75 | $8.07–$30.56 | — | 73% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Q29498 ALP BNESP IEA | $22.47 | $124.86 | $4.60–$124.86 | 49% below | 82% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Q231 PHOSPHATASE,ALK | $32.06 | $178.13 | $4.60–$178.13 | 27% below | 82% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE,ALKALINE | $32.06 | $178.13 | $4.60–$178.13 | 27% below | 82% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Q29498 ALP BNESP IEA | $33.71 | $124.86 | $24.72–$93.64 | — | 73% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE,ALKALINE | $48.10 | $178.13 | $35.27–$133.60 | — | 73% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Q231 PHOSPHATASE,ALK | $48.10 | $178.13 | $35.27–$133.60 | — | 73% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q60912 ALLERGEN IGE | $1.01 | $5.62 | $1.01–$34.35 | 87% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q10285 ALLERGEN IGE | $1.47 | $8.14 | $1.47–$34.35 | 81% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q53782 ALLERGEN IGE | $1.77 | $9.84 | $1.77–$34.35 | 77% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q27358 ALG I5 IGE | $2.78 | $15.42 | $2.78–$34.35 | 64% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q27348 ALG I4 IGE | $2.78 | $15.42 | $2.78–$34.35 | 64% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q2733 ALG I3 IGE IA | $2.78 | $15.42 | $2.78–$34.35 | 64% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q27328 ALG I2 IGE | $2.78 | $15.42 | $2.78–$34.35 | 64% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT | $3.42 | $19.00 | $2.85–$34.35 | 56% below | 82% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q79118 ALG IGE QT | $29.36 | $163.10 | $2.85–$163.10 | 276% above | 82% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q10659 ALLERGEN IGE | $1.13 | $4.18 | $0.83–$3.13 | — | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q42978 ALLERGEN IGE | $1.18 | $4.37 | $0.87–$3.28 | — | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q60912 ALLERGEN IGE | $1.52 | $5.62 | $1.11–$4.21 | — | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q10285 ALLERGEN IGE | $2.20 | $8.14 | $1.61–$6.11 | — | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q53782 ALLERGEN IGE | $2.66 | $9.84 | $1.95–$7.38 | — | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q27348 ALG I4 IGE | $4.16 | $15.42 | $3.05–$11.56 | — | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q27358 ALG I5 IGE | $4.16 | $15.42 | $3.05–$11.56 | — | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q27328 ALG I2 IGE | $4.16 | $15.42 | $3.05–$11.56 | — | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q2733 ALG I3 IGE IA | $4.16 | $15.42 | $3.05–$11.56 | — | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE QUANT | $5.13 | $19.00 | $3.76–$14.25 | — | 73% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Q79118 ALG IGE QT | $44.04 | $163.10 | $32.29–$122.32 | — | 73% |
| Ammonia blood test CPT 82140 AMMONIA | $90.48 | $502.69 | $12.93–$452.42 | 21% below | 82% |
| Ammonia blood test inpatient CPT 82140 Q442 AMMONIA | $9.06 | $33.54 | $6.64–$25.16 | — | 73% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $135.73 | $502.69 | $99.53–$377.02 | — | 73% |
| Amylase blood test CPT 82150 AMYLASE | $40.32 | $224.02 | $5.75–$224.02 | 29% above | 82% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $60.49 | $224.02 | $44.36–$168.02 | — | 73% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Q19946 ANA MPLX | $17.46 | $97.00 | $10.74–$97.00 | 40% below | 82% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Q19946 ANA MPLX | $26.19 | $97.00 | $19.21–$72.75 | — | 73% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $211.26 | $1,173.67 | $34.85–$1,056.30 | 27% above | 82% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE | $316.89 | $1,173.67 | $232.39–$880.25 | — | 73% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIA OTH | $69.24 | $384.67 | $7.65–$384.67 | 7% below | 82% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIA OTH | $103.86 | $384.67 | $76.16–$288.50 | — | 73% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABO CA TOTA | $137.69 | $764.96 | $7.51–$688.46 | 58% below | 82% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABO CA TOTA | $206.54 | $764.96 | $151.46–$573.72 | — | 73% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $31.47 | $174.85 | $4.46–$174.85 | 33% above | 82% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $47.21 | $174.85 | $34.62–$131.14 | — | 73% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4 | $238.01 | $1,322.29 | $33.65–$1,190.06 | 105% above | 82% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GROSS LVL4 | $357.02 | $1,322.29 | $261.81–$991.72 | — | 73% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER | $136.91 | $760.59 | $9.16–$684.53 | 60% below | 82% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD BACTER | $205.36 | $760.59 | $150.60–$570.44 | — | 73% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE,ROUTINE | $18.49 | $102.72 | $2.70–$102.72 | 2% below | 82% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE,ROUTINE | $27.73 | $102.72 | $20.34–$77.04 | — | 73% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANT | $26.16 | $145.34 | $3.49–$145.34 | 42% below | 82% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANT | $39.24 | $145.34 | $28.78–$109.00 | — | 73% |
| Blood lead test CPT 83655 Q39027 LEAD CAP | $6.30 | $35.00 | $6.30–$79.68 | 42% below | 82% |
| Blood lead test inpatient CPT 83655 Q39027 LEAD CAP | $9.45 | $35.00 | $6.93–$26.25 | — | 73% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUAL | $77.70 | $431.66 | $6.68–$427.00 | 38% below | 82% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, QUAL | $116.55 | $431.66 | $85.47–$323.75 | — | 73% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $39.93 | $221.84 | $2.69–$221.84 | 16% below | 82% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO | $59.90 | $221.84 | $43.92–$166.38 | — | 73% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN,QUAN | $24.59 | $136.60 | $3.51–$136.60 | 46% below | 82% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN,QUAN | $36.88 | $136.60 | $27.05–$102.45 | — | 73% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Q16377 TCDB QL RTPCR | $27.00 | $150.00 | $27.00–$245.24 | 76% below | 82% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Q16377 TCDB QL RTPCR | $40.50 | $150.00 | $29.70–$112.50 | — | 73% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB | $20.88 | $116.00 | $20.88–$337.62 | 76% below | 82% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 PRB | $31.32 | $116.00 | $22.97–$87.00 | — | 73% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $32.06 | $178.13 | $4.58–$178.13 | 35% below | 82% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL | $48.10 | $178.13 | $35.27–$133.60 | — | 73% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG | $118.81 | $660.05 | $16.83–$594.04 | 1% above | 82% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG | $178.21 | $660.05 | $130.69–$495.04 | — | 73% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $86.94 | $483.02 | $11.88–$434.72 | 14% below | 82% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $130.42 | $483.02 | $95.64–$362.26 | — | 73% |
| Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO COMPD | $84.19 | $467.72 | $6.90–$427.00 | 24% above | 82% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W-PLT AUTO COMPD | $126.28 | $467.72 | $92.61–$350.79 | — | 73% |
| Complete blood count (CBC), no differential CPT 85027 CBC W-PLT | $58.82 | $326.75 | $5.75–$326.75 | 40% below | 82% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W-PLT | $88.22 | $326.75 | $64.70–$245.06 | — | 73% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL | $251.58 | $1,397.69 | $9.38–$1,257.92 | 45% below | 82% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METAB PANEL | $377.38 | $1,397.69 | $276.74–$1,048.27 | — | 73% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $95.79 | $532.19 | $14.47–$478.97 | 49% above | 82% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL | $143.69 | $532.19 | $105.37–$399.14 | — | 73% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL | $40.32 | $224.02 | $5.78–$224.02 | 46% below | 82% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL | $60.49 | $224.02 | $44.36–$168.02 | — | 73% |
| Creatinine blood test CPT 82565 CREATININE BLOOD | $32.06 | $178.13 | $4.54–$178.13 | 41% below | 82% |
| Creatinine blood test inpatient CPT 82565 CREATININE BLOOD | $48.10 | $178.13 | $35.27–$133.60 | — | 73% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANT | $117.43 | $652.40 | $9.03–$587.16 | 41% below | 82% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANT | $176.15 | $652.40 | $129.18–$489.30 | — | 73% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Q39371 BZO SCR UR | $15.30 | $85.00 | $15.30–$408.88 | 76% below | 82% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Q31689 DAB8 SERUM | $15.30 | $85.00 | $15.30–$408.88 | 76% below | 82% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Q39366 ALC MET UR IA | $15.30 | $85.00 | $15.30–$408.88 | 76% below | 82% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PRS DRG IA ANAZ | $78.49 | $436.03 | $55.16–$427.00 | 23% above | 82% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Q39366 ALC MET UR IA | $22.95 | $85.00 | $16.83–$63.75 | — | 73% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Q39371 BZO SCR UR | $22.95 | $85.00 | $16.83–$63.75 | — | 73% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Q31689 DAB8 SERUM | $22.95 | $85.00 | $16.83–$63.75 | — | 73% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PRS DRG IA ANAZ | $117.73 | $436.03 | $86.33–$327.02 | — | 73% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $62.36 | $346.42 | $6.22–$346.42 | 71% below | 82% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $93.53 | $346.42 | $68.59–$259.81 | — | 73% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $41.70 | $231.67 | $17.42–$231.67 | 65% below | 82% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $62.55 | $231.67 | $45.87–$173.75 | — | 73% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $88.12 | $489.57 | $12.10–$440.61 | 29% below | 82% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $132.18 | $489.57 | $96.93–$367.18 | — | 73% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $67.27 | $373.74 | $6.65–$373.74 | 14% below | 82% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY | $100.91 | $373.74 | $74.00–$280.31 | — | 73% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $91.47 | $508.15 | $13.05–$457.33 | 27% below | 82% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM | $137.20 | $508.15 | $100.61–$381.11 | — | 73% |
| Free T3 thyroid hormone test CPT 84481 T3,FREE | $17.90 | $99.44 | $15.04–$111.47 | 71% below | 82% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3,FREE | $26.85 | $99.44 | $19.69–$74.58 | — | 73% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4, FREE | $51.54 | $286.31 | $8.01–$286.31 | 39% below | 82% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4, FREE | $77.30 | $286.31 | $56.69–$214.73 | — | 73% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $45.05 | $250.25 | $6.39–$250.25 | 3% below | 82% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $67.57 | $250.25 | $49.55–$187.69 | — | 73% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST DOSE | $116.25 | $645.84 | $4.22–$581.26 | 64% above | 82% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, POST DOSE | $174.38 | $645.84 | $127.88–$484.38 | — | 73% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC | $132.38 | $735.45 | $11.43–$661.91 | 5% above | 82% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC | $198.57 | $735.45 | $145.62–$551.59 | — | 73% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Q91691 HIV1 RNA QT | $73.30 | $407.20 | $53.20–$559.96 | 34% below | 82% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Q16186 HIV1 QT PCR | $73.30 | $407.20 | $53.20–$559.96 | 34% below | 82% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, DNA, QUANT | $438.65 | $2,436.94 | $53.20–$2,193.25 | 296% above | 82% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Q16186 HIV1 QT PCR | $109.94 | $407.20 | $80.63–$305.40 | — | 73% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Q91691 HIV1 RNA QT | $109.94 | $407.20 | $80.63–$305.40 | — | 73% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1, DNA, QUANT | $657.97 | $2,436.94 | $482.51–$1,827.70 | — | 73% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $60.78 | $337.68 | $8.62–$337.68 | 13% below | 82% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $91.17 | $337.68 | $66.86–$253.26 | — | 73% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $31.08 | $172.66 | $2.10–$172.66 | 43% below | 82% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $46.62 | $172.66 | $34.19–$129.50 | — | 73% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB | $62.95 | $349.70 | $9.54–$349.70 | 43% above | 82% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB | $94.42 | $349.70 | $69.24–$262.27 | — | 73% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG | $62.95 | $349.70 | $9.17–$349.70 | 76% above | 82% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG | $94.42 | $349.70 | $69.24–$262.27 | — | 73% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $63.05 | $350.25 | $12.66–$350.25 | 35% above | 82% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST | $94.57 | $350.25 | $69.35–$262.69 | — | 73% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Q35645 HCV RNAQT RT- | $27.00 | $100.00 | $19.80–$75.00 | — | 73% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP,HIGHLY SENS | $80.65 | $448.05 | $11.50–$427.00 | 91% above | 82% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP,HIGHLY SENS | $120.97 | $448.05 | $88.71–$336.04 | — | 73% |
| Iron blood test (serum iron) CPT 83540 IRON | $59.60 | $331.12 | $5.75–$331.12 | 9% above | 82% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $89.40 | $331.12 | $65.56–$248.34 | — | 73% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT | $77.50 | $430.56 | $7.76–$427.00 | 14% below | 82% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACIT | $116.25 | $430.56 | $85.25–$322.92 | — | 73% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $179.79 | $998.82 | $7.70–$898.94 | 56% below | 82% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $269.68 | $998.82 | $197.77–$749.12 | — | 73% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $72.78 | $404.34 | $10.27–$404.34 | 2% below | 82% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $109.17 | $404.34 | $80.06–$303.25 | — | 73% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROLDH | $37.77 | $209.82 | $5.36–$209.82 | 30% below | 82% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROLDH | $56.65 | $209.82 | $41.54–$157.37 | — | 73% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $78.49 | $436.03 | $6.12–$427.00 | 35% above | 82% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $117.73 | $436.03 | $86.33–$327.02 | — | 73% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN | $125.50 | $697.21 | $7.25–$627.49 | 46% below | 82% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN | $188.25 | $697.21 | $138.05–$522.91 | — | 73% |
| Magnesium blood test CPT 83735 Q623 MG RBC ICP/MS | $18.43 | $102.37 | $5.95–$102.37 | 39% above | 82% |
| Magnesium blood test CPT 83735 MAGNESIUM | $42.29 | $234.95 | $5.95–$234.95 | 219% above | 82% |
| Magnesium blood test inpatient CPT 83735 Q623 MG RBC ICP/MS | $27.64 | $102.37 | $20.27–$76.78 | — | 73% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $63.44 | $234.95 | $46.52–$176.21 | — | 73% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREE | $44.65 | $248.07 | $4.60–$248.07 | 74% below | 82% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREE | $66.98 | $248.07 | $49.12–$186.05 | — | 73% |
| Mumps immunity blood test CPT 86735 Q36565 MUMPS IGM IFA | $6.76 | $37.57 | $6.76–$85.87 | 58% below | 82% |
| Mumps immunity blood test inpatient CPT 86735 Q36565 MUMPS IGM IFA | $10.14 | $37.57 | $7.44–$28.18 | — | 73% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL | $108.38 | $602.13 | $16.32–$541.92 | 93% above | 82% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL | $162.58 | $602.13 | $119.22–$451.60 | — | 73% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH | $242.54 | $1,347.42 | $36.64–$1,212.68 | 146% above | 82% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE PTH | $363.80 | $1,347.42 | $266.79–$1,010.57 | — | 73% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIMEPTT | $44.06 | $244.79 | $5.34–$244.79 | 15% above | 82% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLAST TIMEPTT | $66.09 | $244.79 | $48.47–$183.59 | — | 73% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS, BLOOD | $29.70 | $165.01 | $4.21–$165.01 | 51% below | 82% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS, BLOOD | $44.55 | $165.01 | $32.67–$123.76 | — | 73% |
| Potassium blood test CPT 84132 POTASSIUM SER PL WB | $28.52 | $158.46 | $4.23–$158.46 | 57% below | 82% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SER PL WB | $42.78 | $158.46 | $31.38–$118.84 | — | 73% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FET ANEUP GSA PN | $340.30 | $1,890.54 | $305.00–$4,994.55 | 12% below | 82% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FET ANEUP GSA PN | $510.45 | $1,890.54 | $374.33–$1,417.90 | — | 73% |
| Progesterone blood test CPT 84144 PROGESTERONE | $130.81 | $726.71 | $18.52–$654.04 | 209% above | 82% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $196.21 | $726.71 | $143.89–$545.03 | — | 73% |
| Prolactin blood test CPT 84146 PROLACTIN | $16.72 | $92.89 | $16.72–$127.52 | 74% below | 82% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $25.08 | $92.89 | $18.39–$69.67 | — | 73% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Q8922 PROTHROMBIN TI | $7.35 | $40.86 | $3.80–$40.86 | 80% below | 82% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $66.29 | $368.27 | $3.80–$368.27 | 82% above | 82% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Q8922 PROTHROMBIN TI | $11.03 | $40.86 | $8.09–$30.64 | — | 73% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $99.43 | $368.27 | $72.92–$276.20 | — | 73% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W-OP | $79.08 | $439.31 | $14.69–$427.00 | 37% below | 82% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W-OP | $118.61 | $439.31 | $86.98–$329.48 | — | 73% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W-OPTI | $74.94 | $416.36 | $14.68–$416.36 | 34% below | 82% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W-OPTI | $112.42 | $416.36 | $82.44–$312.27 | — | 73% |
| Rh blood typing CPT 86901 BLOOD TYPING RH D | $39.93 | $221.84 | $2.69–$221.84 | 5% below | 82% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING RH D | $59.90 | $221.84 | $43.92–$166.38 | — | 73% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN | $36.59 | $203.26 | $5.04–$203.26 | 50% above | 82% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT QUAN | $54.88 | $203.26 | $40.25–$152.44 | — | 73% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB | $89.11 | $495.04 | $12.78–$445.54 | 373% above | 82% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB | $133.66 | $495.04 | $98.02–$371.28 | — | 73% |
| Sodium blood test CPT 84295 SODIUM,SER PL OR WB | $30.10 | $167.20 | $4.27–$167.20 | 55% below | 82% |
| Sodium blood test inpatient CPT 84295 SODIUM,SER PL OR WB | $45.14 | $167.20 | $33.11–$125.40 | — | 73% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREP. PALLIDUM,CONFI | $4.52 | $25.13 | $4.52–$87.87 | 69% below | 82% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREP. PALLIDUM,CONFI | $6.79 | $25.13 | $4.98–$18.85 | — | 73% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS | $23.76 | $132.00 | $23.76–$407.83 | 61% below | 82% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IM MEAS | $35.64 | $132.00 | $26.14–$99.00 | — | 73% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Q71902LKM1 AB IGG IA | $7.51 | $27.82 | $5.51–$20.87 | — | 73% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Q899 TSH IA | $23.49 | $130.49 | $14.92–$130.49 | 81% below | 82% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Q15102X THRYOID CASC | $23.49 | $130.49 | $14.92–$130.49 | 81% below | 82% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Q16440 TSH | $62.79 | $348.84 | $14.92–$348.84 | 50% below | 82% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH | $104.65 | $581.37 | $14.92–$523.23 | 16% below | 82% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Q899 TSH IA | $35.23 | $130.49 | $25.84–$97.87 | — | 73% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Q15102X THRYOID CASC | $35.23 | $130.49 | $25.84–$97.87 | — | 73% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Q16440 TSH | $94.19 | $348.84 | $69.07–$261.63 | — | 73% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM TSH | $156.97 | $581.37 | $115.11–$436.03 | — | 73% |
| Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE | $22.03 | $122.39 | $14.61–$122.39 | 7% below | 82% |
| Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE | $33.05 | $122.39 | $24.23–$91.79 | — | 73% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL | $27.15 | $150.81 | $3.86–$150.81 | 6% below | 82% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL | $40.72 | $150.81 | $29.86–$113.11 | — | 73% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $75.93 | $421.82 | $11.32–$421.82 | 2% below | 82% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $113.89 | $421.82 | $83.52–$316.37 | — | 73% |
| Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP | $44.06 | $244.79 | $31.15–$244.79 | 10% below | 82% |
| Trichomonas test (NAAT) CPT 87661 Q38289 TVAG AMP PRB | $68.44 | $380.20 | $31.15–$380.20 | 40% above | 82% |
| Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS AMP | $66.09 | $244.79 | $48.47–$183.59 | — | 73% |
| Trichomonas test (NAAT) inpatient CPT 87661 Q38289 TVAG AMP PRB | $102.65 | $380.20 | $75.28–$285.15 | — | 73% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $33.64 | $186.87 | $5.09–$186.87 | 6% above | 82% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $50.45 | $186.87 | $37.00–$140.15 | — | 73% |
| Troponin test, quantitative CPT 84484 TROPONIN,QNT | $104.45 | $580.28 | $11.07–$522.25 | 30% below | 82% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN,QNT | $156.68 | $580.28 | $114.90–$435.21 | — | 73% |
| Uric acid blood test CPT 84550 URIC ACID, BLOOD | $28.13 | $156.27 | $4.01–$156.27 | 66% below | 82% |
| Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD | $42.19 | $156.27 | $30.94–$117.20 | — | 73% |
| Urinalysis with microscope exam, automated CPT 81001 UA, AUTO W-SCOPE | $72.78 | $404.34 | $2.81–$404.34 | 55% below | 82% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA, AUTO W-SCOPE | $109.17 | $404.34 | $80.06–$303.25 | — | 73% |
| Urinalysis without microscope exam, automated CPT 81003 UA, AUTO, W-O SCOPE | $14.36 | $79.77 | $2.00–$79.77 | 83% below | 82% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA, AUTO, W-O SCOPE | $21.54 | $79.77 | $15.79–$59.83 | — | 73% |
| Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W-O SCOPE | $14.56 | $80.87 | $2.85–$80.87 | 28% below | 82% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W-O SCOPE | $21.83 | $80.87 | $16.01–$60.65 | — | 73% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT | $69.24 | $384.67 | $7.16–$384.67 | 59% below | 82% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE-COLONY CT | $103.86 | $384.67 | $76.16–$288.50 | — | 73% |
| Urine microalbumin (albumin) test CPT 82043 MICROALB QNT | $33.44 | $185.78 | $5.13–$185.78 | 18% above | 82% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB QNT | $50.16 | $185.78 | $36.78–$139.34 | — | 73% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL | $24.78 | $137.69 | $3.80–$137.69 | 80% below | 82% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QL | $37.18 | $137.69 | $27.26–$103.27 | — | 73% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $93.83 | $521.27 | $13.39–$469.14 | 24% below | 82% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $140.74 | $521.27 | $103.21–$390.95 | — | 73% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH | $174.08 | $967.13 | $26.28–$870.42 | 278% above | 82% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25OH | $261.13 | $967.13 | $191.49–$725.35 | — | 73% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT | $101.11 | $561.70 | $13.36–$505.53 | 71% above | 82% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT | $151.66 | $561.70 | $111.22–$421.28 | — | 73% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $7,212.35 | $40,068.62 | $769.00–$35,260.39 | 28% above | 82% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $23,647.15 | $131,373.04 | $1,017.00–$118,235.74 | 3% above | 82% |
| Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT | $3,896.12 | $21,645.09 | $694.58–$26,553.00 | 68% below | 82% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CC-L HRT ARTERY-VENT | $5,844.17 | $21,645.09 | $4,285.73–$16,233.81 | — | 73% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION | $428.03 | $2,377.93 | $90.20–$4,427.00 | 80% below | 82% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 NI-CARDIOVERSION | $642.04 | $2,377.93 | $470.83–$1,783.45 | — | 73% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $6,382.67 | $35,459.29 | $1,017.00–$31,913.36 | 53% above | 82% |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $4,492.11 | $24,956.14 | $1,371.00–$22,460.53 | 2% below | 82% |
| Catheter ablation for atrial fibrillation CPT 93656 EP-ATR FIB PULM VN I | $7,123.54 | $39,575.22 | $823.03–$37,138.00 | 86% below | 82% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP-ATR FIB PULM VN I | $10,685.31 | $39,575.22 | $7,835.89–$29,681.41 | — | 73% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $7,111.49 | $39,508.29 | $703.04–$35,557.46 | 256% above | 82% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $12,719.58 | $70,664.34 | $919.00–$63,597.91 | 492% above | 82% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $4,258.56 | $23,658.68 | $616.00–$21,292.81 | 18% above | 82% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $5,423.53 | $30,130.74 | $616.00–$27,117.67 | 51% above | 82% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $3,899.21 | $21,662.25 | $559.00–$19,496.03 | 29% above | 82% |
| Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP | $6,515.50 | $36,197.22 | $1,371.00–$32,577.50 | 54% above | 82% |
| Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG | $7,447.61 | $41,375.59 | $512.78–$37,238.03 | 68% below | 82% |
| Coronary stent placement, one artery inpatient CPT 92928 IC-PRQ CRD STN W-ANG | $11,171.41 | $41,375.59 | $8,192.37–$31,031.69 | — | 73% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $12,130.44 | $67,391.31 | $919.00–$60,652.18 | 149% above | 82% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $10,188.62 | $56,603.46 | $559.00–$50,943.11 | 430% above | 82% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $9,642.29 | $53,568.28 | $919.00–$48,211.45 | 116% above | 82% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $7,180.95 | $39,894.14 | $616.00–$35,904.73 | 8% below | 82% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $386.49 | $2,147.16 | $12.92–$5,395.60 | 105% above | 82% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $2,390.83 | $13,282.37 | $28.02–$11,954.13 | 1081% above | 82% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $6,756.23 | $37,534.59 | $174.27–$33,781.13 | 1419% above | 82% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $14,033.92 | $77,966.24 | $1,371.00–$70,169.62 | 51% above | 82% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $12,431.37 | $69,063.14 | $769.00–$62,156.83 | 17% above | 82% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $13,906.99 | $77,261.08 | $769.00–$69,534.97 | 5% above | 82% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $20,199.81 | $112,221.17 | $1,646.00–$100,999.05 | 33% above | 82% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $18,334.21 | $101,856.70 | $1,646.00–$91,671.03 | 86% above | 82% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $7,981.06 | $44,339.22 | $406.00–$39,905.30 | 185% above | 82% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $18,253.90 | $101,410.54 | $237.80–$91,269.49 | 13% above | 82% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $17,037.41 | $94,652.26 | $237.80–$85,187.03 | 25% above | 82% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $9,199.56 | $51,108.64 | $559.00–$45,997.78 | 435% above | 82% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $10,180.46 | $56,558.12 | $1,017.00–$50,902.31 | 82% above | 82% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO | $206.54 | $1,147.44 | $49.60–$25,083.04 | 51% below | 82% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 S-INJ CATH HYSTERSO | $309.81 | $1,147.44 | $227.19–$860.58 | — | 73% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $10,929.10 | $60,717.22 | $1,744.00–$54,645.50 | 9% above | 82% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $8,567.72 | $47,598.43 | $1,017.00–$42,838.59 | 28% above | 82% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $1,320.31 | $7,335.05 | $175.09–$7,109.00 | 120% above | 82% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $15,605.40 | $86,696.67 | $1,371.00–$78,027.00 | 84% above | 82% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $1,769.56 | $9,830.88 | $259.02–$8,847.79 | 165% above | 82% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $9,666.75 | $53,704.14 | $1,371.00–$48,333.73 | 32% below | 82% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $8,946.09 | $49,700.50 | $1,371.00–$44,730.45 | 39% above | 82% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $21,012.56 | $116,736.43 | $2,410.00–$105,062.79 | 87% above | 82% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $24,168.46 | $134,269.23 | $551.31–$120,842.31 | 31% above | 82% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $20,479.83 | $113,776.84 | $4,128.00–$102,399.16 | 20% above | 82% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $20,721.51 | $115,119.49 | $4,128.00–$103,607.54 | 4% above | 82% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $18,569.87 | $103,165.95 | $1,744.00–$92,849.36 | 199% above | 82% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $20,525.75 | $114,031.92 | $1,371.00–$102,628.73 | 38% above | 82% |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS | $18,398.75 | $102,215.28 | $855.34–$91,993.75 | 80% above | 82% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $12,771.40 | $70,952.24 | $1,744.00–$63,857.02 | 9% above | 82% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $6,667.00 | $37,038.89 | $234.89–$33,335.00 | 588% above | 82% |
| Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC | $3,008.00 | $16,711.10 | $615.10–$26,553.00 | 73% below | 82% |
| Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC | $4,512.00 | $16,711.10 | $3,308.80–$12,533.32 | — | 73% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,416.43 | $7,869.03 | $406.00–$8,223.15 | 36% below | 82% |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $19,673.99 | $109,299.95 | $769.00–$98,369.96 | 147% above | 82% |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $23,082.70 | $128,237.21 | $919.00–$115,413.49 | 4% below | 82% |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $7,860.70 | $43,670.54 | $919.00–$38,430.08 | 98% above | 82% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $7,941.78 | $44,121.01 | $559.00–$39,708.91 | 339% above | 82% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $592.20 | $3,289.99 | $45.68–$7,109.00 | 19% above | 82% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $18,709.36 | $103,940.91 | $1,719.00–$93,546.82 | 6% below | 82% |
| Paracentesis with imaging guidance CPT 49083 US-ABD PARACEN W IMG | $663.29 | $3,684.92 | $568.75–$3,428.00 | 57% below | 82% |
| Paracentesis with imaging guidance CPT 49083 CT-ABD PARACEN W IMG | $663.29 | $3,684.92 | $616.00–$3,428.00 | 57% below | 82% |
| Paracentesis with imaging guidance CPT 49083 IR-ABD PARACEN W IMG | $716.20 | $3,978.88 | $568.75–$3,580.99 | 54% below | 82% |
| Paracentesis with imaging guidance CPT 49083 S-ABD PARACEN W IMG | $716.20 | $3,978.88 | $568.75–$3,580.99 | 54% below | 82% |
| Paracentesis with imaging guidance inpatient CPT 49083 CT-ABD PARACEN W IMG | $994.93 | $3,684.92 | $729.61–$2,763.69 | — | 73% |
| Paracentesis with imaging guidance inpatient CPT 49083 US-ABD PARACEN W IMG | $994.93 | $3,684.92 | $729.61–$2,763.69 | — | 73% |
| Paracentesis with imaging guidance inpatient CPT 49083 S-ABD PARACEN W IMG | $1,074.30 | $3,978.88 | $787.82–$2,984.16 | — | 73% |
| Paracentesis with imaging guidance inpatient CPT 49083 IR-ABD PARACEN W IMG | $1,074.30 | $3,978.88 | $787.82–$2,984.16 | — | 73% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $4,206.79 | $23,371.03 | $348.71–$21,033.93 | 260% above | 82% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $9,215.27 | $51,195.96 | $632.00–$46,076.36 | 129% above | 82% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $2,430.45 | $13,502.52 | $348.71–$12,152.27 | 147% above | 82% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $21,377.01 | $118,761.19 | $421.25–$106,885.07 | 69% above | 82% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $3,350.99 | $18,616.59 | $616.00–$16,754.93 | 3% above | 82% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $3,780.41 | $21,002.30 | $616.00–$18,902.07 | 21% above | 82% |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $11,331.62 | $62,953.44 | $1,155.00–$56,658.10 | 14% below | 82% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $11,885.74 | $66,031.87 | $972.55–$59,428.68 | 35% below | 82% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $1,741.01 | $9,672.26 | $34.64–$8,705.03 | 354% above | 82% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $2,157.85 | $11,988.05 | $42.77–$11,649.00 | 424% above | 82% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $16,260.60 | $90,336.69 | $1,017.00–$81,303.02 | 28% below | 82% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $18,300.37 | $101,668.74 | $340.44–$2,222,478.66 | 69% above | 82% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $1,244.67 | $6,914.83 | $39.46–$7,109.00 | 148% above | 82% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $7,588.57 | $42,158.73 | $348.71–$37,942.86 | 826% above | 82% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $4,078.20 | $22,656.67 | $64.17–$20,391.00 | 877% above | 82% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST | $347.77 | $1,932.07 | $233.00–$3,428.00 | 72% below | 82% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $7,061.30 | $39,229.45 | $233.00–$35,306.50 | 467% above | 82% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 S-SPINAL TAP DIAGNST | $521.66 | $1,932.07 | $382.55–$1,449.05 | — | 73% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $1,792.74 | $9,959.68 | $52.03–$11,649.00 | 211% above | 82% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $1,666.32 | $9,257.35 | $49.10–$11,649.00 | 244% above | 82% |
| Thoracentesis with imaging guidance CPT 32555 CT-THORACNTSIS W IMG | $1,221.14 | $6,784.10 | $92.24–$6,429.00 | 35% below | 82% |
| Thoracentesis with imaging guidance CPT 32555 US-THORACNTSIS W IMG | $1,221.14 | $6,784.10 | $92.24–$6,429.00 | 35% below | 82% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US-THORACNTSIS W IMG | $1,831.71 | $6,784.10 | $1,343.25–$5,088.08 | — | 73% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT-THORACNTSIS W IMG | $1,831.71 | $6,784.10 | $1,343.25–$5,088.08 | — | 73% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $6,118.41 | $33,991.15 | $1,017.00–$30,592.04 | 19% above | 82% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $6,906.81 | $38,371.16 | $919.00–$33,766.62 | 22% below | 82% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $6,443.07 | $35,794.81 | $1,017.00–$32,215.33 | 33% below | 82% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $6,201.19 | $34,451.04 | $1,000.00–$30,316.92 | 6% above | 82% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $21,563.29 | $119,796.07 | $3,026.00–$107,816.46 | at median | 82% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $20,944.29 | $116,357.19 | $3,180.00–$104,721.47 | 9% below | 82% |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $26,151.23 | $145,284.61 | $1,257.98–$130,756.15 | 9% above | 82% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $5,461.43 | $30,341.29 | $919.00–$27,307.16 | 66% above | 82% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $786.72 | $4,370.64 | $259.02–$7,109.00 | 27% above | 82% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $13,990.59 | $77,725.51 | $1,371.00–$69,952.96 | 79% above | 82% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $6,211.69 | $34,509.40 | $559.00–$31,058.46 | 121% above | 82% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $5,750.55 | $31,947.51 | $559.00–$28,752.76 | 85% above | 82% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $7,441.91 | $41,343.93 | $616.00–$37,209.54 | 193% above | 82% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $6,464.31 | $35,912.84 | $559.00–$32,321.56 | 135% above | 82% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION | $7,131.42 | $39,619.00 | $559.00–$35,657.10 | 203% above | 82% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $3,508.32 | $19,490.66 | $406.00–$25,713.00 | 53% above | 82% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $13,864.86 | $77,027.01 | $1,371.00–$69,324.31 | 152% above | 82% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $14,384.55 | $79,914.14 | $2,183.00–$71,922.73 | 7% above | 82% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $6,482.49 | $36,013.82 | $175.09–$32,412.44 | 2051% above | 82% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $4,664.51 | $25,913.93 | $233.00–$23,322.54 | 318% above | 82% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 0 2 HRS | $144.00 | $800.00 | $34.23–$6,429.00 | 87% below | 82% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $162.00 | $900.00 | $34.23–$6,429.00 | 85% below | 82% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 2 4 HRS | $162.00 | $900.00 | $34.23–$6,429.00 | 85% below | 82% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 4 6 HRS | $180.00 | $1,000.00 | $34.23–$6,429.00 | 84% below | 82% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSF 6 8 HRS | $198.00 | $1,100.00 | $34.23–$6,429.00 | 82% below | 82% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $12,920.11 | $71,778.41 | $34.23–$64,600.57 | 1073% above | 82% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 0 2 HRS | $216.00 | $800.00 | $158.40–$600.00 | — | 73% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 2 4 HRS | $243.00 | $900.00 | $178.20–$675.00 | — | 73% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $243.00 | $900.00 | $178.20–$675.00 | — | 73% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 4 6 HRS | $270.00 | $1,000.00 | $198.00–$750.00 | — | 73% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSF 6 8 HRS | $297.00 | $1,100.00 | $217.80–$825.00 | — | 73% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI | $108.00 | $600.00 | $6.53–$600.00 | 58% below | 82% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMT INI | $162.00 | $600.00 | $118.80–$450.00 | — | 73% |
| Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M | $1,323.42 | $7,352.36 | $776.03–$7,352.36 | 73% below | 82% |
| Critical care, first 30 to 74 minutes inpatient one side CPT 99291 CRITICAL CARE LT 74M | $1,985.14 | $7,352.36 | $1,455.77–$5,514.27 | — | 73% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY | $814.75 | $4,526.38 | $274.49–$4,073.74 | 46% below | 82% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE DROWSY | $1,222.12 | $4,526.38 | $896.22–$3,394.78 | — | 73% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD ED STAFF | $99.00 | $550.00 | $6.12–$791.00 | 73% below | 82% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG, 12 LEADS | $135.00 | $750.00 | $6.12–$791.00 | 63% below | 82% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD ED STAFF | $148.50 | $550.00 | $108.90–$412.50 | — | 73% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NI-EKG, 12 LEADS | $202.50 | $750.00 | $148.50–$562.50 | — | 73% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT | $99.53 | $552.96 | $77.64–$2,860.00 | 80% below | 82% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 BRIEF ED VISIT | $149.30 | $552.96 | $109.49–$414.72 | — | 73% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT | $195.92 | $1,088.43 | $143.03–$2,860.00 | 78% below | 82% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LIMITED ED VISIT | $293.88 | $1,088.43 | $215.51–$816.32 | — | 73% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST | $297.81 | $1,654.50 | $249.52–$4,208.00 | 82% below | 82% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 INTERMEDIATE ED VIST | $446.72 | $1,654.50 | $327.59–$1,240.88 | — | 73% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT | $572.61 | $3,181.14 | $387.33–$4,586.00 | 77% below | 82% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EXTENDED ED VISIT | $858.91 | $3,181.14 | $629.87–$2,385.86 | — | 73% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPREHENSIVE ED VST | $882.02 | $4,900.12 | $561.72–$4,900.12 | 74% below | 82% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 COMPREHENSIVE ED VST | $1,323.03 | $4,900.12 | $970.22–$3,675.09 | — | 73% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM-STRESS TEST | $450.00 | $2,500.00 | $35.70–$4,158.00 | 70% below | 82% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST | $450.00 | $2,500.00 | $35.70–$4,158.00 | 70% below | 82% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NI-STRESS TEST | $675.00 | $2,500.00 | $495.00–$1,875.00 | — | 73% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM-STRESS TEST | $675.00 | $2,500.00 | $495.00–$1,875.00 | — | 73% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR | $131.99 | $733.27 | $26.24–$733.27 | 77% below | 82% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1 HR | $197.98 | $733.27 | $145.19–$549.95 | — | 73% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR | $119.01 | $661.14 | $50.95–$661.14 | 82% below | 82% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY DX 1 HR | $178.51 | $661.14 | $130.91–$495.86 | — | 73% |
| IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV PUSH | $73.17 | $406.52 | $29.86–$461.00 | 77% below | 82% |
| IV push of a medicine, first drug CPT 96374 INJECTION IV PUSH | $90.00 | $500.00 | $29.86–$2,860.00 | 72% below | 82% |
| IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV PUSH | $109.76 | $406.52 | $80.49–$304.89 | — | 73% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV PUSH | $135.00 | $500.00 | $99.00–$375.00 | — | 73% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM | $61.17 | $339.86 | $11.87–$461.00 | 66% below | 82% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC DX SQ IM | $91.76 | $339.86 | $67.29–$254.90 | — | 73% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHG SMOKE U 10 | $15.03 | $83.48 | $10.01–$707.00 | 76% below | 82% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHG SMOKE U 10 | $22.54 | $83.48 | $16.53–$62.61 | — | 73% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST | $416.82 | $2,315.64 | $27.39–$2,084.08 | 54% below | 82% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHO EVAL PRE/PST | $625.22 | $2,315.64 | $458.50–$1,736.73 | — | 73% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPTH/TETA/PERT PED | $78.12 | $434.00 | $30.80–$9,487.24 | 21% below | 82% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPTH/TETA/PERT PED | $117.18 | $434.00 | $85.93–$325.50 | — | 73% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVACC NO PRES OV3Y | $31.82 | $176.75 | $19.77–$232.60 | 57% below | 82% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVACC NO PRES OV3Y | $47.72 | $176.75 | $35.00–$132.56 | — | 73% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC ADULT IM | $74.21 | $412.25 | $66.86–$542.52 | 70% below | 82% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VAC ADULT IM | $111.31 | $412.25 | $81.63–$309.19 | — | 73% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VAC PED | $60.21 | $334.50 | $29.23–$440.20 | 40% below | 82% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VAC PED | $90.32 | $334.50 | $66.23–$250.88 | — | 73% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B TETAN INJ | $79.83 | $443.50 | $13.63–$9,694.91 | 27% above | 82% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B TETAN INJ | $119.75 | $443.50 | $87.81–$332.63 | — | 73% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VAC NOPRSV ANTIG | $39.60 | $220.00 | $39.60–$289.52 | 86% below | 82% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC NOPRSV ANTIG | $59.40 | $220.00 | $43.56–$165.00 | — | 73% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJ | $122.76 | $682.00 | $98.04–$14,908.52 | 36% below | 82% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II INJ | $184.14 | $682.00 | $135.04–$511.50 | — | 73% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOC 13-VAL IM | $143.10 | $795.00 | $143.10–$1,046.22 | 75% below | 82% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOC 13-VAL IM | $214.65 | $795.00 | $157.41–$596.25 | — | 73% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOCOC 15-VAL IM | $107.60 | $398.50 | $78.90–$298.88 | — | 73% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO-VAC 2YR-ADULT | $52.47 | $291.50 | $52.47–$383.61 | 87% below | 82% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO-VAC 2YR-ADULT | $78.71 | $291.50 | $57.72–$218.63 | — | 73% |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $244.80 | $1,360.00 | $244.80–$1,360.00 | 79% below | 82% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC IM | $367.20 | $1,360.00 | $269.28–$1,020.00 | — | 73% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD IM NO PRSRV GE 7Y | $42.75 | $237.50 | $18.83–$5,191.75 | 71% below | 82% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD IM NO PRSRV GE 7Y | $64.13 | $237.50 | $47.03–$178.13 | — | 73% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML | $89.91 | $499.50 | $39.09–$10,919.07 | 56% below | 82% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH/TET/ACPERT .5ML | $134.87 | $499.50 | $98.90–$374.63 | — | 73% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE | $45.05 | $250.25 | $16.93–$250.25 | 63% below | 82% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM 1ST VACCINE | $67.57 | $250.25 | $49.55–$187.69 | — | 73% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC | $45.05 | $250.25 | $12.11–$5,470.47 | 59% below | 82% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADD VACC | $67.57 | $250.25 | $49.55–$187.69 | — | 73% |