Sacred Heart Hospital on the Emerald Coast
Listed in its price file as “Sacred Heart Health System, Inc.”.
Sacred Heart Hospital on the Emerald Coast in Miramar Beach, FL publishes cash prices for 298 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 174 of 294 procedures and above it for 120. By typical cash price it ranks #64 of 171 Florida hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
7800 US-98 Miramar Beach FL 32550 Collected Sep 23, 2026 Source price file Check a bill from this hospital (850) 278-3600
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 100292 · CMS hospital register NPI 1558391771
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Sacred Heart Hospital on the Emerald Coast is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O THEN W/ CONTRAST | $2,090.80 | $5,227.00 | $393.89–$557.95 | 47% below | 60% |
| Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS | $756.40 | $1,891.00 | $75.51–$235.69 | 18% above | 60% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 XRAY ANKLE, COMPL MIN 3 VIEWS BILAT | $1,195.20 | $2,988.00 | $81.04–$1,643.40 | — | 60% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 XRAY ANKLE, COMPL MIN 3 VIEWS BILAT | $1,195.20 | $2,988.00 | $81.04–$1,643.40 | — | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE, COMPL MIN 3 VIEWS RT | $597.60 | $1,494.00 | $81.04–$821.70 | 4% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPLETE 3+ VIEWS RT | $597.60 | $1,494.00 | $81.04–$821.70 | 4% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPLETE 3+ VIEWS LT | $597.60 | $1,494.00 | $81.04–$821.70 | 4% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPLETE 3+ VIEWS RT | $597.60 | $1,494.00 | $81.04–$821.70 | 4% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE, COMPL MIN 3 VIEWS LT | $597.60 | $1,494.00 | $81.04–$821.70 | 4% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE COMPLETE 3+ VIEWS LT | $597.60 | $1,494.00 | $81.04–$821.70 | 4% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE, COMPL MIN 3 VIEWS LT | $597.60 | $1,494.00 | $81.04–$821.70 | 4% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XRAY ANKLE, COMPL MIN 3 VIEWS RT | $597.60 | $1,494.00 | $81.04–$821.70 | 4% below | 60% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XRAY ANKLE, COMPL MIN 3 VIEWS BILAT | $1,195.20 | $2,988.00 | $81.04–$1,643.40 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE COMPLETE 3+ VIEWS LT | $597.60 | $1,494.00 | $81.04–$821.70 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE, COMPL MIN 3 VIEWS LT | $597.60 | $1,494.00 | $81.04–$821.70 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE, COMPL MIN 3 VIEWS RT | $597.60 | $1,494.00 | $81.04–$821.70 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XRAY ANKLE COMPLETE 3+ VIEWS RT | $597.60 | $1,494.00 | $81.04–$821.70 | — | 60% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 DOPPLER ARTERIAL EXTREM LMTD BILAT | $583.20 | $1,458.00 | $1,418.00 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST RT | $1,557.20 | $3,893.00 | $235.69–$2,141.15 | 34% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST RT | $1,557.20 | $3,893.00 | $235.69–$2,141.15 | 34% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CON LT | $1,557.20 | $3,893.00 | $235.69–$2,141.15 | 34% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/O CON LT | $1,557.20 | $3,893.00 | $235.69–$2,141.15 | 34% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O CONTRAST RT | $1,557.20 | $3,893.00 | $235.69–$2,141.15 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/O CON LT | $1,557.20 | $3,893.00 | $235.69–$2,141.15 | — | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XRAY, ESOPHAGUS BARIUM SWALLOW | $970.00 | $2,425.00 | $205.62–$393.89 | 15% above | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN-TOTAL BODY | $1,456.00 | $3,640.00 | $819.77–$884.18 | 43% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE LEFT | $373.20 | $933.00 | $219.96–$513.15 | 36% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE RIGHT | $373.20 | $933.00 | $219.96–$513.15 | 36% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE LEFT | $373.20 | $933.00 | $219.96–$513.15 | 36% below | 60% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST COMPLETE RIGHT | $373.20 | $933.00 | $219.96–$513.15 | 36% below | 60% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE LEFT | $373.20 | $933.00 | $219.96–$513.15 | — | 60% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 ULTRASOUND BREAST COMPLETE RIGHT | $373.20 | $933.00 | $219.96–$513.15 | — | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED LEFT | $622.00 | $1,555.00 | $167.02–$855.25 | 20% above | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED RIGHT | $622.00 | $1,555.00 | $167.02–$855.25 | 20% above | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED LEFT | $622.00 | $1,555.00 | $167.02–$855.25 | 20% above | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST LIMITED RIGHT | $622.00 | $1,555.00 | $167.02–$855.25 | 20% above | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED RIGHT | $622.00 | $1,555.00 | $167.02–$855.25 | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST LIMITED LEFT | $622.00 | $1,555.00 | $167.02–$855.25 | — | 60% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIOGRAPHY ABD/PELVIS CONTRAST | $2,104.00 | $5,260.00 | $824.45–$916.87 | 64% below | 60% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W/POST PROC W/LVO | $1,521.20 | $3,803.00 | $393.89 | 57% below | 60% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY, HEAD | $2,104.00 | $5,260.00 | $393.89 | 41% below | 60% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY, NECK | $2,104.00 | $5,260.00 | $393.89 | 50% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST, NON-CORONARY | $2,104.00 | $5,260.00 | $393.89–$557.95 | 53% below | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HEART/ARTERIES/ GRAFTS | $806.40 | $2,016.00 | $393.89–$557.95 | 59% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $2,104.00 | $5,260.00 | $349.00–$525.31 | 62% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS WITH CONTRAST | $2,104.00 | $5,260.00 | $731.08–$824.45 | 65% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV W/O THEN W/ CON | $2,104.00 | $5,260.00 | $824.45–$829.20 | 70% below | 60% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN, WITH CONTRAST | $2,004.00 | $5,010.00 | $393.89–$557.40 | 41% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN, W/O CONTRAST | $1,412.80 | $3,532.00 | $235.69–$277.33 | 56% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL AREA W/O CONTRAST | $1,896.00 | $4,740.00 | $235.69 | 33% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O CONTRAST | $1,952.80 | $4,882.00 | $235.69 | 36% below | 60% |
| CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN WITH CONTRAST | $2,104.00 | $5,260.00 | $393.89 | 44% below | 60% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O THEN W/ CONTRAST | $2,104.00 | $5,260.00 | $393.89 | 52% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR, W/O CONTRAST | $1,843.60 | $4,609.00 | $235.69–$324.75 | 44% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL, W/O CONTRAST | $2,104.00 | $5,260.00 | $235.69–$326.94 | 38% below | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS, WITH CONTRAST | $2,104.00 | $5,260.00 | $393.89–$557.40 | 51% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX EXTRACRANIAL ARTERIES BILAT | $652.00 | $1,630.00 | $1,418.00 | — | 60% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX, W/O THEN W/ CONTRAST | $2,104.00 | $5,260.00 | $393.89–$505.59 | 47% below | 60% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $560.00 | $1,400.00 | $67.80–$194.81 | 13% above | 60% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $486.80 | $1,217.00 | $51.26–$194.81 | 16% above | 60% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 XRAY CLAVICLE, COMPLETE BILAT | $1,767.20 | $4,418.00 | $71.09–$2,429.90 | — | 60% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 XRAY CLAVICLE, COMPLETE BILAT | $1,767.20 | $4,418.00 | $71.09–$2,429.90 | — | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE, COMPLETE LT | $883.60 | $2,209.00 | $71.09–$1,214.95 | 61% above | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE, COMPLETE RT | $883.60 | $2,209.00 | $71.09–$1,214.95 | 61% above | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE, COMPLETE LT | $883.60 | $2,209.00 | $71.09–$1,214.95 | 61% above | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE LT | $883.60 | $2,209.00 | $71.09–$1,214.95 | 61% above | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE RT | $883.60 | $2,209.00 | $71.09–$1,214.95 | 61% above | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE LT | $883.60 | $2,209.00 | $71.09–$1,214.95 | 61% above | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE COMPLETE RT | $883.60 | $2,209.00 | $71.09–$1,214.95 | 61% above | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XRAY CLAVICLE, COMPLETE RT | $883.60 | $2,209.00 | $71.09–$1,214.95 | 61% above | 60% |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 XRAY CLAVICLE, COMPLETE BILAT | $1,767.20 | $4,418.00 | $71.09–$2,429.90 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE COMPLETE RT | $883.60 | $2,209.00 | $71.09–$1,214.95 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE COMPLETE LT | $883.60 | $2,209.00 | $71.09–$1,214.95 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE, COMPLETE RT | $883.60 | $2,209.00 | $71.09–$1,214.95 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XRAY CLAVICLE, COMPLETE LT | $883.60 | $2,209.00 | $71.09–$1,214.95 | — | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $608.00 | $1,520.00 | $235.69–$237.63 | 52% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY AXIAL 1/> SITES | $697.60 | $1,744.00 | $92.06–$235.69 | 14% above | 60% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENSITY APPENDICULAR 1/> | $260.80 | $652.00 | $68.90–$194.81 | 7% below | 60% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED SGLE FETUS | $1,339.20 | $3,348.00 | $257.98–$525.31 | 45% above | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX, W/O CONTRAST | $995.20 | $2,488.00 | $235.69–$310.40 | 66% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX, WITH CONTRAST | $1,858.80 | $4,647.00 | $393.89–$414.06 | 52% below | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BILATERAL | $768.00 | $1,920.00 | $247.55–$368.84 | — | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL LEFT | $653.20 | $1,633.00 | $193.03–$898.15 | 50% above | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL RIGHT | $653.20 | $1,633.00 | $193.03–$898.15 | 50% above | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL RIGHT | $653.20 | $1,633.00 | $193.03–$898.15 | 50% above | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNILATERAL LEFT | $653.20 | $1,633.00 | $193.03–$898.15 | 50% above | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNILATERAL RIGHT | $653.20 | $1,633.00 | $193.03–$898.15 | — | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNILATERAL LEFT | $653.20 | $1,633.00 | $193.03–$898.15 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX ART LOWER EXTREMITY BILAT | $720.40 | $1,801.00 | $1,418.00 | — | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXTREMITY BIL | $827.60 | $2,069.00 | $1,418.00 | 55% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO ADULT COMPL W/DOPPLER | $3,560.40 | $8,901.00 | $4,515.00 | 6% above | 60% |
| Elbow X-ray, 2 views both sides CPT 73070 XRAY ELBOW, 2 VIEWS BILAT | $1,214.00 | $3,035.00 | $62.28–$1,669.25 | — | 60% |
| Elbow X-ray, 2 views both sides CPT 73070 XRAY ELBOW, 2 VIEWS BILAT | $1,214.00 | $3,035.00 | $62.28–$1,669.25 | — | 60% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS RT | $607.20 | $1,518.00 | $62.28–$834.90 | 21% above | 60% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW, 2 VIEWS RT | $607.20 | $1,518.00 | $62.28–$834.90 | 21% above | 60% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW, 2 VIEWS LT | $607.20 | $1,518.00 | $62.28–$834.90 | 21% above | 60% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW, 2 VIEWS LT | $607.20 | $1,518.00 | $62.28–$834.90 | 21% above | 60% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS LT | $607.20 | $1,518.00 | $62.28–$834.90 | 21% above | 60% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW, 2 VIEWS RT | $607.20 | $1,518.00 | $62.28–$834.90 | 21% above | 60% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS LT | $607.20 | $1,518.00 | $62.28–$834.90 | 21% above | 60% |
| Elbow X-ray, 2 views one side CPT 73070 XRAY ELBOW 2 VIEWS RT | $607.20 | $1,518.00 | $62.28–$834.90 | 21% above | 60% |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 XRAY ELBOW, 2 VIEWS BILAT | $1,214.00 | $3,035.00 | $62.28–$1,669.25 | — | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XRAY ELBOW 2 VIEWS RT | $607.20 | $1,518.00 | $62.28–$834.90 | — | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XRAY ELBOW, 2 VIEWS LT | $607.20 | $1,518.00 | $62.28–$834.90 | — | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XRAY ELBOW, 2 VIEWS RT | $607.20 | $1,518.00 | $62.28–$834.90 | — | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XRAY ELBOW 2 VIEWS LT | $607.20 | $1,518.00 | $62.28–$834.90 | — | 60% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 XRAY ELBOW, COMPL MIN 3 VIEWS BILAT | $1,781.20 | $4,453.00 | $68.90–$2,449.15 | — | 60% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 XRAY ELBOW, COMPL MIN 3 VIEWS BILAT | $1,781.20 | $4,453.00 | $68.90–$2,449.15 | — | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW, COMPL MIN 3 VIEWS LT | $890.80 | $2,227.00 | $68.90–$1,224.85 | 49% above | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPLETE 3+ VIEWS LT | $890.80 | $2,227.00 | $68.90–$1,224.85 | 49% above | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW, COMPL MIN 3 VIEWS RT | $890.80 | $2,227.00 | $68.90–$1,224.85 | 49% above | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW, COMPL MIN 3 VIEWS LT | $890.80 | $2,227.00 | $68.90–$1,224.85 | 49% above | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPLETE 3+ VIEWS RT | $890.80 | $2,227.00 | $68.90–$1,224.85 | 49% above | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPLETE 3+ VIEWS LT | $890.80 | $2,227.00 | $68.90–$1,224.85 | 49% above | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW COMPLETE 3+ VIEWS RT | $890.80 | $2,227.00 | $68.90–$1,224.85 | 49% above | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XRAY ELBOW, COMPL MIN 3 VIEWS RT | $890.80 | $2,227.00 | $68.90–$1,224.85 | 49% above | 60% |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XRAY ELBOW, COMPL MIN 3 VIEWS BILAT | $1,781.20 | $4,453.00 | $68.90–$2,449.15 | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XRAY ELBOW, COMPL MIN 3 VIEWS LT | $890.80 | $2,227.00 | $68.90–$1,224.85 | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XRAY ELBOW COMPLETE 3+ VIEWS LT | $890.80 | $2,227.00 | $68.90–$1,224.85 | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XRAY ELBOW COMPLETE 3+ VIEWS RT | $890.80 | $2,227.00 | $68.90–$1,224.85 | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XRAY ELBOW, COMPL MIN 3 VIEWS RT | $890.80 | $2,227.00 | $68.90–$1,224.85 | — | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR OR FOSSA W/O CONTRAST | $2,104.00 | $5,260.00 | $235.69 | 20% below | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XRAY FACIAL BONES COMPLETE 3+ VIEWS | $708.80 | $1,772.00 | $100.87–$235.69 | 7% below | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XRAY FACIAL BONES MINIMUM 3 VIEWS | $708.80 | $1,772.00 | $100.87–$235.69 | 7% below | 60% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XRAY FOREARM, 2 VIEWS BILAT | $1,437.60 | $3,594.00 | $63.38–$1,976.70 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XRAY FOREARM, 2 VIEWS BILAT | $1,437.60 | $3,594.00 | $63.38–$1,976.70 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM, 2 VIEWS RT | $719.20 | $1,798.00 | $63.38–$988.90 | 26% above | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS LT | $719.20 | $1,798.00 | $63.38–$988.90 | 26% above | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS RT | $719.20 | $1,798.00 | $63.38–$988.90 | 26% above | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM, 2 VIEWS LT | $719.20 | $1,798.00 | $63.38–$988.90 | 26% above | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS LT | $719.20 | $1,798.00 | $63.38–$988.90 | 26% above | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VIEWS RT | $719.20 | $1,798.00 | $63.38–$988.90 | 26% above | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM, 2 VIEWS RT | $719.20 | $1,798.00 | $63.38–$988.90 | 26% above | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM, 2 VIEWS LT | $719.20 | $1,798.00 | $63.38–$988.90 | 26% above | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XRAY FOREARM, 2 VIEWS BILAT | $1,437.60 | $3,594.00 | $63.38–$1,976.70 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM 2 VIEWS LT | $719.20 | $1,798.00 | $63.38–$988.90 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM, 2 VIEWS RT | $719.20 | $1,798.00 | $63.38–$988.90 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM, 2 VIEWS LT | $719.20 | $1,798.00 | $63.38–$988.90 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM 2 VIEWS RT | $719.20 | $1,798.00 | $63.38–$988.90 | — | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY IMAGING W/O GBEF | $2,670.40 | $6,676.00 | $884.18–$923.42 | 31% above | 60% |
| Hand X-ray, 2 views both sides CPT 73120 XRAY HAND, 2 VIEWS BILAT | $707.60 | $1,769.00 | $67.80–$972.95 | — | 60% |
| Hand X-ray, 2 views both sides CPT 73120 XRAY HAND, 2 VIEWS BILAT | $707.60 | $1,769.00 | $67.80–$972.95 | — | 60% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS LT | $353.20 | $883.00 | $67.80–$485.65 | 32% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND, 2 VIEWS LT | $353.20 | $883.00 | $67.80–$485.65 | 32% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND, 2 VIEWS LT | $353.20 | $883.00 | $67.80–$485.65 | 32% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND, 2 VIEWS RT | $353.20 | $883.00 | $67.80–$485.65 | 32% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS RT | $353.20 | $883.00 | $67.80–$485.65 | 32% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND, 2 VIEWS RT | $353.20 | $883.00 | $67.80–$485.65 | 32% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS LT | $353.20 | $883.00 | $67.80–$485.65 | 32% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 XRAY HAND 2 VIEWS RT | $353.20 | $883.00 | $67.80–$485.65 | 32% below | 60% |
| Hand X-ray, 2 views inpatient both sides CPT 73120 XRAY HAND, 2 VIEWS BILAT | $707.60 | $1,769.00 | $67.80–$972.95 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XRAY HAND 2 VIEWS LT | $353.20 | $883.00 | $67.80–$485.65 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XRAY HAND, 2 VIEWS LT | $353.20 | $883.00 | $67.80–$485.65 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XRAY HAND 2 VIEWS RT | $353.20 | $883.00 | $67.80–$485.65 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XRAY HAND, 2 VIEWS RT | $353.20 | $883.00 | $67.80–$485.65 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XRAY CALCANEUS, MIN 2 VIEWS BILAT | $1,754.40 | $4,386.00 | $62.28–$2,412.30 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XRAY CALCANEUS, MIN 2 VIEWS BILAT | $1,754.40 | $4,386.00 | $62.28–$2,412.30 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS 2+ VIEWS RT | $876.80 | $2,192.00 | $62.28–$1,205.60 | 78% above | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS 2+ VIEWS LT | $876.80 | $2,192.00 | $62.28–$1,205.60 | 78% above | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS 2+ VIEWS RT | $876.80 | $2,192.00 | $62.28–$1,205.60 | 78% above | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS, MIN 2 VIEWS LT | $876.80 | $2,192.00 | $62.28–$1,205.60 | 78% above | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS, MIN 2 VIEWS RT | $876.80 | $2,192.00 | $62.28–$1,205.60 | 78% above | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS, MIN 2 VIEWS RT | $876.80 | $2,192.00 | $62.28–$1,205.60 | 78% above | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS, MIN 2 VIEWS LT | $876.80 | $2,192.00 | $62.28–$1,205.60 | 78% above | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XRAY CALCANEUS 2+ VIEWS LT | $876.80 | $2,192.00 | $62.28–$1,205.60 | 78% above | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 XRAY CALCANEUS, MIN 2 VIEWS BILAT | $1,754.40 | $4,386.00 | $62.28–$2,412.30 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XRAY CALCANEUS, MIN 2 VIEWS RT | $876.80 | $2,192.00 | $62.28–$1,205.60 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XRAY CALCANEUS 2+ VIEWS LT | $876.80 | $2,192.00 | $62.28–$1,205.60 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XRAY CALCANEUS, MIN 2 VIEWS LT | $876.80 | $2,192.00 | $62.28–$1,205.60 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XRAY CALCANEUS 2+ VIEWS RT | $876.80 | $2,192.00 | $62.28–$1,205.60 | — | 60% |
| Knee X-ray, 3 views both sides CPT 73562 XRAY KNEE, 3 VIEWS BILAT | $1,276.40 | $3,191.00 | $92.06–$1,755.05 | — | 60% |
| Knee X-ray, 3 views both sides CPT 73562 XRAY KNEE, 3 VIEWS BILAT | $1,276.40 | $3,191.00 | $92.06–$1,755.05 | — | 60% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS RT | $638.40 | $1,596.00 | $92.06–$877.80 | 7% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE, 3 VIEWS LT | $638.40 | $1,596.00 | $92.06–$877.80 | 7% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE, 3 VIEWS RT | $638.40 | $1,596.00 | $92.06–$877.80 | 7% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS RT | $638.40 | $1,596.00 | $92.06–$877.80 | 7% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE, 3 VIEWS RT | $638.40 | $1,596.00 | $92.06–$877.80 | 7% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE, 3 VIEWS LT | $638.40 | $1,596.00 | $92.06–$877.80 | 7% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS LT | $638.40 | $1,596.00 | $92.06–$877.80 | 7% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 XRAY KNEE 3 VIEWS LT | $638.40 | $1,596.00 | $92.06–$877.80 | 7% below | 60% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 XRAY KNEE, 3 VIEWS BILAT | $1,276.40 | $3,191.00 | $92.06–$1,755.05 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XRAY KNEE, 3 VIEWS LT | $638.40 | $1,596.00 | $92.06–$877.80 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XRAY KNEE, 3 VIEWS RT | $638.40 | $1,596.00 | $92.06–$877.80 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XRAY KNEE 3 VIEWS LT | $638.40 | $1,596.00 | $92.06–$877.80 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XRAY KNEE 3 VIEWS RT | $638.40 | $1,596.00 | $92.06–$877.80 | — | 60% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS BILAT | $2,314.00 | $5,785.00 | $100.87–$3,181.75 | — | 60% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS BILAT | $2,314.00 | $5,785.00 | $100.87–$3,181.75 | — | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPLETE 4+ VIEWS RT | $1,156.80 | $2,892.00 | $100.87–$1,590.60 | 50% above | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS RT | $1,156.80 | $2,892.00 | $100.87–$1,590.60 | 50% above | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPLETE 4+ VIEWS LT | $1,156.80 | $2,892.00 | $100.87–$1,590.60 | 50% above | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS LT | $1,156.80 | $2,892.00 | $100.87–$1,590.60 | 50% above | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS RT | $1,156.80 | $2,892.00 | $100.87–$1,590.60 | 50% above | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS LT | $1,156.80 | $2,892.00 | $100.87–$1,590.60 | 50% above | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPLETE 4+ VIEWS LT | $1,156.80 | $2,892.00 | $100.87–$1,590.60 | 50% above | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XRAY KNEE COMPLETE 4+ VIEWS RT | $1,156.80 | $2,892.00 | $100.87–$1,590.60 | 50% above | 60% |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS BILAT | $2,314.00 | $5,785.00 | $100.87–$3,181.75 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE COMPLETE 4+ VIEWS RT | $1,156.80 | $2,892.00 | $100.87–$1,590.60 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE COMPLETE 4+ VIEWS LT | $1,156.80 | $2,892.00 | $100.87–$1,590.60 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS RT | $1,156.80 | $2,892.00 | $100.87–$1,590.60 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XRAY KNEE COMPL 4 OR > VIEWS LT | $1,156.80 | $2,892.00 | $100.87–$1,590.60 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST RT | $2,104.00 | $5,260.00 | $235.69–$2,893.00 | 20% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST LT | $2,104.00 | $5,260.00 | $235.69–$2,893.00 | 20% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST RT | $2,104.00 | $5,260.00 | $235.69–$2,893.00 | 20% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST LT | $2,104.00 | $5,260.00 | $235.69–$2,893.00 | 20% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST LT | $2,104.00 | $5,260.00 | $235.69–$2,893.00 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY W/O CONTRAST RT | $2,104.00 | $5,260.00 | $235.69–$2,893.00 | — | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED | $2,155.20 | $5,388.00 | $192.41–$235.69 | 91% above | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL, LIMITED | $2,155.20 | $5,388.00 | $192.41–$235.69 | 91% above | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON-VASC, LIMITED | $886.00 | $2,215.00 | $101.97–$235.69 | 39% above | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LNG CANCER SCR W/O CON | $1,045.60 | $2,614.00 | $235.69 | 44% above | 60% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XRAY TIBIA & FIBULA 2 VIEWS BILAT | $1,012.80 | $2,532.00 | $69.99–$1,392.60 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XRAY TIBIA & FIBULA 2 VIEWS BILAT | $1,012.80 | $2,532.00 | $69.99–$1,392.60 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA/FIBULA 2 VIEWS RT | $506.00 | $1,265.00 | $69.99–$695.75 | 20% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA & FIBULA 2 VIEWS LT | $506.00 | $1,265.00 | $69.99–$695.75 | 20% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA & FIBULA 2 VIEWS LT | $506.00 | $1,265.00 | $69.99–$695.75 | 20% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA/FIBULA 2 VIEWS LT | $506.00 | $1,265.00 | $69.99–$695.75 | 20% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA/FIBULA 2 VIEWS RT | $506.00 | $1,265.00 | $69.99–$695.75 | 20% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA & FIBULA 2 VIEWS RT | $506.00 | $1,265.00 | $69.99–$695.75 | 20% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA/FIBULA 2 VIEWS LT | $506.00 | $1,265.00 | $69.99–$695.75 | 20% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XRAY TIBIA & FIBULA 2 VIEWS RT | $506.00 | $1,265.00 | $69.99–$695.75 | 20% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XRAY TIBIA & FIBULA 2 VIEWS BILAT | $1,012.80 | $2,532.00 | $69.99–$1,392.60 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA & FIBULA 2 VIEWS LT | $506.00 | $1,265.00 | $69.99–$695.75 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA/FIBULA 2 VIEWS LT | $506.00 | $1,265.00 | $69.99–$695.75 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA/FIBULA 2 VIEWS RT | $506.00 | $1,265.00 | $69.99–$695.75 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XRAY TIBIA & FIBULA 2 VIEWS RT | $506.00 | $1,265.00 | $69.99–$695.75 | — | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD, W/O CONTRAST | $828.00 | $2,070.00 | $525.31 | 72% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON LT | $1,325.60 | $3,314.00 | $499.49–$1,822.70 | 62% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON RT | $1,325.60 | $3,314.00 | $499.49–$1,822.70 | 62% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON LT | $1,325.60 | $3,314.00 | $499.49–$1,822.70 | 62% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON RT | $1,325.60 | $3,314.00 | $499.49–$1,822.70 | 62% below | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON RT | $1,325.60 | $3,314.00 | $499.49–$1,822.70 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANY JNT LWR EXTREM W/O CON LT | $1,325.60 | $3,314.00 | $499.49–$1,822.70 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LWR EXT JNT W&W/O CON BIL | $1,325.60 | $3,314.00 | $824.45–$1,822.70 | 73% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LWR EXT JNT W&W/O CON BIL | $1,325.60 | $3,314.00 | $824.45–$1,822.70 | 73% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O & W/ CON LT | $1,325.60 | $3,314.00 | $824.45–$1,822.70 | 73% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O & W/ CON RT | $1,325.60 | $3,314.00 | $824.45–$1,822.70 | 73% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O & W/ CON RT | $1,325.60 | $3,314.00 | $824.45–$1,822.70 | 73% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANY JNT LWR EXT W/O & W/ CON LT | $1,325.60 | $3,314.00 | $824.45–$1,822.70 | 73% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LWR EXT JNT W&W/O CON BIL | $1,325.60 | $3,314.00 | $824.45–$1,822.70 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANY JNT LWR EXT W/O & W/ CON RT | $1,325.60 | $3,314.00 | $824.45–$1,822.70 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANY JNT LWR EXT W/O & W/ CON LT | $1,325.60 | $3,314.00 | $824.45–$1,822.70 | — | 60% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $1,325.60 | $3,314.00 | $470.28–$525.31 | 62% below | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN, W/O THEN W/ CONTRAST | $1,325.60 | $3,314.00 | $824.45–$873.32 | 69% below | 60% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN, W/O CONTRAST | $799.60 | $1,999.00 | $525.31–$1,645.00 | 77% below | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN, W/O THEN W/ CONTRAST | $1,325.60 | $3,314.00 | $824.45–$1,645.00 | 73% below | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE, W/O CON | $1,286.40 | $3,216.00 | $442.74–$525.31 | 65% below | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE, W/O THEN W/ CON | $1,325.60 | $3,314.00 | $781.79–$824.45 | 73% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE, W/O CONTRAST | $1,029.20 | $2,573.00 | $441.64–$525.31 | 73% below | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE, W/O THEN W/ CON | $1,274.40 | $3,186.00 | $783.98–$824.45 | 73% below | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O CONTRAST | $1,204.80 | $3,012.00 | $441.64–$525.31 | 68% below | 60% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS, W/O THEN W/ CONTRAST | $1,325.60 | $3,314.00 | $824.45–$871.13 | 64% below | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS, W/O CONTRAST | $1,325.60 | $3,314.00 | $525.31–$597.64 | 59% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JNT UPR EXTREM W/O CON LT | $1,296.80 | $3,242.00 | $499.49–$1,783.10 | 61% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JT UPR EXTREMT W/O CON RT | $1,296.80 | $3,242.00 | $499.49–$1,783.10 | 61% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JNT UPR EXTREM W/O CON LT | $1,296.80 | $3,242.00 | $499.49–$1,783.10 | 61% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ANY JT UPR EXTREMT W/O CON RT | $1,296.80 | $3,242.00 | $499.49–$1,783.10 | 61% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ANY JNT UPR EXTREM W/O CON LT | $1,296.80 | $3,242.00 | $499.49–$1,783.10 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ANY JT UPR EXTREMT W/O CON RT | $1,296.80 | $3,242.00 | $499.49–$1,783.10 | — | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XRAY CERVICAL SPINE 4 OR 5 VIEWS | $1,906.40 | $4,766.00 | $114.12–$235.69 | 117% above | 60% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE, WITH CONTRAST | $1,147.20 | $2,868.00 | $393.89 | 66% below | 60% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE W/O CONTRAST | $1,221.20 | $3,053.00 | $235.69 | 59% below | 60% |
| Neck soft tissue X-ray CPT 70360 XRAY NECK SOFT TISSUE | $1,077.20 | $2,693.00 | $66.70–$194.81 | 93% above | 60% |
| Neck soft tissue X-ray CPT 70360 XRAY NECK, SOFT TISSUE | $1,077.20 | $2,693.00 | $66.70–$194.81 | 93% above | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERFUSION/VIAB SPECT | $7,710.40 | $19,276.00 | $1,238.16–$3,044.09 | 40% above | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W/CT TUMR SKULL MID-THIGH INIT | $2,025.20 | $5,063.00 | $2,784.65–$4,674.00 | 65% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W/CT TUMR SKULL MID-THIGH INIT | $2,025.20 | $5,063.00 | $2,784.65–$4,674.00 | 65% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W/CT TUMR SKULL MID-THIGH SBSQ | $2,025.20 | $5,063.00 | $2,784.65–$4,674.00 | 65% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W/CT TUMR SKULL MID-THIGH SBSQ | $2,025.20 | $5,063.00 | $2,784.65–$4,674.00 | 65% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W/CT TUMR SKULL MID-THIGH INIT | $2,025.20 | $5,063.00 | $2,784.65–$4,674.00 | — | 60% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET W/CT TUMR SKULL MID-THIGH SBSQ | $2,025.20 | $5,063.00 | $2,784.65–$4,674.00 | — | 60% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS, W/O CONTRAST | $1,925.20 | $4,813.00 | $235.69–$281.72 | 37% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC, LIMITED OR F/U, NON-OB | $725.20 | $1,813.00 | $74.42–$235.69 | 18% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS, COMPLETE | $2,188.00 | $5,470.00 | $234.31–$235.69 | 65% above | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ED OB US>/=14WEEKS SNGL FETUS | $282.40 | $706.00 | $235.69–$280.62 | 65% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >OR=14 WKS 1ST GESTATION | $1,263.60 | $3,159.00 | $235.69–$280.62 | 54% above | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 WEEKS 1ST GESTATION | $680.40 | $1,701.00 | $225.48–$235.69 | 10% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ED OB US PREGNANCY LIMITED | $402.80 | $1,007.00 | $160.43–$235.69 | 38% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR MORE FETUSES | $548.00 | $1,370.00 | $160.43–$235.69 | 15% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED, 1 OR MORE FETUSES | $548.00 | $1,370.00 | $160.43–$235.69 | 15% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS, UNILAT, 2 VIEWS LT | $216.00 | $540.00 | $75.51–$297.00 | 63% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILATERAL 2 VIEWS LT | $216.00 | $540.00 | $75.51–$297.00 | 63% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILATERAL 2 VIEWS RT | $216.00 | $540.00 | $75.51–$297.00 | 63% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS, UNILAT, 2 VIEWS RT | $216.00 | $540.00 | $75.51–$297.00 | 63% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILATERAL 2 VIEWS LT | $216.00 | $540.00 | $75.51–$297.00 | 63% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS, UNILAT, 2 VIEWS LT | $216.00 | $540.00 | $75.51–$297.00 | 63% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILATERAL 2 VIEWS RT | $216.00 | $540.00 | $75.51–$297.00 | 63% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS, UNILAT, 2 VIEWS RT | $216.00 | $540.00 | $75.51–$297.00 | 63% below | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY RIBS, UNILAT, 2 VIEWS LT | $216.00 | $540.00 | $75.51–$297.00 | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY RIBS UNILATERAL 2 VIEWS RT | $216.00 | $540.00 | $75.51–$297.00 | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY RIBS UNILATERAL 2 VIEWS LT | $216.00 | $540.00 | $75.51–$297.00 | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XRAY RIBS, UNILAT, 2 VIEWS RT | $216.00 | $540.00 | $75.51–$297.00 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/CHEST 3+VIEWS LT | $553.60 | $1,384.00 | $85.43–$761.20 | 19% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS,UNILAT W/ PA CHEST 3V RT | $553.60 | $1,384.00 | $85.43–$761.20 | 19% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS,UNILAT W/ PA CHEST 3V LT | $553.60 | $1,384.00 | $85.43–$761.20 | 19% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/CHEST 3+VIEWS LT | $553.60 | $1,384.00 | $85.43–$761.20 | 19% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/CHEST 3+VIEWS RT | $553.60 | $1,384.00 | $85.43–$761.20 | 19% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS,UNILAT W/ PA CHEST 3V RT | $553.60 | $1,384.00 | $85.43–$761.20 | 19% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS,UNILAT W/ PA CHEST 3V LT | $553.60 | $1,384.00 | $85.43–$761.20 | 19% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT W/CHEST 3+VIEWS RT | $553.60 | $1,384.00 | $85.43–$761.20 | 19% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS,UNILAT W/ PA CHEST 3V LT | $553.60 | $1,384.00 | $85.43–$761.20 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS,UNILAT W/ PA CHEST 3V RT | $553.60 | $1,384.00 | $85.43–$761.20 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS UNILAT W/CHEST 3+VIEWS LT | $553.60 | $1,384.00 | $85.43–$761.20 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS UNILAT W/CHEST 3+VIEWS RT | $553.60 | $1,384.00 | $85.43–$761.20 | — | 60% |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO BILATERAL INCL CAD | $527.20 | $1,318.00 | $204.08–$352.00 | — | 60% |
| Screening mammogram, both breasts CPT 77067 MG MAMMO SCRN BIL-RED SVC | $530.40 | $1,326.00 | $204.08–$729.30 | 32% above | 60% |
| Screening mammogram, both breasts CPT 77067 MG MAMMO SCRN BIL-RED SVC | $530.40 | $1,326.00 | $204.08–$729.30 | 32% above | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO BIL INCL CAD LEFT | $527.20 | $1,318.00 | $204.08–$724.90 | 32% above | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO BIL INCL CAD RIGHT | $527.20 | $1,318.00 | $204.08–$724.90 | 32% above | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO BIL INCL CAD RIGHT | $527.20 | $1,318.00 | $204.08–$724.90 | 32% above | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO BIL INCL CAD LEFT | $527.20 | $1,318.00 | $204.08–$724.90 | 32% above | 60% |
| Screening mammogram, both breasts inpatient CPT 77067 MG MAMMO SCRN BIL-RED SVC | $530.40 | $1,326.00 | $204.08–$729.30 | — | 60% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO BIL INCL CAD RIGHT | $527.20 | $1,318.00 | $204.08–$724.90 | — | 60% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO BIL INCL CAD LEFT | $527.20 | $1,318.00 | $204.08–$724.90 | — | 60% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER COMPLETE 2+ VIEWS BI | $2,237.60 | $5,594.00 | $73.32–$3,076.70 | — | 60% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER COMPLETE 2+ VIEWS BI | $2,237.60 | $5,594.00 | $73.32–$3,076.70 | — | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER COMPLETE 2+ VIEWS RT | $1,118.80 | $2,797.00 | $73.32–$1,538.35 | 54% above | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER COMPLETE 2+ VIEWS LT | $1,118.80 | $2,797.00 | $73.32–$1,538.35 | 54% above | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER, COMPL MIN 2 VIEW RT | $1,118.80 | $2,797.00 | $73.32–$1,538.35 | 54% above | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER, MIN 2 VIEW LT | $1,118.80 | $2,797.00 | $73.32–$1,538.35 | 54% above | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER COMPLETE 2+ VIEWS RT | $1,118.80 | $2,797.00 | $73.32–$1,538.35 | 54% above | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER COMPLETE 2+ VIEWS LT | $1,118.80 | $2,797.00 | $73.32–$1,538.35 | 54% above | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER, COMPL MIN 2 VIEW RT | $1,118.80 | $2,797.00 | $73.32–$1,538.35 | 54% above | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XRAY SHOULDER, MIN 2 VIEW LT | $1,118.80 | $2,797.00 | $73.32–$1,538.35 | 54% above | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR SHOULDER COMPLETE 2+ VIEWS BI | $2,237.60 | $5,594.00 | $73.32–$3,076.70 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY SHOULDER, MIN 2 VIEW LT | $1,118.80 | $2,797.00 | $73.32–$1,538.35 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY SHOULDER COMPLETE 2+ VIEWS LT | $1,118.80 | $2,797.00 | $73.32–$1,538.35 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY SHOULDER, COMPL MIN 2 VIEW RT | $1,118.80 | $2,797.00 | $73.32–$1,538.35 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XRAY SHOULDER COMPLETE 2+ VIEWS RT | $1,118.80 | $2,797.00 | $73.32–$1,538.35 | — | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XRAYAY SINUSES PARANASAL 3+ VIEWS | $849.20 | $2,123.00 | $78.82–$194.81 | 1% below | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XRAY SINUSES PARANASAL, MIN 3 VIEWS | $849.20 | $2,123.00 | $78.82–$194.81 | 1% below | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 XRAY SKULL, LESS THAN 4 VIEWS | $510.40 | $1,276.00 | $78.82–$235.69 | 20% below | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 XRAY SKULL LESS THAN 4 VIEWS | $510.40 | $1,276.00 | $78.82–$235.69 | 20% below | 60% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO W/ECG MONITOR & SUPERVI | $3,565.60 | $8,914.00 | $4,515.00 | 34% above | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION CINE/VIDEORADIO | $1,214.00 | $3,035.00 | $319.22–$393.89 | 24% above | 60% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XRAY FEMUR 2+ VIEWS BILAT | $601.60 | $1,504.00 | $78.82–$827.20 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XRAY FEMUR 2+ VIEWS BILAT | $601.60 | $1,504.00 | $78.82–$827.20 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2+ VIEWS RT | $300.40 | $751.00 | $78.82–$413.05 | 43% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2+ VIEWS LT | $300.40 | $751.00 | $78.82–$413.05 | 43% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2+ VIEWS RT | $300.40 | $751.00 | $78.82–$413.05 | 43% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XRAY FEMUR 2+ VIEWS LT | $300.40 | $751.00 | $78.82–$413.05 | 43% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XRAY FEMUR 2+ VIEWS BILAT | $601.60 | $1,504.00 | $78.82–$827.20 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XRAY FEMUR 2+ VIEWS LT | $300.40 | $751.00 | $78.82–$413.05 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XRAY FEMUR 2+ VIEWS RT | $300.40 | $751.00 | $78.82–$413.05 | — | 60% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC, W/O CONTRAST | $1,530.00 | $3,825.00 | $235.69–$326.94 | 49% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) 2+ VIEWS LT | $648.80 | $1,622.00 | $66.70–$892.10 | 33% above | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) 2+ VIEWS RT | $648.80 | $1,622.00 | $66.70–$892.10 | 33% above | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S), MIN 2 VIEWS RT | $648.80 | $1,622.00 | $66.70–$892.10 | 33% above | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S), MIN 2 VIEWS LT | $648.80 | $1,622.00 | $66.70–$892.10 | 33% above | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) 2+ VIEWS LT | $648.80 | $1,622.00 | $66.70–$892.10 | 33% above | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S) 2+ VIEWS RT | $648.80 | $1,622.00 | $66.70–$892.10 | 33% above | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S), MIN 2 VIEWS RT | $648.80 | $1,622.00 | $66.70–$892.10 | 33% above | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 XRAY TOE(S), MIN 2 VIEWS LT | $648.80 | $1,622.00 | $66.70–$892.10 | 33% above | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE(S) 2+ VIEWS RT | $648.80 | $1,622.00 | $66.70–$892.10 | — | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE(S) 2+ VIEWS LT | $648.80 | $1,622.00 | $66.70–$892.10 | — | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE(S), MIN 2 VIEWS LT | $648.80 | $1,622.00 | $66.70–$892.10 | — | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XRAY TOE(S), MIN 2 VIEWS RT | $648.80 | $1,622.00 | $66.70–$892.10 | — | 60% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL, NON-OB | $878.40 | $2,196.00 | $235.69–$275.10 | 13% below | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 ED OB US TRANSVAGINAL | $280.00 | $700.00 | $181.36–$235.69 | 69% below | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OBSTETRIC, TRANSVAGINAL | $479.20 | $1,198.00 | $181.36–$235.69 | 48% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL, COMPLETE | $2,552.40 | $6,381.00 | $235.69–$255.26 | 66% above | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS | $1,106.00 | $2,765.00 | $227.68–$235.69 | 3% above | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE OF HEAD & NECK | $940.00 | $2,350.00 | $235.69–$272.90 | 20% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI TRACT W/O KUB | $594.40 | $1,486.00 | $247.55–$393.89 | 47% below | 60% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR HUMERUS 2+ VIEWS BILATERAL | $2,011.60 | $5,029.00 | $71.09–$2,765.95 | — | 60% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR HUMERUS 2+ VIEWS BILATERAL | $2,011.60 | $5,029.00 | $71.09–$2,765.95 | — | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS 2+ VIEWS RT | $1,005.20 | $2,513.00 | $71.09–$1,382.15 | 72% above | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS, MIN 2 VIEWS RT | $1,005.20 | $2,513.00 | $71.09–$1,382.15 | 72% above | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS 2+ VIEWS LT | $1,005.20 | $2,513.00 | $71.09–$1,382.15 | 72% above | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS, MIN 2 VIEWS LT | $1,005.20 | $2,513.00 | $71.09–$1,382.15 | 72% above | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS 2+ VIEWS LT | $1,005.20 | $2,513.00 | $71.09–$1,382.15 | 72% above | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS, MIN 2 VIEWS LT | $1,005.20 | $2,513.00 | $71.09–$1,382.15 | 72% above | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS, MIN 2 VIEWS RT | $1,005.20 | $2,513.00 | $71.09–$1,382.15 | 72% above | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XRAY HUMERUS 2+ VIEWS RT | $1,005.20 | $2,513.00 | $71.09–$1,382.15 | 72% above | 60% |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 XR HUMERUS 2+ VIEWS BILATERAL | $2,011.60 | $5,029.00 | $71.09–$2,765.95 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XRAY HUMERUS, MIN 2 VIEWS RT | $1,005.20 | $2,513.00 | $71.09–$1,382.15 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XRAY HUMERUS, MIN 2 VIEWS LT | $1,005.20 | $2,513.00 | $71.09–$1,382.15 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XRAY HUMERUS 2+ VIEWS LT | $1,005.20 | $2,513.00 | $71.09–$1,382.15 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XRAY HUMERUS 2+ VIEWS RT | $1,005.20 | $2,513.00 | $71.09–$1,382.15 | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS EXTREM UNILAT/LMTD | $602.00 | $1,505.00 | $1,418.00 | 30% below | 60% |
| Wrist X-ray, 2 views both sides CPT 73100 XRAY WRIST, 2 VIEWS BILAT | $850.40 | $2,126.00 | $75.51–$1,169.30 | — | 60% |
| Wrist X-ray, 2 views both sides CPT 73100 XRAY WRIST, 2 VIEWS BILAT | $850.40 | $2,126.00 | $75.51–$1,169.30 | — | 60% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST, 2 VIEWS RT | $425.60 | $1,064.00 | $75.51–$585.20 | 31% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS LT | $425.60 | $1,064.00 | $75.51–$585.20 | 31% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS RT | $425.60 | $1,064.00 | $75.51–$585.20 | 31% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS LT | $425.60 | $1,064.00 | $75.51–$585.20 | 31% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST, 2 VIEWS LT | $425.60 | $1,064.00 | $75.51–$585.20 | 31% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST, 2 VIEWS RT | $425.60 | $1,064.00 | $75.51–$585.20 | 31% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST 2 VIEWS RT | $425.60 | $1,064.00 | $75.51–$585.20 | 31% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 XRAY WRIST, 2 VIEWS LT | $425.60 | $1,064.00 | $75.51–$585.20 | 31% below | 60% |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 XRAY WRIST, 2 VIEWS BILAT | $850.40 | $2,126.00 | $75.51–$1,169.30 | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XRAY WRIST, 2 VIEWS RT | $425.60 | $1,064.00 | $75.51–$585.20 | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XRAY WRIST 2 VIEWS RT | $425.60 | $1,064.00 | $75.51–$585.20 | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XRAY WRIST 2 VIEWS LT | $425.60 | $1,064.00 | $75.51–$585.20 | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XRAY WRIST, 2 VIEWS LT | $425.60 | $1,064.00 | $75.51–$585.20 | — | 60% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XRAY WRIST, COMPL MIN 3 VIEWS BILAT | $1,354.40 | $3,386.00 | $93.16–$1,862.30 | — | 60% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XRAY WRIST, COMPL MIN 3 VIEWS BILAT | $1,354.40 | $3,386.00 | $93.16–$1,862.30 | — | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPLETE 3+ VIEWS RT | $676.80 | $1,692.00 | $93.16–$930.60 | 5% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST, COMPL MIN 3 VIEWS RT | $676.80 | $1,692.00 | $93.16–$930.60 | 5% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST, COMPL MIN 3 VIEWS LT | $676.80 | $1,692.00 | $93.16–$930.60 | 5% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST, COMPL MIN 3 VIEWS RT | $676.80 | $1,692.00 | $93.16–$930.60 | 5% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPLETE 3+ VIEWS LT | $676.80 | $1,692.00 | $93.16–$930.60 | 5% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST, COMPL MIN 3 VIEWS LT | $676.80 | $1,692.00 | $93.16–$930.60 | 5% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPLETE 3+ VIEWS RT | $676.80 | $1,692.00 | $93.16–$930.60 | 5% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XRAY WRIST COMPLETE 3+ VIEWS LT | $676.80 | $1,692.00 | $93.16–$930.60 | 5% below | 60% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XRAY WRIST, COMPL MIN 3 VIEWS BILAT | $1,354.40 | $3,386.00 | $93.16–$1,862.30 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST COMPLETE 3+ VIEWS RT | $676.80 | $1,692.00 | $93.16–$930.60 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST, COMPL MIN 3 VIEWS RT | $676.80 | $1,692.00 | $93.16–$930.60 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST COMPLETE 3+ VIEWS LT | $676.80 | $1,692.00 | $93.16–$930.60 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XRAY WRIST, COMPL MIN 3 VIEWS LT | $676.80 | $1,692.00 | $93.16–$930.60 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW RT | $300.40 | $751.00 | $105.29–$413.05 | 48% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW LT | $300.40 | $751.00 | $105.29–$413.05 | 48% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW RT | $300.40 | $751.00 | $105.29–$413.05 | 48% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILATERAL 2-3 VIEWS RT | $300.40 | $751.00 | $105.29–$413.05 | 48% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW LT | $300.40 | $751.00 | $105.29–$413.05 | 48% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILATERAL 2-3 VIEWS LT | $300.40 | $751.00 | $105.29–$413.05 | 48% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILATERAL 2-3 VIEWS LT | $300.40 | $751.00 | $105.29–$413.05 | 48% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XRAY HIP UNILATERAL 2-3 VIEWS RT | $300.40 | $751.00 | $105.29–$413.05 | 48% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW LT | $300.40 | $751.00 | $105.29–$413.05 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY HIP UNILAT W/PELVIS 2-3 VW RT | $300.40 | $751.00 | $105.29–$413.05 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY HIP UNILATERAL 2-3 VIEWS LT | $300.40 | $751.00 | $105.29–$413.05 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XRAY HIP UNILATERAL 2-3 VIEWS RT | $300.40 | $751.00 | $105.29–$413.05 | — | 60% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $713.60 | $1,784.00 | $62.28–$194.81 | 44% above | 60% |
| X-ray of the ankle, 2 views both sides CPT 73600 X-RAY ANKLE, 2 VIEWS BILAT | $402.40 | $1,006.00 | $72.19–$553.30 | — | 60% |
| X-ray of the ankle, 2 views both sides CPT 73600 X-RAY ANKLE, 2 VIEWS BILAT | $402.40 | $1,006.00 | $72.19–$553.30 | — | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 XRAY ANKLE 2 VIEWS LT | $201.60 | $504.00 | $72.19–$277.20 | 59% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY ANKLE, 2 VIEWS LT | $201.60 | $504.00 | $72.19–$277.20 | 59% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 XRAY ANKLE 2 VIEWS RT | $201.60 | $504.00 | $72.19–$277.20 | 59% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY ANKLE, 2 VIEWS LT | $201.60 | $504.00 | $72.19–$277.20 | 59% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY ANKLE, 2 VIEWS RT | $201.60 | $504.00 | $72.19–$277.20 | 59% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 XRAY ANKLE 2 VIEWS LT | $201.60 | $504.00 | $72.19–$277.20 | 59% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 XRAY ANKLE 2 VIEWS RT | $201.60 | $504.00 | $72.19–$277.20 | 59% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY ANKLE, 2 VIEWS RT | $201.60 | $504.00 | $72.19–$277.20 | 59% below | 60% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 X-RAY ANKLE, 2 VIEWS BILAT | $402.40 | $1,006.00 | $72.19–$553.30 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XRAY ANKLE 2 VIEWS RT | $201.60 | $504.00 | $72.19–$277.20 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY ANKLE, 2 VIEWS RT | $201.60 | $504.00 | $72.19–$277.20 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XRAY ANKLE 2 VIEWS LT | $201.60 | $504.00 | $72.19–$277.20 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 X-RAY ANKLE, 2 VIEWS LT | $201.60 | $504.00 | $72.19–$277.20 | — | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S), MIN 2 VIEWS LT | $719.20 | $1,798.00 | $88.76–$988.90 | 52% above | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) 2+ VIEWS LT | $719.20 | $1,798.00 | $88.76–$988.90 | 52% above | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S), MIN 2 VIEWS LT | $719.20 | $1,798.00 | $88.76–$988.90 | 52% above | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S), MIN 2 VIEWS RT | $719.20 | $1,798.00 | $88.76–$988.90 | 52% above | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) 2+ VIEWS RT | $719.20 | $1,798.00 | $88.76–$988.90 | 52% above | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) 2+ VIEWS LT | $719.20 | $1,798.00 | $88.76–$988.90 | 52% above | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S), MIN 2 VIEWS RT | $719.20 | $1,798.00 | $88.76–$988.90 | 52% above | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY FINGER(S) 2+ VIEWS RT | $719.20 | $1,798.00 | $88.76–$988.90 | 52% above | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER(S), MIN 2 VIEWS RT | $719.20 | $1,798.00 | $88.76–$988.90 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER(S), MIN 2 VIEWS LT | $719.20 | $1,798.00 | $88.76–$988.90 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER(S) 2+ VIEWS LT | $719.20 | $1,798.00 | $88.76–$988.90 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XRAY FINGER(S) 2+ VIEWS RT | $719.20 | $1,798.00 | $88.76–$988.90 | — | 60% |
| X-ray of the foot, 2 views both sides CPT 73620 XRAY FOOT, 2 VIEWS BILAT | $711.20 | $1,778.00 | $62.28–$977.90 | — | 60% |
| X-ray of the foot, 2 views both sides CPT 73620 XRAY FOOT, 2 VIEWS BILAT | $711.20 | $1,778.00 | $62.28–$977.90 | — | 60% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS LT | $355.20 | $888.00 | $62.28–$488.40 | 28% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS RT | $355.20 | $888.00 | $62.28–$488.40 | 28% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT, 2 VIEWS LT | $355.20 | $888.00 | $62.28–$488.40 | 28% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS RT | $355.20 | $888.00 | $62.28–$488.40 | 28% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT 2 VIEWS LT | $355.20 | $888.00 | $62.28–$488.40 | 28% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT, 2 VIEWS RT | $355.20 | $888.00 | $62.28–$488.40 | 28% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT, 2 VIEWS LT | $355.20 | $888.00 | $62.28–$488.40 | 28% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 XRAY FOOT, 2 VIEWS RT | $355.20 | $888.00 | $62.28–$488.40 | 28% below | 60% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 XRAY FOOT, 2 VIEWS BILAT | $711.20 | $1,778.00 | $62.28–$977.90 | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XRAY FOOT, 2 VIEWS LT | $355.20 | $888.00 | $62.28–$488.40 | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XRAY FOOT 2 VIEWS LT | $355.20 | $888.00 | $62.28–$488.40 | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XRAY FOOT 2 VIEWS RT | $355.20 | $888.00 | $62.28–$488.40 | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XRAY FOOT, 2 VIEWS RT | $355.20 | $888.00 | $62.28–$488.40 | — | 60% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XRAY FOOT, COMPL MIN 3 VIEWS BILAT | $1,118.00 | $2,795.00 | $75.51–$1,537.25 | — | 60% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XRAY FOOT, COMPL MIN 3 VIEWS BILAT | $1,118.00 | $2,795.00 | $75.51–$1,537.25 | — | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT, COMPL MIN 3 VIEWS LT | $559.20 | $1,398.00 | $75.51–$768.90 | 7% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPLETE 3+ VIEWS RT | $559.20 | $1,398.00 | $75.51–$768.90 | 7% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT, COMPL MIN 3 VIEWS RT | $559.20 | $1,398.00 | $75.51–$768.90 | 7% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT, COMPL MIN 3 VIEWS RT | $559.20 | $1,398.00 | $75.51–$768.90 | 7% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT, COMPL MIN 3 VIEWS LT | $559.20 | $1,398.00 | $75.51–$768.90 | 7% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPLETE 3+ VIEWS RT | $559.20 | $1,398.00 | $75.51–$768.90 | 7% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPLETE 3+ VIEWS LT | $559.20 | $1,398.00 | $75.51–$768.90 | 7% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XRAY FOOT COMPLETE 3+ VIEWS LT | $559.20 | $1,398.00 | $75.51–$768.90 | 7% below | 60% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XRAY FOOT, COMPL MIN 3 VIEWS BILAT | $1,118.00 | $2,795.00 | $75.51–$1,537.25 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XRAY FOOT, COMPL MIN 3 VIEWS LT | $559.20 | $1,398.00 | $75.51–$768.90 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XRAY FOOT COMPLETE 3+ VIEWS LT | $559.20 | $1,398.00 | $75.51–$768.90 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XRAY FOOT, COMPL MIN 3 VIEWS RT | $559.20 | $1,398.00 | $75.51–$768.90 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XRAY FOOT COMPLETE 3+ VIEWS RT | $559.20 | $1,398.00 | $75.51–$768.90 | — | 60% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XRAY HAND, MIN 3 VIEWS BILAT | $1,125.60 | $2,814.00 | $81.04–$1,547.70 | — | 60% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XRAY HAND, MIN 3 VIEWS BILAT | $1,125.60 | $2,814.00 | $81.04–$1,547.70 | — | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND, MIN 3 VIEWS RT | $563.20 | $1,408.00 | $81.04–$774.40 | 11% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND, MIN 3 VIEWS LT | $563.20 | $1,408.00 | $81.04–$774.40 | 11% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND COMPLETE 3+ VIEWS LT | $563.20 | $1,408.00 | $81.04–$774.40 | 11% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND, MIN 3 VIEWS RT | $563.20 | $1,408.00 | $81.04–$774.40 | 11% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND, MIN 3 VIEWS LT | $563.20 | $1,408.00 | $81.04–$774.40 | 11% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND COMPLETE 3+ VIEWS LT | $563.20 | $1,408.00 | $81.04–$774.40 | 11% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND COMPLETE 3+ VIEWS RT | $563.20 | $1,408.00 | $81.04–$774.40 | 11% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 XRAY HAND COMPLETE 3+ VIEWS RT | $563.20 | $1,408.00 | $81.04–$774.40 | 11% below | 60% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XRAY HAND, MIN 3 VIEWS BILAT | $1,125.60 | $2,814.00 | $81.04–$1,547.70 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY HAND COMPLETE 3+ VIEWS LT | $563.20 | $1,408.00 | $81.04–$774.40 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY HAND, MIN 3 VIEWS LT | $563.20 | $1,408.00 | $81.04–$774.40 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY HAND COMPLETE 3+ VIEWS RT | $563.20 | $1,408.00 | $81.04–$774.40 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XRAY HAND, MIN 3 VIEWS RT | $563.20 | $1,408.00 | $81.04–$774.40 | — | 60% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILATERAL | $1,385.20 | $3,463.00 | $77.72–$1,904.65 | — | 60% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILATERAL | $1,385.20 | $3,463.00 | $77.72–$1,904.65 | — | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS LT | $692.00 | $1,730.00 | $77.72–$951.50 | 15% above | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE, 1 OR 2 VIEWS RT | $692.00 | $1,730.00 | $77.72–$951.50 | 15% above | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE, 1 OR 2 VIEWS LT | $692.00 | $1,730.00 | $77.72–$951.50 | 15% above | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS LT | $692.00 | $1,730.00 | $77.72–$951.50 | 15% above | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS RT | $692.00 | $1,730.00 | $77.72–$951.50 | 15% above | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS RT | $692.00 | $1,730.00 | $77.72–$951.50 | 15% above | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE, 1 OR 2 VIEWS LT | $692.00 | $1,730.00 | $77.72–$951.50 | 15% above | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XRAY KNEE, 1 OR 2 VIEWS RT | $692.00 | $1,730.00 | $77.72–$951.50 | 15% above | 60% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BILATERAL | $1,385.20 | $3,463.00 | $77.72–$1,904.65 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS RT | $692.00 | $1,730.00 | $77.72–$951.50 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE, 1 OR 2 VIEWS LT | $692.00 | $1,730.00 | $77.72–$951.50 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE, 1 OR 2 VIEWS RT | $692.00 | $1,730.00 | $77.72–$951.50 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XRAY KNEE 1 OR 2 VIEWS LT | $692.00 | $1,730.00 | $77.72–$951.50 | — | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY LUMBOSACRAL SPINE 2 OR 3 VIEWS | $538.00 | $1,345.00 | $83.24–$235.69 | 22% below | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 XRAY LUMBOSACRAL SPINE 4+ VIEWS | $1,516.40 | $3,791.00 | $109.69–$235.69 | 35% above | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 XRAY LUMBOSACRAL SPINE, MIN 4 VIEWS | $1,516.40 | $3,791.00 | $109.69–$235.69 | 35% above | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY THORACIC SPINE, 2 VIEWS | $452.80 | $1,132.00 | $66.70–$235.69 | 27% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY THORACIC SPINE 2 VIEWS | $452.80 | $1,132.00 | $66.70–$235.69 | 27% below | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XRAY NASAL BONES COMPLETE 3+ VIEWS | $740.80 | $1,852.00 | $85.43–$194.81 | 15% above | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XRAY NASAL BONES, COMPL MIN 3 VIEWS | $740.80 | $1,852.00 | $85.43–$194.81 | 15% above | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY EXAM NECK SPINE 2-3 VIEWS | $348.00 | $870.00 | $83.24–$194.81 | 50% below | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS 1 OR 2 VIEWS | $833.20 | $2,083.00 | $61.17–$235.69 | 34% above | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS, 1 OR 2 VIEWS | $833.20 | $2,083.00 | $61.17–$235.69 | 34% above | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SACRUM-COCCYX MIN 2 VW | $502.40 | $1,256.00 | $69.99–$194.81 | 23% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SACRUM/COCCYX 2+ VIEWS | $502.40 | $1,256.00 | $69.99–$194.81 | 23% below | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH PLASMA LCB | $69.12 | $172.79 | $38.62–$145.28 | 52% above | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALPHA 2 MACROGLOBULIN FIBROMETER | $17.94 | $44.85 | $5.30–$20.40 | 54% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $100.42 | $251.05 | $5.30–$20.40 | 155% above | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 FIBROSIS METAVIR CLASSIFICATION | $17.94 | $44.85 | $5.18–$19.12 | 67% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $109.20 | $273.01 | $5.18–$19.12 | 100% above | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $500.25 | $1,250.63 | $47.63–$179.68 | 209% above | 60% |
| Albumin blood test CPT 82040 SERUM ALBUMIN ARUP | $4.80 | $12.00 | $4.95 | 72% below | 60% |
| Albumin blood test CPT 82040 ALBUMIN-SERUM | $50.23 | $125.58 | $4.95–$19.12 | 197% above | 60% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $93.15 | $232.88 | $40.75–$152.92 | 233% above | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE-ALK | $106.72 | $266.80 | $5.18–$19.12 | 144% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 2 ARUP | $2.19 | $5.47 | $5.22 | 72% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 1 ARUP | $2.19 | $5.47 | $5.22 | 72% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 3 ARUP | $2.19 | $5.47 | $5.22 | 72% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,MULREDIGE ARUP | $5.91 | $14.78 | $5.22–$14.15 | 24% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,ITCYPREIGE ARUP | $5.91 | $14.78 | $5.22–$14.15 | 24% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BAYIGE ARUP | $5.91 | $14.78 | $5.22–$14.15 | 24% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C - ALLERG SPEC IGE XTRC EA SERUM | $8.12 | $20.30 | $5.22–$19.12 | 4% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BL LOC ARUP | $8.48 | $21.19 | $5.22–$19.12 | 9% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CLADO IGG ARUP | $8.55 | $21.38 | $5.22–$19.12 | 10% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OCCUPAT P ANHYDRI IGE ARUP | $8.61 | $21.53 | $5.22–$19.12 | 10% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD ALPHAGAL ARUP | $18.00 | $45.00 | $5.22–$19.12 | 131% above | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROT TUMOR MARKER | $83.49 | $208.73 | $16.77–$62.44 | 148% above | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 MSS ALPHA FETOPROTEIN ONLY ARUP | $161.80 | $404.50 | $16.77–$62.44 | 380% above | 60% |
| Ammonia blood test CPT 82140 AMMONIA | $57.13 | $142.83 | $14.57–$54.80 | 50% below | 60% |
| Amylase blood test CPT 82150 AMYLASE-SERUM | $89.75 | $224.37 | $6.48–$24.24 | 186% above | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED (CCP) AB IGG | $26.64 | $66.59 | $12.95–$48.44 | 2% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCREEN | $84.73 | $211.83 | $12.09–$45.88 | 193% above | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEP TRMNL PRO BRAIN | $80.78 | $201.94 | $39.26–$147.84 | 51% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $254.20 | $635.49 | $39.26–$147.84 | 53% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,GASTRIC | $211.05 | $527.62 | $8.62–$31.88 | 183% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,TISSUE | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPINAL FLUID CULTURE | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,THROAT/NP | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,SKIN | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,WOUND | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,PLACENTA | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,CATH TIP | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,DIALYSIS FLUID | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,EAR | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,EYE | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,BODY FLUID | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,GENITAL | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,RESPIRATORY | $335.52 | $838.81 | $8.62–$31.88 | 349% above | 60% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $67.80 | $169.51 | $8.46–$31.88 | 79% below | 60% |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN NICU | $68.86 | $172.16 | $5.02–$19.12 | 191% above | 60% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $77.83 | $194.58 | $5.02–$19.12 | 229% above | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY AP TECH NEO | $24.40 | $61.00 | $49.47 | 79% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY AP NEO | $39.60 | $99.00 | $49.47–$82.79 | 66% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM PATHOLOGIST NEPHROPATH | $138.00 | $345.00 | $49.47–$133.20 | 19% above | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 AP SURG LEVEL IV PATH EXAM | $154.80 | $387.00 | $49.47–$133.20 | 33% above | 60% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE INITIAL | $322.60 | $806.50 | $10.32–$38.24 | 5% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $15.60 | $39.00 | $3.00 | 18% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE FOR BLOOD COLLECTION | $24.10 | $60.26 | $3.00 | 27% above | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE-BLOOD | $18.00 | $45.00 | $3.93–$15.32 | 60% below | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE ISTAT | $18.00 | $45.00 | $3.93–$15.32 | 60% below | 60% |
| Blood glucose (sugar) test CPT 82947 .GLUCOSE BASELINE | $18.00 | $45.00 | $3.93–$15.32 | 60% below | 60% |
| Blood glucose (sugar) test CPT 82947 C-CREATININE SERUM | $18.00 | $45.00 | $3.93–$15.32 | 60% below | 60% |
| Blood lead test CPT 83655 C - LEAD ANALYSIS | $28.64 | $71.59 | $12.11–$45.88 | 163% above | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG TEST - URINE QUAL | $133.68 | $334.19 | $7.52–$28.04 | 6% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO RLAB | $26.72 | $66.80 | $2.99–$11.48 | 44% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO CONFIRMATION | $81.01 | $202.52 | $2.99–$11.48 | 71% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING; ABO | $81.01 | $202.52 | $2.99–$11.48 | 71% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TYPE AND SCREEN | $81.01 | $202.52 | $2.99–$11.48 | 71% above | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN DIALYSIS ARTERIAL | $9.02 | $22.54 | $3.95–$15.32 | 80% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN DIALYSIS VENOUS | $9.02 | $22.54 | $3.95–$15.32 | 80% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN SLOW PUMP | $9.02 | $22.54 | $3.95–$15.32 | 80% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 ALANINE AMINOTRANSFERASE FIBROMETER | $17.94 | $44.85 | $3.95–$15.32 | 60% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN QUANT | $71.53 | $178.83 | $3.95–$15.32 | 58% above | 60% |
| C-peptide blood test CPT 84681 C - PEPTIDE | $119.28 | $298.20 | $20.81–$77.76 | 226% above | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 QUANT. C.R.P. | $204.01 | $510.03 | $5.18–$19.12 | 181% above | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE, TOXIN GENE,AMPL PROBE | $199.60 | $498.99 | $37.27–$140.16 | 76% above | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 (CARBOHYDRATE ANTIGEN 19-9) | $136.21 | $340.52 | $20.81–$77.76 | 148% above | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR MARKER CA125 | $215.92 | $539.81 | $20.81–$77.76 | 161% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 SARS COV2 BY NAAT LOW TPUT | $105.57 | $263.93 | $35.09–$139.05 | 20% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID RAPID NAAT | $105.57 | $263.93 | $35.09–$139.05 | 20% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 SARS COV2 BY NAAT LOW TPUT | $105.57 | $263.93 | $35.09–$139.05 | 20% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID RAPID NAAT | $105.57 | $263.93 | $35.09–$139.05 | 20% above | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID RAPID NAAT | $105.57 | $263.93 | $35.09–$139.05 | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 SARS COV2 BY NAAT LOW TPUT | $105.57 | $263.93 | $35.09–$139.05 | — | 60% |
| Calcium blood test, total CPT 82310 CALCIUM-SERUM TOTAL | $114.86 | $287.16 | $5.16–$19.12 | 133% above | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA-EIA | $166.98 | $417.45 | $18.96–$71.36 | 42% above | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER | $68.40 | $171.01 | $12.88–$48.44 | 276% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS AMPLIF PROBE | $131.19 | $327.98 | $35.09–$132.52 | 212% above | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL ARUP | $12.00 | $30.00 | $13.39 | 88% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPOFIT BY NMR2 | $12.65 | $31.63 | $13.39 | 88% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $126.78 | $316.94 | $13.39–$50.96 | 25% above | 60% |
| Complete blood count (CBC) with differential CPT 85025 CBC W PLATELET AUTO DIFF | $90.90 | $227.24 | $7.77–$29.32 | 34% above | 60% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC, AUTOMATED W/ PLATLET | $23.42 | $58.54 | $6.47–$24.24 | 76% below | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL NICU | $69.05 | $172.62 | $10.56–$39.52 | 85% below | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $69.05 | $172.62 | $10.56–$39.52 | 85% below | 60% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVA ARUP | $9.90 | $24.75 | $16.30 | 85% below | 60% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $161.32 | $403.31 | $16.30–$61.16 | 151% above | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 CK,CPK;TOTAL INITIAL | $116.75 | $291.87 | $6.51–$24.24 | 57% above | 60% |
| Creatinine blood test CPT 82565 POC CREATININE WHOLE BLOOD | $9.16 | $22.89 | $5.12–$19.12 | 83% below | 60% |
| Creatinine blood test CPT 82565 CREATININE-BLOOD | $48.35 | $120.87 | $5.12–$19.12 | 11% below | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEG RLAB | $25.88 | $64.70 | $14.39–$53.52 | 8% below | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AVIDITY ARUP | $54.80 | $137.00 | $14.39–$53.52 | 96% above | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV-IGG-ACUTE AB | $155.53 | $388.82 | $14.39–$53.52 | 455% above | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE | $86.62 | $216.55 | $10.18–$38.24 | 56% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S (DEHYDROEPIANDROSTERONE SULF | $172.59 | $431.48 | $22.23–$84.12 | 284% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL UMBILCAL CORD QUAL ARUP | $43.40 | $108.50 | $62.14 | 32% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TEMAZEPAM AND METABOLITE QUANT ARUP | $59.20 | $148.00 | $62.14 | 7% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 G HBUTYRIC SERU SCREN N REFLEX ARUP | $66.00 | $165.00 | $62.14 | 4% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 G HBUTYRIC URIN SCREN N REFLEX ARUP | $66.00 | $165.00 | $62.14 | 4% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CONFIRMATION SHH PRE-EM | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN SERUM | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATES SERUM LEVEL | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MLT CLASS RAPID 5 PANEL | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR PER DOS | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ECSTASY URINE | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAUMA TOX SCREEN MULTI CLASS | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM MULTI CLASS | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN ER ONLY | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OB DRUG SCREEN 4 PANEL URINE | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE 10 PANEL | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE SCREEN URINE QUAL | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE SCREEN URINE QUALITATIVE | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHAQUALONE SCREEN URINE QUAL | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE SCREEN URINE QUAL | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATE SCREEN QUALITATIVE | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINES CONF SERUM MEDTOX | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE SCREEN URINE QUAL | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID SCREEN URINE QUAL | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PHENCYCLIDINE SCREEN URINE QUAL | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PROPOXPHENE SCREEN QUALITATIVE | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES CONF SERUM MEDTOX | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN, TLC, URINE APERIAN | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE CONF SERUM MEDTOX | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATES CONF SERUM MEDTOX | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMP CHEM ANLYZR LCO | $174.00 | $435.00 | $62.14–$233.20 | 173% above | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL | $65.28 | $163.19 | $7.01–$26.76 | 70% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY EBV VIRAL CAPSID IGG | $92.05 | $230.12 | $18.14–$68.80 | 220% above | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY EBV VIRAL CAPSID IGM | $92.05 | $230.12 | $18.14–$68.80 | 220% above | 60% |
| Estradiol blood test CPT 82670 ESTRADIOL | $382.26 | $955.65 | $27.94–$104.48 | 1078% above | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM.HORM.(FSH) | $314.46 | $786.14 | $18.58–$70.08 | 399% above | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN ARUP | $56.22 | $140.56 | $19.63–$73.92 | 53% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $251.07 | $627.67 | $13.63–$50.96 | 102% above | 60% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $73.42 | $183.54 | $9.72–$36.96 | 7% below | 60% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $169.46 | $423.66 | $14.70–$54.80 | 35% above | 60% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $80.96 | $202.40 | $16.94–$63.72 | 30% above | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 (THYROXINE) | $261.10 | $652.74 | $9.02–$34.40 | 211% above | 60% |
| Free testosterone test CPT 84402 C - ASSAY OF FREE TESTOST SERUM | $39.64 | $99.10 | $25.47–$95.60 | 42% above | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASPARTATE AMINOTRANSFERASE FIBROMET | $17.94 | $44.85 | $7.20–$26.76 | 61% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 G GLUTAMYL TRANSFERASE-GT | $67.16 | $167.90 | $7.20–$26.76 | 45% above | 60% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $117.44 | $293.60 | $47.28–$152.92 | 21% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE CHALLENGE TEST | $56.49 | $141.22 | $4.75–$17.84 | 20% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTATIONAL GLUCOSE SCREENING | $56.49 | $141.22 | $4.75–$17.84 | 20% below | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 2 HR POSTPRANDIAL GLUCOSE | $56.49 | $141.22 | $4.75–$17.84 | 20% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE (3 SPECIMENS) | $79.72 | $199.30 | $12.87–$48.44 | 36% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE, AMPLIFIED PROBE | $131.19 | $327.98 | $35.09–$132.52 | 216% above | 60% |
| H. pylori antibody blood test CPT 86677 H.PYLORI IGG ANTIBODY | $87.86 | $219.65 | $16.85–$63.72 | 166% above | 60% |
| H. pylori stool antigen test CPT 87338 H. PYLORI STOOL ANTIGEN (EIA) | $166.34 | $415.84 | $14.38–$53.52 | 251% above | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV I RNA PCR QUANTITATIVE | $462.58 | $1,156.44 | $85.10–$319.84 | 318% above | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 & HIV-2 ANTIBODY SNGL RESULT | $105.43 | $263.58 | $24.08–$90.48 | 35% above | 60% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA TISSUE TESTING NEO | $164.00 | $410.00 | $35.09–$132.52 | 351% above | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED (A1C) | $294.36 | $735.89 | $9.71–$36.96 | 323% above | 60% |
| Hemoglobin blood test CPT 85018 C-HEMOGLOBIN | $5.46 | $13.66 | $2.37–$8.92 | 90% below | 60% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $11.92 | $29.79 | $2.37–$8.92 | 78% below | 60% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY | $133.08 | $332.70 | $12.05–$45.88 | 274% above | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $133.08 | $332.70 | $10.74–$40.80 | 202% above | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIG | $55.25 | $138.12 | $10.33–$38.24 | 54% above | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $70.29 | $175.72 | $14.27–$53.52 | 51% above | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR RNA QUANTITATIVE | $581.86 | $1,454.64 | $42.84–$160.56 | 414% above | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 AB IGG CSF ARUP | $8.43 | $21.08 | $13.19 | 64% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES TYPE 1 ANTIBODIES | $100.42 | $251.05 | $13.19–$49.72 | 329% above | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 AB IGG CSF ARUP | $8.43 | $21.08 | $19.35 | 74% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES TYPE 2 ANTIBODIES | $100.42 | $251.05 | $19.35–$72.64 | 204% above | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY C REACTIVE PROTEIN | $112.33 | $280.83 | $12.95–$48.44 | 166% above | 60% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QUANT | $113.62 | $284.05 | $17.92–$67.56 | 112% above | 60% |
| Insulin blood test CPT 83525 TOTAL INSULIN | $59.02 | $147.55 | $11.43–$43.36 | 134% above | 60% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER ARUP | $22.09 | $55.22 | $6.47–$24.24 | 60% below | 60% |
| Iron blood test (serum iron) CPT 83540 IRON-SERUM | $99.18 | $247.94 | $6.47–$24.24 | 82% above | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY ONLY | $99.18 | $247.94 | $8.74–$33.16 | 10% above | 60% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $48.35 | $120.87 | $8.68–$33.16 | 88% below | 60% |
| LH (luteinizing hormone) test CPT 83002 LH PEDIATRIC < 7 YRS OLD ARUP | $21.36 | $53.40 | $18.52–$50.19 | 66% below | 60% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) | $330.14 | $825.36 | $18.52–$70.08 | 423% above | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL ART | $20.70 | $51.75 | $11.57–$43.36 | 72% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL VEIN | $20.70 | $51.75 | $11.57–$43.36 | 72% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 C-LACTIC ACID | $63.98 | $159.94 | $11.57–$43.36 | 14% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (CSF) | $81.60 | $204.01 | $11.57–$43.36 | 10% above | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $81.60 | $204.01 | $11.57–$43.36 | 10% above | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID REPEAT | $81.60 | $204.01 | $11.57–$43.36 | 10% above | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $27.00 | $67.51 | $6.04–$22.96 | 50% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $96.65 | $241.62 | $6.89–$25.52 | 66% above | 60% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL NICU | $75.30 | $188.26 | $8.17–$30.60 | 68% below | 60% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $75.30 | $188.26 | $8.17–$30.60 | 68% below | 60% |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI C6 PEP AB ARUP | $26.04 | $65.10 | $17.03–$63.72 | 4% above | 60% |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI(LYME DISEASE) | $87.86 | $219.65 | $17.03–$63.72 | 252% above | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC ARUP | $5.39 | $13.48 | $6.70 | 59% below | 60% |
| Magnesium blood test CPT 83735 IONIZED MAGNESIUM | $15.27 | $38.18 | $6.70–$25.52 | 15% above | 60% |
| Magnesium blood test CPT 83735 IONIZED MAGNESIUM BAPTIST | $53.96 | $134.90 | $6.70–$25.52 | 307% above | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM-URINE-QUANT | $60.90 | $152.26 | $6.70–$25.52 | 360% above | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM | $60.90 | $152.26 | $6.70–$25.52 | 360% above | 60% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES BY EIA | $38.92 | $97.29 | $12.88–$48.44 | 47% above | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $89.75 | $224.37 | $5.18–$19.12 | 47% below | 60% |
| Mumps immunity blood test CPT 86735 MUMPS IGG ANTIBODY | $131.19 | $327.98 | $13.05–$49.72 | 707% above | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $102.30 | $255.76 | $18.39–$68.80 | 227% above | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPEC ANTIGEN(PSA) TOTAL | $120.52 | $301.30 | $18.39–$68.80 | 115% above | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $216.52 | $541.31 | $41.28–$155.44 | 120% above | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $143.75 | $359.38 | $6.01–$22.96 | 274% above | 60% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS-SERUM | $65.28 | $163.19 | $4.74–$17.84 | 7% above | 60% |
| Potassium blood test CPT 84132 C-POTASSIUM SERUM | $19.37 | $48.42 | $4.76–$17.84 | 71% below | 60% |
| Potassium blood test CPT 84132 POTASSIUM ISTAT | $24.34 | $60.84 | $4.76–$17.84 | 63% below | 60% |
| Potassium blood test CPT 84132 POTASSIUM-SERUM | $26.36 | $65.90 | $4.76–$17.84 | 60% below | 60% |
| Progesterone blood test CPT 84144 PROGESTERONE | $188.28 | $470.70 | $20.86–$79.00 | 301% above | 60% |
| Prolactin blood test CPT 84146 PROLACTIN | $355.26 | $888.15 | $19.38–$72.64 | 448% above | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $54.60 | $136.51 | $4.29–$16.56 | 50% above | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME ARUP | $153.20 | $383.00 | $4.29–$16.56 | 321% above | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 NICOTINE URINE | $11.09 | $27.72 | $12.60 | 89% below | 60% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN | $104.80 | $262.00 | $16.53–$62.44 | 8% below | 60% |
| Rh blood typing CPT 86901 WEAK D TYPING | $15.32 | $38.30 | $2.99–$11.48 | 63% below | 60% |
| Rh blood typing CPT 86901 BLOOD TYPING; RH(D) | $29.62 | $74.06 | $2.99–$11.48 | 29% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR-QUANT. | $186.39 | $465.98 | $5.67–$21.68 | 665% above | 60% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA-ACUTE | $279.96 | $699.89 | $14.39–$53.52 | 1385% above | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE WESTERGREN AUTOMATED | $16.33 | $40.83 | $2.70–$10.20 | 85% below | 60% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $192.70 | $481.74 | $12.31–$45.88 | 23% below | 60% |
| Sodium blood test CPT 84295 C-SODIUM SERUM | $19.51 | $48.78 | $4.81–$17.84 | 71% below | 60% |
| Sodium blood test CPT 84295 C-GLUCOSE BLOOD | $19.51 | $48.78 | $4.81–$17.84 | 71% below | 60% |
| Sodium blood test CPT 84295 SODIUM ISTAT | $24.34 | $60.84 | $4.81–$17.84 | 64% below | 60% |
| Sodium blood test CPT 84295 SODIUM-SERUM | $26.36 | $65.90 | $4.81–$17.84 | 61% below | 60% |
| Stool ova and parasites exam CPT 87177 OVA CYSTS PARASITES | $38.27 | $95.68 | $8.90–$33.16 | 8% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SCREENING | $54.60 | $136.51 | $4.38–$16.56 | 3% above | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT EIA 1-3 STOOLS | $90.85 | $227.13 | $15.92–$59.92 | 82% above | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLADUM AB IGM ARUP | $8.80 | $22.01 | $13.24 | 40% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLADUM AB IGG ARUP | $8.80 | $22.01 | $13.24 | 40% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY,TREPONEMA PALLIDUM | $67.16 | $167.90 | $13.24–$49.72 | 360% above | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUALITATIVE | $34.50 | $86.25 | $4.27–$16.56 | 74% above | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS | $110.91 | $277.27 | $61.98–$233.20 | 80% above | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE | $100.42 | $251.05 | $25.81–$96.84 | 235% above | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 URTICARIA ACTIVITY WTHYROAB 3 ARUP | $11.64 | $29.10 | $14.55 | 14% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB IGG | $29.95 | $74.87 | $14.55–$54.80 | 120% above | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 URTICARIA ACTIVITY WTHYROAB 2 ARUP | $11.64 | $29.10 | $16.80 | 91% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE-TSH | $236.62 | $591.56 | $16.80–$63.72 | 90% above | 60% |
| Total IgE blood test CPT 82785 IGE | $134.32 | $335.80 | $16.46–$62.44 | 467% above | 60% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL-SERUM TOTAL | $66.52 | $166.29 | $4.35–$16.56 | 130% above | 60% |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL | $139.34 | $348.34 | $6.87–$25.52 | 53% above | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 T3, TOTAL (TT3) | $242.28 | $605.71 | $14.18–$53.52 | 212% above | 60% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $91.63 | $229.08 | $12.76–$48.44 | 19% above | 60% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF PROBE | $151.30 | $378.24 | $35.09–$132.52 | 209% above | 60% |
| Triglycerides blood test CPT 84478 VAP TRIGLYCERIDESL ARUP | $11.00 | $27.50 | $5.74–$21.68 | 65% below | 60% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $50.23 | $125.58 | $5.74–$21.68 | 59% above | 60% |
| Troponin test, quantitative CPT 84484 TROPONIN I QUANTITATIVE INITIAL | $135.56 | $338.91 | $12.47–$47.16 | 9% below | 60% |
| Troponin test, quantitative CPT 84484 TROPONIN I QUANTITATIVE SUBSEQUENT | $135.56 | $338.91 | $12.47–$47.16 | 9% below | 60% |
| Uric acid blood test CPT 84550 URIC ACID-SERUM | $65.28 | $163.19 | $4.52–$16.56 | 21% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTOMATED MAC MIC | $22.91 | $57.27 | $3.17–$11.48 | 86% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTOMATED W/MICRO | $77.83 | $194.58 | $3.17–$11.48 | 52% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY-URINE | $14.44 | $36.11 | $2.25–$8.92 | 83% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 OCCULT BLOOD-URINE | $28.89 | $72.22 | $2.25–$8.92 | 65% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, AUTOMATED W/O MICRO | $56.12 | $140.30 | $2.25–$8.92 | 33% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIPSTICK ONLY | $59.76 | $149.39 | $2.25–$8.92 | 29% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $59.76 | $149.39 | $2.25–$8.92 | 29% below | 60% |
| Urinalysis without microscope exam, manual CPT 81002 REDUCING SUBSTANCES - URINE | $10.67 | $26.68 | $3.48–$12.76 | 47% below | 60% |
| Urinalysis without microscope exam, manual CPT 81002 ICTOTEST-URINE | $10.67 | $26.68 | $3.48–$12.76 | 47% below | 60% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COLONY COUNT | $96.05 | $240.12 | $8.07–$30.60 | 43% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN-QUANTITATIVE | $34.50 | $86.25 | $5.78–$21.68 | 22% above | 60% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE, VISUAL | $31.65 | $79.12 | $8.61–$31.88 | 75% below | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 | $194.58 | $486.45 | $15.08–$57.36 | 58% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D2-D3 ESO | $53.02 | $132.54 | $29.60–$110.88 | 15% above | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D;25 HYDROXY | $93.52 | $233.80 | $29.60–$110.88 | 103% above | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 1 25 DIHYDROXYVITAMIN D ESO | $88.04 | $220.11 | $38.50–$145.28 | 129% above | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANT BETA HCG | $203.37 | $508.42 | $15.05–$56.08 | 245% above | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 AFP PLUS; HCG | $869.63 | $2,174.08 | $15.05–$56.08 | 1374% above | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Catheter ablation for atrial fibrillation CPT 93656 EP EVL TRNSPTL TX ATRL FIB ISO PULM | $44,190.00 | $110,475.00 | $19,634.00–$31,515.00 | 11% below | 60% |
| Coronary stent placement, one artery CPT 92928 PRQ TRLUML COR STENT W/ANGIO 1 A/B | $12,712.40 | $31,781.00 | $18,913.00–$31,515.00 | 46% below | 60% |
| Pacemaker implant (dual chamber) CPT 33208 INSERT PERM PACEMAKER W/E-ART & VEN | $24,824.40 | $62,061.00 | $18,591.00–$20,657.00 | 25% above | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 E/R VISIT-CRITICAL CARE | $4,566.40 | $11,416.00 | $1,838.00–$7,096.00 | 6% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED OB LEVEL 1 EMERGENCY CARE | $222.40 | $556.00 | $302.00–$487.00 | 55% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/R LEVEL 1 WITH PROCEDURE | $294.00 | $735.00 | $302.00–$487.00 | 41% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/R VISIT-MINOR SERVICE | $409.20 | $1,023.00 | $302.00–$955.00 | 17% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor one side CPT 99281 ED LEFT AMA | $147.60 | $369.00 | $302.00–$344.00 | 70% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED OB LEVEL 2 EMERGENCY CARE | $291.60 | $729.00 | $501.00 | 68% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/R VISIT-LOW SEVERITY | $614.80 | $1,537.00 | $501.00–$1,504.00 | 32% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/R LEVEL 2 WITH PROCEDURE | $614.80 | $1,537.00 | $501.00–$1,504.00 | 32% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED OB LEVEL 3 EMERGENCY CARE | $738.80 | $1,847.00 | $848.00–$1,275.00 | 55% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/R LEVEL 3 WITH PROCEDURE | $903.60 | $2,259.00 | $848.00–$2,189.00 | 45% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/R VISIT-MODERATE SEVERITY | $1,294.00 | $3,235.00 | $848.00–$2,189.00 | 21% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED OB LEVEL 4 EMERGENCY CARE | $1,238.40 | $3,096.00 | $1,223.00–$2,933.00 | 50% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/R LEVEL 4 WITH PROCEDURE | $1,466.80 | $3,667.00 | $1,223.00–$3,555.00 | 41% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/R VISIT-HIGH SEVERITY | $1,777.20 | $4,443.00 | $1,223.00–$4,250.00 | 28% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED OB LEVEL 5 EMERGENCY CARE | $1,611.60 | $4,029.00 | $1,404.00–$3,983.00 | 53% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/R LEVEL 5 WITH PROCEDURE | $1,769.60 | $4,424.00 | $1,404.00–$4,423.00 | 48% below | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/R VISIT-LIFE THREATENING | $1,769.60 | $4,424.00 | $1,404.00–$4,423.00 | 48% below | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING ONLY | $2,229.60 | $5,574.00 | $4,515.00 | 48% above | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GXT WITH/W/OUT RADIOPHARMACEUTICAL | $2,229.60 | $5,574.00 | $4,515.00 | 48% above | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED OB IV HYDRAT INIT 31-90 MIN | $410.80 | $1,027.00 | $347.64 | 27% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL 31 MIN TO 1 HR | $581.60 | $1,454.00 | $347.64 | 3% above | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INITIAL 31 MIN - 1 HR | $581.60 | $1,454.00 | $347.64 | 3% above | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCLAR RE-EDUCATION EA 15 | $138.40 | $346.00 | $239.00 | 6% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-EDUCATION 15MIN | $138.40 | $346.00 | $239.00 | 6% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCLAR RE-EDUCATION EA 15 | $138.40 | $346.00 | $239.00 | 6% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT-NEUROMUSCLAR REEDUCATION EA 15 | $138.40 | $346.00 | $239.00 | 6% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT-NEUROMUSCULAR REEDUCATION EA 15 | $138.40 | $346.00 | $239.00 | 6% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT-NEUROMUSCULAR REEDUCATION EA 15 | $138.40 | $346.00 | $239.00 | 6% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDUCATION 15MIN | $138.40 | $346.00 | $239.00 | 6% below | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCLAR RE-EDUCATION EA 15 | $138.40 | $346.00 | $239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-EDUCATION 15MIN | $138.40 | $346.00 | $239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE-EDUCATION 15MIN | $138.40 | $346.00 | $239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT-NEUROMUSCULAR REEDUCATION EA 15 | $138.40 | $346.00 | $239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT-NEUROMUSCULAR REEDUCATION EA 15 | $138.40 | $346.00 | $239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT-NEUROMUSCLAR REEDUCATION EA 15 | $138.40 | $346.00 | $239.00 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCLAR RE-EDUCATION EA 15 | $138.40 | $346.00 | $239.00 | — | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TELEHEALTH- NUT INDV EVAL 15MN | $31.20 | $78.00 | $42.90 | 53% below | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TELEHEALTH- NUT INDV EVAL 15MN | $31.20 | $78.00 | $42.90 | — | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 OCCU THERPY EVAL LOW COMP | $193.60 | $484.00 | $239.00–$266.20 | 59% below | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 OCCUP THERAPY EVAL LOW COMPLEX | $193.60 | $484.00 | $239.00–$266.20 | 59% below | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 OCCUPATIONAL THERAPY EVAL LOW COMP | $193.60 | $484.00 | $239.00–$266.20 | 59% below | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 OCCUPATIONAL THERPY EVAL LOW COMP | $193.60 | $484.00 | $239.00–$266.20 | 59% below | 60% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCU THERPY EVAL LOW COMP | $193.60 | $484.00 | $239.00–$266.20 | — | 60% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUPATIONAL THERPY EVAL LOW COMP | $193.60 | $484.00 | $239.00–$266.20 | — | 60% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUP THERAPY EVAL LOW COMPLEX | $193.60 | $484.00 | $239.00–$266.20 | — | 60% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUPATIONAL THERAPY EVAL LOW COMP | $193.60 | $484.00 | $239.00–$266.20 | — | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT-PHYSICAL THERAPY EVAL HI COMP | $238.00 | $595.00 | $239.00–$327.25 | 55% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVAL HIGH COMP | $238.00 | $595.00 | $239.00–$327.25 | 55% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVAL HIGH COMPLEX | $238.00 | $595.00 | $239.00–$327.25 | 55% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVAL HIGH COMP | $238.00 | $595.00 | $239.00–$327.25 | — | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVAL HIGH COMPLEX | $238.00 | $595.00 | $239.00–$327.25 | — | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT-PHYSICAL THERAPY EVAL HI COMP | $238.00 | $595.00 | $239.00–$327.25 | — | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEX | $238.00 | $595.00 | $239.00–$327.25 | 47% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT-PHYSICAL THERAPY EVAL LOW COMP | $238.00 | $595.00 | $239.00–$327.25 | 47% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL LOW COMP | $238.00 | $595.00 | $239.00–$327.25 | 47% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVAL LOW COMP | $238.00 | $595.00 | $239.00–$327.25 | — | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVAL LOW COMPLEX | $238.00 | $595.00 | $239.00–$327.25 | — | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT-PHYSICAL THERAPY EVAL LOW COMP | $238.00 | $595.00 | $239.00–$327.25 | — | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEX | $238.00 | $595.00 | $239.00–$327.25 | 47% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT-PHYSICAL THERAPY EVAL MOD COMP | $238.00 | $595.00 | $239.00–$327.25 | 47% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVAL MOD COMP | $238.00 | $595.00 | $239.00–$327.25 | 47% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVAL MOD COMP | $238.00 | $595.00 | $239.00–$327.25 | — | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT-PHYSICAL THERAPY EVAL MOD COMP | $238.00 | $595.00 | $239.00–$327.25 | — | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVAL MOD COMPLEX | $238.00 | $595.00 | $239.00–$327.25 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-MANUAL THERAPY EA 15MIN | $94.00 | $235.00 | $129.25 | 27% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY EA 15 MIN | $119.20 | $298.00 | $163.90–$239.00 | 8% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-MANUAL THERAPY EA 15 MIN | $119.20 | $298.00 | $163.90–$239.00 | 8% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT-MANUAL THERAPY EA 15 MIN | $119.20 | $298.00 | $163.90–$239.00 | 8% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY EA 15 MIN | $119.20 | $298.00 | $163.90–$239.00 | 8% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT-MANUAL THERAPY EA 15MIN | $94.00 | $235.00 | $129.25 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT-MANUAL THERAPY EA 15 MIN | $119.20 | $298.00 | $163.90–$239.00 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT-MANUAL THERAPY EA 15 MIN | $119.20 | $298.00 | $163.90–$239.00 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY EA 15 MIN | $119.20 | $298.00 | $163.90–$239.00 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY EA 15 MIN | $119.20 | $298.00 | $163.90–$239.00 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE EA 15 MIN | $120.00 | $300.00 | $239.00 | 17% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE EA 15 MIN | $120.00 | $300.00 | $239.00 | 17% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 COTA-THERAPEUTIC EXERCISE EA 15 MIN | $120.00 | $300.00 | $239.00 | 17% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAPEUTIC EXERCISE EA 15 MIN | $120.00 | $300.00 | $239.00 | 17% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA-THERAPEUTIC EXERCISE EA 15 MIN | $120.00 | $300.00 | $239.00 | 17% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT-THERAPEUTIC EXERCISE EA 15 MIN | $120.00 | $300.00 | $239.00 | 17% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 COTA-THERAPEUTIC EXERCISE EA 15 MIN | $120.00 | $300.00 | $239.00 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA-THERAPEUTIC EXERCISE EA 15 MIN | $120.00 | $300.00 | $239.00 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISE EA 15 MIN | $120.00 | $300.00 | $239.00 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT-THERAPEUTIC EXERCISE EA 15 MIN | $120.00 | $300.00 | $239.00 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC EXERCISE EA 15 MIN | $120.00 | $300.00 | $239.00 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT-THERAPEUTIC EXERCISE EA 15 MIN | $120.00 | $300.00 | $239.00 | — | 60% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHENSION | $531.60 | $1,329.00 | $239.00 | 9% below | 60% |
| Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHENSION | $531.60 | $1,329.00 | $239.00 | — | 60% |
| Speech therapy session, individual CPT 92507 ST SPEECH/HEARING THERAPY INDIVID | $284.40 | $711.00 | $239.00 | 21% below | 60% |
| Speech therapy session, individual CPT 92507 SPEECH LANGUAGE AURAL REHAB TX | $284.40 | $711.00 | $239.00 | 21% below | 60% |
| Speech therapy session, individual CPT 92507 ST SPEECH/HEARING THERAPY | $284.40 | $711.00 | $239.00 | 21% below | 60% |
| Speech therapy session, individual CPT 92507 ST SPEECH THERAPY | $284.40 | $711.00 | $239.00 | 21% below | 60% |
| Speech therapy session, individual inpatient CPT 92507 ST SPEECH/HEARING THERAPY | $284.40 | $711.00 | $239.00 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH LANGUAGE AURAL REHAB TX | $284.40 | $711.00 | $239.00 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 ST SPEECH THERAPY | $284.40 | $711.00 | $239.00 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 ST SPEECH/HEARING THERAPY INDIVID | $284.40 | $711.00 | $239.00 | — | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITIES EA 15 MIN | $116.00 | $290.00 | $159.50–$239.00 | 23% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 COTA-THERAPEUTIC ACTIVIT EA 15 MIN | $116.00 | $290.00 | $159.50–$239.00 | 23% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT-THERAPEUTIC ACTIVITIES EA 15 MIN | $116.00 | $290.00 | $159.50–$239.00 | 23% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA-THERAPEUTIC ACTIVITIE EA 15 MIN | $116.00 | $290.00 | $159.50–$239.00 | 23% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT-THERAPEUTIC ACTIVITIES EA 15 MIN | $116.00 | $290.00 | $159.50–$239.00 | 23% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES EA 15 MIN | $116.00 | $290.00 | $159.50–$239.00 | 23% below | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA-THERAPEUTIC ACTIVITIE EA 15 MIN | $116.00 | $290.00 | $159.50–$239.00 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITIES EA 15 MIN | $116.00 | $290.00 | $159.50–$239.00 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT-THERAPEUTIC ACTIVITIES EA 15 MIN | $116.00 | $290.00 | $159.50–$239.00 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 COTA-THERAPEUTIC ACTIVIT EA 15 MIN | $116.00 | $290.00 | $159.50–$239.00 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT-THERAPEUTIC ACTIVITIES EA 15 MIN | $116.00 | $290.00 | $159.50–$239.00 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITIES EA 15 MIN | $116.00 | $290.00 | $159.50–$239.00 | — | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Florida | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50MCG/.5ML +12YR MDRNA | $241.80 | $604.50 | $238.23–$266.72 | 8% above | 60% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCOV2 VAC 30MCG T-S -12YR PFZR | $224.08 | $560.20 | $229.74–$257.24 | 7% below | 60% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX 0.5ML DTAP VACC AGE < 7YRS | $58.42 | $146.05 | $48.39–$58.91 | 41% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVIRIN PF 0.5ML 2017-18 (4YRS-UP) | $15.88 | $39.70 | $33.15–$36.88 | 79% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE PF TRIVALENT 0.5ML 2024-25 | $24.56 | $61.40 | $33.15–$36.88 | 67% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVIRIN PF 4 YRS AND UP 2016-17 | $50.20 | $125.50 | $33.15–$36.88 | 32% below | 60% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX HB 10MCG/ML IM VL ADULT | $108.33 | $270.83 | $115.61–$116.13 | 57% below | 60% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACC 20MCG/0.5ML | $174.18 | $435.45 | $248.03–$292.97 | 49% below | 60% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VACCINE 3 DOSE PEDS/ADOL IM | $26.94 | $67.35 | $46.89–$52.26 | 73% below | 60% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX-HB 5MCG/0.5ML IM VL PEDS | $32.55 | $81.38 | $46.89–$52.26 | 68% below | 60% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B VACC (ACTHIB) 0.5ML INJ | $65.68 | $164.20 | $20.25–$26.05 | 5% above | 60% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR INJ .5CC | $106.20 | $265.50 | $155.39–$187.75 | 45% below | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE 0.5ML VL | $231.24 | $578.10 | $264.35–$306.16 | 59% below | 60% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENOMUNE IM INJ 0.5ML | $256.78 | $641.96 | $264.35–$306.16 | 55% below | 60% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR-13 INJ IM, SYRINGE | $426.36 | $1,065.91 | $380.40–$425.68 | 27% below | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL VAC IM 20VAL 0.5ML | $359.73 | $899.33 | $439.43–$516.29 | 62% below | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 0.5 CC DOSE INJ | $111.94 | $279.84 | $196.70–$220.23 | 72% below | 60% |
| Polio vaccine, inactivated (IPV) CPT 90713 IPOL 0.5ML INJ | $114.98 | $287.45 | $75.15–$88.32 | 17% above | 60% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 BEYFORTUS 100MG/1ML SYRINGE | $924.26 | $2,310.66 | $873.18–$1,101.14 | 28% below | 60% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50MG/0.5ML | $924.26 | $2,310.66 | $873.18–$2,202.29 | 42% below | 60% |
| Rabies vaccine, one dose CPT 90675 RAB AVERT RABALERT | $577.14 | $1,442.86 | $524.16–$695.37 | 51% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC INJ 0.5ML | $65.64 | $164.10 | $56.03–$67.73 | 55% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX PF(TDAP)IM AGE 7+YRS 0.5ML | $166.24 | $415.61 | $64.47–$79.62 | 19% below | 60% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.