Hospital Tampa-St. Petersburg-Clearwater, FL

Tampa General Hospital

Tampa General Hospital in Tampa, FL publishes cash prices for 427 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 297 of 419 procedures and above it for 120. By typical cash price it ranks #41 of 171 Florida hospitals and #3 of 33 hospitals in the Tampa, FL area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1 Tampa General Cir, Tampa, FL 33606 Collected Nov 5, 2026 Source price file Check a bill from this hospital (813) 844-7000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 100128 · CMS hospital register

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Tampa General Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 7 actions for a hospital named Tampa General Hospital in Tampa, FL:

Jul 20, 2021 Warning notice
Jan 7, 2022 Case closed
Apr 18, 2023 Warning notice
Aug 4, 2023 Corrective action plan requested
Nov 7, 2023 Case closed
Feb 24, 2025 Warning notice
Mar 20, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found.

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 Hb Ct Abdomen Wo And W Cont	$2,450.00	$7,000.00	—	38% below	65%
Abdominal CT scan without and with contrast inpatient CPT 74170 Hb Ct Abdomen Wo And W Cont	$2,450.00	$7,000.00	—	—	65%
Abdominal X-ray, 2 views CPT 74019 Hb Xray Exam Abdomen 2 Views	$380.80	$1,088.00	—	41% below	65%
Abdominal X-ray, 2 views inpatient CPT 74019 Hb Xray Exam Abdomen 2 Views	$380.80	$1,088.00	—	—	65%
Ankle X-ray, complete, 3 or more views CPT 73610 Hb Xray Ankle Routine	$238.70	$682.00	—	62% below	65%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hb Xray Ankle Routine	$238.70	$682.00	—	—	65%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hb Dopp Upr Lwr Extremity Art	$887.60	$2,536.00	—	44% above	65%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hb Dopp Upr Lwr Extremity Art	$887.60	$2,536.00	—	—	65%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Hb Ct Upr Extremity Wo Cont	$811.65	$2,319.00	—	66% below	65%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Hb Ct Upr Extremity Wo Cont	$811.65	$2,319.00	—	—	65%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Hb Xray Esophagus	$413.00	$1,180.00	—	51% below	65%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hb Xray Esophagus	$413.00	$1,180.00	—	—	65%
Bone scan, whole body (nuclear medicine) CPT 78306 Hb Bone Scan Whole Body	$1,243.55	$3,553.00	—	51% below	65%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hb Bone Scan Whole Body	$1,243.55	$3,553.00	—	—	65%
Breast ultrasound, complete, one breast CPT 76641 Hb Us Exam Of Breast Complete	$440.30	$1,258.00	—	24% below	65%
Breast ultrasound, complete, one breast inpatient CPT 76641 Hb Us Exam Of Breast Complete	$440.30	$1,258.00	—	—	65%
Breast ultrasound, limited (one breast or one area) CPT 76642 Hb Us Exam Of Breast Limited	$316.40	$904.00	—	39% below	65%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Hb Us Exam Of Breast Limited	$316.40	$904.00	—	—	65%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hb Cta Abdomen And Pelvis	$3,818.50	$10,910.00	—	36% below	65%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Hb Cta Abdomen And Pelvis	$3,818.50	$10,910.00	—	—	65%
CT angiography (CTA) of the head CPT 70496 Hb 70496 Cta Head	$2,314.90	$6,614.00	—	35% below	65%
CT angiography (CTA) of the head CPT 70496 Hb Cta Head	$2,314.90	$6,614.00	—	35% below	65%
CT angiography (CTA) of the head inpatient CPT 70496 Hb Cta Head	$2,314.90	$6,614.00	—	—	65%
CT angiography (CTA) of the head inpatient CPT 70496 Hb 70496 Cta Head	$2,314.90	$6,614.00	—	—	65%
CT angiography (CTA) of the neck CPT 70498 Hb 70498 Cta Neck	$2,915.85	$8,331.00	—	30% below	65%
CT angiography (CTA) of the neck CPT 70498 Hb Cta Neck	$2,915.85	$8,331.00	—	30% below	65%
CT angiography (CTA) of the neck inpatient CPT 70498 Hb Cta Neck	$2,915.85	$8,331.00	—	—	65%
CT angiography (CTA) of the neck inpatient CPT 70498 Hb 70498 Cta Neck	$2,915.85	$8,331.00	—	—	65%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hb Cta Chest	$2,399.25	$6,855.00	—	47% below	65%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hb Cta Chest	$2,399.25	$6,855.00	—	—	65%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hb Cta Coronary Artery	$1,268.05	$3,623.00	—	35% below	65%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hb Cta Coronary Artery	$1,268.05	$3,623.00	—	—	65%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hb Ct Cardiac Scoring	$341.60	$976.00	—	37% below	65%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hb Ct Cardiac Scoring	$341.60	$976.00	—	—	65%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hb 74176 Ct Abd And Pelvis Wo Cont	$2,149.00	$6,140.00	—	61% below	65%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hb Ct Abdomen And Pelvis Wo Cont	$2,149.00	$6,140.00	—	61% below	65%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hb 74176 Ct Abd And Pelvis Wo Cont	$2,149.00	$6,140.00	—	—	65%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hb Ct Abdomen And Pelvis Wo Cont	$2,149.00	$6,140.00	—	—	65%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hb Ct Abdomen And Pelvis W Cont	$2,833.95	$8,097.00	—	52% below	65%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hb 74177 Ct Abd And Pelvis W Cont	$2,833.95	$8,097.00	—	52% below	65%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hb Ct Abdomen And Pelvis W Cont	$2,833.95	$8,097.00	—	—	65%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hb 74177 Ct Abd And Pelvis W Cont	$2,833.95	$8,097.00	—	—	65%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hb 74178 Ct Abd Pelv Wo And W Cont	$4,938.50	$14,110.00	—	29% below	65%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hb Ct Abd Pelv Wo And W Cont	$4,938.50	$14,110.00	—	29% below	65%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hb Ct Abd Pelv Wo And W Cont	$4,938.50	$14,110.00	—	—	65%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hb 74178 Ct Abd Pelv Wo And W Cont	$4,938.50	$14,110.00	—	—	65%
CT scan of the abdomen with contrast CPT 74160 Hb Ct Abdomen W Cont	$1,349.95	$3,857.00	—	61% below	65%
CT scan of the abdomen with contrast inpatient CPT 74160 Hb Ct Abdomen W Cont	$1,349.95	$3,857.00	—	—	65%
CT scan of the abdomen without contrast CPT 74150 Hb Ct Abdomen Wo Cont	$1,145.90	$3,274.00	—	64% below	65%
CT scan of the abdomen without contrast inpatient CPT 74150 Hb Ct Abdomen Wo Cont	$1,145.90	$3,274.00	—	—	65%
CT scan of the face and sinuses, no contrast dye CPT 70486 Hb Ct Sinuses Wo Cont	$1,502.90	$4,294.00	—	47% below	65%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hb Ct Sinuses Wo Cont	$1,502.90	$4,294.00	—	—	65%
CT scan of the head or brain, no contrast dye CPT 70450 Hb Ct Head Or Brain Wo Cont	$1,296.75	$3,705.00	—	58% below	65%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hb Ct Head Or Brain Wo Cont	$1,296.75	$3,705.00	—	—	65%
CT scan of the head with contrast CPT 70460 Hb Ct Head Or Brain W Cont	$1,607.90	$4,594.00	—	57% below	65%
CT scan of the head with contrast inpatient CPT 70460 Hb Ct Head Or Brain W Cont	$1,607.90	$4,594.00	—	—	65%
CT scan of the head without and with contrast CPT 70470 Hb Ct Head Or Brain Wo And W Cont	$2,009.00	$5,740.00	—	54% below	65%
CT scan of the head without and with contrast inpatient CPT 70470 Hb Ct Head Or Brain Wo And W Cont	$2,009.00	$5,740.00	—	—	65%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hb Ct Lumbar Spine Wo Cont	$621.60	$1,776.00	—	81% below	65%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hb Ct Lumbar Spine Wo Cont	$621.60	$1,776.00	—	—	65%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hb Ct Cervical Spine Wo Cont	$1,537.55	$4,393.00	—	55% below	65%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hb Ct Cervical Spine Wo Cont	$1,537.55	$4,393.00	—	—	65%
CT scan of the pelvis, with contrast dye CPT 72193 Hb Ct Pelvis W Cont	$1,484.35	$4,241.00	—	65% below	65%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hb Ct Pelvis W Cont	$1,484.35	$4,241.00	—	—	65%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hb Dopp Extracranial Bilat	$906.85	$2,591.00	—	—	65%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Hb Dopp Extracranial Bilat	$906.85	$2,591.00	—	—	65%
Chest CT scan without and with contrast CPT 71270 Hb Ct Thorax Wo And W Cont	$914.20	$2,612.00	—	77% below	65%
Chest CT scan without and with contrast inpatient CPT 71270 Hb Ct Thorax Wo And W Cont	$914.20	$2,612.00	—	—	65%
Chest X-ray, 2 views CPT 71046 Hb Xray Chest 2 Views	$256.20	$732.00	—	48% below	65%
Chest X-ray, 2 views inpatient CPT 71046 Hb Xray Chest 2 Views	$256.20	$732.00	—	—	65%
Chest X-ray, single view CPT 71045 Hb Xray Chest 1 View	$252.35	$721.00	—	40% below	65%
Chest X-ray, single view inpatient CPT 71045 Hb Xray Chest 1 View	$252.35	$721.00	—	—	65%
Collarbone (clavicle) X-ray, complete CPT 73000 Hb Xray Clavicle	$199.50	$570.00	—	64% below	65%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Hb Xray Clavicle	$199.50	$570.00	—	—	65%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hb Us Retroperitoneal Realtime W/Img Comp	$504.00	$1,440.00	—	60% below	65%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hb Us Retroperitoneal Realtime W/Img Comp	$504.00	$1,440.00	—	—	65%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hb Dxa Bone Density Axial	$240.45	$687.00	—	61% below	65%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hb Dxa Bone Density Axial	$240.45	$687.00	—	—	65%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hb Dxa Bone Density Peripheral	$368.20	$1,052.00	—	31% above	65%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hb Dxa Bone Density Peripheral	$368.20	$1,052.00	—	—	65%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hb Ob Us Detailed	$239.40	$684.00	—	74% below	65%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hb Ob Us Detailed	$239.40	$684.00	—	—	65%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hb Ct Thorax Wo Cont	$845.25	$2,415.00	—	71% below	65%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hb Ct Thorax Wo Cont	$845.25	$2,415.00	—	—	65%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hb Ct Thorax W Cont	$880.60	$2,516.00	—	77% below	65%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hb Ct Thorax W Cont	$880.60	$2,516.00	—	—	65%
Diagnostic mammogram, both breasts both sides CPT 77066 Hb Mammo Bilateral	$162.75	$465.00	—	—	65%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hb Mammo Bilateral	$162.75	$465.00	—	—	65%
Diagnostic mammogram, one breast one side CPT 77065 Hb Mammo Unilateral	$105.70	$302.00	—	76% below	65%
Diagnostic mammogram, one breast inpatient one side CPT 77065 Hb Mammo Unilateral	$105.70	$302.00	—	—	65%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Hb Dopp Arterial Lower Bilat	$809.90	$2,314.00	—	—	65%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Hb Dopp Arterial Lower Bilat	$809.90	$2,314.00	—	—	65%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hb Dopp Venous Extremity Bilat	$794.15	$2,269.00	—	—	65%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hb Dopp Venous Extremity Bilat	$794.15	$2,269.00	—	—	65%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hb Echo W Doppler W Color Flow Wo Cont	$2,186.10	$6,246.00	—	35% below	65%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hb Echo W Doppler W Color Flow W Cont	$2,363.90	$6,754.00	—	29% below	65%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hb Echo W Doppler W Color Flow Wo Cont	$2,186.10	$6,246.00	—	—	65%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hb Echo W Doppler W Color Flow W Cont	$2,363.90	$6,754.00	—	—	65%
Elbow X-ray, 2 views CPT 73070 Hb Xray Elbow Limited	$150.85	$431.00	—	70% below	65%
Elbow X-ray, 2 views inpatient CPT 73070 Hb Xray Elbow Limited	$150.85	$431.00	—	—	65%
Elbow X-ray, complete, 3 or more views CPT 73080 Hb Xray Elbow Routine	$301.35	$861.00	—	50% below	65%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Hb Xray Elbow Routine	$301.35	$861.00	—	—	65%
Eye socket (orbit) CT scan without contrast CPT 70480 Hb Ct Orbit Ear Fossa Wo Cont	$1,870.05	$5,343.00	—	29% below	65%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Hb Ct Orbit Ear Fossa Wo Cont	$1,870.05	$5,343.00	—	—	65%
Facial bones X-ray, complete, 3 or more views CPT 70150 Hb Xray Facial Bones Routine	$319.55	$913.00	—	58% below	65%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Hb Xray Facial Bones Routine	$319.55	$913.00	—	—	65%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Hb Xray Forearm	$221.90	$634.00	—	61% below	65%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Hb Xray Forearm	$221.90	$634.00	—	—	65%
Hand X-ray, 2 views CPT 73120 Hb Xray Hand Limited	$222.95	$637.00	—	57% below	65%
Hand X-ray, 2 views inpatient CPT 73120 Hb Xray Hand Limited	$222.95	$637.00	—	—	65%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Hb Xray Calcaneus Heel	$201.60	$576.00	—	59% below	65%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Hb Xray Calcaneus Heel	$201.60	$576.00	—	—	65%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hb Sleep Study Unattended	$464.10	$1,326.00	—	37% below	65%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hb Sleep Study Unattended	$464.10	$1,326.00	—	—	65%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hb Polysomnography W Cpap 6Yr Up	$3,885.00	$11,100.00	—	24% below	65%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hb Polysomnography W Cpap 6Yr Up	$3,885.00	$11,100.00	—	—	65%
Knee X-ray, 3 views CPT 73562 Hb Xray Knee 3 Views	$249.55	$713.00	—	64% below	65%
Knee X-ray, 3 views inpatient CPT 73562 Hb Xray Knee 3 Views	$249.55	$713.00	—	—	65%
Knee X-ray, complete, 4 or more views CPT 73564 Hb Xray Knee Routine	$275.10	$786.00	—	64% below	65%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Hb Xray Knee Routine	$275.10	$786.00	—	—	65%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Hb Ct Lower Extremity Wo Cont	$1,058.75	$3,025.00	—	60% below	65%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Hb Ct Lower Extremity Wo Cont	$1,058.75	$3,025.00	—	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hb Us Exam Of Abdomen Limited	$537.60	$1,536.00	—	52% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hb Us Exam Of Abdomen Limited	$537.60	$1,536.00	—	—	65%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hb Us Extremitynon Vasc Ltd	$383.60	$1,096.00	—	40% below	65%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hb Us Extremitynon Vasc Ltd	$383.60	$1,096.00	—	—	65%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hb Ct Thorax Lung Cancer Scr C-	$413.00	$1,180.00	—	43% below	65%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hb Ct Thorax Lung Cancer Scr C-	$413.00	$1,180.00	—	—	65%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Hb Xray Tibia And Fibula	$239.75	$685.00	—	62% below	65%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Hb Xray Tibia And Fibula	$239.75	$685.00	—	—	65%
MR angiography (MRA) of the head without contrast CPT 70544 Hb Mra Head Wo Cont	$1,221.85	$3,491.00	—	58% below	65%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hb Mra Head Wo Cont	$1,221.85	$3,491.00	—	—	65%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Hb Mri Breast C-+ W/Cad Bi	$1,122.10	$3,206.00	—	—	65%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Hb Mri Breast C-+ W/Cad Bi	$1,122.10	$3,206.00	—	—	65%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hb Mri Jnt Lwr Extre Wo Cont	$630.70	$1,802.00	—	82% below	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hb Mri Jnt Lwr Extre Wo Cont	$630.70	$1,802.00	—	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hb Mri Jnt Lwr Extre Wo And W Cont	$2,194.50	$6,270.00	—	55% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hb Mri Jnt Lwr Extre Wo And W Cont	$2,194.50	$6,270.00	—	—	65%
MRI of the abdomen without contrast CPT 74181 Hb Mri Abdomen Wo Cont	$904.40	$2,584.00	—	74% below	65%
MRI of the abdomen without contrast inpatient CPT 74181 Hb Mri Abdomen Wo Cont	$904.40	$2,584.00	—	—	65%
MRI of the abdomen, without and then with contrast dye CPT 74183 Hb Mri Abdomen Wo And W Cont	$1,509.90	$4,314.00	—	65% below	65%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hb Mri Abdomen Wo And W Cont	$1,509.90	$4,314.00	—	—	65%
MRI of the brain, no contrast dye CPT 70551 Hb Mri Brain Wo Cont	$1,522.15	$4,349.00	—	56% below	65%
MRI of the brain, no contrast dye inpatient CPT 70551 Hb Mri Brain Wo Cont	$1,522.15	$4,349.00	—	—	65%
MRI of the brain, with and without contrast dye CPT 70553 Hb Mri Brain Wo And W Cont	$2,040.50	$5,830.00	—	59% below	65%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Hb Mri Brain Wo And W Cont	$2,040.50	$5,830.00	—	—	65%
MRI of the lower back, no contrast dye CPT 72148 Hb Mri Lumbar Spine Wo Cont	$1,292.90	$3,694.00	—	65% below	65%
MRI of the lower back, no contrast dye inpatient CPT 72148 Hb Mri Lumbar Spine Wo Cont	$1,292.90	$3,694.00	—	—	65%
MRI of the lower back, without and then with contrast dye CPT 72158 Hb Mri Lumbar Spine Wo And W Cont	$2,508.45	$7,167.00	—	50% below	65%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hb Mri Lumbar Spine Wo And W Cont	$2,508.45	$7,167.00	—	—	65%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hb Mri Thoracic Spine Wo Cont	$1,492.40	$4,264.00	—	60% below	65%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hb Mri Thoracic Spine Wo Cont	$1,492.40	$4,264.00	—	—	65%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Hb Mri Cervical Spine Wo And W Cont	$2,460.50	$7,030.00	—	49% below	65%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hb Mri Cervical Spine Wo And W Cont	$2,460.50	$7,030.00	—	—	65%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Hb Mri Cervical Spine Wo Cont	$1,177.75	$3,365.00	—	69% below	65%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hb Mri Cervical Spine Wo Cont	$1,177.75	$3,365.00	—	—	65%
MRI of the pelvis without and with contrast CPT 72197 Hb Mri Pelvis Wo And W Cont	$1,687.35	$4,821.00	—	55% below	65%
MRI of the pelvis without and with contrast inpatient CPT 72197 Hb Mri Pelvis Wo And W Cont	$1,687.35	$4,821.00	—	—	65%
MRI of the pelvis, no contrast dye CPT 72195 Hb Mri Pelvis W/O Contrast	$1,332.10	$3,806.00	—	59% below	65%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Hb Mri Pelvis W/O Contrast	$1,332.10	$3,806.00	—	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hb Mri Joint Upr Extrem Wo Cont	$1,008.00	$2,880.00	—	70% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hb Mri Joint Upr Extrem Wo Cont	$1,008.00	$2,880.00	—	—	65%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hb Xray Spine Cervical Routine	$301.70	$862.00	—	66% below	65%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Hb Xray Spine Cervical Routine	$301.70	$862.00	—	—	65%
Neck soft tissue CT scan with contrast CPT 70491 Hb Ct Neck W Cont	$1,229.20	$3,512.00	—	63% below	65%
Neck soft tissue CT scan with contrast inpatient CPT 70491 Hb Ct Neck W Cont	$1,229.20	$3,512.00	—	—	65%
Neck soft tissue CT scan without contrast CPT 70490 Hb Ct Neck Wo Cont	$990.50	$2,830.00	—	67% below	65%
Neck soft tissue CT scan without contrast inpatient CPT 70490 Hb Ct Neck Wo Cont	$990.50	$2,830.00	—	—	65%
Neck soft tissue X-ray CPT 70360 Hb Xray Neck Soft Tissues	$449.40	$1,284.00	—	19% below	65%
Neck soft tissue X-ray inpatient CPT 70360 Hb Xray Neck Soft Tissues	$449.40	$1,284.00	—	—	65%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hb Heart Scan Mult Study Spect	$3,733.10	$10,666.00	—	32% below	65%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hb Heart Scan Mult Study Spect	$3,733.10	$10,666.00	—	—	65%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hb Pet Imaging Ct Attenuation Skull Base Mid-Thigh	$3,703.70	$10,582.00	—	36% below	65%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hb Pet Imaging Ct Attenuation Skull Base Mid-Thigh	$3,703.70	$10,582.00	—	—	65%
Pelvic CT scan without contrast CPT 72192 Hb Ct Pelvis Wo Cont	$1,003.45	$2,867.00	—	67% below	65%
Pelvic CT scan without contrast inpatient CPT 72192 Hb Ct Pelvis Wo Cont	$1,003.45	$2,867.00	—	—	65%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hb Pelvis Ltd Non Ob Sono	$381.85	$1,091.00	—	57% below	65%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hb Pelvis Ltd Non Ob Sono	$381.85	$1,091.00	—	—	65%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hb Pelviscomplete Non Ob Sono	$462.35	$1,321.00	—	65% below	65%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hb Pelviscomplete Non Ob Sono	$462.35	$1,321.00	—	—	65%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hb Ob Us Complete Over 14 Wks 1St Gest	$212.80	$608.00	—	74% below	65%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hb Ob Us Complete Over 14 Wks 1St Gest	$212.80	$608.00	—	—	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hb Ob Us Complete Less 14 Wks 1St Gest	$172.90	$494.00	—	77% below	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hb Ob Us Complete Less 14 Wks 1St Gest	$172.90	$494.00	—	—	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hb Ob Us Ltd Plac Afi Viab Hr	$376.25	$1,075.00	—	42% below	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hb Ob Us Ltd Plac Afi Viab Hr	$376.25	$1,075.00	—	—	65%
Rib X-ray, one side, 2 views one side CPT 71100 Hb Radex Ribs Unilateral 2 Views	$218.75	$625.00	—	62% below	65%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 Hb Radex Ribs Unilateral 2 Views	$218.75	$625.00	—	—	65%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hb Xray Ribs Unilat W Pa Chest	$290.50	$830.00	—	58% below	65%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hb Xray Ribs Unilat W Pa Chest	$290.50	$830.00	—	—	65%
Screening mammogram, both breasts both sides CPT 77067 Hb Mammo Screen Bi 2-View Breast Inc Cad	$203.35	$581.00	—	—	65%
Screening mammogram, both breasts inpatient both sides CPT 77067 Hb Mammo Screen Bi 2-View Breast Inc Cad	$203.35	$581.00	—	—	65%
Shoulder X-ray, complete, 2 or more views CPT 73030 Hb Xray Shoulder Routine	$241.85	$691.00	—	67% below	65%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Hb Xray Shoulder Routine	$241.85	$691.00	—	—	65%
Sinus X-ray, complete, 3 or more views CPT 70220 Hb Xray Sinuses Routine	$331.45	$947.00	—	61% below	65%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hb Xray Sinuses Routine	$331.45	$947.00	—	—	65%
Skull X-ray, fewer than 4 views CPT 70250 Hb Xray Skull Limited	$206.50	$590.00	—	68% below	65%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Hb Xray Skull Limited	$206.50	$590.00	—	—	65%
Sleep study in a lab (polysomnography) CPT 95810 Hb Polysomnography 4 Up 6Yr Up	$3,532.55	$10,093.00	—	34% below	65%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Hb Polysomnography 4 Up 6Yr Up	$3,532.55	$10,093.00	—	—	65%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Hb Xray Esophagus Video	$579.25	$1,655.00	—	41% below	65%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hb Xray Esophagus Video	$579.25	$1,655.00	—	—	65%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Hb Xray Femur 2 Views	$257.60	$736.00	—	51% below	65%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Hb Xray Femur 2 Views	$257.60	$736.00	—	—	65%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Hb Ct Thoracic Spine Wo Cont	$900.55	$2,573.00	—	70% below	65%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Hb Ct Thoracic Spine Wo Cont	$900.55	$2,573.00	—	—	65%
Toe X-ray, 2 or more views CPT 73660 Hb Xray Toes	$163.10	$466.00	—	67% below	65%
Toe X-ray, 2 or more views inpatient CPT 73660 Hb Xray Toes	$163.10	$466.00	—	—	65%
Transvaginal pelvic ultrasound CPT 76830 Hb Transvaginal Non Preg Sono	$522.90	$1,494.00	—	48% below	65%
Transvaginal pelvic ultrasound inpatient CPT 76830 Hb Transvaginal Non Preg Sono	$522.90	$1,494.00	—	—	65%
Transvaginal ultrasound during pregnancy CPT 76817 Hb Ob Us Transvaginal	$299.60	$856.00	—	67% below	65%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hb Ob Us Transvaginal	$299.60	$856.00	—	—	65%
Ultrasound of the abdomen, complete CPT 76700 Hb Us Exam Of Abdomen Complete	$614.60	$1,756.00	—	60% below	65%
Ultrasound of the abdomen, complete inpatient CPT 76700 Hb Us Exam Of Abdomen Complete	$614.60	$1,756.00	—	—	65%
Ultrasound of the scrotum and testicles CPT 76870 Hb Scrotal Testicular Sono	$452.20	$1,292.00	—	58% below	65%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Hb Scrotal Testicular Sono	$452.20	$1,292.00	—	—	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hb Us Exam Of Head And Neck	$446.95	$1,277.00	—	62% below	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hb Us Exam Of Head And Neck	$446.95	$1,277.00	—	—	65%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hb Xray Upper Gi Tract	$537.60	$1,536.00	—	52% below	65%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hb 74240 X-Ray Xm Upr Gi Trc 1Cntrst	$1,125.25	$3,215.00	—	at median	65%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hb Xray Upper Gi Tract	$537.60	$1,536.00	—	—	65%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hb 74240 X-Ray Xm Upr Gi Trc 1Cntrst	$1,125.25	$3,215.00	—	—	65%
Upper arm X-ray (humerus), 2 views CPT 73060 Hb Xray Humerus	$230.65	$659.00	—	60% below	65%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Hb Xray Humerus	$230.65	$659.00	—	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Hb 93971 Dopp Venous Extremity	$573.30	$1,638.00	—	33% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hb Dopp Venous Extremity Unilat	$573.30	$1,638.00	—	33% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Hb 93971 Dopp Venous Extremity	$573.30	$1,638.00	—	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hb Dopp Venous Extremity Unilat	$573.30	$1,638.00	—	—	65%
Wrist X-ray, 2 views CPT 73100 Hb Xray Wrist Limited	$135.10	$386.00	—	78% below	65%
Wrist X-ray, 2 views inpatient CPT 73100 Hb Xray Wrist Limited	$135.10	$386.00	—	—	65%
Wrist X-ray, complete, 3 or more views CPT 73110 Hb Xray Wrist Routine	$267.75	$765.00	—	62% below	65%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hb Xray Wrist Routine	$267.75	$765.00	—	—	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hb Xray Exam Hip Uni 2-3 Views	$82.60	$236.00	—	86% below	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hb Xray Exam Hip Uni 2-3 Views	$82.60	$236.00	—	—	65%
X-ray of the abdomen, 1 view CPT 74018 Hb Xray Abdomen 1 View	$309.75	$885.00	—	37% below	65%
X-ray of the abdomen, 1 view inpatient CPT 74018 Hb Xray Abdomen 1 View	$309.75	$885.00	—	—	65%
X-ray of the ankle, 2 views CPT 73600 Hb Xray Ankle Limited	$120.05	$343.00	—	75% below	65%
X-ray of the ankle, 2 views inpatient CPT 73600 Hb Xray Ankle Limited	$120.05	$343.00	—	—	65%
X-ray of the finger(s), 2 or more views CPT 73140 Hb Xray Finger	$169.40	$484.00	—	64% below	65%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hb Xray Finger	$169.40	$484.00	—	—	65%
X-ray of the foot, 2 views CPT 73620 Hb Xray Foot Limited	$119.70	$342.00	—	76% below	65%
X-ray of the foot, 2 views inpatient CPT 73620 Hb Xray Foot Limited	$119.70	$342.00	—	—	65%
X-ray of the foot, complete, 3 or more views CPT 73630 Hb Xray Foot Routine	$239.40	$684.00	—	60% below	65%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hb Xray Foot Routine	$239.40	$684.00	—	—	65%
X-ray of the hand, 3 or more views CPT 73130 Hb Xray Hand Routine	$267.75	$765.00	—	58% below	65%
X-ray of the hand, 3 or more views inpatient CPT 73130 Hb Xray Hand Routine	$267.75	$765.00	—	—	65%
X-ray of the knee, 1 or 2 views CPT 73560 Hb Xray Knee Limited	$225.05	$643.00	—	63% below	65%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hb Xray Knee Limited	$225.05	$643.00	—	—	65%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hb Xray Spine Lumbar Limited	$247.45	$707.00	—	64% below	65%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hb Xray Spine Lumbar Limited	$247.45	$707.00	—	—	65%
X-ray of the lower back, 4 or more views CPT 72110 Hb Xray Spine Lumbar Routine	$495.60	$1,416.00	—	56% below	65%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Hb Xray Spine Lumbar Routine	$495.60	$1,416.00	—	—	65%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hb Xray T Spine Limited	$267.75	$765.00	—	57% below	65%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hb Xray T Spine Limited	$267.75	$765.00	—	—	65%
X-ray of the nasal bones, 3 or more views CPT 70160 Hb Xray Nasal Bones Routine	$205.10	$586.00	—	68% below	65%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hb Xray Nasal Bones Routine	$205.10	$586.00	—	—	65%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hb Xray Spine Cervical Limited	$278.25	$795.00	—	60% below	65%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hb Xray Spine Cervical Limited	$278.25	$795.00	—	—	65%
X-ray of the pelvis, 1 or 2 views CPT 72170 Hb Xray Pelvis Limited	$206.15	$589.00	—	67% below	65%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hb Xray Pelvis Limited	$206.15	$589.00	—	—	65%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hb Xray Sacrum And Coccyx Limited	$234.50	$670.00	—	64% below	65%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hb Xray Sacrum And Coccyx Limited	$234.50	$670.00	—	—	65%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hb Alt Gpt	$51.45	$147.00	—	31% above	65%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hb Alt Gpt	$51.45	$147.00	—	—	65%
AST (aspartate aminotransferase) enzyme test CPT 84450 Hb Ast Got	$82.60	$236.00	—	51% above	65%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hb Ast Got	$82.60	$236.00	—	—	65%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hb Hepatitis Panel Acute	$299.60	$856.00	—	85% above	65%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hb Hepatitis Panel Acute	$299.60	$856.00	—	—	65%
Albumin blood test CPT 82040 Hb Albumin Serum	$81.20	$232.00	—	380% above	65%
Albumin blood test inpatient CPT 82040 Hb Albumin Serum	$81.20	$232.00	—	—	65%
Alkaline phosphatase (ALP) blood test CPT 84075 Hb Alk Phosphatase	$58.45	$167.00	—	34% above	65%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hb Alk Phosphatase	$58.45	$167.00	—	—	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Hb Rast	$1.80	$5.14	—	77% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Hb Food Allergy Panel X15	$37.45	$107.00	—	380% above	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hb Rast	$1.80	$5.14	—	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hb Food Allergy Panel X15	$37.45	$107.00	—	—	65%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Afp Serum	$11.20	$32.00	—	67% below	65%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Afp Maternal Serum	$12.60	$36.00	—	63% below	65%
Alpha-fetoprotein (AFP) blood test CPT 82105 Hb Afp Tumor Marker	$168.70	$482.00	—	401% above	65%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Afp Serum	$11.20	$32.00	—	—	65%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Afp Maternal Serum	$12.60	$36.00	—	—	65%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hb Afp Tumor Marker	$168.70	$482.00	—	—	65%
Ammonia blood test CPT 82140 Hb Ammonia	$154.35	$441.00	—	35% above	65%
Ammonia blood test inpatient CPT 82140 Hb Ammonia	$154.35	$441.00	—	—	65%
Amylase blood test CPT 82150 Hb Amylase Timed Urine	$161.35	$461.00	—	415% above	65%
Amylase blood test CPT 82150 Hb Amylase	$161.35	$461.00	—	415% above	65%
Amylase blood test inpatient CPT 82150 Hb Amylase Timed Urine	$161.35	$461.00	—	—	65%
Amylase blood test inpatient CPT 82150 Hb Amylase	$161.35	$461.00	—	—	65%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hb Ccp Antibody Igg	$121.10	$346.00	—	344% above	65%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hb Ccp Antibody Igg	$121.10	$346.00	—	—	65%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hb Fana	$148.75	$425.00	—	414% above	65%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hb Fana	$148.75	$425.00	—	—	65%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-Probnp	$45.15	$129.00	—	73% below	65%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hb B Natriuretic Peptide	$186.55	$533.00	—	12% above	65%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Nt-Probnp	$45.15	$129.00	—	—	65%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hb B Natriuretic Peptide	$186.55	$533.00	—	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Eye Culture	$209.30	$598.00	—	180% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Cerebrospinal (Csf) Culture	$209.30	$598.00	—	180% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Fluid Culture	$209.30	$598.00	—	180% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Aerobic Ortho Culture	$209.30	$598.00	—	180% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Environmental Cul	$209.30	$598.00	—	180% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Resp Cult Upper	$209.30	$598.00	—	180% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Resp Cult Lower	$209.30	$598.00	—	180% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Genital Culture	$209.30	$598.00	—	180% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Wound Lesion Fld	$209.30	$598.00	—	180% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Fluid Cult Bactec	$209.30	$598.00	—	180% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Resp Lung Transplant Cult	$209.30	$598.00	—	180% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hb Resp Cyst Fibrosis Culture	$209.30	$598.00	—	180% above	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Resp Cult Lower	$209.30	$598.00	—	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Resp Cult Upper	$209.30	$598.00	—	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Resp Cyst Fibrosis Culture	$209.30	$598.00	—	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Resp Lung Transplant Cult	$209.30	$598.00	—	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Cerebrospinal (Csf) Culture	$209.30	$598.00	—	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Fluid Cult Bactec	$209.30	$598.00	—	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Wound Lesion Fld	$209.30	$598.00	—	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Eye Culture	$209.30	$598.00	—	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Genital Culture	$209.30	$598.00	—	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Fluid Culture	$209.30	$598.00	—	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Aerobic Ortho Culture	$209.30	$598.00	—	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hb Environmental Cul	$209.30	$598.00	—	—	65%
Basic metabolic panel (blood test) CPT 80048 Hb Basic Metabolic Panel	$110.25	$315.00	—	67% below	65%
Basic metabolic panel (blood test) inpatient CPT 80048 Hb Basic Metabolic Panel	$110.25	$315.00	—	—	65%
Bilirubin blood test, total CPT 82247 Hb Bilirubin Total	$70.35	$201.00	—	198% above	65%
Bilirubin blood test, total inpatient CPT 82247 Hb Bilirubin Total	$70.35	$201.00	—	—	65%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hb Gross And Micro C	$371.35	$1,061.00	—	219% above	65%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hb Cytology Cell Block	$371.35	$1,061.00	—	219% above	65%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hb Cytology Cell Block	$371.35	$1,061.00	—	—	65%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hb Gross And Micro C	$371.35	$1,061.00	—	—	65%
Blood culture for bacteria CPT 87040 Hb Aer Bld Culture Ped	$176.75	$505.00	—	48% below	65%
Blood culture for bacteria CPT 87040 Hb Blood Culture Rx Removed	$176.75	$505.00	—	48% below	65%
Blood culture for bacteria CPT 87040 Hb Aer Ana Bld Cult Ped	$176.75	$505.00	—	48% below	65%
Blood culture for bacteria CPT 87040 Hb Bld Cult For Hacek Org	$176.75	$505.00	—	48% below	65%
Blood culture for bacteria inpatient CPT 87040 Hb Blood Culture Rx Removed	$176.75	$505.00	—	—	65%
Blood culture for bacteria inpatient CPT 87040 Hb Bld Cult For Hacek Org	$176.75	$505.00	—	—	65%
Blood culture for bacteria inpatient CPT 87040 Hb Aer Ana Bld Cult Ped	$176.75	$505.00	—	—	65%
Blood culture for bacteria inpatient CPT 87040 Hb Aer Bld Culture Ped	$176.75	$505.00	—	—	65%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hb Venipuncture Draw	$13.30	$38.00	—	30% below	65%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hb Venipuncture Draw	$13.30	$38.00	—	—	65%
Blood glucose (sugar) test CPT 82947 Hb Glucose Bedside	$9.80	$28.00	—	78% below	65%
Blood glucose (sugar) test CPT 82947 Hb Glucose	$133.00	$380.00	—	197% above	65%
Blood glucose (sugar) test inpatient CPT 82947 Hb Glucose Bedside	$9.80	$28.00	—	—	65%
Blood glucose (sugar) test inpatient CPT 82947 Hb Glucose	$133.00	$380.00	—	—	65%
Blood lead test CPT 83655 Hb Bedside Lead Assay	$28.00	$80.00	—	157% above	65%
Blood lead test CPT 83655 Hb Assay Of Lead	$67.55	$193.00	—	521% above	65%
Blood lead test inpatient CPT 83655 Hb Bedside Lead Assay	$28.00	$80.00	—	—	65%
Blood lead test inpatient CPT 83655 Hb Assay Of Lead	$67.55	$193.00	—	—	65%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hb Bedside Hcg Qualitative Analysis Blood	$88.55	$253.00	—	29% below	65%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hb Hcg Poc	$100.80	$288.00	—	20% below	65%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hb Preg Test Beta Serum	$110.95	$317.00	—	12% below	65%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hb Bedside Hcg Qualitative Analysis Blood	$88.55	$253.00	—	—	65%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hb Hcg Poc	$100.80	$288.00	—	—	65%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hb Preg Test Beta Serum	$110.95	$317.00	—	—	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hb Blood Typing, Serologic; Abo	$16.10	$46.00	—	66% below	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hb Blood Typing, Serologic; Abo	$16.10	$46.00	—	—	65%
Blood urea nitrogen (BUN) test CPT 84520 Hb Bun Bedside	$9.80	$28.00	—	78% below	65%
Blood urea nitrogen (BUN) test CPT 84520 Hb Bun	$68.25	$195.00	—	51% above	65%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Hb Bun Bedside	$9.80	$28.00	—	—	65%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Hb Bun	$68.25	$195.00	—	—	65%
C-peptide blood test CPT 84681 Hb C Peptide	$58.80	$168.00	—	61% above	65%
C-peptide blood test inpatient CPT 84681 Hb C Peptide	$58.80	$168.00	—	—	65%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hb C-Reactive Protein (Crp)	$136.50	$390.00	—	88% above	65%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hb C-Reactive Protein (Crp)	$136.50	$390.00	—	—	65%
C. difficile toxin gene test (stool PCR) CPT 87493 Hb C Difficile Toxin Pcr	$236.60	$676.00	—	108% above	65%
C. difficile toxin gene test (stool PCR) CPT 87493 Hb Stat C. Diff Pcr	$236.60	$676.00	—	108% above	65%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hb C Difficile Toxin Pcr	$236.60	$676.00	—	—	65%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hb Stat C. Diff Pcr	$236.60	$676.00	—	—	65%
CA 19-9 blood test (tumor marker) CPT 86301 Hb Ca199	$54.60	$156.00	—	1% below	65%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hb Ca199	$54.60	$156.00	—	—	65%
CA-125 blood test (ovarian cancer marker) CPT 86304 Hb Fluid Ca 125	$191.45	$547.00	—	131% above	65%
CA-125 blood test (ovarian cancer marker) CPT 86304 Hb Ca 125	$220.15	$629.00	—	166% above	65%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hb Fluid Ca 125	$191.45	$547.00	—	—	65%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hb Ca 125	$220.15	$629.00	—	—	65%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hb Sars-Cov-2 Covid-19 Amp Prb	$130.55	$373.00	—	49% above	65%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hb Sars-Cov-2 Covid-19 Amp Prb	$130.55	$373.00	—	—	65%
Calcium blood test, total CPT 82310 Hb Fluid Calcium	$118.30	$338.00	—	140% above	65%
Calcium blood test, total CPT 82310 Hb Calcium	$118.30	$338.00	—	140% above	65%
Calcium blood test, total inpatient CPT 82310 Hb Calcium	$118.30	$338.00	—	—	65%
Calcium blood test, total inpatient CPT 82310 Hb Fluid Calcium	$118.30	$338.00	—	—	65%
Carcinoembryonic antigen (CEA) test CPT 82378 Hb C E A	$127.75	$365.00	—	9% above	65%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hb C E A	$127.75	$365.00	—	—	65%
Chickenpox (varicella) immunity blood test CPT 86787 Hb Vzv Igg Fluid	$8.05	$23.00	—	56% below	65%
Chickenpox (varicella) immunity blood test CPT 86787 Hb Vzv Igg	$80.15	$229.00	—	340% above	65%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hb Vzv Igg Fluid	$8.05	$23.00	—	—	65%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hb Vzv Igg	$80.15	$229.00	—	—	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hb Pcr Chlamydia Trachomitis	$124.25	$355.00	—	196% above	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hb Pcr Chlamydia Trachomitis	$124.25	$355.00	—	—	65%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hb Hdl Profile Lipid Panel	$119.35	$341.00	—	18% above	65%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hb Hdl Profile Lipid Panel	$119.35	$341.00	—	—	65%
Complete blood count (CBC) with differential CPT 85025 Hb Cbc (General Health Panel Only)	$30.10	$86.00	—	56% below	65%
Complete blood count (CBC) with differential CPT 85025 Hb Cbc	$122.85	$351.00	—	81% above	65%
Complete blood count (CBC) with differential inpatient CPT 85025 Hb Cbc (General Health Panel Only)	$30.10	$86.00	—	—	65%
Complete blood count (CBC) with differential inpatient CPT 85025 Hb Cbc	$122.85	$351.00	—	—	65%
Complete blood count (CBC), no differential CPT 85027 Hb Complete Cbc Automated (General Health Panel Only)	$30.10	$86.00	—	69% below	65%
Complete blood count (CBC), no differential CPT 85027 Hb Hemogram	$100.80	$288.00	—	2% above	65%
Complete blood count (CBC), no differential CPT 85027 Hb Complete Cbc Automated	$100.80	$288.00	—	2% above	65%
Complete blood count (CBC), no differential inpatient CPT 85027 Hb Complete Cbc Automated (General Health Panel Only)	$30.10	$86.00	—	—	65%
Complete blood count (CBC), no differential inpatient CPT 85027 Hb Hemogram	$100.80	$288.00	—	—	65%
Complete blood count (CBC), no differential inpatient CPT 85027 Hb Complete Cbc Automated	$100.80	$288.00	—	—	65%
Comprehensive metabolic panel (blood test) CPT 80053 Hb Complete Metabolic Panel Poc	$11.20	$32.00	—	98% below	65%
Comprehensive metabolic panel (blood test) CPT 80053 Hb Complete Metabolic Panel	$11.20	$32.00	—	98% below	65%
Comprehensive metabolic panel (blood test) CPT 80053 Hb Comprehensive Metabolic Panel (General Health Panel Only)	$22.40	$64.00	—	95% below	65%
Comprehensive metabolic panel (blood test) CPT 80053 Hb Comprehensive Metabolic Panel	$239.75	$685.00	—	48% below	65%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hb Complete Metabolic Panel	$11.20	$32.00	—	—	65%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hb Complete Metabolic Panel Poc	$11.20	$32.00	—	—	65%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hb Comprehensive Metabolic Panel (General Health Panel Only)	$22.40	$64.00	—	—	65%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hb Comprehensive Metabolic Panel	$239.75	$685.00	—	—	65%
Cortisol blood test, total CPT 82533 Hb Cortisol	$172.90	$494.00	—	169% above	65%
Cortisol blood test, total CPT 82533 Hb Cortisol Post Dose 1 Hour	$172.90	$494.00	—	169% above	65%
Cortisol blood test, total CPT 82533 Hb Cortisol Post Dose 30 Min	$172.90	$494.00	—	169% above	65%
Cortisol blood test, total inpatient CPT 82533 Hb Cortisol Post Dose 30 Min	$172.90	$494.00	—	—	65%
Cortisol blood test, total inpatient CPT 82533 Hb Cortisol Post Dose 1 Hour	$172.90	$494.00	—	—	65%
Cortisol blood test, total inpatient CPT 82533 Hb Cortisol	$172.90	$494.00	—	—	65%
Creatine kinase (CK) blood test, total CPT 82550 Hb Cpk	$172.55	$493.00	—	132% above	65%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Hb Cpk	$172.55	$493.00	—	—	65%
Creatinine blood test CPT 82565 Hb Creatinine Bedside	$11.90	$34.00	—	78% below	65%
Creatinine blood test CPT 82565 Hb Creatinine	$103.60	$296.00	—	90% above	65%
Creatinine blood test inpatient CPT 82565 Hb Creatinine Bedside	$11.90	$34.00	—	—	65%
Creatinine blood test inpatient CPT 82565 Hb Creatinine	$103.60	$296.00	—	—	65%
Cytomegalovirus (CMV) antibody test CPT 86644 Hb Cytomegalovirus Igg	$28.30	$80.86	—	1% above	65%
Cytomegalovirus (CMV) antibody test CPT 86644 Hb Donor, Cytomegalovirus (Cmv) Total Antibodies	$35.18	$100.52	—	26% above	65%
Cytomegalovirus (CMV) antibody test CPT 86644 Hb Cmv Igg	$104.30	$298.00	—	272% above	65%
Cytomegalovirus (CMV) antibody test CPT 86644 Hb Cmv Neg Component 080	$126.70	$362.00	—	352% above	65%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hb Cytomegalovirus Igg	$28.30	$80.86	—	—	65%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hb Donor, Cytomegalovirus (Cmv) Total Antibodies	$35.18	$100.52	—	—	65%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hb Cmv Igg	$104.30	$298.00	—	—	65%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hb Cmv Neg Component 080	$126.70	$362.00	—	—	65%
D-dimer blood test (blood clot marker) CPT 85379 Hb Neodmr Hepzyme Treated Ddimer	$89.60	$256.00	—	55% below	65%
D-dimer blood test (blood clot marker) CPT 85379 Hb D Dimer Quant	$219.10	$626.00	—	11% above	65%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hb Neodmr Hepzyme Treated Ddimer	$89.60	$256.00	—	—	65%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hb D Dimer Quant	$219.10	$626.00	—	—	65%
DHEA sulfate (DHEA-S) blood test CPT 82627 Hb Dhea S	$25.04	$71.54	—	44% below	65%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hb Dhea S	$25.04	$71.54	—	—	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Cocaine Pro	$68.60	$196.00	—	8% above	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Methadone	$68.60	$196.00	—	8% above	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Cannabinoid Pro	$68.60	$196.00	—	8% above	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Drug Screening	$68.60	$196.00	—	8% above	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Opiates Pro	$68.60	$196.00	—	8% above	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Barbiturate Pro	$68.60	$196.00	—	8% above	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Oxycodone Qualitative Screen Urine	$68.60	$196.00	—	8% above	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Benzodiazepine Pro	$68.60	$196.00	—	8% above	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Pcp Pro	$68.60	$196.00	—	8% above	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Hb Amphetamine Pro	$68.60	$196.00	—	8% above	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Pcp Pro	$68.60	$196.00	—	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Oxycodone Qualitative Screen Urine	$68.60	$196.00	—	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Methadone	$68.60	$196.00	—	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Opiates Pro	$68.60	$196.00	—	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Cocaine Pro	$68.60	$196.00	—	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Cannabinoid Pro	$68.60	$196.00	—	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Drug Screening	$68.60	$196.00	—	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Benzodiazepine Pro	$68.60	$196.00	—	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Barbiturate Pro	$68.60	$196.00	—	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hb Amphetamine Pro	$68.60	$196.00	—	—	65%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hb Electrolytes Bedside	$10.85	$31.00	—	95% below	65%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hb Electrolyte Profile	$101.50	$290.00	—	54% below	65%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hb Electrolytes Bedside	$10.85	$31.00	—	—	65%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hb Electrolyte Profile	$101.50	$290.00	—	—	65%
Epstein-Barr virus (EBV) antibody test CPT 86665 Hb Ebv Vca Igm	$93.45	$267.00	—	224% above	65%
Epstein-Barr virus (EBV) antibody test CPT 86665 Hb Ebv Vca Ab Igg	$112.00	$320.00	—	289% above	65%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hb Ebv Vca Igm	$93.45	$267.00	—	—	65%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hb Ebv Vca Ab Igg	$112.00	$320.00	—	—	65%
FSH (follicle-stimulating hormone) test CPT 83001 Hb Follicle Stimulating Hormone	$201.25	$575.00	—	219% above	65%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hb Follicle Stimulating Hormone	$201.25	$575.00	—	—	65%
Fecal calprotectin (stool inflammation test) CPT 83993 Hb Calprotectin, Stool	$49.00	$140.00	—	59% below	65%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hb Calprotectin, Stool	$49.00	$140.00	—	—	65%
Ferritin blood test (iron stores) CPT 82728 Hb Ferritin	$121.10	$346.00	—	2% below	65%
Ferritin blood test (iron stores) inpatient CPT 82728 Hb Ferritin	$121.10	$346.00	—	—	65%
Fibrinogen blood test CPT 85384 Hb Fibrinogen Activity Platelet Mapping For Asp	$34.30	$98.00	—	56% below	65%
Fibrinogen blood test CPT 85384 Hb Fibrinogen Activity Platelet Mapping Asp And Plav	$40.60	$116.00	—	48% below	65%
Fibrinogen blood test CPT 85384 Hb Neofib Hepzyme Treated Fibrinogen	$71.40	$204.00	—	9% below	65%
Fibrinogen blood test CPT 85384 Hb Fibrinogen Teg	$125.30	$358.00	—	59% above	65%
Fibrinogen blood test CPT 85384 Hb Fibrinogen Activity K	$125.30	$358.00	—	59% above	65%
Fibrinogen blood test CPT 85384 Hb Rapid Teg K	$125.30	$358.00	—	59% above	65%
Fibrinogen blood test CPT 85384 Hb Fibrinogen Level	$125.30	$358.00	—	59% above	65%
Fibrinogen blood test inpatient CPT 85384 Hb Fibrinogen Activity Platelet Mapping For Asp	$34.30	$98.00	—	—	65%
Fibrinogen blood test inpatient CPT 85384 Hb Fibrinogen Activity Platelet Mapping Asp And Plav	$40.60	$116.00	—	—	65%
Fibrinogen blood test inpatient CPT 85384 Hb Neofib Hepzyme Treated Fibrinogen	$71.40	$204.00	—	—	65%
Fibrinogen blood test inpatient CPT 85384 Hb Rapid Teg K	$125.30	$358.00	—	—	65%
Fibrinogen blood test inpatient CPT 85384 Hb Fibrinogen Teg	$125.30	$358.00	—	—	65%
Fibrinogen blood test inpatient CPT 85384 Hb Fibrinogen Level	$125.30	$358.00	—	—	65%
Fibrinogen blood test inpatient CPT 85384 Hb Fibrinogen Activity K	$125.30	$358.00	—	—	65%
Folate (folic acid) blood test CPT 82746 Hb Folate	$138.25	$395.00	—	10% above	65%
Folate (folic acid) blood test inpatient CPT 82746 Hb Folate	$138.25	$395.00	—	—	65%
Free T3 thyroid hormone test CPT 84481 Hb T3 Free	$40.60	$116.00	—	35% below	65%
Free T3 thyroid hormone test inpatient CPT 84481 Hb T3 Free	$40.60	$116.00	—	—	65%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hb T4 Free	$127.75	$365.00	—	52% above	65%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hb T4 Free	$127.75	$365.00	—	—	65%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hb Ggt	$114.10	$326.00	—	147% above	65%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hb Ggt	$114.10	$326.00	—	—	65%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hb O Sullivan Test	$103.60	$296.00	—	47% above	65%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hb Post Prandial 2Hr Glucose	$103.60	$296.00	—	47% above	65%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hb Gdm Screen	$103.60	$296.00	—	47% above	65%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hb Glucose Challenge Test	$103.60	$296.00	—	47% above	65%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hb Glucose Challenge Test	$103.60	$296.00	—	—	65%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hb Post Prandial 2Hr Glucose	$103.60	$296.00	—	—	65%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hb Gdm Screen	$103.60	$296.00	—	—	65%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hb O Sullivan Test	$103.60	$296.00	—	—	65%
Glucose tolerance test, 3 samples CPT 82951 Hb Gluc Tol Three Samples Blood	$96.95	$277.00	—	23% below	65%
Glucose tolerance test, 3 samples inpatient CPT 82951 Hb Gluc Tol Three Samples Blood	$96.95	$277.00	—	—	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hb Pcr Gc	$144.55	$413.00	—	248% above	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hb Pcr Gc	$144.55	$413.00	—	—	65%
H. pylori stool antigen test CPT 87338 Hb Helico Pylori Antigen	$120.40	$344.00	—	154% above	65%
H. pylori stool antigen test inpatient CPT 87338 Hb Helico Pylori Antigen	$120.40	$344.00	—	—	65%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hb Hiv Viral Load	$439.60	$1,256.00	—	297% above	65%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hb Hiv Viral Load	$439.60	$1,256.00	—	—	65%
HIV-1 and HIV-2 antibody test CPT 86703 Hb Donor, Hiv-1/Hiv-2 Plus O Antibody Screen	$35.18	$100.52	—	29% below	65%
HIV-1 and HIV-2 antibody test CPT 86703 Hb Anti Hiv I Or Ii Test 042	$142.80	$408.00	—	187% above	65%
HIV-1 and HIV-2 antibody test CPT 86703 Hb Hiv 1 Or 2	$179.20	$512.00	—	261% above	65%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hb Donor, Hiv-1/Hiv-2 Plus O Antibody Screen	$35.18	$100.52	—	—	65%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hb Anti Hiv I Or Ii Test 042	$142.80	$408.00	—	—	65%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hb Hiv 1 Or 2	$179.20	$512.00	—	—	65%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hb Focus Hiv Antigen Antibody Combo	$39.20	$112.00	—	50% below	65%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hb Hiv 1 Ag W Hiv 1 2 Ab	$39.20	$112.00	—	50% below	65%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hb Focus Hiv Antigen Antibody Combo	$39.20	$112.00	—	—	65%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hb Hiv 1 Ag W Hiv 1 2 Ab	$39.20	$112.00	—	—	65%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hb Hpv High Risk Dna Analysis	$9.80	$28.00	—	73% below	65%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hb Hpv High Risk Dna Analysis	$9.80	$28.00	—	—	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Noncdm Charge Record	$23.80	$68.00	—	66% below	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hb Hgba1C Poc	$25.20	$72.00	—	64% below	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hb Hgb A1C	$228.20	$652.00	—	228% above	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Noncdm Charge Record	$23.80	$68.00	—	—	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hb Hgba1C Poc	$25.20	$72.00	—	—	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hb Hgb A1C	$228.20	$652.00	—	—	65%
Hemoglobin blood test CPT 85018 Hb Hemoglobin Concentration	$43.05	$123.00	—	21% below	65%
Hemoglobin blood test CPT 85018 Hb Hemoglobin	$47.60	$136.00	—	13% below	65%
Hemoglobin blood test CPT 85018 Hb Hemoglobin Bedside	$47.60	$136.00	—	13% below	65%
Hemoglobin blood test inpatient CPT 85018 Hb Hemoglobin Concentration	$43.05	$123.00	—	—	65%
Hemoglobin blood test inpatient CPT 85018 Hb Hemoglobin	$47.60	$136.00	—	—	65%
Hemoglobin blood test inpatient CPT 85018 Hb Hemoglobin Bedside	$47.60	$136.00	—	—	65%
Hepatitis B core antibody test (total) CPT 86704 Hb Donor, Hepatitis B Core Total Antibody	$35.18	$100.52	—	1% below	65%
Hepatitis B core antibody test (total) CPT 86704 Hb Hepatitis B Core Total Ab	$158.20	$452.00	—	345% above	65%
Hepatitis B core antibody test (total) CPT 86704 Hb Anti Hbcore Test 251	$170.10	$486.00	—	378% above	65%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hb Donor, Hepatitis B Core Total Antibody	$35.18	$100.52	—	—	65%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hb Hepatitis B Core Total Ab	$158.20	$452.00	—	—	65%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hb Anti Hbcore Test 251	$170.10	$486.00	—	—	65%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hb Hepatitis B Surface Ab	$187.25	$535.00	—	326% above	65%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hb Hbsab Quantitative	$187.25	$535.00	—	326% above	65%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hb Hbsag Confirmation Test 163	$199.15	$569.00	—	353% above	65%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hb Hepatitis B Surface Ab	$187.25	$535.00	—	—	65%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hb Hbsab Quantitative	$187.25	$535.00	—	—	65%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hb Hbsag Confirmation Test 163	$199.15	$569.00	—	—	65%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hb Donor, Hepatitis B Surface Antigen Reflex To Confirmation	$35.18	$100.52	—	2% below	65%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hb Hepatitis B Surface Antigen	$79.80	$228.00	—	122% above	65%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hb Donor, Hepatitis B Surface Antigen Reflex To Confirmation	$35.18	$100.52	—	—	65%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hb Hepatitis B Surface Antigen	$79.80	$228.00	—	—	65%
Hepatitis C antibody blood test (screening) CPT 86803 Hb Donor, Hepatitis C Antibody (Anti-Hcv)	$35.18	$100.52	—	25% below	65%
Hepatitis C antibody blood test (screening) CPT 86803 Hb Focus Hcv Antibody	$126.00	$360.00	—	170% above	65%
Hepatitis C antibody blood test (screening) CPT 86803 Hb Hepatitis C Antibody	$126.00	$360.00	—	170% above	65%
Hepatitis C antibody blood test (screening) CPT 86803 Hb Riba Hcv 3.0 Strip Immun 192	$134.40	$384.00	—	188% above	65%
Hepatitis C antibody blood test (screening) CPT 86803 Hb Riba Hcv 2.0 098	$134.75	$385.00	—	189% above	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hb Donor, Hepatitis C Antibody (Anti-Hcv)	$35.18	$100.52	—	—	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hb Hepatitis C Antibody	$126.00	$360.00	—	—	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hb Focus Hcv Antibody	$126.00	$360.00	—	—	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hb Riba Hcv 3.0 Strip Immun 192	$134.40	$384.00	—	—	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hb Riba Hcv 2.0 098	$134.75	$385.00	—	—	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hb Hcv Rna Quantitative	$220.85	$631.00	—	95% above	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hb Focus Hcv Quant	$220.85	$631.00	—	95% above	65%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hb Focus Hcv Quant	$220.85	$631.00	—	—	65%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hb Hcv Rna Quantitative	$220.85	$631.00	—	—	65%
Herpes blood test, HSV-1 antibody CPT 86695 Hb Herpes Simplex Igg	$126.00	$360.00	—	438% above	65%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hb Herpes Simplex Igg	$126.00	$360.00	—	—	65%
High-sensitivity CRP (hs-CRP) test CPT 86141 Hb Crp High Sensitivity	$136.50	$390.00	—	223% above	65%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hb Crp High Sensitivity	$136.50	$390.00	—	—	65%
Homocysteine blood test CPT 83090 Hb Homocysteine	$250.25	$715.00	—	366% above	65%
Homocysteine blood test inpatient CPT 83090 Hb Homocysteine	$250.25	$715.00	—	—	65%
Iron blood test (serum iron) CPT 83540 Hb Iron	$88.55	$253.00	—	62% above	65%
Iron blood test (serum iron) inpatient CPT 83540 Hb Iron	$88.55	$253.00	—	—	65%
Iron-binding capacity (TIBC) test CPT 83550 Hb Iron Binding Capacity	$21.70	$62.00	—	76% below	65%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Hb Iron Binding Capacity	$21.70	$62.00	—	—	65%
Kidney function blood test panel CPT 80069 Hb Renal Function Panel	$114.10	$326.00	—	72% below	65%
Kidney function blood test panel inpatient CPT 80069 Hb Renal Function Panel	$114.10	$326.00	—	—	65%
LH (luteinizing hormone) test CPT 83002 Hb Luteneizing Hormone	$204.75	$585.00	—	224% above	65%
LH (luteinizing hormone) test inpatient CPT 83002 Hb Luteneizing Hormone	$204.75	$585.00	—	—	65%
Lactate (lactic acid) blood test CPT 83605 Hb Lactate Lactic Acid	$128.45	$367.00	—	73% above	65%
Lactate (lactic acid) blood test inpatient CPT 83605 Hb Lactate Lactic Acid	$128.45	$367.00	—	—	65%
Lactate dehydrogenase (LDH) blood test CPT 83615 Hb Ldh	$81.20	$232.00	—	51% above	65%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hb Ldh	$81.20	$232.00	—	—	65%
Lipase blood test (pancreas enzyme) CPT 83690 Hb Lipase	$4.41	$12.61	—	92% below	65%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hb Lipase	$4.41	$12.61	—	—	65%
Liver function blood test panel CPT 80076 Hb Hepatic Function Panel	$136.85	$391.00	—	41% below	65%
Liver function blood test panel inpatient CPT 80076 Hb Hepatic Function Panel	$136.85	$391.00	—	—	65%
Lyme disease antibody test CPT 86618 Hb Lyme Antibody Csf	$43.40	$124.00	—	67% above	65%
Lyme disease antibody test inpatient CPT 86618 Hb Lyme Antibody Csf	$43.40	$124.00	—	—	65%
Magnesium blood test CPT 83735 Hb Magnesium 24Hr Urine	$5.47	$15.64	—	59% below	65%
Magnesium blood test CPT 83735 Hb Magnesium Poc	$7.35	$21.00	—	45% below	65%
Magnesium blood test CPT 83735 Hb Rbc Magnesium	$23.10	$66.00	—	74% above	65%
Magnesium blood test CPT 83735 Hb Magnesium	$115.85	$331.00	—	774% above	65%
Magnesium blood test CPT 83735 Hb Ionized Magnesium	$128.10	$366.00	—	867% above	65%
Magnesium blood test inpatient CPT 83735 Hb Magnesium 24Hr Urine	$5.47	$15.64	—	—	65%
Magnesium blood test inpatient CPT 83735 Hb Magnesium Poc	$7.35	$21.00	—	—	65%
Magnesium blood test inpatient CPT 83735 Hb Rbc Magnesium	$23.10	$66.00	—	—	65%
Magnesium blood test inpatient CPT 83735 Hb Magnesium	$115.85	$331.00	—	—	65%
Magnesium blood test inpatient CPT 83735 Hb Ionized Magnesium	$128.10	$366.00	—	—	65%
Measles (rubeola) antibody test CPT 86765 Hb Measle Fluid	$55.30	$158.00	—	109% above	65%
Measles (rubeola) antibody test CPT 86765 Hb Measle Igg	$55.30	$158.00	—	109% above	65%
Measles (rubeola) antibody test inpatient CPT 86765 Hb Measle Igg	$55.30	$158.00	—	—	65%
Measles (rubeola) antibody test inpatient CPT 86765 Hb Measle Fluid	$55.30	$158.00	—	—	65%
Mono test (heterophile antibody, Monospot) CPT 86308 Hb Bedside Mononucleosis Screen	$92.05	$263.00	—	46% below	65%
Mono test (heterophile antibody, Monospot) CPT 86308 Hb Monospot	$96.95	$277.00	—	43% below	65%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hb Bedside Mononucleosis Screen	$92.05	$263.00	—	—	65%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hb Monospot	$96.95	$277.00	—	—	65%
Mumps immunity blood test CPT 86735 Hb Mumps Igg Ab	$30.10	$86.00	—	85% above	65%
Mumps immunity blood test inpatient CPT 86735 Hb Mumps Igg Ab	$30.10	$86.00	—	—	65%
Obstetric blood test panel CPT 80055 Hb Obstetric Panel	$159.95	$457.00	—	11% above	65%
Obstetric blood test panel inpatient CPT 80055 Hb Obstetric Panel	$159.95	$457.00	—	—	65%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hb Prostate Specific Antigen	$167.30	$478.00	—	198% above	65%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hb Prostate Specific Antigen	$167.30	$478.00	—	—	65%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hb Thin Prep Pap Smear	$84.00	$240.00	—	63% above	65%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hb Thin Prep Pap Smear	$84.00	$240.00	—	—	65%
Parathyroid hormone (PTH) blood test CPT 83970 Hb Pth Intact	$205.45	$587.00	—	108% above	65%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hb Pth Intact	$205.45	$587.00	—	—	65%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Neoptt Hepzyme Treated Ptt	$50.75	$145.00	—	32% above	65%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Aptt	$75.95	$217.00	—	98% above	65%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hb Neonatal Ptt	$75.95	$217.00	—	98% above	65%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Neoptt Hepzyme Treated Ptt	$50.75	$145.00	—	—	65%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Neonatal Ptt	$75.95	$217.00	—	—	65%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hb Aptt	$75.95	$217.00	—	—	65%
Phosphorus (phosphate) blood test CPT 84100 Hb Phosphorus	$76.30	$218.00	—	25% above	65%
Phosphorus (phosphate) blood test inpatient CPT 84100 Hb Phosphorus	$76.30	$218.00	—	—	65%
Potassium blood test CPT 84132 Hb Potassium	$64.75	$185.00	—	2% below	65%
Potassium blood test inpatient CPT 84132 Hb Potassium	$64.75	$185.00	—	—	65%
Prolactin blood test CPT 84146 Hb Prolactin	$231.35	$661.00	—	257% above	65%
Prolactin blood test inpatient CPT 84146 Hb Prolactin	$231.35	$661.00	—	—	65%
Prothrombin time (PT/INR) clotting test CPT 85610 Hb Neopt Hepzyme Treated Pt	$36.75	$105.00	—	1% above	65%
Prothrombin time (PT/INR) clotting test CPT 85610 Hb Prothrombin Time W Inr	$65.45	$187.00	—	80% above	65%
Prothrombin time (PT/INR) clotting test CPT 85610 Hb Protime Bedside	$65.45	$187.00	—	80% above	65%
Prothrombin time (PT/INR) clotting test CPT 85610 Hb Bedside Pt Inr	$65.45	$187.00	—	80% above	65%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Neopt Hepzyme Treated Pt	$36.75	$105.00	—	—	65%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Bedside Pt Inr	$65.45	$187.00	—	—	65%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Prothrombin Time W Inr	$65.45	$187.00	—	—	65%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hb Protime Bedside	$65.45	$187.00	—	—	65%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Hb Urine Drugscreen Bedside	$21.00	$60.00	—	79% below	65%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Hb Urine Drugscreen Bedside	$21.00	$60.00	—	—	65%
Rapid flu test (influenza antigen) CPT 87804 Noncdm Charge Record	$46.55	$133.00	—	63% below	65%
Rapid flu test (influenza antigen) CPT 87804 Hb Influenza A Bedside	$49.00	$140.00	—	61% below	65%
Rapid flu test (influenza antigen) CPT 87804 Hb Influenza B Bedside	$49.00	$140.00	—	61% below	65%
Rapid flu test (influenza antigen) inpatient CPT 87804 Noncdm Charge Record	$46.55	$133.00	—	—	65%
Rapid flu test (influenza antigen) inpatient CPT 87804 Hb Influenza B Bedside	$49.00	$140.00	—	—	65%
Rapid flu test (influenza antigen) inpatient CPT 87804 Hb Influenza A Bedside	$49.00	$140.00	—	—	65%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hb Rapid Strep Test In Office	$36.05	$103.00	—	68% below	65%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hb Strep A Immunoassay Bedside	$96.25	$275.00	—	16% below	65%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hb Rapid Strep Test In Office	$36.05	$103.00	—	—	65%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hb Strep A Immunoassay Bedside	$96.25	$275.00	—	—	65%
Rh blood typing CPT 86901 Hb Rh Typing, Serologic	$19.25	$55.00	—	54% below	65%
Rh blood typing inpatient CPT 86901 Hb Rh Typing, Serologic	$19.25	$55.00	—	—	65%
Rheumatoid factor (RF) test CPT 86431 Hb Ra Factor Quant	$75.95	$217.00	—	212% above	65%
Rheumatoid factor (RF) test inpatient CPT 86431 Hb Ra Factor Quant	$75.95	$217.00	—	—	65%
Rubella antibody test (immunity check) CPT 86762 Hb Rubella Igg Fluid	$60.20	$172.00	—	219% above	65%
Rubella antibody test (immunity check) CPT 86762 Hb Rubella Igg	$60.20	$172.00	—	219% above	65%
Rubella antibody test (immunity check) inpatient CPT 86762 Hb Rubella Igg	$60.20	$172.00	—	—	65%
Rubella antibody test (immunity check) inpatient CPT 86762 Hb Rubella Igg Fluid	$60.20	$172.00	—	—	65%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hb Sed Rate Esr	$93.10	$266.00	—	16% below	65%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hb Sed Rate Esr	$93.10	$266.00	—	—	65%
Sodium blood test CPT 84295 Hb Sodium	$68.25	$195.00	—	2% above	65%
Sodium blood test inpatient CPT 84295 Hb Sodium	$68.25	$195.00	—	—	65%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hb Guaiac Occult Blood Feces	$17.85	$51.00	—	66% below	65%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hb Guaiac Occult Blood Feces Bedside	$17.85	$51.00	—	66% below	65%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hb Guaiac Occult Blood Feces	$17.85	$51.00	—	—	65%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hb Guaiac Occult Blood Feces Bedside	$17.85	$51.00	—	—	65%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hb Immunoassay Fecal Occult Blood	$162.40	$464.00	—	224% above	65%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hb Immunoassay Fecal Occult Blood Bedside	$163.45	$467.00	—	227% above	65%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hb Immunoassay Fecal Occult Blood	$162.40	$464.00	—	—	65%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hb Immunoassay Fecal Occult Blood Bedside	$163.45	$467.00	—	—	65%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Treponema Pallidum Igg (Neonatal) Antibody Panel	$8.05	$23.00	—	45% below	65%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Treponema Pallidum Igm (Neonatal) Antibody Panel	$8.05	$23.00	—	45% below	65%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Donor, Treponema Pallidum	$35.19	$100.53	—	141% above	65%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Fta 182	$66.50	$190.00	—	355% above	65%
Syphilis antibody test (Treponema pallidum) CPT 86780 Hb Treponemal Ab	$98.35	$281.00	—	574% above	65%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Treponema Pallidum Igg (Neonatal) Antibody Panel	$8.05	$23.00	—	—	65%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Treponema Pallidum Igm (Neonatal) Antibody Panel	$8.05	$23.00	—	—	65%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Donor, Treponema Pallidum	$35.19	$100.53	—	—	65%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Fta 182	$66.50	$190.00	—	—	65%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hb Treponemal Ab	$98.35	$281.00	—	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hb Vdlr, Csf	$8.05	$23.00	—	59% below	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hb Rpr Screen	$84.70	$242.00	—	328% above	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hb Vdrl Csf	$84.70	$242.00	—	328% above	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hb Vdlr, Csf	$8.05	$23.00	—	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hb Rpr Screen	$84.70	$242.00	—	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hb Vdrl Csf	$84.70	$242.00	—	—	65%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hb Quantiferon Tb Test	$116.20	$332.00	—	89% above	65%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hb Quantiferon Tb Test	$116.20	$332.00	—	—	65%
Testosterone blood test, total (not free testosterone) CPT 84403 Hb Testosterone Total	$58.45	$167.00	—	95% above	65%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hb Testosterone Total	$58.45	$167.00	—	—	65%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hb Thyroid Microsomal Ab	$126.70	$362.00	—	832% above	65%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hb Thyroid Microsomal Ab	$126.70	$362.00	—	—	65%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hb Tsh (General Health Panel Only)	$39.20	$112.00	—	69% below	65%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hb Tsh	$172.55	$493.00	—	38% above	65%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hb Tsh (General Health Panel Only)	$39.20	$112.00	—	—	65%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hb Tsh	$172.55	$493.00	—	—	65%
Total IgE blood test CPT 82785 Hb Ige	$12.25	$35.00	—	48% below	65%
Total IgE blood test CPT 82785 Hb Immunoglobulin E	$128.10	$366.00	—	441% above	65%
Total IgE blood test inpatient CPT 82785 Hb Ige	$12.25	$35.00	—	—	65%
Total IgE blood test inpatient CPT 82785 Hb Immunoglobulin E	$128.10	$366.00	—	—	65%
Total cholesterol blood test CPT 82465 Hb Cholesterol Total	$79.10	$226.00	—	173% above	65%
Total cholesterol blood test inpatient CPT 82465 Hb Cholesterol Total	$79.10	$226.00	—	—	65%
Total thyroxine (T4) blood test CPT 84436 Hb T4 Total	$140.35	$401.00	—	54% above	65%
Total thyroxine (T4) blood test inpatient CPT 84436 Hb T4 Total	$140.35	$401.00	—	—	65%
Total triiodothyronine (T3) blood test CPT 84480 Hb T3 Total	$167.65	$479.00	—	116% above	65%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Hb T3 Total	$167.65	$479.00	—	—	65%
Transferrin blood test CPT 84466 Hb Transferrin	$88.55	$253.00	—	15% above	65%
Transferrin blood test inpatient CPT 84466 Hb Transferrin	$88.55	$253.00	—	—	65%
Trichomonas test (NAAT) CPT 87661 Hb Trichomonas Vaginalis Pcr Amp Prob	$63.70	$182.00	—	30% above	65%
Trichomonas test (NAAT) inpatient CPT 87661 Hb Trichomonas Vaginalis Pcr Amp Prob	$63.70	$182.00	—	—	65%
Triglycerides blood test CPT 84478 Hb Triglycerides	$103.60	$296.00	—	228% above	65%
Triglycerides blood test inpatient CPT 84478 Hb Triglycerides	$103.60	$296.00	—	—	65%
Troponin test, quantitative CPT 84484 Hb Troponin High Sensitivity, Plasma	$245.35	$701.00	—	64% above	65%
Troponin test, quantitative CPT 84484 Hb Troponin I	$260.75	$745.00	—	74% above	65%
Troponin test, quantitative inpatient CPT 84484 Hb Troponin High Sensitivity, Plasma	$245.35	$701.00	—	—	65%
Troponin test, quantitative inpatient CPT 84484 Hb Troponin I	$260.75	$745.00	—	—	65%
Uric acid blood test CPT 84550 Hb Uric Acid	$86.45	$247.00	—	4% above	65%
Uric acid blood test inpatient CPT 84550 Hb Uric Acid	$86.45	$247.00	—	—	65%
Urinalysis with microscope exam, automated CPT 81001 Hb Urinalysis Automated W/Micro	$61.95	$177.00	—	62% below	65%
Urinalysis with microscope exam, automated CPT 81001 Hb Ua With Microscopy	$61.95	$177.00	—	62% below	65%
Urinalysis with microscope exam, automated inpatient CPT 81001 Hb Ua With Microscopy	$61.95	$177.00	—	—	65%
Urinalysis with microscope exam, automated inpatient CPT 81001 Hb Urinalysis Automated W/Micro	$61.95	$177.00	—	—	65%
Urinalysis with microscope exam, manual CPT 81000 Hb Urinalysis Nonauto W Scope	$41.65	$119.00	—	5% above	65%
Urinalysis with microscope exam, manual inpatient CPT 81000 Hb Urinalysis Nonauto W Scope	$41.65	$119.00	—	—	65%
Urinalysis without microscope exam, automated CPT 81003 Noncdm Charge Record	$19.95	$57.00	—	76% below	65%
Urinalysis without microscope exam, automated CPT 81003 Hb Urinalysis Bedside Auto	$22.05	$63.00	—	74% below	65%
Urinalysis without microscope exam, automated CPT 81003 Hb Urinalysis Automated W/O Micro	$42.70	$122.00	—	49% below	65%
Urinalysis without microscope exam, automated CPT 81003 Hb Ketones Urine	$53.20	$152.00	—	36% below	65%
Urinalysis without microscope exam, automated CPT 81003 Hb Spec Gravity Urn	$53.20	$152.00	—	36% below	65%
Urinalysis without microscope exam, automated inpatient CPT 81003 Noncdm Charge Record	$19.95	$57.00	—	—	65%
Urinalysis without microscope exam, automated inpatient CPT 81003 Hb Urinalysis Bedside Auto	$22.05	$63.00	—	—	65%
Urinalysis without microscope exam, automated inpatient CPT 81003 Hb Urinalysis Automated W/O Micro	$42.70	$122.00	—	—	65%
Urinalysis without microscope exam, automated inpatient CPT 81003 Hb Ketones Urine	$53.20	$152.00	—	—	65%
Urinalysis without microscope exam, automated inpatient CPT 81003 Hb Spec Gravity Urn	$53.20	$152.00	—	—	65%
Urinalysis without microscope exam, manual CPT 81002 Hb Urinalysis Bedside Manual	$22.05	$63.00	—	9% above	65%
Urinalysis without microscope exam, manual CPT 81002 Hb Urinalysis Dip Stick W/O Micro	$22.05	$63.00	—	9% above	65%
Urinalysis without microscope exam, manual inpatient CPT 81002 Hb Urinalysis Bedside Manual	$22.05	$63.00	—	—	65%
Urinalysis without microscope exam, manual inpatient CPT 81002 Hb Urinalysis Dip Stick W/O Micro	$22.05	$63.00	—	—	65%
Urine culture for bacteria, with colony count CPT 87086 Hb Urine Culture	$122.50	$350.00	—	28% below	65%
Urine culture for bacteria, with colony count inpatient CPT 87086 Hb Urine Culture	$122.50	$350.00	—	—	65%
Urine microalbumin (albumin) test CPT 82043 Hb Microalbumin Urine	$94.50	$270.00	—	234% above	65%
Urine microalbumin (albumin) test inpatient CPT 82043 Hb Microalbumin Urine	$94.50	$270.00	—	—	65%
Urine pregnancy test, read by color change CPT 81025 Noncdm Charge Record	$18.55	$53.00	—	85% below	65%
Urine pregnancy test, read by color change CPT 81025 Hb Hcg Urine Bedside	$22.05	$63.00	—	82% below	65%
Urine pregnancy test, read by color change CPT 81025 Hb Urine Pregnancy Test Poc	$80.85	$231.00	—	36% below	65%
Urine pregnancy test, read by color change CPT 81025 Hb Preg Test Beta Urine	$80.85	$231.00	—	36% below	65%
Urine pregnancy test, read by color change inpatient CPT 81025 Noncdm Charge Record	$18.55	$53.00	—	—	65%
Urine pregnancy test, read by color change inpatient CPT 81025 Hb Hcg Urine Bedside	$22.05	$63.00	—	—	65%
Urine pregnancy test, read by color change inpatient CPT 81025 Hb Urine Pregnancy Test Poc	$80.85	$231.00	—	—	65%
Urine pregnancy test, read by color change inpatient CPT 81025 Hb Preg Test Beta Urine	$80.85	$231.00	—	—	65%
Vitamin B12 (cobalamin) blood test CPT 82607 Hb Vitamin B12	$167.65	$479.00	—	36% above	65%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hb Vitamin B12	$167.65	$479.00	—	—	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hb Vitamin D	$76.65	$219.00	—	67% above	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hb Vitamin D	$76.65	$219.00	—	—	65%
Zinc blood test CPT 84630 Hb Zinc	$18.64	$53.26	—	25% above	65%
Zinc blood test CPT 84630 Hb Zinc Rbc	$26.33	$75.23	—	76% above	65%
Zinc blood test inpatient CPT 84630 Hb Zinc	$18.64	$53.26	—	—	65%
Zinc blood test inpatient CPT 84630 Hb Zinc Rbc	$26.33	$75.23	—	—	65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Hcg	$18.55	$53.00	—	69% below	65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Bedside Hcg Quantitative Analysis Blood	$177.80	$508.00	—	201% above	65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hb Beta Hcg	$196.70	$562.00	—	233% above	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Hcg	$18.55	$53.00	—	—	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Bedside Hcg Quantitative Analysis Blood	$177.80	$508.00	—	—	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hb Beta Hcg	$196.70	$562.00	—	—	65%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Botox injections for chronic migraine CPT 64615 Hb Chemodenerv Musc Migraine	$377.65	$1,079.00	—	36% below	65%
Botox injections for chronic migraine CPT 64615 Hb 64615 Chemodenerv Musc Migraine	$377.65	$1,079.00	—	36% below	65%
Botox injections for chronic migraine inpatient CPT 64615 Hb Chemodenerv Musc Migraine	$377.65	$1,079.00	—	—	65%
Botox injections for chronic migraine inpatient CPT 64615 Hb 64615 Chemodenerv Musc Migraine	$377.65	$1,079.00	—	—	65%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hb Stereotact Guide For Brst Bx W Placement 1St Lesion	$868.00	$2,480.00	—	76% below	65%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hb Stereotact Guide For Brst Bx W Placement 1St Lesion	$868.00	$2,480.00	—	—	65%
Cardiac catheterization with coronary angiogram CPT 93458 Hb 93458 L Hrt Artery Vent Angio	$10,671.85	$30,491.00	—	13% below	65%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Hb 93458 L Hrt Artery Vent Angio	$10,671.85	$30,491.00	—	—	65%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hb 92960 Cardioversion	$2,060.45	$5,887.00	—	2% below	65%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hb Cardioversion	$2,060.45	$5,887.00	—	2% below	65%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hb 92960 Cardioversion	$2,060.45	$5,887.00	—	—	65%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hb Cardioversion	$2,060.45	$5,887.00	—	—	65%
Catheter ablation for atrial fibrillation CPT 93656 Hb 93656 Tx Atrial Fib Pulm Vein Isol	$12,209.75	$34,885.00	—	75% below	65%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Hb 93656 Tx Atrial Fib Pulm Vein Isol	$12,209.75	$34,885.00	—	—	65%
Cervical biopsy CPT 57500 Hb Cervical Biopsy	$3,658.20	$10,452.00	—	83% above	65%
Cervical biopsy inpatient CPT 57500 Hb Cervical Biopsy	$3,658.20	$10,452.00	—	—	65%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Hb Circumcision 28 Days Or Older	$2,613.80	$7,468.00	—	22% above	65%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Hb Circumcision 28 Days Or Older	$2,613.80	$7,468.00	—	—	65%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Hb Circumcision	$2,613.80	$7,468.00	—	114% above	65%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Hb Circumcision	$2,613.80	$7,468.00	—	—	65%
Circumcision, surgical, older than a newborn CPT 54160 Hb Circumcision Neonate	$2,613.80	$7,468.00	—	265% above	65%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Hb Circumcision Neonate	$2,613.80	$7,468.00	—	—	65%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hb Tx Fracture Radius/Ulna	$477.40	$1,364.00	—	14% below	65%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hb Tx Fracture Radius/Ulna	$477.40	$1,364.00	—	—	65%
Colonoscopy with endoscopic ultrasound CPT 45391 Hb Colonoscopy W Endo Us	$1,193.85	$3,411.00	—	64% below	65%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Hb Colonoscopy W Endo Us	$1,193.85	$3,411.00	—	—	65%
Colonoscopy with polyp removal CPT 45385 Hb Colon W Rem Tum Pol Snare	$1,388.10	$3,966.00	—	61% below	65%
Colonoscopy with polyp removal inpatient CPT 45385 Hb Colon W Rem Tum Pol Snare	$1,388.10	$3,966.00	—	—	65%
Colonoscopy with tissue sample CPT 45380 Hb Colonoscopy W Biopsy	$1,193.85	$3,411.00	—	67% below	65%
Colonoscopy with tissue sample inpatient CPT 45380 Hb Colonoscopy W Biopsy	$1,193.85	$3,411.00	—	—	65%
Colonoscopy, diagnostic CPT 45378 Hb Colonoscopy	$1,143.10	$3,266.00	—	62% below	65%
Colonoscopy, diagnostic inpatient CPT 45378 Hb Colonoscopy	$1,143.10	$3,266.00	—	—	65%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Hb Colposcopy W Leep	$1,771.70	$5,062.00	—	61% below	65%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Hb Colposcopy W Leep	$1,771.70	$5,062.00	—	—	65%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Hb Colpo Cervix W Biopsy Ecc	$1,531.60	$4,376.00	—	118% above	65%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Hb Colpo Cervix W Biopsy Ecc	$1,531.60	$4,376.00	—	—	65%
Coronary stent placement, one artery CPT 92928 Hb 92928 Perq Card Stent W Angio 1 Vsl	$10,754.45	$30,727.00	—	54% below	65%
Coronary stent placement, one artery inpatient CPT 92928 Hb 92928 Perq Card Stent W Angio 1 Vsl	$10,754.45	$30,727.00	—	—	65%
Cystoscopy with ureteral stent placement CPT 52332 Hb 52332 Cysto Indwel Stent Uret	$5,205.55	$14,873.00	—	7% above	65%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Hb 52332 Cysto Indwel Stent Uret	$5,205.55	$14,873.00	—	—	65%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hb Cystoscopy	$1,869.70	$5,342.00	—	3% below	65%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hb Cystoscopy	$1,869.70	$5,342.00	—	—	65%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Hb Dilation And Curettage	$5,485.20	$15,672.00	—	23% above	65%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Hb Dilation And Curettage	$5,485.20	$15,672.00	—	—	65%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hb Dest Premalig 1St Les	$634.55	$1,813.00	—	123% above	65%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Hb Dest Premalig 1St Les	$634.55	$1,813.00	—	—	65%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Hb Tympanostomy W Tube	$2,505.65	$7,159.00	—	134% above	65%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Hb Tympanostomy W Tube	$2,505.65	$7,159.00	—	—	65%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Hb Remove Impacted Ear Wax Uni	$147.35	$421.00	—	22% below	65%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Hb Remove Impacted Ear Wax Uni	$147.35	$421.00	—	—	65%
Earwax removal with instruments, one ear one side CPT 69210 Hb Removal Impacted Cerumen Requiring Instrumentation, Unilateral	$200.90	$574.00	—	1% below	65%
Earwax removal with instruments, one ear inpatient one side CPT 69210 Hb Removal Impacted Cerumen Requiring Instrumentation, Unilateral	$200.90	$574.00	—	—	65%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hb Endometrial Biopsy	$1,596.00	$4,560.00	—	259% above	65%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hb Endometrial Biopsy	$1,596.00	$4,560.00	—	—	65%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hb Inj Spine Upper Or Middle Back W Guid	$1,358.00	$3,880.00	—	39% below	65%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hb 62321 Inj Spine Upper Or Middle Back W Guid	$1,358.00	$3,880.00	—	39% below	65%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hb 62321 Inj Spine Upper Or Middle Back W Guid	$1,358.00	$3,880.00	—	—	65%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hb Inj Spine Upper Or Middle Back W Guid	$1,358.00	$3,880.00	—	—	65%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Hb Injection Pharmacologic	$142.10	$406.00	—	83% below	65%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Hb Injection Pharmacologic	$142.10	$406.00	—	—	65%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hb Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$2,819.95	$8,057.00	—	26% above	65%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hb Facet Nerve Block Ls 1 Lev	$3,336.90	$9,534.00	—	49% above	65%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hb Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$2,819.95	$8,057.00	—	—	65%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hb Facet Nerve Block Ls 1 Lev	$3,336.90	$9,534.00	—	—	65%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hb Sigmoidoscopy	$299.60	$856.00	—	89% below	65%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Hb Sigmoidoscopy	$299.60	$856.00	—	—	65%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hb Ligature Hemorrhoidectomy	$2,225.65	$6,359.00	—	29% above	65%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hb Ligature Hemorrhoidectomy	$2,225.65	$6,359.00	—	—	65%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hb Hemorrhoidectomy Int/Ext Hem 1 Group	$7,365.05	$21,043.00	—	32% above	65%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hb Hemorrhoidectomy Int/Ext Hem 1 Group	$7,365.05	$21,043.00	—	—	65%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hb 58340 Cath For Sis Or Hso	$579.95	$1,657.00	—	38% above	65%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hb Cath For Sis Or Hso	$579.95	$1,657.00	—	38% above	65%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hb 58340 Cath For Sis Or Hso	$579.95	$1,657.00	—	—	65%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hb Cath For Sis Or Hso	$579.95	$1,657.00	—	—	65%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hb Hysteroscopy Biopsy	$5,115.95	$14,617.00	—	23% below	65%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hb Hysteroscopy Biopsy	$5,115.95	$14,617.00	—	—	65%
IUD insertion (the device itself billed separately) CPT 58300 Hb Iud Insertion	$1,142.05	$3,263.00	—	31% above	65%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Hb Iud Insertion	$1,142.05	$3,263.00	—	—	65%
Incision and drainage of a simple or single skin abscess CPT 10060 Hb 10060 Drainage Abscess Simple	$1,664.95	$4,757.00	—	178% above	65%
Incision and drainage of a simple or single skin abscess CPT 10060 Hb Drainage Abscess Simple	$1,664.95	$4,757.00	—	178% above	65%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hb Drainage Abscess Simple	$1,664.95	$4,757.00	—	—	65%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hb 10060 Drainage Abscess Simple	$1,664.95	$4,757.00	—	—	65%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Hb Rpr 1St Ingun Hrna Age 5 Yrs/> Reducible	$12,195.40	$34,844.00	—	44% above	65%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Hb Rpr 1St Ingun Hrna Age 5 Yrs/> Reducible	$12,195.40	$34,844.00	—	—	65%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hb Inj Tendon Or Ligament	$466.20	$1,332.00	—	16% below	65%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hb Inj Tendon Or Ligament	$466.20	$1,332.00	—	—	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hb 20610 Arthrocentesis Maj Joint	$592.20	$1,692.00	—	11% below	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hb Arthrocentesis Maj Joint	$592.20	$1,692.00	—	11% below	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hb Arthrocentesis Maj Joint	$592.20	$1,692.00	—	—	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hb 20610 Arthrocentesis Maj Joint	$592.20	$1,692.00	—	—	65%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hb Insert Drug Implant Device	$1,363.25	$3,895.00	—	333% above	65%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hb On Q Pump Implant	$1,704.50	$4,870.00	—	442% above	65%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Hb Insert Drug Implant Device	$1,363.25	$3,895.00	—	—	65%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Hb On Q Pump Implant	$1,704.50	$4,870.00	—	—	65%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hb Arthrocentesis Int Joint	$570.85	$1,631.00	—	at median	65%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hb Arthrocentesis Int Joint	$570.85	$1,631.00	—	—	65%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hb Arthrocentesis Sm Joint	$49.00	$140.00	—	91% below	65%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hb Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us	$488.60	$1,396.00	—	11% below	65%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hb Arthrocentesis Sm Joint	$49.00	$140.00	—	—	65%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hb Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us	$488.60	$1,396.00	—	—	65%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Hb Laps Gastric Restrictive Px Remove Device & Port	$8,978.90	$25,654.00	—	12% below	65%
Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 Hb Laps Gastric Restrictive Px Remove Device & Port	$8,978.90	$25,654.00	—	—	65%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hb 12031 Repair Intermediate S/A/T/E 2.5 Cm/<	$1,245.30	$3,558.00	—	29% above	65%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hb Repair Intermediate S/A/T/E 2.5 Cm/<	$1,618.75	$4,625.00	—	67% above	65%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hb 12031 Repair Intermediate S/A/T/E 2.5 Cm/<	$1,245.30	$3,558.00	—	—	65%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hb Repair Intermediate S/A/T/E 2.5 Cm/<	$1,618.75	$4,625.00	—	—	65%
Left heart catheterization, diagnostic one side CPT 93452 Hb 93452 Left Heart Cath W Vent	$8,466.50	$24,190.00	—	25% below	65%
Left heart catheterization, diagnostic inpatient one side CPT 93452 Hb 93452 Left Heart Cath W Vent	$8,466.50	$24,190.00	—	—	65%
Lower-back epidural injection, with imaging guidance CPT 62323 Hb Inj Spine Lower Back Or Sacrum W Guid	$1,358.00	$3,880.00	—	42% below	65%
Lower-back epidural injection, with imaging guidance CPT 62323 Hb 62323 Inj Spine Lower Back Or Sacrum W Guid	$1,358.00	$3,880.00	—	42% below	65%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hb 62323 Inj Spine Lower Back Or Sacrum W Guid	$1,358.00	$3,880.00	—	—	65%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hb Inj Spine Lower Back Or Sacrum W Guid	$1,358.00	$3,880.00	—	—	65%
Lower-back epidural injection, without imaging guidance CPT 62322 Hb Inject Spine Lumb Sacral	$1,113.70	$3,182.00	—	49% below	65%
Lower-back epidural injection, without imaging guidance CPT 62322 Hb 62322 Inject Spine Lumb Sacral	$1,113.70	$3,182.00	—	49% below	65%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hb 62322 Inject Spine Lumb Sacral	$1,113.70	$3,182.00	—	—	65%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hb Inject Spine Lumb Sacral	$1,113.70	$3,182.00	—	—	65%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hb Inj Anes Epidural Lum Sac	$2,500.05	$7,143.00	—	14% above	65%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hb 64483 Inj Anes Epidural Lum Sac	$2,500.05	$7,143.00	—	14% above	65%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hb Inj Anes Epidural Lum Sac	$2,500.05	$7,143.00	—	—	65%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hb 64483 Inj Anes Epidural Lum Sac	$2,500.05	$7,143.00	—	—	65%
Lumpectomy (partial mastectomy) CPT 19301 Hb Partial Mastectomy	$5,969.60	$17,056.00	—	25% below	65%
Lumpectomy (partial mastectomy) inpatient CPT 19301 Hb Partial Mastectomy	$5,969.60	$17,056.00	—	—	65%
Miscarriage treatment with D&C, first trimester CPT 59820 Hb Surg Tx Missed Abort; 1St Trimester	$6,738.55	$19,253.00	—	69% above	65%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Hb Surg Tx Missed Abort; 1St Trimester	$6,738.55	$19,253.00	—	—	65%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hb 11400 Excision Benign Lesion	$4,851.00	$13,860.00	—	168% above	65%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hb Exc Ben Les Tr Ext To 0.5 Cm	$4,851.00	$13,860.00	—	168% above	65%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hb Exc Ben Les Tr Ext To 0.5 Cm	$4,851.00	$13,860.00	—	—	65%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hb 11400 Excision Benign Lesion	$4,851.00	$13,860.00	—	—	65%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hb Exc Ben Les Feenlm To 0.5 Cm	$2,532.25	$7,235.00	—	120% above	65%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Hb Exc Ben Les Feenlm To 0.5 Cm	$2,532.25	$7,235.00	—	—	65%
Nail removal (partial or complete), one nail CPT 11730 Hb Avulsion Of Nail Plate	$92.05	$263.00	—	81% below	65%
Nail removal (partial or complete), one nail inpatient CPT 11730 Hb Avulsion Of Nail Plate	$92.05	$263.00	—	—	65%
Occipital nerve block (injection for headaches) CPT 64405 Hb Inj Occipital Nerve Block	$669.90	$1,914.00	—	26% below	65%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Hb Inj Occipital Nerve Block	$669.90	$1,914.00	—	—	65%
Pacemaker implant (dual chamber) CPT 33208 Hb 33208 Pacer Ra Rv Leads Implant	$18,707.15	$53,449.00	—	6% below	65%
Pacemaker implant (dual chamber) inpatient CPT 33208 Hb 33208 Pacer Ra Rv Leads Implant	$18,707.15	$53,449.00	—	—	65%
Paracentesis with imaging guidance CPT 49083 Hb 49083 Paracentesis W Imaging	$2,763.60	$7,896.00	—	78% above	65%
Paracentesis with imaging guidance CPT 49083 Hb Paracentesis W Imaging	$2,763.60	$7,896.00	—	78% above	65%
Paracentesis with imaging guidance inpatient CPT 49083 Hb 49083 Paracentesis W Imaging	$2,763.60	$7,896.00	—	—	65%
Paracentesis with imaging guidance inpatient CPT 49083 Hb Paracentesis W Imaging	$2,763.60	$7,896.00	—	—	65%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hb Excise Nail	$242.55	$693.00	—	79% below	65%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hb Excise Nail	$242.55	$693.00	—	—	65%
Prostate biopsy CPT 55700 Hb Prostate Biopsy	$2,147.60	$6,136.00	—	60% below	65%
Prostate biopsy CPT 55700 Hb 55700 Prostate Biopsy	$2,147.60	$6,136.00	—	60% below	65%
Prostate biopsy inpatient CPT 55700 Hb 55700 Prostate Biopsy	$2,147.60	$6,136.00	—	—	65%
Prostate biopsy inpatient CPT 55700 Hb Prostate Biopsy	$2,147.60	$6,136.00	—	—	65%
Removal of a breast lump, open surgery CPT 19120 Hb Removal Of Breast Lesion	$6,543.25	$18,695.00	—	63% above	65%
Removal of a breast lump, open surgery inpatient CPT 19120 Hb Removal Of Breast Lesion	$6,543.25	$18,695.00	—	—	65%
Removal of a foreign object under the skin, simple CPT 10120 Hb Rem Foreign Body Simple	$1,111.95	$3,177.00	—	13% above	65%
Removal of a foreign object under the skin, simple CPT 10120 Hb 10120 Inc Removal Fb Sq Tiss	$1,111.95	$3,177.00	—	13% above	65%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Hb 10120 Inc Removal Fb Sq Tiss	$1,111.95	$3,177.00	—	—	65%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Hb Rem Foreign Body Simple	$1,111.95	$3,177.00	—	—	65%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Hb Colon Ca Scren Not Hi Rsk Ind	$612.50	$1,750.00	—	81% below	65%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Hb Colon Ca Scren Not Hi Rsk Ind	$612.50	$1,750.00	—	—	65%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hb Colon Ca Scrn Hi Rsk Ind	$1,166.55	$3,333.00	—	63% below	65%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hb Colon Ca Scrn Hi Rsk Ind	$1,166.55	$3,333.00	—	—	65%
Short arm cast (elbow to hand) CPT 29075 Hb Apply Cast Elbow To Finger	$246.40	$704.00	—	60% below	65%
Short arm cast (elbow to hand) inpatient CPT 29075 Hb Apply Cast Elbow To Finger	$246.40	$704.00	—	—	65%
Short arm splint (forearm and hand) CPT 29125 Hb Apply Splint Forearm To Hand	$477.75	$1,365.00	—	25% above	65%
Short arm splint (forearm and hand) inpatient CPT 29125 Hb Apply Splint Forearm To Hand	$477.75	$1,365.00	—	—	65%
Short leg cast (below the knee) CPT 29405 Hb Apply Cast Below Knee To Toes	$431.90	$1,234.00	—	27% below	65%
Short leg cast (below the knee) inpatient CPT 29405 Hb Apply Cast Below Knee To Toes	$431.90	$1,234.00	—	—	65%
Short leg splint (calf to foot) CPT 29515 Hb Apply Splint Calf To Foot	$505.40	$1,444.00	—	23% above	65%
Short leg splint (calf to foot) inpatient CPT 29515 Hb Apply Splint Calf To Foot	$505.40	$1,444.00	—	—	65%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hb 12001 Rep Simp Tsnge 2.5Cm Or Less	$209.65	$599.00	—	58% below	65%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hb Rep Simp Tsnge 2.5Cm Or Less	$272.65	$779.00	—	46% below	65%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hb 12001 Rep Simp Tsnge 2.5Cm Or Less	$209.65	$599.00	—	—	65%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hb Rep Simp Tsnge 2.5Cm Or Less	$272.65	$779.00	—	—	65%
Skin biopsy, punch, one lesion CPT 11104 Hb Punch Bx Skin Single Lesion	$213.85	$611.00	—	74% below	65%
Skin biopsy, punch, one lesion inpatient CPT 11104 Hb Punch Bx Skin Single Lesion	$213.85	$611.00	—	—	65%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Hb Exc Mal Les Tr Ext To 0.5 Cm	$2,369.50	$6,770.00	—	45% above	65%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Hb Exc Mal Les Tr Ext To 0.5 Cm	$2,369.50	$6,770.00	—	—	65%
Skin tag removal, up to 15 tags CPT 11200 Hb Removal Skin Tags Up To 15	$140.35	$401.00	—	66% below	65%
Skin tag removal, up to 15 tags inpatient CPT 11200 Hb Removal Skin Tags Up To 15	$140.35	$401.00	—	—	65%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Hb 62270 Spinal Puncture Diagnostic	$2,442.65	$6,979.00	—	96% above	65%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Hb Spinal Puncture Diagnostic	$2,442.65	$6,979.00	—	96% above	65%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hb 62270 Spinal Puncture Diagnostic	$2,442.65	$6,979.00	—	—	65%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hb Spinal Puncture Diagnostic	$2,442.65	$6,979.00	—	—	65%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hb Rep Sim Tsnge 2.6 To 7.5 Cm	$288.40	$824.00	—	50% below	65%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hb Rep Sim Tsnge 2.6 To 7.5 Cm	$288.40	$824.00	—	—	65%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hb Simple Repair F/E/E/N/L/M 2.5Cm/<	$483.70	$1,382.00	—	at median	65%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hb Rep Sim Feenlm 2.5Cm Or Less	$545.30	$1,558.00	—	13% above	65%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hb Simple Repair F/E/E/N/L/M 2.5Cm/<	$483.70	$1,382.00	—	—	65%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hb Rep Sim Feenlm 2.5Cm Or Less	$545.30	$1,558.00	—	—	65%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hb Tangntl Bx Skin Single Les	$143.85	$411.00	—	77% below	65%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hb Tangntl Bx Skin Single Les	$143.85	$411.00	—	—	65%
Thoracentesis with imaging guidance CPT 32555 Hb 32555 Aspirate Pleura W Imaging	$1,105.65	$3,159.00	—	41% below	65%
Thoracentesis with imaging guidance CPT 32555 Hb Thoracentesis	$2,164.75	$6,185.00	—	15% above	65%
Thoracentesis with imaging guidance inpatient CPT 32555 Hb 32555 Aspirate Pleura W Imaging	$1,105.65	$3,159.00	—	—	65%
Thoracentesis with imaging guidance inpatient CPT 32555 Hb Thoracentesis	$2,164.75	$6,185.00	—	—	65%
Trigger point injections, 1 or 2 muscles CPT 20552 Hb 20552 Inj Trigger Pts 1 To 2 Muscles	$892.15	$2,549.00	—	44% above	65%
Trigger point injections, 1 or 2 muscles CPT 20552 Hb Inj Trigger Pts 1 To 2 Muscles	$1,026.20	$2,932.00	—	66% above	65%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hb 20552 Inj Trigger Pts 1 To 2 Muscles	$892.15	$2,549.00	—	—	65%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hb Inj Trigger Pts 1 To 2 Muscles	$1,026.20	$2,932.00	—	—	65%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hb Us Imag Guide For Brst Bx W Placement 1St Lesion	$868.00	$2,480.00	—	75% below	65%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hb Us Imag Guide For Brst Bx W Placement 1St Lesion	$868.00	$2,480.00	—	—	65%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Hb Egd W Balloon Dilation	$706.30	$2,018.00	—	75% below	65%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Hb Egd W Balloon Dilation	$706.30	$2,018.00	—	—	65%
Upper endoscopy (EGD) with biopsy CPT 43239 Hb Egd W Biopsy	$706.30	$2,018.00	—	77% below	65%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hb Egd W Biopsy	$706.30	$2,018.00	—	—	65%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Hb Egd W Injection	$706.30	$2,018.00	—	72% below	65%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Hb Egd W Injection	$706.30	$2,018.00	—	—	65%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Hb Egd W Rem Tumr Polyp Snare	$706.30	$2,018.00	—	74% below	65%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Hb Egd W Rem Tumr Polyp Snare	$706.30	$2,018.00	—	—	65%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Hb 43248 Egd W Gd Wire Dilation	$706.30	$2,018.00	—	70% below	65%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Hb Egd W Gd Wire Dilation	$706.30	$2,018.00	—	70% below	65%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Hb Egd W Gd Wire Dilation	$706.30	$2,018.00	—	—	65%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Hb 43248 Egd W Gd Wire Dilation	$706.30	$2,018.00	—	—	65%
Upper endoscopy (EGD), diagnostic CPT 43235 Hb Egd	$501.90	$1,434.00	—	78% below	65%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hb Egd	$501.90	$1,434.00	—	—	65%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Hb Egd W Drain Cyst	$706.30	$2,018.00	—	89% below	65%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Hb Egd W Drain Cyst	$706.30	$2,018.00	—	—	65%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Hb 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$6,630.05	$18,943.00	—	51% below	65%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Hb 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$6,630.05	$18,943.00	—	—	65%
Vein ablation, radiofrequency, first vein CPT 36475 Hb Endovenous Rf 1St Vein	$5,638.15	$16,109.00	—	10% below	65%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Hb Endovenous Rf 1St Vein	$5,638.15	$16,109.00	—	—	65%
Wart removal, up to 14 warts CPT 17110 Hb Cryotherapy Up To 14 Les	$1,816.85	$5,191.00	—	503% above	65%
Wart removal, up to 14 warts inpatient CPT 17110 Hb Cryotherapy Up To 14 Les	$1,816.85	$5,191.00	—	—	65%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hb Deb Subq Tissue 1St 20 Sq Cm	$151.55	$433.00	—	86% below	65%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hb 11042 Debride Skin Tissue	$1,111.95	$3,177.00	—	at median	65%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hb Deb Subq Tissue 1St 20 Sq Cm	$151.55	$433.00	—	—	65%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hb 11042 Debride Skin Tissue	$1,111.95	$3,177.00	—	—	65%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Hb Transfusion Blood Or Comp	$1,363.60	$3,896.00	—	24% above	65%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hb Transfusion Blood Or Comp	$1,363.60	$3,896.00	—	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hb Airway Inhalation Treat Subseq	$280.70	$802.00	—	8% above	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hb Airway Inhalation Treatment	$280.70	$802.00	—	8% above	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hb Airway Inhalation Treatment	$280.70	$802.00	—	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hb Airway Inhalation Treat Subseq	$280.70	$802.00	—	—	65%
Chemotherapy IV infusion, first hour CPT 96413 Hb Chemo Iv Infus 1 Hr	$158.90	$454.00	—	84% below	65%
Chemotherapy IV infusion, first hour CPT 96413 Hb 96413 Chemo Iv Infus 1 Hr	$646.10	$1,846.00	—	34% below	65%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Hb Chemo Iv Infus 1 Hr	$158.90	$454.00	—	—	65%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Hb 96413 Chemo Iv Infus 1 Hr	$646.10	$1,846.00	—	—	65%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Hb New Opthalm Comprehensive	$60.20	$172.00	—	88% below	65%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Hb New Opthalm Comprehensive	$60.20	$172.00	—	—	65%
Comprehensive eye exam, returning patient CPT 92014 Hb Est Opthalm Comprehensive	$62.30	$178.00	—	76% below	65%
Comprehensive eye exam, returning patient inpatient CPT 92014 Hb Est Opthalm Comprehensive	$62.30	$178.00	—	—	65%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hb Comprehensive Audiometry	$186.20	$532.00	—	35% below	65%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Hb Comprehensive Audiometry	$186.20	$532.00	—	—	65%
Critical care, first 30 to 74 minutes CPT 99291 Hb Critical Care First Hour	$1,900.85	$5,431.00	—	61% below	65%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hb Critical Care First Hour	$1,900.85	$5,431.00	—	—	65%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Hb Eeg Awake Drowsy Port	$583.10	$1,666.00	—	61% below	65%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Hb Eeg Record Awake And Drowsy	$583.10	$1,666.00	—	61% below	65%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hb Eeg Record Awake And Drowsy	$583.10	$1,666.00	—	—	65%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hb Eeg Awake Drowsy Port	$583.10	$1,666.00	—	—	65%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Hb Electrocardiogram Complete	$127.75	$365.00	—	at median	65%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Hb Electrocardiogram Complete	$127.75	$365.00	—	—	65%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hb 93005 Electrocardiogram Tracing	$187.25	$535.00	—	49% below	65%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hb 93005 Electrocardiogram Tracing	$187.25	$535.00	—	—	65%
Electroconvulsive therapy (ECT), one session CPT 90870 Hb Electroconvulsive Therapy	$1,596.70	$4,562.00	—	16% above	65%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Hb Electroconvulsive Therapy	$1,596.70	$4,562.00	—	—	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hb Er Level I	$189.70	$542.00	—	62% below	65%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hb Er Level I	$189.70	$542.00	—	—	65%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hb Er Level Ii	$337.75	$965.00	—	63% below	65%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hb Er Level Ii	$337.75	$965.00	—	—	65%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hb Er Level Iii	$599.90	$1,714.00	—	63% below	65%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hb Er Level Iii	$599.90	$1,714.00	—	—	65%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hb Er Level Iv	$958.30	$2,738.00	—	61% below	65%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hb Er Level Iv	$958.30	$2,738.00	—	—	65%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hb Er Level V	$1,765.75	$5,045.00	—	48% below	65%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hb Er Level V	$1,765.75	$5,045.00	—	—	65%
Exercise stress test, tracing only, the hospital charge CPT 93017 Hb Drug Induced Stress Test	$680.40	$1,944.00	—	55% below	65%
Exercise stress test, tracing only, the hospital charge CPT 93017 Hb Cardiovascular Stress Test	$816.20	$2,332.00	—	46% below	65%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hb Drug Induced Stress Test	$680.40	$1,944.00	—	—	65%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hb Cardiovascular Stress Test	$816.20	$2,332.00	—	—	65%
Eye exam, returning patient, intermediate CPT 92012 Hb Est Opthalm Intermediate	$51.10	$146.00	—	83% below	65%
Eye exam, returning patient, intermediate inpatient CPT 92012 Hb Est Opthalm Intermediate	$51.10	$146.00	—	—	65%
Family therapy with the patient, 50 minutes CPT 90847 Hb Family Psy Tx W Pt 50 Min	$151.20	$432.00	—	72% below	65%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Hb Family Psy Tx W Pt 50 Min	$151.20	$432.00	—	—	65%
Family therapy without the patient, 50 minutes CPT 90846 Hb Family Psy Tx Wo Pt 50 Min	$87.85	$251.00	—	77% below	65%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Hb Family Psy Tx Wo Pt 50 Min	$87.85	$251.00	—	—	65%
Group psychotherapy session CPT 90853 Hb Group Psy Tx	$160.65	$459.00	—	47% below	65%
Group psychotherapy session inpatient CPT 90853 Hb Group Psy Tx	$160.65	$459.00	—	—	65%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Hb Ecg Monit Reprt Up To 48 Hrs	$164.50	$470.00	—	—	65%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Hb Ecg Monit Reprt Up To 48 Hrs	$164.50	$470.00	—	—	65%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hb Hydrate Iv Infusion Init	$95.20	$272.00	—	83% below	65%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hb 96360 Hydrate Iv Infusion Init	$377.65	$1,079.00	—	33% below	65%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hb Hydrate Iv Infusion Init	$95.20	$272.00	—	—	65%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hb 96360 Hydrate Iv Infusion Init	$377.65	$1,079.00	—	—	65%
IV infusion of a medicine, first hour CPT 96365 Hb Iv Infus Ther Proph Dx Initial	$109.20	$312.00	—	83% below	65%
IV infusion of a medicine, first hour CPT 96365 Hb 96365 Iv Infus Ther Proph Dx Int	$235.20	$672.00	—	64% below	65%
IV infusion of a medicine, first hour inpatient CPT 96365 Hb Iv Infus Ther Proph Dx Initial	$109.20	$312.00	—	—	65%
IV infusion of a medicine, first hour inpatient CPT 96365 Hb 96365 Iv Infus Ther Proph Dx Int	$235.20	$672.00	—	—	65%
IV push of a medicine, first drug CPT 96374 Hb Iv Push Initial Ther Proph Dx	$204.75	$585.00	—	36% below	65%
IV push of a medicine, first drug CPT 96374 Hb 96374 Iv Push Int Ther Proph Dx	$204.75	$585.00	—	36% below	65%
IV push of a medicine, first drug CPT 96374 Hb Bubble Contrast Media Stdy Inj	$425.95	$1,217.00	—	34% above	65%
IV push of a medicine, first drug inpatient CPT 96374 Hb Iv Push Initial Ther Proph Dx	$204.75	$585.00	—	—	65%
IV push of a medicine, first drug inpatient CPT 96374 Hb 96374 Iv Push Int Ther Proph Dx	$204.75	$585.00	—	—	65%
IV push of a medicine, first drug inpatient CPT 96374 Hb Bubble Contrast Media Stdy Inj	$425.95	$1,217.00	—	—	65%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hb 96372 Sq Im Ther Proph Dx Inj	$88.20	$252.00	—	51% below	65%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hb Sq Im Ther Proph Dx Injection	$88.20	$252.00	—	51% below	65%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hb Botox Injection	$153.65	$439.00	—	15% below	65%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hb Thyrogen Injection	$153.65	$439.00	—	15% below	65%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hb Sq Im Ther Proph Dx Injection	$88.20	$252.00	—	—	65%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hb 96372 Sq Im Ther Proph Dx Inj	$88.20	$252.00	—	—	65%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hb Botox Injection	$153.65	$439.00	—	—	65%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hb Thyrogen Injection	$153.65	$439.00	—	—	65%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hb Psych Consult	$160.65	$459.00	—	38% below	65%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hb Psych Consult	$160.65	$459.00	—	—	65%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hb Nerve Conduction 7-8 Studies	$835.80	$2,388.00	—	22% below	65%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Hb Nerve Conduction 7-8 Studies	$835.80	$2,388.00	—	—	65%
Neuromuscular re-education, 15 minutes CPT 97112 Hb Neuromuscular Re Edu Ea 15 Min	$86.45	$247.00	—	41% below	65%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hb Neuromuscular Re Edu Ea 15 Min	$86.45	$247.00	—	—	65%
New patient office visit, about 30 minutes CPT 99203 Hb New Office O/P Low 30-44 Min	$290.50	$830.00	—	36% below	65%
New patient office visit, about 30 minutes inpatient CPT 99203 Hb New Office O/P Low 30-44 Min	$290.50	$830.00	—	—	65%
New patient office visit, about 45 minutes CPT 99204 Hb New Office O/P Mod 45-59 Min	$334.25	$955.00	—	48% below	65%
New patient office visit, about 45 minutes inpatient CPT 99204 Hb New Office O/P Mod 45-59 Min	$334.25	$955.00	—	—	65%
New patient office visit, about 60 minutes CPT 99205 Hb New Office O/P High 60-74 Min	$590.10	$1,686.00	—	23% below	65%
New patient office visit, about 60 minutes inpatient CPT 99205 Hb New Office O/P High 60-74 Min	$590.10	$1,686.00	—	—	65%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hb New Office O/P Sf 15-29 Min	$270.90	$774.00	—	3% above	65%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hb New Office O/P Sf 15-29 Min	$270.90	$774.00	—	—	65%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hb Med Nutrition Therp Init 15 Min	$129.50	$370.00	—	94% above	65%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hb Med Nutrition Therp Init 15 Min	$129.50	$370.00	—	—	65%
Occupational therapy evaluation, low complexity CPT 97165 Hb Occupational Therapy Eval Low Complex 30 Mins	$210.35	$601.00	—	56% below	65%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Hb Occupational Therapy Eval Low Complex 30 Mins	$210.35	$601.00	—	—	65%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hb Physical Therapy Eval High Complex 45 Mins	$420.35	$1,201.00	—	20% below	65%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hb Physical Therapy Eval High Complex 45 Mins	$420.35	$1,201.00	—	—	65%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hb Physical Therapy Eval Low Complex 20 Mins	$187.25	$535.00	—	58% below	65%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hb Physical Therapy Eval Low Complex 20 Mins	$187.25	$535.00	—	—	65%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hb Physical Therapy Eval Mod Complex 30 Mins	$280.70	$802.00	—	37% below	65%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hb Physical Therapy Eval Mod Complex 30 Mins	$280.70	$802.00	—	—	65%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hb Manual Therapy Tech Ea 15 Min	$67.90	$194.00	—	48% below	65%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hb Manual Therapy Tech Ea 15 Min	$67.90	$194.00	—	—	65%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hb Therapeutic Exercises Ea 15 Min	$85.40	$244.00	—	41% below	65%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hb Therapeutic Exercises Ea 15 Min	$85.40	$244.00	—	—	65%
Preventive checkup, new patient aged 18–39 CPT 99385 Hb New Pt Prevent 18 To 39Yr	$69.65	$199.00	—	53% below	65%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Hb New Pt Prevent 18 To 39Yr	$69.65	$199.00	—	—	65%
Preventive checkup, new patient aged 40–64 CPT 99386 Hb New Pt Prevent 40 To 64Yr	$77.70	$222.00	—	62% below	65%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Hb New Pt Prevent 40 To 64Yr	$77.70	$222.00	—	—	65%
Preventive checkup, new patient aged 65 or older CPT 99387 Hb New Pt Prevent 65 And Up	$101.15	$289.00	—	57% below	65%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Hb New Pt Prevent 65 And Up	$101.15	$289.00	—	—	65%
Preventive checkup, returning patient aged 18–39 CPT 99395 Hb Est Pt Prevent 18 To 39Yr	$66.85	$191.00	—	70% below	65%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Hb Est Pt Prevent 18 To 39Yr	$66.85	$191.00	—	—	65%
Preventive checkup, returning patient aged 40–64 CPT 99396 Hb Est Pt Prevent 40 To 64Yr	$75.95	$217.00	—	59% below	65%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Hb Est Pt Prevent 40 To 64Yr	$75.95	$217.00	—	—	65%
Preventive checkup, returning patient aged 65 or older CPT 99397 Hb Est Pt Prevent 65 And Up	$98.35	$281.00	—	50% below	65%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Hb Est Pt Prevent 65 And Up	$98.35	$281.00	—	—	65%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Hb Psycl Tst Eval Phys/Qhp 1St	$284.90	$814.00	—	31% below	65%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Hb Psycl Tst Eval Phys/Qhp 1St	$284.90	$814.00	—	—	65%
Psychotherapy for crisis, first 60 minutes CPT 90839 Hb Psychotx For Crisis 60 Min	$217.35	$621.00	—	48% below	65%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Hb Psychotx For Crisis 60 Min	$217.35	$621.00	—	—	65%
Psychotherapy session, 30 minutes CPT 90832 Hb Psychotx Pt 30 Min	$72.80	$208.00	—	80% below	65%
Psychotherapy session, 30 minutes inpatient CPT 90832 Hb Psychotx Pt 30 Min	$72.80	$208.00	—	—	65%
Psychotherapy session, 45 minutes CPT 90834 Hb Psychotx Pt 45 Min	$144.55	$413.00	—	63% below	65%
Psychotherapy session, 45 minutes inpatient CPT 90834 Hb Psychotx Pt 45 Min	$144.55	$413.00	—	—	65%
Psychotherapy session, 60 minutes CPT 90837 Hb Psychotx Pt 60 Min	$196.70	$562.00	—	54% below	65%
Psychotherapy session, 60 minutes inpatient CPT 90837 Hb Psychotx Pt 60 Min	$196.70	$562.00	—	—	65%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hb Behav Chng Smoking 3-10 Min	$40.25	$115.00	—	35% below	65%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hb Behav Chng Smoking 3-10 Min	$40.25	$115.00	—	—	65%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hb Est Office/Op High 40-54 Min	$393.75	$1,125.00	—	39% below	65%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hb Est Office/Op High 40-54 Min	$393.75	$1,125.00	—	—	65%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hb Est Office/Op Low 20-29 Min	$262.50	$750.00	—	25% below	65%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hb Est Office/Op Low 20-29 Min	$262.50	$750.00	—	—	65%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hb Est Office/Op Mod 30-39 Min	$347.20	$992.00	—	34% below	65%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hb Est Office/Op Mod 30-39 Min	$347.20	$992.00	—	—	65%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hb Est Office/Op Sf 10-19 Min	$93.45	$267.00	—	73% below	65%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hb Est Office/Op Sf 10-19 Min	$93.45	$267.00	—	—	65%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Hb Patient Consult Detailed	$157.85	$451.00	—	45% below	65%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Hb Patient Consult Detailed	$157.85	$451.00	—	—	65%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Hb Patient Consult Comp	$176.05	$503.00	—	286% above	65%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Hb Patient Consult Comp	$176.05	$503.00	—	—	65%
Speech and language evaluation CPT 92523 Hb Speech Sound Lang Comprehen	$474.25	$1,355.00	—	19% below	65%
Speech and language evaluation inpatient CPT 92523 Hb Speech Sound Lang Comprehen	$474.25	$1,355.00	—	—	65%
Speech therapy session, individual CPT 92507 Hb Indiv Speech Hearing Therapy	$238.70	$682.00	—	34% below	65%
Speech therapy session, individual inpatient CPT 92507 Hb Indiv Speech Hearing Therapy	$238.70	$682.00	—	—	65%
Spirometry before and after a bronchodilator CPT 94060 Hb Pre And Post Spirometry	$659.05	$1,883.00	—	27% below	65%
Spirometry before and after a bronchodilator inpatient CPT 94060 Hb Pre And Post Spirometry	$659.05	$1,883.00	—	—	65%
Therapeutic activities (functional training), 15 minutes CPT 97530 Hb Therapeutic Activites Ea 15 Min	$72.10	$206.00	—	52% below	65%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hb Therapeutic Activites Ea 15 Min	$72.10	$206.00	—	—	65%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hb Thera Phlebotomy Ip 086	$785.75	$2,245.00	—	153% above	65%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hb Ther Phleb W/Fluid 440	$789.25	$2,255.00	—	155% above	65%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hb Thera Phlebotomy Ip 086	$785.75	$2,245.00	—	—	65%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hb Ther Phleb W/Fluid 440	$789.25	$2,255.00	—	—	65%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Hb Cardiovascular Stress Test	$213.50	$610.00	—	91% below	65%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Hb Cardiovascular Stress Test	$213.50	$610.00	—	—	65%
Visual field test, extended CPT 92083 Hb Extended Visual Field	$93.45	$267.00	—	—	65%
Visual field test, extended inpatient CPT 92083 Hb Extended Visual Field	$93.45	$267.00	—	—	65%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [112304]	$65.95	$188.42	—	33% below	65%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE [112304]	$65.95	$188.42	—	—	65%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE [202357]	$119.70	$342.00	—	62% above	65%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS2024-25(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE [202357]	$119.70	$342.00	—	—	65%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [111392]	$95.41	$272.60	—	45% below	65%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE [111392]	$95.41	$272.60	—	—	65%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE [182784]	$340.49	$972.84	—	1% below	65%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE [182784]	$340.49	$972.84	—	—	65%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [111317]	$68.10	$194.57	—	32% below	65%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SUSP [111318]	$91.09	$260.26	—	10% below	65%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE [111317]	$68.10	$194.57	—	—	65%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML INTRAMUSCULAR SUSP [111318]	$91.09	$260.26	—	—	65%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931]	$29.76	$85.04	—	53% below	65%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN [11931]	$29.76	$85.04	—	—	65%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [10512]	$220.06	$628.76	—	15% above	65%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT [10512]	$220.06	$628.76	—	—	65%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT [42622]	$214.13	$611.80	—	46% below	65%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT [42622]	$214.13	$611.80	—	—	65%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION [40540]	$139.80	$399.42	—	75% below	65%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION [40540]	$139.80	$399.42	—	—	65%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [192186]	$177.25	$506.43	—	81% below	65%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE [192186]	$177.25	$506.43	—	—	65%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [11037]	$269.67	$770.49	—	32% below	65%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION [11037]	$269.67	$770.49	—	—	65%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [102806]	$26.61	$76.02	—	73% below	65%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION [102806]	$26.61	$76.02	—	—	65%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE [199041]	$599.38	$1,712.50	—	53% below	65%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE [199041]	$599.38	$1,712.50	—	—	65%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE [199040]	$1,198.75	$3,425.00	—	25% below	65%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE [199040]	$1,198.75	$3,425.00	—	—	65%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120]	$428.73	$1,224.94	—	64% below	65%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP [22120]	$428.73	$1,224.94	—	—	65%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT [180420]	$198.11	$566.03	—	47% below	65%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT [180420]	$198.11	$566.03	—	—	65%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP [112409]	$149.72	$427.76	—	2% above	65%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [112408]	$149.72	$427.76	—	2% above	65%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE [112408]	$149.72	$427.76	—	—	65%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP [112409]	$149.72	$427.76	—	—	65%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP [163377]	$74.86	$213.88	—	63% below	65%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [163376]	$211.58	$604.50	—	4% above	65%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACELL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5 ML IM SUSP [163377]	$74.86	$213.88	—	—	65%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE [163376]	$211.58	$604.50	—	—	65%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE [14678]	$83.43	$238.36	—	72% below	65%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE [14678]	$83.43	$238.36	—	—	65%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Flu Virus Vaccine Admin	$9.80	$28.00	—	92% below	65%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Im Adm Prq Id Subq/Im Njxs 1 Vaccine	$54.95	$157.00	—	54% below	65%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Hep B Vaccine Admin	$87.15	$249.00	—	27% below	65%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Pneumo Vaccine Admin	$87.15	$249.00	—	27% below	65%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hb Immunization Admin	$87.15	$249.00	—	27% below	65%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Flu Virus Vaccine Admin	$9.80	$28.00	—	—	65%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Im Adm Prq Id Subq/Im Njxs 1 Vaccine	$54.95	$157.00	—	—	65%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Pneumo Vaccine Admin	$87.15	$249.00	—	—	65%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Immunization Admin	$87.15	$249.00	—	—	65%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hb Hep B Vaccine Admin	$87.15	$249.00	—	—	65%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hb Im Adm Prq Id Subq/Im Njxs Ea Vaccine	$26.95	$77.00	—	75% below	65%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hb Each Addl Pneumo Vaccine Admin	$82.60	$236.00	—	24% below	65%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hb Ea Addl Flu Virus Vaccine Admin	$82.60	$236.00	—	24% below	65%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hb Each Addl Immunization Admin	$82.60	$236.00	—	24% below	65%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hb Im Adm Prq Id Subq/Im Njxs Ea Vaccine	$26.95	$77.00	—	—	65%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hb Each Addl Pneumo Vaccine Admin	$82.60	$236.00	—	—	65%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hb Each Addl Immunization Admin	$82.60	$236.00	—	—	65%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hb Ea Addl Flu Virus Vaccine Admin	$82.60	$236.00	—	—	65%

Dental

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Hb Extraction Erupted Tooth/Exr	$1,203.65	$3,439.00	—	13% below	65%
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 Hb Extraction Erupted Tooth/Exr	$1,203.65	$3,439.00	—	—	65%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

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No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.tgh.org/-/media/files/patients-and-visitors/593458145_tampa-general-hospital_standardcharges.csv?rev=fbfbf55888944d4797beed0f6b578f29&hash=E234A0F8B98B4383BE920E3F896B75DB