Compare real prices at HCA Florida Orange Park Hospital in Orange Park, FL. Taven tracks 221 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.
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221
Procedures Tracked
with pricing data
⭐
3/5
Star Rating
CMS Care Compare
💰
19.2x
Markup Ratio
Avg = 3.0x
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Grade B
Data Quality
Good 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: CHRISTOPHER LANDRYOrg NPI: 1689611501
🔒 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 HCA Florida Orange Park Hospital
221 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Jacksonville, 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) | Jacksonville Avg | vs. Avg | Payers |
|---|---|---|---|---|---|---|---|
| Breast Excision CPT 19120 Surgical removal of a breast lump or abnormal tissue. This procedure removes a specific area of concern while preserving as much healthy breast tissue as possible. |
— | $14,484 | $14,484 | $12,484–$16,483 | $9,290 | +56% | 1 |
| Shoulder Arthroscopy - Debridement CPT 29823 Minimally invasive shoulder surgery using a small camera (arthroscope) to clean out damaged tissue, bone spurs, or loose fragments from the shoulder joint. |
— | $14,484 | $14,484 | $12,484–$16,483 | $8,479 | +71% | 1 |
| Arthroscopic Rotator Cuff Repair CPT 29827 Arthroscopic repair of a torn rotator cuff — the group of tendons that stabilize the shoulder. The surgeon reattaches the torn tendon to the bone using small anchors. |
— | $14,484 | $14,484 | $12,484–$16,483 | $10,635 | +36% | 1 |
| Knee Arthroscopy Medial & Lateral CPT 29880 Arthroscopic knee surgery to treat torn meniscus cartilage on both the inner and outer sides of the knee. Uses a small camera and tools to trim or repair the damaged cartilage. |
— | $14,484 | $14,484 | $12,484–$16,483 | $8,880 | +63% | 1 |
| Knee Arthroscopy (Meniscus Surgery) CPT 29881 Arthroscopic knee surgery to treat a torn meniscus on one side of the knee. The surgeon trims or repairs the damaged cartilage through small incisions. |
— | $14,484 | $14,484 | $12,484–$16,483 | $7,392 | +96% | 1 |
| Ethmoidectomy - Partial CPT 31254 Ethmoidectomy - Partial — CPT code 31254 covers ethmoidectomy - partial performed in a clinical or hospital setting. |
— | $14,484 | $14,484 | $12,484–$16,483 | $8,003 | +81% | 1 |
| Sinus Surgery - Ethmoidectomy CPT 31255 Sinus Surgery - Ethmoidectomy — CPT code 31255 covers sinus surgery - ethmoidectomy performed in a clinical or hospital setting. |
— | $14,484 | $14,484 | $12,484–$16,483 | $8,572 | +69% | 1 |
| Sinus Surgery - Frontal CPT 31276 Sinus Surgery - Frontal — CPT code 31276 covers sinus surgery - frontal performed in a clinical or hospital setting. |
— | $14,484 | $14,484 | $12,484–$16,483 | $7,546 | +92% | 1 |
| TAVR - Transcatheter Aortic Valve Replacement CPT 33361 Replacement of a diseased aortic heart valve without open-heart surgery. A new valve is delivered through a catheter (thin tube) inserted through the leg artery. |
— | $14,484 | $14,484 | $12,484–$16,483 | $9,134 | +59% | 1 |
| 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. |
$226 | $226 | — | — | $37 | +510% | — |
| Central Venous Catheter CPT 36556 Insertion of a central venous catheter (a thin, flexible tube) into a large vein to deliver medications, fluids, or nutrition directly into the bloodstream. |
— | $19,168 | $19,168 | $16,521–$21,815 | $10,555 | +82% | 1 |
| Central Venous Access Device CPT 36571 Central Venous Access Device — CPT code 36571 covers central venous access device performed in a clinical or hospital setting. |
— | $19,168 | $19,168 | $16,521–$21,815 | $11,906 | +61% | 1 |
| Central Venous Access - Jugular CPT 36573 Insertion of a central venous catheter into the jugular vein (in the neck) for direct access to the central bloodstream for medications or monitoring. |
— | $19,168 | $19,168 | $16,521–$21,815 | $13,373 | +43% | 1 |
| Arterial Line Placement CPT 36620 Placement of a thin tube (catheter) into an artery, usually in the wrist, to continuously monitor blood pressure during surgery or critical care. |
— | $19,168 | $19,168 | $16,521–$21,815 | $16,214 | +18% | 1 |
| Laparoscopic Hiatal Hernia Repair CPT 43282 Laparoscopic Hiatal Hernia Repair — CPT code 43282 covers laparoscopic hiatal hernia repair performed in a clinical or hospital setting. |
— | $14,484 | $14,484 | $12,484–$16,483 | $8,806 | +64% | 1 |
| Gastric Bypass (Laparoscopic Roux-en-Y) CPT 43644 Gastric Bypass (Laparoscopic Roux-en-Y) — CPT code 43644 covers gastric bypass (laparoscopic roux-en-y) performed in a clinical or hospital setting. |
— | $19,656 | $19,656 | $16,941–$22,370 | $14,193 | +38% | 1 |
| Gastric Bypass - Open CPT 43846 Gastric Bypass - Open — CPT code 43846 covers gastric bypass - open performed in a clinical or hospital setting. |
— | $19,656 | $19,656 | $16,941–$22,370 | $8,127 | +142% | 1 |
| Gastric Bypass with Small Intestine CPT 43847 Gastric Bypass with Small Intestine — CPT code 43847 covers gastric bypass with small intestine performed in a clinical or hospital setting. |
— | $19,656 | $19,656 | $16,941–$22,370 | $7,849 | +150% | 1 |
| Laparoscopic Appendectomy CPT 44970 Laparoscopic appendectomy — minimally invasive surgical removal of the appendix, typically performed for appendicitis. |
— | $14,484 | $14,484 | $12,484–$16,483 | $9,574 | +51% | 1 |
| Gallbladder Removal (Laparoscopic) CPT 47562 Minimally invasive removal of the gallbladder (laparoscopic cholecystectomy). Small incisions and a camera are used to remove the gallbladder, typically for gallstones or inflammation. |
— | $19,402 | $19,402 | $16,723–$22,081 | $13,544 | +43% | 1 |
| Gallbladder Removal with Cholangiography CPT 47563 Laparoscopic gallbladder removal with X-ray imaging of the bile ducts (cholangiography) to check for gallstones in the ducts during surgery. |
— | $19,402 | $19,402 | $16,723–$22,081 | $10,992 | +77% | 1 |
| Cholecystectomy - Open CPT 47600 Open cholecystectomy — surgical removal of the gallbladder through a larger incision in the abdomen. |
— | $14,484 | $14,484 | $12,484–$16,483 | $9,428 | +54% | 1 |
| Laparoscopic Inguinal Hernia Repair CPT 49650 Laparoscopic inguinal hernia repair — minimally invasive repair of a groin hernia using small incisions and a camera. |
— | $14,484 | $14,484 | $12,484–$16,483 | $14,765 | -2% | 1 |
| Lithotripsy (Kidney Stone Treatment) CPT 50590 Lithotripsy — shock waves are used to break kidney stones into small pieces that can pass naturally through the urinary tract. |
— | $13,224 | $13,224 | $11,398–$15,050 | $10,030 | +32% | 1 |
| TURP (Prostate Resection) CPT 52601 Transurethral resection of the prostate (TURP) — surgical removal of prostate tissue through the urethra to treat enlarged prostate and improve urinary flow. |
— | $14,484 | $14,484 | $12,484–$16,483 | $9,270 | +56% | 1 |
| Robotic Prostatectomy CPT 55866 Robotic Prostatectomy — CPT code 55866 covers robotic prostatectomy performed in a clinical or hospital setting. |
— | $36,326 | $36,326 | $31,310–$41,341 | $19,720 | +84% | 1 |
| Laparoscopic Hysterectomy (250g or Less) CPT 58571 Total laparoscopic hysterectomy including removal of the cervix — minimally invasive complete removal of the uterus and cervix. |
— | $36,326 | $36,326 | $31,310–$41,341 | $23,320 | +56% | 1 |
| Laparoscopic Ovarian Cyst/Adnexal Removal CPT 58661 Laparoscopic removal of the uterus (hysterectomy) — minimally invasive surgery using small incisions and a camera to remove the uterus. |
— | $14,484 | $14,484 | $12,484–$16,483 | $8,020 | +81% | 1 |
| 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. |
$1,003 | $1,003 | — | — | $2,258 | -56% | — |
| Lumbar Laminotomy CPT 63030 Lumbar laminotomy — surgical removal of a small portion of the vertebral bone (lamina) in the lower back to relieve pressure on spinal nerves, typically for a herniated disc. |
— | $14,484 | $14,484 | $12,484–$16,483 | $9,648 | +50% | 1 |
| 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. |
$16,150 | $16,150 | — | — | $4,459 | +262% | — |
| 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. |
$16,993 | $16,993 | — | — | $4,836 | +251% | — |
| 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. |
$15,559 | $15,559 | — | — | $3,384 | +360% | — |
| 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. |
$15,604 | $15,604 | — | — | $3,403 | +359% | — |
| 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. |
$1,706 | $1,706 | — | — | $414 | +312% | — |
| 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. |
$3,238 | $3,238 | — | — | $591 | +448% | — |
| 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. |
$16,968 | $16,968 | — | — | $4,576 | +271% | — |
| 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. |
$20,196 | $20,196 | — | — | $5,024 | +302% | — |
| 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. |
$2,803 | $2,803 | — | — | $673 | +316% | — |
| 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. |
$12,594 | $12,594 | — | — | $2,712 | +364% | — |
| 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. |
$14,830 | $14,830 | — | — | $3,264 | +354% | — |
| 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. |
$2,722 | $2,722 | — | — | $623 | +337% | — |
| 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. |
$2,413 | $2,413 | — | — | $566 | +326% | — |
| 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. |
$24,866 | $24,866 | — | — | $5,233 | +375% | — |
| 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. |
$2,046 | $2,046 | — | — | $510 | +301% | — |
| 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. |
$2,460 | $2,460 | — | — | $577 | +326% | — |
| 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. |
$24,646 | $24,646 | — | — | $4,276 | +476% | — |
| 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. |
$18,084 | $18,084 | — | — | $5,196 | +248% | — |
| 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. |
$11,217 | $11,217 | — | — | $4,732 | +137% | — |
| Abdominal Ultrasound CPT 76700 Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas. |
$11,825 | $11,825 | — | — | $2,493 | +374% | — |
| 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. |
$2,822 | $2,822 | — | — | $671 | +320% | — |
| 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. |
$2,822 | $2,822 | — | — | $594 | +375% | — |
| Transvaginal Ultrasound CPT 76830 Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures. |
$2,124 | $2,124 | — | — | $649 | +227% | — |
| Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs. |
$2,827 | $2,827 | — | — | $854 | +231% | — |
| Diagnostic Mammogram (unilateral) CPT 77065 Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer. |
$1,101 | $1,101 | — | — | $363 | +203% | — |
| 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. |
$1,556 | $1,556 | — | — | $447 | +248% | — |
| 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. |
$593 | $593 | — | — | $243 | +144% | — |
| 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. |
$24,605 | $24,605 | — | — | $7,183 | +243% | — |
| 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. |
$3,292 | $3,292 | — | — | $589 | +459% | — |
| 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. |
$3,142 | $3,142 | — | — | $523 | +501% | — |
| 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. |
$1,315 | $1,315 | — | — | $305 | +331% | — |
| Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting. |
$2,934 | $2,934 | — | — | $519 | +465% | — |
| 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. |
$1,812 | $1,812 | — | — | $315 | +475% | — |
| Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting. |
$326 | $326 | — | — | $61 | +434% | — |
| Vitamin D Level CPT 82306 Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency. |
$14 | $14 | — | — | $18 | -21% | — |
| Urine Creatinine CPT 82570 Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting. |
$23 | $23 | — | — | $8 | +182% | — |
| Ferritin Level CPT 82728 Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting. |
$617 | $617 | — | — | $151 | +308% | — |
| Glucose (blood sugar) CPT 82947 Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes. |
$64 | $64 | — | — | $16 | +301% | — |
| 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. |
$555 | $555 | — | — | $99 | +460% | — |
| Potassium Level CPT 84132 Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting. |
$77 | $77 | — | — | $20 | +286% | — |
| PSA (Prostate) CPT 84153 PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting. |
$346 | $346 | — | — | $67 | +416% | — |
| Sodium Level CPT 84295 Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting. |
$82 | $82 | — | — | $28 | +193% | — |
| TSH (Thyroid) CPT 84443 Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working. |
$2,332 | $2,332 | — | — | $399 | +484% | — |
| 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. |
$76 | $76 | — | — | $20 | +280% | — |
| Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting. |
$50 | $50 | — | — | $26 | +92% | — |
| 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. |
$53 | $53 | — | — | $85 | -37% | — |
| Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample. |
$527 | $527 | — | — | $100 | +427% | — |
| Gonorrhea Test CPT 87591 Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample. |
$527 | $527 | — | — | $106 | +398% | — |
| 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. |
$58 | $58 | — | — | $43 | +35% | — |
| Flu Test (rapid) CPT 87804 Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting. |
$81 | $81 | — | — | $34 | +138% | — |
| Immunization Administration CPT 90471 Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting. |
$419 | $419 | — | — | $126 | +232% | — |
| Flu Vaccine (high dose) CPT 90662 Flu Vaccine (high dose) — CPT code 90662 covers flu vaccine (high dose) performed in a clinical or hospital setting. |
$163 | $163 | — | — | $150 | +9% | — |
| Tdap Vaccine CPT 90715 Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting. |
$255 | $255 | — | — | $120 | +112% | — |
| Psychiatric Eval with Medical Services CPT 90792 Psychiatric Eval with Medical Services — CPT code 90792 covers psychiatric eval with medical services performed in a clinical or hospital setting. |
$1,286 | $1,286 | — | — | $461 | +179% | — |
| Psychotherapy (16-37 min) CPT 90832 Psychotherapy (16-37 min) — CPT code 90832 covers psychotherapy (16-37 min) performed in a clinical or hospital setting. |
$1,562 | $1,562 | — | — | $646 | +142% | — |
| Psychotherapy (38-52 min) CPT 90834 Psychotherapy (38-52 min) — CPT code 90834 covers psychotherapy (38-52 min) performed in a clinical or hospital setting. |
$2,334 | $2,334 | — | — | $760 | +207% | — |
| Psychotherapy (53+ min) CPT 90837 Psychotherapy (53+ min) — CPT code 90837 covers psychotherapy (53+ min) performed in a clinical or hospital setting. |
$784 | $784 | — | — | $411 | +91% | — |
| Family Psychotherapy (with patient) CPT 90847 Family Psychotherapy (with patient) — CPT code 90847 covers family psychotherapy (with patient) performed in a clinical or hospital setting. |
$997 | $997 | — | — | $492 | +103% | — |
| Group Psychotherapy CPT 90853 Group Psychotherapy — CPT code 90853 covers group psychotherapy performed in a clinical or hospital setting. |
$535 | $535 | — | — | $332 | +61% | — |
| Coronary Stent Placement CPT 92928 Coronary Stent Placement — CPT code 92928 covers coronary stent placement performed in a clinical or hospital setting. |
— | $19,168 | $19,168 | $16,521–$21,815 | $19,295 | -1% | 1 |
| Echocardiogram Complete CPT 93306 Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting. |
$11,478 | $11,478 | — | — | $4,526 | +154% | — |
| Stress Echocardiogram CPT 93350 Stress Echocardiogram — CPT code 93350 covers stress echocardiogram performed in a clinical or hospital setting. |
$992 | $992 | — | — | $1,519 | -35% | — |
| Left Heart Catheterization CPT 93458 Left Heart Catheterization — CPT code 93458 covers left heart catheterization performed in a clinical or hospital setting. |
— | $10,678 | $10,678 | $9,204–$12,152 | $13,518 | -21% | 1 |
| Carotid Ultrasound CPT 93880 Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
$6,515 | $6,515 | — | — | $1,556 | +319% | — |
| 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. |
$2,061 | $2,061 | — | — | $639 | +222% | — |
| Therapeutic Injection (IM/SubQ) CPT 96372 Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes. |
$398 | $398 | — | — | $245 | +62% | — |
| IV Push (single drug) CPT 96374 IV push medication — rapid injection of medication directly into a vein or existing IV line. |
$429 | $429 | — | — | $378 | +14% | — |
| Chemotherapy Infusion (first hour) CPT 96413 Chemotherapy IV infusion, first hour — administration of cancer-fighting medication through an IV line for the initial hour. |
$1,344 | $1,344 | — | — | $692 | +94% | — |
| 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. |
$664 | $664 | — | — | $142 | +367% | — |
| PT - Therapeutic Exercise CPT 97110 Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion. |
$698 | $698 | — | — | $150 | +365% | — |
| PT - Gait Training CPT 97116 PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting. |
$266 | $266 | — | — | $77 | +246% | — |
| PT - Manual Therapy CPT 97140 Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching. |
$682 | $682 | — | — | $149 | +358% | — |
| PT Evaluation - Low Complexity CPT 97161 Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition. |
$1,401 | $1,401 | — | — | $341 | +311% | — |
| 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. |
$1,401 | $1,401 | — | — | $345 | +306% | — |
| PT Evaluation - High Complexity CPT 97163 Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition. |
$1,401 | $1,401 | — | — | $355 | +295% | — |
| PT - Therapeutic Activities CPT 97530 Therapeutic activities — functional movement training to improve your ability to perform daily activities. |
$589 | $589 | — | — | $164 | +259% | — |
| New Patient Visit - Low Complexity CPT 99202 New Patient Visit - Low Complexity — CPT code 99202 covers new patient visit - low complexity performed in a clinical or hospital setting. |
$833 | $833 | — | — | $266 | +213% | — |
| New Patient Visit - Moderate Complexity CPT 99203 Office visit for a new patient with a low complexity medical problem. Typically 30-44 minutes for initial evaluation, history, and treatment planning. |
$995 | $995 | — | — | $362 | +175% | — |
| New Patient Visit - High Complexity CPT 99204 Office visit for a new patient with a moderate to high complexity medical problem. Typically 45-59 minutes for comprehensive evaluation. |
$1,313 | $1,313 | — | — | $466 | +182% | — |
| New Patient Visit - Comprehensive CPT 99205 Office visit for a new patient with a high complexity medical problem. Typically 60-74 minutes for comprehensive evaluation and management. |
$1,638 | $1,638 | — | — | $631 | +160% | — |
| Office Visit - Minimal (Level 1) CPT 99211 Office Visit - Minimal (Level 1) — CPT code 99211 covers office visit - minimal (level 1) performed in a clinical or hospital setting. |
$356 | $356 | — | — | $131 | +172% | — |
| Office Visit - Straightforward (Level 2) CPT 99212 Office Visit - Straightforward (Level 2) — CPT code 99212 covers office visit - straightforward (level 2) performed in a clinical or hospital setting. |
$833 | $833 | — | — | $252 | +230% | — |
| Office Visit - Low Complexity (Level 3) CPT 99213 Office visit for an established patient with a low to moderate complexity medical problem. Typically 20-29 minutes with your doctor for evaluation and management. |
$995 | $995 | — | — | $306 | +225% | — |
| Office Visit - Moderate Complexity (Level 4) CPT 99214 Office visit for an established patient with a moderate to high complexity medical problem. Typically 30-39 minutes with your doctor for evaluation and management. |
$1,165 | $1,165 | — | — | $329 | +254% | — |
| Office Visit - High Complexity (Level 5) CPT 99215 Office visit for an established patient with a high complexity medical problem. Typically 40-54 minutes with your doctor for detailed evaluation and management. |
$1,214 | $1,214 | — | — | $442 | +175% | — |
| ER Visit - Minor Problem CPT 99281 Emergency department visit for a minor, self-limited problem requiring minimal evaluation. |
$1,219 | $1,219 | — | — | $716 | +70% | — |
| ER Visit - Low Complexity CPT 99282 Emergency department visit for a low to moderate severity problem requiring a brief evaluation. |
$3,653 | $3,653 | — | — | $1,456 | +151% | — |
| ER Visit - Moderate Complexity CPT 99283 Emergency department visit for a moderate severity problem requiring an expanded evaluation. |
$4,559 | $4,559 | — | — | $2,542 | +79% | — |
| ER Visit - High Complexity CPT 99284 Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life. |
$6,679 | $6,679 | — | — | $2,778 | +140% | — |
| ER Visit - Immediate Threat to Life CPT 99285 Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation. |
$12,248 | $12,248 | — | — | $3,855 | +218% | — |
| Critical Care - First Hour CPT 99291 Critical care, first 30-74 minutes — intensive medical care for a critically ill or injured patient whose condition requires constant attention from the physician. |
— | $2,420 | $2,680 | $2,029–$2,680 | $3,113 | -22% | 1 |
| Ceftriaxone Injection 250mg CPT J0696 HCPCS Level II code J0696 — Ceftriaxone Injection 250mg. Healthcare Common Procedure Coding System code for ceftriaxone injection 250mg. |
$352 | $352 | — | — | $76 | +363% | — |
| Triamcinolone Injection CPT J3301 HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection. |
$476 | $476 | — | — | $173 | +175% | — |
| Dexamethasone Injection CPT J1100 HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection. |
$134 | $134 | — | — | $35 | +283% | — |
| Endoscopic Carpal Tunnel Release CPT 29848 Endoscopy of wrist, carpal tunnel release |
— | $14,484 | $14,484 | $12,484–$16,483 | $15,928 | -9% | 1 |
| Shoulder Arthroscopy - Acromioplasty CPT 29826 Arthroscopy, shoulder, surgical, decompression of subacromial space |
— | $14,484 | $14,484 | $12,484–$16,483 | $15,970 | -9% | 1 |
| Knee Arthroscopy with Meniscus Repair CPT 29882 Arthroscopy, knee, surgical, meniscus repair |
— | $14,484 | $14,484 | $12,484–$16,483 | $16,359 | -11% | 1 |
| ACL Reconstruction (Knee Ligament Repair) CPT 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation |
— | $14,484 | $14,484 | $12,484–$16,483 | $18,862 | -23% | 1 |
| Breast Augmentation (Implant) CPT 19325 Mammaplasty, augmentative |
— | $14,484 | $14,484 | $12,484–$16,483 | $15,473 | -6% | 1 |
| Breast Implant Removal CPT 19328 Removal of intact mammary implant |
— | $14,484 | $14,484 | $12,484–$16,483 | $17,173 | -16% | 1 |
| Breast Reconstruction (immediate) CPT 19340 Immediate insertion of breast prosthesis following mastopexy or mastectomy |
— | $14,484 | $14,484 | $12,484–$16,483 | $17,861 | -19% | 1 |
| Hysteroscopy (diagnostic) CPT 58555 Hysteroscopy, diagnostic, separate procedure |
— | $14,484 | $14,484 | $12,484–$16,483 | $15,523 | -7% | 1 |
| Hysteroscopy with Biopsy/Polypectomy CPT 58558 Hysteroscopy, surgical, with sampling of endometrium |
— | $14,484 | $14,484 | $12,484–$16,483 | $16,437 | -12% | 1 |
| Hysteroscopy with Ablation CPT 58563 Hysteroscopy, surgical, with endometrial ablation |
— | $14,484 | $14,484 | $12,484–$16,483 | $16,277 | -11% | 1 |
| Laparoscopy with Lysis of Adhesions CPT 58660 Laparoscopy, lysis of adhesions |
— | $14,484 | $14,484 | $12,484–$16,483 | $16,429 | -12% | 1 |
| Laparoscopic Endometriosis Excision CPT 58662 Laparoscopy with fulguration or excision of lesions of ovary/peritoneum |
— | $14,484 | $14,484 | $12,484–$16,483 | $16,990 | -15% | 1 |
| Laparoscopic Tubal Ligation CPT 58670 Laparoscopy, surgical, with fulguration of oviducts |
— | $14,484 | $14,484 | $12,484–$16,483 | $16,194 | -11% | 1 |
| Knee Cartilage Removal (arthrotomy) CPT 27332 Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee |
— | $14,484 | $14,484 | $12,484–$16,483 | $16,743 | -13% | 1 |
| Pacemaker Insertion CPT 33208 Insertion of new or replacement of permanent pacemaker |
— | $22,231 | $22,231 | $19,161–$25,300 | $16,307 | +36% | 1 |
| ICD (Defibrillator) Insertion CPT 33249 Insertion or replacement of permanent implantable defibrillator system |
— | $22,231 | $22,231 | $19,161–$25,300 | $19,721 | +13% | 1 |
| Lymph Node Biopsy/Excision (deep) CPT 38510 Biopsy or excision of lymph node(s), deep cervical |
— | $14,484 | $14,484 | $12,484–$16,483 | $16,227 | -11% | 1 |
| Diagnostic Laparoscopy CPT 49320 Laparoscopy, abdomen, diagnostic |
— | $14,484 | $14,484 | $12,484–$16,483 | $15,031 | -4% | 1 |
| Kidney Stone Removal (percutaneous) CPT 50080 Percutaneous nephrostolithotomy or pyelostolithotomy |
— | $13,224 | $13,224 | $11,398–$15,050 | $11,924 | +11% | 1 |
| Cystoscopy with Stent Insertion CPT 52332 Cystourethroscopy, with insertion of indwelling ureteral stent |
— | $14,484 | $14,484 | $12,484–$16,483 | $15,419 | -6% | 1 |
| Cystoscopy with Lithotripsy CPT 52353 Cystourethroscopy, with lithotripsy |
— | $13,224 | $13,224 | $11,398–$15,050 | $10,784 | +23% | 1 |
| Electroconvulsive Therapy (ECT) CPT 90870 Electroconvulsive therapy |
— | $1,158 | $1,158 | $1,158–$1,158 | $630 | +84% | 1 |
| Pacemaker Insertion (ventricular) CPT 33207 Insertion of new or replacement of permanent pacemaker, ventricular |
— | $22,231 | $22,231 | $19,161–$25,300 | $15,914 | +40% | 1 |
| Coronary Angioplasty (single vessel) CPT 92920 Percutaneous transluminal coronary angioplasty, single vessel |
— | $19,168 | $19,168 | $16,521–$21,815 | $24,661 | -22% | 1 |
| Right Heart Catheterization CPT 93451 Right heart catheterization |
— | $10,678 | $10,678 | $9,204–$12,152 | $15,353 | -30% | 1 |
| Coronary Angiography CPT 93454 Catheter placement in coronary artery for coronary angiography |
— | $10,678 | $10,678 | $9,204–$12,152 | $15,045 | -29% | 1 |
| Major Hip and Knee Joint Replacement without MCC CPT 469 Total hip or knee replacement without major complications |
— | $46,498 | $46,498 | $40,077–$52,918 | $43,254 | +7% | 1 |
| Major Hip and Knee Joint Replacement without CC/MCC CPT 470 Total hip or knee replacement without complications or comorbidities |
— | $46,498 | $46,498 | $40,077–$52,918 | $40,870 | +14% | 1 |
| Major Hip and Knee Joint Replacement with MCC CPT 468 Total hip or knee replacement with major complications |
— | $46,498 | $46,498 | $40,077–$52,918 | $43,283 | +7% | 1 |
| Hip and Femur Procedures without MCC CPT 480 Hip fracture repair or femur procedures without major complications |
— | $36,708 | $36,708 | $31,640–$41,776 | $41,001 | -10% | 1 |
| Hip and Femur Procedures without CC/MCC CPT 481 Hip fracture repair or femur procedures without complications |
— | $36,708 | $36,708 | $31,640–$41,776 | $39,784 | -8% | 1 |
| Hip and Femur Procedures with MCC CPT 479 Hip fracture repair or femur procedures with major complications |
— | $27,048 | $27,048 | $23,312–$30,783 | $37,423 | -28% | 1 |
| Cervical Spinal Fusion without CC/MCC CPT 473 Cervical spine fusion surgery without complications |
— | $48,945 | $48,945 | $42,187–$55,703 | $39,643 | +23% | 1 |
| Cervical Spinal Fusion without MCC CPT 472 Cervical spine fusion without major complications |
— | $61,181 | $61,181 | $52,733–$69,628 | $49,287 | +24% | 1 |
| Cervical Spinal Fusion with MCC CPT 471 Cervical spine fusion with major complications |
— | $61,181 | $61,181 | $52,733–$69,628 | $53,170 | +15% | 1 |
| Bilateral or Multiple Major Joint Procedures CPT 461 Bilateral joint replacement or multiple major joint procedures |
— | $80,362 | $80,362 | $69,264–$91,461 | $112,835 | -29% | 1 |
| Coronary Bypass without MCC CPT 236 CABG surgery without major complications |
— | $67,300 | $67,300 | $58,008–$76,592 | $79,725 | -16% | 1 |
| Coronary Bypass with MCC CPT 235 CABG surgery with major complications |
— | $67,300 | $67,300 | $58,008–$76,592 | $80,199 | -16% | 1 |
| Heart Failure and Shock with MCC CPT 291 Inpatient treatment for heart failure with major complications |
— | $18,680 | $18,680 | $16,100–$21,260 | $25,868 | -28% | 1 |
| Heart Failure and Shock with CC CPT 292 Inpatient treatment for heart failure with complications |
— | $12,353 | $12,353 | $10,647–$14,059 | $17,628 | -30% | 1 |
| Heart Failure and Shock without CC/MCC CPT 293 Inpatient treatment for heart failure without complications |
— | $8,236 | $8,236 | $7,098–$9,373 | $12,319 | -33% | 1 |
| Cardiac Valve Procedures with CC CPT 216 Heart valve repair or replacement with complications |
— | $91,770 | $91,770 | $79,099–$104,441 | $99,766 | -8% | 1 |
| Vaginal Delivery with OR Procedures CPT 768 Vaginal delivery requiring operating room procedures |
— | $15,592 | $15,592 | $13,439–$17,746 | $19,141 | -19% | 1 |
| Respiratory Infections and Inflammations with MCC CPT 177 Pneumonia or respiratory infections with major complications |
— | $22,738 | $22,738 | $19,598–$25,878 | $32,737 | -31% | 1 |
| Respiratory Infections and Inflammations with CC CPT 178 Pneumonia or respiratory infections with complications |
— | $14,201 | $14,201 | $12,240–$16,163 | $21,445 | -34% | 1 |
| Simple Pneumonia and Pleurisy with MCC CPT 193 Uncomplicated pneumonia with major complications |
— | $19,125 | $19,125 | $16,484–$21,766 | $26,090 | -27% | 1 |
| Simple Pneumonia and Pleurisy with CC CPT 194 Uncomplicated pneumonia with complications |
— | $11,726 | $11,726 | $10,107–$13,346 | $16,454 | -29% | 1 |
| Simple Pneumonia and Pleurisy without CC/MCC CPT 195 Uncomplicated pneumonia without complications |
— | $9,145 | $9,145 | $7,882–$10,408 | $12,888 | -29% | 1 |
| Major Small and Large Bowel Procedures with MCC CPT 329 Bowel resection or major intestinal surgery with major complications |
— | $66,881 | $66,881 | $57,645–$76,118 | $92,691 | -28% | 1 |
| Major Small and Large Bowel Procedures with CC CPT 330 Bowel resection or major intestinal surgery with complications |
— | $34,880 | $34,880 | $30,063–$39,698 | $49,980 | -30% | 1 |
| Major Small and Large Bowel Procedures without CC/MCC CPT 331 Bowel resection without complications |
— | $24,487 | $24,487 | $21,105–$27,869 | $34,544 | -29% | 1 |
| GI Hemorrhage with MCC CPT 377 Gastrointestinal bleeding with major complications |
— | $26,598 | $26,598 | $22,925–$30,272 | $35,661 | -25% | 1 |
| GI Hemorrhage with CC CPT 378 Gastrointestinal bleeding with complications |
— | $14,270 | $14,270 | $12,299–$16,240 | $19,933 | -28% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with MCC CPT 064 Stroke with major complications |
— | $41,338 | $41,338 | $35,630–$47,045 | $32,429 | +27% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with CC CPT 065 Stroke with complications |
— | $41,338 | $41,338 | $35,630–$47,045 | $30,701 | +35% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction without CC/MCC CPT 066 Stroke without complications |
— | $41,338 | $41,338 | $35,630–$47,045 | $29,480 | +40% | 1 |
| Renal Failure with MCC CPT 682 Acute or chronic kidney failure with major complications |
— | $21,549 | $21,549 | $18,573–$24,525 | $30,004 | -28% | 1 |
| Renal Failure with CC CPT 683 Acute or chronic kidney failure with complications |
— | $12,743 | $12,743 | $10,983–$14,503 | $18,382 | -31% | 1 |
| Renal Failure without CC/MCC CPT 684 Acute or chronic kidney failure without complications |
— | $8,735 | $8,735 | $7,528–$9,941 | $12,884 | -32% | 1 |
| Septicemia or Severe Sepsis with MV >96 Hours CPT 870 Severe sepsis requiring extended ventilator support |
— | $43,485 | $43,485 | $37,481–$49,488 | $61,559 | -29% | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours with MCC CPT 871 Sepsis with major complications |
— | $43,485 | $43,485 | $37,481–$49,488 | $43,230 | +1% | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours without MCC CPT 872 Sepsis without major complications |
— | $43,485 | $43,485 | $37,481–$49,488 | $41,730 | +4% | 1 |
| Rehabilitation with CC/MCC CPT 945 Inpatient rehabilitation with complications |
— | $4,136 | $4,136 | $3,565–$4,707 | $9,001 | -54% | 1 |
| Rehabilitation without CC/MCC CPT 946 Inpatient rehabilitation without complications |
— | $4,136 | $4,136 | $3,565–$4,707 | $8,199 | -50% | 1 |
| Hip Replacement with Hip Fracture with MCC CPT 521 Hip replacement after hip fracture with major complications |
— | $41,763 | $41,763 | $35,995–$47,531 | $58,844 | -29% | 1 |
| Hip Replacement with Hip Fracture without MCC CPT 522 Hip replacement after hip fracture without major complications |
— | $30,814 | $30,814 | $26,558–$35,069 | $43,654 | -29% | 1 |
| Respiratory System Diagnosis with Ventilator Support >96 Hours CPT 207 Extended ventilator support for respiratory failure |
— | $93,628 | $93,628 | $80,698–$106,559 | $130,491 | -28% | 1 |
| Respiratory System Diagnosis with Ventilator Support ≤96 Hours CPT 208 Short-term ventilator support for respiratory failure |
— | $39,995 | $39,995 | $34,471–$45,518 | $54,749 | -27% | 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. |
— | $15,799 | — | — | $15,038 | +5% | 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. |
— | $11,160 | — | — | $10,629 | +5% | 1 |
| Respiratory Infections/Inflammations w MCC MS-DRG 177 Medicare Severity Diagnosis Related Group DRG-177 — Respiratory Infections/Inflammations w MCC. Inpatient hospital payment classification for cases involving respiratory infections/inflammations w mcc. |
— | $14,225 | — | — | $14,343 | -1% | 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. |
— | $11,797 | — | — | $10,784 | +9% | 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. |
— | $9,088 | — | — | $10,166 | -11% | 1 |
| Pulmonary Edema and Respiratory Failure MS-DRG 189 Medicare Severity Diagnosis Related Group DRG-189 — Pulmonary Edema and Respiratory Failure. Inpatient hospital payment classification for cases involving pulmonary edema and respiratory failure. |
— | $11,710 | — | — | $10,469 | +12% | 1 |
| Esophagitis/Gastroenteritis/Misc Digestive w/o MCC MS-DRG 392 Medicare Severity Diagnosis Related Group DRG-392 — Esophagitis/Gastroenteritis/Misc Digestive w/o MCC. Inpatient hospital payment classification for cases involving esophagitis/gastroenteritis/misc digestive w/o mcc. |
— | $7,498 | — | — | $6,893 | +9% | 1 |
| Kidney/Urinary Tract Infections w/o MCC MS-DRG 690 CT scan — kidney/urinary tract infections w/o mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $7,254 | — | — | $7,088 | +2% | 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. |
— | $14,011 | — | — | $13,139 | +7% | 1 |
| GI Hemorrhage w CC MS-DRG 378 Medicare Severity Diagnosis Related Group DRG-378 — GI Hemorrhage w CC. Inpatient hospital payment classification for cases involving gi hemorrhage w cc. |
— | $8,959 | — | — | $8,171 | +10% | 1 |
| Infectious/Parasitic Diseases w OR Procedures w MCC MS-DRG 853 Medicare Severity Diagnosis Related Group DRG-853 — Infectious/Parasitic Diseases w OR Procedures w MCC. Inpatient hospital payment classification for cases involving infectious/parasitic diseases w or procedures w mcc. |
— | $36,513 | — | — | $37,077 | -2% | 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. |
— | $8,059 | — | — | $7,451 | +8% | 1 |
| Renal Failure w MCC MS-DRG 682 Medicare Severity Diagnosis Related Group DRG-682 — Renal Failure w MCC. Inpatient hospital payment classification for cases involving renal failure w mcc. |
— | $12,867 | — | — | $11,724 | +10% | 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. |
— | $9,807 | — | — | $9,782 | avg | 1 |
| Major Hip/Knee Joint Replacement MS-DRG 470 Medicare Severity Diagnosis Related Group DRG-470 — Major Hip/Knee Joint Replacement. Inpatient hospital payment classification for cases involving major hip/knee joint replacement. |
— | $15,632 | — | — | $15,269 | +2% | 1 |
| Intracranial Hemorrhage/Cerebral Infarction w CC MS-DRG 065 Medicare Severity Diagnosis Related Group DRG-065 — Intracranial Hemorrhage/Cerebral Infarction w CC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w cc. |
— | $10,205 | — | — | $9,321 | +9% | 1 |
| Other Kidney/Urinary Tract Diagnoses w MCC MS-DRG 698 CT scan — other kidney/urinary tract diagnoses w mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $13,086 | — | — | $12,290 | +6% | 1 |
| Misc Disorders of Nutrition/Metabolism/Fluids w MCC MS-DRG 640 Medicare Severity Diagnosis Related Group DRG-640 — Misc Disorders of Nutrition/Metabolism/Fluids w MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w mcc. |
— | $11,008 | — | — | $10,228 | +8% | 1 |
| Intracranial Hemorrhage/Cerebral Infarction w MCC MS-DRG 064 Medicare Severity Diagnosis Related Group DRG-064 — Intracranial Hemorrhage/Cerebral Infarction w MCC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w mcc. |
— | $15,817 | — | — | $14,838 | +7% | 1 |
| Hip/Femur Procedures Except Major Joint w CC MS-DRG 481 Medicare Severity Diagnosis Related Group DRG-481 — Hip/Femur Procedures Except Major Joint w CC. Inpatient hospital payment classification for cases involving hip/femur procedures except major joint w cc. |
— | $18,682 | — | — | $17,028 | +10% | 1 |
| Cardiac Arrhythmia/Conduction Disorders w CC MS-DRG 309 Medicare Severity Diagnosis Related Group DRG-309 — Cardiac Arrhythmia/Conduction Disorders w CC. Inpatient hospital payment classification for cases involving cardiac arrhythmia/conduction disorders w cc. |
— | $7,198 | — | — | $6,501 | +11% | 1 |
| Misc Disorders of Nutrition/Metabolism/Fluids w/o MCC MS-DRG 641 Medicare Severity Diagnosis Related Group DRG-641 — Misc Disorders of Nutrition/Metabolism/Fluids w/o MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w/o mcc. |
— | $7,125 | — | — | $6,564 | +9% | 1 |
| Cellulitis w/o MCC MS-DRG 603 Medicare Severity Diagnosis Related Group DRG-603 — Cellulitis w/o MCC. Inpatient hospital payment classification for cases involving cellulitis w/o mcc. |
— | $8,425 | — | — | $7,552 | +12% | 1 |
| Percutaneous Intracardiac Procedures w/o MCC MS-DRG 274 Medicare Severity Diagnosis Related Group DRG-274 — Percutaneous Intracardiac Procedures w/o MCC. Inpatient hospital payment classification for cases involving percutaneous intracardiac procedures w/o mcc. |
— | $26,691 | — | — | $27,382 | -3% | 1 |
| Percutaneous Cardiovascular Proc w Drug-Eluting Stent w/o MCC MS-DRG 247 Medicare Severity Diagnosis Related Group DRG-247 — Percutaneous Cardiovascular Proc w Drug-Eluting Stent w/o MCC. Inpatient hospital payment classification for cases involving percutaneous cardiovascular proc w drug-eluting stent w/o mcc. |
— | $17,728 | — | — | $16,597 | +7% | 1 |
| Syncope and Collapse MS-DRG 312 Medicare Severity Diagnosis Related Group DRG-312 — Syncope and Collapse. Inpatient hospital payment classification for cases involving syncope and collapse. |
— | $7,741 | — | — | $7,237 | +7% | 1 |
| Lap-Band Surgery (Laparoscopic Gastric Band) CPT 43770 Lap-Band Surgery (Laparoscopic Gastric Band) — CPT code 43770 covers lap-band surgery (laparoscopic gastric band) performed in a clinical or hospital setting. |
— | $19,656 | $19,656 | $16,941–$22,370 | $25,736 | -24% | 1 |
| Sinus Surgery - Maxillary Antrostomy CPT 31267 Sinus Surgery - Maxillary Antrostomy — CPT code 31267 covers sinus surgery - maxillary antrostomy performed in a clinical or hospital setting. |
— | $14,484 | $14,484 | $12,484–$16,483 | $16,537 | -12% | 1 |
| Ureteroscopy with Stone Removal (Litholapaxy) CPT 52352 Ureteroscopy with Stone Removal (Litholapaxy) — CPT code 52352 covers ureteroscopy with stone removal (litholapaxy) performed in a clinical or hospital setting. |
— | $14,484 | $14,484 | $12,484–$16,483 | $15,922 | -9% | 1 |
Prices are typical ranges based on HCA Florida Orange Park Hospital'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.
Search all procedures at HCA Florida Orange Park Hospital →
Insurance Plans with Negotiated Rates
Taven has payer-specific negotiated rate data from 1 insurer at HCA Florida Orange Park Hospital. 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.
Financial Assistance at HCA Florida Orange Park Hospital
As a nonprofit hospital, HCA Florida Orange Park Hospital is required under IRS Section 501(r) to offer a financial assistance program (also called "charity care").
Patients at or below 300% of the Federal Poverty Level generally qualify for reduced or free care. You can apply as soon as care is received — through the hospital's financial counseling office, online portal, or billing department.
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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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327 procedures
Encompass Health Rehabilitation Hospital of Jacksonville
13.4 mi
Jacksonville, FL
751 procedures
Baptist Medical Center South
12.4 mi
Montgomery, FL
4/5 ★
Baptist North Medical Campus
19.0 mi
Jacksonville, FL
4/5 ★
▸ Technical Details
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Health System
HCA Healthcare
Medicare Provider #
100226
Emergency Services
Yes
Metro Area
Jacksonville, FL
Procedures Tracked
221
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