Sacred Heart Hospital
Sacred Heart Hospital in Pensacola, FL publishes cash prices for 310 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 271 of 308 procedures and above it for 37. By typical cash price it ranks #24 of 171 Florida hospitals and #4 of 6 hospitals in the Pensacola, FL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
5151 N 9th Ave Pensacola FL 32504 Collected Sep 23, 2026 Source price file Check a bill from this hospital (850) 416-7000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 100025 · CMS hospital register NPI 1922032424
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Sacred Heart 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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O THEN W/ CONTRAST | $1,630.80 | $4,077.00 | $393.89–$1,359.00 | 59% below | 60% |
| Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS | $268.40 | $671.00 | $75.51–$235.69 | 58% below | 60% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS BILAT | $844.00 | $2,110.00 | $81.04–$1,076.10 | — | 60% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS BILAT | $844.00 | $2,110.00 | $81.04–$1,076.10 | — | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS RT | $422.40 | $1,056.00 | $81.04–$538.56 | 32% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS LT | $422.40 | $1,056.00 | $81.04–$538.56 | 32% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS RT | $422.40 | $1,056.00 | $81.04–$538.56 | 32% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPL MIN 3V LT | $422.40 | $1,056.00 | $81.04–$538.56 | 32% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS LT | $422.40 | $1,056.00 | $81.04–$538.56 | 32% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPL MIN 3V LT | $422.40 | $1,056.00 | $81.04–$538.56 | 32% below | 60% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS BILAT | $844.00 | $2,110.00 | $81.04–$1,076.10 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE COMPL MIN 3V LT | $422.40 | $1,056.00 | $81.04–$538.56 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS RT | $422.40 | $1,056.00 | $81.04–$538.56 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE COMPL MIN 3 VIEWS LT | $422.40 | $1,056.00 | $81.04–$538.56 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 EXTREM ART STUDY BILAT LMTD 1-2 LEV | $321.60 | $804.00 | $410.04 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 EXTREM ART STUDY BILAT LMTD 1-2 LEV | $384.40 | $961.00 | $869.00 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 EXTREM ART STUDY BILAT LMTD 1-2 LEV | $321.60 | $804.00 | $410.04 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST LT | $1,449.20 | $3,623.00 | $235.69–$1,847.73 | 38% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CON LT | $1,449.20 | $3,623.00 | $235.69–$1,847.73 | 38% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST RT | $1,449.20 | $3,623.00 | $235.69–$1,847.73 | 38% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CON RT | $1,449.20 | $3,623.00 | $235.69–$1,847.73 | 38% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST LT | $1,449.20 | $3,623.00 | $235.69–$1,847.73 | 38% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST RT | $1,449.20 | $3,623.00 | $235.69–$1,847.73 | 38% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CON LT | $1,449.20 | $3,623.00 | $235.69–$1,847.73 | 38% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CON RT | $1,449.20 | $3,623.00 | $235.69–$1,847.73 | 38% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O CON RT | $1,449.20 | $3,623.00 | $235.69–$1,847.73 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST RT | $1,449.20 | $3,623.00 | $235.69–$1,847.73 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O CON LT | $1,449.20 | $3,623.00 | $235.69–$1,847.73 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST LT | $1,449.20 | $3,623.00 | $235.69–$1,847.73 | — | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XRAY ESOPHAGUS BARIUM SWALLOW | $726.80 | $1,817.00 | $205.62–$393.89 | 14% below | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN-TOTAL BODY | $2,826.40 | $7,066.00 | $819.77–$884.18 | 11% above | 60% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST COMPLETE BILATERAL | $740.80 | $1,852.00 | $219.96–$944.52 | — | 60% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST COMPLETE BILATERAL | $740.80 | $1,852.00 | $219.96–$944.52 | — | 60% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $370.40 | $926.00 | $219.96–$235.69 | 36% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RIGHT W/DOC | $370.40 | $926.00 | $219.96–$472.26 | 36% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE RIGHT | $370.40 | $926.00 | $219.96–$472.26 | 36% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE LEFT | $370.40 | $926.00 | $219.96–$472.26 | 36% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE RIGHT W/DOC | $370.40 | $926.00 | $219.96–$472.26 | 36% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LEFT W/DOC | $370.40 | $926.00 | $219.96–$472.26 | 36% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE LEFT W/DOC | $370.40 | $926.00 | $219.96–$472.26 | 36% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE RIGHT | $370.40 | $926.00 | $219.96–$472.26 | 36% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE LEFT | $370.40 | $926.00 | $219.96–$472.26 | 36% below | 60% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST COMPLETE BILATERAL | $740.80 | $1,852.00 | $219.96–$944.52 | — | 60% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE LEFT W/DOC | $370.40 | $926.00 | $219.96–$472.26 | — | 60% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE RIGHT W/DOC | $370.40 | $926.00 | $219.96–$472.26 | — | 60% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE LEFT | $370.40 | $926.00 | $219.96–$472.26 | — | 60% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE RIGHT | $370.40 | $926.00 | $219.96–$472.26 | — | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LEFT W/DOC | $370.40 | $926.00 | $167.02–$472.26 | 29% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED RIGHT | $370.40 | $926.00 | $167.02–$472.26 | 29% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED LEFT | $370.40 | $926.00 | $167.02–$472.26 | 29% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RIGHT W/DOC | $370.40 | $926.00 | $167.02–$472.26 | 29% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LEFT W/DOC | $370.40 | $926.00 | $167.02–$472.26 | 29% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED RIGHT | $370.40 | $926.00 | $167.02–$472.26 | 29% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED LEFT | $370.40 | $926.00 | $167.02–$472.26 | 29% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RIGHT W/DOC | $370.40 | $926.00 | $167.02–$472.26 | 29% below | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED LEFT | $370.40 | $926.00 | $167.02–$472.26 | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED RIGHT | $370.40 | $926.00 | $167.02–$472.26 | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LEFT W/DOC | $370.40 | $926.00 | $167.02–$472.26 | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED RIGHT W/DOC | $370.40 | $926.00 | $167.02–$472.26 | — | 60% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIOGRAPHY ABD/PELVIS CONTRAST | $1,728.80 | $4,322.00 | $824.45–$1,359.00 | 71% below | 60% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD | $1,728.80 | $4,322.00 | $393.89–$1,359.00 | 51% below | 60% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK | $1,728.80 | $4,322.00 | $393.89–$1,359.00 | 59% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST NON-CORONARY | $1,728.80 | $4,322.00 | $393.89–$1,359.00 | 61% below | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HEART/ARTERIES/ GRAFTS | $631.20 | $1,578.00 | $393.89–$1,359.00 | 68% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD - PELVIS W/O CONTRAST | $1,728.80 | $4,322.00 | $525.31–$1,359.00 | 69% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD - PELVIS WITH CONTRAST | $1,728.80 | $4,322.00 | $824.45–$1,359.00 | 71% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD - PELV W/O THEN W/ CON | $1,728.80 | $4,322.00 | $824.45–$1,359.00 | 75% below | 60% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST | $1,629.20 | $4,073.00 | $393.89–$1,359.00 | 52% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $1,147.60 | $2,869.00 | $235.69–$1,359.00 | 64% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL AREA W/O CONTRAST | $1,629.20 | $4,073.00 | $235.69–$1,359.00 | 43% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O CONTRAST | $855.60 | $2,139.00 | $235.69–$1,359.00 | 72% below | 60% |
| CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN WITH CONTRAST | $1,103.20 | $2,758.00 | $393.89–$1,359.00 | 71% below | 60% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O THEN W/ CONTRAST | $1,192.80 | $2,982.00 | $393.89–$1,359.00 | 73% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST | $882.80 | $2,207.00 | $235.69–$1,359.00 | 73% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST | $877.20 | $2,193.00 | $235.69–$1,359.00 | 74% below | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $1,335.20 | $3,338.00 | $393.89–$1,359.00 | 69% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX EXTRACRANIAL COMPLETE BILAT | $920.00 | $2,300.00 | $869.00 | — | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DUPLEX EXTRACRANIAL ARTERIES BIL | $920.00 | $2,300.00 | $869.00 | 63% below | 60% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W/O THEN W/ CONTRAST | $1,754.40 | $4,386.00 | $393.89–$1,359.00 | 56% below | 60% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W/O THEN W/ CON | $1,754.40 | $4,386.00 | $393.89–$1,359.00 | 56% below | 60% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $259.60 | $649.00 | $67.80–$194.81 | 48% below | 60% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $225.20 | $563.00 | $51.26–$194.81 | 46% below | 60% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 XRAY CLAVICLE COMPLETE BILAT | $736.80 | $1,842.00 | $71.09–$939.42 | — | 60% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 XRAY CLAVICLE COMPLETE BILAT | $736.80 | $1,842.00 | $71.09–$939.42 | — | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE LT | $368.00 | $920.00 | $71.09–$469.20 | 33% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE LT | $368.00 | $920.00 | $71.09–$469.20 | 33% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE RT | $368.00 | $920.00 | $71.09–$469.20 | 33% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE RT | $368.00 | $920.00 | $71.09–$469.20 | 33% below | 60% |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 XRAY CLAVICLE COMPLETE BILAT | $736.80 | $1,842.00 | $71.09–$939.42 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE COMPLETE RT | $368.00 | $920.00 | $71.09–$469.20 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE COMPLETE LT | $368.00 | $920.00 | $71.09–$469.20 | — | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL RETROPERITONEAL COMPLETE | $926.40 | $2,316.00 | $235.69–$237.63 | 27% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL RETROPERITONEAL COMPLETE | $926.40 | $2,316.00 | $235.69–$237.63 | 27% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL SKELETON | $78.40 | $196.00 | $92.06 | 87% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY AXIAL | $338.00 | $845.00 | $92.06–$235.69 | 45% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY AXIAL 1/> SITES | $338.00 | $845.00 | $92.06–$235.69 | 45% below | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY APPENDICULAR | $175.20 | $438.00 | $68.90–$194.81 | 37% below | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US FETAL/MATERN SNGL/1ST GESTATION | $1,299.20 | $3,248.00 | $257.98–$525.31 | 41% above | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG DETAILED SGL-1ST GEST | $1,299.20 | $3,248.00 | $257.98–$525.31 | 41% above | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST | $1,241.60 | $3,104.00 | $235.69–$1,359.00 | 57% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W CONTRAST | $1,400.00 | $3,500.00 | $393.89–$1,359.00 | 64% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX WITH CONTRAST | $1,400.00 | $3,500.00 | $393.89–$1,359.00 | 64% below | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BILATERAL | $606.80 | $1,517.00 | $247.55–$368.84 | — | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL RIGHT | $401.60 | $1,004.00 | $193.03–$512.04 | 8% below | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL RT | $401.60 | $1,004.00 | $193.03–$512.04 | 8% below | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL LT | $401.60 | $1,004.00 | $193.03–$512.04 | 8% below | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL RIGHT | $401.60 | $1,004.00 | $193.03–$512.04 | 8% below | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL LEFT | $401.60 | $1,004.00 | $193.03–$512.04 | 8% below | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL RT | $401.60 | $1,004.00 | $193.03–$512.04 | 8% below | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL LT | $401.60 | $1,004.00 | $193.03–$512.04 | 8% below | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL LEFT | $401.60 | $1,004.00 | $193.03–$512.04 | 8% below | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNILATERAL RT | $401.60 | $1,004.00 | $193.03–$512.04 | — | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNILATERAL LEFT | $401.60 | $1,004.00 | $193.03–$512.04 | — | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNILATERAL RIGHT | $401.60 | $1,004.00 | $193.03–$512.04 | — | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNILATERAL LT | $401.60 | $1,004.00 | $193.03–$512.04 | — | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXTREMITY VENOUS CMPL BILAT | $774.40 | $1,936.00 | $869.00 | — | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXTREMITY BIL | $929.20 | $2,323.00 | $869.00 | 49% below | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX EXT VENOUS COMPLETE BIL | $929.20 | $2,323.00 | $869.00 | 49% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO ADULT COMPL W/DOPPLER | $1,785.20 | $4,463.00 | $1,617.00 | 47% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D W/SPEC/COLOR FLOW M-MODE | $1,785.20 | $4,463.00 | $1,617.00 | 47% below | 60% |
| Elbow X-ray, 2 views both sides CPT 73070 XRAY ELBOW 2 VIEWS BILAT | $724.00 | $1,810.00 | $62.28–$923.10 | — | 60% |
| Elbow X-ray, 2 views both sides CPT 73070 XRAY ELBOW 2 VIEWS BILAT | $724.00 | $1,810.00 | $62.28–$923.10 | — | 60% |
| Elbow X-ray, 2 views CPT 73070 ORTH XR ELBOW 2V | $28.00 | $70.00 | $62.28 | 94% below | 60% |
| Elbow X-ray, 2 views CPT 73070 XRAY ELBOW 2 VIEWS | $28.00 | $70.00 | $62.28 | 94% below | 60% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS LT | $362.00 | $905.00 | $62.28–$461.55 | 28% below | 60% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS RT | $362.00 | $905.00 | $62.28–$461.55 | 28% below | 60% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS LT | $362.00 | $905.00 | $62.28–$461.55 | 28% below | 60% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS RT | $362.00 | $905.00 | $62.28–$461.55 | 28% below | 60% |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 XRAY ELBOW 2 VIEWS BILAT | $724.00 | $1,810.00 | $62.28–$923.10 | — | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XRAY ELBOW 2 VIEWS RT | $362.00 | $905.00 | $62.28–$461.55 | — | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XRAY ELBOW 2 VIEWS LT | $362.00 | $905.00 | $62.28–$461.55 | — | 60% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS BILAT | $624.80 | $1,562.00 | $68.90–$796.62 | — | 60% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS BILAT | $624.80 | $1,562.00 | $68.90–$796.62 | — | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS RT | $406.80 | $1,017.00 | $68.90–$518.67 | 32% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS LT | $406.80 | $1,017.00 | $68.90–$518.67 | 32% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS RT | $406.80 | $1,017.00 | $68.90–$518.67 | 32% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS LT | $406.80 | $1,017.00 | $68.90–$518.67 | 32% below | 60% |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS BILAT | $624.80 | $1,562.00 | $68.90–$796.62 | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS RT | $406.80 | $1,017.00 | $68.90–$518.67 | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XRAY ELBOW COMPL MIN 3 VIEWS LT | $406.80 | $1,017.00 | $68.90–$518.67 | — | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/SELLA OR FOSSA W/O CON | $1,728.80 | $4,322.00 | $235.69–$1,359.00 | 34% below | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XRAY FACIAL BONES MINIMUM 3 VIEWS | $336.00 | $840.00 | $100.87–$235.69 | 56% below | 60% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XRAY FOREARM 2 VIEWS BILAT | $1,198.00 | $2,995.00 | $63.38–$1,527.45 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XRAY FOREARM 2 VIEWS BILAT | $1,198.00 | $2,995.00 | $63.38–$1,527.45 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 ORTHO XR FOREARM 2V | $25.60 | $64.00 | $63.38 | 96% below | 60% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XRAY FOREARM 2 VIEWS | $25.60 | $64.00 | $63.38 | 96% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS LT | $378.40 | $946.00 | $63.38–$482.46 | 34% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS RT | $378.40 | $946.00 | $63.38–$482.46 | 34% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS RT | $378.40 | $946.00 | $63.38–$482.46 | 34% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS LT | $378.40 | $946.00 | $63.38–$482.46 | 34% below | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XRAY FOREARM 2 VIEWS BILAT | $1,198.00 | $2,995.00 | $63.38–$1,527.45 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM 2 VIEWS LT | $378.40 | $946.00 | $63.38–$482.46 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM 2 VIEWS RT | $378.40 | $946.00 | $63.38–$482.46 | — | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYS IMAGE W/O GBEF | $2,621.20 | $6,553.00 | $884.18–$923.42 | 29% above | 60% |
| Hand X-ray, 2 views both sides CPT 73120 XRAY HAND 2 VIEWS BILAT | $699.60 | $1,749.00 | $67.80–$891.99 | — | 60% |
| Hand X-ray, 2 views both sides CPT 73120 XRAY HAND 2 VIEWS BILAT | $699.60 | $1,749.00 | $67.80–$891.99 | — | 60% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS LT | $349.60 | $874.00 | $67.80–$445.74 | 32% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS LT | $349.60 | $874.00 | $67.80–$445.74 | 32% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS RT | $349.60 | $874.00 | $67.80–$445.74 | 32% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS RT | $349.60 | $874.00 | $67.80–$445.74 | 32% below | 60% |
| Hand X-ray, 2 views inpatient both sides CPT 73120 XRAY HAND 2 VIEWS BILAT | $699.60 | $1,749.00 | $67.80–$891.99 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XRAY HAND 2 VIEWS RT | $349.60 | $874.00 | $67.80–$445.74 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XRAY HAND 2 VIEWS LT | $349.60 | $874.00 | $67.80–$445.74 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XRAY HEEL/CALCANEUS MIN 2 VIEWS | $28.00 | $70.00 | $62.28 | 94% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 ORTHO XR CALCANEUS 2+V | $28.00 | $70.00 | $62.28 | 94% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS MIN 2 VIEWS LT | $367.60 | $919.00 | $62.28–$468.69 | 25% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS MIN 2 VIEWS RT | $367.60 | $919.00 | $62.28–$468.69 | 25% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS MIN 2 VIEWS RT | $367.60 | $919.00 | $62.28–$468.69 | 25% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS MIN 2 VIEWS LT | $367.60 | $919.00 | $62.28–$468.69 | 25% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XRAY CALCANEUS MIN 2 VIEWS LT | $367.60 | $919.00 | $62.28–$468.69 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XRAY CALCANEUS MIN 2 VIEWS RT | $367.60 | $919.00 | $62.28–$468.69 | — | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS W/CPAP 4+ PARAM ATTN | $4,130.00 | $10,325.00 | $3,801.00 | 20% below | 60% |
| Knee X-ray, 3 views both sides CPT 73562 XRAY KNEE 3 VIEWS BILAT | $815.20 | $2,038.00 | $92.06–$1,039.38 | — | 60% |
| Knee X-ray, 3 views both sides CPT 73562 XRAY KNEE 3 VIEWS BILAT | $815.20 | $2,038.00 | $92.06–$1,039.38 | — | 60% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS LT | $407.60 | $1,019.00 | $92.06–$519.69 | 41% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS RT | $407.60 | $1,019.00 | $92.06–$519.69 | 41% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS RT | $407.60 | $1,019.00 | $92.06–$519.69 | 41% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS LT | $407.60 | $1,019.00 | $92.06–$519.69 | 41% below | 60% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 XRAY KNEE 3 VIEWS BILAT | $815.20 | $2,038.00 | $92.06–$1,039.38 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XRAY KNEE 3 VIEWS LT | $407.60 | $1,019.00 | $92.06–$519.69 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XRAY KNEE 3 VIEWS RT | $407.60 | $1,019.00 | $92.06–$519.69 | — | 60% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS BILAT | $1,081.20 | $2,703.00 | $100.87–$1,378.53 | — | 60% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS BILAT | $1,081.20 | $2,703.00 | $100.87–$1,378.53 | — | 60% |
| Knee X-ray, complete, 4 or more views CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS R | $540.80 | $1,352.00 | $100.87–$689.52 | 30% below | 60% |
| Knee X-ray, complete, 4 or more views CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS L | $540.80 | $1,352.00 | $100.87–$689.52 | 30% below | 60% |
| Knee X-ray, complete, 4 or more views CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS L | $540.80 | $1,352.00 | $100.87–$689.52 | 30% below | 60% |
| Knee X-ray, complete, 4 or more views CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS R | $540.80 | $1,352.00 | $100.87–$689.52 | 30% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS RT | $540.80 | $1,352.00 | $100.87–$689.52 | 30% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR MORE VIEWS LT | $540.80 | $1,352.00 | $100.87–$689.52 | 30% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR MORE VIEWS RT | $540.80 | $1,352.00 | $100.87–$689.52 | 30% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS LT | $540.80 | $1,352.00 | $100.87–$689.52 | 30% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS RT | $540.80 | $1,352.00 | $100.87–$689.52 | 30% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR MORE VIEWS LT | $540.80 | $1,352.00 | $100.87–$689.52 | 30% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR MORE VIEWS RT | $540.80 | $1,352.00 | $100.87–$689.52 | 30% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS LT | $540.80 | $1,352.00 | $100.87–$689.52 | 30% below | 60% |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS BILAT | $1,081.20 | $2,703.00 | $100.87–$1,378.53 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS L | $540.80 | $1,352.00 | $100.87–$689.52 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS R | $540.80 | $1,352.00 | $100.87–$689.52 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE COMPL 4 OR MORE VIEWS RT | $540.80 | $1,352.00 | $100.87–$689.52 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE COMPL 4 OR MORE VIEWS LT | $540.80 | $1,352.00 | $100.87–$689.52 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS LT | $540.80 | $1,352.00 | $100.87–$689.52 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS RT | $540.80 | $1,352.00 | $100.87–$689.52 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST RT | $882.40 | $2,206.00 | $235.69–$1,359.00 | 67% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST LT | $882.40 | $2,206.00 | $235.69–$1,359.00 | 67% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST RT | $882.40 | $2,206.00 | $235.69–$1,359.00 | 67% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST LT | $882.40 | $2,206.00 | $235.69–$1,359.00 | 67% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST RT | $882.40 | $2,206.00 | $235.69–$1,359.00 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST LT | $882.40 | $2,206.00 | $235.69–$1,359.00 | — | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LMTD SOFT TISSUE | $929.60 | $2,324.00 | $192.41–$235.69 | 18% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED | $929.60 | $2,324.00 | $192.41–$235.69 | 18% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LMTD SPEC.ATT: LIVER | $929.60 | $2,324.00 | $192.41–$235.69 | 18% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED | $929.60 | $2,324.00 | $192.41–$235.69 | 18% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LMTD SPEC ATT:SPLEEN | $929.60 | $2,324.00 | $192.41–$235.69 | 18% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LMTD SPEC ATT:APPENDIX | $929.60 | $2,324.00 | $192.41–$235.69 | 18% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON-VASC LMTD | $582.40 | $1,456.00 | $101.97–$235.69 | 9% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON-VASC LIMITED | $582.40 | $1,456.00 | $101.97–$235.69 | 9% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON-VASC LMTD RT | $582.40 | $1,456.00 | $101.97–$742.56 | 9% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON-VASC LMTD LT | $582.40 | $1,456.00 | $101.97–$742.56 | 9% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON-VASC LMTD W IMG LT | $582.40 | $1,456.00 | $101.97–$742.56 | 9% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON-VASC LMTD W IMG RT | $582.40 | $1,456.00 | $101.97–$742.56 | 9% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON-VASC LMTD LT | $582.40 | $1,456.00 | $101.97–$742.56 | 9% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON-VASC LMTD W IMG LT | $582.40 | $1,456.00 | $101.97–$742.56 | 9% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON-VASC LMTD W IMG RT | $582.40 | $1,456.00 | $101.97–$742.56 | 9% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON-VASC LMTD RT | $582.40 | $1,456.00 | $101.97–$742.56 | 9% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON-VASC LMTD W IMG RT | $582.40 | $1,456.00 | $101.97–$742.56 | — | 60% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON-VASC LMTD LT | $582.40 | $1,456.00 | $101.97–$742.56 | — | 60% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON-VASC LMTD W IMG LT | $582.40 | $1,456.00 | $101.97–$742.56 | — | 60% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON-VASC LMTD RT | $582.40 | $1,456.00 | $101.97–$742.56 | — | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LNG CANCER SCR W/O CON | $1,260.00 | $3,150.00 | $235.69–$1,359.00 | 73% above | 60% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS BIL | $544.80 | $1,362.00 | $69.99–$694.62 | 14% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS BIL | $544.80 | $1,362.00 | $69.99–$694.62 | 14% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA - FIBULA 2 VIEWS RT | $273.20 | $683.00 | $69.99–$348.33 | 57% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS RT | $273.20 | $683.00 | $69.99–$348.33 | 57% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA - FIBULA 2 VIEWS LT | $273.20 | $683.00 | $69.99–$348.33 | 57% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA - FIBULA 2 VIEWS LT | $273.20 | $683.00 | $69.99–$348.33 | 57% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS LT | $273.20 | $683.00 | $69.99–$348.33 | 57% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA - FIBULA 2 VIEWS RT | $273.20 | $683.00 | $69.99–$348.33 | 57% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS RT | $273.20 | $683.00 | $69.99–$348.33 | 57% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS LT | $273.20 | $683.00 | $69.99–$348.33 | 57% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS BIL | $544.80 | $1,362.00 | $69.99–$694.62 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA - FIBULA 2 VIEWS LT | $273.20 | $683.00 | $69.99–$348.33 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS LT | $273.20 | $683.00 | $69.99–$348.33 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA-FIBULA 2 VIEWS RT | $273.20 | $683.00 | $69.99–$348.33 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA - FIBULA 2 VIEWS RT | $273.20 | $683.00 | $69.99–$348.33 | — | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST | $1,084.00 | $2,710.00 | $525.31 | 63% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 ORTHO MRI ANY JT LXTR C-MTRL | $271.60 | $679.00 | $499.49–$525.31 | 92% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON RT | $1,405.20 | $3,513.00 | $499.49–$1,791.63 | 60% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON LT | $1,405.20 | $3,513.00 | $499.49–$1,791.63 | 60% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON LT | $1,405.20 | $3,513.00 | $499.49–$1,791.63 | 60% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON RT | $1,405.20 | $3,513.00 | $499.49–$1,791.63 | 60% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON RT | $1,405.20 | $3,513.00 | $499.49–$1,791.63 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON LT | $1,405.20 | $3,513.00 | $499.49–$1,791.63 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O - W/ CON LT | $1,631.60 | $4,079.00 | $824.45–$2,080.29 | 67% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O - W/ CON RT | $1,631.60 | $4,079.00 | $824.45–$2,080.29 | 67% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O-W/CON LT | $1,631.60 | $4,079.00 | $824.45–$2,080.29 | 67% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O-W/CON RT | $1,631.60 | $4,079.00 | $824.45–$2,080.29 | 67% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O-W/CON RT | $1,631.60 | $4,079.00 | $824.45–$2,080.29 | 67% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O-W/CON LT | $1,631.60 | $4,079.00 | $824.45–$2,080.29 | 67% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O - W/ CON RT | $1,631.60 | $4,079.00 | $824.45–$2,080.29 | 67% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O - W/ CON LT | $1,631.60 | $4,079.00 | $824.45–$2,080.29 | 67% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANY JNT LWR EXT W/O - W/ CON RT | $1,631.60 | $4,079.00 | $824.45–$2,080.29 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANY JNT LWR EXT W/O-W/CON RT | $1,631.60 | $4,079.00 | $824.45–$2,080.29 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANY JNT LWR EXT W/O-W/CON LT | $1,631.60 | $4,079.00 | $824.45–$2,080.29 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANY JNT LWR EXT W/O - W/ CON LT | $1,631.60 | $4,079.00 | $824.45–$2,080.29 | — | 60% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $1,488.40 | $3,721.00 | $470.28–$525.31 | 58% below | 60% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $1,488.40 | $3,721.00 | $470.28–$525.31 | 58% below | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O THEN W/ CONTRAST | $1,484.40 | $3,711.00 | $824.45–$873.32 | 65% below | 60% |
| MRI of the brain, no contrast dye CPT 70551 ORTHO MRI BRAIN W/O CON | $554.80 | $1,387.00 | $525.31 | 84% below | 60% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,080.00 | $2,700.00 | $525.31–$1,645.00 | 69% below | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O THEN W/ CONTRAST | $1,631.60 | $4,079.00 | $824.45–$1,645.00 | 67% below | 60% |
| MRI of the lower back, no contrast dye CPT 72148 ORTHO MRI L-SPINE W/O CON | $471.60 | $1,179.00 | $442.74–$525.31 | 87% below | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $1,499.20 | $3,748.00 | $442.74–$525.31 | 59% below | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBER SPINE. W/O THEN W/ CON | $1,631.60 | $4,079.00 | $781.79–$824.45 | 67% below | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O THEN W/ CON | $1,631.60 | $4,079.00 | $781.79–$824.45 | 67% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 ORTHO MRI T-SPINE W/O CON | $472.40 | $1,181.00 | $441.64–$525.31 | 87% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O CONTRAST | $1,552.80 | $3,882.00 | $441.64–$525.31 | 59% below | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/O THEN W/ CON | $1,631.60 | $4,079.00 | $783.98–$824.45 | 66% below | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 ORTHO MRI C-SPINE W/O CON LTD | $469.20 | $1,173.00 | $441.64–$525.31 | 88% below | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O CONTRAST | $1,488.40 | $3,721.00 | $441.64–$525.31 | 60% below | 60% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O THEN W/ CONTRAST | $1,631.60 | $4,079.00 | $824.45–$871.13 | 56% below | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 ORTHO MRI PELVIS W/O CON | $548.40 | $1,371.00 | $525.31–$597.64 | 83% below | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $1,631.60 | $4,079.00 | $525.31–$597.64 | 50% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 ORTHO MRI UPR EXT JNT W/O CON | $271.20 | $678.00 | $499.49–$525.31 | 92% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JNT UPR EXTREM W/O CON LT | $1,467.60 | $3,669.00 | $499.49–$1,871.19 | 56% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JNT UPR EXTREM W/O CON LT | $1,467.60 | $3,669.00 | $499.49–$1,871.19 | 56% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JNT UPR EXTREM W/O CON RT | $1,467.60 | $3,669.00 | $499.49–$1,871.19 | 56% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JNT UPR EXTREM W/O CON RT | $1,467.60 | $3,669.00 | $499.49–$1,871.19 | 56% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ANY JNT UPR EXTREM W/O CON RT | $1,467.60 | $3,669.00 | $499.49–$1,871.19 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ANY JNT UPR EXTREM W/O CON LT | $1,467.60 | $3,669.00 | $499.49–$1,871.19 | — | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XRAY SPINE CERVICAL 4 OR 5 VIEWS | $46.00 | $115.00 | $114.12 | 95% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XRAY CERVICAL SPINE 4 OR 5 VIEWS | $698.00 | $1,745.00 | $114.12–$235.69 | 21% below | 60% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE W/ CONTRAST | $1,296.40 | $3,241.00 | $393.89–$1,359.00 | 61% below | 60% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE WITH CONTRAST | $1,296.40 | $3,241.00 | $393.89–$1,359.00 | 61% below | 60% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE W/O CONTRAST | $1,376.00 | $3,440.00 | $235.69–$1,359.00 | 54% below | 60% |
| Neck soft tissue X-ray CPT 70360 XRAY NECK SOFT TISSUE | $373.20 | $933.00 | $66.70–$194.81 | 33% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERFUSION/VIAB SPECT | $5,966.00 | $14,915.00 | $1,238.16–$3,044.09 | 8% above | 60% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $974.00 | $2,435.00 | $235.69–$1,359.00 | 68% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON-OB LTD | $109.20 | $273.00 | $74.42–$235.69 | 88% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED OR F/U NON-OB | $469.60 | $1,174.00 | $74.42–$235.69 | 47% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE | $1,339.20 | $3,348.00 | $234.31–$235.69 | 1% above | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE NON-OB | $1,339.20 | $3,348.00 | $234.31–$1,707.48 | 1% above | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE NON-OB | $1,339.20 | $3,348.00 | $234.31–$235.69 | 1% above | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE NON-OB | $1,339.20 | $3,348.00 | $234.31–$1,707.48 | 1% above | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE NON-OB | $1,339.20 | $3,348.00 | $234.31–$1,707.48 | — | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >OR=14 WKS 1ST GESTATION | $338.80 | $847.00 | $235.69–$280.62 | 59% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US FETAL/MATERN >/=14 WKS 1ST GESTA | $338.80 | $847.00 | $235.69–$280.62 | 59% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ED OB US>/=14WEEKS SNGL FETUS | $338.80 | $847.00 | $235.69–$280.62 | 59% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14 WEEKS 1ST GESTATION | $496.80 | $1,242.00 | $225.48–$235.69 | 34% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREGNANT < 14 WKS 1ST/SNGL GEST | $496.80 | $1,242.00 | $225.48–$235.69 | 34% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREGNANCY <14 WEEKS SGL/1ST GEST | $496.80 | $1,242.00 | $225.48–$235.69 | 34% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 1 OR MORE FETUSES | $483.20 | $1,208.00 | $160.43–$235.69 | 25% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ED OB US PREGNANCY LIMITED | $483.20 | $1,208.00 | $160.43–$235.69 | 25% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR MORE FETUS(S) | $483.20 | $1,208.00 | $160.43–$235.69 | 25% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS RT | $208.40 | $521.00 | $75.51–$265.71 | 64% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS LT | $208.40 | $521.00 | $75.51–$265.71 | 64% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS RT | $208.40 | $521.00 | $75.51–$265.71 | 64% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS RT | $208.40 | $521.00 | $75.51–$265.71 | 64% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS LT | $208.40 | $521.00 | $75.51–$265.71 | 64% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS RT | $208.40 | $521.00 | $75.51–$265.71 | 64% below | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS RT | $208.40 | $521.00 | $75.51–$265.71 | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS RT | $208.40 | $521.00 | $75.51–$265.71 | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY RIBS UNILAT 2 VIEWS LT | $208.40 | $521.00 | $75.51–$265.71 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V RT | $584.00 | $1,460.00 | $85.43–$744.60 | 15% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V RT | $584.00 | $1,460.00 | $85.43–$744.60 | 15% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V LT | $584.00 | $1,460.00 | $85.43–$744.60 | 15% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V RT | $584.00 | $1,460.00 | $85.43–$744.60 | 15% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS-UNILAT W/ PA CHEST 3V LT | $584.00 | $1,460.00 | $85.43–$744.60 | 15% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V RT | $584.00 | $1,460.00 | $85.43–$744.60 | 15% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V LT | $584.00 | $1,460.00 | $85.43–$744.60 | 15% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS-UNILAT W/ PA CHEST 3V LT | $584.00 | $1,460.00 | $85.43–$744.60 | 15% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V RT | $584.00 | $1,460.00 | $85.43–$744.60 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V RT | $584.00 | $1,460.00 | $85.43–$744.60 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS-UNILAT W/ PA CHEST 3V LT | $584.00 | $1,460.00 | $85.43–$744.60 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS UNILAT W/ PA CHEST 3V LT | $584.00 | $1,460.00 | $85.43–$744.60 | — | 60% |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO BILATERAL INCL CAD | $494.40 | $1,236.00 | $204.08–$360.00 | — | 60% |
| Screening mammogram, both breasts CPT 77067 MG MAMMO SCRN BIL-RED SVC | $494.40 | $1,236.00 | $204.08–$630.36 | 23% above | 60% |
| Screening mammogram, both breasts CPT 77067 MG MAMMO SCRN BIL-RED SVC | $494.40 | $1,236.00 | $204.08–$630.36 | 23% above | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO INCL CAD RIGHT | $494.40 | $1,236.00 | $204.08–$630.36 | 23% above | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO INCL CAD LEFT | $494.40 | $1,236.00 | $204.08–$630.36 | 23% above | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO BIL INCL CAD RIGHT | $494.40 | $1,236.00 | $204.08–$630.36 | 23% above | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO INCL CAD RIGHT | $494.40 | $1,236.00 | $204.08–$630.36 | 23% above | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO BIL INCL CAD LEFT | $494.40 | $1,236.00 | $204.08–$630.36 | 23% above | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO BIL INCL CAD LEFT | $494.40 | $1,236.00 | $204.08–$630.36 | 23% above | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO INCL CAD LEFT | $494.40 | $1,236.00 | $204.08–$630.36 | 23% above | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO BIL INCL CAD RIGHT | $494.40 | $1,236.00 | $204.08–$630.36 | 23% above | 60% |
| Screening mammogram, both breasts inpatient CPT 77067 MG MAMMO SCRN BIL-RED SVC | $494.40 | $1,236.00 | $204.08–$630.36 | — | 60% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO BIL INCL CAD RIGHT | $494.40 | $1,236.00 | $204.08–$630.36 | — | 60% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO INCL CAD LEFT | $494.40 | $1,236.00 | $204.08–$630.36 | — | 60% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO INCL CAD RIGHT | $494.40 | $1,236.00 | $204.08–$630.36 | — | 60% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO BIL INCL CAD LEFT | $494.40 | $1,236.00 | $204.08–$630.36 | — | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER COMPL MIN 2 VIEW RT | $430.40 | $1,076.00 | $73.32–$548.76 | 41% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER COMPL MIN 2 VIEW RT | $430.40 | $1,076.00 | $73.32–$548.76 | 41% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER COMPL MIN 2 VIEW LT | $430.40 | $1,076.00 | $73.32–$548.76 | 41% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER COMPL MIN 2 VIEW LT | $430.40 | $1,076.00 | $73.32–$548.76 | 41% below | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY SHOULDER COMPL MIN 2 VIEW LT | $430.40 | $1,076.00 | $73.32–$548.76 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY SHOULDER COMPL MIN 2 VIEW RT | $430.40 | $1,076.00 | $73.32–$548.76 | — | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XRAY SINUSES PARANASAL MIN 3 VIEWS | $432.00 | $1,080.00 | $78.82–$194.81 | 50% below | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 XRAY SKULL LESS THAN 4 VIEWS | $343.20 | $858.00 | $78.82–$235.69 | 46% below | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/>YRS SLEEP 4+ PARAM ATTN | $3,304.40 | $8,261.00 | $3,801.00 | 38% below | 60% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO W/ECG MONITOR - SUPERVI | $1,754.40 | $4,386.00 | $1,617.00 | 34% below | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOW FNCT CINE/VIDEO | $376.40 | $941.00 | $319.22–$393.89 | 61% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XRAY FEMUR 2+ VIEWS BILAT | $358.80 | $897.00 | $78.82–$457.47 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XRAY FEMUR 2+ VIEWS BILAT | $358.80 | $897.00 | $78.82–$457.47 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XRAY FEMUR 2+ VIEWS | $102.00 | $255.00 | $78.82–$194.81 | 81% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2+ VIEWS LT | $179.60 | $449.00 | $78.82–$228.99 | 66% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2+ VIEWS RT | $179.60 | $449.00 | $78.82–$228.99 | 66% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2+ VIEWS LT | $179.60 | $449.00 | $78.82–$228.99 | 66% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2+ VIEWS RT | $179.60 | $449.00 | $78.82–$228.99 | 66% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XRAY FEMUR 2+ VIEWS BILAT | $358.80 | $897.00 | $78.82–$457.47 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XRAY FEMUR 2+ VIEWS RT | $179.60 | $449.00 | $78.82–$228.99 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XRAY FEMUR 2+ VIEWS LT | $179.60 | $449.00 | $78.82–$228.99 | — | 60% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST | $884.00 | $2,210.00 | $235.69–$1,359.00 | 71% below | 60% |
| Toe X-ray, 2 or more views CPT 73660 ORTHO XR TOE(S) 2+V | $29.60 | $74.00 | $66.70 | 94% below | 60% |
| Toe X-ray, 2 or more views CPT 73660 XRAY TOE(S) MIN 2 VIEWS | $29.60 | $74.00 | $66.70 | 94% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) MIN 2 VIEWS RT | $310.80 | $777.00 | $66.70–$396.27 | 36% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) MIN 2 VIEWS LT | $310.80 | $777.00 | $66.70–$396.27 | 36% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) MIN 2 VIEWS RT | $310.80 | $777.00 | $66.70–$396.27 | 36% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) MIN 2 VIEWS LT | $310.80 | $777.00 | $66.70–$396.27 | 36% below | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE(S) MIN 2 VIEWS RT | $310.80 | $777.00 | $66.70–$396.27 | — | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE(S) MIN 2 VIEWS LT | $310.80 | $777.00 | $66.70–$396.27 | — | 60% |
| Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL SCAN | $1,068.00 | $2,670.00 | $235.69–$275.10 | 6% above | 60% |
| Transvaginal pelvic ultrasound CPT 76830 NONPREGNANT TRANSVAGINAL | $1,068.00 | $2,670.00 | $235.69–$275.10 | 6% above | 60% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB | $1,068.00 | $2,670.00 | $235.69–$275.10 | 6% above | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 ED OB US TRANSVAGINAL | $336.00 | $840.00 | $181.36–$235.69 | 63% below | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANT TRANSVAGINAL | $336.00 | $840.00 | $181.36–$235.69 | 63% below | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OBSTETRIC TRANSVAGINAL | $336.00 | $840.00 | $181.36–$235.69 | 63% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD R-T W/IMAGE DOCUMENTATION | $766.80 | $1,917.00 | $235.69–$255.26 | 50% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $1,738.00 | $4,345.00 | $235.69–$255.26 | 13% above | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM - CONTENTS | $926.40 | $2,316.00 | $227.68–$235.69 | 14% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD - NECK | $916.40 | $2,291.00 | $235.69–$272.90 | 22% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE OF HEAD - NECK | $916.40 | $2,291.00 | $235.69–$272.90 | 22% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W/SGL CONT W/KUB DELAY FLM | $398.80 | $997.00 | $247.55–$393.89 | 65% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS MIN 2 VIEWS LT | $251.60 | $629.00 | $71.09–$320.79 | 57% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS MIN 2 VIEWS RT | $251.60 | $629.00 | $71.09–$320.79 | 57% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS MIN 2 VIEWS LT | $251.60 | $629.00 | $71.09–$320.79 | 57% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS MIN 2 VIEWS RT | $251.60 | $629.00 | $71.09–$320.79 | 57% below | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XRAY HUMERUS MIN 2 VIEWS RT | $251.60 | $629.00 | $71.09–$320.79 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XRAY HUMERUS MIN 2 VIEWS LT | $251.60 | $629.00 | $71.09–$320.79 | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXTREMITY VENOUS UNI OR LMTD | $545.60 | $1,364.00 | $869.00 | 37% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX VENOUS EXT UNI/LMTD | $545.60 | $1,364.00 | $869.00 | 37% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS EXT UNILAT/LMTD | $654.80 | $1,637.00 | $869.00 | 24% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DOPPLER (VENOUS) UNILAT OR LIMITED | $654.80 | $1,637.00 | $869.00 | 24% below | 60% |
| Wrist X-ray, 2 views both sides CPT 73100 XRAY WRIST 2 VIEWS BILAT | $598.80 | $1,497.00 | $75.51–$763.47 | — | 60% |
| Wrist X-ray, 2 views both sides CPT 73100 XRAY WRIST 2 VIEWS BILAT | $598.80 | $1,497.00 | $75.51–$763.47 | — | 60% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS RT | $389.60 | $974.00 | $75.51–$496.74 | 37% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS LT | $389.60 | $974.00 | $75.51–$496.74 | 37% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS RT | $389.60 | $974.00 | $75.51–$496.74 | 37% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS LT | $389.60 | $974.00 | $75.51–$496.74 | 37% below | 60% |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 XRAY WRIST 2 VIEWS BILAT | $598.80 | $1,497.00 | $75.51–$763.47 | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XRAY WRIST 2 VIEWS RT | $389.60 | $974.00 | $75.51–$496.74 | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XRAY WRIST 2 VIEWS LT | $389.60 | $974.00 | $75.51–$496.74 | — | 60% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS BILAT | $892.00 | $2,230.00 | $93.16–$1,137.30 | — | 60% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS BILAT | $892.00 | $2,230.00 | $93.16–$1,137.30 | — | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS LT | $445.60 | $1,114.00 | $93.16–$568.14 | 37% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS RT | $445.60 | $1,114.00 | $93.16–$568.14 | 37% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS LT | $445.60 | $1,114.00 | $93.16–$568.14 | 37% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS RT | $445.60 | $1,114.00 | $93.16–$568.14 | 37% below | 60% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS BILAT | $892.00 | $2,230.00 | $93.16–$1,137.30 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS LT | $445.60 | $1,114.00 | $93.16–$568.14 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST COMPL MIN 3 VIEWS RT | $445.60 | $1,114.00 | $93.16–$568.14 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILATERAL 2-3 VIEWS | $102.00 | $255.00 | $105.29–$194.81 | 82% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW LT | $179.60 | $449.00 | $105.29–$228.99 | 69% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW RT | $179.60 | $449.00 | $105.29–$228.99 | 69% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW RT | $179.60 | $449.00 | $105.29–$228.99 | 69% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW LT | $179.60 | $449.00 | $105.29–$228.99 | 69% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW LT | $179.60 | $449.00 | $105.29–$228.99 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW RT | $179.60 | $449.00 | $105.29–$228.99 | — | 60% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $256.80 | $642.00 | $62.28–$194.81 | 48% below | 60% |
| X-ray of the ankle, 2 views both sides CPT 73600 X-RAY ANKLE 2 VIEWS BILAT | $324.40 | $811.00 | $72.19–$413.61 | — | 60% |
| X-ray of the ankle, 2 views both sides CPT 73600 X-RAY ANKLE 2 VIEWS BILAT | $324.40 | $811.00 | $72.19–$413.61 | — | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY ANKLE 2 VIEWS LT | $162.40 | $406.00 | $72.19–$207.06 | 67% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY ANKLE 2 VIEWS RT | $162.40 | $406.00 | $72.19–$207.06 | 67% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY ANKLE 2 VIEWS LT | $162.40 | $406.00 | $72.19–$207.06 | 67% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY ANKLE 2 VIEWS RT | $162.40 | $406.00 | $72.19–$207.06 | 67% below | 60% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 X-RAY ANKLE 2 VIEWS BILAT | $324.40 | $811.00 | $72.19–$413.61 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY ANKLE 2 VIEWS LT | $162.40 | $406.00 | $72.19–$207.06 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY ANKLE 2 VIEWS RT | $162.40 | $406.00 | $72.19–$207.06 | — | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) MIN 2 VIEWS RT | $349.60 | $874.00 | $88.76–$445.74 | 26% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) MIN 2 VIEWS LT | $349.60 | $874.00 | $88.76–$445.74 | 26% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY FINGER(S) MIN 2 VIEWS RT | $349.60 | $874.00 | $88.76–$445.74 | 26% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY FINGER(S) MIN 2 VIEWS RT | $349.60 | $874.00 | $88.76–$445.74 | 26% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) MIN 2 VIEWS LT | $349.60 | $874.00 | $88.76–$445.74 | 26% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) MIN 2 VIEWS RT | $349.60 | $874.00 | $88.76–$445.74 | 26% below | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER(S) MIN 2 VIEWS RT | $349.60 | $874.00 | $88.76–$445.74 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER(S) MIN 2 VIEWS LT | $349.60 | $874.00 | $88.76–$445.74 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X-RAY FINGER(S) MIN 2 VIEWS RT | $349.60 | $874.00 | $88.76–$445.74 | — | 60% |
| X-ray of the foot, 2 views both sides CPT 73620 XRAY FOOT 2 VIEWS BILAT | $674.40 | $1,686.00 | $62.28–$859.86 | — | 60% |
| X-ray of the foot, 2 views both sides CPT 73620 XRAY FOOT 2 VIEWS BILAT | $674.40 | $1,686.00 | $62.28–$859.86 | — | 60% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS RT | $336.80 | $842.00 | $62.28–$429.42 | 31% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS RT | $336.80 | $842.00 | $62.28–$429.42 | 31% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS LT | $336.80 | $842.00 | $62.28–$429.42 | 31% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS LT | $336.80 | $842.00 | $62.28–$429.42 | 31% below | 60% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 XRAY FOOT 2 VIEWS BILAT | $674.40 | $1,686.00 | $62.28–$859.86 | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XRAY FOOT 2 VIEWS RT | $336.80 | $842.00 | $62.28–$429.42 | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XRAY FOOT 2 VIEWS LT | $336.80 | $842.00 | $62.28–$429.42 | — | 60% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS BILAT | $749.20 | $1,873.00 | $75.51–$955.23 | — | 60% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS BILAT | $749.20 | $1,873.00 | $75.51–$955.23 | — | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS LT | $374.80 | $937.00 | $75.51–$477.87 | 38% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS RT | $374.80 | $937.00 | $75.51–$477.87 | 38% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS RT | $374.80 | $937.00 | $75.51–$477.87 | 38% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS LT | $374.80 | $937.00 | $75.51–$477.87 | 38% below | 60% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS BILAT | $749.20 | $1,873.00 | $75.51–$955.23 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS LT | $374.80 | $937.00 | $75.51–$477.87 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XRAY FOOT COMPL MIN 3 VIEWS RT | $374.80 | $937.00 | $75.51–$477.87 | — | 60% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XRAY HAND MIN 3 VIEWS BILAT | $806.00 | $2,015.00 | $81.04–$1,027.65 | — | 60% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XRAY HAND MIN 3 VIEWS BILAT | $806.00 | $2,015.00 | $81.04–$1,027.65 | — | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND MIN 3 VIEWS LT | $402.40 | $1,006.00 | $81.04–$513.06 | 37% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 X-RAY HAND MIN 3 VIEWS RT | $402.40 | $1,006.00 | $81.04–$513.06 | 37% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND MIN 3 VIEWS LT | $402.40 | $1,006.00 | $81.04–$513.06 | 37% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 X-RAY HAND MIN 3 VIEWS RT | $402.40 | $1,006.00 | $81.04–$513.06 | 37% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND MIN 3 VIEWS RT | $402.40 | $1,006.00 | $81.04–$513.06 | 37% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND MIN 3 VIEWS RT | $402.40 | $1,006.00 | $81.04–$513.06 | 37% below | 60% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XRAY HAND MIN 3 VIEWS BILAT | $806.00 | $2,015.00 | $81.04–$1,027.65 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 X-RAY HAND MIN 3 VIEWS RT | $402.40 | $1,006.00 | $81.04–$513.06 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY HAND MIN 3 VIEWS LT | $402.40 | $1,006.00 | $81.04–$513.06 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY HAND MIN 3 VIEWS RT | $402.40 | $1,006.00 | $81.04–$513.06 | — | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS RT | $391.20 | $978.00 | $77.72–$498.78 | 35% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS RT | $391.20 | $978.00 | $77.72–$498.78 | 35% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS LT | $391.20 | $978.00 | $77.72–$498.78 | 35% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS RT | $391.20 | $978.00 | $77.72–$498.78 | 35% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS LT | $391.20 | $978.00 | $77.72–$498.78 | 35% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS RT | $391.20 | $978.00 | $77.72–$498.78 | 35% below | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS RT | $391.20 | $978.00 | $77.72–$498.78 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS LT | $391.20 | $978.00 | $77.72–$498.78 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS RT | $391.20 | $978.00 | $77.72–$498.78 | — | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY LUMBOSACRAL SPINE 2 OR 3 VIEWS | $383.20 | $958.00 | $83.24–$235.69 | 45% below | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 XRAY LUMBOSACRAL SPINE MIN 4 VIEWS | $782.80 | $1,957.00 | $109.69–$235.69 | 30% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY THORACIC SPINE 2 VIEWS | $270.80 | $677.00 | $66.70–$235.69 | 56% below | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XRAY NASAL BONES COMPL MIN 3 VIEWS | $402.00 | $1,005.00 | $85.43–$194.81 | 38% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY EXAM NECK SPINE 2-3 VIEWS | $145.60 | $364.00 | $83.24–$194.81 | 79% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY NECK SPINE 2-3 VIEWS | $145.60 | $364.00 | $83.24–$194.81 | 79% below | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS 1 OR 2 VIEWS | $232.00 | $580.00 | $61.17–$235.69 | 63% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SACRUM - COCCYX MIN 2 VIEWS | $408.80 | $1,022.00 | $69.99–$194.81 | 37% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SACRUM-COCCYX MIN 2 VW | $408.80 | $1,022.00 | $69.99–$194.81 | 37% below | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH PLASMA LCB | $72.12 | $180.30 | $38.62–$145.28 | 58% above | 60% |
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) | $104.52 | $261.30 | $38.62–$145.28 | 129% above | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT | $13.20 | $33.00 | $5.30–$20.40 | 66% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALPHA 2 MACROGLOBULIN FIBROMETER | $18.72 | $46.80 | $5.30–$20.40 | 52% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $20.20 | $50.50 | $5.30–$20.40 | 49% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT | $11.56 | $28.90 | $5.18–$19.12 | 79% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 FIBROSIS METAVIR CLASSIFICATION | $18.72 | $46.80 | $5.18–$19.12 | 66% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $19.76 | $49.40 | $5.18–$19.12 | 64% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS | $88.56 | $221.40 | $47.63–$179.68 | 45% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 UC-ACUTE HEPATITIS PANEL | $91.32 | $228.30 | $47.63–$179.68 | 44% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $210.12 | $525.30 | $47.63–$179.68 | 30% above | 60% |
| Albumin blood test CPT 82040 SERUM ALBUMIN ARUP | $4.80 | $12.00 | $4.95 | 72% below | 60% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $8.24 | $20.60 | $4.95–$19.12 | 51% below | 60% |
| Albumin blood test CPT 82040 ALBUMIN-SERUM | $20.80 | $52.00 | $4.95–$19.12 | 23% above | 60% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $107.76 | $269.40 | $40.75–$152.92 | 286% above | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE | $8.84 | $22.10 | $5.18–$19.12 | 80% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE-ALK | $17.80 | $44.50 | $5.18–$19.12 | 59% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 2 ARUP | $2.19 | $5.47 | $5.22 | 72% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 1 ARUP | $2.19 | $5.47 | $5.22 | 72% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 3 ARUP | $2.19 | $5.47 | $5.22 | 72% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BAYIGE ARUP | $5.91 | $14.78 | $5.22–$14.15 | 24% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MULREDIGE ARUP | $5.91 | $14.78 | $5.22–$14.15 | 24% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ITCYPREIGE ARUP | $5.91 | $14.78 | $5.22–$14.15 | 24% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C - ALLERG SPEC IGE XTRC EA SERUM | $8.12 | $20.30 | $5.22–$19.12 | 4% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BL LOC ARUP | $8.48 | $21.19 | $5.22–$19.12 | 9% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CLADO IGG ARUP | $8.55 | $21.38 | $5.22–$19.12 | 10% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OCCUPAT P ANHYDRI IGE ARUP | $8.61 | $21.53 | $5.22–$19.12 | 10% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD ALPHAGAL ARUP | $18.00 | $45.00 | $5.22–$19.12 | 131% above | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $35.00 | $87.50 | $16.77–$62.44 | 4% above | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN(AFP); SERUM | $38.52 | $96.30 | $16.77–$62.44 | 14% above | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT TUMOR MARKER | $67.44 | $168.60 | $16.77–$62.44 | 100% above | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 C - ALPHA FETOPROTEIN SERUM | $194.16 | $485.40 | $16.77–$62.44 | 476% above | 60% |
| Ammonia blood test CPT 82140 AMMONIA | $30.20 | $75.50 | $14.57–$54.80 | 74% below | 60% |
| Amylase blood test CPT 82150 AMYLASE | $12.12 | $30.30 | $6.48–$24.24 | 61% below | 60% |
| Amylase blood test CPT 82150 UC-AMYLASE | $12.64 | $31.60 | $6.48–$24.24 | 60% below | 60% |
| Amylase blood test CPT 82150 AMYLASE-URINE | $24.72 | $61.80 | $6.48–$24.24 | 21% below | 60% |
| Amylase blood test CPT 82150 AMYLASE-SERUM | $29.40 | $73.50 | $6.48–$24.24 | 6% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED (CCP) AB IGG | $24.20 | $60.50 | $12.95–$48.44 | 11% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $26.40 | $66.00 | $12.09–$45.88 | 9% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 UC-ANTINUCLEAR ANTIBODY SCREEN | $26.96 | $67.40 | $12.09–$45.88 | 7% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCREEN | $57.20 | $143.00 | $12.09–$45.88 | 98% above | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $57.88 | $144.70 | $39.26–$106.40 | 65% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $81.56 | $203.90 | $39.26–$147.84 | 51% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEP TRMNL PRO BRAIN | $91.64 | $229.10 | $39.26–$147.84 | 45% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ANY OTHE | $18.72 | $46.80 | $8.62–$31.88 | 75% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 UC-CX XCPT URINE BLD. STOOL | $19.24 | $48.10 | $8.62–$31.88 | 74% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR | $33.96 | $84.90 | $8.62–$31.88 | 55% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT-NP | $34.04 | $85.10 | $8.62–$31.88 | 54% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ANY OTHER SOURCE | $36.00 | $90.00 | $8.62–$31.88 | 52% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE | $36.24 | $90.60 | $8.62–$31.88 | 51% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SKIN | $38.28 | $95.70 | $8.62–$31.88 | 49% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE | $38.92 | $97.30 | $8.62–$31.88 | 48% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY | $40.12 | $100.30 | $8.62–$31.88 | 46% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATH TIP | $41.12 | $102.80 | $8.62–$31.88 | 45% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE DIALYSIS FLUID | $42.64 | $106.60 | $8.62–$31.88 | 43% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE PLACENTA | $42.64 | $106.60 | $8.62–$31.88 | 43% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GASTRIC | $42.64 | $106.60 | $8.62–$31.88 | 43% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL | $44.12 | $110.30 | $8.62–$31.88 | 41% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPINAL FLUID CULTURE | $58.12 | $145.30 | $8.62–$31.88 | 22% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID | $104.16 | $260.40 | $8.62–$31.88 | 40% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $105.24 | $263.10 | $8.62–$31.88 | 41% above | 60% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $19.80 | $49.50 | $8.46–$31.88 | 94% below | 60% |
| Basic metabolic panel (blood test) CPT 80048 UC-BASIC METABOLIC PANEL | $20.36 | $50.90 | $8.46–$31.88 | 94% below | 60% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL (TOTAL CA) | $21.88 | $54.70 | $8.46–$31.88 | 93% below | 60% |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN | $11.00 | $27.50 | $5.02–$19.12 | 53% below | 60% |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN NICU | $21.00 | $52.50 | $5.02–$19.12 | 11% below | 60% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $30.52 | $76.30 | $5.02–$19.12 | 29% above | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY AP TECH NEO | $24.40 | $61.00 | $49.47 | 79% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY AP NEO | $39.60 | $99.00 | $49.47–$82.79 | 66% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM PATHOLOGIST NEPHROPATH | $150.00 | $375.00 | $49.47–$133.20 | 29% above | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 AP SURG LEVEL IV PATH EXAM | $154.80 | $387.00 | $49.47–$133.20 | 33% above | 60% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTERIA | $37.40 | $93.50 | $10.32–$38.24 | 89% below | 60% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE BACTERIA INITIAL | $96.04 | $240.10 | $10.32–$38.24 | 72% below | 60% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE SUBSEQUENT | $97.12 | $242.80 | $10.32–$38.24 | 72% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SS-VENIPUNCTURE | $7.00 | $17.50 | $3.00 | 63% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNT BLD COLLECT AIRPORT PO MOD | $15.60 | $39.00 | $3.00 | 18% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE FOR BLOOD COLLECTION | $15.60 | $39.00 | $3.00 | 18% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT BLOOD BY VENIPUNCTURE | $15.60 | $39.00 | $3.00 | 18% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $15.60 | $39.00 | $3.00 | 18% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENI BLD COLLECT OP IV TX NO PO MOD | $15.60 | $39.00 | $3.00 | 18% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERT MIDLINE CATH | $17.20 | $43.00 | $3.00 | 9% below | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE:QUANTITA | $8.80 | $22.00 | $3.93–$15.32 | 80% below | 60% |
| Blood glucose (sugar) test CPT 82947 C-CREATININE SERUM | $16.96 | $42.40 | $3.93–$15.32 | 62% below | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD | $16.96 | $42.40 | $3.93–$15.32 | 62% below | 60% |
| Blood glucose (sugar) test CPT 82947 .GLUCOSE BASELINE | $16.96 | $42.40 | $3.93–$15.32 | 62% below | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE-BLOOD | $16.96 | $42.40 | $3.93–$15.32 | 62% below | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE ISTAT | $16.96 | $42.40 | $3.93–$15.32 | 62% below | 60% |
| Blood lead test CPT 83655 LEAD | $26.40 | $66.00 | $12.11–$45.88 | 143% above | 60% |
| Blood lead test CPT 83655 C - LEAD ANALYSIS | $29.88 | $74.70 | $12.11–$45.88 | 175% above | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG TEST URINE QUAL | $22.24 | $55.60 | $7.52–$28.04 | 82% below | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG QUAL | $23.12 | $57.80 | $7.52–$28.04 | 82% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO RLAB | $26.72 | $66.80 | $2.99–$11.48 | 44% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $40.80 | $102.00 | $2.99–$11.48 | 14% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING; ABO | $40.80 | $102.00 | $2.99–$11.48 | 14% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO CONFIRMATION | $40.80 | $102.00 | $2.99–$11.48 | 14% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANTITATIVE | $6.76 | $16.90 | $3.95–$15.32 | 85% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANTITATIVE | $6.76 | $16.90 | $3.95–$15.32 | 85% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN DIALYSIS VENOUS | $10.24 | $25.60 | $3.95–$15.32 | 77% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN DIALYSIS ARTERIAL | $10.24 | $25.60 | $3.95–$15.32 | 77% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN SLOW PUMP | $10.24 | $25.60 | $3.95–$15.32 | 77% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN QUANT | $14.72 | $36.80 | $3.95–$15.32 | 67% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 ALANINE AMINOTRANSFERASE FIBROMETER | $18.72 | $46.80 | $3.95–$15.32 | 59% below | 60% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $59.68 | $149.20 | $20.81–$77.76 | 63% above | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $8.84 | $22.10 | $5.18–$19.12 | 88% below | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $97.52 | $243.80 | $5.18–$19.12 | 34% above | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 QUANT. C.R.P. | $106.88 | $267.20 | $5.18–$19.12 | 47% above | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 UC-AMP PROBE CLOSTRIDIUM | $47.84 | $119.60 | $37.27–$101.00 | 58% below | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 AMP PROBE CLOSTRIDIUM | $50.80 | $127.00 | $37.27–$101.00 | 55% below | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN GENE AMPL PROBE | $76.32 | $190.80 | $37.27–$140.16 | 33% below | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNO TUMR AG CA 19-9 | $34.80 | $87.00 | $20.81–$77.76 | 37% below | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNO TUMOR ANT CA 19-9 | $34.80 | $87.00 | $20.81–$77.76 | 37% below | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 (CARBOHYDRATE ANTIGEN 19-9) | $123.56 | $308.90 | $20.81–$77.76 | 125% above | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNO TUMR AG CA 125 | $34.80 | $87.00 | $20.81–$77.76 | 58% below | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR ANTIGEN QUA CA125 | $34.80 | $87.00 | $20.81–$77.76 | 58% below | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR MARKER CA125 | $106.20 | $265.50 | $20.81–$77.76 | 28% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID RAPID NAAT | $95.80 | $239.50 | $35.09–$51.31 | 9% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 SARS COV2 BY NAAT LOW TPUT | $95.80 | $239.50 | $35.09–$51.31 | 9% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 SARS COV2 BY NAAT LOW TPUT | $95.80 | $239.50 | $35.09–$51.31 | 9% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID RAPID NAAT | $95.80 | $239.50 | $35.09–$51.31 | 9% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 SARS COV2 BY NAAT LOW TPUT | $95.80 | $239.50 | $35.09–$51.31 | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID RAPID NAAT | $95.80 | $239.50 | $35.09–$51.31 | — | 60% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $8.80 | $22.00 | $5.16–$19.12 | 82% below | 60% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $8.80 | $22.00 | $5.16–$19.12 | 82% below | 60% |
| Calcium blood test, total CPT 82310 CALCIUM-SERUM TOTAL | $13.08 | $32.70 | $5.16–$19.12 | 74% below | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG (CEA) | $46.20 | $115.50 | $18.96–$71.36 | 61% below | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $46.20 | $115.50 | $18.96–$71.36 | 61% below | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA-EIA | $119.08 | $297.70 | $18.96–$71.36 | 1% above | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER | $31.92 | $79.80 | $12.88–$48.44 | 75% above | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER | $44.44 | $111.10 | $12.88–$48.44 | 144% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 UC-NUCLEIC ACID CHLAMYDIA TRACH | $34.12 | $85.30 | $35.09 | 19% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH AMP PROB | $50.80 | $127.00 | $35.09–$95.10 | 21% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS AMPLIF PROBE | $84.00 | $210.00 | $35.09–$132.52 | 100% above | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL ARUP | $12.00 | $30.00 | $13.39 | 88% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPOFIT BY NMR2 | $13.20 | $33.00 | $13.39 | 87% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 UC-LIPID PANEL | $20.36 | $50.90 | $13.39–$36.28 | 80% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $37.20 | $93.00 | $13.39–$50.96 | 63% below | 60% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTO W/AUTO DIF | $13.76 | $34.40 | $7.77–$29.32 | 80% below | 60% |
| Complete blood count (CBC) with differential CPT 85025 UC-CBC AUTO W/AUTO DIF | $14.32 | $35.80 | $7.77–$29.32 | 79% below | 60% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/ PLATELET - AUTO DIFF WBC | $38.64 | $96.60 | $7.77–$29.32 | 43% below | 60% |
| Complete blood count (CBC) with differential CPT 85025 CBC W- PLATELET - AUTO DIFF WBC | $77.20 | $193.00 | $7.77–$29.32 | 14% above | 60% |
| Complete blood count (CBC), no differential CPT 85027 UC-CBC AUTO W/O DIFF | $8.80 | $22.00 | $6.47–$17.53 | 91% below | 60% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED W/ PLATELET | $11.52 | $28.80 | $6.47–$24.24 | 88% below | 60% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF | $11.52 | $28.80 | $6.47–$24.24 | 88% below | 60% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED W- PLATELET | $20.40 | $51.00 | $6.47–$24.24 | 79% below | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 UC-COMPREHENSIVE METABOLIC PANEL | $28.04 | $70.10 | $10.56–$39.52 | 94% below | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $55.20 | $138.00 | $10.56–$39.52 | 88% below | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL NICU | $55.20 | $138.00 | $10.56–$39.52 | 88% below | 60% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVA ARUP | $9.90 | $24.75 | $16.30 | 85% below | 60% |
| Cortisol blood test, total CPT 82533 CORTISOL; TOTAL | $27.80 | $69.50 | $16.30–$61.16 | 57% below | 60% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $56.40 | $141.00 | $16.30–$61.16 | 12% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 UC-CREATINE KINASE (CPK) TOTAL | $9.92 | $24.80 | $6.51–$24.24 | 87% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK;TOTAL | $11.52 | $28.80 | $6.51–$24.24 | 84% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CPK) TOTAL | $11.52 | $28.80 | $6.51–$24.24 | 84% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 CK CPK;TOTAL INITIAL | $33.68 | $84.20 | $6.51–$24.24 | 55% below | 60% |
| Creatinine blood test CPT 82565 CREATININE;BLOOD | $8.76 | $21.90 | $5.12–$19.12 | 84% below | 60% |
| Creatinine blood test CPT 82565 POC CREATININE WHOLE BLOOD | $9.56 | $23.90 | $5.12–$19.12 | 82% below | 60% |
| Creatinine blood test CPT 82565 CREATININE-BLOOD | $20.28 | $50.70 | $5.12–$19.12 | 63% below | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEG RLAB | $25.88 | $64.70 | $14.39–$53.52 | 8% below | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV-IGG-ACUTE AB | $39.60 | $99.00 | $14.39–$53.52 | 41% above | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY CMV | $44.56 | $111.40 | $14.39–$53.52 | 59% above | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AVIDITY ARUP | $54.80 | $137.00 | $14.39–$53.52 | 96% above | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 UC-FIBRIN DEGRADATION D DIMER QN | $11.56 | $28.90 | $10.18–$27.59 | 94% below | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION D DIMER QN | $17.36 | $43.40 | $10.18–$38.24 | 91% below | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 FDP D-DIMER; QUANTITATIVE | $17.36 | $43.40 | $10.18–$38.24 | 91% below | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE | $71.24 | $178.10 | $10.18–$38.24 | 64% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $37.92 | $94.80 | $22.23–$84.12 | 16% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S (DEHYDROEPIANDROSTERONE SULF | $62.24 | $155.60 | $22.23–$84.12 | 38% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINES CONF SERUM MEDTOX | $32.16 | $80.40 | $62.14 | 49% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE 10 PANEL | $35.56 | $88.90 | $62.14 | 44% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OB DRUG SCREEN 4 PANEL URINE | $37.44 | $93.60 | $62.14 | 41% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM MULTI CLASS | $39.12 | $97.80 | $62.14 | 39% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAUMA TOX SCREEN MULTI CLASS | $39.12 | $97.80 | $62.14 | 39% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN ER ONLY | $39.12 | $97.80 | $62.14 | 39% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL UMBILCAL CORD QUAL ARUP | $43.40 | $108.50 | $62.14 | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATES SERUM LEVEL | $50.40 | $126.00 | $62.14 | 21% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TEMAZEPAM AND METABOLITE QUANT ARUP | $59.20 | $148.00 | $62.14 | 7% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE SCREEN URINE QUALITATIVE | $62.40 | $156.00 | $62.14 | 2% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID SCREEN URINE QUAL | $62.40 | $156.00 | $62.14 | 2% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 G HBUTYRIC SERU SCREN N REFLEX ARUP | $66.00 | $165.00 | $62.14 | 4% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 G HBUTYRIC URIN SCREN N REFLEX ARUP | $66.00 | $165.00 | $62.14 | 4% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATE SCREEN QUALITATIVE | $67.44 | $168.60 | $62.14–$168.40 | 6% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PHENCYCLIDINE SCREEN URINE QUAL | $67.44 | $168.60 | $62.14–$168.40 | 6% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE SCREEN URINE QUAL | $67.44 | $168.60 | $62.14–$168.40 | 6% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE SCREEN URINE QUAL | $67.44 | $168.60 | $62.14–$168.40 | 6% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHAQUALONE SCREEN URINE QUAL | $67.44 | $168.60 | $62.14–$168.40 | 6% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE SCREEN URINE QUAL | $70.60 | $176.50 | $62.14–$168.40 | 11% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PROPOXPHENE SCREEN QUALITATIVE | $107.76 | $269.40 | $62.14–$233.20 | 69% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMP CHEM ANLYZR LCO | $116.04 | $290.10 | $62.14–$233.20 | 82% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR PER DOS | $116.16 | $290.40 | $62.14–$233.20 | 82% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN SERUM | $139.96 | $349.90 | $62.14–$233.20 | 120% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ECSTASY URINE | $150.92 | $377.30 | $62.14–$233.20 | 137% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MLT CLASS RAPID 5 PANEL | $445.16 | $1,112.90 | $62.14–$233.20 | 599% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCRN 9 W-CONF MECON | $931.72 | $2,329.30 | $62.14–$233.20 | 1363% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN UMB CORD | $931.72 | $2,329.30 | $62.14–$233.20 | 1363% above | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANE | $12.64 | $31.60 | $7.01–$26.76 | 94% below | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL | $20.60 | $51.50 | $7.01–$26.76 | 91% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY EBV VIRAL CAPSID IGM | $31.28 | $78.20 | $18.14–$68.80 | 9% above | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY EBV VIRAL CAPSID IGG | $31.28 | $78.20 | $18.14–$68.80 | 9% above | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY;EPSTEIN-BARR VIRAL CAPSID | $43.44 | $108.60 | $18.14–$68.80 | 51% above | 60% |
| Estradiol blood test CPT 82670 ESTRADIOL LEVEL | $47.64 | $119.10 | $27.94–$104.48 | 47% above | 60% |
| Estradiol blood test CPT 82670 ESTRADIOL | $68.68 | $171.70 | $27.94–$104.48 | 112% above | 60% |
| Estradiol blood test CPT 82670 C - ESTRADIOL | $257.68 | $644.20 | $27.94–$104.48 | 694% above | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $31.68 | $79.20 | $18.58–$70.08 | 50% below | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE (FSH | $31.68 | $79.20 | $18.58–$70.08 | 50% below | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM-FSH | $35.48 | $88.70 | $18.58–$70.08 | 44% below | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN ARUP | $56.22 | $140.56 | $19.63–$73.92 | 53% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $117.76 | $294.40 | $13.63–$50.96 | 5% below | 60% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN;ACTIV | $18.72 | $46.80 | $9.72–$36.96 | 76% below | 60% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $59.56 | $148.90 | $9.72–$36.96 | 24% below | 60% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $49.68 | $124.20 | $14.70–$54.80 | 60% below | 60% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $55.24 | $138.10 | $14.70–$54.80 | 56% below | 60% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE; TOTAL | $26.80 | $67.00 | $16.94–$63.72 | 57% below | 60% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $71.24 | $178.10 | $16.94–$63.72 | 14% above | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4(FREE THYRONI | $22.00 | $55.00 | $9.02–$34.40 | 74% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T-4) FREE | $22.00 | $55.00 | $9.02–$34.40 | 74% below | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 (THYROXINE) | $36.92 | $92.30 | $9.02–$34.40 | 56% below | 60% |
| Free testosterone test CPT 84402 C - ASSAY OF FREE TESTOST SERUM | $39.64 | $99.10 | $25.47–$95.60 | 42% above | 60% |
| Free testosterone test CPT 84402 ASSAY TESTOSTERO | $46.00 | $115.00 | $25.47–$95.60 | 65% above | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $12.28 | $30.70 | $7.20–$26.76 | 73% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT/GGTP | $12.28 | $30.70 | $7.20–$26.76 | 73% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASPARTATE AMINOTRANSFERASE FIBROMET | $18.72 | $46.80 | $7.20–$26.76 | 60% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 G GLUTAMYL TRANSFERASE-GT | $23.08 | $57.70 | $7.20–$26.76 | 50% below | 60% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $139.96 | $349.90 | $47.28–$152.92 | 6% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 2 HR POSTPRANDIAL GLUCOSE | $12.88 | $32.20 | $4.75–$17.84 | 82% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTATIONAL GLUCOSE SCREENING | $12.96 | $32.40 | $4.75–$17.84 | 82% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE | $16.36 | $40.90 | $4.75–$17.84 | 77% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE (GTT) 3 SPECIMENS | $34.96 | $87.40 | $12.87–$48.44 | 72% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 UC-NUCLEIC ACID AMP NEISSERIA | $34.12 | $85.30 | $35.09 | 18% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHOEAE NEISSER AMP | $50.80 | $127.00 | $35.09–$95.10 | 22% above | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMPLIFIED PROBE | $84.00 | $210.00 | $35.09–$132.52 | 102% above | 60% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYL | $24.76 | $61.90 | $16.85–$45.67 | 25% below | 60% |
| H. pylori antibody blood test CPT 86677 H.PYLORI IGG ANTIBODY | $45.04 | $112.60 | $16.85–$63.72 | 36% above | 60% |
| H. pylori stool antigen test CPT 87338 H. PYLORI STOOL ANTIGEN (EIA) | $110.92 | $277.30 | $14.38–$53.52 | 134% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD RNA QUANT | $120.16 | $300.40 | $85.10–$230.63 | 9% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV I RNA PCR QUANTITATIVE | $211.72 | $529.30 | $85.10–$319.84 | 91% above | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 ANTIBODY HIV-1 - HIV-2 SNGL RESULT | $29.72 | $74.30 | $13.71–$50.96 | 40% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 UC-HIV 1 HIV 2 ANTIBODY SGL RESUL | $29.72 | $74.30 | $13.71–$50.96 | 40% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 - HIV-2 ANTIBODY SNGL RESULT | $27.84 | $69.60 | $24.08–$65.26 | 64% below | 60% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMAVIRUS PANEL | $65.28 | $163.20 | $35.09–$132.52 | 79% above | 60% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA TISSUE TESTING NEO | $164.00 | $410.00 | $35.09–$132.52 | 351% above | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 UC-HEMOGLOBIN GLYCOSYLATED (A1C) | $13.20 | $33.00 | $9.71–$26.31 | 81% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN; GLYCOSYLATED (A1C) | $16.56 | $41.40 | $9.71–$36.96 | 76% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED (A1C | $16.56 | $41.40 | $9.71–$36.96 | 76% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED (A1C) | $25.68 | $64.20 | $9.71–$36.96 | 63% below | 60% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT HEMOGLOBIN | $5.72 | $14.30 | $2.37–$8.92 | 90% below | 60% |
| Hemoglobin blood test CPT 85018 C-HEMOGLOBIN | $5.72 | $14.30 | $2.37–$8.92 | 90% below | 60% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $5.72 | $14.30 | $2.37–$8.92 | 90% below | 60% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT;HEMO | $6.60 | $16.50 | $2.37–$8.92 | 88% below | 60% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIB | $26.40 | $66.00 | $12.05–$45.88 | 26% below | 60% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY | $60.08 | $150.20 | $12.05–$45.88 | 69% above | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $46.04 | $115.10 | $10.74–$40.80 | 5% above | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 UC-IA QL HEPATITIS B ANTIGEN | $14.32 | $35.80 | $10.33–$28.00 | 60% below | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $30.48 | $76.20 | $10.33–$38.24 | 15% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 UC-HEPATITIS C ANTIBODY | $19.24 | $48.10 | $14.27–$38.67 | 59% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $21.04 | $52.60 | $14.27–$38.67 | 55% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTI | $24.36 | $60.90 | $14.27–$53.52 | 48% below | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANT | $73.04 | $182.60 | $42.84–$160.56 | 35% below | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR RNA QUANTITATIVE | $288.84 | $722.10 | $42.84–$160.56 | 155% above | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 AB IGG CSF ARUP | $8.43 | $21.08 | $13.19 | 64% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES TYPE 1 ANTIBODIES | $32.20 | $80.50 | $13.19–$49.72 | 38% above | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY;HERPES | $41.24 | $103.10 | $13.19–$49.72 | 76% above | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 UC-HERPES SMPX I ANTIBODY | $42.36 | $105.90 | $13.19–$49.72 | 81% above | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 AB IGG CSF ARUP | $8.43 | $21.08 | $19.35 | 74% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES TYPE 2 ANTIBODIES | $32.20 | $80.50 | $19.35–$72.64 | 2% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE2 | $42.36 | $105.90 | $19.35–$72.64 | 28% above | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 UC-HERPES SMPX II ANTIBODY | $43.44 | $108.60 | $19.35–$72.64 | 32% above | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY (HSCRP) | $22.08 | $55.20 | $12.95–$48.44 | 48% below | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HIGH SENS | $22.08 | $55.20 | $12.95–$48.44 | 48% below | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY C REACTIVE PROTEIN | $97.12 | $242.80 | $12.95–$48.44 | 130% above | 60% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTINE | $28.76 | $71.90 | $17.92–$67.56 | 46% below | 60% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QUANT | $82.72 | $206.80 | $17.92–$67.56 | 54% above | 60% |
| Insulin blood test CPT 83525 INSULIN;TOTAL | $33.00 | $82.50 | $11.43–$43.36 | 31% above | 60% |
| Insulin blood test CPT 83525 TOTAL INSULIN | $45.68 | $114.20 | $11.43–$43.36 | 81% above | 60% |
| Iron blood test (serum iron) CPT 83540 IRON | $11.04 | $27.60 | $6.47–$24.24 | 80% below | 60% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER ARUP | $22.09 | $55.22 | $6.47–$24.24 | 60% below | 60% |
| Iron blood test (serum iron) CPT 83540 IRON-SERUM | $24.76 | $61.90 | $6.47–$24.24 | 55% below | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $14.92 | $37.30 | $8.74–$33.16 | 83% below | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY ONLY | $28.56 | $71.40 | $8.74–$33.16 | 68% below | 60% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $31.48 | $78.70 | $8.68–$33.16 | 92% below | 60% |
| LH (luteinizing hormone) test CPT 83002 LH PEDIATRIC < 7 YRS OLD ARUP | $21.36 | $53.40 | $18.52–$50.19 | 66% below | 60% |
| LH (luteinizing hormone) test CPT 83002 LH | $31.56 | $78.90 | $18.52–$70.08 | 50% below | 60% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) | $37.12 | $92.80 | $18.52–$70.08 | 41% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE LACTIC A | $26.40 | $66.00 | $11.57–$43.36 | 65% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 C-LACTIC ACID | $66.76 | $166.90 | $11.57–$43.36 | 10% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $66.76 | $166.90 | $11.57–$43.36 | 10% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL VEIN | $66.76 | $166.90 | $11.57–$43.36 | 10% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID REPEAT | $66.76 | $166.90 | $11.57–$43.36 | 10% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (CSF) | $66.76 | $166.90 | $11.57–$43.36 | 10% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL ART | $66.76 | $166.90 | $11.57–$43.36 | 10% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE | $21.24 | $53.10 | $6.04–$22.96 | 60% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $21.24 | $53.10 | $6.04–$22.96 | 60% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 UC-LIPASE | $12.64 | $31.60 | $6.89–$25.52 | 78% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $30.88 | $77.20 | $6.89–$25.52 | 47% below | 60% |
| Liver function blood test panel CPT 80076 UC-HEPATIC FUNCTION PANEL | $19.24 | $48.10 | $8.17–$30.60 | 92% below | 60% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL NICU | $23.04 | $57.60 | $8.17–$30.60 | 90% below | 60% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $24.76 | $61.90 | $8.17–$30.60 | 89% below | 60% |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI C6 PEP AB ARUP | $26.04 | $65.10 | $17.03–$63.72 | 4% above | 60% |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI AB (LYME DZ) | $38.80 | $97.00 | $17.03–$63.72 | 55% above | 60% |
| Lyme disease antibody test CPT 86618 UC-LYME DISEASE ANTIBODY | $59.96 | $149.90 | $17.03–$63.72 | 140% above | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC ARUP | $5.39 | $13.48 | $6.70 | 59% below | 60% |
| Magnesium blood test CPT 83735 IONIZED MAGNESIUM | $31.44 | $78.60 | $6.70–$25.52 | 137% above | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM | $31.44 | $78.60 | $6.70–$25.52 | 137% above | 60% |
| Magnesium blood test CPT 83735 IONIZED MAGNESIUM BAPTIST | $31.44 | $78.60 | $6.70–$25.52 | 137% above | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM-URINE-QUANT | $31.44 | $78.60 | $6.70–$25.52 | 137% above | 60% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES BY EIA | $15.40 | $38.50 | $12.88–$34.90 | 42% below | 60% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA | $37.40 | $93.50 | $12.88–$48.44 | 41% above | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTI | $11.56 | $28.90 | $5.18–$19.12 | 93% below | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 UC-HETEROPHILE ANTIBODY SCREEN | $12.12 | $30.30 | $5.18–$19.12 | 93% below | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $22.04 | $55.10 | $5.18–$19.12 | 87% below | 60% |
| Mumps immunity blood test CPT 86735 ANTIBODY MUMPS | $30.00 | $75.00 | $13.05–$49.72 | 85% above | 60% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY | $33.00 | $82.50 | $13.05–$49.72 | 103% above | 60% |
| Mumps immunity blood test CPT 86735 MUMPS IGG ANTIBODY | $84.00 | $210.00 | $13.05–$49.72 | 417% above | 60% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $41.80 | $104.50 | $47.81 | 71% below | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $31.36 | $78.40 | $18.39–$68.80 | at median | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $62.92 | $157.30 | $18.39–$68.80 | 101% above | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA | $31.36 | $78.40 | $18.39–$68.80 | 44% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG TOTAL | $31.36 | $78.40 | $18.39–$68.80 | 44% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPEC ANTIGEN(PSA) TOTAL | $61.92 | $154.80 | $18.39–$68.80 | 10% above | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $61.92 | $154.80 | $18.39–$68.80 | 10% above | 60% |
| Pap test (liquid-based, automated screening with review) CPT 88175 AP CYTP C-V THIN LYR PREP SCR-MNL | $62.80 | $157.00 | $26.61–$100.68 | 53% above | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY PARATHORM | $41.52 | $103.80 | $41.28 | 58% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) | $70.40 | $176.00 | $41.28–$155.44 | 29% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE | $70.40 | $176.00 | $41.28–$155.44 | 29% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $209.44 | $523.60 | $41.28–$155.44 | 112% above | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAS TIME (PTT) | $14.84 | $37.10 | $6.01–$22.96 | 61% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT;PLASMA OR WH | $14.84 | $37.10 | $6.01–$22.96 | 61% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $37.48 | $93.70 | $6.01–$22.96 | 2% below | 60% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $8.24 | $20.60 | $4.74–$17.84 | 86% below | 60% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORG | $8.24 | $20.60 | $4.74–$17.84 | 86% below | 60% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS-SERUM | $21.08 | $52.70 | $4.74–$17.84 | 65% below | 60% |
| Potassium blood test CPT 84132 POTASSIUM; SERUM | $7.84 | $19.60 | $4.76–$17.84 | 88% below | 60% |
| Potassium blood test CPT 84132 POTASSIUM SERUM/ PLASMA/ BLOOD | $7.84 | $19.60 | $4.76–$17.84 | 88% below | 60% |
| Potassium blood test CPT 84132 POTASSIUM-SERUM | $20.20 | $50.50 | $4.76–$17.84 | 70% below | 60% |
| Potassium blood test CPT 84132 POTASSIUM ISTAT | $20.20 | $50.50 | $4.76–$17.84 | 70% below | 60% |
| Potassium blood test CPT 84132 POTASSIUM SERUM PLASMA/WHOLE BLOOD | $20.20 | $50.50 | $4.76–$17.84 | 70% below | 60% |
| Potassium blood test CPT 84132 C-POTASSIUM SERUM | $20.20 | $50.50 | $4.76–$17.84 | 70% below | 60% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $20.20 | $50.50 | $4.76–$17.84 | 70% below | 60% |
| Progesterone blood test CPT 84144 PROGESTERONE | $36.12 | $90.30 | $20.86–$79.00 | 23% below | 60% |
| Prolactin blood test CPT 84146 PROLACTIN | $114.96 | $287.40 | $19.38–$72.64 | 77% above | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT) | $9.92 | $24.80 | $4.29–$16.56 | 73% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 C - PROTHROMBIN TIME | $18.36 | $45.90 | $4.29–$16.56 | 50% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $18.36 | $45.90 | $4.29–$16.56 | 50% below | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 NICOTINE URINE | $12.64 | $31.60 | $12.60 | 87% below | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRESUM DIR OPT OBS | $14.84 | $37.10 | $12.60–$34.15 | 85% below | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS CARTIA | $14.84 | $37.10 | $12.60–$34.15 | 85% below | 60% |
| Rapid flu test (influenza antigen) CPT 87804 UC-IMMUNO OPTICAL INFLUENZA | $13.76 | $34.40 | $16.55 | 89% below | 60% |
| Rapid flu test (influenza antigen) CPT 87804 FLU RAPID TEST | $20.44 | $51.10 | $16.55–$44.85 | 84% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 UC-IMMUNO OPTICAL STREP A | $18.72 | $46.80 | $16.53–$44.80 | 84% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 QUICK STREP GROUP A ASSAY W/ OPTIC | $20.44 | $51.10 | $16.53–$44.80 | 82% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID GROUP A STREP ASSAY W- OPTIC | $22.72 | $56.80 | $16.53–$44.80 | 80% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN | $46.24 | $115.60 | $16.53–$62.44 | 60% below | 60% |
| Rh blood typing CPT 86901 WEAK D TYPING | $17.04 | $42.60 | $2.99–$11.48 | 59% below | 60% |
| Rh blood typing CPT 86901 BLOOD TYPING; RH(D) | $17.04 | $42.60 | $2.99–$11.48 | 59% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTO | $13.76 | $34.40 | $5.67–$21.68 | 44% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 UC-RHEUMATOID FACTOR QN | $14.32 | $35.80 | $5.67–$21.68 | 41% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR-QUANT. | $68.36 | $170.90 | $5.67–$21.68 | 181% above | 60% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $24.56 | $61.40 | $14.39–$53.52 | 30% above | 60% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA-ACUTE | $34.52 | $86.30 | $14.39–$53.52 | 83% above | 60% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA-CONVALESCENT | $43.48 | $108.70 | $14.39–$53.52 | 131% above | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE WESTERGREN AUTOMATED | $5.04 | $12.60 | $2.70–$10.20 | 95% below | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE ERYTHRO | $10.44 | $26.10 | $2.70–$10.20 | 91% below | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 UC-SED RATE RBC AUTO | $11.00 | $27.50 | $2.70–$10.20 | 90% below | 60% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $11.52 | $28.80 | $12.31 | 95% below | 60% |
| Sodium blood test CPT 84295 SODIUM;SERUM | $8.24 | $20.60 | $4.81–$17.84 | 88% below | 60% |
| Sodium blood test CPT 84295 SODIUM-SERUM | $20.36 | $50.90 | $4.81–$17.84 | 70% below | 60% |
| Sodium blood test CPT 84295 SODIUM SERUM | $20.36 | $50.90 | $4.81–$17.84 | 70% below | 60% |
| Sodium blood test CPT 84295 C-GLUCOSE BLOOD | $20.36 | $50.90 | $4.81–$17.84 | 70% below | 60% |
| Sodium blood test CPT 84295 C-SODIUM SERUM | $20.36 | $50.90 | $4.81–$17.84 | 70% below | 60% |
| Sodium blood test CPT 84295 SODIUM SERUM PLASMA OR WHOLE BLOOD | $20.36 | $50.90 | $4.81–$17.84 | 70% below | 60% |
| Sodium blood test CPT 84295 SODIUM ISTAT | $20.36 | $50.90 | $4.81–$17.84 | 70% below | 60% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE | $21.44 | $53.60 | $8.90–$33.16 | 49% below | 60% |
| Stool ova and parasites exam CPT 87177 UC-SMEAR OVA PARASITE CONCNT/IDEN | $22.00 | $55.00 | $8.90–$33.16 | 47% below | 60% |
| Stool ova and parasites exam CPT 87177 OVA CYSTS PARASITES | $35.96 | $89.90 | $8.90–$33.16 | 14% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 UC-OCCULT BLOOD FECES CA SCREEN | $7.16 | $17.90 | $4.38–$16.56 | 86% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCULT 1-3 QUALITATIVE SCREEN | $8.24 | $20.60 | $4.38–$16.56 | 84% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SCREENING | $13.28 | $33.20 | $4.38–$16.56 | 75% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCULT SCREEN FECES 3 CONSEC SPEC | $16.48 | $41.20 | $4.38–$16.56 | 69% below | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT 1-3 SIMULT | $15.00 | $37.50 | $15.92 | 70% below | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT EIA 1-3 STOOLS | $26.68 | $66.70 | $15.92–$59.92 | 47% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLADUM AB IGM ARUP | $8.80 | $22.01 | $13.24 | 40% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLADUM AB IGG ARUP | $8.80 | $22.01 | $13.24 | 40% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY TREPONEMA PALLIDUM | $23.56 | $58.90 | $13.24–$49.72 | 61% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS VDRL RPR QL | $9.36 | $23.40 | $4.27–$16.56 | 53% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL (SYPH) | $9.36 | $23.40 | $4.27–$16.56 | 53% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 UC-SYPHILIS VDRL RPR QL | $9.92 | $24.80 | $4.27–$16.56 | 50% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUALITATIVE | $23.28 | $58.20 | $4.27–$16.56 | 18% above | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS | $115.72 | $289.30 | $61.98–$233.20 | 88% above | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE | $42.36 | $105.90 | $25.81–$96.84 | 41% above | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE;TOT | $88.00 | $220.00 | $25.81–$96.84 | 193% above | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $88.00 | $220.00 | $25.81–$96.84 | 193% above | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 URTICARIA ACTIVITY WTHYROAB 3 ARUP | $11.64 | $29.10 | $14.55 | 14% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB IGG | $27.16 | $67.90 | $14.55–$54.80 | 100% above | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIB | $31.52 | $78.80 | $14.55–$54.80 | 132% above | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 URTICARIA ACTIVITY WTHYROAB 2 ARUP | $11.64 | $29.10 | $16.80 | 91% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) | $30.24 | $75.60 | $16.80–$63.72 | 76% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $30.24 | $75.60 | $16.80–$63.72 | 76% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 UC-THYROID STIMULATING HORMONE | $31.36 | $78.40 | $16.80–$63.72 | 75% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE (TSH) | $59.04 | $147.60 | $16.80–$63.72 | 53% below | 60% |
| Total IgE blood test CPT 82785 IGE | $27.64 | $69.10 | $16.46–$62.44 | 17% above | 60% |
| Total IgE blood test CPT 82785 IMMUGLOBULIN IGE | $28.08 | $70.20 | $16.46–$62.44 | 19% above | 60% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL SERU | $7.40 | $18.50 | $4.35–$16.56 | 74% below | 60% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL-SERUM TOTAL | $10.48 | $26.20 | $4.35–$16.56 | 64% below | 60% |
| Total thyroxine (T4) blood test CPT 84436 T-4 TOTAL | $12.64 | $31.60 | $6.87–$25.52 | 86% below | 60% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (T-4) TOTAL | $12.64 | $31.60 | $6.87–$25.52 | 86% below | 60% |
| Total thyroxine (T4) blood test CPT 84436 UC-THYROXINE (T-4) TOTAL | $13.20 | $33.00 | $6.87–$25.52 | 86% below | 60% |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL | $28.72 | $71.80 | $6.87–$25.52 | 69% below | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 RIA | $46.76 | $116.90 | $14.18–$53.52 | 40% below | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL (TT3) | $98.68 | $246.70 | $14.18–$53.52 | 27% above | 60% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $32.84 | $82.10 | $12.76–$48.44 | 58% below | 60% |
| Transferrin blood test CPT 84466 ASSAY TRANSFERRI | $36.84 | $92.10 | $12.76–$48.44 | 52% below | 60% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF PROBE | $58.60 | $146.50 | $35.09–$132.52 | 20% above | 60% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $9.80 | $24.50 | $5.74–$21.68 | 69% below | 60% |
| Triglycerides blood test CPT 84478 VAP TRIGLYCERIDESL ARUP | $11.00 | $27.50 | $5.74–$21.68 | 65% below | 60% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $17.08 | $42.70 | $5.74–$21.68 | 46% below | 60% |
| Troponin test, quantitative CPT 84484 TROPONIN I QUANTITATIVE | $42.92 | $107.30 | $12.47–$47.16 | 71% below | 60% |
| Troponin test, quantitative CPT 84484 TROPONIN I QUANTITATIVE INITIAL | $89.92 | $224.80 | $12.47–$47.16 | 40% below | 60% |
| Troponin test, quantitative CPT 84484 TROPONIN I QUANTITATIVE SUBSEQUENT | $90.16 | $225.40 | $12.47–$47.16 | 40% below | 60% |
| Uric acid blood test CPT 84550 UC-URIC ACID BLOOD | $9.92 | $24.80 | $4.52–$16.56 | 88% below | 60% |
| Uric acid blood test CPT 84550 URIC ACID | $20.00 | $50.00 | $4.52–$16.56 | 76% below | 60% |
| Uric acid blood test CPT 84550 URIC ACID-SERUM | $20.00 | $50.00 | $4.52–$16.56 | 76% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/MICRO | $5.40 | $13.50 | $3.17–$11.48 | 97% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 URINE DIPSTICK/TAB; AUTO W/ MICRO | $5.40 | $13.50 | $3.17–$11.48 | 97% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTOMATED W- MICROSCOPY | $21.20 | $53.00 | $3.17–$11.48 | 87% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTOMATED MAC MIC | $25.48 | $63.70 | $3.17–$11.48 | 84% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 VET URINALYSIS AUTOMATED MAC MIC | $28.36 | $70.90 | $3.17–$11.48 | 83% below | 60% |
| Urinalysis with microscope exam, manual CPT 81000 URINE DIPSTIC/TAB NON-AUTO W/ MICRO | $5.40 | $13.50 | $4.02–$10.90 | 86% below | 60% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/MICRO | $5.40 | $13.50 | $4.02–$10.90 | 86% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICR DIPSTK/TAB | $3.84 | $9.60 | $2.25–$8.92 | 95% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICRO | $3.84 | $9.60 | $2.25–$8.92 | 95% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $11.80 | $29.50 | $2.25–$8.92 | 86% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 OCCULT BLOOD-URINE | $12.00 | $30.00 | $2.25–$8.92 | 86% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY-URINE | $12.00 | $30.00 | $2.25–$8.92 | 86% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK ONLY | $14.56 | $36.40 | $2.25–$8.92 | 83% below | 60% |
| Urinalysis without microscope exam, manual CPT 81002 SS-URINALYSIS NONAUTO WO MICRO | $3.00 | $7.50 | $3.48 | 85% below | 60% |
| Urinalysis without microscope exam, manual CPT 81002 UC-URINALYSIS NONAUTO PH | $3.32 | $8.30 | $3.48 | 84% below | 60% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTIC/TAB NON-AUTO NO MICRO | $4.36 | $10.90 | $3.48–$9.43 | 78% below | 60% |
| Urinalysis without microscope exam, manual CPT 81002 ICTOTEST-URINE | $8.20 | $20.50 | $3.48–$12.76 | 59% below | 60% |
| Urinalysis without microscope exam, manual CPT 81002 REDUCING SUBSTANCES - URINE | $8.20 | $20.50 | $3.48–$12.76 | 59% below | 60% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COLONY COUNT | $17.28 | $43.20 | $8.07–$30.60 | 90% below | 60% |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE | $17.60 | $44.00 | $8.07–$30.60 | 90% below | 60% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE W/COLONY COUNT | $17.60 | $44.00 | $8.07–$30.60 | 90% below | 60% |
| Urine culture for bacteria, with colony count CPT 87086 UC-CULTURE URINE W/COLONY COUNT | $18.16 | $45.40 | $8.07–$30.60 | 89% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN MICRO URINE QUANTITATIVE | $13.76 | $34.40 | $5.78–$21.68 | 51% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE QN | $13.76 | $34.40 | $5.78–$21.68 | 51% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN-RANDOM | $24.76 | $61.90 | $5.78–$21.68 | 13% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 UC-URINE PREGNANCY VISUAL | $9.92 | $24.80 | $8.61–$23.34 | 92% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST VISUAL COMPAR | $10.80 | $27.00 | $8.61–$23.34 | 91% below | 60% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE VISUAL | $28.00 | $70.00 | $8.61–$31.88 | 78% below | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $26.40 | $66.00 | $15.08–$57.36 | 79% below | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 - FOLATE(LAB) | $54.28 | $135.70 | $15.08–$57.36 | 56% below | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 | $59.12 | $147.80 | $15.08–$57.36 | 52% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D2-D3 ESO | $55.32 | $138.30 | $29.60–$110.88 | 20% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY INCLU FRAC(S) | $62.16 | $155.40 | $29.60–$110.88 | 35% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $62.16 | $155.40 | $29.60–$110.88 | 35% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25 HYDROXY | $62.60 | $156.50 | $29.60–$110.88 | 36% above | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25 | $38.00 | $95.00 | $38.50 | 1% below | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 1 25 DIHYDROXYVITAMIN D ESO | $101.80 | $254.50 | $38.50–$145.28 | 164% above | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC(HCG) QUANT | $40.16 | $100.40 | $15.05–$56.08 | 32% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANT BETA HCG | $95.72 | $239.30 | $15.05–$56.08 | 62% above | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 C - AFP PLUS HCG | $907.44 | $2,268.60 | $15.05–$56.08 | 1438% above | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Pacemaker implant (dual chamber) CPT 33208 INSERT PERM PACEMAKER W/E-ART - VEN | $31,482.00 | $78,705.00 | $21,607.00–$24,008.00 | 59% above | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV INFUSE UP TO 1HR | $167.20 | $418.00 | $202.55 | 83% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 E/R VISIT-CRITICAL CARE 30-74 MINS | $2,016.80 | $5,042.00 | $2,367.00–$3,735.00 | 59% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE W/TRAUMA | $4,733.20 | $11,833.00 | $2,367.00–$7,186.00 | 3% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED OB LEVEL 1 EMERGENCY CARE | $244.80 | $612.00 | $289.00–$492.00 | 51% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/R LEVEL 1 WITH PROCEDURE | $244.80 | $612.00 | $289.00–$492.00 | 51% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/R VISIT-MINOR SERVICE | $244.80 | $612.00 | $289.00–$492.00 | 51% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor one side CPT 99281 ED LEFT AMA | $244.80 | $612.00 | $289.00–$492.00 | 51% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/R VISIT-LOW SEVERITY | $320.80 | $802.00 | $574.00–$781.00 | 65% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED OB LEVEL 2 EMERGENCY CARE | $320.80 | $802.00 | $574.00–$781.00 | 65% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/R LEVEL 2 WITH PROCEDURE | $320.80 | $802.00 | $574.00–$781.00 | 65% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/R LEVEL 3 WITH PROCEDURE | $812.80 | $2,032.00 | $574.00–$1,992.00 | 50% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED OB LEVEL 3 EMERGENCY CARE | $812.80 | $2,032.00 | $574.00–$1,992.00 | 50% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/R VISIT-MODERATE SEVERITY | $812.80 | $2,032.00 | $574.00–$1,992.00 | 50% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/R VISIT-HIGH SEVERITY | $1,362.40 | $3,406.00 | $1,215.00–$3,316.00 | 45% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/R LEVEL 4 WITH PROCEDURE | $1,362.40 | $3,406.00 | $1,215.00–$3,316.00 | 45% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED OB LEVEL 4 EMERGENCY CARE | $1,362.40 | $3,406.00 | $1,215.00–$3,316.00 | 45% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED OB LEVEL 5 EMERGENCY CARE | $1,772.80 | $4,432.00 | $1,399.00–$3,735.00 | 48% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/R VISIT-LIFE THREATENING | $1,772.80 | $4,432.00 | $1,399.00–$3,735.00 | 48% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/R LEVEL 5 WITH PROCEDURE | $1,772.80 | $4,432.00 | $1,399.00–$3,735.00 | 48% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL V W/ONSITE TRAUMA ACT | $4,718.00 | $11,795.00 | $1,399.00–$5,318.00 | 38% above | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GXT W/W/OUT RADIOPHARMACEUTICAL | $1,598.80 | $3,997.00 | $1,617.00 | 6% above | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INITIAL 31 MIN - 1 HR | $430.40 | $1,076.00 | $347.64 | 24% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED OB IV HYDRAT INIT 31-90 MIN | $452.00 | $1,130.00 | $347.64 | 20% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL 31 MIN TO 1 HR | $452.00 | $1,130.00 | $347.64 | 20% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER PROPHY/DX INJ SUBQ/IM | $22.40 | $56.00 | $25.00 | 88% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $221.20 | $553.00 | $25.00 | 22% above | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT-NEUROMUSCULAR REEDUCATION EA 15 | $98.80 | $247.00 | $209.95–$239.00 | 33% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA-NEUROMUSCULAR REEDUCATION EA 15 | $98.80 | $247.00 | $209.95–$239.00 | 33% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT-NEUROMUSCULAR REEDUCATION EA 15 | $98.80 | $247.00 | $209.95–$239.00 | 33% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR REEDUCATION EA 15 | $98.80 | $247.00 | $209.95–$239.00 | 33% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR REEDUCATION EA 15 | $98.80 | $247.00 | $209.95–$239.00 | 33% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR REEDUCATION EA 15 | $98.80 | $247.00 | $209.95–$239.00 | 33% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA-NEUROMUSCULAR REEDUCATION EA 15 | $98.80 | $247.00 | $209.95–$239.00 | 33% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR REEDUCATION EA 15 | $98.80 | $247.00 | $209.95–$239.00 | 33% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT-NEUROMUSCLAR REEDUCATION EA 15 | $108.00 | $270.00 | $229.50–$239.00 | 27% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT-NEUROMUSCLAR REEDUCATION EA 15 | $108.00 | $270.00 | $229.50–$239.00 | 27% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT-NEUROMUSCULAR REEDUCATION EA 15 | $111.60 | $279.00 | $237.15–$239.00 | 24% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 COTA-NEUROMUSCULAR REEDUCATE EA 15 | $111.60 | $279.00 | $237.15–$239.00 | 24% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT-NEUROMUSCULAR REEDUCATION EA 15 | $111.60 | $279.00 | $237.15–$239.00 | 24% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCLAR RE-EDUCATION EA 15 | $111.60 | $279.00 | $237.15–$239.00 | 24% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 COTA NEUROMUSCULAR REEDUCAT EA 15 | $111.60 | $279.00 | $237.15–$239.00 | 24% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR REEDUCATION EA 15 | $111.60 | $279.00 | $237.15–$239.00 | 24% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 COTA-NEUROMUSCULAR REEDUCATE EA 15 | $111.60 | $279.00 | $237.15–$239.00 | 24% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCLAR RE-EDUCATION EA 15 | $111.60 | $279.00 | $237.15–$239.00 | 24% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 COTA NEUROMUSCULAR REEDUCAT EA 15 | $111.60 | $279.00 | $237.15–$239.00 | 24% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR REEDUCATION EA 15 | $111.60 | $279.00 | $237.15–$239.00 | 24% below | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA-NEUROMUSCULAR REEDUCATION EA 15 | $98.80 | $247.00 | $209.95–$239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSCULAR REEDUCATION EA 15 | $98.80 | $247.00 | $209.95–$239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR REEDUCATION EA 15 | $98.80 | $247.00 | $209.95–$239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT-NEUROMUSCULAR REEDUCATION EA 15 | $98.80 | $247.00 | $209.95–$239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT-NEUROMUSCLAR REEDUCATION EA 15 | $108.00 | $270.00 | $229.50–$239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCLAR RE-EDUCATION EA 15 | $111.60 | $279.00 | $237.15–$239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 COTA-NEUROMUSCULAR REEDUCATE EA 15 | $111.60 | $279.00 | $237.15–$239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT-NEUROMUSCULAR REEDUCATION EA 15 | $111.60 | $279.00 | $237.15–$239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR REEDUCATION EA 15 | $111.60 | $279.00 | $237.15–$239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 COTA NEUROMUSCULAR REEDUCAT EA 15 | $111.60 | $279.00 | $237.15–$239.00 | — | 60% |
| New patient office visit, about 30 minutes CPT 99203 LVL III-NEW PT INTERMED OUTPT VISIT | $292.80 | $732.00 | $95.12 | 36% below | 60% |
| New patient office visit, about 45 minutes CPT 99204 NEW PT EXTENSIVE OUTPATIENT VISIT | $282.80 | $707.00 | $134.67 | 56% below | 60% |
| New patient office visit, about 60 minutes CPT 99205 LVL V - NEW PT COMP OUTPT VISIT | $433.20 | $1,083.00 | $171.42 | 44% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LIMITD OP VISIT 15-29MN | $172.80 | $432.00 | $63.72 | 34% below | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 OCCUPATIONAL THERAPY EVAL LOW COMP | $82.00 | $205.00 | $174.25 | 83% below | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMP | $86.80 | $217.00 | $184.45 | 82% below | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $89.20 | $223.00 | $189.55 | 81% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVAL HIGH COMPLEX | $80.80 | $202.00 | $171.70 | 85% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVAL HIGH COMP | $80.80 | $202.00 | $171.70 | 85% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT-PHYSICAL THERAPY EVAL HI COMP | $83.20 | $208.00 | $176.80 | 84% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEX | $80.80 | $202.00 | $171.70 | 82% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL LOW COMP | $80.80 | $202.00 | $171.70 | 82% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT-PHYSICAL THERAPY EVAL LOW COMP | $83.60 | $209.00 | $177.65 | 81% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEX | $80.80 | $202.00 | $171.70 | 82% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVAL MOD COMP | $80.80 | $202.00 | $171.70 | 82% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT-PHYSICAL THERAPY EVAL MOD COMP | $83.20 | $208.00 | $176.80 | 81% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY EA 15 MIN | $74.40 | $186.00 | $158.10 | 43% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA-MANUAL THERAPY EA 15 MIN | $74.40 | $186.00 | $158.10 | 43% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT-MANUAL THERAPY EA 15 MIN | $74.40 | $186.00 | $158.10 | 43% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY EA 15 MIN | $74.40 | $186.00 | $158.10 | 43% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-JOINT MOBILIZATION EACH 15 MINS | $83.20 | $208.00 | $176.80 | 36% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THER/MYOFASCIAL REL EA15M | $84.00 | $210.00 | $178.50 | 35% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY EA 15 MIN | $84.00 | $210.00 | $178.50 | 35% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 COTA MANL THERAPY 15MIN | $84.00 | $210.00 | $178.50 | 35% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 COTA MANUAL THER/MYOFASCL REL EA15M | $84.00 | $210.00 | $178.50 | 35% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-MANUAL THER/MYOFASCIAL REL EA15M | $84.00 | $210.00 | $178.50 | 35% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 COTA-MANUAL THER/MYOFASCL REL EA15M | $84.00 | $210.00 | $178.50 | 35% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EXERCISE EA 15MIN | $74.80 | $187.00 | $158.95 | 48% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA-THERAPEUTIC EXERCISE EA 15 MIN | $74.80 | $187.00 | $158.95 | 48% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-THERAPEUTIC EXERCISE EA 15 MIN | $74.80 | $187.00 | $158.95 | 48% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE EA 15 MIN | $74.80 | $187.00 | $158.95 | 48% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 COTA-THERAPEUTIC EXERCISE EA 15 MIN | $85.20 | $213.00 | $181.05 | 41% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE EA 15 MIN | $85.20 | $213.00 | $181.05 | 41% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAPEUTIC EXERCISE EA 15 MIN | $85.20 | $213.00 | $181.05 | 41% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 COTA THERAPEUTIC EXERCISE EA 15MIN | $85.20 | $213.00 | $181.05 | 41% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT ESTAB COMP 40 MIN | $328.80 | $822.00 | $117.66 | 49% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LVL V - EST PT COMP OUTPT VISIT | $426.80 | $1,067.00 | $117.66 | 34% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LVL V - EST PT COMP VISIT W/PRO | $426.80 | $1,067.00 | $117.66 | 34% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT LEVEL 3 | $45.60 | $114.00 | $51.26 | 87% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LVL III -EST PT INTERM VISIT W/PROC | $218.40 | $546.00 | $51.26 | 37% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LVL III - EST PT INTERM OUTPT VISIT | $218.40 | $546.00 | $51.26 | 37% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT ESTAB EXPANDED 15 MIN | $237.20 | $593.00 | $51.26 | 32% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT LEVEL 4 | $70.80 | $177.00 | $80.56 | 86% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LVL IV - EST PT EXT OP VISIT | $246.80 | $617.00 | $80.56 | 53% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LVL IV EST PT EXT VISIT W/ PROC | $246.80 | $617.00 | $80.56 | 53% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT ESTABLISHED DETAIL 25 MIN | $291.60 | $729.00 | $80.56 | 44% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LVL II - EST PT LMTD OUTPT VISIT | $158.00 | $395.00 | $37.61 | 54% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LVL II - EST PT LMTD VISIT W/ PROC | $158.00 | $395.00 | $37.61 | 54% below | 60% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CARDIO-OFC CONSULT LOW COMPLEX | $27.60 | $69.00 | $45.00 | 90% below | 60% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSLTJ 40 MIN ORTHO | $113.20 | $283.00 | $45.00 | 61% below | 60% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFC CONSULT LOW COMPLEX NEURO | $114.00 | $285.00 | $45.00 | 60% below | 60% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFC CONSULT LOW | $114.00 | $285.00 | $45.00 | 60% below | 60% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CARDIO-OFC CONSULT MOD COMPLEX | $39.60 | $99.00 | $80.00 | 13% below | 60% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFC CONSULT MOD | $161.60 | $404.00 | $80.00 | 254% above | 60% |
| Speech and language evaluation CPT 92523 ST EVAL LANG COMP/EXPRESSI | $254.80 | $637.00 | $239.00–$541.45 | 57% below | 60% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHENSION | $254.80 | $637.00 | $239.00–$541.45 | 57% below | 60% |
| Speech and language evaluation CPT 92523 ST EVAL LANG COMP/EXPRESSI | $254.80 | $637.00 | $239.00–$541.45 | 57% below | 60% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHENSION | $254.80 | $637.00 | $239.00–$541.45 | 57% below | 60% |
| Speech and language evaluation CPT 92523 LANG COMPREHEN EVAL SPEECH SOUND | $268.00 | $670.00 | $239.00–$569.50 | 54% below | 60% |
| Speech and language evaluation CPT 92523 LANG COMPREHEN EVAL SPEECH SOUND | $268.00 | $670.00 | $239.00–$569.50 | 54% below | 60% |
| Speech and language evaluation inpatient CPT 92523 ST EVAL LANG COMP/EXPRESSI | $254.80 | $637.00 | $239.00–$541.45 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHENSION | $254.80 | $637.00 | $239.00–$541.45 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 LANG COMPREHEN EVAL SPEECH SOUND | $268.00 | $670.00 | $239.00–$569.50 | — | 60% |
| Speech therapy session, individual CPT 92507 ST SPEECH/HEARING THERAPY INDIVID | $257.60 | $644.00 | $239.00–$547.40 | 28% below | 60% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY LANG/VOICE/COM/AUDIT | $257.60 | $644.00 | $239.00–$547.40 | 28% below | 60% |
| Speech therapy session, individual CPT 92507 ST SPEECH/HEARING THERAPY INDIVID | $257.60 | $644.00 | $239.00–$547.40 | 28% below | 60% |
| Speech therapy session, individual CPT 92507 ST SPEECH THER LANG/VOICE/COM/AUDI | $257.60 | $644.00 | $239.00–$547.40 | 28% below | 60% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY LANG/VOICE/COM/AUDIT | $257.60 | $644.00 | $239.00–$547.40 | 28% below | 60% |
| Speech therapy session, individual CPT 92507 ST SPEECH THER LANG/VOICE/COM/AUDI | $257.60 | $644.00 | $239.00–$547.40 | 28% below | 60% |
| Speech therapy session, individual CPT 92507 ST SPEECH/HEARING THERAPY | $276.00 | $690.00 | $239.00–$586.50 | 23% below | 60% |
| Speech therapy session, individual CPT 92507 ST SPEECH/HEARING THERAPY | $276.00 | $690.00 | $239.00–$586.50 | 23% below | 60% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY LANG/VOICE/COM/AUDIT | $257.60 | $644.00 | $239.00–$547.40 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 ST SPEECH/HEARING THERAPY INDIVID | $257.60 | $644.00 | $239.00–$547.40 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 ST SPEECH THER LANG/VOICE/COM/AUDI | $257.60 | $644.00 | $239.00–$547.40 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 ST SPEECH/HEARING THERAPY | $276.00 | $690.00 | $239.00–$586.50 | — | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT-THERAPEUTIC ACTIVITIES EA 15 MIN | $41.60 | $104.00 | $88.40 | 72% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA-THERAPEUTIC ACTIVITIE EA 15 MIN | $41.60 | $104.00 | $88.40 | 72% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES EA 15 MIN | $42.80 | $107.00 | $90.95 | 71% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAPEUTIC ACTIVITIES EA 15MIN | $42.80 | $107.00 | $90.95 | 71% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 COTA-THERAPEUTIC ACTIVIT EA 15 MIN | $48.40 | $121.00 | $102.85 | 68% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT-THERAPEUTIC ACTIVITIES EA 15 MIN | $48.40 | $121.00 | $102.85 | 68% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITIES EA 15 MIN | $48.40 | $121.00 | $102.85 | 68% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 COTA THERAPEUTIC ACTIVITIES 15MIN | $48.40 | $121.00 | $102.85 | 68% below | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX INJ 1350 PFU/0.5ML | $144.72 | $361.80 | $307.44 | 49% below | 60% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE IM <7 YEARS AGE | $20.20 | $50.49 | $48.39 | 80% below | 60% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX 0.5ML DTAP VACC AGE < 7YRS | $43.32 | $108.30 | $48.39–$58.91 | 56% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE PF TRIVALENT 0.5ML 2024-25 | $24.56 | $61.40 | $33.15–$36.88 | 67% below | 60% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEP A VAC PED/ADLT 2 DOSE IM | $33.82 | $84.55 | $63.86–$69.83 | 66% below | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT VACC IM 1 ML VL | $129.52 | $323.80 | $115.61–$116.13 | 48% below | 60% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX -B 10MG/0.5ML 0.5ML | $24.68 | $61.70 | $46.89–$52.26 | 76% below | 60% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE PEDIATRIC3 DOSE | $26.40 | $66.00 | $46.89–$52.26 | 74% below | 60% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B VACC (ACTHIB) 0.5ML INJ | $65.16 | $162.90 | $20.25–$26.05 | 4% above | 60% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR INJ .5ML VL | $64.16 | $160.40 | $155.39 | 66% below | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC IM (4MCG/0.5ML) | $225.60 | $564.00 | $264.35–$306.16 | 60% below | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE 0.5ML VL | $231.24 | $578.10 | $264.35–$306.16 | 59% below | 60% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR-13 INJ 0.5ML SYRINGE | $310.00 | $775.00 | $380.40–$425.68 | 47% below | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL VAC IM 20VAL 0.5ML | $359.73 | $899.33 | $439.43–$516.29 | 62% below | 60% |
| Polio vaccine, inactivated (IPV) CPT 90713 IPOL VACC INJ PER 0.5ML (5ML VL) | $85.44 | $213.60 | $75.15–$88.32 | 13% below | 60% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 BEYFORTUS 100MG/1ML SYRINGE | $924.26 | $2,310.66 | $873.18–$1,101.14 | 28% below | 60% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOCLNAL ANTIBDY IM 0.5ML | $731.32 | $1,828.30 | $873.18 | 54% below | 60% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50MG/0.5ML | $924.26 | $2,310.66 | $873.18–$2,202.29 | 42% below | 60% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM 2.5U/ML | $422.00 | $1,055.00 | $524.16–$695.37 | 64% below | 60% |
| Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VACCINE 2.5 UNITS | $422.00 | $1,055.00 | $524.16–$695.37 | 64% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC INJ 0.5ML | $65.64 | $164.10 | $56.03–$67.73 | 55% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE IM 7 YEARS OR OLDER | $30.06 | $75.15 | $64.47 | 85% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACC 2-2.5-5/.5 IM AGE 7YRS+ | $96.24 | $240.60 | $64.47–$79.62 | 53% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX PF(TDAP)IM AGE 7+YRS 0.5ML | $98.56 | $246.40 | $64.47–$79.62 | 52% below | 60% |
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.
Off list How much lower the cash price is than the list price.
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.