HMA Santa Rosa Medical Center LLC
HMA Santa Rosa Medical Center LLC in Milton, FL publishes cash prices for 52 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
6002 Berryhill Rd, Milton, FL 32570 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W | $2,372.49 | $15,816.60 | 85% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W | $5,535.81 | $15,816.60 | 65% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert | $1,515.19 | $10,101.24 | 85% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO | $1,515.19 | $10,101.24 | 85% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert | $3,535.43 | $10,101.24 | 65% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO | $3,535.43 | $10,101.24 | 65% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W | $1,243.51 | $8,290.08 | 85% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W | $2,901.53 | $8,290.08 | 65% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM | $201.85 | $1,345.68 | 85% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diag Same Day GG Bi WWO CAD CM | $201.85 | $1,345.68 | 85% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD CM | $470.99 | $1,345.68 | 65% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diag Same Day GG Bi WWO CAD CM | $470.99 | $1,345.68 | 65% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM | $205.25 | $1,368.36 | 85% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM | $205.25 | $1,368.36 | 85% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diag Same Day GG RT WWO CAD CM - MG Mammo | $205.25 | $1,368.36 | 85% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diag Same Day GG LT WWO CAD CM - MG Mammo | $205.25 | $1,368.36 | 85% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD CM | $478.93 | $1,368.36 | 65% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD CM | $478.93 | $1,368.36 | 65% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diag Same Day GG LT WWO CAD CM - MG Mammo | $478.93 | $1,368.36 | 65% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diag Same Day GG RT WWO CAD CM - MG Mammo | $478.93 | $1,368.36 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Hip Bilateral WO | $1,993.25 | $13,288.32 | 85% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Knee Bilateral WO | $1,993.25 | $13,288.32 | 85% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Ankle Bilateral WO | $1,993.25 | $13,288.32 | 85% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO | $1,993.25 | $13,288.32 | 85% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO | $1,993.25 | $13,288.32 | 85% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO | $1,993.25 | $13,288.32 | 85% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO | $1,993.25 | $13,288.32 | 85% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO | $1,993.25 | $13,288.32 | 85% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO | $1,993.25 | $13,288.32 | 85% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Hip Bilateral WO | $4,650.91 | $13,288.32 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Knee Bilateral WO | $4,650.91 | $13,288.32 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Ankle Bilateral WO | $4,650.91 | $13,288.32 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO | $4,650.91 | $13,288.32 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO | $4,650.91 | $13,288.32 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO | $4,650.91 | $13,288.32 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO | $4,650.91 | $13,288.32 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO | $4,650.91 | $13,288.32 | 65% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO | $4,650.91 | $13,288.32 | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO | $1,749.76 | $11,665.08 | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO | $1,749.76 | $11,665.08 | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO | $1,749.76 | $11,665.08 | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO | $1,749.76 | $11,665.08 | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO | $1,749.76 | $11,665.08 | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO | $1,749.76 | $11,665.08 | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO | $4,082.78 | $11,665.08 | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO | $4,082.78 | $11,665.08 | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO | $4,082.78 | $11,665.08 | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO | $4,082.78 | $11,665.08 | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO | $4,082.78 | $11,665.08 | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO | $4,082.78 | $11,665.08 | 65% |
| MRI of the brain, no contrast dye CPT 70551 MRV Brain WO | $1,271.05 | $8,473.68 | 85% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO | $1,271.05 | $8,473.68 | 85% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Stroke Alert | $1,271.05 | $8,473.68 | 85% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Stroke Alert | $2,965.79 | $8,473.68 | 65% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRV Brain WO | $2,965.79 | $8,473.68 | 65% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO | $2,965.79 | $8,473.68 | 65% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC WWO | $1,886.00 | $12,573.36 | 85% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO | $1,886.00 | $12,573.36 | 85% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC WWO | $4,400.68 | $12,573.36 | 65% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO | $4,400.68 | $12,573.36 | 65% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO | $2,166.75 | $14,445.00 | 85% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO | $5,055.75 | $14,445.00 | 65% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $470.77 | $3,138.48 | 85% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $1,098.47 | $3,138.48 | 65% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM | $183.71 | $1,224.72 | 85% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD CM | $183.71 | $1,224.72 | 85% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD CM | $183.71 | $1,224.72 | 85% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD CM | $428.65 | $1,224.72 | 65% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD CM | $428.65 | $1,224.72 | 65% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD CM | $428.65 | $1,224.72 | 65% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY, 4 OR MORE | $1,285.77 | $8,571.81 | 85% |
| Sleep study in a lab (polysomnography) CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $1,388.18 | $9,254.52 | 85% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $3,239.08 | $9,254.52 | 65% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $116.15 | $774.36 | 85% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $271.03 | $774.36 | 65% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $683.32 | $4,555.44 | 85% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $1,594.40 | $4,555.44 | 65% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $620.95 | $4,139.64 | 85% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $1,448.87 | $4,139.64 | 65% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BMPWTCA | $37.26 | $248.40 | 85% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA | $86.94 | $248.40 | 65% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID | $41.80 | $278.64 | 85% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L884247 LIPID PANEL | $41.80 | $278.64 | 85% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with LDL/HDL Ratio | $41.80 | $278.64 | 85% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID | $97.52 | $278.64 | 65% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with LDL/HDL Ratio | $97.52 | $278.64 | 65% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L884247 LIPID PANEL | $97.52 | $278.64 | 65% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/ 3 Part Diff Auto | $64.80 | $432.00 | 85% |
| Complete blood count (CBC) with differential CPT 85025 CBCADIFF | $64.80 | $432.00 | 85% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCADIFF | $151.20 | $432.00 | 65% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/ 3 Part Diff Auto | $151.20 | $432.00 | 65% |
| Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT | $37.91 | $252.72 | 85% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $37.91 | $252.72 | 85% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT | $88.45 | $252.72 | 65% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $88.45 | $252.72 | 65% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $69.34 | $462.24 | 85% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $161.78 | $462.24 | 65% |
| Kidney function blood test panel CPT 80069 RFP | $53.78 | $358.56 | 85% |
| Kidney function blood test panel inpatient CPT 80069 RFP | $125.50 | $358.56 | 65% |
| Liver function blood test panel CPT 80076 HFP | $46.49 | $309.96 | 85% |
| Liver function blood test panel inpatient CPT 80076 HFP | $108.49 | $309.96 | 65% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE | $9.56 | $63.72 | 85% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE | $22.30 | $63.72 | 65% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag, Serum (RL) | $35.80 | $238.68 | 85% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total | $35.80 | $238.68 | 85% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL | $35.80 | $238.68 | 85% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag, Serum (RL) | $83.54 | $238.68 | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL | $83.54 | $238.68 | 65% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total | $83.54 | $238.68 | 65% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLAST TIMEPTT | $21.06 | $140.40 | 85% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $21.06 | $140.40 | 85% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLAST TIMEPTT | $49.14 | $140.40 | 65% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $49.14 | $140.40 | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR | $19.76 | $131.76 | 85% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME | $19.76 | $131.76 | 85% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC | $19.76 | $131.76 | 85% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR | $46.12 | $131.76 | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME | $46.12 | $131.76 | 65% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC | $46.12 | $131.76 | 65% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $26.73 | $178.20 | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $26.73 | $178.20 | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 L620 TSH | $26.73 | $178.20 | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC | $26.73 | $178.20 | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/Reflex to T4 Total | $26.73 | $178.20 | 85% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $62.37 | $178.20 | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC | $62.37 | $178.20 | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/Reflex to T4 Total | $62.37 | $178.20 | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 L620 TSH | $62.37 | $178.20 | 65% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $62.37 | $178.20 | 65% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Microscopic Automated | $37.26 | $248.40 | 85% |
| Urinalysis with microscope exam, automated CPT 81001 Perform Microscopic - Yes | $37.26 | $248.40 | 85% |
| Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd | $37.26 | $248.40 | 85% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd | $86.94 | $248.40 | 65% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Microscopic Automated | $86.94 | $248.40 | 65% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Perform Microscopic - Yes | $86.94 | $248.40 | 65% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis w/Microscopic Manual | $34.51 | $230.04 | 85% |
| Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd | $34.51 | $230.04 | 85% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd | $80.51 | $230.04 | 65% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis w/Microscopic Manual | $80.51 | $230.04 | 65% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required | $23.81 | $158.76 | 85% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick | $23.81 | $158.76 | 85% |
| Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc | $23.81 | $158.76 | 85% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Auto | $23.81 | $158.76 | 85% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis w/o Microscopic Automated | $23.81 | $158.76 | 85% |
| Urinalysis without microscope exam, automated CPT 81003 Perform Microscopic - No | $23.81 | $158.76 | 85% |
| Urinalysis without microscope exam, automated CPT 81003 Ketones Urine Dipstk Qual Automated | $23.81 | $158.76 | 85% |
| Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto | $23.81 | $158.76 | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Auto | $55.57 | $158.76 | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis w/o Microscopic Automated | $55.57 | $158.76 | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required | $55.57 | $158.76 | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Perform Microscopic - No | $55.57 | $158.76 | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick | $55.57 | $158.76 | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones Urine Dipstk Qual Automated | $55.57 | $158.76 | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc | $55.57 | $158.76 | 65% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto | $55.57 | $158.76 | 65% |
| Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc | $3.81 | $25.38 | 85% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc | $8.88 | $25.38 | 65% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $3,520.36 | $23,469.04 | 85% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $3,416.45 | $22,776.34 | 85% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $2,844.80 | $18,965.33 | 85% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $12,510.95 | $83,406.36 | 85% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INGUINAL HERNIA | $9,818.23 | $65,454.89 | 85% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $8,008.72 | $53,391.44 | 85% |
| Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC[FLSA] | $1,431.76 | $9,545.04 | 85% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $6,587.62 | $43,917.48 | 85% |
| Left heart catheterization, diagnostic inpatient CPT 93452 CC-LHC VENT PUNC[FLSA] | $3,340.76 | $9,545.04 | 65% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $940.11 | $6,267.41 | 85% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,284.81 | $8,565.40 | 85% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $1,325.97 | $8,839.78 | 85% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $6,744.50 | $44,963.36 | 85% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $5,441.91 | $36,279.42 | 85% |
| Total hip replacement CPT 27130 TOTAL HIP REPLACEMENT | $20,872.46 | $139,149.70 | 85% |
| Total knee replacement CPT 27447 TOTAL KNEE REPLACEMENT | $23,494.02 | $156,626.78 | 85% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $3,481.13 | $23,207.50 | 85% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $2,835.47 | $18,903.15 | 85% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT, NEW | $376.47 | $2,509.78 | 85% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT, NEW | $3,415.41 | $22,769.39 | 85% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT, NEW | $6,257.42 | $41,716.16 | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge | $125.39 | $835.92 | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $125.39 | $835.92 | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges | $125.39 | $835.92 | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $125.39 | $835.92 | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $125.39 | $835.92 | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $2,533.12 | $16,887.45 | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $292.57 | $835.92 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $292.57 | $835.92 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $292.57 | $835.92 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge | $292.57 | $835.92 | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges | $292.57 | $835.92 | 65% |