Where is BayCare Alliant Hospital?

601 Main St, Dunedin, FL 34698, in Pinellas County, Florida.

What is the phone number of BayCare Alliant Hospital?

(727) 734-6782, as listed by Medicare (CMS).

BayCare Alliant Hospital — Dunedin, FL

Quick answers

Where is BayCare Alliant Hospital?: 601 Main St, Dunedin, FL 34698, in Pinellas County, Florida.
What is the phone number of BayCare Alliant Hospital?: (727) 734-6782, as listed by Medicare (CMS).

Specialties and care areas^[4][5][6][7]

Long-term acute care (specialty acute care)
Complex respiratory care
Specialized cardiac care
Complex wound care
Neurological recovery and stroke care
Rehabilitation
Critical care
Pulmonary and respiratory
Heart and vascular
Wound care
Infectious disease
Palliative care
Pain management

Conditions treated^[4][5][7][9]

Complex respiratory illness
Medically complex conditions
Complex respiratory conditions
Congestive heart failure
Recovery from cardiac surgery
Myocardial infarction
Pulmonary arterial hypertension
Pulmonary embolism
Vascular disease
Cardiac arrhythmias
Dyspnea of cardiac origin
Stroke
Traumatic brain injury
Spinal cord injury
Surgical wound infection
Chronic non-healing wounds or ulcers
Pressure ulcers
Cellulitis
Osteomyelitis (bone infection)
Post-amputation wounds
Severe skin infections
Skin grafts
Bacteremia
MRSA
Sepsis
VRE infection
Kidney infection (pyelonephritis)
Viral encephalitis or meningitis
Endocarditis

Treatments^[4][7][9]

Ventilator weaning
Pain management
Post-surgical care
Trauma recovery
Continuous cardiac telemetry and monitoring
Cardiac medication management
Intravenous heart medications
Long-term intravenous antibiotic therapy
Wound VAC (vacuum-assisted closure)
Surgical debridement
Physical therapy
Occupational therapy
Speech therapy
Pulmonary rehabilitation
Cardiac rehabilitation
Neurological rehabilitation
Nutrition management
Tracheostomy speaking valve training

Programs and centers^[7][9]

Early Mobilization Program
Activities of Daily Living Retraining
Turning and Repositioning Program
Holistic Care Program
Cardiac rehabilitation program
Pulmonary rehabilitation program
Neurological rehabilitation program
Palliative care program
Wound care program

Visiting and practical information

Visiting	Visitation policy is on a 'How to Visit our Patients' page; families are encouraged to tour before admission^[6][8]
Patient portal	My BayCare Patient Portal

Recognition^[4][5]

The Joint Commission accreditation
Medicare-certified
Accredited by The Joint Commission

Nearest emergency rooms

Hospitals that list emergency services, by straight-line distance (not driving distance).

Mease Dunedin Hospital0.0 mi · Dunedin, FL · Acute Care Hospital
Morton Plant Hospital4.5 mi · Clearwater, FL · Acute Care Hospital
Mease Countryside Hospital5.8 mi · Safety Harbor, FL · Acute Care Hospital
HCA Florida Largo Hospital7.0 mi · Largo, FL · Acute Care Hospital
AdventHealth North Pinellas8.3 mi · Tarpon Springs, FL · Acute Care Hospital

Other hospitals nearby

Encompass Health Rehabilitation Hospital of Largo6.2 mi · Largo, FL · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Willowbrooke Court Skilled Care Center at Mease Li0.2 mi · Dunedin, FL · 5 of 5 stars
Meadowpark Health and Rehabilitation Center0.5 mi · Dunedin, FL · 4 of 5 stars
Aviata at Lakeside Oaks0.8 mi · Dunedin, FL · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Accentcare Hospice & Palliative Care of Pinellas C4.8 mi · Clearwater, FL · 3 of 5 stars
Suncoast Hospice5.8 mi · Palm Harbor, FL · 3 of 5 stars
Accent Care Hospice & Palliative Care of Hillsboro16 mi · Tampa, FL · 1 of 5 stars

All hospice providers in the state →

Home health agencies

BayCare Home Care Inc1.6 mi · Dunedin, FL · 4 of 5 stars
In Touch Home Health LLC2.4 mi · Clearwater, FL
Trilogy Home Healthcare2.6 mi · Clearwater, FL

All home health agencies in the state →

Dialysis facilities

DaVita Gulf Breeze Dialysis Center1.6 mi · Dunedin, FL · 3 of 5 stars
Fresenius Kidney Care-Dunedin1.6 mi · Dunedin, FL · 4 of 5 stars
BMA - Clearwater3.8 mi · Clearwater, FL · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

North Pinellas Surgery Center1.6 mi · Dunedin, FL
Surgcenter Dunedin1.6 mi · Dunedin, FL
Tampa Bay Joint and Spine Surgery Center2.6 mi · Clearwater, FL

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Community Health Center of Pinellas Inc1.6 mi · Dunedin, FL · Community health center
Evara Health - Countryside2.9 mi · Clearwater, FL · Community health center
Evara Health - Clearwater4.0 mi · Clearwater, FL · Community health center

Clinics and urgent care

Smart ER Urgent Care LLC3.8 mi · Clearwater, FL · Urgent care center
Dwic of Tampa Bay, Inc.3.8 mi · Clearwater, FL · Urgent care center
Goodcall Housecalls, LLC4.8 mi · Clearwater, FL · Urgent care center

Pharmacies

Amato Management LLC1.6 mi · Dunedin, FL · Community/retail pharmacy
Archangel Raphael LLC1.6 mi · Dunedin, FL · Community/retail pharmacy
CARE2U LLC1.6 mi · Dunedin, FL · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Angels Senior Living of Dunedin1.6 mi · Dunedin, FL
Aviata at Lakeside Oaks Villas1.6 mi · Dunedin, FL
Bayou Gardens Dunedin, LLC1.6 mi · Dunedin, FL
Oakbridge Terrace Assisted Living at Mease Life1.6 mi · Dunedin, FL

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Florida Best hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 61 common services exactly as BayCare Alliant Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$89.98 – $95.17
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — Medicaid HMO: $92.58 Clear Health Alliance — Medicaid HMO: $87.39 Florida Community Care — Medicaid HMO: $95.17 Freedom Health — Medicaid HMO: $90.85 Humana — Medicaid HMO: $89.98 Molina Healthcare — Medicaid HMO: $90.85 Simply HealthCare — Medicaid HMO: $90.85 Sunshine Health — Medicaid HMO: $90.85 United Healthcare — Medicaid HMO: $88.25
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$89.98 – $95.17
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — Medicaid HMO: $92.58 Clear Health Alliance — Medicaid HMO: $87.39 Florida Community Care — Medicaid HMO: $95.17 Freedom Health — Medicaid HMO: $90.85 Humana — Medicaid HMO: $89.98 Molina Healthcare — Medicaid HMO: $90.85 Simply HealthCare — Medicaid HMO: $90.85 Sunshine Health — Medicaid HMO: $90.85 United Healthcare — Medicaid HMO: $88.25
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$107.13 – $113.31
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Medicaid HMO: $110.22 Clear Health Alliance — Medicaid HMO: $104.04 Florida Community Care — Medicaid HMO: $113.31 Freedom Health — Medicaid HMO: $108.16 Humana — Medicaid HMO: $107.13 Molina Healthcare — Medicaid HMO: $108.16 Simply HealthCare — Medicaid HMO: $108.16 Sunshine Health — Medicaid HMO: $108.16 United Healthcare — Medicaid HMO: $105.07
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$107.13 – $113.31
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Aetna — Medicaid HMO: $110.22 Clear Health Alliance — Medicaid HMO: $104.04 Florida Community Care — Medicaid HMO: $113.31 Freedom Health — Medicaid HMO: $108.16 Humana — Medicaid HMO: $107.13 Molina Healthcare — Medicaid HMO: $108.16 Simply HealthCare — Medicaid HMO: $108.16 Sunshine Health — Medicaid HMO: $108.16 United Healthcare — Medicaid HMO: $105.07
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$158.97 – $168.14
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans Aetna — Medicaid HMO: $163.56 Clear Health Alliance — Medicaid HMO: $154.39 Florida Community Care — Medicaid HMO: $168.14 Freedom Health — Medicaid HMO: $160.50 Humana — Medicaid HMO: $158.97 Molina Healthcare — Medicaid HMO: $160.50 Simply HealthCare — Medicaid HMO: $160.50 Sunshine Health — Medicaid HMO: $160.50 United Healthcare — Medicaid HMO: $155.91
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$28.08 – $29.70
Office consultation with a specialist (moderate): rates for 9 insurance plans Aetna — Medicaid HMO: $28.89 Clear Health Alliance — Medicaid HMO: $27.27 Florida Community Care — Medicaid HMO: $29.70 Freedom Health — Medicaid HMO: $28.35 Humana — Medicaid HMO: $28.08 Molina Healthcare — Medicaid HMO: $28.35 Simply HealthCare — Medicaid HMO: $28.35 Sunshine Health — Medicaid HMO: $28.35 United Healthcare — Medicaid HMO: $27.54
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NS LACTATION CONSULT	$76	$45.60	$38 – $76
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $76 Blue Cross — Commercial HMO My Blue: $76 Blue Cross — Commercial HMO Simply Blue: $76 Blue Cross — Commercial PPO Blue Select: $76 Blue Cross — Commercial PPO Network Blue: $76 Blue Cross — Commercial PPO PHS: $76 Evolutions — Commercial PPO Choice: $70.68 Evolutions — Commercial PPO International: $53.20 Evolutions — Commercial PPO Select Network: $64.60 Evolutions — Commercial Prime Network Products: $38
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NS LACTATION CONSULT	$76	$45.60	$49.40 – $76
Office consultation with a specialist (moderate to high): rates for 10 insurance plans AvMed — Commercial: $54.72 AvMed — Commercial Other: $52.44 Cigna — Commercial PPO: $76 Evolutions — Commercial PPO Choice: $70.68 Evolutions — Commercial PPO International: $53.20 Evolutions — Commercial PPO Select Network: $64.60 First Health — Commercial PPO: $64.60 Multiplan — Commercial PPO: $68.40 United Healthcare — Commercial PPO: $49.40 United Healthcare — Indemnity: $49.40

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$32	$19.20	$16 – $32
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $32 Blue Cross — Commercial HMO My Blue: $32 Blue Cross — Commercial HMO Simply Blue: $32 Blue Cross — Commercial PPO Blue Select: $32 Blue Cross — Commercial PPO Network Blue: $32 Blue Cross — Commercial PPO PHS: $32 Evolutions — Commercial PPO Choice: $29.76 Evolutions — Commercial PPO International: $22.40 Evolutions — Commercial PPO Select Network: $27.20 Evolutions — Commercial Prime Network Products: $16
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RT BASIC METABOLIC PANEL	$257	$154.20	$128.50 – $257
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $257 Blue Cross — Commercial HMO My Blue: $257 Blue Cross — Commercial HMO Simply Blue: $257 Blue Cross — Commercial PPO Blue Select: $257 Blue Cross — Commercial PPO Network Blue: $257 Blue Cross — Commercial PPO PHS: $257 Evolutions — Commercial PPO Choice: $239.01 Evolutions — Commercial PPO International: $179.90 Evolutions — Commercial PPO Select Network: $218.45 Evolutions — Commercial Prime Network Products: $128.50
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$32	$19.20	$20.80 – $32
Basic metabolic panel (blood test): rates for 10 insurance plans AvMed — Commercial: $23.04 AvMed — Commercial Other: $22.08 Cigna — Commercial PPO: $32 Evolutions — Commercial PPO Choice: $29.76 Evolutions — Commercial PPO International: $22.40 Evolutions — Commercial PPO Select Network: $27.20 First Health — Commercial PPO: $27.20 Multiplan — Commercial PPO: $28.80 United Healthcare — Commercial PPO: $20.80 United Healthcare — Indemnity: $20.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP 2ND HALF	$31	$18.60	$15.50 – $31
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $31 Blue Cross — Commercial HMO My Blue: $31 Blue Cross — Commercial HMO Simply Blue: $31 Blue Cross — Commercial PPO Blue Select: $31 Blue Cross — Commercial PPO Network Blue: $31 Blue Cross — Commercial PPO PHS: $31 Evolutions — Commercial PPO Choice: $28.83 Evolutions — Commercial PPO International: $21.70 Evolutions — Commercial PPO Select Network: $26.35 Evolutions — Commercial Prime Network Products: $15.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP 3rd	$31	$18.60	$15.50 – $31
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $31 Blue Cross — Commercial HMO My Blue: $31 Blue Cross — Commercial HMO Simply Blue: $31 Blue Cross — Commercial PPO Blue Select: $31 Blue Cross — Commercial PPO Network Blue: $31 Blue Cross — Commercial PPO PHS: $31 Evolutions — Commercial PPO Choice: $28.83 Evolutions — Commercial PPO International: $21.70 Evolutions — Commercial PPO Select Network: $26.35 Evolutions — Commercial Prime Network Products: $15.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PNL	$45	$27	$22.50 – $45
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $45 Blue Cross — Commercial HMO My Blue: $45 Blue Cross — Commercial HMO Simply Blue: $45 Blue Cross — Commercial PPO Blue Select: $45 Blue Cross — Commercial PPO Network Blue: $45 Blue Cross — Commercial PPO PHS: $45 Evolutions — Commercial PPO Choice: $41.85 Evolutions — Commercial PPO International: $31.50 Evolutions — Commercial PPO Select Network: $38.25 Evolutions — Commercial Prime Network Products: $22.50
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB PANEL	$241	$144.60	$120.50 – $241
Obstetric blood test panel: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $241 Blue Cross — Commercial HMO My Blue: $241 Blue Cross — Commercial HMO Simply Blue: $241 Blue Cross — Commercial PPO Blue Select: $241 Blue Cross — Commercial PPO Network Blue: $241 Blue Cross — Commercial PPO PHS: $241 Evolutions — Commercial PPO Choice: $224.13 Evolutions — Commercial PPO International: $168.70 Evolutions — Commercial PPO Select Network: $204.85 Evolutions — Commercial Prime Network Products: $120.50
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB PANEL	$241	$144.60	$156.65 – $241
Obstetric blood test panel: rates for 10 insurance plans AvMed — Commercial: $173.52 AvMed — Commercial Other: $166.29 Cigna — Commercial PPO: $241 Evolutions — Commercial PPO Choice: $224.13 Evolutions — Commercial PPO International: $168.70 Evolutions — Commercial PPO Select Network: $204.85 First Health — Commercial PPO: $204.85 Multiplan — Commercial PPO: $216.90 United Healthcare — Commercial PPO: $156.65 United Healthcare — Indemnity: $156.65
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$4.73 – $5
Obstetric blood test panel: rates for 9 insurance plans Aetna — Medicaid HMO: $4.87 Clear Health Alliance — Medicaid HMO: $4.60 Florida Community Care — Medicaid HMO: $5 Freedom Health — Medicaid HMO: $4.77 Humana — Medicaid HMO: $4.73 Molina Healthcare — Medicaid HMO: $4.77 Simply HealthCare — Medicaid HMO: $4.77 Sunshine Health — Medicaid HMO: $4.77 United Healthcare — Medicaid HMO: $4.64
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARDIO IQ LIPID W INFLAM P1	$43	$25.80	$21.50 – $43
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $43 Blue Cross — Commercial HMO My Blue: $43 Blue Cross — Commercial HMO Simply Blue: $43 Blue Cross — Commercial PPO Blue Select: $43 Blue Cross — Commercial PPO Network Blue: $43 Blue Cross — Commercial PPO PHS: $43 Evolutions — Commercial PPO Choice: $39.99 Evolutions — Commercial PPO International: $30.10 Evolutions — Commercial PPO Select Network: $36.55 Evolutions — Commercial Prime Network Products: $21.50
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID CASCADE LC	$52	$31.20	$26 – $52
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $52 Blue Cross — Commercial HMO My Blue: $52 Blue Cross — Commercial HMO Simply Blue: $52 Blue Cross — Commercial PPO Blue Select: $52 Blue Cross — Commercial PPO Network Blue: $52 Blue Cross — Commercial PPO PHS: $52 Evolutions — Commercial PPO Choice: $48.36 Evolutions — Commercial PPO International: $36.40 Evolutions — Commercial PPO Select Network: $44.20 Evolutions — Commercial Prime Network Products: $26
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARDIO IQ ADVA LIPID P1	$57	$34.20	$28.50 – $57
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $57 Blue Cross — Commercial HMO My Blue: $57 Blue Cross — Commercial HMO Simply Blue: $57 Blue Cross — Commercial PPO Blue Select: $57 Blue Cross — Commercial PPO Network Blue: $57 Blue Cross — Commercial PPO PHS: $57 Evolutions — Commercial PPO Choice: $53.01 Evolutions — Commercial PPO International: $39.90 Evolutions — Commercial PPO Select Network: $48.45 Evolutions — Commercial Prime Network Products: $28.50
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION (COS)	$43	$25.80	$21.50 – $43
Kidney function panel: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $43 Blue Cross — Commercial HMO My Blue: $43 Blue Cross — Commercial HMO Simply Blue: $43 Blue Cross — Commercial PPO Blue Select: $43 Blue Cross — Commercial PPO Network Blue: $43 Blue Cross — Commercial PPO PHS: $43 Evolutions — Commercial PPO Choice: $39.99 Evolutions — Commercial PPO International: $30.10 Evolutions — Commercial PPO Select Network: $36.55 Evolutions — Commercial Prime Network Products: $21.50
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION (COS)	$43	$25.80	$27.95 – $43
Kidney function panel: rates for 10 insurance plans AvMed — Commercial: $30.96 AvMed — Commercial Other: $29.67 Cigna — Commercial PPO: $43 Evolutions — Commercial PPO Choice: $39.99 Evolutions — Commercial PPO International: $30.10 Evolutions — Commercial PPO Select Network: $36.55 First Health — Commercial PPO: $36.55 Multiplan — Commercial PPO: $38.70 United Healthcare — Commercial PPO: $27.95 United Healthcare — Indemnity: $27.95
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$4.73 – $5
Kidney function panel: rates for 9 insurance plans Aetna — Medicaid HMO: $4.87 Clear Health Alliance — Medicaid HMO: $4.60 Florida Community Care — Medicaid HMO: $5 Freedom Health — Medicaid HMO: $4.77 Humana — Medicaid HMO: $4.73 Molina Healthcare — Medicaid HMO: $4.77 Simply HealthCare — Medicaid HMO: $4.77 Sunshine Health — Medicaid HMO: $4.77 United Healthcare — Medicaid HMO: $4.64
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION PANEL	$39	$23.40	$19.50 – $39
Liver function panel: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $39 Blue Cross — Commercial HMO My Blue: $39 Blue Cross — Commercial HMO Simply Blue: $39 Blue Cross — Commercial PPO Blue Select: $39 Blue Cross — Commercial PPO Network Blue: $39 Blue Cross — Commercial PPO PHS: $39 Evolutions — Commercial PPO Choice: $36.27 Evolutions — Commercial PPO International: $27.30 Evolutions — Commercial PPO Select Network: $33.15 Evolutions — Commercial Prime Network Products: $19.50
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION (COS)	$41	$24.60	$20.50 – $41
Liver function panel: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $41 Blue Cross — Commercial HMO My Blue: $41 Blue Cross — Commercial HMO Simply Blue: $41 Blue Cross — Commercial PPO Blue Select: $41 Blue Cross — Commercial PPO Network Blue: $41 Blue Cross — Commercial PPO PHS: $41 Evolutions — Commercial PPO Choice: $38.13 Evolutions — Commercial PPO International: $28.70 Evolutions — Commercial PPO Select Network: $34.85 Evolutions — Commercial Prime Network Products: $20.50
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIVER FUNCTION PANEL	$39	$23.40	$25.35 – $39
Liver function panel: rates for 10 insurance plans AvMed — Commercial: $28.08 AvMed — Commercial Other: $26.91 Cigna — Commercial PPO: $39 Evolutions — Commercial PPO Choice: $36.27 Evolutions — Commercial PPO International: $27.30 Evolutions — Commercial PPO Select Network: $33.15 First Health — Commercial PPO: $33.15 Multiplan — Commercial PPO: $35.10 United Healthcare — Commercial PPO: $25.35 United Healthcare — Indemnity: $25.35
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA W/ MICRO REF CULT	$28	$16.80	$14 – $28
Urine test (automated, with microscope): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $28 Blue Cross — Commercial HMO My Blue: $28 Blue Cross — Commercial HMO Simply Blue: $28 Blue Cross — Commercial PPO Blue Select: $28 Blue Cross — Commercial PPO Network Blue: $28 Blue Cross — Commercial PPO PHS: $28 Evolutions — Commercial PPO Choice: $26.04 Evolutions — Commercial PPO International: $19.60 Evolutions — Commercial PPO Select Network: $23.80 Evolutions — Commercial Prime Network Products: $14
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE MICROSCOPIC	$30	$18	$15 – $30
Urine test (automated, with microscope): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $30 Blue Cross — Commercial HMO My Blue: $30 Blue Cross — Commercial HMO Simply Blue: $30 Blue Cross — Commercial PPO Blue Select: $30 Blue Cross — Commercial PPO Network Blue: $30 Blue Cross — Commercial PPO PHS: $30 Evolutions — Commercial PPO Choice: $27.90 Evolutions — Commercial PPO International: $21 Evolutions — Commercial PPO Select Network: $25.50 Evolutions — Commercial Prime Network Products: $15
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPIC	$30	$18	$15 – $30
Urine test (automated, with microscope): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $30 Blue Cross — Commercial HMO My Blue: $30 Blue Cross — Commercial HMO Simply Blue: $30 Blue Cross — Commercial PPO Blue Select: $30 Blue Cross — Commercial PPO Network Blue: $30 Blue Cross — Commercial PPO PHS: $30 Evolutions — Commercial PPO Choice: $27.90 Evolutions — Commercial PPO International: $21 Evolutions — Commercial PPO Select Network: $25.50 Evolutions — Commercial Prime Network Products: $15
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UR BILIRUBIN	$32	$19.20	$16 – $32
Urine test (manual, without microscope): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $32 Blue Cross — Commercial HMO My Blue: $32 Blue Cross — Commercial HMO Simply Blue: $32 Blue Cross — Commercial PPO Blue Select: $32 Blue Cross — Commercial PPO Network Blue: $32 Blue Cross — Commercial PPO PHS: $32 Evolutions — Commercial PPO Choice: $29.76 Evolutions — Commercial PPO International: $22.40 Evolutions — Commercial PPO Select Network: $27.20 Evolutions — Commercial Prime Network Products: $16
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UR BILIRUBIN	$32	$19.20	$20.80 – $32
Urine test (manual, without microscope): rates for 10 insurance plans AvMed — Commercial: $23.04 AvMed — Commercial Other: $22.08 Cigna — Commercial PPO: $32 Evolutions — Commercial PPO Choice: $29.76 Evolutions — Commercial PPO International: $22.40 Evolutions — Commercial PPO Select Network: $27.20 First Health — Commercial PPO: $27.20 Multiplan — Commercial PPO: $28.80 United Healthcare — Commercial PPO: $20.80 United Healthcare — Indemnity: $20.80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$1.56 – $1.65
Urine test (manual, without microscope): rates for 9 insurance plans Aetna — Medicaid HMO: $1.60 Clear Health Alliance — Medicaid HMO: $1.52 Florida Community Care — Medicaid HMO: $1.65 Freedom Health — Medicaid HMO: $1.58 Humana — Medicaid HMO: $1.56 Molina Healthcare — Medicaid HMO: $1.58 Simply HealthCare — Medicaid HMO: $1.58 Sunshine Health — Medicaid HMO: $1.58 United Healthcare — Medicaid HMO: $1.53
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UR. NITRITE	$7	$4.20	$3.50 – $7
Urine test (automated, without microscope): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $7 Blue Cross — Commercial HMO My Blue: $7 Blue Cross — Commercial HMO Simply Blue: $7 Blue Cross — Commercial PPO Blue Select: $7 Blue Cross — Commercial PPO Network Blue: $7 Blue Cross — Commercial PPO PHS: $7 Evolutions — Commercial PPO Choice: $6.51 Evolutions — Commercial PPO International: $4.90 Evolutions — Commercial PPO Select Network: $5.95 Evolutions — Commercial Prime Network Products: $3.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LACTOSE - UR RED SUB F	$7	$4.20	$3.50 – $7
Urine test (automated, without microscope): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $7 Blue Cross — Commercial HMO My Blue: $7 Blue Cross — Commercial HMO Simply Blue: $7 Blue Cross — Commercial PPO Blue Select: $7 Blue Cross — Commercial PPO Network Blue: $7 Blue Cross — Commercial PPO PHS: $7 Evolutions — Commercial PPO Choice: $6.51 Evolutions — Commercial PPO International: $4.90 Evolutions — Commercial PPO Select Network: $5.95 Evolutions — Commercial Prime Network Products: $3.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LACTOSE - UR RED SUB 20	$7	$4.20	$3.50 – $7
Urine test (automated, without microscope): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $7 Blue Cross — Commercial HMO My Blue: $7 Blue Cross — Commercial HMO Simply Blue: $7 Blue Cross — Commercial PPO Blue Select: $7 Blue Cross — Commercial PPO Network Blue: $7 Blue Cross — Commercial PPO PHS: $7 Evolutions — Commercial PPO Choice: $6.51 Evolutions — Commercial PPO International: $4.90 Evolutions — Commercial PPO Select Network: $5.95 Evolutions — Commercial Prime Network Products: $3.50
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA POST PROSTECTOMY	$40	$24	$20 – $40
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $40 Blue Cross — Commercial HMO My Blue: $40 Blue Cross — Commercial HMO Simply Blue: $40 Blue Cross — Commercial PPO Blue Select: $40 Blue Cross — Commercial PPO Network Blue: $40 Blue Cross — Commercial PPO PHS: $40 Evolutions — Commercial PPO Choice: $37.20 Evolutions — Commercial PPO International: $28 Evolutions — Commercial PPO Select Network: $34 Evolutions — Commercial Prime Network Products: $20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC AG	$64	$38.40	$32 – $64
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $64 Blue Cross — Commercial HMO My Blue: $64 Blue Cross — Commercial HMO Simply Blue: $64 Blue Cross — Commercial PPO Blue Select: $64 Blue Cross — Commercial PPO Network Blue: $64 Blue Cross — Commercial PPO PHS: $64 Evolutions — Commercial PPO Choice: $59.52 Evolutions — Commercial PPO International: $44.80 Evolutions — Commercial PPO Select Network: $54.40 Evolutions — Commercial Prime Network Products: $32
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA POST PROSTECTOMY	$40	$24	$26 – $40
PSA (prostate specific antigen) blood test: rates for 10 insurance plans AvMed — Commercial: $28.80 AvMed — Commercial Other: $27.60 Cigna — Commercial PPO: $40 Evolutions — Commercial PPO Choice: $37.20 Evolutions — Commercial PPO International: $28 Evolutions — Commercial PPO Select Network: $34 First Health — Commercial PPO: $34 Multiplan — Commercial PPO: $36 United Healthcare — Commercial PPO: $26 United Healthcare — Indemnity: $26
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEWBORN COMP SCREEN P6	$33	$19.80	$16.50 – $33
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $33 Blue Cross — Commercial HMO My Blue: $33 Blue Cross — Commercial HMO Simply Blue: $33 Blue Cross — Commercial PPO Blue Select: $33 Blue Cross — Commercial PPO Network Blue: $33 Blue Cross — Commercial PPO PHS: $33 Evolutions — Commercial PPO Choice: $30.69 Evolutions — Commercial PPO International: $23.10 Evolutions — Commercial PPO Select Network: $28.05 Evolutions — Commercial Prime Network Products: $16.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH 3RD GENERATION	$62	$37.20	$31 – $62
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $62 Blue Cross — Commercial HMO My Blue: $62 Blue Cross — Commercial HMO Simply Blue: $62 Blue Cross — Commercial PPO Blue Select: $62 Blue Cross — Commercial PPO Network Blue: $62 Blue Cross — Commercial PPO PHS: $62 Evolutions — Commercial PPO Choice: $57.66 Evolutions — Commercial PPO International: $43.40 Evolutions — Commercial PPO Select Network: $52.70 Evolutions — Commercial Prime Network Products: $31
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH SCREEN	$62	$37.20	$31 – $62
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $62 Blue Cross — Commercial HMO My Blue: $62 Blue Cross — Commercial HMO Simply Blue: $62 Blue Cross — Commercial PPO Blue Select: $62 Blue Cross — Commercial PPO Network Blue: $62 Blue Cross — Commercial PPO PHS: $62 Evolutions — Commercial PPO Choice: $57.66 Evolutions — Commercial PPO International: $43.40 Evolutions — Commercial PPO Select Network: $52.70 Evolutions — Commercial Prime Network Products: $31
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/ DIFF	$27	$16.20	$13.50 – $27
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $27 Blue Cross — Commercial HMO My Blue: $27 Blue Cross — Commercial HMO Simply Blue: $27 Blue Cross — Commercial PPO Blue Select: $27 Blue Cross — Commercial PPO Network Blue: $27 Blue Cross — Commercial PPO PHS: $27 Evolutions — Commercial PPO Choice: $25.11 Evolutions — Commercial PPO International: $18.90 Evolutions — Commercial PPO Select Network: $22.95 Evolutions — Commercial Prime Network Products: $13.50
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/ DIFF	$27	$16.20	$17.55 – $27
Complete blood count (CBC) with differential: rates for 10 insurance plans AvMed — Commercial: $19.44 AvMed — Commercial Other: $18.63 Cigna — Commercial PPO: $27 Evolutions — Commercial PPO Choice: $25.11 Evolutions — Commercial PPO International: $18.90 Evolutions — Commercial PPO Select Network: $22.95 First Health — Commercial PPO: $22.95 Multiplan — Commercial PPO: $24.30 United Healthcare — Commercial PPO: $17.55 United Healthcare — Indemnity: $17.55
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$3.08 – $3.26
Complete blood count (CBC) with differential: rates for 9 insurance plans Aetna — Medicaid HMO: $3.18 Clear Health Alliance — Medicaid HMO: $3 Florida Community Care — Medicaid HMO: $3.26 Freedom Health — Medicaid HMO: $3.11 Humana — Medicaid HMO: $3.08 Molina Healthcare — Medicaid HMO: $3.11 Simply HealthCare — Medicaid HMO: $3.11 Sunshine Health — Medicaid HMO: $3.11 United Healthcare — Medicaid HMO: $3.03
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/OUT DIFF	$23	$13.80	$11.50 – $23
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $23 Blue Cross — Commercial HMO My Blue: $23 Blue Cross — Commercial HMO Simply Blue: $23 Blue Cross — Commercial PPO Blue Select: $23 Blue Cross — Commercial PPO Network Blue: $23 Blue Cross — Commercial PPO PHS: $23 Evolutions — Commercial PPO Choice: $21.39 Evolutions — Commercial PPO International: $16.10 Evolutions — Commercial PPO Select Network: $19.55 Evolutions — Commercial Prime Network Products: $11.50
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W/OUT DIFF	$23	$13.80	$14.95 – $23
Complete blood count (CBC), automated: rates for 10 insurance plans AvMed — Commercial: $16.56 AvMed — Commercial Other: $15.87 Cigna — Commercial PPO: $23 Evolutions — Commercial PPO Choice: $21.39 Evolutions — Commercial PPO International: $16.10 Evolutions — Commercial PPO Select Network: $19.55 First Health — Commercial PPO: $19.55 Multiplan — Commercial PPO: $20.70 United Healthcare — Commercial PPO: $14.95 United Healthcare — Indemnity: $14.95
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$3.08 – $3.26
Complete blood count (CBC), automated: rates for 9 insurance plans Aetna — Medicaid HMO: $3.18 Clear Health Alliance — Medicaid HMO: $3 Florida Community Care — Medicaid HMO: $3.26 Freedom Health — Medicaid HMO: $3.11 Humana — Medicaid HMO: $3.08 Molina Healthcare — Medicaid HMO: $3.11 Simply HealthCare — Medicaid HMO: $3.11 Sunshine Health — Medicaid HMO: $3.11 United Healthcare — Medicaid HMO: $3.03
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$23	$13.80	$11.50 – $23
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates Aetna — Medicaid HMO: $2.39 Blue Cross — Commercial HMO Health Options: $23 Blue Cross — Commercial HMO My Blue: $23 Blue Cross — Commercial HMO Simply Blue: $23 Blue Cross — Commercial PPO Blue Select: $23 Blue Cross — Commercial PPO Network Blue: $23 Blue Cross — Commercial PPO PHS: $23 Clear Health Alliance — Medicaid HMO: $2.25 Evolutions — Commercial PPO Choice: $21.39 Evolutions — Commercial PPO International: $16.10
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC PROTIME	$22	$13.20	$11 – $22
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $22 Blue Cross — Commercial HMO My Blue: $22 Blue Cross — Commercial HMO Simply Blue: $22 Blue Cross — Commercial PPO Blue Select: $22 Blue Cross — Commercial PPO Network Blue: $22 Blue Cross — Commercial PPO PHS: $22 Evolutions — Commercial PPO Choice: $20.46 Evolutions — Commercial PPO International: $15.40 Evolutions — Commercial PPO Select Network: $18.70 Evolutions — Commercial Prime Network Products: $11
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POC PROTIME	$22	$13.20	$14.30 – $22
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans AvMed — Commercial: $15.84 AvMed — Commercial Other: $15.18 Cigna — Commercial PPO: $22 Evolutions — Commercial PPO Choice: $20.46 Evolutions — Commercial PPO International: $15.40 Evolutions — Commercial PPO Select Network: $18.70 First Health — Commercial PPO: $18.70 Multiplan — Commercial PPO: $19.80 United Healthcare — Commercial PPO: $14.30 United Healthcare — Indemnity: $14.30
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT	$28	$16.80	$14 – $28
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $28 Blue Cross — Commercial HMO My Blue: $28 Blue Cross — Commercial HMO Simply Blue: $28 Blue Cross — Commercial PPO Blue Select: $28 Blue Cross — Commercial PPO Network Blue: $28 Blue Cross — Commercial PPO PHS: $28 Evolutions — Commercial PPO Choice: $26.04 Evolutions — Commercial PPO International: $19.60 Evolutions — Commercial PPO Select Network: $23.80 Evolutions — Commercial Prime Network Products: $14
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: APTT	$28	$16.80	$18.20 – $28
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans AvMed — Commercial: $20.16 AvMed — Commercial Other: $19.32 Cigna — Commercial PPO: $28 Evolutions — Commercial PPO Choice: $26.04 Evolutions — Commercial PPO International: $19.60 Evolutions — Commercial PPO Select Network: $23.80 First Health — Commercial PPO: $23.80 Multiplan — Commercial PPO: $25.20 United Healthcare — Commercial PPO: $18.20 United Healthcare — Indemnity: $18.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$2.32 – $2.46
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Aetna — Medicaid HMO: $2.39 Clear Health Alliance — Medicaid HMO: $2.25 Florida Community Care — Medicaid HMO: $2.46 Freedom Health — Medicaid HMO: $2.35 Humana — Medicaid HMO: $2.32 Molina Healthcare — Medicaid HMO: $2.35 Simply HealthCare — Medicaid HMO: $2.35 Sunshine Health — Medicaid HMO: $2.35 United Healthcare — Medicaid HMO: $2.28

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT BRAIN W/O	$4,425	$2,655	$2,212.50 – $4,425
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $4,425 Blue Cross — Commercial HMO My Blue: $4,425 Blue Cross — Commercial HMO Simply Blue: $4,425 Blue Cross — Commercial PPO Blue Select: $4,425 Blue Cross — Commercial PPO Network Blue: $4,425 Blue Cross — Commercial PPO PHS: $4,425 Evolutions — Commercial PPO Choice: $4,115.25 Evolutions — Commercial PPO International: $3,097.50 Evolutions — Commercial PPO Select Network: $3,761.25 Evolutions — Commercial Prime Network Products: $2,212.50
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BRAIN W/O	$4,425	$2,655	$2,876.25 – $4,425
CT scan of the head or brain, without contrast: rates for 10 insurance plans AvMed — Commercial: $3,186 AvMed — Commercial Other: $3,053.25 Cigna — Commercial PPO: $4,425 Evolutions — Commercial PPO Choice: $4,115.25 Evolutions — Commercial PPO International: $3,097.50 Evolutions — Commercial PPO Select Network: $3,761.25 First Health — Commercial PPO: $3,761.25 Multiplan — Commercial PPO: $3,982.50 United Healthcare — Commercial PPO: $2,876.25 United Healthcare — Indemnity: $2,876.25
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$215.18 – $227.59
CT scan of the head or brain, without contrast: rates for 9 insurance plans Aetna — Medicaid HMO: $221.38 Clear Health Alliance — Medicaid HMO: $208.97 Florida Community Care — Medicaid HMO: $227.59 Freedom Health — Medicaid HMO: $217.25 Humana — Medicaid HMO: $215.18 Molina Healthcare — Medicaid HMO: $217.25 Simply HealthCare — Medicaid HMO: $217.25 Sunshine Health — Medicaid HMO: $217.25 United Healthcare — Medicaid HMO: $211.04
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/O W	$7,258	$4,354.80	$3,629 – $7,258
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $7,258 Blue Cross — Commercial HMO My Blue: $7,258 Blue Cross — Commercial HMO Simply Blue: $7,258 Blue Cross — Commercial PPO Blue Select: $7,258 Blue Cross — Commercial PPO Network Blue: $7,258 Blue Cross — Commercial PPO PHS: $7,258 Evolutions — Commercial PPO Choice: $6,749.94 Evolutions — Commercial PPO International: $5,080.60 Evolutions — Commercial PPO Select Network: $6,169.30 Evolutions — Commercial Prime Network Products: $3,629
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W/O W	$7,258	$4,354.80	$4,717.70 – $7,258
MRI of the brain, before and after contrast: rates for 10 insurance plans AvMed — Commercial: $5,225.76 AvMed — Commercial Other: $5,008.02 Cigna — Commercial PPO: $7,258 Evolutions — Commercial PPO Choice: $6,749.94 Evolutions — Commercial PPO International: $5,080.60 Evolutions — Commercial PPO Select Network: $6,169.30 First Health — Commercial PPO: $6,169.30 Multiplan — Commercial PPO: $6,532.20 United Healthcare — Commercial PPO: $4,717.70 United Healthcare — Indemnity: $4,717.70
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$264.82 – $280.09
MRI of the brain, before and after contrast: rates for 9 insurance plans Aetna — Medicaid HMO: $272.45 Clear Health Alliance — Medicaid HMO: $257.18 Florida Community Care — Medicaid HMO: $280.09 Freedom Health — Medicaid HMO: $267.36 Humana — Medicaid HMO: $264.82 Molina Healthcare — Medicaid HMO: $267.36 Simply HealthCare — Medicaid HMO: $267.36 Sunshine Health — Medicaid HMO: $267.36 United Healthcare — Medicaid HMO: $259.72
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX X-RAY EXAM CHEST 2 VIEWS	$759	$455.40	$379.50 – $759
Chest X-ray, 2 views: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $759 Blue Cross — Commercial HMO My Blue: $759 Blue Cross — Commercial HMO Simply Blue: $759 Blue Cross — Commercial PPO Blue Select: $759 Blue Cross — Commercial PPO Network Blue: $759 Blue Cross — Commercial PPO PHS: $759 Evolutions — Commercial PPO Choice: $705.87 Evolutions — Commercial PPO International: $531.30 Evolutions — Commercial PPO Select Network: $645.15 Evolutions — Commercial Prime Network Products: $379.50
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX X-RAY EXAM CHEST 2 VIEWS	$759	$455.40	$493.35 – $759
Chest X-ray, 2 views: rates for 10 insurance plans AvMed — Commercial: $546.48 AvMed — Commercial Other: $523.71 Cigna — Commercial PPO: $759 Evolutions — Commercial PPO Choice: $705.87 Evolutions — Commercial PPO International: $531.30 Evolutions — Commercial PPO Select Network: $645.15 First Health — Commercial PPO: $645.15 Multiplan — Commercial PPO: $683.10 United Healthcare — Commercial PPO: $493.35 United Healthcare — Indemnity: $493.35
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$37.02 – $39.15
Chest X-ray, 2 views: rates for 9 insurance plans Aetna — Medicaid HMO: $38.08 Clear Health Alliance — Medicaid HMO: $35.95 Florida Community Care — Medicaid HMO: $39.15 Freedom Health — Medicaid HMO: $37.37 Humana — Medicaid HMO: $37.02 Molina Healthcare — Medicaid HMO: $37.37 Simply HealthCare — Medicaid HMO: $37.37 Sunshine Health — Medicaid HMO: $37.37 United Healthcare — Medicaid HMO: $36.31
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX L SPINE 4 VIEW MIN	$1,471	$882.60	$735.50 – $1,471
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $1,471 Blue Cross — Commercial HMO My Blue: $1,471 Blue Cross — Commercial HMO Simply Blue: $1,471 Blue Cross — Commercial PPO Blue Select: $1,471 Blue Cross — Commercial PPO Network Blue: $1,471 Blue Cross — Commercial PPO PHS: $1,471 Evolutions — Commercial PPO Choice: $1,368.03 Evolutions — Commercial PPO International: $1,029.70 Evolutions — Commercial PPO Select Network: $1,250.35 Evolutions — Commercial Prime Network Products: $735.50
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX L SPINE 4 VIEW MIN	$1,471	$882.60	$956.15 – $1,471
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans AvMed — Commercial: $1,059.12 AvMed — Commercial Other: $1,014.99 Cigna — Commercial PPO: $1,471 Evolutions — Commercial PPO Choice: $1,368.03 Evolutions — Commercial PPO International: $1,029.70 Evolutions — Commercial PPO Select Network: $1,250.35 First Health — Commercial PPO: $1,250.35 Multiplan — Commercial PPO: $1,323.90 United Healthcare — Commercial PPO: $956.15 United Healthcare — Indemnity: $956.15
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$37.02 – $39.15
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans Aetna — Medicaid HMO: $38.08 Clear Health Alliance — Medicaid HMO: $35.95 Florida Community Care — Medicaid HMO: $39.15 Freedom Health — Medicaid HMO: $37.37 Humana — Medicaid HMO: $37.02 Molina Healthcare — Medicaid HMO: $37.37 Simply HealthCare — Medicaid HMO: $37.37 Sunshine Health — Medicaid HMO: $37.37 United Healthcare — Medicaid HMO: $36.31
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L SPINE W/O	$4,185	$2,511	$2,092.50 – $4,185
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $4,185 Blue Cross — Commercial HMO My Blue: $4,185 Blue Cross — Commercial HMO Simply Blue: $4,185 Blue Cross — Commercial PPO Blue Select: $4,185 Blue Cross — Commercial PPO Network Blue: $4,185 Blue Cross — Commercial PPO PHS: $4,185 Evolutions — Commercial PPO Choice: $3,892.05 Evolutions — Commercial PPO International: $2,929.50 Evolutions — Commercial PPO Select Network: $3,557.25 Evolutions — Commercial Prime Network Products: $2,092.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L SPINE W/O	$4,185	$2,511	$2,720.25 – $4,185
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans AvMed — Commercial: $3,013.20 AvMed — Commercial Other: $2,887.65 Cigna — Commercial PPO: $4,185 Evolutions — Commercial PPO Choice: $3,892.05 Evolutions — Commercial PPO International: $2,929.50 Evolutions — Commercial PPO Select Network: $3,557.25 First Health — Commercial PPO: $3,557.25 Multiplan — Commercial PPO: $3,766.50 United Healthcare — Commercial PPO: $2,720.25 United Healthcare — Indemnity: $2,720.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$159.25 – $168.44
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans Aetna — Medicaid HMO: $163.84 Clear Health Alliance — Medicaid HMO: $154.65 Florida Community Care — Medicaid HMO: $168.44 Freedom Health — Medicaid HMO: $160.78 Humana — Medicaid HMO: $159.25 Molina Healthcare — Medicaid HMO: $160.78 Simply HealthCare — Medicaid HMO: $160.78 Sunshine Health — Medicaid HMO: $160.78 United Healthcare — Medicaid HMO: $156.19
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W	$7,870	$4,722	$3,935 – $7,870
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $7,870 Blue Cross — Commercial HMO My Blue: $7,870 Blue Cross — Commercial HMO Simply Blue: $7,870 Blue Cross — Commercial PPO Blue Select: $7,870 Blue Cross — Commercial PPO Network Blue: $7,870 Blue Cross — Commercial PPO PHS: $7,870 Evolutions — Commercial PPO Choice: $7,319.10 Evolutions — Commercial PPO International: $5,509 Evolutions — Commercial PPO Select Network: $6,689.50 Evolutions — Commercial Prime Network Products: $3,935
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W	$7,870	$4,722	$5,115.50 – $7,870
CT scan of the pelvis, with contrast: rates for 10 insurance plans AvMed — Commercial: $5,666.40 AvMed — Commercial Other: $5,430.30 Cigna — Commercial PPO: $7,870 Evolutions — Commercial PPO Choice: $7,319.10 Evolutions — Commercial PPO International: $5,509 Evolutions — Commercial PPO Select Network: $6,689.50 First Health — Commercial PPO: $6,689.50 Multiplan — Commercial PPO: $7,083 United Healthcare — Commercial PPO: $5,115.50 United Healthcare — Indemnity: $5,115.50
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$215.18 – $227.59
CT scan of the pelvis, with contrast: rates for 9 insurance plans Aetna — Medicaid HMO: $221.38 Clear Health Alliance — Medicaid HMO: $208.97 Florida Community Care — Medicaid HMO: $227.59 Freedom Health — Medicaid HMO: $217.25 Humana — Medicaid HMO: $215.18 Molina Healthcare — Medicaid HMO: $217.25 Simply HealthCare — Medicaid HMO: $217.25 Sunshine Health — Medicaid HMO: $217.25 United Healthcare — Medicaid HMO: $211.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOW EXTREM ANY JNT WO	$4,871	$2,922.60	$2,435.50 – $4,871
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $4,871 Blue Cross — Commercial HMO My Blue: $4,871 Blue Cross — Commercial HMO Simply Blue: $4,871 Blue Cross — Commercial PPO Blue Select: $4,871 Blue Cross — Commercial PPO Network Blue: $4,871 Blue Cross — Commercial PPO PHS: $4,871 Evolutions — Commercial PPO Choice: $4,530.03 Evolutions — Commercial PPO International: $3,409.70 Evolutions — Commercial PPO Select Network: $4,140.35 Evolutions — Commercial Prime Network Products: $2,435.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOW EXTREM ANY JNT WO	$4,871	$2,922.60	$3,166.15 – $4,871
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans AvMed — Commercial: $3,507.12 AvMed — Commercial Other: $3,360.99 Cigna — Commercial PPO: $4,871 Evolutions — Commercial PPO Choice: $4,530.03 Evolutions — Commercial PPO International: $3,409.70 Evolutions — Commercial PPO Select Network: $4,140.35 First Health — Commercial PPO: $4,140.35 Multiplan — Commercial PPO: $4,383.90 United Healthcare — Commercial PPO: $3,166.15 United Healthcare — Indemnity: $3,166.15
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$159.25 – $168.44
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans Aetna — Medicaid HMO: $163.84 Clear Health Alliance — Medicaid HMO: $154.65 Florida Community Care — Medicaid HMO: $168.44 Freedom Health — Medicaid HMO: $160.78 Humana — Medicaid HMO: $159.25 Molina Healthcare — Medicaid HMO: $160.78 Simply HealthCare — Medicaid HMO: $160.78 Sunshine Health — Medicaid HMO: $160.78 United Healthcare — Medicaid HMO: $156.19
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOMEN PELVIS W CONTRAST	$7,553	$4,531.80	$3,776.50 – $7,553
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $7,553 Blue Cross — Commercial HMO My Blue: $7,553 Blue Cross — Commercial HMO Simply Blue: $7,553 Blue Cross — Commercial PPO Blue Select: $7,553 Blue Cross — Commercial PPO Network Blue: $7,553 Blue Cross — Commercial PPO PHS: $7,553 Evolutions — Commercial PPO Choice: $7,024.29 Evolutions — Commercial PPO International: $5,287.10 Evolutions — Commercial PPO Select Network: $6,420.05 Evolutions — Commercial Prime Network Products: $3,776.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN PELVIS W CONTRAST	$7,553	$4,531.80	$4,909.45 – $7,553
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans AvMed — Commercial: $5,438.16 AvMed — Commercial Other: $5,211.57 Cigna — Commercial PPO: $7,553 Evolutions — Commercial PPO Choice: $7,024.29 Evolutions — Commercial PPO International: $5,287.10 Evolutions — Commercial PPO Select Network: $6,420.05 First Health — Commercial PPO: $6,420.05 Multiplan — Commercial PPO: $6,797.70 United Healthcare — Commercial PPO: $4,909.45 United Healthcare — Indemnity: $4,909.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$215.18 – $227.59
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans Aetna — Medicaid HMO: $221.38 Clear Health Alliance — Medicaid HMO: $208.97 Florida Community Care — Medicaid HMO: $227.59 Freedom Health — Medicaid HMO: $217.25 Humana — Medicaid HMO: $215.18 Molina Healthcare — Medicaid HMO: $217.25 Simply HealthCare — Medicaid HMO: $217.25 Sunshine Health — Medicaid HMO: $217.25 United Healthcare — Medicaid HMO: $211.04
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$2,030	$1,218	$1,015 – $2,030
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $2,030 Blue Cross — Commercial HMO My Blue: $2,030 Blue Cross — Commercial HMO Simply Blue: $2,030 Blue Cross — Commercial PPO Blue Select: $2,030 Blue Cross — Commercial PPO Network Blue: $2,030 Blue Cross — Commercial PPO PHS: $2,030 Evolutions — Commercial PPO Choice: $1,887.90 Evolutions — Commercial PPO International: $1,421 Evolutions — Commercial PPO Select Network: $1,725.50 Evolutions — Commercial Prime Network Products: $1,015
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$2,030	$1,218	$1,319.50 – $2,030
Ultrasound of the abdomen, complete: rates for 10 insurance plans AvMed — Commercial: $1,461.60 AvMed — Commercial Other: $1,400.70 Cigna — Commercial PPO: $2,030 Evolutions — Commercial PPO Choice: $1,887.90 Evolutions — Commercial PPO International: $1,421 Evolutions — Commercial PPO Select Network: $1,725.50 First Health — Commercial PPO: $1,725.50 Multiplan — Commercial PPO: $1,827 United Healthcare — Commercial PPO: $1,319.50 United Healthcare — Indemnity: $1,319.50
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$109.49 – $115.81
Ultrasound of the abdomen, complete: rates for 9 insurance plans Aetna — Medicaid HMO: $112.65 Clear Health Alliance — Medicaid HMO: $106.33 Florida Community Care — Medicaid HMO: $115.81 Freedom Health — Medicaid HMO: $110.54 Humana — Medicaid HMO: $109.49 Molina Healthcare — Medicaid HMO: $110.54 Simply HealthCare — Medicaid HMO: $110.54 Sunshine Health — Medicaid HMO: $110.54 United Healthcare — Medicaid HMO: $107.39
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB >14 WEEKS SINGLE FETUS	$1,073	$643.80	$536.50 – $1,073
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $1,073 Blue Cross — Commercial HMO My Blue: $1,073 Blue Cross — Commercial HMO Simply Blue: $1,073 Blue Cross — Commercial PPO Blue Select: $1,073 Blue Cross — Commercial PPO Network Blue: $1,073 Blue Cross — Commercial PPO PHS: $1,073 Evolutions — Commercial PPO Choice: $997.89 Evolutions — Commercial PPO International: $751.10 Evolutions — Commercial PPO Select Network: $912.05 Evolutions — Commercial Prime Network Products: $536.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB >14 WEEKS SINGLE FETUS	$1,073	$643.80	$697.45 – $1,073
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans AvMed — Commercial: $772.56 AvMed — Commercial Other: $740.37 Cigna — Commercial PPO: $1,073 Evolutions — Commercial PPO Choice: $997.89 Evolutions — Commercial PPO International: $751.10 Evolutions — Commercial PPO Select Network: $912.05 First Health — Commercial PPO: $912.05 Multiplan — Commercial PPO: $965.70 United Healthcare — Commercial PPO: $697.45 United Healthcare — Indemnity: $697.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$65.34 – $69.11
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans Aetna — Medicaid HMO: $67.23 Clear Health Alliance — Medicaid HMO: $63.46 Florida Community Care — Medicaid HMO: $69.11 Freedom Health — Medicaid HMO: $65.97 Humana — Medicaid HMO: $65.34 Molina Healthcare — Medicaid HMO: $65.97 Simply HealthCare — Medicaid HMO: $65.97 Sunshine Health — Medicaid HMO: $65.97 United Healthcare — Medicaid HMO: $64.09
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PELVIC TRANSVAGINAL NON-OB	$1,256	$753.60	$628 – $1,256
Transvaginal ultrasound: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $1,256 Blue Cross — Commercial HMO My Blue: $1,256 Blue Cross — Commercial HMO Simply Blue: $1,256 Blue Cross — Commercial PPO Blue Select: $1,256 Blue Cross — Commercial PPO Network Blue: $1,256 Blue Cross — Commercial PPO PHS: $1,256 Evolutions — Commercial PPO Choice: $1,168.08 Evolutions — Commercial PPO International: $879.20 Evolutions — Commercial PPO Select Network: $1,067.60 Evolutions — Commercial Prime Network Products: $628
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PELVIC TRANSVAGINAL NON-OB	$1,256	$753.60	$816.40 – $1,256
Transvaginal ultrasound: rates for 10 insurance plans AvMed — Commercial: $904.32 AvMed — Commercial Other: $866.64 Cigna — Commercial PPO: $1,256 Evolutions — Commercial PPO Choice: $1,168.08 Evolutions — Commercial PPO International: $879.20 Evolutions — Commercial PPO Select Network: $1,067.60 First Health — Commercial PPO: $1,067.60 Multiplan — Commercial PPO: $1,130.40 United Healthcare — Commercial PPO: $816.40 United Healthcare — Indemnity: $816.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$72.63 – $76.82
Transvaginal ultrasound: rates for 9 insurance plans Aetna — Medicaid HMO: $74.73 Clear Health Alliance — Medicaid HMO: $70.54 Florida Community Care — Medicaid HMO: $76.82 Freedom Health — Medicaid HMO: $73.33 Humana — Medicaid HMO: $72.63 Molina Healthcare — Medicaid HMO: $73.33 Simply HealthCare — Medicaid HMO: $73.33 Sunshine Health — Medicaid HMO: $73.33 United Healthcare — Medicaid HMO: $71.24
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX DIAGNOSTIC MAMMO INCL CAD UNILATERAL	$328	$196.80	$164 – $328
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $328 Blue Cross — Commercial HMO My Blue: $328 Blue Cross — Commercial HMO Simply Blue: $328 Blue Cross — Commercial PPO Blue Select: $328 Blue Cross — Commercial PPO Network Blue: $328 Blue Cross — Commercial PPO PHS: $328 Evolutions — Commercial PPO Choice: $305.04 Evolutions — Commercial PPO International: $229.60 Evolutions — Commercial PPO Select Network: $278.80 Evolutions — Commercial Prime Network Products: $164
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WM DIAGNOSTIC MAMMO INCL CAD UNILATERAL	$328	$196.80	$164 – $328
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $328 Blue Cross — Commercial HMO My Blue: $328 Blue Cross — Commercial HMO Simply Blue: $328 Blue Cross — Commercial PPO Blue Select: $328 Blue Cross — Commercial PPO Network Blue: $328 Blue Cross — Commercial PPO PHS: $328 Evolutions — Commercial PPO Choice: $305.04 Evolutions — Commercial PPO International: $229.60 Evolutions — Commercial PPO Select Network: $278.80 Evolutions — Commercial Prime Network Products: $164
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX DIAGNOSTIC MAMMO INCL CAD UNILATERAL	$328	$196.80	$213.20 – $328
Diagnostic mammogram, one breast: rates for 10 insurance plans AvMed — Commercial: $236.16 AvMed — Commercial Other: $226.32 Cigna — Commercial PPO: $328 Evolutions — Commercial PPO Choice: $305.04 Evolutions — Commercial PPO International: $229.60 Evolutions — Commercial PPO Select Network: $278.80 First Health — Commercial PPO: $278.80 Multiplan — Commercial PPO: $295.20 United Healthcare — Commercial PPO: $213.20 United Healthcare — Indemnity: $213.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX DIAGNOSTIC MAMMO INCL CAD BILATERAL	$492	$295.20	$246 – $492
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $492 Blue Cross — Commercial HMO My Blue: $492 Blue Cross — Commercial HMO Simply Blue: $492 Blue Cross — Commercial PPO Blue Select: $492 Blue Cross — Commercial PPO Network Blue: $492 Blue Cross — Commercial PPO PHS: $492 Evolutions — Commercial PPO Choice: $457.56 Evolutions — Commercial PPO International: $344.40 Evolutions — Commercial PPO Select Network: $418.20 Evolutions — Commercial Prime Network Products: $246
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WM DIAGNOSTIC MAMMO INCL CAD BILATERAL	$492	$295.20	$246 – $492
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $492 Blue Cross — Commercial HMO My Blue: $492 Blue Cross — Commercial HMO Simply Blue: $492 Blue Cross — Commercial PPO Blue Select: $492 Blue Cross — Commercial PPO Network Blue: $492 Blue Cross — Commercial PPO PHS: $492 Evolutions — Commercial PPO Choice: $457.56 Evolutions — Commercial PPO International: $344.40 Evolutions — Commercial PPO Select Network: $418.20 Evolutions — Commercial Prime Network Products: $246
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX DIAGNOSTIC MAMMO INCL CAD BILATERAL	$492	$295.20	$319.80 – $492
Diagnostic mammogram, both breasts: rates for 10 insurance plans AvMed — Commercial: $354.24 AvMed — Commercial Other: $339.48 Cigna — Commercial PPO: $492 Evolutions — Commercial PPO Choice: $457.56 Evolutions — Commercial PPO International: $344.40 Evolutions — Commercial PPO Select Network: $418.20 First Health — Commercial PPO: $418.20 Multiplan — Commercial PPO: $442.80 United Healthcare — Commercial PPO: $319.80 United Healthcare — Indemnity: $319.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX SCREENING MAMMO BILATERAL INCL CAD	$455	$273	$227.50 – $455
Screening mammogram, both breasts: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $455 Blue Cross — Commercial HMO My Blue: $455 Blue Cross — Commercial HMO Simply Blue: $455 Blue Cross — Commercial PPO Blue Select: $455 Blue Cross — Commercial PPO Network Blue: $455 Blue Cross — Commercial PPO PHS: $455 Evolutions — Commercial PPO Choice: $423.15 Evolutions — Commercial PPO International: $318.50 Evolutions — Commercial PPO Select Network: $386.75 Evolutions — Commercial Prime Network Products: $227.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: WM SCREENING MAMMO BILATERAL INCL CAD	$455	$273	$227.50 – $455
Screening mammogram, both breasts: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $455 Blue Cross — Commercial HMO My Blue: $455 Blue Cross — Commercial HMO Simply Blue: $455 Blue Cross — Commercial PPO Blue Select: $455 Blue Cross — Commercial PPO Network Blue: $455 Blue Cross — Commercial PPO PHS: $455 Evolutions — Commercial PPO Choice: $423.15 Evolutions — Commercial PPO International: $318.50 Evolutions — Commercial PPO Select Network: $386.75 Evolutions — Commercial Prime Network Products: $227.50
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX SCREENING MAMMO BILATERAL INCL CAD	$455	$273	$295.75 – $455
Screening mammogram, both breasts: rates for 10 insurance plans AvMed — Commercial: $327.60 AvMed — Commercial Other: $313.95 Cigna — Commercial PPO: $455 Evolutions — Commercial PPO Choice: $423.15 Evolutions — Commercial PPO International: $318.50 Evolutions — Commercial PPO Select Network: $386.75 First Health — Commercial PPO: $386.75 Multiplan — Commercial PPO: $409.50 United Healthcare — Commercial PPO: $295.75 United Healthcare — Indemnity: $295.75

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR LHC W OR WO LV	$18,807	$11,284.20	$9,403.50 – $18,807
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $18,807 Blue Cross — Commercial HMO My Blue: $18,807 Blue Cross — Commercial HMO Simply Blue: $18,807 Blue Cross — Commercial PPO Blue Select: $18,807 Blue Cross — Commercial PPO Network Blue: $18,807 Blue Cross — Commercial PPO PHS: $18,807 Evolutions — Commercial PPO Choice: $17,490.51 Evolutions — Commercial PPO International: $13,164.90 Evolutions — Commercial PPO Select Network: $15,985.95 Evolutions — Commercial Prime Network Products: $9,403.50
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR LHC W OR WO LV	$18,807	$11,284.20	$12,224.55 – $18,807
Left heart catheterization (diagnostic): rates for 10 insurance plans AvMed — Commercial: $13,541.04 AvMed — Commercial Other: $12,976.83 Cigna — Commercial PPO: $18,807 Evolutions — Commercial PPO Choice: $17,490.51 Evolutions — Commercial PPO International: $13,164.90 Evolutions — Commercial PPO Select Network: $15,985.95 First Health — Commercial PPO: $15,985.95 Multiplan — Commercial PPO: $16,926.30 United Healthcare — Commercial PPO: $12,224.55 United Healthcare — Indemnity: $12,224.55
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$1,656.56 – $1,752.13
Left heart catheterization (diagnostic): rates for 9 insurance plans Aetna — Medicaid HMO: $1,704.35 Clear Health Alliance — Medicaid HMO: $1,608.78 Florida Community Care — Medicaid HMO: $1,752.13 Freedom Health — Medicaid HMO: $1,672.49 Humana — Medicaid HMO: $1,656.56 Molina Healthcare — Medicaid HMO: $1,672.49 Simply HealthCare — Medicaid HMO: $1,672.49 Sunshine Health — Medicaid HMO: $1,672.49 United Healthcare — Medicaid HMO: $1,624.70
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$4,421.38 – $4,676.46
Heart rhythm study (electrophysiology evaluation): rates for 9 insurance plans Aetna — Medicaid HMO: $4,548.92 Clear Health Alliance — Medicaid HMO: $4,293.84 Florida Community Care — Medicaid HMO: $4,676.46 Freedom Health — Medicaid HMO: $4,463.89 Humana — Medicaid HMO: $4,421.38 Molina Healthcare — Medicaid HMO: $4,463.89 Simply HealthCare — Medicaid HMO: $4,463.89 Sunshine Health — Medicaid HMO: $4,463.89 United Healthcare — Medicaid HMO: $4,336.35
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$11,542.12 – $12,208.01
Heart rhythm study with ablation for atrial fibrillation: rates for 9 insurance plans Aetna — Medicaid HMO: $11,875.06 Clear Health Alliance — Medicaid HMO: $11,209.17 Florida Community Care — Medicaid HMO: $12,208.01 Freedom Health — Medicaid HMO: $11,653.10 Humana — Medicaid HMO: $11,542.12 Molina Healthcare — Medicaid HMO: $11,653.10 Simply HealthCare — Medicaid HMO: $11,653.10 Sunshine Health — Medicaid HMO: $11,653.10 United Healthcare — Medicaid HMO: $11,320.15
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ND POLYSOMNOGRAM - ADULT	$1,179	$707.40	$589.50 – $1,179
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $1,179 Blue Cross — Commercial HMO My Blue: $1,179 Blue Cross — Commercial HMO Simply Blue: $1,179 Blue Cross — Commercial PPO Blue Select: $1,179 Blue Cross — Commercial PPO Network Blue: $1,179 Blue Cross — Commercial PPO PHS: $1,179 Evolutions — Commercial PPO Choice: $1,096.47 Evolutions — Commercial PPO International: $825.30 Evolutions — Commercial PPO Select Network: $1,002.15 Evolutions — Commercial Prime Network Products: $589.50
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ND POLYSOMNOGRAM	$7,528	$4,516.80	$3,764 – $7,528
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $7,528 Blue Cross — Commercial HMO My Blue: $7,528 Blue Cross — Commercial HMO Simply Blue: $7,528 Blue Cross — Commercial PPO Blue Select: $7,528 Blue Cross — Commercial PPO Network Blue: $7,528 Blue Cross — Commercial PPO PHS: $7,528 Evolutions — Commercial PPO Choice: $7,001.04 Evolutions — Commercial PPO International: $5,269.60 Evolutions — Commercial PPO Select Network: $6,398.80 Evolutions — Commercial Prime Network Products: $3,764
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ND POLYSOMNOGRAM - ADULT	$1,179	$707.40	$766.35 – $1,179
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans AvMed — Commercial: $848.88 AvMed — Commercial Other: $813.51 Cigna — Commercial PPO: $1,179 Evolutions — Commercial PPO Choice: $1,096.47 Evolutions — Commercial PPO International: $825.30 Evolutions — Commercial PPO Select Network: $1,002.15 First Health — Commercial PPO: $1,002.15 Multiplan — Commercial PPO: $1,061.10 United Healthcare — Commercial PPO: $766.35 United Healthcare — Indemnity: $766.35

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT THER EXERCISES EA 15MIN	$174	$104.40	$87 – $174
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $174 Blue Cross — Commercial HMO My Blue: $174 Blue Cross — Commercial HMO Simply Blue: $174 Blue Cross — Commercial PPO Blue Select: $174 Blue Cross — Commercial PPO Network Blue: $174 Blue Cross — Commercial PPO PHS: $174 Evolutions — Commercial PPO Choice: $161.82 Evolutions — Commercial PPO International: $121.80 Evolutions — Commercial PPO Select Network: $147.90 Evolutions — Commercial Prime Network Products: $87
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT THER EXERCISES EA 15MIN PED	$174	$104.40	$87 – $174
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $174 Blue Cross — Commercial HMO My Blue: $174 Blue Cross — Commercial HMO Simply Blue: $174 Blue Cross — Commercial PPO Blue Select: $174 Blue Cross — Commercial PPO Network Blue: $174 Blue Cross — Commercial PPO PHS: $174 Evolutions — Commercial PPO Choice: $161.82 Evolutions — Commercial PPO International: $121.80 Evolutions — Commercial PPO Select Network: $147.90 Evolutions — Commercial Prime Network Products: $87
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: OT THER EXERCISES EA 15MIN	$174	$104.40	$87 – $174
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $174 Blue Cross — Commercial HMO My Blue: $174 Blue Cross — Commercial HMO Simply Blue: $174 Blue Cross — Commercial PPO Blue Select: $174 Blue Cross — Commercial PPO Network Blue: $174 Blue Cross — Commercial PPO PHS: $174 Evolutions — Commercial PPO Choice: $161.82 Evolutions — Commercial PPO International: $121.80 Evolutions — Commercial PPO Select Network: $147.90 Evolutions — Commercial Prime Network Products: $87
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-LOW COMPLEXITY	$299	$179.40	$149.50 – $299
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $299 Blue Cross — Commercial HMO My Blue: $299 Blue Cross — Commercial HMO Simply Blue: $299 Blue Cross — Commercial PPO Blue Select: $299 Blue Cross — Commercial PPO Network Blue: $299 Blue Cross — Commercial PPO PHS: $299 Evolutions — Commercial PPO Choice: $278.07 Evolutions — Commercial PPO International: $209.30 Evolutions — Commercial PPO Select Network: $254.15 Evolutions — Commercial Prime Network Products: $149.50
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-LOW COMPLEXITY	$299	$179.40	$194.35 – $299
Physical therapy evaluation (low complexity): rates for 10 insurance plans AvMed — Commercial: $215.28 AvMed — Commercial Other: $206.31 Cigna — Commercial PPO: $299 Evolutions — Commercial PPO Choice: $278.07 Evolutions — Commercial PPO International: $209.30 Evolutions — Commercial PPO Select Network: $254.15 First Health — Commercial PPO: $254.15 Multiplan — Commercial PPO: $269.10 United Healthcare — Commercial PPO: $194.35 United Healthcare — Indemnity: $194.35
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$163.10 – $172.51
Physical therapy evaluation (low complexity): rates for 9 insurance plans Aetna — Medicaid HMO: $167.80 Clear Health Alliance — Medicaid HMO: $158.39 Florida Community Care — Medicaid HMO: $172.51 Freedom Health — Medicaid HMO: $164.66 Humana — Medicaid HMO: $163.10 Molina Healthcare — Medicaid HMO: $164.66 Simply HealthCare — Medicaid HMO: $164.66 Sunshine Health — Medicaid HMO: $164.66 United Healthcare — Medicaid HMO: $159.96
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-MEDIUM COMPLEXITY	$399	$239.40	$199.50 – $399
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $399 Blue Cross — Commercial HMO My Blue: $399 Blue Cross — Commercial HMO Simply Blue: $399 Blue Cross — Commercial PPO Blue Select: $399 Blue Cross — Commercial PPO Network Blue: $399 Blue Cross — Commercial PPO PHS: $399 Evolutions — Commercial PPO Choice: $371.07 Evolutions — Commercial PPO International: $279.30 Evolutions — Commercial PPO Select Network: $339.15 Evolutions — Commercial Prime Network Products: $199.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-MEDIUM COMPLEXITY	$399	$239.40	$259.35 – $399
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans AvMed — Commercial: $287.28 AvMed — Commercial Other: $275.31 Cigna — Commercial PPO: $399 Evolutions — Commercial PPO Choice: $371.07 Evolutions — Commercial PPO International: $279.30 Evolutions — Commercial PPO Select Network: $339.15 First Health — Commercial PPO: $339.15 Multiplan — Commercial PPO: $359.10 United Healthcare — Commercial PPO: $259.35 United Healthcare — Indemnity: $259.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$163.10 – $172.51
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans Aetna — Medicaid HMO: $167.80 Clear Health Alliance — Medicaid HMO: $158.39 Florida Community Care — Medicaid HMO: $172.51 Freedom Health — Medicaid HMO: $164.66 Humana — Medicaid HMO: $163.10 Molina Healthcare — Medicaid HMO: $164.66 Simply HealthCare — Medicaid HMO: $164.66 Sunshine Health — Medicaid HMO: $164.66 United Healthcare — Medicaid HMO: $159.96
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-HIGH COMPLEXITY	$499	$299.40	$249.50 – $499
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $499 Blue Cross — Commercial HMO My Blue: $499 Blue Cross — Commercial HMO Simply Blue: $499 Blue Cross — Commercial PPO Blue Select: $499 Blue Cross — Commercial PPO Network Blue: $499 Blue Cross — Commercial PPO PHS: $499 Evolutions — Commercial PPO Choice: $464.07 Evolutions — Commercial PPO International: $349.30 Evolutions — Commercial PPO Select Network: $424.15 Evolutions — Commercial Prime Network Products: $249.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL-HIGH COMPLEXITY	$499	$299.40	$324.35 – $499
Physical therapy evaluation (high complexity): rates for 10 insurance plans AvMed — Commercial: $359.28 AvMed — Commercial Other: $344.31 Cigna — Commercial PPO: $499 Evolutions — Commercial PPO Choice: $464.07 Evolutions — Commercial PPO International: $349.30 Evolutions — Commercial PPO Select Network: $424.15 First Health — Commercial PPO: $424.15 Multiplan — Commercial PPO: $449.10 United Healthcare — Commercial PPO: $324.35 United Healthcare — Indemnity: $324.35
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$163.10 – $172.51
Physical therapy evaluation (high complexity): rates for 9 insurance plans Aetna — Medicaid HMO: $167.80 Clear Health Alliance — Medicaid HMO: $158.39 Florida Community Care — Medicaid HMO: $172.51 Freedom Health — Medicaid HMO: $164.66 Humana — Medicaid HMO: $163.10 Molina Healthcare — Medicaid HMO: $164.66 Simply HealthCare — Medicaid HMO: $164.66 Sunshine Health — Medicaid HMO: $164.66 United Healthcare — Medicaid HMO: $159.96
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$2,971.46 – $3,142.89
Psychotherapy, 30 minutes: rates for 9 insurance plans Aetna — Medicaid HMO: $3,057.18 Clear Health Alliance — Medicaid HMO: $2,885.75 Florida Community Care — Medicaid HMO: $3,142.89 Freedom Health — Medicaid HMO: $3,000.04 Humana — Medicaid HMO: $2,971.46 Molina Healthcare — Medicaid HMO: $3,000.04 Simply HealthCare — Medicaid HMO: $3,000.04 Sunshine Health — Medicaid HMO: $3,000.04 United Healthcare — Medicaid HMO: $2,914.32
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$2,971.46 – $3,142.89
Psychotherapy, 45 minutes: rates for 9 insurance plans Aetna — Medicaid HMO: $3,057.18 Clear Health Alliance — Medicaid HMO: $2,885.75 Florida Community Care — Medicaid HMO: $3,142.89 Freedom Health — Medicaid HMO: $3,000.04 Humana — Medicaid HMO: $2,971.46 Molina Healthcare — Medicaid HMO: $3,000.04 Simply HealthCare — Medicaid HMO: $3,000.04 Sunshine Health — Medicaid HMO: $3,000.04 United Healthcare — Medicaid HMO: $2,914.32
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$2,971.46 – $3,142.89
Psychotherapy, 60 minutes: rates for 9 insurance plans Aetna — Medicaid HMO: $3,057.18 Clear Health Alliance — Medicaid HMO: $2,885.75 Florida Community Care — Medicaid HMO: $3,142.89 Freedom Health — Medicaid HMO: $3,000.04 Humana — Medicaid HMO: $2,971.46 Molina Healthcare — Medicaid HMO: $3,000.04 Simply HealthCare — Medicaid HMO: $3,000.04 Sunshine Health — Medicaid HMO: $3,000.04 United Healthcare — Medicaid HMO: $2,914.32
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$2,971.46 – $3,142.89
Family psychotherapy, without the patient: rates for 9 insurance plans Aetna — Medicaid HMO: $3,057.18 Clear Health Alliance — Medicaid HMO: $2,885.75 Florida Community Care — Medicaid HMO: $3,142.89 Freedom Health — Medicaid HMO: $3,000.04 Humana — Medicaid HMO: $2,971.46 Molina Healthcare — Medicaid HMO: $3,000.04 Simply HealthCare — Medicaid HMO: $3,000.04 Sunshine Health — Medicaid HMO: $3,000.04 United Healthcare — Medicaid HMO: $2,914.32
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$356.80 – $377.38
Family psychotherapy, with the patient: rates for 9 insurance plans Aetna — Medicaid HMO: $367.10 Clear Health Alliance — Medicaid HMO: $346.51 Florida Community Care — Medicaid HMO: $377.38 Freedom Health — Medicaid HMO: $360.23 Humana — Medicaid HMO: $356.80 Molina Healthcare — Medicaid HMO: $360.23 Simply HealthCare — Medicaid HMO: $360.23 Sunshine Health — Medicaid HMO: $360.23 United Healthcare — Medicaid HMO: $349.94
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$90.42 – $95.64
Group psychotherapy: rates for 9 insurance plans Aetna — Medicaid HMO: $93.03 Clear Health Alliance — Medicaid HMO: $87.81 Florida Community Care — Medicaid HMO: $95.64 Freedom Health — Medicaid HMO: $91.29 Humana — Medicaid HMO: $90.42 Molina Healthcare — Medicaid HMO: $91.29 Simply HealthCare — Medicaid HMO: $91.29 Sunshine Health — Medicaid HMO: $91.29 United Healthcare — Medicaid HMO: $88.68

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$674.94 – $713.88
Upper GI endoscopy (diagnostic): rates for 9 insurance plans Aetna — Medicaid HMO: $694.41 Clear Health Alliance — Medicaid HMO: $655.47 Florida Community Care — Medicaid HMO: $713.88 Freedom Health — Medicaid HMO: $681.43 Humana — Medicaid HMO: $674.94 Molina Healthcare — Medicaid HMO: $681.43 Simply HealthCare — Medicaid HMO: $681.43 Sunshine Health — Medicaid HMO: $681.43 United Healthcare — Medicaid HMO: $661.96
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$2,601.52 – $2,751.61
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans Aetna — Medicaid HMO: $2,676.56 Clear Health Alliance — Medicaid HMO: $2,526.47 Florida Community Care — Medicaid HMO: $2,751.61 Freedom Health — Medicaid HMO: $2,626.54 Humana — Medicaid HMO: $2,601.52 Molina Healthcare — Medicaid HMO: $2,626.54 Simply HealthCare — Medicaid HMO: $2,626.54 Sunshine Health — Medicaid HMO: $2,626.54 United Healthcare — Medicaid HMO: $2,551.49
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT BX PROSTAT NDL/PUNCH SGL/MX	$8,947	$5,368.20	$4,473.50 – $8,947
Prostate biopsy: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $8,947 Blue Cross — Commercial HMO My Blue: $8,947 Blue Cross — Commercial HMO Simply Blue: $8,947 Blue Cross — Commercial PPO Blue Select: $8,947 Blue Cross — Commercial PPO Network Blue: $8,947 Blue Cross — Commercial PPO PHS: $8,947 Evolutions — Commercial PPO Choice: $8,320.71 Evolutions — Commercial PPO International: $6,262.90 Evolutions — Commercial PPO Select Network: $7,604.95 Evolutions — Commercial Prime Network Products: $4,473.50
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US BX PROSTAT NDL/PUNCH SGL/MX	$8,947	$5,368.20	$4,473.50 – $8,947
Prostate biopsy: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $8,947 Blue Cross — Commercial HMO My Blue: $8,947 Blue Cross — Commercial HMO Simply Blue: $8,947 Blue Cross — Commercial PPO Blue Select: $8,947 Blue Cross — Commercial PPO Network Blue: $8,947 Blue Cross — Commercial PPO PHS: $8,947 Evolutions — Commercial PPO Choice: $8,320.71 Evolutions — Commercial PPO International: $6,262.90 Evolutions — Commercial PPO Select Network: $7,604.95 Evolutions — Commercial Prime Network Products: $4,473.50
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BX PROSTAT NDL/PUNCH SGL/MX	$8,947	$5,368.20	$5,815.55 – $8,947
Prostate biopsy: rates for 10 insurance plans AvMed — Commercial: $6,441.84 AvMed — Commercial Other: $6,173.43 Cigna — Commercial PPO: $8,947 Evolutions — Commercial PPO Choice: $8,320.71 Evolutions — Commercial PPO International: $6,262.90 Evolutions — Commercial PPO Select Network: $7,604.95 First Health — Commercial PPO: $7,604.95 Multiplan — Commercial PPO: $8,052.30 United Healthcare — Commercial PPO: $5,815.55 United Healthcare — Indemnity: $5,815.55
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$893.96 – $945.54
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans Aetna — Medicaid HMO: $919.75 Clear Health Alliance — Medicaid HMO: $868.18 Florida Community Care — Medicaid HMO: $945.54 Freedom Health — Medicaid HMO: $902.56 Humana — Medicaid HMO: $893.96 Molina Healthcare — Medicaid HMO: $902.56 Simply HealthCare — Medicaid HMO: $902.56 Sunshine Health — Medicaid HMO: $902.56 United Healthcare — Medicaid HMO: $876.77
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX INJ INTERLAMINAR LMBR/SAC W/ IMAGING	$2,319	$1,391.40	$1,159.50 – $2,319
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $2,319 Blue Cross — Commercial HMO My Blue: $2,319 Blue Cross — Commercial HMO Simply Blue: $2,319 Blue Cross — Commercial PPO Blue Select: $2,319 Blue Cross — Commercial PPO Network Blue: $2,319 Blue Cross — Commercial PPO PHS: $2,319 Evolutions — Commercial PPO Choice: $2,156.67 Evolutions — Commercial PPO International: $1,623.30 Evolutions — Commercial PPO Select Network: $1,971.15 Evolutions — Commercial Prime Network Products: $1,159.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR INJ INTERLAMINAR LMBR/SAC W/ IMAGING	$2,319	$1,391.40	$1,159.50 – $2,319
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $2,319 Blue Cross — Commercial HMO My Blue: $2,319 Blue Cross — Commercial HMO Simply Blue: $2,319 Blue Cross — Commercial PPO Blue Select: $2,319 Blue Cross — Commercial PPO Network Blue: $2,319 Blue Cross — Commercial PPO PHS: $2,319 Evolutions — Commercial PPO Choice: $2,156.67 Evolutions — Commercial PPO International: $1,623.30 Evolutions — Commercial PPO Select Network: $1,971.15 Evolutions — Commercial Prime Network Products: $1,159.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT INJ INTERLAMINAR LMBR/SAC W/ IMAGING	$2,319	$1,391.40	$1,159.50 – $2,319
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $2,319 Blue Cross — Commercial HMO My Blue: $2,319 Blue Cross — Commercial HMO Simply Blue: $2,319 Blue Cross — Commercial PPO Blue Select: $2,319 Blue Cross — Commercial PPO Network Blue: $2,319 Blue Cross — Commercial PPO PHS: $2,319 Evolutions — Commercial PPO Choice: $2,156.67 Evolutions — Commercial PPO International: $1,623.30 Evolutions — Commercial PPO Select Network: $1,971.15 Evolutions — Commercial Prime Network Products: $1,159.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR L/S ESI TRANSFORM INJ SNG LVL	$2,311	$1,386.60	$1,155.50 – $2,311
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $2,311 Blue Cross — Commercial HMO My Blue: $2,311 Blue Cross — Commercial HMO Simply Blue: $2,311 Blue Cross — Commercial PPO Blue Select: $2,311 Blue Cross — Commercial PPO Network Blue: $2,311 Blue Cross — Commercial PPO PHS: $2,311 Evolutions — Commercial PPO Choice: $2,149.23 Evolutions — Commercial PPO International: $1,617.70 Evolutions — Commercial PPO Select Network: $1,964.35 Evolutions — Commercial Prime Network Products: $1,155.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT L/S ESI TRANSFORM INJ SNG LVL	$2,311	$1,386.60	$1,155.50 – $2,311
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates Blue Cross — Commercial HMO Health Options: $2,311 Blue Cross — Commercial HMO My Blue: $2,311 Blue Cross — Commercial HMO Simply Blue: $2,311 Blue Cross — Commercial PPO Blue Select: $2,311 Blue Cross — Commercial PPO Network Blue: $2,311 Blue Cross — Commercial PPO PHS: $2,311 Evolutions — Commercial PPO Choice: $2,149.23 Evolutions — Commercial PPO International: $1,617.70 Evolutions — Commercial PPO Select Network: $1,964.35 Evolutions — Commercial Prime Network Products: $1,155.50
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR L/S ESI TRANSFORM INJ SNG LVL	$2,311	$1,386.60	$1,502.15 – $2,311
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans AvMed — Commercial: $1,663.92 AvMed — Commercial Other: $1,594.59 Cigna — Commercial PPO: $2,311 Evolutions — Commercial PPO Choice: $2,149.23 Evolutions — Commercial PPO International: $1,617.70 Evolutions — Commercial PPO Select Network: $1,964.35 First Health — Commercial PPO: $1,964.35 Multiplan — Commercial PPO: $2,079.90 United Healthcare — Commercial PPO: $1,502.15 United Healthcare — Indemnity: $1,502.15

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC	Not listed in the file	Not listed in the file	$45,866.15 – $47,195.31
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 18 insurance plan rates Aetna — Medicare PPO: $47,195.31 Ambetter — Commercial Select Core: $47,195.31 Ambetter — Commercial Value: $47,195.31 BayCarePlus — Medicare HMO: $47,195.31 Blue Cross — Medicare HMO: $47,195.31 CarePlus — Medicare HMO: $47,195.31 Cigna — Commercial HMO: $47,195.31 Cigna — Medicare HMO: $47,195.31 Freedom — Medicare HMO: $47,195.31 Humana — Medicare HMO: $47,195.31
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL W/O MCC	Not listed in the file	Not listed in the file	$34,661.09 – $35,665.54
Spinal fusion (not neck), without major complications: 10 of 18 insurance plan rates Aetna — Medicare PPO: $35,665.54 Ambetter — Commercial Select Core: $35,665.54 Ambetter — Commercial Value: $35,665.54 BayCarePlus — Medicare HMO: $35,665.54 Blue Cross — Medicare HMO: $35,665.54 CarePlus — Medicare HMO: $35,665.54 Cigna — Commercial HMO: $35,665.54 Cigna — Medicare HMO: $35,665.54 Freedom — Medicare HMO: $35,665.54 Humana — Medicare HMO: $35,665.54
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC	Not listed in the file	Not listed in the file	$68,536.64 – $70,522.78
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates Aetna — Medicare PPO: $70,522.78 Ambetter — Commercial Select Core: $70,522.78 Ambetter — Commercial Value: $70,522.78 BayCarePlus — Medicare HMO: $70,522.78 Blue Cross — Medicare HMO: $70,522.78 CarePlus — Medicare HMO: $70,522.78 Cigna — Commercial HMO: $70,522.78 Cigna — Medicare HMO: $70,522.78 Freedom — Medicare HMO: $70,522.78 Humana — Medicare HMO: $70,522.78
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION W/O CC/MCC	Not listed in the file	Not listed in the file	$30,287.63 – $31,165.35
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates Aetna — Medicare PPO: $31,165.35 Ambetter — Commercial Select Core: $31,165.35 Ambetter — Commercial Value: $31,165.35 BayCarePlus — Medicare HMO: $31,165.35 Blue Cross — Medicare HMO: $31,165.35 CarePlus — Medicare HMO: $31,165.35 Cigna — Commercial HMO: $31,165.35 Cigna — Medicare HMO: $31,165.35 Freedom — Medicare HMO: $31,165.35 Humana — Medicare HMO: $31,165.35
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC	Not listed in the file	Not listed in the file	$68,536.64 – $70,522.78
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates Aetna — Medicare PPO: $70,522.78 Ambetter — Commercial Select Core: $70,522.78 Ambetter — Commercial Value: $70,522.78 BayCarePlus — Medicare HMO: $70,522.78 Blue Cross — Medicare HMO: $70,522.78 CarePlus — Medicare HMO: $70,522.78 Cigna — Commercial HMO: $70,522.78 Cigna — Medicare HMO: $70,522.78 Freedom — Medicare HMO: $70,522.78 Humana — Medicare HMO: $70,522.78

Source: BayCare Alliant Hospital’s standard charges file (baycare.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Long-Term Acute Care Hospital
Address	601 Main St, Dunedin, FL 34698
County	Pinellas County
State	Florida
Phone	(727) 734‑6782
Ownership	Non-profit
CMS Certification Number	102021
Name in Medicare records	BAYCARE ALLIANT HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(727) 736‑9991^[4]
Official website	baycare.org
Corrections	Report an error or suggest an update →

Sources

Long-Term Care Hospital - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
Medicare Care Compare — official Medicare tool to look up and compare this type of hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

BayCare Alliant Hospital about us — baycare.org
About BayCare Alliant Hospital — baycare.org
Patient and Visitor Information | BayCare Alliant Hospital — baycare.org
Services at BayCare Alliant Hospital — baycare.org
Admissions — baycare.org
Rehabilitation — baycare.org

BayCare Alliant Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4][5][6][7]

Conditions treated^[4][5][7][9]

Treatments^[4][7][9]

Programs and centers^[7][9]

Visiting and practical information

Recognition^[4][5]

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

BayCare Alliant Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][5][6][7]

Conditions treated[4][5][7][9]

Treatments[4][7][9]

Programs and centers[7][9]

Visiting and practical information

Recognition[4][5]

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4][5][6][7]

Conditions treated^[4][5][7][9]

Treatments^[4][7][9]

Programs and centers^[7][9]

Recognition^[4][5]