Compare real prices at Bartow Regional Medical Center in Bartow, FL. Taven tracks 289 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.
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289
Procedures Tracked
with pricing data
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6.6x
Markup Ratio
Avg = 3.0x
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Grade C
Data Quality
Moderate data coverage
✓
CMS v3.0 Compliant
This hospital's pricing data meets the latest CMS v3.0 requirements, including actual allowed amounts from insurer remittance data.
Attested by: LAURIE HOLTSFORDOrg NPI: 1922052018
🔒 De-identification Notice: All pricing data shown on this page is derived from publicly available hospital machine-readable files and insurer transparency data as mandated by federal law. No individual patient data, protected health information (PHI), or personally identifiable information is collected, stored, or displayed. Aggregate statistics (such as allowed amount medians and percentiles) are calculated from de-identified claim payment data reported by hospitals per CMS requirements.
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Procedure Prices at Bartow Regional Medical Center
289 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Lakeland, FL metro average. Includes actual allowed amounts from insurer remittance data (CMS v3.0).
Last updated: March 26, 2026
| Procedure | Cash Price | Avg Negotiated | Median Allowed | Range (10th–90th) | Lakeland Avg | vs. Avg | Payers |
|---|---|---|---|---|---|---|---|
| Skin Biopsy (Tangential, Single Lesion) CPT 11102 Skin biopsy, tangential — removal of a thin layer of skin tissue for microscopic examination to diagnose skin conditions or suspicious lesions. |
$942 | $942 | — | — | $767 | +23% | — |
| Skin Biopsy (Punch, Single Lesion) CPT 11104 Skin punch biopsy — removal of a small, full-thickness circular sample of skin for laboratory analysis to diagnose skin conditions. |
$1,177 | $1,177 | — | — | $786 | +50% | — |
| Destruction of Premalignant Lesion (First) CPT 17000 Destruction of precancerous skin lesion — removal of a precancerous growth (actinic keratosis) using freezing, chemicals, or other methods. |
$125 | $125 | — | — | $359 | -65% | — |
| Wart Removal (Up to 14 Lesions) CPT 17110 Destruction of benign skin lesions, up to 14 — removal of warts, skin tags, or other non-cancerous growths. |
$125 | $125 | — | — | $504 | -75% | — |
| Joint Injection (small joint) CPT 20600 Small joint injection — injection of medication into a small joint like a finger or toe to reduce pain and inflammation. |
$918 | $551 | — | — | $792 | -30% | — |
| Joint Injection (medium joint) CPT 20605 Medium joint injection — injection of medication into a medium-sized joint like the elbow, wrist, or ankle to reduce pain and inflammation. |
$940 | $564 | — | — | $872 | -35% | — |
| Joint Injection (Major Joint) CPT 20610 Large joint injection — injection of medication (such as cortisone) into a large joint like the knee, shoulder, or hip to reduce pain and inflammation. |
$656 | $656 | — | — | $840 | -22% | — |
| Nasal Endoscopy (diagnostic) CPT 31231 Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting. |
$1,827 | $1,827 | — | — | $913 | +100% | — |
| Venipuncture (blood draw) CPT 36415 A routine blood draw where a needle is inserted into a vein (usually in the arm) to collect blood for laboratory testing. |
$9 | $9 | — | — | $24 | -62% | — |
| Upper Endoscopy (EGD) Diagnostic CPT 43235 Upper endoscopy (EGD) — a flexible tube with a camera is passed through the mouth to visually examine the esophagus, stomach, and upper intestine. |
$2,288 | $2,288 | — | — | $2,022 | +13% | — |
| Inguinal Hernia Repair CPT 49505 Inguinal hernia repair — surgical repair of a hernia in the groin area where tissue pushes through a weak spot in the abdominal muscles. |
$8,497 | $8,497 | — | — | $6,552 | +30% | — |
| Cystoscopy (Bladder Exam) CPT 52000 Cystoscopy — a thin scope with a camera is inserted through the urethra to examine the inside of the bladder and urinary tract. |
$2,827 | $2,827 | — | — | $1,519 | +86% | — |
| Prostate Biopsy CPT 55700 Prostate Biopsy — CPT code 55700 covers prostate biopsy performed in a clinical or hospital setting. |
$8,947 | $5,368 | — | — | $3,465 | +55% | — |
| IUD Removal CPT 58301 IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting. |
$544 | $544 | — | — | $963 | -43% | — |
| Fetal Non-Stress Test CPT 59025 Fetal non-stress test — monitoring the baby's heart rate in response to its own movements to assess fetal wellbeing. |
$1,084 | $650 | — | — | $538 | +21% | — |
| Ear Wax Removal CPT 69210 Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting. |
$465 | $279 | — | — | $368 | -24% | — |
| CT Head without Contrast CPT 70450 CT scan — ct head without contrast. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
$4,425 | $2,655 | — | — | $2,701 | -2% | — |
| CT Head with Contrast CPT 70460 CT scan — ct head with contrast. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
$3,743 | $3,743 | — | — | $3,043 | +23% | — |
| Brain MRI without Contrast CPT 70551 MRI of the brain without contrast — detailed magnetic resonance imaging of the brain to evaluate for abnormalities without using contrast dye. |
$2,672 | $2,672 | — | — | $2,814 | -5% | — |
| MRI Brain with/without Contrast CPT 70553 MRI of the brain with and without contrast dye — detailed imaging of the brain using magnetic fields and radio waves to diagnose tumors, stroke, or other conditions. |
$7,258 | $4,355 | — | — | $3,973 | +10% | — |
| Chest X-Ray (single view) CPT 71045 X-ray imaging — chest x-ray (single view). A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
$598 | $359 | — | — | $342 | +5% | — |
| Chest X-Ray (2 views) CPT 71046 Chest X-ray, two views — standard imaging of the lungs and chest from front and side to evaluate for pneumonia, heart problems, or other chest conditions. |
$455 | $455 | — | — | $432 | +5% | — |
| CT Chest without Contrast CPT 71250 CT scan of the chest without contrast — detailed cross-sectional imaging of the lungs, heart, and chest structures without contrast dye. |
$2,713 | $2,713 | — | — | $2,601 | +4% | — |
| CT Chest with Contrast CPT 71260 CT scan of the chest with contrast — detailed cross-sectional imaging of the chest after injecting contrast dye to better visualize blood vessels and tissues. |
$3,349 | $3,349 | — | — | $3,373 | -1% | — |
| Lumbar Spine X-Ray CPT 72100 X-ray imaging — lumbar spine x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
$1,051 | $631 | — | — | $821 | -23% | — |
| MRI Cervical Spine without Contrast CPT 72141 MRI of the cervical spine (neck) without contrast — detailed imaging of the neck spine to evaluate for herniated discs, spinal cord problems, or nerve issues. |
$3,065 | $1,839 | — | — | $2,947 | -38% | — |
| MRI Lumbar Spine without Contrast CPT 72148 MRI of the lumbar spine (lower back) without contrast — detailed imaging of the lower spine to evaluate for herniated discs, spinal stenosis, or nerve compression. |
$2,511 | $2,511 | — | — | $3,715 | -32% | — |
| Shoulder X-Ray CPT 73030 X-ray imaging — shoulder x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
$874 | $524 | — | — | $737 | -29% | — |
| Hand X-Ray CPT 73130 X-ray imaging — hand x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
$912 | $547 | — | — | $713 | -23% | — |
| MRI Shoulder without Contrast CPT 73221 MRI of any joint of the upper extremity without contrast — detailed imaging of a shoulder, elbow, wrist, or hand joint. |
$2,458 | $2,458 | — | — | $2,767 | -11% | — |
| Knee X-Ray CPT 73560 X-ray imaging — knee x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
$603 | $603 | — | — | $546 | +10% | — |
| Ankle X-Ray CPT 73610 X-ray imaging — ankle x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
$467 | $467 | — | — | $701 | -33% | — |
| MRI Knee without Contrast CPT 73721 MRI of any joint of the lower extremity without contrast — detailed imaging of a hip, knee, ankle, or foot joint using magnetic resonance. |
$4,871 | $2,923 | — | — | $2,478 | +18% | — |
| CT Abdomen/Pelvis without Contrast CPT 74176 CT scan of the abdomen and pelvis without contrast followed by with contrast — complete imaging study of the abdomen and pelvis. |
$3,399 | $3,399 | — | — | $4,675 | -27% | — |
| CT Abdomen/Pelvis with Contrast CPT 74177 CT scan of the abdomen and pelvis with contrast — comprehensive cross-sectional imaging of the abdominal and pelvic organs after contrast injection. |
$7,553 | $4,532 | — | — | $5,667 | -20% | — |
| Breast Ultrasound CPT 76642 Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $989 | $989 | $937–$1,041 | $395 | +150% | 1 |
| Abdominal Ultrasound CPT 76700 Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas. |
$2,030 | $1,218 | — | — | $1,073 | +14% | — |
| OB Ultrasound (first trimester) CPT 76801 Ultrasound — ob ultrasound (first trimester). This imaging test uses sound waves to create pictures of organs and structures inside the body. |
$560 | $560 | — | — | $896 | -38% | — |
| OB Ultrasound (complete) CPT 76805 Ultrasound — ob ultrasound (complete). This imaging test uses sound waves to create pictures of organs and structures inside the body. |
$644 | $644 | — | — | $1,162 | -45% | — |
| Transvaginal Ultrasound CPT 76830 Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures. |
$754 | $754 | — | — | $1,161 | -35% | — |
| Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs. |
$1,470 | $882 | — | — | $1,370 | -36% | — |
| 3D Mammography (Tomosynthesis) CPT 77063 3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting. |
— | $126 | $126 | $120–$133 | $580 | -78% | 1 |
| Diagnostic Mammogram (unilateral) CPT 77065 Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer. |
$197 | $197 | — | — | $445 | -56% | — |
| Diagnostic Mammogram (bilateral) CPT 77066 Screening mammogram of both breasts — routine X-ray imaging of both breasts to detect early breast cancer in women without symptoms. |
$295 | $295 | — | — | $705 | -58% | — |
| Screening Mammogram (bilateral) CPT 77067 Screening mammogram of both breasts including computer-aided detection — enhanced breast X-ray with software assistance for improved cancer detection. |
$273 | $273 | — | — | $489 | -44% | — |
| Nuclear Stress Test (SPECT MPI) CPT 78452 Myocardial perfusion imaging (stress test with nuclear imaging) — evaluates blood flow to the heart muscle during rest and stress to detect blocked arteries. |
$5,370 | $5,370 | — | — | $4,517 | +19% | — |
| BMP (Basic Metabolic Panel) CPT 80048 Basic metabolic panel — a blood test measuring 8 substances (glucose, calcium, sodium, potassium, CO2, chloride, BUN, creatinine) to assess kidney function, blood sugar, and electrolyte balance. |
$19 | $19 | — | — | $303 | -94% | — |
| CMP (Comprehensive Metabolic Panel) CPT 80053 Comprehensive metabolic panel — a blood test measuring 14 substances to evaluate kidney and liver function, blood sugar, electrolytes, and protein levels. |
$31 | $19 | — | — | $352 | -95% | — |
| Lipid Panel CPT 80061 Lipid panel — a blood test measuring cholesterol levels including total cholesterol, HDL ("good"), LDL ("bad"), and triglycerides to assess heart disease risk. |
$26 | $26 | — | — | $187 | -86% | — |
| Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting. |
$39 | $23 | — | — | $348 | -93% | — |
| Urinalysis with Microscopy CPT 81001 Urinalysis with microscopy — a urine test that examines the physical, chemical, and microscopic properties of urine to detect infections, kidney disease, or other conditions. |
$17 | $17 | — | — | $275 | -94% | — |
| Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting. |
$4 | $4 | — | — | $203 | -98% | — |
| Vitamin D Level CPT 82306 Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency. |
$27 | $27 | — | — | $130 | -79% | — |
| Urine Creatinine CPT 82570 Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting. |
$6 | $6 | — | — | $124 | -95% | — |
| Ferritin Level CPT 82728 Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting. |
$46 | $28 | — | — | $360 | -92% | — |
| Glucose (blood sugar) CPT 82947 Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes. |
$7 | $7 | — | — | $187 | -96% | — |
| Hemoglobin A1C CPT 83036 Hemoglobin A1c test — a blood test that shows your average blood sugar level over the past 2-3 months, used to diagnose and monitor diabetes. |
$31 | $19 | — | — | $208 | -91% | — |
| Potassium Level CPT 84132 Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting. |
$12 | $7 | — | — | $128 | -94% | — |
| PSA (Prostate) CPT 84153 PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting. |
$40 | $24 | — | — | $203 | -88% | — |
| Sodium Level CPT 84295 Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting. |
$7 | $7 | — | — | $182 | -96% | — |
| TSH (Thyroid) CPT 84443 Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working. |
$20 | $20 | — | — | $283 | -93% | — |
| CBC (Complete Blood Count) CPT 85025 Complete blood count (CBC) with differential — a common blood test that measures red blood cells, white blood cells, platelets, and hemoglobin to evaluate overall health. |
$27 | $16 | — | — | $158 | -90% | — |
| PT/INR (Prothrombin Time) CPT 85610 PT/INR (Prothrombin Time) — CPT code 85610 covers pt/inr (prothrombin time) performed in a clinical or hospital setting. |
$13 | $13 | — | — | $73 | -82% | — |
| TB Skin Test CPT 86580 TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting. |
— | $5 | $5 | $5–$6 | $113 | -95% | 1 |
| Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting. |
$8 | $8 | — | — | $158 | -95% | — |
| COVID-19 Test (rapid antigen) CPT 87426 COVID-19 Test (rapid antigen) — CPT code 87426 covers covid-19 test (rapid antigen) performed in a clinical or hospital setting. |
$69 | $41 | — | — | $648 | -94% | — |
| Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample. |
$13 | $13 | — | — | $236 | -94% | — |
| Gonorrhea Test CPT 87591 Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample. |
$13 | $13 | — | — | $271 | -95% | — |
| COVID-19 Test (PCR) CPT 87635 COVID-19 Test (PCR) — CPT code 87635 covers covid-19 test (pcr) performed in a clinical or hospital setting. |
$169 | $101 | — | — | $439 | -77% | — |
| Flu Test (rapid) CPT 87804 Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting. |
— | $13 | $13 | $13–$14 | $150 | -91% | 1 |
| Pap Smear (ThinPrep) CPT 88175 Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting. |
— | $29 | $29 | $28–$31 | $519 | -94% | 1 |
| Immunization Administration CPT 90471 Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting. |
$72 | $72 | — | — | $148 | -51% | — |
| Tdap Vaccine CPT 90715 Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting. |
$174 | $174 | — | — | $753 | -77% | — |
| Psychiatric Diagnostic Evaluation CPT 90791 Psychiatric Diagnostic Evaluation — CPT code 90791 covers psychiatric diagnostic evaluation performed in a clinical or hospital setting. |
$399 | $239 | — | — | $473 | -49% | — |
| Coronary Stent Placement CPT 92928 Coronary Stent Placement — CPT code 92928 covers coronary stent placement performed in a clinical or hospital setting. |
— | $19,614 | $19,614 | $18,581–$20,646 | $13,832 | +42% | 1 |
| Cardiovascular Stress Test CPT 93015 Cardiovascular Stress Test — CPT code 93015 covers cardiovascular stress test performed in a clinical or hospital setting. |
$2,505 | $2,505 | — | — | $791 | +217% | — |
| Echocardiogram Complete CPT 93306 Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting. |
$3,262 | $1,957 | — | — | $2,756 | -29% | — |
| Stress Echocardiogram CPT 93350 Stress Echocardiogram — CPT code 93350 covers stress echocardiogram performed in a clinical or hospital setting. |
$4,429 | $2,657 | — | — | $2,116 | +26% | — |
| Left Heart Catheterization CPT 93458 Left Heart Catheterization — CPT code 93458 covers left heart catheterization performed in a clinical or hospital setting. |
— | $13,483 | $13,483 | $12,773–$14,193 | $6,358 | +112% | 1 |
| Carotid Ultrasound CPT 93880 Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
$1,348 | $1,348 | — | — | $1,238 | +9% | — |
| Venous Duplex Scan (legs) CPT 93971 Venous Duplex Scan (legs) — CPT code 93971 covers venous duplex scan (legs) performed in a clinical or hospital setting. |
$1,130 | $678 | — | — | $1,018 | -33% | — |
| Therapeutic Injection (IM/SubQ) CPT 96372 Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes. |
$420 | $252 | — | — | $607 | -58% | — |
| IV Push (single drug) CPT 96374 IV push medication — rapid injection of medication directly into a vein or existing IV line. |
$268 | $268 | — | — | $1,029 | -74% | — |
| Chemotherapy Infusion (first hour) CPT 96413 Chemotherapy IV infusion, first hour — administration of cancer-fighting medication through an IV line for the initial hour. |
$844 | $844 | — | — | $363 | +133% | — |
| PT - Ultrasound Therapy CPT 97035 Ultrasound — pt - ultrasound therapy. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
$36 | $22 | — | — | $122 | -82% | — |
| PT - Therapeutic Exercise CPT 97110 Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion. |
$45 | $45 | — | — | $141 | -68% | — |
| PT - Gait Training CPT 97116 PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting. |
$75 | $45 | — | — | $151 | -70% | — |
| PT - Manual Therapy CPT 97140 Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching. |
$41 | $41 | — | — | $156 | -73% | — |
| PT Evaluation - Low Complexity CPT 97161 Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition. |
$90 | $90 | — | — | $440 | -80% | — |
| PT Evaluation - Moderate Complexity CPT 97162 Physical therapy evaluation, moderate complexity — initial assessment by a physical therapist for a condition requiring moderate clinical decision-making. |
$120 | $120 | — | — | $457 | -74% | — |
| PT Evaluation - High Complexity CPT 97163 Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition. |
$250 | $150 | — | — | $492 | -70% | — |
| PT - Therapeutic Activities CPT 97530 Therapeutic activities — functional movement training to improve your ability to perform daily activities. |
$96 | $58 | — | — | $324 | -82% | — |
| ER Visit - Minor Problem CPT 99281 Emergency department visit for a minor, self-limited problem requiring minimal evaluation. |
$880 | $528 | — | — | $390 | +35% | — |
| ER Visit - Low Complexity CPT 99282 Emergency department visit for a low to moderate severity problem requiring a brief evaluation. |
$952 | $952 | — | — | $731 | +30% | — |
| ER Visit - Moderate Complexity CPT 99283 Emergency department visit for a moderate severity problem requiring an expanded evaluation. |
$1,666 | $1,666 | — | — | $1,743 | -4% | — |
| ER Visit - High Complexity CPT 99284 Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life. |
$2,737 | $2,737 | — | — | $1,856 | +47% | — |
| ER Visit - Immediate Threat to Life CPT 99285 Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation. |
$6,610 | $3,966 | — | — | $2,468 | +61% | — |
| Ceftriaxone Injection 250mg CPT J0696 HCPCS Level II code J0696 — Ceftriaxone Injection 250mg. Healthcare Common Procedure Coding System code for ceftriaxone injection 250mg. |
$35 | $35 | — | — | $338 | -90% | — |
| Triamcinolone Injection CPT J3301 HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection. |
$11 | $7 | — | — | $267 | -98% | — |
| Clavicle X-Ray CPT 73000 Radiologic examination of clavicle |
— | $91 | $91 | $86–$96 | $61 | +49% | 1 |
| Humerus X-Ray CPT 73060 Radiologic examination of humerus, minimum 2 views |
— | $93 | $93 | $88–$97 | $69 | +34% | 1 |
| Elbow X-Ray CPT 73070 Radiologic examination of elbow, 2 views |
— | $91 | $91 | $86–$96 | $58 | +56% | 1 |
| Elbow X-Ray (3+ views) CPT 73080 Radiologic examination of elbow, complete, minimum 3 views |
— | $119 | $119 | $112–$125 | $70 | +70% | 1 |
| Wrist X-Ray CPT 73100 Radiologic examination of wrist, 2 views |
— | $96 | $96 | $91–$101 | $63 | +52% | 1 |
| Wrist X-Ray (3+ views) CPT 73110 Radiologic examination of wrist, complete, minimum 3 views |
— | $120 | $120 | $114–$127 | $82 | +47% | 1 |
| Hip X-Ray (2-3 views) CPT 73502 Radiologic examination of hip, 2-3 views |
— | $261 | $261 | $247–$274 | $136 | +92% | 1 |
| Femur X-Ray CPT 73552 Radiologic examination of femur, minimum 2 views |
— | $261 | $261 | $247–$274 | $126 | +107% | 1 |
| Knee X-Ray (3 views) CPT 73562 Radiologic examination of knee, 3 views |
— | $115 | $115 | $109–$121 | $75 | +54% | 1 |
| Tibia/Fibula X-Ray CPT 73590 Radiologic examination of tibia and fibula, 2 views |
— | $86 | $86 | $81–$90 | $56 | +53% | 1 |
| Foot X-Ray (2 views) CPT 73620 Radiologic examination of foot, 2 views |
— | $86 | $86 | $81–$90 | $55 | +55% | 1 |
| Foot X-Ray (3+ views) CPT 73630 Radiologic examination of foot, complete, minimum 3 views |
— | $103 | $103 | $98–$108 | $63 | +63% | 1 |
| Abdomen X-Ray (1 view) CPT 74018 Radiologic examination of abdomen, single anteroposterior view |
— | $238 | $238 | $225–$250 | $107 | +122% | 1 |
| Abdomen X-Ray (2 views) CPT 74019 Radiologic examination of abdomen, 2 views |
— | $438 | $438 | $415–$461 | $157 | +179% | 1 |
| Thyroid Ultrasound CPT 76536 Ultrasound of head and neck, thyroid, real time with image |
— | $393 | $393 | $372–$413 | $220 | +78% | 1 |
| Chest Ultrasound CPT 76604 Ultrasound of chest, real time with image documentation |
— | $270 | $270 | $256–$285 | $139 | +95% | 1 |
| Retroperitoneal Ultrasound (complete) CPT 76770 Ultrasound, retroperitoneal, complete |
— | $431 | $431 | $408–$454 | $246 | +75% | 1 |
| Retroperitoneal Ultrasound (limited) CPT 76775 Ultrasound, retroperitoneal, limited |
— | $373 | $373 | $354–$393 | $192 | +95% | 1 |
| OB Ultrasound (limited) CPT 76815 Ultrasound, pregnant uterus, limited |
— | $267 | $267 | $253–$281 | $159 | +68% | 1 |
| Transvaginal OB Ultrasound CPT 76817 Ultrasound, pregnant uterus, transvaginal |
— | $297 | $297 | $281–$312 | $175 | +70% | 1 |
| Pelvic Ultrasound (limited) CPT 76857 Ultrasound, pelvic, limited or follow-up |
— | $372 | $372 | $352–$391 | $160 | +132% | 1 |
| Scrotal Ultrasound CPT 76870 Ultrasound, scrotum and contents |
— | $405 | $405 | $384–$426 | $210 | +93% | 1 |
| Extremity Ultrasound (complete) CPT 76881 Ultrasound, complete joint, real time |
— | $418 | $418 | $396–$440 | $170 | +146% | 1 |
| Extremity Ultrasound (limited) CPT 76882 Ultrasound, limited, joint or focal evaluation |
— | $49 | $49 | $47–$52 | $53 | -7% | 1 |
| Bone Age Study CPT 77072 Bone age studies |
— | $63 | $63 | $59–$66 | $44 | +43% | 1 |
| Bone Length Studies CPT 77073 Bone length studies |
— | $108 | $108 | $103–$114 | $81 | +34% | 1 |
| Bone Survey (complete) CPT 77075 Radiologic examination, osseous survey, complete |
— | $337 | $337 | $319–$355 | $217 | +55% | 1 |
| DEXA Scan (Bone Density) CPT 77080 DXA bone density study, axial skeleton |
— | $250 | $250 | $236–$263 | $143 | +75% | 1 |
| DEXA Scan (Peripheral) CPT 77081 DXA bone density study, appendicular skeleton |
— | $84 | $84 | $79–$88 | $60 | +40% | 1 |
| DEXA Body Composition CPT 77085 DXA bone density study, body composition |
— | $93 | $93 | $88–$97 | $87 | +6% | 1 |
| Bone Scan (whole body) CPT 78306 Bone imaging, whole body |
— | $934 | $934 | $885–$983 | $612 | +53% | 1 |
| Nuclear Stress Test (Planar MPI) CPT 78451 Myocardial perfusion imaging, planar, single study |
— | $752 | $752 | $713–$792 | $619 | +22% | 1 |
| Renal Function Panel CPT 80069 Renal function panel blood test |
— | $10 | $10 | $9–$10 | $12 | -20% | 1 |
| Acute Hepatitis Panel CPT 80074 Acute hepatitis panel blood test |
— | $52 | $52 | $49–$54 | $62 | -17% | 1 |
| Urinalysis (non-automated, with microscopy) CPT 81000 Urinalysis by dip stick or tablet reagent, non-automated, with microscopy |
— | $4 | $4 | $3–$4 | $8 | -56% | 1 |
| Urinalysis (non-automated, without microscopy) CPT 81002 Urinalysis without microscopy, non-automated |
— | $3 | $3 | $3–$3 | $4 | -30% | 1 |
| Albumin Level CPT 82040 Albumin, serum, plasma or whole blood |
— | $5 | $5 | $5–$6 | $6 | -8% | 1 |
| Amylase Level CPT 82150 Amylase test |
— | $7 | $7 | $7–$8 | $9 | -20% | 1 |
| Bilirubin Total CPT 82247 Bilirubin, total |
— | $6 | $6 | $5–$6 | $7 | -21% | 1 |
| Bilirubin Direct CPT 82248 Bilirubin, direct |
— | $6 | $6 | $5–$6 | $13 | -57% | 1 |
| Calcium Level CPT 82310 Calcium, total |
— | $6 | $6 | $5–$6 | $9 | -37% | 1 |
| CO2/Bicarbonate Level CPT 82374 Carbon dioxide (bicarbonate) |
— | $5 | $5 | $5–$6 | $6 | -10% | 1 |
| Cholesterol Total CPT 82465 Cholesterol, serum or whole blood, total |
— | $5 | $5 | $5–$5 | $6 | -19% | 1 |
| CK/CPK (Creatine Kinase) CPT 82550 Creatine kinase (CK, CPK), total |
— | $7 | $7 | $7–$8 | $20 | -64% | 1 |
| CK-MB (Heart) CPT 82553 Creatine kinase (CK), MB fraction |
— | $13 | $13 | $12–$13 | $18 | -29% | 1 |
| Creatinine Level CPT 82565 Creatinine; blood |
— | $6 | $6 | $5–$6 | $7 | -19% | 1 |
| Vitamin B12 Level CPT 82607 Cyanocobalamin (Vitamin B-12) |
— | $17 | $17 | $16–$18 | $20 | -17% | 1 |
| Estradiol Level CPT 82670 Estradiol |
— | $31 | $31 | $29–$32 | $53 | -42% | 1 |
| Folic Acid Level CPT 82746 Folic acid, serum |
— | $16 | $16 | $15–$17 | $19 | -14% | 1 |
| IgA Level CPT 82784 Gammaglobulin IgA |
— | $10 | $10 | $10–$11 | $12 | -14% | 1 |
| Blood Gas Panel (ABG) CPT 82803 Gases, blood, any combination of pH, pCO2, pO2 |
— | $21 | $21 | $20–$23 | $48 | -55% | 1 |
| Glucose (point of care) CPT 82962 Glucose, blood by glucose monitoring device |
— | $3 | $3 | $2–$3 | $4 | -35% | 1 |
| FSH (Follicle Stimulating Hormone) CPT 83001 Gonadotropin, follicle stimulating hormone (FSH) |
— | $21 | $21 | $19–$22 | $25 | -18% | 1 |
| LH (Luteinizing Hormone) CPT 83002 Gonadotropin, luteinizing hormone (LH) |
— | $20 | $20 | $19–$22 | $26 | -21% | 1 |
| Iron Level CPT 83540 Iron |
— | $7 | $7 | $7–$8 | $8 | -11% | 1 |
| Iron Binding Capacity (TIBC) CPT 83550 Iron binding capacity, total |
— | $10 | $10 | $9–$10 | $19 | -49% | 1 |
| LDH (Lactate Dehydrogenase) CPT 83615 Lactate dehydrogenase (LD, LDH) |
— | $7 | $7 | $6–$7 | $7 | -5% | 1 |
| Lipase Level CPT 83690 Lipase |
— | $8 | $8 | $7–$8 | $9 | -15% | 1 |
| Magnesium Level CPT 83735 Magnesium |
— | $7 | $7 | $7–$8 | $17 | -56% | 1 |
| BNP (Brain Natriuretic Peptide) CPT 83880 Natriuretic peptide (BNP) |
— | $37 | $37 | $36–$39 | $47 | -20% | 1 |
| Parathyroid Hormone (PTH) CPT 83970 Parathormone (parathyroid hormone, PTH) |
— | $46 | $46 | $43–$48 | $54 | -16% | 1 |
| Alkaline Phosphatase CPT 84075 Phosphatase, alkaline |
— | $6 | $6 | $5–$6 | $7 | -18% | 1 |
| Phosphorus Level CPT 84100 Phosphorus inorganic (phosphate) |
— | $5 | $5 | $5–$6 | $6 | -12% | 1 |
| Prealbumin Level CPT 84134 Prealbumin |
— | $16 | $16 | $15–$17 | $19 | -15% | 1 |
| Progesterone Level CPT 84144 Progesterone |
— | $23 | $23 | $22–$24 | $36 | -36% | 1 |
| Prolactin Level CPT 84146 Prolactin |
— | $21 | $21 | $20–$23 | $24 | -11% | 1 |
| Testosterone Total CPT 84403 Testosterone, total |
— | $29 | $29 | $27–$30 | $44 | -35% | 1 |
| Thyroxine Total (T4) CPT 84436 Thyroxine, total |
— | $8 | $8 | $7–$8 | $17 | -55% | 1 |
| Free Thyroxine (Free T4) CPT 84439 Thyroxine, free |
— | $10 | $10 | $9–$11 | $12 | -17% | 1 |
| Transferrin Level CPT 84466 Transferrin |
— | $14 | $14 | $13–$15 | $21 | -33% | 1 |
| Triglycerides CPT 84478 Triglycerides |
— | $6 | $6 | $6–$7 | $7 | -9% | 1 |
| T3 (Triiodothyronine) Total CPT 84480 Triiodothyronine T3, total |
— | $16 | $16 | $15–$17 | $17 | -8% | 1 |
| Free T3 CPT 84481 Triiodothyronine T3, free |
— | $19 | $19 | $18–$20 | $22 | -15% | 1 |
| Troponin (Cardiac) CPT 84484 Troponin, quantitative |
— | $11 | $11 | $10–$11 | $15 | -27% | 1 |
| BUN (Blood Urea Nitrogen) CPT 84520 Urea nitrogen, blood (BUN) |
— | $4 | $4 | $4–$5 | $5 | -13% | 1 |
| Uric Acid Level CPT 84550 Uric acid, blood |
— | $5 | $5 | $5–$5 | $6 | -16% | 1 |
| CBC (Automated) CPT 85027 Complete blood count, automated |
— | $7 | $7 | $7–$8 | $9 | -21% | 1 |
| D-Dimer CPT 85379 Fibrin degradation products, D-dimer |
— | $11 | $11 | $11–$12 | $13 | -13% | 1 |
| Sed Rate (ESR) CPT 85652 Sedimentation rate, erythrocyte; automated |
— | $3 | $3 | $3–$3 | $5 | -40% | 1 |
| PTT (Partial Thromboplastin Time) CPT 85730 Thromboplastin time, partial (PTT) |
— | $7 | $7 | $6–$7 | $8 | -17% | 1 |
| Allergen Specific IgE CPT 86003 Allergen specific IgE; quantitative or semiquantitative, each allergen |
— | $6 | $6 | $5–$6 | $8 | -28% | 1 |
| C-Reactive Protein (CRP) CPT 86140 C-reactive protein |
— | $6 | $6 | $5–$6 | $7 | -18% | 1 |
| Cyclic Citrullinated Peptide (CCP) CPT 86200 Cyclic citrullinated peptide (CCP), antibody |
— | $14 | $14 | $14–$15 | $32 | -55% | 1 |
| Nuclear Antigen Antibody (ENA) CPT 86235 Extractable nuclear antigen (ENA) antibody |
— | $20 | $20 | $19–$21 | $24 | -17% | 1 |
| CA 125 Tumor Marker CPT 86300 Immunoassay for tumor antigen, CA 125 |
— | $23 | $23 | $22–$24 | $25 | -8% | 1 |
| CA 19-9 Tumor Marker CPT 86304 Immunoassay for tumor antigen, CA 19-9 |
— | $23 | $23 | $22–$24 | $27 | -15% | 1 |
| Rheumatoid Factor CPT 86431 Rheumatoid factor, quantitative |
— | $6 | $6 | $6–$7 | $14 | -55% | 1 |
| TB Blood Test (QuantiFERON) CPT 86480 Tuberculosis test, cell mediated immunity antigen response |
— | $68 | $68 | $65–$72 | $94 | -27% | 1 |
| Syphilis Test (RPR/VDRL) CPT 86592 Syphilis test, non-treponemal antibody; qualitative |
— | $5 | $5 | $4–$5 | $5 | -6% | 1 |
| Helicobacter Pylori Antibody CPT 86677 Antibody, Helicobacter pylori |
— | $16 | $16 | $15–$17 | $19 | -16% | 1 |
| Herpes Simplex Antibody CPT 86695 Antibody, herpes simplex, type specific |
— | $15 | $15 | $14–$15 | $20 | -27% | 1 |
| Hepatitis A Antibody CPT 86696 Antibody, hepatitis A |
— | $21 | $21 | $20–$23 | $30 | -29% | 1 |
| Hepatitis B Core Antibody CPT 86704 Hepatitis B core antibody (HBcAb); total |
— | $13 | $13 | $13–$14 | $16 | -17% | 1 |
| Hepatitis B Surface Antibody CPT 86706 Hepatitis B surface antibody (HBsAb) |
— | $12 | $12 | $11–$12 | $26 | -54% | 1 |
| Rubella Antibody CPT 86762 Antibody, rubella |
— | $16 | $16 | $15–$17 | $44 | -64% | 1 |
| Rubeola (Measles) Antibody CPT 86765 Antibody, rubeola |
— | $14 | $14 | $14–$15 | $32 | -55% | 1 |
| Varicella Antibody (Chickenpox) CPT 86787 Antibody, varicella-zoster |
— | $14 | $14 | $14–$15 | $17 | -16% | 1 |
| Hepatitis C Antibody CPT 86803 Hepatitis C antibody |
— | $16 | $16 | $15–$17 | $35 | -55% | 1 |
| Antibody Screen (RBC) CPT 86850 Antibody screen, RBC, each serum technique |
— | $12 | $12 | $11–$12 | $31 | -62% | 1 |
| Rh Blood Type CPT 86901 Blood typing, Rh (D) |
— | $3 | $3 | $3–$3 | $5 | -34% | 1 |
| Bacterial Culture CPT 87070 Culture, bacterial; any other source except urine, blood or stool |
— | $10 | $10 | $9–$10 | $11 | -13% | 1 |
| Bacterial Culture (aerobic isolate) CPT 87077 Culture, bacterial; aerobic isolate, additional methods |
— | $9 | $9 | $8–$9 | $11 | -19% | 1 |
| Culture, presumptive (screen) CPT 87081 Culture, presumptive, pathogenic organisms, screening only |
— | $7 | $7 | $7–$8 | $8 | -8% | 1 |
| Urine Culture CPT 87086 Culture, bacterial; quantitative colony count, urine |
— | $9 | $9 | $8–$9 | $14 | -36% | 1 |
| Chlamydia Culture CPT 87110 Culture, chlamydia |
— | $22 | $22 | $21–$23 | $25 | -13% | 1 |
| Antibiotic Sensitivity (MIC) CPT 87186 Susceptibility studies, antimicrobial agent; microdilution or agar dilution |
— | $10 | $10 | $9–$10 | $12 | -20% | 1 |
| Gram Stain CPT 87205 Smear, primary source with interpretation; Gram or Giemsa stain |
— | $5 | $5 | $4–$5 | $13 | -64% | 1 |
| Hepatitis B Surface Antigen CPT 87340 Infectious agent antigen detection; hepatitis B surface antigen (HBsAg) |
— | $11 | $11 | $11–$12 | $26 | -56% | 1 |
| HIV-1/HIV-2 Antibody Test CPT 87389 HIV-1 and HIV-2, single result, immunoassay |
— | $25 | $25 | $23–$26 | $27 | -9% | 1 |
| Flu Test (PCR/molecular) CPT 87502 Infectious agent detection, influenza, multiplex reverse transcription |
— | $92 | $92 | $87–$97 | $134 | -31% | 1 |
| Mycobacterium TB Detection CPT 87580 Infectious agent detection, Mycobacterium tuberculosis, amplified probe |
— | $22 | $22 | $21–$23 | $25 | -11% | 1 |
| HPV High-Risk Test CPT 87624 Infectious agent detection, human papillomavirus (HPV), high-risk types |
— | $59 | $59 | $55–$62 | $61 | -4% | 1 |
| Strep Test (rapid) CPT 87880 Infectious agent antigen detection, Streptococcus, group A |
— | $13 | $13 | $13–$14 | $20 | -34% | 1 |
| Venipuncture (age 3+) CPT 36410 Venipuncture, age 3 years or older, necessitating physician skill |
— | $7 | $7 | $7–$7 | $18 | -61% | 1 |
| Amniocentesis CPT 59000 Amniocentesis, diagnostic |
— | $491 | $491 | $465–$517 | $400 | +23% | 1 |
| Fluoroscopic Guidance CPT 77003 Fluoroscopic guidance and localization of needle or catheter tip |
— | $141 | $141 | $134–$149 | $156 | -9% | 1 |
| Coronary Angioplasty (single vessel) CPT 92920 Percutaneous transluminal coronary angioplasty, single vessel |
— | $19,614 | $19,614 | $18,581–$20,646 | $7,392 | +165% | 1 |
| Right Heart Catheterization CPT 93451 Right heart catheterization |
— | $13,483 | $13,483 | $12,773–$14,193 | $6,124 | +120% | 1 |
| Coronary Angiography CPT 93454 Catheter placement in coronary artery for coronary angiography |
— | $13,483 | $13,483 | $12,773–$14,193 | $6,219 | +117% | 1 |
| Cytopathology (fluids) CPT 88104 Cytopathology, fluids, washings or brushings, smears with interpretation |
— | $26 | $26 | $24–$27 | $62 | -58% | 1 |
| Cytopathology (concentration technique) CPT 88108 Cytopathology, concentration technique, smears and interpretation |
— | $34 | $34 | $32–$35 | $76 | -56% | 1 |
| Cytopathology (selective cellular enhancement) CPT 88112 Cytopathology, selective cellular enhancement technique with interpretation |
— | $33 | $33 | $31–$35 | $53 | -38% | 1 |
| Pap Smear - Physician Interpretation CPT 88141 Cytopathology, cervical or vaginal, requiring interpretation by physician |
— | $21 | $21 | $20–$22 | $40 | -47% | 1 |
| Pap Smear - ThinPrep (automated) CPT 88142 Cytopathology, cervical or vaginal, collected in preservative fluid, automated thin layer |
— | $22 | $22 | $21–$24 | $29 | -23% | 1 |
| Cytopathology (smears, any source) CPT 88160 Cytopathology, smears, any other source, screening and interpretation |
— | $20 | $20 | $19–$21 | $65 | -69% | 1 |
| Flow Cytometry (first marker) CPT 88184 Flow cytometry, cell surface, cytoplasmic, or nuclear marker, first marker |
— | $60 | $60 | $57–$63 | $115 | -48% | 1 |
| Flow Cytometry (each additional marker) CPT 88185 Flow cytometry, each additional marker |
— | $36 | $36 | $34–$37 | $73 | -51% | 1 |
| Surgical Pathology (gross only) CPT 88300 Level I surgical pathology, gross examination only |
— | $15 | $15 | $14–$15 | $15 | -2% | 1 |
| Surgical Pathology (gross & micro) CPT 88302 Level II surgical pathology, gross and microscopic examination |
— | $32 | $32 | $31–$34 | $40 | -19% | 1 |
| Surgical Pathology (Level III) CPT 88304 Level III surgical pathology |
— | $39 | $39 | $37–$41 | $51 | -24% | 1 |
| Surgical Pathology (Level IV) CPT 88305 Level IV surgical pathology, each specimen |
— | $50 | $50 | $47–$53 | $69 | -27% | 1 |
| Surgical Pathology (Level V) CPT 88307 Level V surgical pathology, each specimen |
— | $100 | $100 | $95–$105 | $227 | -56% | 1 |
| Surgical Pathology (Level VI) CPT 88309 Level VI surgical pathology, each specimen |
— | $138 | $138 | $131–$146 | $278 | -50% | 1 |
| Special Stain (Group I) CPT 88312 Special stain including interpretation and report, Group I |
— | $56 | $56 | $53–$59 | $97 | -43% | 1 |
| Immunohistochemistry (first antibody) CPT 88342 Immunohistochemistry, each antibody, per specimen, first stain |
— | $44 | $44 | $42–$46 | $79 | -44% | 1 |
| Major Hip and Knee Joint Replacement without MCC CPT 469 Total hip or knee replacement without major complications |
— | $35,397 | $35,397 | $33,532–$37,263 | $37,034 | -4% | 1 |
| Major Hip and Knee Joint Replacement without CC/MCC CPT 470 Total hip or knee replacement without complications or comorbidities |
— | $22,510 | $22,510 | $21,324–$23,697 | $25,710 | -12% | 1 |
| Major Hip and Knee Joint Replacement with MCC CPT 468 Total hip or knee replacement with major complications |
— | $32,069 | $32,069 | $30,379–$33,759 | $33,957 | -6% | 1 |
| Hip and Femur Procedures without MCC CPT 480 Hip fracture repair or femur procedures without major complications |
— | $33,987 | $33,987 | $32,195–$35,778 | $35,181 | -3% | 1 |
| Hip and Femur Procedures without CC/MCC CPT 481 Hip fracture repair or femur procedures without complications |
— | $24,443 | $24,443 | $23,155–$25,731 | $25,739 | -5% | 1 |
| Hip and Femur Procedures with MCC CPT 479 Hip fracture repair or femur procedures with major complications |
— | $21,693 | $21,693 | $20,550–$22,837 | $22,325 | -3% | 1 |
| Cervical Spinal Fusion without CC/MCC CPT 473 Cervical spine fusion surgery without complications |
— | $28,490 | $28,490 | $26,989–$29,991 | $27,704 | +3% | 1 |
| Cervical Spinal Fusion without MCC CPT 472 Cervical spine fusion without major complications |
— | $34,381 | $34,381 | $32,569–$36,193 | $34,053 | +1% | 1 |
| Cervical Spinal Fusion with MCC CPT 471 Cervical spine fusion with major complications |
— | $56,351 | $56,351 | $53,381–$59,321 | $53,082 | +6% | 1 |
| Bilateral or Multiple Major Joint Procedures CPT 461 Bilateral joint replacement or multiple major joint procedures |
— | $64,453 | $64,453 | $61,057–$67,850 | $68,237 | -6% | 1 |
| Coronary Bypass without MCC CPT 236 CABG surgery without major complications |
— | $48,883 | $48,883 | $46,307–$51,459 | $52,426 | -7% | 1 |
| Coronary Bypass with MCC CPT 235 CABG surgery with major complications |
— | $68,487 | $68,487 | $64,877–$72,096 | $72,935 | -6% | 1 |
| Heart Failure and Shock with MCC CPT 291 Inpatient treatment for heart failure with major complications |
— | $14,982 | $14,982 | $14,192–$15,771 | $15,368 | -3% | 1 |
| Heart Failure and Shock with CC CPT 292 Inpatient treatment for heart failure with complications |
— | $9,908 | $9,908 | $9,386–$10,430 | $10,925 | -9% | 1 |
| Heart Failure and Shock without CC/MCC CPT 293 Inpatient treatment for heart failure without complications |
— | $6,605 | $6,605 | $6,257–$6,953 | $8,154 | -19% | 1 |
| Cardiac Valve Procedures with CC CPT 216 Heart valve repair or replacement with complications |
— | $114,165 | $114,165 | $108,149–$120,182 | $117,315 | -3% | 1 |
| Vaginal Delivery with OR Procedures CPT 768 Vaginal delivery requiring operating room procedures |
— | $12,506 | $12,506 | $11,847–$13,165 | $12,486 | avg | 1 |
| Respiratory Infections and Inflammations with MCC CPT 177 Pneumonia or respiratory infections with major complications |
— | $18,237 | $18,237 | $17,276–$19,198 | $20,572 | -11% | 1 |
| Respiratory Infections and Inflammations with CC CPT 178 Pneumonia or respiratory infections with complications |
— | $11,390 | $11,390 | $10,790–$11,990 | $14,372 | -21% | 1 |
| Simple Pneumonia and Pleurisy with MCC CPT 193 Uncomplicated pneumonia with major complications |
— | $15,339 | $15,339 | $14,531–$16,147 | $15,414 | avg | 1 |
| Simple Pneumonia and Pleurisy with CC CPT 194 Uncomplicated pneumonia with complications |
— | $9,405 | $9,405 | $8,909–$9,900 | $9,970 | -6% | 1 |
| Simple Pneumonia and Pleurisy without CC/MCC CPT 195 Uncomplicated pneumonia without complications |
— | $7,335 | $7,335 | $6,948–$7,721 | $7,925 | -7% | 1 |
| Major Small and Large Bowel Procedures with MCC CPT 329 Bowel resection or major intestinal surgery with major complications |
— | $53,641 | $53,641 | $50,814–$56,468 | $55,423 | -3% | 1 |
| Major Small and Large Bowel Procedures with CC CPT 330 Bowel resection or major intestinal surgery with complications |
— | $27,975 | $27,975 | $26,501–$29,450 | $31,163 | -10% | 1 |
| Major Small and Large Bowel Procedures without CC/MCC CPT 331 Bowel resection without complications |
— | $19,639 | $19,639 | $18,604–$20,674 | $21,043 | -7% | 1 |
| GI Hemorrhage with MCC CPT 377 Gastrointestinal bleeding with major complications |
— | $21,333 | $21,333 | $20,209–$22,457 | $20,319 | +5% | 1 |
| GI Hemorrhage with CC CPT 378 Gastrointestinal bleeding with complications |
— | $11,445 | $11,445 | $10,842–$12,048 | $11,997 | -5% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with MCC CPT 064 Stroke with major complications |
— | $23,468 | $23,468 | $22,232–$24,705 | $23,708 | -1% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with CC CPT 065 Stroke with complications |
— | $11,790 | $11,790 | $11,169–$12,412 | $14,108 | -16% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction without CC/MCC CPT 066 Stroke without complications |
— | $7,987 | $7,987 | $7,566–$8,408 | $9,885 | -19% | 1 |
| Renal Failure with MCC CPT 682 Acute or chronic kidney failure with major complications |
— | $17,283 | $17,283 | $16,372–$18,194 | $17,972 | -4% | 1 |
| Renal Failure with CC CPT 683 Acute or chronic kidney failure with complications |
— | $10,221 | $10,221 | $9,682–$10,759 | $11,593 | -12% | 1 |
| Renal Failure without CC/MCC CPT 684 Acute or chronic kidney failure without complications |
— | $7,006 | $7,006 | $6,636–$7,375 | $8,341 | -16% | 1 |
| Septicemia or Severe Sepsis with MV >96 Hours CPT 870 Severe sepsis requiring extended ventilator support |
— | $80,661 | $80,661 | $76,410–$84,911 | $85,419 | -6% | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours with MCC CPT 871 Sepsis with major complications |
— | $22,669 | $22,669 | $21,474–$23,864 | $22,303 | +2% | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours without MCC CPT 872 Sepsis without major complications |
— | $11,942 | $11,942 | $11,313–$12,571 | $13,529 | -12% | 1 |
| Rehabilitation with CC/MCC CPT 945 Inpatient rehabilitation with complications |
— | $18,072 | $18,072 | $17,120–$19,025 | $19,317 | -6% | 1 |
| Rehabilitation without CC/MCC CPT 946 Inpatient rehabilitation without complications |
— | $13,383 | $13,383 | $12,678–$14,088 | $15,224 | -12% | 1 |
| Hip Replacement with Hip Fracture with MCC CPT 521 Hip replacement after hip fracture with major complications |
— | $33,495 | $33,495 | $31,730–$35,260 | $35,780 | -6% | 1 |
| Hip Replacement with Hip Fracture without MCC CPT 522 Hip replacement after hip fracture without major complications |
— | $24,714 | $24,714 | $23,411–$26,016 | $27,011 | -9% | 1 |
| Respiratory System Diagnosis with Ventilator Support >96 Hours CPT 207 Extended ventilator support for respiratory failure |
— | $75,093 | $75,093 | $71,136–$79,050 | $78,275 | -4% | 1 |
| Respiratory System Diagnosis with Ventilator Support ≤96 Hours CPT 208 Short-term ventilator support for respiratory failure |
— | $32,077 | $32,077 | $30,387–$33,768 | $32,488 | -1% | 1 |
| Septicemia/Severe Sepsis w/o MV >96hrs w MCC MS-DRG 871 Medicare Severity Diagnosis Related Group DRG-871 — Septicemia/Severe Sepsis w/o MV >96hrs w MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w mcc. |
— | $14,872 | — | — | $13,480 | +10% | 1 |
| Heart Failure and Shock w MCC MS-DRG 291 Medicare Severity Diagnosis Related Group DRG-291 — Heart Failure and Shock w MCC. Inpatient hospital payment classification for cases involving heart failure and shock w mcc. |
— | $10,626 | — | — | $9,737 | +9% | 1 |
| Simple Pneumonia and Pleurisy w MCC MS-DRG 193 Medicare Severity Diagnosis Related Group DRG-193 — Simple Pneumonia and Pleurisy w MCC. Inpatient hospital payment classification for cases involving simple pneumonia and pleurisy w mcc. |
— | $9,346 | — | — | $8,805 | +6% | 1 |
| Septicemia/Severe Sepsis w/o MV >96hrs w/o MCC MS-DRG 872 Medicare Severity Diagnosis Related Group DRG-872 — Septicemia/Severe Sepsis w/o MV >96hrs w/o MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w/o mcc. |
— | $8,383 | — | — | $7,568 | +11% | 1 |
| Acute Myocardial Infarction, Discharged Alive w MCC MS-DRG 280 Medicare Severity Diagnosis Related Group DRG-280 — Acute Myocardial Infarction, Discharged Alive w MCC. Inpatient hospital payment classification for cases involving acute myocardial infarction, discharged alive w mcc. |
— | $11,079 | — | — | $10,088 | +10% | 1 |
| Renal Failure w CC MS-DRG 683 Medicare Severity Diagnosis Related Group DRG-683 — Renal Failure w CC. Inpatient hospital payment classification for cases involving renal failure w cc. |
— | $7,509 | — | — | $7,146 | +5% | 1 |
| Kidney/Urinary Tract Infections w MCC MS-DRG 689 CT scan — kidney/urinary tract infections w mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $8,448 | — | — | $8,448 | avg | 1 |
| COPD w MCC MS-DRG 190 Medicare Severity Diagnosis Related Group DRG-190 — COPD w MCC. Inpatient hospital payment classification for cases involving copd w mcc. |
— | $8,926 | — | — | $8,926 | avg | 1 |
| Embryo Culture (IVF Lab) CPT 89250 Embryo Culture (IVF Lab) — CPT code 89250 covers embryo culture (ivf lab) performed in a clinical or hospital setting. |
— | $1,704 | $1,704 | $1,614–$1,793 | $1,286 | +32% | 1 |
| Assisted Embryo Hatching (IVF) CPT 89253 Assisted Embryo Hatching (IVF) — CPT code 89253 covers assisted embryo hatching (ivf) performed in a clinical or hospital setting. |
— | $42 | $42 | $40–$44 | $264 | -84% | 1 |
| Egg/Embryo Freezing (Cryopreservation) CPT 89258 Egg/Embryo Freezing (Cryopreservation) — CPT code 89258 covers egg/embryo freezing (cryopreservation) performed in a clinical or hospital setting. |
— | $42 | $42 | $40–$44 | $350 | -88% | 1 |
| IVF Fertilization (Oocyte Insemination) CPT 89268 IVF Fertilization (Oocyte Insemination) — CPT code 89268 covers ivf fertilization (oocyte insemination) performed in a clinical or hospital setting. |
— | $42 | $42 | $40–$44 | $692 | -94% | 1 |
| Extended Embryo Culture (IVF) CPT 89272 Extended Embryo Culture (IVF) — CPT code 89272 covers extended embryo culture (ivf) performed in a clinical or hospital setting. |
— | $42 | $42 | $40–$44 | $583 | -93% | 1 |
Prices are typical ranges based on Bartow Regional Medical Center's published transparency data, including actual allowed amounts calculated from insurer remittance (ERA) data per CMS v3.0 requirements. Your actual cost depends on your specific plan, deductible status, and clinical details.
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Insurance Plans with Negotiated Rates
Taven has payer-specific negotiated rate data from 1 insurer at Bartow Regional Medical Center. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.
Cash Price
Negotiated rates vary by insurance plan. The prices shown are aggregated from this hospital's publicly filed machine-readable file. Your actual rate depends on your specific insurance plan and network tier. Use our price comparison tool to see payer-specific breakdowns.
Your Billing Rights
Under the No Surprises Act and hospital price transparency rules, you have the right to receive a Good Faith Estimate before scheduled care, protection from surprise out-of-network bills in emergencies, and access to the hospital's published pricing data.
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▸ Technical Details
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare Provider #
100121
Metro Area
Lakeland, FL
Procedures Tracked
289
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