Holmes Regional Medical Center
Holmes Regional Medical Center in Melbourne, FL publishes cash prices for 29 common procedures listed here, from its own machine-readable price file updated Mar 2, 2026. Click a procedure to compare it with other hospitals nearby.
1350 Hickory St, Melbourne, FL 32901 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 HC CT ABDOMEN PELVIS W CONTRAST | $1,410.00 | $5,640.00 | 75% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN PELVIS W CONTRAST | $1,410.00 | $5,640.00 | 75% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCANHEAD/BRAINW/O CONTRAST | $590.25 | $2,361.00 | 75% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCANHEAD/BRAINW/O CONTRAST | $590.25 | $2,361.00 | 75% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS W CONTRAST | $588.75 | $2,355.00 | 75% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS W CONTRAST | $588.75 | $2,355.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTREMITY WO IV CONT | $742.00 | $2,968.00 | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTREMITY WO IV CONT | $742.00 | $2,968.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT W AND WO IV CONTRAST | $951.75 | $3,807.00 | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT W AND WO IV CONTRAST | $951.75 | $3,807.00 | 75% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST | $854.00 | $3,416.00 | 75% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CONTRAST | $854.00 | $3,416.00 | 75% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W WO CONTRAST | $990.50 | $3,962.00 | 75% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W WO CONTRAST | $990.50 | $3,962.00 | 75% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST | $741.75 | $2,967.00 | 75% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST | $741.75 | $2,967.00 | 75% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 14 WEEKS SINGLE OR FIRST GEST | $178.75 | $715.00 | 75% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB 14 WEEKS SINGLE OR FIRST GEST | $178.75 | $715.00 | 75% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $766.00 | $3,064.00 | 75% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $766.00 | $3,064.00 | 75% |
| Transvaginal pelvic ultrasound CPT 76830 HC US PELVIS TRANSVAGINAL | $234.00 | $936.00 | 75% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US PELVIS TRANSVAGINAL | $234.00 | $936.00 | 75% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN | $334.00 | $1,336.00 | 75% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN | $334.00 | $1,336.00 | 75% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR LUMBAR SPINE COMPLETE 4 VIEWS | $149.00 | $596.00 | 75% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR LUMBAR SPINE COMPLETE 4 VIEWS | $149.00 | $596.00 | 75% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED C | $25.00 | $100.00 | 75% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED C | $25.00 | $100.00 | 75% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $18.25 | $73.00 | 75% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $18.25 | $73.00 | 75% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC AUTO DIFF WBC | $24.50 | $98.00 | 75% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC AUTO DIFF WBC | $24.50 | $98.00 | 75% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - CBC | $18.25 | $73.00 | 75% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC - CBC | $18.25 | $73.00 | 75% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANELCOMPREHENSIVE - BUNDLED CHARGE | $29.00 | $116.00 | 75% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANELCOMPREHENSIVE - BUNDLED CHARGE | $29.00 | $116.00 | 75% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $25.50 | $102.00 | 75% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $25.50 | $102.00 | 75% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $25.75 | $103.00 | 75% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $25.75 | $103.00 | 75% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $31.25 | $125.00 | 75% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $31.25 | $125.00 | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL | $25.50 | $102.00 | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA TOTAL AND | $25.50 | $102.00 | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL | $25.50 | $102.00 | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA TOTAL AND | $25.50 | $102.00 | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT | $21.50 | $86.00 | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT | $21.50 | $86.00 | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $16.38 | $65.50 | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY | $16.38 | $65.50 | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $16.38 | $65.50 | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $16.38 | $65.50 | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY | $16.38 | $65.50 | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR | $16.38 | $65.50 | 75% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATIN | $30.50 | $122.00 | 75% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATIN | $30.50 | $122.00 | 75% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE - URINALYSIS CHEM ONL | $14.25 | $57.00 | 75% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE - URINALYSIS CHEM ONL | $14.25 | $57.00 | 75% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG | $292.00 | $1,168.00 | 75% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG | $292.00 | $1,168.00 | 75% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE VISIT NEW EM/45 MINUTES | $70.25 | $281.00 | 75% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE VISIT NEW EM/45 MINUTES | $70.25 | $281.00 | 75% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE VISIT NEW EM/>60 MINUTES | $70.25 | $281.00 | 75% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE VISIT NEW EM/>60 MINUTES | $70.25 | $281.00 | 75% |
Source file: https://www.hf.org/sites/default/files/2026-03/590624371_Holmes-Regional-Medical-Center_standardcharges.csv