St. Vincent's Medical Center, Inc. (FL)
St. Vincent's Medical Center, Inc. (FL) in Jacksonville, FL publishes cash prices for 35 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1 Shircliff Way Jacksonville FL 32204 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV W/CONTRAST | $693.10 | $1,873.25 | 63% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV W/CONTRAST | $693.10 | $1,873.25 | 63% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELV W/CONTRAST | $693.10 | $1,873.25 | 63% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST | $676.55 | $1,828.50 | 63% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST | $676.55 | $1,828.50 | 63% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST | $676.55 | $1,828.50 | 63% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $670.16 | $1,811.25 | 63% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $670.16 | $1,811.25 | 63% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $670.16 | $1,811.25 | 63% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA DX MAMMO BILATERAL | $303.96 | $821.50 | 63% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA DX MAMMO BILATERAL | $303.96 | $821.50 | 63% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA DX MAMMO BILATERAL | $303.96 | $821.50 | 63% |
| Diagnostic mammogram, one breast one side CPT 77065 MA DX MAMMO UNILATERAL LT | $301.55 | $815.00 | 63% |
| Diagnostic mammogram, one breast one side CPT 77065 MA DX MAMMO UNILATERAL RT | $301.55 | $815.00 | 63% |
| Diagnostic mammogram, one breast one side CPT 77065 MA DX MAMMO UNILATERAL LT | $301.55 | $815.00 | 63% |
| Diagnostic mammogram, one breast one side CPT 77065 MA DX MAMMO UNILATERAL RT | $301.55 | $815.00 | 63% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DX MAMMO UNILATERAL LT | $301.55 | $815.00 | 63% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DX MAMMO UNILATERAL RT | $301.55 | $815.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O LT | $590.15 | $1,595.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT RT | $590.15 | $1,595.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT LT | $590.15 | $1,595.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O RT | $590.15 | $1,595.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O LT | $590.15 | $1,595.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT RT | $590.15 | $1,595.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT LT | $590.15 | $1,595.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O RT | $590.15 | $1,595.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT LT | $590.15 | $1,595.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT RT | $590.15 | $1,595.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT W/O LT | $590.15 | $1,595.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT W/O RT | $590.15 | $1,595.00 | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/WO RT | $654.35 | $1,768.50 | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/WO RT | $654.35 | $1,768.50 | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/WO LT | $654.35 | $1,768.50 | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/WO LT | $654.35 | $1,768.50 | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW EXT JOINT W/WO RT | $654.35 | $1,768.50 | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW EXT JOINT W/WO LT | $654.35 | $1,768.50 | 63% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,127.02 | $3,046.00 | 63% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,127.02 | $3,046.00 | 63% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $1,127.02 | $3,046.00 | 63% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $622.25 | $1,681.75 | 63% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $622.25 | $1,681.75 | 63% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST | $622.25 | $1,681.75 | 63% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CONTRAST | $1,136.27 | $3,071.00 | 63% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CONTRAST | $1,136.27 | $3,071.00 | 63% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CONTRAST | $1,136.27 | $3,071.00 | 63% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB FETAL MATERNAL EVAL | $340.96 | $921.50 | 63% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB FETAL MATERNAL EVAL | $340.96 | $921.50 | 63% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB FETAL MATERNAL EVAL | $340.96 | $921.50 | 63% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB FETAL MATERNAL EVAL | $340.96 | $921.50 | 63% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB FETAL MATERNAL EVAL | $340.96 | $921.50 | 63% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB FETAL MATERNAL EVAL | $340.96 | $921.50 | 63% |
| Screening mammogram, both breasts both sides CPT 77067 MA SCREEN MAMMO BILATERAL | $287.12 | $776.00 | 63% |
| Screening mammogram, both breasts both sides CPT 77067 MA SCREEN MAMMO BILATERAL | $287.12 | $776.00 | 63% |
| Screening mammogram, both breasts both sides CPT 77067 MA SCREEN MAMMO BILAT MOBILE | $287.12 | $776.00 | 63% |
| Screening mammogram, both breasts both sides CPT 77067 MA SCREEN MAMMO BILAT MOBILE | $287.12 | $776.00 | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO RT | $256.87 | $694.25 | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO LT | $256.87 | $694.25 | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO RT | $256.87 | $694.25 | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO LT | $256.87 | $694.25 | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO LT MOBILE | $256.87 | $694.25 | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO LT MOBILE | $256.87 | $694.25 | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO RT MOBILE | $256.87 | $694.25 | 63% |
| Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO RT MOBILE | $256.87 | $694.25 | 63% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MA SCREEN MAMMO BILATERAL | $287.12 | $776.00 | 63% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MA SCREEN MAMMO BILAT MOBILE | $287.12 | $776.00 | 63% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MA SCREEN MAMMO LT | $256.87 | $694.25 | 63% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MA SCREEN MAMMO RT | $256.87 | $694.25 | 63% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MA SCREEN MAMMO RT MOBILE | $256.87 | $694.25 | 63% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MA SCREEN MAMMO LT MOBILE | $256.87 | $694.25 | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 JV POLYSOMNOGRPHY SLEEP STDY 6YR+ | $5,160.76 | $13,948.00 | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 JV TERMINATED POLYSOMNOGRPHY 6YR+ | $5,160.76 | $13,948.00 | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 JV TERMINATED POLYSOMNOGRPHY 6YR+ | $5,160.76 | $13,948.00 | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY SLEEP STUDY 6YRS + | $5,160.76 | $13,948.00 | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 TERMINATED POLYSOMNOGRAPY 6YRS + | $5,160.76 | $13,948.00 | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 TERMINATED POLYSOMNOGRAPY 6YRS + | $5,160.76 | $13,948.00 | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 JV POLYSOMNOGRPHY SLEEP STDY 6YR+ | $5,160.76 | $13,948.00 | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY SLEEP STUDY 6YRS + | $5,160.76 | $13,948.00 | 63% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 JV TERMINATED POLYSOMNOGRPHY 6YR+ | $5,160.76 | $13,948.00 | 63% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 JV POLYSOMNOGRPHY SLEEP STDY 6YR+ | $5,160.76 | $13,948.00 | 63% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY SLEEP STUDY 6YRS + | $5,160.76 | $13,948.00 | 63% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 TERMINATED POLYSOMNOGRAPY 6YRS + | $5,160.76 | $13,948.00 | 63% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $710.31 | $1,919.75 | 63% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $710.31 | $1,919.75 | 63% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $710.31 | $1,919.75 | 63% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $897.07 | $2,424.50 | 63% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $897.07 | $2,424.50 | 63% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $897.07 | $2,424.50 | 63% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR COMP 4+VIEWS | $371.20 | $1,003.25 | 63% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR COMP W/OBLIQUES | $371.20 | $1,003.25 | 63% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR COMP W/OBLIQUES | $371.20 | $1,003.25 | 63% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR COMP 4+VIEWS | $371.20 | $1,003.25 | 63% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBAR COMP W/OBLIQUES | $371.20 | $1,003.25 | 63% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBAR COMP 4+VIEWS | $371.20 | $1,003.25 | 63% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROF 2000 | $71.50 | $193.25 | 63% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROF 2000 | $71.50 | $193.25 | 63% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROF 2000 | $71.50 | $193.25 | 63% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $156.97 | $424.25 | 63% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE-TOTAL 80061 | $156.97 | $424.25 | 63% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $156.97 | $424.25 | 63% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE-TOTAL 80061 | $156.97 | $424.25 | 63% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE-TOTAL 80061 | $156.97 | $424.25 | 63% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $156.97 | $424.25 | 63% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL | $51.25 | $138.50 | 63% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL 85025 | $51.25 | $138.50 | 63% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL | $51.25 | $138.50 | 63% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL 85025 | $51.25 | $138.50 | 63% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFFERENTIAL 85025 | $51.25 | $138.50 | 63% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFFERENTIAL | $51.25 | $138.50 | 63% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM CBC 85027 | $46.62 | $126.00 | 63% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFFERENTIAL | $46.62 | $126.00 | 63% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFFERENTIAL | $46.62 | $126.00 | 63% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM CBC 85027 | $46.62 | $126.00 | 63% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM CBC 85027 | $46.62 | $126.00 | 63% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFFERENTIAL | $46.62 | $126.00 | 63% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL 2000 | $122.38 | $330.75 | 63% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL 2000 | $122.38 | $330.75 | 63% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL 2000 | $122.38 | $330.75 | 63% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 2000 | $77.70 | $210.00 | 63% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 2000 | $77.70 | $210.00 | 63% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL 2000 | $77.70 | $210.00 | 63% |
| Liver function blood test panel CPT 80076 HEPATIC PANEL 2000 | $50.14 | $135.50 | 63% |
| Liver function blood test panel CPT 80076 HEPATIC PANEL 2000 | $50.14 | $135.50 | 63% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL 2000 | $50.14 | $135.50 | 63% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $12.67 | $34.25 | 63% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $12.67 | $34.25 | 63% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN | $12.67 | $34.25 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF FACTOR 2 INHIB PTT SUB | $16.65 | $45.00 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF FACTOR 2 INHIB PTT | $16.65 | $45.00 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF FACTOR 2 INHIB PTT SUB | $16.65 | $45.00 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF FACTOR 2 INHIB PTT | $16.65 | $45.00 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF MAYO PTT | $22.20 | $60.00 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF MAYO PTT | $22.20 | $60.00 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF THROMBOPLAST TM (PTT) (APC-P) | $27.38 | $74.00 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF THROMBOPLAST TM (PTT) (APC-P) | $27.38 | $74.00 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME PTT | $48.56 | $131.25 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME PTT | $48.56 | $131.25 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF FAC IX PTT (S44096) | $88.06 | $238.00 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF FAC IX PTT (S44096) | $88.06 | $238.00 | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF FACTOR 2 INHIB PTT SUB | $16.65 | $45.00 | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF FACTOR 2 INHIB PTT | $16.65 | $45.00 | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF MAYO PTT | $22.20 | $60.00 | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF THROMBOPLAST TM (PTT) (APC-P) | $27.38 | $74.00 | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME PTT | $48.56 | $131.25 | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF FAC IX PTT (S44096) | $88.06 | $238.00 | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 REF MAYO PROTHOMBIN TIME | $9.25 | $25.00 | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 REF MAYO PROTHOMBIN TIME | $9.25 | $25.00 | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 REF FACTOR 2 INHIBIT PROTIME | $16.65 | $45.00 | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 REF FACTOR 2 INHIBIT PROTIME | $16.65 | $45.00 | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME WITH INR | $21.46 | $58.00 | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME 85610 | $21.46 | $58.00 | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME WITH INR | $21.46 | $58.00 | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME 85610 | $21.46 | $58.00 | 63% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 REF MAYO PROTHOMBIN TIME | $9.25 | $25.00 | 63% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 REF FACTOR 2 INHIBIT PROTIME | $16.65 | $45.00 | 63% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME WITH INR | $21.46 | $58.00 | 63% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME 85610 | $21.46 | $58.00 | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ULTRASENSITIVE TSH3 | $36.17 | $97.75 | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HTSH II ULTRASENSITIVE | $36.17 | $97.75 | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - ED FAST TSH | $36.17 | $97.75 | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HTSH II ULTRASENSITIVE | $36.17 | $97.75 | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - ED FAST TSH | $36.17 | $97.75 | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ULTRASENSITIVE TSH3 | $36.17 | $97.75 | 63% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH - ED FAST TSH | $36.17 | $97.75 | 63% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ULTRASENSITIVE TSH3 | $36.17 | $97.75 | 63% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HTSH II ULTRASENSITIVE | $36.17 | $97.75 | 63% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS ROUT W/MICROSCOPIC | $22.20 | $60.00 | 63% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS ROUT W/MICROSCOPIC | $22.20 | $60.00 | 63% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS ROUT W/MICROSCOPIC | $22.20 | $60.00 | 63% |
| Urinalysis with microscope exam, manual CPT 81000 URINALY NON-AUTO W/MICRO 81000 | $12.03 | $32.50 | 63% |
| Urinalysis with microscope exam, manual CPT 81000 URINALY NON-AUTO W/MICRO 81000 | $12.03 | $32.50 | 63% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALY NON-AUTO W/MICRO 81000 | $12.03 | $32.50 | 63% |
| Urinalysis without microscope exam, automated CPT 81003 UA COMPONENT PH AUTO WO MICRO | $10.45 | $28.25 | 63% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED W/O MICRO | $10.45 | $28.25 | 63% |
| Urinalysis without microscope exam, automated CPT 81003 UA COMPONENT PH AUTO WO MICRO | $10.45 | $28.25 | 63% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED W/O MICRO | $10.45 | $28.25 | 63% |
| Urinalysis without microscope exam, automated CPT 81003 UA MACROSCOPIC AUTO WO MICRO | $10.45 | $28.25 | 63% |
| Urinalysis without microscope exam, automated CPT 81003 UA MACROSCOPIC AUTO WO MICRO | $10.45 | $28.25 | 63% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTOMATED W/O MICRO | $10.45 | $28.25 | 63% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA COMPONENT PH AUTO WO MICRO | $10.45 | $28.25 | 63% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA MACROSCOPIC AUTO WO MICRO | $10.45 | $28.25 | 63% |
| Urinalysis without microscope exam, manual CPT 81002 UA SPEC GRAVIT NON-AUTO WO MICR | $4.90 | $13.25 | 63% |
| Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W/0 SCOPE 81002 | $4.90 | $13.25 | 63% |
| Urinalysis without microscope exam, manual CPT 81002 UA REDUCING SUB NON-AU WO MICR | $4.90 | $13.25 | 63% |
| Urinalysis without microscope exam, manual CPT 81002 UA SPEC GRAVIT NON-AUTO WO MICR | $4.90 | $13.25 | 63% |
| Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W/0 SCOPE 81002 | $4.90 | $13.25 | 63% |
| Urinalysis without microscope exam, manual CPT 81002 UA REDUCING SUB NON-AU WO MICR | $4.90 | $13.25 | 63% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W/0 SCOPE 81002 | $4.90 | $13.25 | 63% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA REDUCING SUB NON-AU WO MICR | $4.90 | $13.25 | 63% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA SPEC GRAVIT NON-AUTO WO MICR | $4.90 | $13.25 | 63% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW PT LEVEL III | $135.70 | $366.75 | 63% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW PT LEVEL IV | $186.11 | $503.00 | 63% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW PT LEVEL V | $313.67 | $847.75 | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT LYMPH THERAPEUTIC EX 15MIN | $32.10 | $86.75 | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT LYMPH THERAPEUT EXERCISE 15 MIN | $32.10 | $86.75 | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXER 15 MN | $32.10 | $86.75 | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXER 15M OTA | $32.10 | $86.75 | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT LYMPH THERAPEUTIC EX 15M OTA | $32.10 | $86.75 | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXER 15MIN | $32.10 | $86.75 | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT LYMPH THERAPEUT EXER 15M PTA | $32.10 | $86.75 | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXER 15M PTA | $32.10 | $86.75 | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT PELVIC FLR THER EXER 15M PTA | $32.10 | $86.75 | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT PELVIC FLOOR THER EXER 15 MIN | $32.10 | $86.75 | 63% |