Hospital Palm Bay-Melbourne-Titusville, FL

Palm Bay Hospital

Palm Bay Hospital in Palm Bay, FL publishes cash prices for 300 common procedures listed here, from its own machine-readable price file updated Mar 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 274 of 299 procedures and above it for 20. By typical cash price it ranks #4 of 171 Florida hospitals and #2 of 5 hospitals in the Palm Bay, FL area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1425 Malabar Road NE, Palm Bay, FL 32907 Collected Sep 23, 2026 Source price file Check a bill from this hospital (321) 434-8000

Acute care hospital For-profit hospital Emergency department CMS star rating 3 of 5 CCN 100316 · CMS hospital register NPI 1386940823

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W WO CONTRAST	$649.50	$2,598.00	$62.58–$2,468.10	84% below	75%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W WO CONTRAST	$649.50	$2,598.00	$1,558.80–$2,468.10	—	75%
Abdominal X-ray, 2 views CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS	$116.25	$465.00	$43.72–$619.00	82% below	75%
Abdominal X-ray, 2 views inpatient CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS	$116.25	$465.00	$279.00–$441.75	—	75%
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY ANKLE 3 VW	$126.75	$507.00	$16.81–$619.00	80% below	75%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-RAY ANKLE 3 VW	$126.75	$507.00	$304.20–$481.65	—	75%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT SCAN UPPER EXTREMITY WO IV CONTRAST	$415.25	$1,661.00	$62.58–$2,172.00	82% below	75%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT SCAN UPPER EXTREMITY WO IV CONTRAST	$415.25	$1,661.00	$996.60–$1,577.95	—	75%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM	$205.00	$820.00	$49.14–$779.00	76% below	75%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM	$205.00	$820.00	$492.00–$779.00	—	75%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE WHOLE BODY	$471.00	$1,884.00	$62.58–$3,732.00	81% below	75%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE WHOLE BODY	$471.00	$1,884.00	$1,130.40–$1,789.80	—	75%
Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE	$187.75	$751.00	$54.00–$742.00	68% below	75%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST COMPLETE	$187.75	$751.00	$450.60–$713.45	—	75%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST UNI LIMITED	$134.75	$539.00	$41.33–$742.00	74% below	75%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST UNI LIMITED	$134.75	$539.00	$323.40–$512.05	—	75%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST	$1,128.50	$4,514.00	$62.58–$4,288.30	81% below	75%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIOGRAM ABDOMEN PELVIS W CONTRAST	$1,128.50	$4,514.00	$2,708.40–$4,288.30	—	75%
CT angiography (CTA) of the head CPT 70496 HC CT HEAD ANGIO W AND WO IV CONTRAST	$606.75	$2,427.00	$62.58–$2,305.65	83% below	75%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT HEAD ANGIO W AND WO IV CONTRAST	$606.75	$2,427.00	$1,456.20–$2,305.65	—	75%
CT angiography (CTA) of the neck CPT 70498 HC CT NECK ANGIO W AND WO IV CONTRAST	$735.75	$2,943.00	$62.58–$2,795.85	82% below	75%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT NECK ANGIO W AND WO IV CONTRAST	$735.75	$2,943.00	$1,765.80–$2,795.85	—	75%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT CHEST ANGIO W AND WO IV CONT INCL IMAGE	$874.00	$3,496.00	$62.58–$3,321.20	80% below	75%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT CHEST ANGIO W AND WO IV CONT INCL IMAGE	$874.00	$3,496.00	$2,097.60–$3,321.20	—	75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT HEART CORONARY ANGIOGRAM W/3D IMAGE	$863.25	$3,453.00	$62.58–$3,280.35	56% below	75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT HEART CORONARY ANGIOGRAM W/3D IMAGE	$863.25	$3,453.00	$2,071.80–$3,280.35	—	75%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART CALCIUM SCORING WO CONTRAST	$112.00	$448.00	$54.00–$2,172.00	79% below	75%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HEART CALCIUM SCORING WO CONTRAST	$112.00	$448.00	$268.80–$425.60	—	75%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD PELVIS W/O CONTRAST	$997.75	$3,991.00	$62.58–$3,791.45	82% below	75%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD PELVIS W/O CONTRAST	$997.75	$3,991.00	$2,394.60–$3,791.45	—	75%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN PELVIS W CONTRAST	$1,410.00	$5,640.00	$62.58–$5,358.00	76% below	75%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN PELVIS W CONTRAST	$1,410.00	$5,640.00	$3,384.00–$5,358.00	—	75%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN PELVIS W WO CONTRAST	$1,430.00	$5,720.00	$62.58–$5,434.00	79% below	75%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN PELVIS W WO CONTRAST	$1,430.00	$5,720.00	$3,432.00–$5,434.00	—	75%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$551.75	$2,207.00	$62.58–$2,172.00	84% below	75%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$551.75	$2,207.00	$1,324.20–$2,096.65	—	75%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$353.50	$1,414.00	$62.58–$2,172.00	89% below	75%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$353.50	$1,414.00	$848.40–$1,343.30	—	75%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCANMAXILLOFACIAL WO CONTRAST	$544.00	$2,176.00	$62.58–$2,172.00	81% below	75%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCANMAXILLOFACIAL WO CONTRAST	$544.00	$2,176.00	$1,305.60–$2,067.20	—	75%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCANHEAD/BRAINW/O CONTRAST	$590.25	$2,361.00	$55.07–$2,242.95	81% below	75%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCANHEAD/BRAINW/O CONTRAST	$590.25	$2,361.00	$1,416.60–$2,242.95	—	75%
CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST	$602.00	$2,408.00	$62.58–$2,287.60	84% below	75%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CONTRAST	$602.00	$2,408.00	$1,444.80–$2,287.60	—	75%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W WO CONTRAST	$730.50	$2,922.00	$62.58–$2,775.90	83% below	75%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W WO CONTRAST	$730.50	$2,922.00	$1,753.20–$2,775.90	—	75%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCAN LUMBAR SPINE W/O CONTRAST	$510.00	$2,040.00	$62.58–$2,172.00	84% below	75%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCAN LUMBAR SPINE W/O CONTRAST	$510.00	$2,040.00	$1,224.00–$1,938.00	—	75%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCAN CERVICAL SPINE W/O CONTRAST	$563.00	$2,252.00	$62.58–$2,172.00	83% below	75%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCAN CERVICAL SPINE W/O CONTRAST	$563.00	$2,252.00	$1,351.20–$2,139.40	—	75%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS W CONTRAST	$588.75	$2,355.00	$62.58–$2,237.25	86% below	75%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS W CONTRAST	$588.75	$2,355.00	$1,413.00–$2,237.25	—	75%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$140.50	$562.00	$39.25–$652.00	72% below	75%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$140.50	$562.00	$337.20–$533.90	—	75%
Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW	$107.75	$431.00	$29.68–$652.00	74% below	75%
Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW	$107.75	$431.00	$258.60–$409.45	—	75%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE	$96.25	$385.00	$14.38–$619.00	83% below	75%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE	$96.25	$385.00	$231.00–$365.75	—	75%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RENAL COMPLETE	$218.50	$874.00	$58.04–$830.30	83% below	75%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RENAL COMPLETE	$218.50	$874.00	$524.40–$830.30	—	75%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US DETAILED SNGL FETUS	$105.00	$420.00	$62.58–$742.00	89% below	75%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US DETAILED SNGL FETUS	$105.00	$420.00	$252.00–$399.00	—	75%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN THORAX W/O CONTRAST	$418.25	$1,673.00	$62.58–$2,172.00	86% below	75%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN THORAX W/O CONTRAST	$418.25	$1,673.00	$1,003.80–$1,589.35	—	75%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W CONTRAST	$626.00	$2,504.00	$62.58–$2,378.80	84% below	75%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W CONTRAST	$626.00	$2,504.00	$1,502.40–$2,378.80	—	75%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC VASC DUPLEX EXTREM VENOUSBILAT	$302.66	$1,210.65	$62.58–$1,150.12	83% below	75%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC DUPLEX EXTREM VENOUSBILAT - UPPER EXTREMITY DVT	$302.66	$1,210.65	$62.58–$1,150.12	83% below	75%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC DUPLEX EXTREM VENOUSBILAT - UPPER EXTREMITY DVT	$302.66	$1,210.65	$726.39–$1,150.12	—	75%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC VASC DUPLEX EXTREM VENOUSBILAT	$302.66	$1,210.65	$726.39–$1,150.12	—	75%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE	$681.75	$2,727.00	$62.58–$2,590.65	80% below	75%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE	$681.75	$2,727.00	$1,636.20–$2,590.65	—	75%
Elbow X-ray, 2 views CPT 73070 HC X-RAY ELBOW 2 VIEW	$91.75	$367.00	$14.38–$619.00	82% below	75%
Elbow X-ray, 2 views inpatient CPT 73070 HC X-RAY ELBOW 2 VIEW	$91.75	$367.00	$220.20–$348.65	—	75%
Elbow X-ray, complete, 3 or more views CPT 73080 HC X-RAY ELBOW 3 VW	$109.00	$436.00	$16.81–$619.00	82% below	75%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC X-RAY ELBOW 3 VW	$109.00	$436.00	$261.60–$414.20	—	75%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SCAN ORBIT/SELLA/POST FOSSA/EAR W/O CONT	$421.50	$1,686.00	$62.58–$2,172.00	84% below	75%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT SCAN ORBIT/SELLA/POST FOSSA/EAR W/O CONT	$421.50	$1,686.00	$1,011.60–$1,601.70	—	75%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES 3 VIEWS	$121.25	$485.00	$20.84–$619.00	84% below	75%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES 3 VIEWS	$121.25	$485.00	$291.00–$460.75	—	75%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-RAY FOREARM 2 VW	$93.00	$372.00	$13.03–$619.00	84% below	75%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC X-RAY FOREARM 2 VW	$93.00	$372.00	$223.20–$353.40	—	75%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SYST IMAGING	$283.50	$1,134.00	$62.58–$3,732.00	86% below	75%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SYST IMAGING	$283.50	$1,134.00	$680.40–$1,077.30	—	75%
Hand X-ray, 2 views CPT 73120 HC X-RAY HAND 2 VW	$82.75	$331.00	$13.31–$619.00	84% below	75%
Hand X-ray, 2 views inpatient CPT 73120 HC X-RAY HAND 2 VW	$82.75	$331.00	$198.60–$314.45	—	75%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR CALCANEUS 2 VIEWS	$96.25	$385.00	$14.11–$619.00	80% below	75%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR CALCANEUS 2 VIEWS	$96.25	$385.00	$231.00–$365.75	—	75%
Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEW	$114.75	$459.00	$18.42–$619.00	83% below	75%
Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY KNEE 3 VIEW	$114.75	$459.00	$275.40–$436.05	—	75%
Knee X-ray, complete, 4 or more views CPT 73564 HC X-RAY KNEE 4 VIEW	$118.75	$475.00	$20.84–$619.00	85% below	75%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-RAY KNEE 4 VIEW	$118.75	$475.00	$285.00–$451.25	—	75%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT SCANLOWER EXTREMITYW/O CONTRAST	$423.00	$1,692.00	$62.58–$2,172.00	84% below	75%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT SCANLOWER EXTREMITYW/O CONTRAST	$423.00	$1,692.00	$1,015.20–$1,607.40	—	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$208.25	$833.00	$57.76–$791.35	82% below	75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$208.25	$833.00	$499.80–$791.35	—	75%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US KNEE LIMITED	$172.00	$688.00	$8.72–$742.00	73% below	75%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US KNEE LIMITED	$172.00	$688.00	$412.80–$653.60	—	75%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIBIA FIBULA 2 VIEWS	$97.50	$390.00	$13.31–$619.00	85% below	75%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR TIBIA FIBULA 2 VIEWS	$97.50	$390.00	$234.00–$370.50	—	75%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRI HEAD ANGIO WO IV CONTRAST	$627.50	$2,510.00	$62.58–$4,411.00	79% below	75%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRI HEAD ANGIO WO IV CONTRAST	$627.50	$2,510.00	$1,506.00–$2,384.50	—	75%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTREMITY WO IV CONT	$742.00	$2,968.00	$62.58–$4,411.00	79% below	75%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTREMITY WO IV CONT	$742.00	$2,968.00	$1,780.80–$2,819.60	—	75%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT W AND WO IV CONTRAST	$951.75	$3,807.00	$62.58–$4,411.00	81% below	75%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT W AND WO IV CONTRAST	$951.75	$3,807.00	$2,284.20–$3,616.65	—	75%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST	$689.25	$2,757.00	$62.58–$4,411.00	80% below	75%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CONTRAST	$689.25	$2,757.00	$1,654.20–$2,619.15	—	75%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W WO CONTRAST	$733.00	$2,932.00	$62.58–$4,411.00	83% below	75%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W WO CONTRAST	$733.00	$2,932.00	$1,759.20–$2,785.40	—	75%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST	$854.00	$3,416.00	$62.58–$4,411.00	75% below	75%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CONTRAST	$854.00	$3,416.00	$2,049.60–$3,245.20	—	75%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W WO CONTRAST	$990.50	$3,962.00	$62.58–$4,411.00	80% below	75%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W WO CONTRAST	$990.50	$3,962.00	$2,377.20–$3,763.90	—	75%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST	$741.75	$2,967.00	$62.58–$4,411.00	80% below	75%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE WO CONTRAST	$741.75	$2,967.00	$1,780.20–$2,818.65	—	75%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W WO CONTRAST	$984.75	$3,939.00	$62.58–$4,411.00	80% below	75%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W WO CONTRAST	$984.75	$3,939.00	$2,363.40–$3,742.05	—	75%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE WO CONTRAST	$732.50	$2,930.00	$62.58–$4,411.00	81% below	75%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE WO CONTRAST	$732.50	$2,930.00	$1,758.00–$2,783.50	—	75%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W WO CONTRAST	$992.50	$3,970.00	$62.58–$4,411.00	79% below	75%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W WO CONTRAST	$992.50	$3,970.00	$2,382.00–$3,771.50	—	75%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERV SPINE WO CONTRAST	$771.75	$3,087.00	$62.58–$4,411.00	79% below	75%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERV SPINE WO CONTRAST	$771.75	$3,087.00	$1,852.20–$2,932.65	—	75%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W WO CONTRAST	$787.75	$3,151.00	$62.58–$4,411.00	79% below	75%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W WO CONTRAST	$787.75	$3,151.00	$1,890.60–$2,993.45	—	75%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST	$696.00	$2,784.00	$62.58–$4,411.00	79% below	75%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST	$696.00	$2,784.00	$1,670.40–$2,644.80	—	75%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPPER EXTREM WO IV CONTRAST	$725.25	$2,901.00	$62.58–$4,411.00	78% below	75%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI JOINT UPPER EXTREM WO IV CONTRAST	$725.25	$2,901.00	$1,740.60–$2,755.95	—	75%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS	$177.50	$710.00	$21.66–$674.50	80% below	75%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS	$177.50	$710.00	$426.00–$674.50	—	75%
Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE W CONTRAST	$571.25	$2,285.00	$62.58–$2,172.00	83% below	75%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK TISSUE W CONTRAST	$571.25	$2,285.00	$1,371.00–$2,170.75	—	75%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SCAN SOFT TISSUE NECK W/O CONTRAST	$401.25	$1,605.00	$62.58–$2,172.00	87% below	75%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SCAN SOFT TISSUE NECK W/O CONTRAST	$401.25	$1,605.00	$963.00–$1,524.75	—	75%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$114.50	$458.00	$14.65–$619.00	79% below	75%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$114.50	$458.00	$274.80–$435.10	—	75%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM HEART PERFUSION SPECT STRESS REST	$938.66	$3,754.65	$62.58–$3,732.00	83% below	75%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST EXERCI	$938.66	$3,754.65	$62.58–$3,732.00	83% below	75%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST REGADE	$938.66	$3,754.65	$62.58–$3,732.00	83% below	75%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST EXERCI	$938.66	$3,754.65	$2,252.79–$3,566.92	—	75%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST REGADE	$938.66	$3,754.65	$2,252.79–$3,566.92	—	75%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM HEART PERFUSION SPECT STRESS REST	$938.66	$3,754.65	$2,252.79–$3,566.92	—	75%
Pelvic CT scan without contrast CPT 72192 HC CT SCANPELVISW/O CONTRAST	$529.00	$2,116.00	$62.58–$2,172.00	83% below	75%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT SCANPELVISW/O CONTRAST	$529.00	$2,116.00	$1,269.60–$2,010.20	—	75%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS LIMITED BLADDER	$133.75	$535.00	$17.35–$742.00	85% below	75%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS LIMITED BLADDER	$133.75	$535.00	$321.00–$508.25	—	75%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC (NONOBSTETRIC)	$265.00	$1,060.00	$57.22–$1,007.00	80% below	75%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC (NONOBSTETRIC)	$265.00	$1,060.00	$636.00–$1,007.00	—	75%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB 14 WEEKS SINGLE OR FIRST GEST	$178.75	$715.00	$62.58–$742.00	78% below	75%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB 14 WEEKS SINGLE OR FIRST GEST	$178.75	$715.00	$429.00–$679.25	—	75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB < 14 WEEKS SINGLE OR FIRST GEST	$261.00	$1,044.00	$55.61–$991.80	65% below	75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB < 14 WEEKS SINGLE OR FIRST GEST	$261.00	$1,044.00	$626.40–$991.80	—	75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED 1 FETUSES	$88.75	$355.00	$39.17–$742.00	86% below	75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED 1 FETUSES	$88.75	$355.00	$213.00–$337.25	—	75%
Rib X-ray, one side, 2 views one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT	$127.75	$511.00	$14.38–$619.00	78% below	75%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT	$127.75	$511.00	$306.60–$485.45	—	75%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-RAY RIBS CHEST 3 VW	$128.50	$514.00	$17.07–$619.00	81% below	75%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC X-RAY RIBS CHEST 3 VW	$128.50	$514.00	$308.40–$488.30	—	75%
Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BILATERAL INCL CAD	$200.25	$801.00	$81.33–$760.95	—	75%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BILATERAL INCL CAD	$200.25	$801.00	$480.60–$760.95	—	75%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER 2 VIEWS	$104.50	$418.00	$14.38–$619.00	86% below	75%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER 2 VIEWS	$104.50	$418.00	$250.80–$397.10	—	75%
Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY SINUSES 3 VW	$128.25	$513.00	$18.42–$619.00	85% below	75%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-RAY SINUSES 3 VW	$128.25	$513.00	$307.80–$487.35	—	75%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL 1-3 VIEWS	$140.25	$561.00	$17.35–$619.00	78% below	75%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL 1-3 VIEWS	$140.25	$561.00	$336.60–$532.95	—	75%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR MODIFIED BARIUM SWALLOW	$238.00	$952.00	$62.58–$904.40	76% below	75%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR MODIFIED BARIUM SWALLOW	$238.00	$952.00	$571.20–$904.40	—	75%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC RADIOLOGIC EXAM FEMUR MINIMUM 2 VIEWS	$89.50	$358.00	$62.58–$619.00	83% below	75%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC RADIOLOGIC EXAM FEMUR MINIMUM 2 VIEWS	$89.50	$358.00	$214.80–$340.10	—	75%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SCAN THORACIC SPINE W/O CONTRAST	$514.25	$2,057.00	$62.58–$2,172.00	83% below	75%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SCAN THORACIC SPINE W/O CONTRAST	$514.25	$2,057.00	$1,234.20–$1,954.15	—	75%
Toe X-ray, 2 or more views CPT 73660 HC X-RAY TOE(S) 2 VIEWS	$64.50	$258.00	$15.99–$619.00	87% below	75%
Toe X-ray, 2 or more views inpatient CPT 73660 HC X-RAY TOE(S) 2 VIEWS	$64.50	$258.00	$154.80–$245.10	—	75%
Transvaginal pelvic ultrasound CPT 76830 HC US PELVIS TRANSVAGINAL	$234.00	$936.00	$62.58–$889.20	77% below	75%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US PELVIS TRANSVAGINAL	$234.00	$936.00	$561.60–$889.20	—	75%
Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL US OBSTETRIC	$186.75	$747.00	$44.83–$742.00	80% below	75%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC TRANSVAGINAL US OBSTETRIC	$186.75	$747.00	$448.20–$709.65	—	75%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN	$334.00	$1,336.00	$62.58–$1,269.20	78% below	75%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN	$334.00	$1,336.00	$801.60–$1,269.20	—	75%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM	$213.00	$852.00	$26.77–$809.40	80% below	75%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM	$213.00	$852.00	$511.20–$809.40	—	75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD/NECK TISSUESTHYROID	$206.75	$827.00	$62.58–$785.65	82% below	75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD/NECK TISSUESTHYROID	$206.75	$827.00	$496.20–$785.65	—	75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY UPPER GI WITH SCOUT	$352.50	$1,410.00	$62.58–$1,339.50	69% below	75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-RAY UPPER GI WITH SCOUT	$352.50	$1,410.00	$846.00–$1,339.50	—	75%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS	$106.75	$427.00	$13.31–$619.00	82% below	75%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS	$106.75	$427.00	$256.20–$405.65	—	75%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUSUNI OR LTD	$221.75	$887.00	$62.58–$842.65	74% below	75%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUSUNI OR LTD	$221.75	$887.00	$532.20–$842.65	—	75%
Wrist X-ray, 2 views CPT 73100 HC X-RAY WRIST 2 VW	$94.00	$376.00	$15.46–$619.00	85% below	75%
Wrist X-ray, 2 views inpatient CPT 73100 HC X-RAY WRIST 2 VW	$94.00	$376.00	$225.60–$357.20	—	75%
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY WRIST 3 VW	$97.50	$390.00	$19.78–$619.00	86% below	75%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-RAY WRIST 3 VW	$97.50	$390.00	$234.00–$370.50	—	75%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS	$121.50	$486.00	$62.58–$619.00	79% below	75%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS	$121.50	$486.00	$291.60–$461.70	—	75%
X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW	$115.25	$461.00	$36.05–$619.00	77% below	75%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW	$115.25	$461.00	$276.60–$437.95	—	75%
X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VW	$100.50	$402.00	$14.11–$619.00	79% below	75%
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VW	$100.50	$402.00	$241.20–$381.90	—	75%
X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM OF FINGER(S)	$81.50	$326.00	$18.15–$619.00	83% below	75%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-RAY EXAM OF FINGER(S)	$81.50	$326.00	$195.60–$309.70	—	75%
X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VW	$96.25	$385.00	$13.57–$619.00	80% below	75%
X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY FOOT 2 VW	$96.25	$385.00	$231.00–$365.75	—	75%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT 3 VW	$100.25	$401.00	$15.46–$619.00	83% below	75%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY FOOT 3 VW	$100.25	$401.00	$240.60–$380.95	—	75%
X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND 3 VW	$99.75	$399.00	$16.27–$619.00	84% below	75%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY HAND 3 VW	$99.75	$399.00	$239.40–$379.05	—	75%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW	$109.50	$438.00	$14.92–$619.00	82% below	75%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW	$109.50	$438.00	$262.80–$416.10	—	75%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR LUMBAR SPINE 2-3 VIEWS	$118.25	$473.00	$17.62–$619.00	83% below	75%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR LUMBAR SPINE 2-3 VIEWS	$118.25	$473.00	$283.80–$449.35	—	75%
X-ray of the lower back, 4 or more views CPT 72110 HC XR LUMBAR SPINE COMPLETE 4 VIEWS	$149.00	$596.00	$24.62–$619.00	87% below	75%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR LUMBAR SPINE COMPLETE 4 VIEWS	$149.00	$596.00	$357.60–$566.20	—	75%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2	$111.25	$445.00	$14.92–$619.00	82% below	75%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2	$111.25	$445.00	$267.00–$422.75	—	75%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES	$100.25	$401.00	$17.88–$619.00	84% below	75%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES	$100.25	$401.00	$240.60–$380.95	—	75%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS	$122.25	$489.00	$16.27–$619.00	82% below	75%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS	$122.25	$489.00	$293.40–$464.55	—	75%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2 VIEWS	$112.50	$450.00	$13.85–$619.00	82% below	75%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2 VIEWS	$112.50	$450.00	$270.00–$427.50	—	75%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM COCCYX 2 VIEWS	$107.50	$430.00	$14.38–$619.00	84% below	75%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM COCCYX 2 VIEWS	$107.50	$430.00	$258.00–$408.50	—	75%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
ACTH blood test CPT 82024 HC ASSAY OF ACTH -ADRENOCORTICO HORMONE	$46.75	$187.00	$29.40–$402.00	3% above	75%
ACTH blood test inpatient CPT 82024 HC ASSAY OF ACTH -ADRENOCORTICO HORMONE	$46.75	$187.00	$112.20–$177.65	—	75%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (S	$7.25	$29.00	$3.15–$402.00	82% below	75%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (S	$7.25	$29.00	$17.40–$27.55	—	75%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST	$7.50	$30.00	$4.20–$402.00	86% below	75%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST	$7.50	$30.00	$18.00–$28.50	—	75%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANELACUTE - BUNDLED CHARGE	$63.50	$254.00	$36.23–$402.00	61% below	75%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANELACUTE - BUNDLED CHARGE	$63.50	$254.00	$152.40–$241.30	—	75%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN - ALBUMIN	$7.75	$31.00	$2.10–$402.00	54% below	75%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN - ALBUMIN	$7.75	$31.00	$18.60–$29.45	—	75%
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE	$49.50	$198.00	$30.98–$402.00	77% above	75%
Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE	$49.50	$198.00	$118.80–$188.10	—	75%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE	$8.00	$32.00	$4.20–$402.00	82% below	75%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKAL PHOSPHATASE - ALKALINE PHOSPHATASE	$8.00	$32.00	$19.20–$30.40	—	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CAT HAIR/DANDERSTA	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CEDAR MOUNTAIN IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SYCAMORE IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BERMUDA GRASS IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD STRAWBERRY I	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RABBIT EPITHELIUM	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN POTATO IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHEAT IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAKWHITE IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BANANA IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAK DUST IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM ALT	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN JOHNSON GRASS IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHRIMP IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG WHITE IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FENNEL DOG IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MAPLE BOX ELDER IG	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOG DANDER	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHOCOLATE IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DUST MITE (D FARIN	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUCOR IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PORK IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ORANGE IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WALNUT IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SESAME SEED IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SCALLOP IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM PEN	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BIRCH IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE MAPLE LEAF S	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CANTALOUPE IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CASHEW IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN SERUM PROT	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLADOSPORIUM HERBA	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YEAST BAKER S IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BROCCOLI IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PINE AUSTRALIAN IG	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PANEL ITEM	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD LOBSTER IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CANDIDA ALBICANS I	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TURKEY IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED SHORT/COMM	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PIGWEED ROUGH IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN FEATHERS I	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLAMS IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TUNA IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCONUT IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CODFISH IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CORN IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD PISTACHIO	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE MULBERRY (MO	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NETTLE IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SALMON IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN INSECT COCKROACH	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAT IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN INSECT MEDITERRAN	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD PEA (PISUM S	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ELM TREE IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RYE PERENNIAL IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM MUC	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TOMATO IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEEF IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRAB IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SOYBEAN IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB S QUARTER IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN APPLE IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GOOSE FEATHERS IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PECAN NUT IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MITE BLOMIA TROPI	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GLUTEN IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PALM QUEEN IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - TIMOTHY GRASS (P PRATENSE)	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS FUMAGA	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED ENGLISH PLAN	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BAHIA GRASS IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLUE CHEESE IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEANUT IGE	$9.60	$38.40	$4.73–$402.00	23% above	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED ENGLISH PLAN	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM PEN	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PANEL ITEM	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED SHORT/COMM	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM MUC	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SOYBEAN IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PALM QUEEN IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RABBIT EPITHELIUM	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHEAT IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM ALT	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHRIMP IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MAPLE BOX ELDER IG	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUCOR IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PORK IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ORANGE IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WALNUT IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SESAME SEED IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SCALLOP IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YEAST BAKER S IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PINE AUSTRALIAN IG	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD LOBSTER IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TURKEY IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PIGWEED ROUGH IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TUNA IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SALMON IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAT IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RYE PERENNIAL IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TOMATO IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NETTLE IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB S QUARTER IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GOOSE FEATHERS IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PECAN NUT IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GLUTEN IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - TIMOTHY GRASS (P PRATENSE)	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEANUT IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SYCAMORE IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD STRAWBERRY I	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN POTATO IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAKWHITE IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAK DUST IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN JOHNSON GRASS IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG WHITE IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FENNEL DOG IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOG DANDER	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DUST MITE (D FARIN	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHOCOLATE IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CEDAR MOUNTAIN IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CAT HAIR/DANDERSTA	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLUE CHEESE IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BAHIA GRASS IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ELM TREE IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD PEA (PISUM S	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRAB IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE MULBERRY (MO	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD PISTACHIO	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CORN IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CODFISH IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCONUT IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLAMS IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLADOSPORIUM HERBA	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN SERUM PROT	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CASHEW IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CANTALOUPE IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE MAPLE LEAF S	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BIRCH IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BERMUDA GRASS IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEEF IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN INSECT MEDITERRAN	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN INSECT COCKROACH	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BANANA IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS FUMAGA	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MITE BLOMIA TROPI	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN APPLE IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN FEATHERS I	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CANDIDA ALBICANS I	$9.60	$38.40	$23.04–$36.48	—	75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BROCCOLI IGE	$9.60	$38.40	$23.04–$36.48	—	75%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM - ALPHA-FETOPROTEIN MAR	$33.75	$135.00	$12.60–$402.00	at median	75%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM - ALPHA-FETOPROTEIN MAR	$33.75	$135.00	$81.00–$128.25	—	75%
Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA - AMMONIA	$27.00	$108.00	$9.98–$402.00	76% below	75%
Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA - AMMONIA	$27.00	$108.00	$64.80–$102.60	—	75%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE	$22.10	$88.38	$4.73–$402.00	30% below	75%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASETIMED URINE	$22.10	$88.38	$4.73–$402.00	30% below	75%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID	$22.10	$88.38	$4.73–$402.00	30% below	75%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASETIMED URINE	$22.10	$88.38	$53.03–$83.96	—	75%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID	$22.10	$88.38	$53.03–$83.96	—	75%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASE	$22.10	$88.38	$53.03–$83.96	—	75%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC C	$9.75	$39.00	$12.32–$402.00	64% below	75%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC C	$9.75	$39.00	$23.40–$37.05	—	75%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIB	$27.50	$110.00	$9.98–$402.00	5% below	75%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIB	$27.50	$110.00	$66.00–$104.50	—	75%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTID	$43.25	$173.00	$39.26–$402.00	74% below	75%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTID	$43.25	$173.00	$103.80–$164.35	—	75%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC	$38.75	$155.00	$6.83–$402.00	48% below	75%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC	$38.75	$155.00	$93.00–$147.25	—	75%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED C	$25.00	$100.00	$6.30–$402.00	92% below	75%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL - BUNDLED C	$25.00	$100.00	$60.00–$95.00	—	75%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID	$11.74	$46.97	$3.54–$402.00	50% below	75%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL	$11.74	$46.97	$3.54–$402.00	50% below	75%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN TOTAL	$11.74	$46.97	$28.18–$44.62	—	75%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID	$11.74	$46.97	$28.18–$44.62	—	75%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATHLEVEL IV - LAB SURG PATHLEVEL IV	$116.24	$464.95	$20.80–$441.70	at median	75%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SENDOUT GROSS MICRO LEVEL IV	$116.24	$464.95	$20.80–$441.70	at median	75%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATHLEVEL IV - LAB SURG PATHLEVEL IV	$116.24	$464.95	$278.97–$441.70	—	75%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SENDOUT GROSS MICRO LEVEL IV	$116.24	$464.95	$278.97–$441.70	—	75%
Blood culture for bacteria CPT 87040 HC CULTUREBLOOD	$64.75	$259.00	$8.40–$402.00	81% below	75%
Blood culture for bacteria inpatient CPT 87040 HC CULTUREBLOOD	$64.75	$259.00	$155.40–$246.05	—	75%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC CHG COLLECTION VENOUS BLOODVENIPUNCTURE	$8.05	$32.20	$2.94–$402.00	57% below	75%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION VENOUS BLOODVENIPUNCTURE - BUNDLED C	$8.05	$32.20	$2.94–$402.00	57% below	75%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLECTION VENOUS BLOODVENIPUNCTURE - BUNDLED C	$8.05	$32.20	$19.32–$30.59	—	75%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC CHG COLLECTION VENOUS BLOODVENIPUNCTURE	$8.05	$32.20	$19.32–$30.59	—	75%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE	$9.04	$36.14	$3.15–$402.00	80% below	75%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVEBLOOD GLUCOSE	$9.04	$36.14	$21.68–$34.33	—	75%
Blood lead test CPT 83655 HC ASSAY OF LEAD	$14.60	$58.40	$8.40–$402.00	34% above	75%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD	$14.60	$58.40	$35.04–$55.48	—	75%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN QUAL - HCG QUALITATIVE	$39.00	$156.00	$5.78–$402.00	69% below	75%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN QUAL - HCG QUALITATIVE	$39.00	$156.00	$93.60–$148.20	—	75%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO	$42.00	$168.00	$2.63–$402.00	12% below	75%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO	$42.00	$168.00	$100.80–$159.60	—	75%
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN QUAN - BLOOD UREA NITROGEN	$11.00	$44.00	$3.15–$402.00	76% below	75%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN QUAN - BLOOD UREA NITROGEN	$11.00	$44.00	$26.40–$41.80	—	75%
C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE	$22.50	$90.00	$12.08–$402.00	39% below	75%
C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE	$22.50	$90.00	$54.00–$85.50	—	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN	$14.00	$56.00	$4.20–$402.00	81% below	75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN	$14.00	$56.00	$33.60–$53.20	—	75%
C. difficile toxin gene test (stool PCR) CPT 87493 HC TOXIGENIC C. DIFFICILE PCR	$40.25	$161.00	$34.70–$402.00	65% below	75%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC TOXIGENIC C. DIFFICILE PCR	$40.25	$161.00	$96.60–$152.95	—	75%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 - CANCER ANTI	$21.50	$86.00	$15.35–$402.00	61% below	75%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 - CANCER ANTI	$21.50	$86.00	$51.60–$81.70	—	75%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 - CA 125	$25.25	$101.00	$15.35–$402.00	69% below	75%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 - CA 125	$25.25	$101.00	$60.60–$95.95	—	75%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ -	$39.25	$157.00	$45.84–$402.00	55% below	75%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ -	$39.25	$157.00	$94.20–$149.15	—	75%
Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM TOTAL - CALCIUM	$12.50	$50.00	$3.68–$402.00	75% below	75%
Calcium blood test, total inpatient CPT 82310 HC ASSAY OF CALCIUM TOTAL - CALCIUM	$12.50	$50.00	$30.00–$47.50	—	75%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONI	$36.25	$145.00	$15.75–$402.00	69% below	75%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN - CEA (CARCINOEMBRYONI	$36.25	$145.00	$87.00–$137.75	—	75%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG	$16.50	$66.00	$11.81–$402.00	9% below	75%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGG	$16.50	$66.00	$39.60–$62.70	—	75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH DNA AMP PROBE - CHLAMYDIA DNA PCR	$27.50	$110.00	$22.44–$402.00	35% below	75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH DNA AMP PROBE - CHLAMYDIA DNA PCR	$27.50	$110.00	$66.00–$104.50	—	75%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE	$18.25	$73.00	$7.35–$402.00	82% below	75%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - BUNDLED CHARGE	$18.25	$73.00	$43.80–$69.35	—	75%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC AUTO DIFF WBC	$24.50	$98.00	$6.30–$402.00	64% below	75%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC AUTO DIFF WBC	$24.50	$98.00	$58.80–$93.10	—	75%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - CBC	$18.25	$73.00	$4.73–$402.00	81% below	75%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC - CBC	$18.25	$73.00	$43.80–$69.35	—	75%
Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANELCOMPREHENSIVE - BUNDLED CHARGE	$29.00	$116.00	$7.88–$402.00	94% below	75%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANELCOMPREHENSIVE - BUNDLED CHARGE	$29.00	$116.00	$69.60–$110.20	—	75%
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - CORTISOL	$30.50	$122.00	$13.13–$402.00	53% below	75%
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - CORTISOL	$30.50	$122.00	$73.20–$115.90	—	75%
Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK (CPK) - CK	$17.50	$70.00	$5.25–$402.00	76% below	75%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC ASSAY OF CK (CPK) - CK	$17.50	$70.00	$42.00–$66.50	—	75%
Creatinine blood test CPT 82565 HC ASSAY OF CREATININE - CREATININE SERUM	$11.75	$47.00	$3.68–$402.00	78% below	75%
Creatinine blood test inpatient CPT 82565 HC ASSAY OF CREATININE - CREATININE SERUM	$11.75	$47.00	$28.20–$44.65	—	75%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - CMV IGG	$23.00	$92.00	$11.55–$402.00	18% below	75%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - CMV IGG	$23.00	$92.00	$55.20–$87.40	—	75%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTSD-DIMER QUANT - D-DIMERQUA	$33.50	$134.00	$5.78–$402.00	83% below	75%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTSD-DIMER QUANT - D-DIMERQUA	$33.50	$134.00	$80.40–$127.30	—	75%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$45.00	$180.00	$20.48–$402.00	at median	75%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$45.00	$180.00	$108.00–$171.00	—	75%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR	$67.25	$269.00	$57.85–$402.00	6% above	75%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR	$67.25	$269.00	$161.40–$255.55	—	75%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL - BUNDLED CHARGE	$17.75	$71.00	$5.12–$402.00	92% below	75%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL - BUNDLED CHARGE	$17.75	$71.00	$42.60–$67.45	—	75%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VC	$30.75	$123.00	$11.03–$402.00	7% above	75%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA - EPSTEIN-BARR VIRUS VC	$30.75	$123.00	$73.80–$116.85	—	75%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL	$34.00	$136.00	$20.48–$402.00	5% above	75%
Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL	$34.00	$136.00	$81.60–$129.20	—	75%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) - FSH	$24.00	$96.00	$15.23–$402.00	62% below	75%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN (FSH) - FSH	$24.00	$96.00	$57.60–$91.20	—	75%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL	$25.00	$100.00	$14.96–$402.00	79% below	75%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN STOOL	$25.00	$100.00	$60.00–$95.00	—	75%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN - FERRITIN	$25.25	$101.00	$11.03–$402.00	80% below	75%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN - FERRITIN	$25.25	$101.00	$60.60–$95.95	—	75%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY - ADDITIONAL CHARGE	$18.28	$73.10	$6.30–$402.00	77% below	75%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY - FIBRINOGENQUANTITATIVE	$18.28	$73.10	$6.30–$402.00	77% below	75%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY - ADDITIONAL CHARGE	$18.28	$73.10	$43.86–$69.44	—	75%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY - FIBRINOGENQUANTITATIVE	$18.28	$73.10	$43.86–$69.44	—	75%
Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE	$36.25	$145.00	$12.08–$402.00	71% below	75%
Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE	$36.25	$145.00	$87.00–$137.75	—	75%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$27.50	$110.00	$9.45–$402.00	56% below	75%
Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$27.50	$110.00	$66.00–$104.50	—	75%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE	$19.50	$78.00	$5.78–$402.00	77% below	75%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE	$19.50	$78.00	$46.80–$74.10	—	75%
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$31.00	$124.00	$22.05–$402.00	11% above	75%
Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$31.00	$124.00	$74.40–$117.80	—	75%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT - GAMMA GT	$15.82	$63.28	$5.78–$402.00	66% below	75%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT - POCT GAMMA GLUTAMYL TRANSFERASE	$15.82	$63.28	$5.78–$402.00	66% below	75%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC ASSAY OF GGT - POCT GAMMA GLUTAMYL TRANSFERASE	$15.82	$63.28	$37.97–$60.12	—	75%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC ASSAY OF GGT - GAMMA GT	$15.82	$63.28	$37.97–$60.12	—	75%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST - GTT 1 HOUR	$6.50	$26.00	$3.15–$402.00	91% below	75%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST - GTT 1 HOUR	$6.50	$26.00	$15.60–$24.70	—	75%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - GTT 2 HOUR	$21.00	$84.00	$10.50–$402.00	83% below	75%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - GTT 2 HOUR	$21.00	$84.00	$50.40–$79.80	—	75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB	$27.50	$110.00	$22.44–$402.00	34% below	75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMP PROB	$27.50	$110.00	$66.00–$104.50	—	75%
H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	$13.00	$52.00	$14.38–$402.00	73% below	75%
H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	$13.00	$52.00	$31.20–$49.40	—	75%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ - HIV 1 RNA QUANT B	$63.75	$255.00	$80.58–$402.00	42% below	75%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ - HIV 1 RNA QUANT B	$63.75	$255.00	$153.00–$242.25	—	75%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 -2 AB AG IA	$19.00	$76.00	$11.03–$402.00	76% below	75%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 -2 AB AG IA	$19.00	$76.00	$45.60–$72.20	—	75%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$18.00	$72.00	$7.88–$402.00	74% below	75%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$18.00	$72.00	$43.20–$68.40	—	75%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$11.45	$45.80	$1.58–$402.00	79% below	75%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN - POCT HEMOGLOBIN	$11.45	$45.80	$1.58–$402.00	79% below	75%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN - POCT HEMOGLOBIN	$11.45	$45.80	$27.48–$43.51	—	75%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$11.45	$45.80	$27.48–$43.51	—	75%
Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE AB TEST TOTAL - HEPATITIS B CORE ANT	$19.25	$77.00	$9.05–$402.00	46% below	75%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE AB TEST TOTAL - HEPATITIS B CORE ANT	$19.25	$77.00	$46.20–$73.15	—	75%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFA	$33.75	$135.00	$7.88–$402.00	23% below	75%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFA	$33.75	$135.00	$81.00–$128.25	—	75%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS	$23.50	$94.00	$7.48–$402.00	35% below	75%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS	$23.50	$94.00	$56.40–$89.30	—	75%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	$26.00	$104.00	$10.63–$402.00	44% below	75%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	$26.00	$104.00	$62.40–$98.80	—	75%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION	$36.50	$146.00	$35.44–$402.00	68% below	75%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION	$36.50	$146.00	$87.60–$138.70	—	75%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 - HSV 1 IGG ANTIBODY	$17.00	$68.00	$9.98–$402.00	27% below	75%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 - HSV 1 IGG ANTIBODY	$17.00	$68.00	$40.80–$64.60	—	75%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 - HSV 2 IGG ANTIBODY	$14.50	$58.00	$14.56–$402.00	56% below	75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 - HSV 2 IGG ANTIBODY	$14.50	$58.00	$34.80–$55.10	—	75%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEINHIGH SENSITIVITY - HIGH SENSI	$11.25	$45.00	$9.84–$402.00	73% below	75%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEINHIGH SENSITIVITY - HIGH SENSI	$11.25	$45.00	$27.00–$42.75	—	75%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE	$17.50	$70.00	$3.54–$402.00	67% below	75%
Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE	$17.50	$70.00	$42.00–$66.50	—	75%
Insulin blood test CPT 83525 HC ASSAY OF INSULINTOTAL - INSULIN TOTAL	$14.75	$59.00	$9.45–$402.00	42% below	75%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULINTOTAL - INSULIN TOTAL	$14.75	$59.00	$35.40–$56.05	—	75%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON - IRON	$12.50	$50.00	$4.20–$402.00	77% below	75%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON - IRON	$12.50	$50.00	$30.00–$47.50	—	75%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST - IRON AND IRON BINDING CAPAC	$16.25	$65.00	$6.83–$402.00	82% below	75%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST - IRON AND IRON BINDING CAPAC	$16.25	$65.00	$39.00–$61.75	—	75%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$25.50	$102.00	$6.30–$402.00	94% below	75%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$25.50	$102.00	$61.20–$96.90	—	75%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE	$23.75	$95.00	$15.75–$402.00	62% below	75%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE	$23.75	$95.00	$57.00–$90.25	—	75%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE	$21.46	$85.85	$8.40–$402.00	71% below	75%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE CSF	$21.46	$85.85	$8.40–$402.00	71% below	75%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE CSF	$21.46	$85.85	$51.51–$81.56	—	75%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE	$21.46	$85.85	$51.51–$81.56	—	75%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZYME	$16.50	$66.00	$4.20–$402.00	69% below	75%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE (LD) (LDH) ENZYME	$16.50	$66.00	$39.60–$62.70	—	75%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE	$25.75	$103.00	$5.78–$402.00	56% below	75%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE	$25.75	$103.00	$61.80–$97.85	—	75%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$25.75	$103.00	$5.90–$402.00	89% below	75%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$25.75	$103.00	$61.80–$97.85	—	75%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM	$13.25	$53.00	$5.25–$402.00	at median	75%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM	$13.25	$53.00	$31.80–$50.35	—	75%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA - RUBEOLA (MEASLES) ANTIBODY	$23.25	$93.00	$10.50–$402.00	12% below	75%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA - RUBEOLA (MEASLES) ANTIBODY	$23.25	$93.00	$55.80–$88.35	—	75%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIESSCREEN - MONONUCLEOSIS SC	$14.75	$59.00	$4.20–$402.00	91% below	75%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIESSCREEN - MONONUCLEOSIS SC	$14.75	$59.00	$35.40–$56.05	—	75%
Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGM ANTIBODY	$23.46	$93.83	$9.98–$402.00	44% above	75%
Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY	$23.46	$93.83	$9.98–$402.00	44% above	75%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGM ANTIBODY	$23.46	$93.83	$56.30–$89.14	—	75%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY	$23.46	$93.83	$56.30–$89.14	—	75%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$31.25	$125.00	$13.78–$402.00	at median	75%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$31.25	$125.00	$75.00–$118.75	—	75%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL	$25.50	$102.00	$16.93–$402.00	55% below	75%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA TOTAL AND	$25.50	$102.00	$16.93–$402.00	55% below	75%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL	$25.50	$102.00	$61.20–$96.90	—	75%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGENTOTAL - PSA TOTAL AND	$25.50	$102.00	$61.20–$96.90	—	75%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG	$36.00	$144.00	$13.39–$402.00	30% below	75%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG	$36.00	$144.00	$86.40–$136.80	—	75%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT	$61.25	$245.00	$32.03–$402.00	38% below	75%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT	$61.25	$245.00	$147.00–$232.75	—	75%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT	$21.50	$86.00	$4.73–$402.00	44% below	75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT	$21.50	$86.00	$51.60–$81.70	—	75%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS	$8.71	$34.85	$3.15–$402.00	86% below	75%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS BODY	$8.71	$34.85	$3.15–$402.00	86% below	75%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS BODY	$8.71	$34.85	$20.91–$33.11	—	75%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS - PHOSPHORUS	$8.71	$34.85	$20.91–$33.11	—	75%
Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM - POTASSIUM	$10.25	$41.00	$3.15–$402.00	85% below	75%
Potassium blood test inpatient CPT 84132 HC ASSAY OF SERUM POTASSIUM - POTASSIUM	$10.25	$41.00	$24.60–$38.95	—	75%
Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE	$28.50	$114.00	$17.33–$402.00	39% below	75%
Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE	$28.50	$114.00	$68.40–$108.30	—	75%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN	$30.00	$120.00	$15.75–$402.00	54% below	75%
Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN	$30.00	$120.00	$72.00–$114.00	—	75%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY	$16.38	$65.50	$3.15–$402.00	55% below	75%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$16.38	$65.50	$3.15–$402.00	55% below	75%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR	$16.38	$65.50	$3.15–$402.00	55% below	75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR	$16.38	$65.50	$39.30–$62.22	—	75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$16.38	$65.50	$39.30–$62.22	—	75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY	$16.38	$65.50	$39.30–$62.22	—	75%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	$12.50	$50.00	$9.05–$402.00	89% below	75%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	$12.50	$50.00	$30.00–$47.50	—	75%
Renin blood test CPT 84244 HC ASSAY OF RENIN - RENIN DIRECT ASSAY	$26.50	$106.00	$14.70–$402.00	39% above	75%
Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN - RENIN DIRECT ASSAY	$26.50	$106.00	$63.60–$100.70	—	75%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) - CORD BLOOD TYPE	$18.75	$75.00	$2.63–$402.00	55% below	75%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) - CORD BLOOD TYPE	$18.75	$75.00	$45.00–$71.25	—	75%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT - RHEUMATOID FACTOR	$10.25	$41.00	$4.73–$402.00	58% below	75%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT - RHEUMATOID FACTOR	$10.25	$41.00	$24.60–$38.95	—	75%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG ANTIBODY QUALITATIVE	$22.25	$89.00	$11.55–$402.00	18% above	75%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG ANTIBODY QUALITATIVE	$22.25	$89.00	$53.40–$84.55	—	75%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE AUTO - SEDIMENTATION RATE AUTOMATE	$11.25	$45.00	$2.36–$402.00	90% below	75%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE AUTO - SEDIMENTATION RATE AUTOMATE	$11.25	$45.00	$27.00–$42.75	—	75%
Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM - SODIUM	$10.25	$41.00	$3.15–$402.00	85% below	75%
Sodium blood test inpatient CPT 84295 HC ASSAY OF SERUM SODIUM - SODIUM	$10.25	$41.00	$24.60–$38.95	—	75%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXA	$10.75	$43.00	$7.35–$402.00	74% below	75%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXA	$10.75	$43.00	$25.80–$40.85	—	75%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULTBY PEROXIDFECESSINGLE COLORECTAL SC	$7.50	$30.00	$1.58–$402.00	86% below	75%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULTBY PEROXIDFECESSINGLE COLORECTAL SC	$7.50	$30.00	$18.00–$28.50	—	75%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL GLOBIN (INSURE)	$15.00	$60.00	$1.58–$402.00	70% below	75%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL GLOBIN (INSURE)	$15.00	$60.00	$36.00–$57.00	—	75%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM RY	$18.25	$73.00	$13.24–$402.00	25% above	75%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM RY	$18.25	$73.00	$43.80–$69.35	—	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VD	$15.24	$60.95	$3.15–$402.00	23% below	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - RA	$15.24	$60.95	$3.15–$402.00	23% below	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - RA	$15.24	$60.95	$36.57–$57.90	—	75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VD	$15.24	$60.95	$36.57–$57.90	—	75%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSEGAMMA INT	$53.50	$214.00	$42.62–$402.00	13% below	75%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSEGAMMA INT	$53.50	$214.00	$128.40–$203.30	—	75%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE	$36.75	$147.00	$17.85–$402.00	22% above	75%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE	$36.75	$147.00	$88.20–$139.65	—	75%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBO	$17.60	$70.40	$7.88–$402.00	29% above	75%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB	$17.60	$70.40	$7.88–$402.00	29% above	75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBO	$17.60	$70.40	$42.24–$66.88	—	75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB	$17.60	$70.40	$42.24–$66.88	—	75%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATIN	$30.50	$122.00	$14.18–$402.00	76% below	75%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATIN	$30.50	$122.00	$73.20–$115.90	—	75%
Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE - IMMUNOGLOBULIN IGE	$24.00	$96.00	$12.60–$402.00	1% above	75%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE - IMMUNOGLOBULIN IGE	$24.00	$96.00	$57.60–$91.20	—	75%
Total cholesterol blood test CPT 82465 HC ASSAY BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL	$8.40	$33.60	$3.15–$402.00	71% below	75%
Total cholesterol blood test CPT 82465 HC ASSAY BLD/SERUM CHOLESTEROL - CHOLESTEROL FLUID	$8.40	$33.60	$3.15–$402.00	71% below	75%
Total cholesterol blood test inpatient CPT 82465 HC ASSAY BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL	$8.40	$33.60	$20.16–$31.92	—	75%
Total cholesterol blood test inpatient CPT 82465 HC ASSAY BLD/SERUM CHOLESTEROL - CHOLESTEROL FLUID	$8.40	$33.60	$20.16–$31.92	—	75%
Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE)	$12.00	$48.00	$5.78–$402.00	87% below	75%
Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE)	$12.00	$48.00	$28.80–$45.60	—	75%
Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY TT-3 - T3 (THYROID	$20.50	$82.00	$9.45–$402.00	74% below	75%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY TT-3 - T3 (THYROID	$20.50	$82.00	$49.20–$77.90	—	75%
Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN - TRANSFERRIN	$31.50	$126.00	$12.08–$402.00	59% below	75%
Transferrin blood test inpatient CPT 84466 HC ASSAY OF TRANSFERRIN - TRANSFERRIN	$31.50	$126.00	$75.60–$119.70	—	75%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES	$11.25	$45.00	$4.73–$402.00	64% below	75%
Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES	$11.25	$45.00	$27.00–$42.75	—	75%
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANT - TROPONIN T	$14.50	$58.00	$7.88–$402.00	90% below	75%
Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN QUANT - TROPONIN T	$14.50	$58.00	$34.80–$55.10	—	75%
Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID BLOOD - URIC ACID	$10.00	$40.00	$3.15–$402.00	88% below	75%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID BLOOD - URIC ACID	$10.00	$40.00	$24.00–$38.00	—	75%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE - URINALYSIS CHEM ONL	$14.25	$57.00	$2.10–$402.00	83% below	75%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE - URINALYSIS CHEM ONL	$14.25	$57.00	$34.20–$54.15	—	75%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE - MICROALBUMIN 24HR U	$6.50	$26.00	$1.05–$402.00	77% below	75%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE - MICROALBUMIN 24HR U	$6.50	$26.00	$15.60–$24.70	—	75%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE	$18.28	$73.10	$5.25–$402.00	85% below	75%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - POCT PREGNANCY URINE 30	$18.28	$73.10	$5.25–$402.00	85% below	75%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - POCT PREGNANCY URINE 30	$18.28	$73.10	$43.86–$69.44	—	75%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE	$18.28	$73.10	$43.86–$69.44	—	75%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 - VITAMIN B12	$24.75	$99.00	$12.08–$402.00	80% below	75%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 - VITAMIN B12	$24.75	$99.00	$59.40–$94.05	—	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VIT DCALCIFEDIOL W FRACTIONS IF PERFOR	$38.75	$155.00	$23.63–$402.00	16% below	75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC ASSAY OF VIT DCALCIFEDIOL W FRACTIONS IF PERFOR	$38.75	$155.00	$93.00–$147.25	—	75%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY DIHYDROXYVITAMIN D W/FRACTIONS IF PERFORM	$46.75	$187.00	$1.05–$402.00	21% above	75%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC ASSAY DIHYDROXYVITAMIN D W/FRACTIONS IF PERFORM	$46.75	$187.00	$112.20–$177.65	—	75%
Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC	$13.75	$55.00	$9.45–$402.00	8% below	75%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC	$13.75	$55.00	$33.00–$52.25	—	75%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN QUANT - HCG QUANTITATIVE	$49.25	$197.00	$12.60–$402.00	17% below	75%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN QUANT - HCG QUANTITATIVE	$49.25	$197.00	$118.20–$187.15	—	75%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hc Closed Rx Dist Fibula Fx	$309.50	$1,238.00	$62.58–$1,822.00	58% below	75%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hc Closed Rx Dist Fibula Fx	$309.50	$1,238.00	$742.80–$1,176.10	—	75%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC CATH PLACE/CORON ANGIO IMG SUPER/INTERPW LEFT H	$2,887.50	$11,550.00	$62.58–$17,084.00	77% below	75%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CATH PLACE/CORON ANGIO IMG SUPER/INTERPW LEFT H	$2,887.50	$11,550.00	$6,930.00–$10,972.50	—	75%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE EXTERN	$330.04	$1,320.14	$62.58–$17,084.00	84% below	75%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ED CARDIOVERSION ELECTRIC EXT	$330.04	$1,320.14	$62.58–$1,254.13	84% below	75%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE EXTERN	$330.04	$1,320.14	$792.08–$1,254.13	—	75%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ED CARDIOVERSION ELECTRIC EXT	$330.04	$1,320.14	$792.08–$1,254.13	—	75%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Closed Rx Dist Rad/Ulna Fx	$336.75	$1,347.00	$62.58–$1,822.00	40% below	75%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hc Closed Rx Dist Rad/Ulna Fx	$336.75	$1,347.00	$808.20–$1,279.65	—	75%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$107.75	$431.00	$62.58–$1,714.00	43% below	75%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$107.75	$431.00	$258.60–$409.45	—	75%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$107.75	$431.00	$62.58–$1,714.00	47% below	75%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$107.75	$431.00	$258.60–$409.45	—	75%
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE	$158.50	$634.00	$62.58–$1,822.00	74% below	75%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE	$158.50	$634.00	$380.40–$602.30	—	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR /INJ MAJOR JT/BURSA W/O US	$575.00	$2,300.00	$62.58–$2,185.00	14% below	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR /INJ MAJOR JT/BURSA W/O US	$575.00	$2,300.00	$1,380.00–$2,185.00	—	75%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Layr Clos Wnd TrunkArmLeg <2.5 Cm	$130.00	$520.00	$62.58–$2,802.00	87% below	75%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Layr Clos Wnd TrunkArmLeg <2.5 Cm	$130.00	$520.00	$312.00–$494.00	—	75%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG	$292.00	$1,168.00	$62.58–$4,682.00	87% below	75%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG	$292.00	$1,168.00	$700.80–$1,109.60	—	75%
Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE	$94.50	$378.00	$62.58–$1,822.00	81% below	75%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE	$94.50	$378.00	$226.80–$359.10	—	75%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECT NERV BLCKGREAT OCCIPTL	$292.00	$1,168.00	$62.58–$1,822.00	68% below	75%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT NERV BLCKGREAT OCCIPTL	$292.00	$1,168.00	$700.80–$1,109.60	—	75%
Pacemaker implant (dual chamber) CPT 33208 HC EP INSER HART PACER XVENOUS ATR/VENTR	$6,753.50	$27,014.00	$62.58–$25,663.30	66% below	75%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC EP INSER HART PACER XVENOUS ATR/VENTR	$6,753.50	$27,014.00	$16,208.40–$25,663.30	—	75%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$87.00	$348.00	$62.58–$2,802.00	93% below	75%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$87.00	$348.00	$208.80–$330.60	—	75%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$60.25	$241.00	$62.58–$2,802.00	94% below	75%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$60.25	$241.00	$144.60–$228.95	—	75%
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINTSTATIC	$181.75	$727.00	$62.58–$1,714.00	53% below	75%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINTSTATIC	$181.75	$727.00	$436.20–$690.65	—	75%
Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT	$181.75	$727.00	$62.58–$1,714.00	56% below	75%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT	$181.75	$727.00	$436.20–$690.65	—	75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Resuperf Wnd Body <2.5cm	$130.00	$520.00	$62.58–$1,822.00	74% below	75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Resuperf Wnd Body <2.5cm	$130.00	$520.00	$312.00–$494.00	—	75%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURELUMBARDIAGNOSTIC	$977.50	$3,910.00	$62.58–$4,682.00	22% below	75%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURELUMBARDIAGNOSTIC	$977.50	$3,910.00	$2,346.00–$3,714.50	—	75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Resup Npterf Wnd Body 2.6-7.5 Cm	$130.00	$520.00	$62.58–$1,822.00	77% below	75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Resup Npterf Wnd Body 2.6-7.5 Cm	$130.00	$520.00	$312.00–$494.00	—	75%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Resuperf Wnd Face <2.5 Cm	$130.00	$520.00	$62.58–$1,822.00	73% below	75%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Resuperf Wnd Face <2.5 Cm	$130.00	$520.00	$312.00–$494.00	—	75%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$575.25	$2,301.00	$62.58–$2,802.00	69% below	75%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$575.25	$2,301.00	$1,380.60–$2,185.95	—	75%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT 1 OR 2	$216.00	$864.00	$62.58–$1,822.00	65% below	75%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT 1 OR 2	$216.00	$864.00	$518.40–$820.80	—	75%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SKIN SUB-Q TISSUE <20 SQ CM	$571.75	$2,287.00	$62.58–$2,802.00	49% below	75%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT SKIN SUB-Q TISSUE <20 SQ CM	$571.75	$2,287.00	$1,372.20–$2,172.65	—	75%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE	$369.25	$1,477.00	$62.58–$2,802.00	66% below	75%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE	$369.25	$1,477.00	$886.20–$1,403.15	—	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INDUCED SPUTUM	$125.06	$500.25	$12.35–$618.00	52% below	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INHALATION TREATMENT	$125.06	$500.25	$12.35–$618.00	52% below	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INHALATION TREATMENT	$125.06	$500.25	$300.15–$475.24	—	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INDUCED SPUTUM	$125.06	$500.25	$300.15–$475.24	—	75%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTHER IV INFUSION 1 HR	$151.08	$604.31	$62.58–$574.09	84% below	75%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMOTHER IV INFUSION 1 HR	$151.08	$604.31	$362.59–$574.09	—	75%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE E/M 30-74 MINUTES	$868.19	$3,472.75	$62.58–$4,111.00	82% below	75%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE E/M 30-74 MINUTES	$868.19	$3,472.75	$2,083.65–$3,299.11	—	75%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEGW/AWAKE DROWSY RECORD - EEG AWAKE OR DROWS	$255.75	$1,023.00	$62.58–$1,541.00	83% below	75%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEGW/AWAKE DROWSY RECORD - EEG AWAKE OR DROWS	$255.75	$1,023.00	$613.80–$971.85	—	75%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING	$80.50	$322.00	$5.75–$652.00	78% below	75%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM TRACING	$80.50	$322.00	$193.20–$305.90	—	75%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINO	$172.78	$691.10	$62.58–$1,123.00	65% below	75%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT LIMITED/MINO	$172.78	$691.10	$414.66–$656.54	—	75%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SE	$254.13	$1,016.53	$62.58–$4,111.00	72% below	75%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT LOW/MODER SE	$254.13	$1,016.53	$609.92–$965.70	—	75%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEV	$549.66	$2,198.64	$62.58–$4,111.00	66% below	75%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEV	$549.66	$2,198.64	$1,319.18–$2,088.71	—	75%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT	$838.58	$3,354.31	$62.58–$4,111.00	66% below	75%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT	$838.58	$3,354.31	$2,012.59–$3,186.59	—	75%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERIT	$1,061.37	$4,245.49	$62.58–$4,111.00	69% below	75%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERIT	$1,061.37	$4,245.49	$2,547.29–$4,033.22	—	75%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TSTTRACING - STRESS TEST ONLY DO	$260.08	$1,040.30	$62.58–$2,138.00	83% below	75%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TSTTRACING - REGADENOSON W MYOCA	$260.08	$1,040.30	$62.58–$2,138.00	83% below	75%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TSTTRACING - STRESS TEST ONLY EX	$260.08	$1,040.30	$62.58–$2,138.00	83% below	75%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TSTTRACING - EXERCISE W MYOCARDI	$260.08	$1,040.30	$62.58–$2,138.00	83% below	75%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TSTTRACING - STRESS TEST ONLY DO	$260.08	$1,040.30	$624.18–$988.28	—	75%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TSTTRACING - EXERCISE W MYOCARDI	$260.08	$1,040.30	$624.18–$988.28	—	75%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TSTTRACING - REGADENOSON W MYOCA	$260.08	$1,040.30	$624.18–$988.28	—	75%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TSTTRACING - STRESS TEST ONLY EX	$260.08	$1,040.30	$624.18–$988.28	—	75%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W PT	$105.25	$421.00	$122.93–$399.95	81% below	75%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W PT	$105.25	$421.00	$252.60–$399.95	—	75%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPYNO PT	$140.75	$563.00	$164.40–$534.85	64% below	75%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPYNO PT	$140.75	$563.00	$337.80–$534.85	—	75%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY	$72.50	$290.00	$84.68–$303.00	76% below	75%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY	$72.50	$290.00	$174.00–$275.50	—	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN	$113.69	$454.75	$62.58–$432.01	80% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV INFUSION HYDRATION 31-60 MIN	$113.69	$454.75	$62.58–$1,123.00	80% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV INFUSION HYDRATION 31-60 MIN	$113.69	$454.75	$272.85–$432.01	—	75%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN	$113.69	$454.75	$272.85–$432.01	—	75%
IV infusion of a medicine, first hour CPT 96365 HC ED IV INFUSION THERAP/PROPH/DIAGNOSTINITIAL1ST	$112.90	$451.61	$62.58–$1,123.00	83% below	75%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAP/PROPH/DIAGNOSTINITIAL1ST HOU	$112.90	$451.61	$62.58–$429.03	83% below	75%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THERAP/PROPH/DIAGNOSTINITIAL1ST HOU	$112.90	$451.61	$270.97–$429.03	—	75%
IV infusion of a medicine, first hour inpatient CPT 96365 HC ED IV INFUSION THERAP/PROPH/DIAGNOSTINITIAL1ST	$112.90	$451.61	$270.97–$429.03	—	75%
IV push of a medicine, first drug CPT 96374 HC INJECTIONTHERAP/PROPH/DIAGNOST IV PUSH INITIAL	$61.46	$245.82	$62.58–$303.00	81% below	75%
IV push of a medicine, first drug CPT 96374 HC ED INJECTIONTHERAP/PROPH/DIAGNOST IV PUSH INITI	$61.46	$245.82	$62.58–$1,123.00	81% below	75%
IV push of a medicine, first drug inpatient CPT 96374 HC INJECTIONTHERAP/PROPH/DIAGNOST IV PUSH INITIAL	$61.46	$245.82	$147.49–$233.53	—	75%
IV push of a medicine, first drug inpatient CPT 96374 HC ED INJECTIONTHERAP/PROPH/DIAGNOST IV PUSH INITI	$61.46	$245.82	$147.49–$233.53	—	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTIONTHERAP/PROPH/DIAGNOST IM OR SUBCUT	$36.44	$145.77	$40.82–$303.00	80% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED INJECTIONTHERAP/PROPH/DIAGNOST IM OR SUBCUT	$36.44	$145.77	$42.56–$1,123.00	80% below	75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTIONTHERAP/PROPH/DIAGNOST IM OR SUBCUT	$36.44	$145.77	$87.46–$138.48	—	75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED INJECTIONTHERAP/PROPH/DIAGNOST IM OR SUBCUT	$36.44	$145.77	$87.46–$138.48	—	75%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$52.50	$210.00	$61.32–$561.00	80% below	75%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$52.50	$210.00	$126.00–$199.50	—	75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN	$28.25	$113.00	$23.80–$561.00	58% below	75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN	$28.25	$113.00	$67.80–$107.35	—	75%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY PATIENT / FAMILY 30 MINUTES	$41.75	$167.00	$48.76–$303.00	89% below	75%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY PATIENT / FAMILY 30 MINUTES	$41.75	$167.00	$100.20–$158.65	—	75%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY PATIENT / FAMILY 45 MINUTES	$53.00	$212.00	$61.90–$303.00	86% below	75%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY PATIENT / FAMILY 45 MINUTES	$53.00	$212.00	$127.20–$201.40	—	75%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY PATIENT 60 MINUTES	$127.25	$509.00	$62.58–$483.55	70% below	75%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY PATIENT 60 MINUTES	$127.25	$509.00	$305.40–$483.55	—	75%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC CANCELED CASE MEDICAL	$70.34	$281.35	$56.27–$303.00	80% below	75%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC CANCELED CASE MEDICAL	$70.34	$281.35	$168.81–$267.28	—	75%
Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST - BREATHING CAPACITY TE	$175.75	$703.00	$18.48–$842.00	42% below	75%
Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST - BREATHING CAPACITY TE	$175.75	$703.00	$421.80–$667.85	—	75%
Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHOD	$145.50	$582.00	$31.92–$842.00	84% below	75%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL OF BRONCHOSPASM - SPIROMETRY WITH BRONCHOD	$145.50	$582.00	$349.20–$552.90	—	75%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY	$80.25	$321.00	$62.58–$618.00	74% below	75%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY	$80.25	$321.00	$192.60–$304.95	—	75%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTaP 25-58-10 LF-MCG/0.5 suspension 0.5 mL Syringe	$75.84	$303.36	$46.73–$303.00	23% below	75%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTaP 25-58-10 LF-MCG/0.5 suspension 0.5 mL Syringe	$75.84	$303.36	$182.02–$288.19	—	75%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 measles mumps and rubella reconstituted solution	$397.96	$1,591.85	$62.58–$1,512.26	at median	75%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 measles mumps and rubella reconstituted solution	$397.96	$1,591.85	$955.11–$1,512.26	—	75%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal conjugate 20-valent 0.5 ML suspension	$1,154.09	$4,616.35	$62.58–$4,385.53	21% above	75%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal conjugate 20-valent 0.5 ML suspension	$1,154.09	$4,616.35	$2,769.81–$4,385.53	—	75%
Rabies vaccine, one dose CPT 90675 rabies vaccine (from purified chicken embryo cells	$1,681.40	$6,725.60	$62.58–$6,389.32	43% above	75%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine (from purified chicken embryo cells	$1,681.40	$6,725.60	$4,035.36–$6,389.32	—	75%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphtheria Toxoids Td 5-2 LF/0.5ML suspens	$171.21	$684.84	$62.58–$650.60	17% above	75%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus-Diphtheria Toxoids Td 5-2 LF/0.5ML suspens	$171.21	$684.84	$410.90–$650.60	—	75%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap 5-2.5-18.5 LF-MCG/0.5 suspension prefilled sy	$197.20	$788.80	$62.58–$749.36	3% below	75%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap 5-2.5-18.5 LF-MCG/0.5 suspension prefilled sy	$197.20	$788.80	$473.28–$749.36	—	75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN1 SINGLE/COMB VAC/TOXOID	$33.75	$135.00	$39.42–$303.00	72% below	75%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN1 SINGLE/COMB VAC/TOXOID	$33.75	$135.00	$81.00–$128.25	—	75%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZADMINEACH ADDL	$13.75	$55.00	$11.00–$303.00	87% below	75%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZADMINEACH ADDL	$13.75	$55.00	$33.00–$52.25	—	75%

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.

Source file: https://www.hf.org/sites/default/files/2026-03/590624371_Palm-Bay-Hospital_standardcharges.csv