Compare real prices at Emory University Hospital in Atlanta, GA. Taven tracks 376 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.
📊
376
Procedures Tracked
with pricing data
⭐
4/5
Star Rating
CMS Care Compare
💰
3.7x
Markup Ratio
Avg = 3.0x
🏥
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: AVA DAUNT-SAMFORDOrg NPI: 1356328199
🔒 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.
🔍
Had a procedure at Emory University Hospital?
Get your bill reviewed for free — AI catches billing errors that save patients an average of $1,000+
Procedure Prices at Emory University Hospital
376 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Atlanta, GA 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) | Atlanta Avg | vs. Avg | Payers |
|---|---|---|---|---|---|---|---|
| Debridement - Subcutaneous Tissue CPT 11042 Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing. |
$1,125 | $1,125 | — | — | $1,284 | -12% | 1 |
| 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. |
$678 | $678 | — | — | $740 | -8% | 1 |
| 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. |
$727 | $727 | — | — | $831 | -13% | 1 |
| Skin Substitute Graft (≤25 sq cm) CPT 15271 Skin Substitute Graft (≤25 sq cm) — CPT code 15271 covers skin substitute graft (≤25 sq cm) performed in a clinical or hospital setting. |
$3,557 | $3,557 | — | — | $3,020 | +18% | 1 |
| Skin Substitute Graft (≤100 sq cm) CPT 15275 Skin Substitute Graft (≤100 sq cm) — CPT code 15275 covers skin substitute graft (≤100 sq cm) performed in a clinical or hospital setting. |
$3,557 | $3,557 | — | — | $3,053 | +17% | 1 |
| 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. |
$456 | $456 | — | — | $786 | -42% | 1 |
| 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. |
$1,115 | $1,115 | — | — | $598 | +86% | 1 |
| 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. |
$1,149 | $1,149 | — | — | $1,025 | +12% | 1 |
| 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. |
$1,115 | $1,115 | — | — | $1,102 | +1% | 1 |
| Joint Injection with Ultrasound (Major Joint) CPT 20611 Ultrasound — joint injection with ultrasound (major joint). This imaging test uses sound waves to create pictures of organs and structures inside the body. |
$1,859 | $1,859 | — | — | $1,701 | +9% | 1 |
| Trigger Finger Release CPT 26055 Trigger finger release — a procedure to free a finger tendon that has become stuck, causing the finger to catch or lock when bending. |
$3,874 | $3,874 | — | — | $3,192 | +21% | 1 |
| Septoplasty (Deviated Septum Repair) CPT 30520 Septoplasty (Deviated Septum Repair) — CPT code 30520 covers septoplasty (deviated septum repair) performed in a clinical or hospital setting. |
$435 | $435 | — | — | $2,095 | -79% | 1 |
| Nasal Endoscopy (diagnostic) CPT 31231 Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting. |
$356 | $356 | — | — | $1,067 | -67% | 1 |
| Nasal Endoscopy - Surgical Debridement CPT 31237 Nasal Endoscopy - Surgical Debridement — CPT code 31237 covers nasal endoscopy - surgical debridement performed in a clinical or hospital setting. |
$3,468 | $3,468 | — | — | $3,037 | +14% | 1 |
| Sinus Surgery - Frontal CPT 31276 Sinus Surgery - Frontal — CPT code 31276 covers sinus surgery - frontal performed in a clinical or hospital setting. |
$5,494 | $5,494 | — | — | $5,226 | +5% | 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. |
$31,476 | $31,476 | — | — | $18,530 | +70% | 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. |
$39 | $39 | — | — | $26 | +50% | 1 |
| 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. |
$4,298 | $4,298 | — | — | $3,126 | +37% | 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. |
$11,199 | $11,199 | — | — | $8,088 | +38% | 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. |
$4,514 | $4,514 | — | — | $3,476 | +30% | 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. |
$475 | $475 | — | — | $1,034 | -54% | 1 |
| 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. |
$1,879 | $1,879 | — | — | $1,711 | +10% | 1 |
| Upper Endoscopy (EGD) with Biopsy CPT 43239 Upper endoscopy with biopsy — a flexible tube with a camera is passed through the mouth to examine the esophagus, stomach, and upper intestine, and tissue samples are taken for analysis. |
$2,149 | $2,149 | — | — | $1,769 | +21% | 1 |
| Upper Endoscopy with Dilation CPT 43249 Upper endoscopy with dilation — a flexible scope is used to stretch a narrowed area of the esophagus or stomach to improve swallowing. |
$2,400 | $2,400 | — | — | $2,499 | -4% | 1 |
| Upper GI Endoscopy with Polypectomy CPT 43251 Upper GI Endoscopy with Polypectomy — CPT code 43251 covers upper gi endoscopy with polypectomy performed in a clinical or hospital setting. |
$3,120 | $3,120 | — | — | $2,858 | +9% | 1 |
| Upper GI Endoscopy with Band Ligation CPT 43270 Upper GI Endoscopy with Band Ligation — CPT code 43270 covers upper gi endoscopy with band ligation performed in a clinical or hospital setting. |
$3,605 | $3,605 | — | — | $3,164 | +14% | 1 |
| Colonoscopy (diagnostic) CPT 45378 Diagnostic colonoscopy — a flexible tube with a camera is inserted through the rectum to examine the entire large intestine for polyps, cancer, or other abnormalities. |
$3,307 | $3,307 | — | — | $2,918 | +13% | 1 |
| Colonoscopy with Biopsy CPT 45380 Colonoscopy with biopsy — examination of the large intestine with a camera, during which tissue samples are taken from suspicious areas for laboratory analysis. |
$3,472 | $3,472 | — | — | $2,432 | +43% | 1 |
| Colonoscopy with Polyp Removal CPT 45385 Colonoscopy with polyp removal — examination of the large intestine during which precancerous growths (polyps) are found and removed to prevent colon cancer. |
$4,432 | $4,432 | — | — | $3,117 | +42% | 1 |
| 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. |
$7,450 | $7,450 | — | — | $6,186 | +20% | 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. |
$950 | $950 | — | — | $5,551 | -83% | 1 |
| Bladder Aspiration/Drainage CPT 51102 Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting. |
$7,504 | $7,504 | — | — | $5,446 | +38% | 1 |
| 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. |
$1,322 | $1,322 | — | — | $1,495 | -12% | 1 |
| Prostate Biopsy CPT 55700 Prostate Biopsy — CPT code 55700 covers prostate biopsy performed in a clinical or hospital setting. |
$7,504 | $7,504 | — | — | $4,741 | +58% | 1 |
| Endometrial Biopsy CPT 58100 Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting. |
$3,806 | $3,806 | — | — | $2,013 | +89% | 1 |
| IUD Insertion CPT 58300 IUD Insertion — CPT code 58300 covers iud insertion performed in a clinical or hospital setting. |
$1,216 | $1,216 | — | — | $743 | +64% | 1 |
| IUD Removal CPT 58301 IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting. |
$1,060 | $1,060 | — | — | $589 | +80% | 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. |
$353 | $353 | — | — | $469 | -25% | 1 |
| Vaginal Delivery Only CPT 59409 Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting. |
$9,964 | $9,964 | — | — | $7,144 | +39% | 1 |
| C-Section Delivery (global) CPT 59510 Routine obstetric care including prenatal visits, cesarean delivery, and postpartum care — comprehensive maternity care package with C-section. |
$11,349 | $11,349 | — | — | $8,613 | +32% | 1 |
| VBAC Delivery CPT 59610 VBAC Delivery — CPT code 59610 covers vbac delivery performed in a clinical or hospital setting. |
$10,597 | $10,597 | — | — | $8,037 | +32% | 1 |
| Lumbar Epidural Injection CPT 62322 Lumbar or sacral epidural injection — injection of medication into the epidural space of the lower spine for pain relief. |
$2,915 | $2,915 | — | — | $2,227 | +31% | 1 |
| Lumbar Epidural - Fluoroscopic CPT 62323 Lumbar or sacral epidural injection with imaging guidance — a precisely targeted spinal injection using X-ray or fluoroscopy for accurate placement. |
$2,915 | $2,915 | — | — | $2,275 | +28% | 1 |
| Transforaminal Epidural Injection CPT 64483 Lumbar epidural steroid injection — injection of anti-inflammatory medication into the space around spinal nerves in the lower back to relieve pain. |
$2,915 | $2,915 | — | — | $2,382 | +22% | 1 |
| Facet Joint Injection - Lumbar CPT 64493 Lumbar facet joint injection — injection of medication into the small joints of the lower spine to diagnose and treat back pain. |
$4,096 | $4,096 | — | — | $2,972 | +38% | 1 |
| Facet Joint Destruction - Lumbar CPT 64635 Facet Joint Destruction - Lumbar — CPT code 64635 covers facet joint destruction - lumbar performed in a clinical or hospital setting. |
$3,596 | $3,596 | — | — | $3,364 | +7% | 1 |
| Carpal Tunnel Release CPT 64721 Carpal tunnel release — surgery to relieve pressure on the median nerve in the wrist, treating numbness, tingling, and weakness in the hand. |
$1,108 | $1,108 | — | — | $2,948 | -62% | 1 |
| Cataract Surgery CPT 66984 Cataract surgery with lens implant — removal of the clouded natural lens of the eye and replacement with a clear artificial lens to restore vision. |
$462 | $462 | — | — | $2,368 | -80% | 1 |
| Eyelid Repair - Blepharoplasty CPT 67904 Eyelid Repair - Blepharoplasty — CPT code 67904 covers eyelid repair - blepharoplasty performed in a clinical or hospital setting. |
$1,296 | $1,296 | — | — | $2,615 | -50% | 1 |
| Ear Wax Removal CPT 69210 Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting. |
$312 | $312 | — | — | $453 | -31% | 1 |
| Ear Tube Placement (Tympanostomy) CPT 69436 Ear Tube Placement (Tympanostomy) — CPT code 69436 covers ear tube placement (tympanostomy) performed in a clinical or hospital setting. |
$1,740 | $1,740 | — | — | $2,201 | -21% | 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. |
$1,289 | $1,289 | — | — | $1,335 | -3% | 1 |
| 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. |
$1,889 | $1,889 | — | — | $1,744 | +8% | 1 |
| 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. |
$2,296 | $2,296 | — | — | $1,962 | +17% | 1 |
| 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. |
$3,812 | $3,812 | — | — | $3,098 | +23% | 1 |
| 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. |
$175 | $175 | — | — | $149 | +17% | 1 |
| 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. |
$289 | $289 | — | — | $222 | +30% | 1 |
| 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. |
$1,289 | $1,289 | — | — | $1,357 | -5% | 1 |
| 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. |
$2,293 | $2,293 | — | — | $1,983 | +16% | 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. |
$475 | $475 | — | — | $427 | +11% | 1 |
| 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. |
$2,296 | $2,296 | — | — | $1,965 | +17% | 1 |
| 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. |
$2,296 | $2,296 | — | — | $2,055 | +12% | 1 |
| 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. |
$397 | $397 | — | — | $325 | +22% | 1 |
| 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. |
$402 | $402 | — | — | $327 | +23% | 1 |
| 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. |
$2,376 | $2,376 | — | — | $2,056 | +16% | 1 |
| 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. |
$373 | $373 | — | — | $309 | +21% | 1 |
| 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. |
$378 | $378 | — | — | $336 | +13% | 1 |
| 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. |
$2,296 | $2,296 | — | — | $2,009 | +14% | 1 |
| 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. |
$2,202 | $2,202 | — | — | $2,080 | +6% | 1 |
| 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. |
$3,959 | $3,959 | — | — | $3,157 | +25% | 1 |
| Breast Ultrasound CPT 76642 Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
$561 | $561 | — | — | $363 | +55% | 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. |
$2,323 | $2,323 | — | — | $1,485 | +56% | 1 |
| 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. |
$971 | $971 | — | — | $740 | +31% | 1 |
| 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. |
$971 | $971 | — | — | $787 | +23% | 1 |
| Transvaginal Ultrasound CPT 76830 Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures. |
$1,874 | $1,874 | — | — | $1,206 | +55% | 1 |
| Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs. |
$1,874 | $1,874 | — | — | $1,221 | +53% | 1 |
| 3D Mammography (Tomosynthesis) CPT 77063 3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting. |
$220 | $220 | — | — | $133 | +65% | 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. |
$550 | $550 | — | — | $400 | +38% | 1 |
| 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. |
$612 | $612 | — | — | $465 | +32% | 1 |
| 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. |
$255 | $255 | — | — | $268 | -5% | 1 |
| 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. |
$5,128 | $5,128 | — | — | $4,289 | +20% | 1 |
| 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. |
$242 | $242 | — | — | $187 | +29% | 1 |
| 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. |
$310 | $310 | — | — | $228 | +36% | 1 |
| 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. |
$236 | $236 | — | — | $161 | +47% | 1 |
| Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting. |
$167 | $167 | — | — | $137 | +22% | 1 |
| 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. |
$80 | $80 | — | — | $72 | +11% | 1 |
| Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting. |
$90 | $90 | — | — | $63 | +43% | 1 |
| Vitamin D Level CPT 82306 Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency. |
$283 | $283 | — | — | $181 | +56% | 1 |
| Urine Creatinine CPT 82570 Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting. |
$104 | $104 | — | — | $65 | +60% | 1 |
| Ferritin Level CPT 82728 Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting. |
$200 | $200 | — | — | $134 | +49% | 1 |
| Glucose (blood sugar) CPT 82947 Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes. |
$105 | $105 | — | — | $72 | +46% | 1 |
| 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. |
$158 | $158 | — | — | $106 | +49% | 1 |
| Potassium Level CPT 84132 Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting. |
$114 | $114 | — | — | $73 | +56% | 1 |
| PSA (Prostate) CPT 84153 PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting. |
$264 | $264 | — | — | $182 | +45% | 1 |
| Sodium Level CPT 84295 Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting. |
$122 | $122 | — | — | $76 | +61% | 1 |
| TSH (Thyroid) CPT 84443 Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working. |
$218 | $218 | — | — | $142 | +54% | 1 |
| 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. |
$123 | $123 | — | — | $92 | +34% | 1 |
| 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. |
$79 | $79 | — | — | $59 | +34% | 1 |
| TB Skin Test CPT 86580 TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting. |
$80 | $80 | — | — | $65 | +23% | 1 |
| Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting. |
$283 | $283 | — | — | $169 | +67% | 1 |
| 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. |
$136 | $136 | — | — | $99 | +37% | 1 |
| Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample. |
$223 | $223 | — | — | $155 | +44% | 1 |
| Gonorrhea Test CPT 87591 Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample. |
$206 | $206 | — | — | $144 | +43% | 1 |
| 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. |
$217 | $217 | — | — | $146 | +49% | 1 |
| Flu Test (rapid) CPT 87804 Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting. |
$206 | $206 | — | — | $143 | +44% | 1 |
| Pap Smear (ThinPrep) CPT 88175 Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting. |
— | $26 | $26 | $26–$26 | $39 | -32% | 1 |
| Immunization Administration CPT 90471 Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting. |
$143 | $143 | — | — | $93 | +54% | 1 |
| Tdap Vaccine CPT 90715 Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting. |
$176 | $176 | — | — | $103 | +70% | 1 |
| Psychiatric Diagnostic Evaluation CPT 90791 Psychiatric Diagnostic Evaluation — CPT code 90791 covers psychiatric diagnostic evaluation performed in a clinical or hospital setting. |
$546 | $546 | — | — | $585 | -7% | 1 |
| 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. |
$546 | $546 | — | — | $592 | -8% | 1 |
| 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. |
$355 | $355 | — | — | $329 | +8% | 1 |
| 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. |
$546 | $546 | — | — | $503 | +9% | 1 |
| Psychotherapy (53+ min) CPT 90837 Psychotherapy (53+ min) — CPT code 90837 covers psychotherapy (53+ min) performed in a clinical or hospital setting. |
$546 | $546 | — | — | $573 | -5% | 1 |
| 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. |
$546 | $546 | — | — | $575 | -5% | 1 |
| Group Psychotherapy CPT 90853 Group Psychotherapy — CPT code 90853 covers group psychotherapy performed in a clinical or hospital setting. |
$305 | $305 | — | — | $262 | +16% | 1 |
| Coronary Stent Placement CPT 92928 Coronary Stent Placement — CPT code 92928 covers coronary stent placement performed in a clinical or hospital setting. |
$8,687 | $8,687 | — | — | $16,884 | -49% | 1 |
| Echocardiogram Complete CPT 93306 Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting. |
$4,390 | $4,390 | — | — | $2,971 | +48% | 1 |
| Stress Echocardiogram CPT 93350 Stress Echocardiogram — CPT code 93350 covers stress echocardiogram performed in a clinical or hospital setting. |
$2,306 | $2,306 | — | — | $1,682 | +37% | 1 |
| Stress Echocardiogram CPT 93351 Stress Echocardiogram — CPT code 93351 covers stress echocardiogram performed in a clinical or hospital setting. |
$4,390 | $4,390 | — | — | $3,297 | +33% | 1 |
| Left Heart Catheterization CPT 93458 Left Heart Catheterization — CPT code 93458 covers left heart catheterization performed in a clinical or hospital setting. |
$10,710 | $10,710 | — | — | $8,844 | +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. |
$2,361 | $2,361 | — | — | $1,623 | +45% | 1 |
| 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. |
$2,256 | $2,256 | — | — | $1,405 | +61% | 1 |
| Therapeutic Injection (IM/SubQ) CPT 96372 Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes. |
$250 | $250 | — | — | $190 | +32% | 1 |
| IV Push (single drug) CPT 96374 IV push medication — rapid injection of medication directly into a vein or existing IV line. |
$539 | $539 | — | — | $357 | +51% | 1 |
| Chemotherapy Infusion (first hour) CPT 96413 Chemotherapy IV infusion, first hour — administration of cancer-fighting medication through an IV line for the initial hour. |
$1,421 | $1,421 | — | — | $903 | +57% | 1 |
| 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. |
$112 | $112 | — | — | $95 | +18% | 1 |
| PT - Therapeutic Exercise CPT 97110 Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion. |
$180 | $180 | — | — | $128 | +41% | 1 |
| PT - Gait Training CPT 97116 PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting. |
$161 | $161 | — | — | $116 | +39% | 1 |
| PT - Manual Therapy CPT 97140 Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching. |
$202 | $202 | — | — | $155 | +30% | 1 |
| PT Evaluation - Low Complexity CPT 97161 Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition. |
$417 | $417 | — | — | $296 | +41% | 1 |
| 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. |
$480 | $480 | — | — | $328 | +46% | 1 |
| PT Evaluation - High Complexity CPT 97163 Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition. |
$551 | $551 | — | — | $380 | +45% | 1 |
| PT - Therapeutic Activities CPT 97530 Therapeutic activities — functional movement training to improve your ability to perform daily activities. |
$203 | $203 | — | — | $137 | +48% | 1 |
| 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. |
$460 | $460 | — | — | $297 | +55% | 1 |
| 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. |
$692 | $692 | — | — | $423 | +64% | 1 |
| 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. |
$903 | $903 | — | — | $549 | +64% | 1 |
| 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. |
$1,176 | $1,176 | — | — | $882 | +33% | 1 |
| 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. |
$99 | $99 | — | — | $99 | avg | 1 |
| 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. |
$314 | $314 | — | — | $219 | +43% | 1 |
| 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. |
$347 | $347 | — | — | $216 | +61% | 1 |
| 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. |
$544 | $544 | — | — | $357 | +52% | 1 |
| 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. |
$783 | $783 | — | — | $662 | +18% | 1 |
| ER Visit - Minor Problem CPT 99281 Emergency department visit for a minor, self-limited problem requiring minimal evaluation. |
$600 | $600 | — | — | $443 | +35% | 1 |
| ER Visit - Low Complexity CPT 99282 Emergency department visit for a low to moderate severity problem requiring a brief evaluation. |
$950 | $950 | — | — | $697 | +36% | 1 |
| ER Visit - Moderate Complexity CPT 99283 Emergency department visit for a moderate severity problem requiring an expanded evaluation. |
$1,500 | $1,500 | — | — | $1,051 | +43% | 1 |
| ER Visit - High Complexity CPT 99284 Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life. |
$2,000 | $2,000 | — | — | $1,395 | +43% | 1 |
| ER Visit - Immediate Threat to Life CPT 99285 Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation. |
$2,500 | $2,500 | — | — | $1,804 | +39% | 1 |
| 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. |
$3,000 | $3,000 | — | — | $3,423 | -12% | 1 |
| Critical Care - Additional 30 Min CPT 99292 Critical care, each additional 30 minutes — continued intensive care beyond the first 74 minutes for a critically ill patient. |
$1,500 | $1,500 | — | — | $2,610 | -43% | 1 |
| Telehealth Visit - 11-20 min CPT 99442 Telehealth Visit - 11-20 min — CPT code 99442 covers telehealth visit - 11-20 min performed in a clinical or hospital setting. |
$4,660 | $4,660 | — | — | $4,660 | avg | 1 |
| Telehealth Visit - 21-30 min CPT 99443 Telehealth Visit - 21-30 min — CPT code 99443 covers telehealth visit - 21-30 min performed in a clinical or hospital setting. |
$6,882 | $6,882 | — | — | $6,882 | avg | 1 |
| Ceftriaxone Injection 250mg CPT J0696 HCPCS Level II code J0696 — Ceftriaxone Injection 250mg. Healthcare Common Procedure Coding System code for ceftriaxone injection 250mg. |
$7 | $7 | — | — | $5 | +38% | 1 |
| Triamcinolone Injection CPT J3301 HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection. |
$7 | $8 | — | — | $14 | -44% | 1 |
| Dexamethasone Injection CPT J1100 HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection. |
$2 | $2 | — | — | $3 | -26% | 1 |
| CT Sinus without Contrast CPT 70486 CT scan of maxillofacial area without contrast |
— | $705 | $705 | $705–$705 | $487 | +45% | 1 |
| CT Soft Tissue Neck with Contrast CPT 70491 CT scan of soft tissue neck with contrast |
— | $705 | $705 | $705–$705 | $611 | +15% | 1 |
| MRI Head/Neck MRA CPT 70543 Magnetic resonance angiography, head and/or neck |
— | $939 | $939 | $939–$939 | $1,062 | -12% | 1 |
| CT Chest Low Dose (Lung Screening) CPT 71271 CT chest for lung cancer screening, low dose |
— | $705 | $705 | $705–$705 | $497 | +42% | 1 |
| CT Angiography Chest CPT 71275 CT angiography of chest with contrast |
— | $705 | $705 | $705–$705 | $840 | -16% | 1 |
| CT Cervical Spine without Contrast CPT 72125 CT cervical spine without contrast |
— | $705 | $705 | $705–$705 | $483 | +46% | 1 |
| CT Lumbar Spine without Contrast CPT 72131 CT lumbar spine without contrast |
— | $705 | $705 | $705–$705 | $481 | +47% | 1 |
| MRI Lumbar Spine with Contrast CPT 72149 MRI lumbar spine with contrast |
— | $939 | $939 | $939–$939 | $891 | +5% | 1 |
| MRI Cervical Spine with/without Contrast CPT 72156 MRI cervical spine without contrast, then with contrast |
— | $939 | $939 | $939–$939 | $996 | -6% | 1 |
| MRI Lumbar Spine with/without Contrast CPT 72158 MRI lumbar spine without contrast, then with contrast |
— | $939 | $939 | $939–$939 | $995 | -6% | 1 |
| CT Pelvis without Contrast CPT 72192 CT pelvis without contrast |
— | $705 | $705 | $705–$705 | $484 | +46% | 1 |
| CT Pelvis with Contrast CPT 72193 CT pelvis with contrast |
— | $705 | $705 | $705–$705 | $752 | -6% | 1 |
| MRI Pelvis without/with Contrast CPT 72197 MRI pelvis without contrast, then with contrast |
— | $939 | $939 | $939–$939 | $1,051 | -11% | 1 |
| Clavicle X-Ray CPT 73000 Radiologic examination of clavicle |
— | $36 | $36 | $36–$36 | $97 | -63% | 1 |
| Humerus X-Ray CPT 73060 Radiologic examination of humerus, minimum 2 views |
— | $35 | $35 | $35–$35 | $95 | -63% | 1 |
| Elbow X-Ray CPT 73070 Radiologic examination of elbow, 2 views |
— | $31 | $31 | $31–$31 | $89 | -65% | 1 |
| Elbow X-Ray (3+ views) CPT 73080 Radiologic examination of elbow, complete, minimum 3 views |
— | $35 | $35 | $35–$35 | $100 | -65% | 1 |
| Wrist X-Ray CPT 73100 Radiologic examination of wrist, 2 views |
— | $37 | $37 | $37–$37 | $102 | -63% | 1 |
| Wrist X-Ray (3+ views) CPT 73110 Radiologic examination of wrist, complete, minimum 3 views |
— | $48 | $48 | $48–$48 | $123 | -61% | 1 |
| MRI Shoulder with Contrast CPT 73222 MRI any joint of upper extremity with contrast |
— | $939 | $939 | $939–$939 | $1,025 | -8% | 1 |
| Hip X-Ray (2-3 views) CPT 73502 Radiologic examination of hip, 2-3 views |
— | $54 | $54 | $54–$54 | $135 | -60% | 1 |
| Femur X-Ray CPT 73552 Radiologic examination of femur, minimum 2 views |
— | $39 | $39 | $39–$39 | $101 | -61% | 1 |
| Knee X-Ray (3 views) CPT 73562 Radiologic examination of knee, 3 views |
— | $46 | $46 | $46–$46 | $122 | -62% | 1 |
| Tibia/Fibula X-Ray CPT 73590 Radiologic examination of tibia and fibula, 2 views |
— | $35 | $35 | $35–$35 | $97 | -64% | 1 |
| Foot X-Ray (2 views) CPT 73620 Radiologic examination of foot, 2 views |
— | $31 | $31 | $31–$31 | $87 | -65% | 1 |
| Foot X-Ray (3+ views) CPT 73630 Radiologic examination of foot, complete, minimum 3 views |
— | $38 | $38 | $38–$38 | $107 | -65% | 1 |
| MRI Lower Extremity without Contrast CPT 73718 MRI lower extremity other than joint without contrast |
— | $939 | $939 | $939–$939 | $785 | +20% | 1 |
| MRI Knee with/without Contrast CPT 73723 MRI any joint of lower extremity without then with contrast |
— | $939 | $939 | $939–$939 | $1,192 | -21% | 1 |
| Abdomen X-Ray (1 view) CPT 74018 Radiologic examination of abdomen, single anteroposterior view |
— | $31 | $31 | $31–$31 | $87 | -64% | 1 |
| Abdomen X-Ray (2 views) CPT 74019 Radiologic examination of abdomen, 2 views |
— | $38 | $38 | $38–$38 | $112 | -66% | 1 |
| CT Abdomen without Contrast CPT 74150 CT abdomen without contrast |
— | $705 | $705 | $705–$705 | $486 | +45% | 1 |
| CT Abdomen/Pelvis with/without Contrast CPT 74178 CT abdomen and pelvis without contrast, then with contrast |
— | $705 | $705 | $705–$705 | $1,015 | -31% | 1 |
| MRI Abdomen without Contrast CPT 74181 MRI abdomen without contrast |
— | $939 | $939 | $939–$939 | $696 | +35% | 1 |
| MRI Abdomen with/without Contrast CPT 74183 MRI abdomen without contrast, then with contrast |
— | $939 | $939 | $939–$939 | $1,056 | -11% | 1 |
| Thyroid Ultrasound CPT 76536 Ultrasound of head and neck, thyroid, real time with image |
— | $120 | $120 | $120–$120 | $284 | -58% | 1 |
| Chest Ultrasound CPT 76604 Ultrasound of chest, real time with image documentation |
— | $45 | $45 | $45–$45 | $147 | -69% | 1 |
| Retroperitoneal Ultrasound (complete) CPT 76770 Ultrasound, retroperitoneal, complete |
— | $106 | $106 | $106–$106 | $268 | -60% | 1 |
| Retroperitoneal Ultrasound (limited) CPT 76775 Ultrasound, retroperitoneal, limited |
— | $48 | $48 | $48–$48 | $150 | -68% | 1 |
| OB Ultrasound (limited) CPT 76815 Ultrasound, pregnant uterus, limited |
— | $73 | $73 | $73–$73 | $203 | -64% | 1 |
| Transvaginal OB Ultrasound CPT 76817 Ultrasound, pregnant uterus, transvaginal |
— | $82 | $82 | $82–$82 | $226 | -64% | 1 |
| Pelvic Ultrasound (limited) CPT 76857 Ultrasound, pelvic, limited or follow-up |
— | $39 | $39 | $39–$39 | $129 | -70% | 1 |
| Scrotal Ultrasound CPT 76870 Ultrasound, scrotum and contents |
— | $101 | $101 | $101–$101 | $254 | -60% | 1 |
| Extremity Ultrasound (complete) CPT 76881 Ultrasound, complete joint, real time |
— | $16 | $16 | $16–$16 | $120 | -87% | 1 |
| Extremity Ultrasound (limited) CPT 76882 Ultrasound, limited, joint or focal evaluation |
— | $46 | $46 | $46–$46 | $151 | -70% | 1 |
| Bone Age Study CPT 77072 Bone age studies |
— | $24 | $24 | $24–$24 | $81 | -70% | 1 |
| Bone Length Studies CPT 77073 Bone length studies |
— | $47 | $47 | $47–$47 | $133 | -65% | 1 |
| Bone Survey (complete) CPT 77075 Radiologic examination, osseous survey, complete |
— | $106 | $106 | $106–$106 | $265 | -60% | 1 |
| DEXA Scan (Bone Density) CPT 77080 DXA bone density study, axial skeleton |
— | $44 | $44 | $44–$44 | $124 | -65% | 1 |
| DEXA Scan (Peripheral) CPT 77081 DXA bone density study, appendicular skeleton |
— | $33 | $33 | $33–$33 | $98 | -66% | 1 |
| DEXA Body Composition CPT 77085 DXA bone density study, body composition |
— | $58 | $58 | $58–$58 | $163 | -64% | 1 |
| Bone Scan (whole body) CPT 78306 Bone imaging, whole body |
— | $326 | $326 | $326–$326 | $794 | -59% | 1 |
| Cardiac PET Scan (Myocardial Perfusion) CPT 78429 Myocardial imaging, PET, perfusion study |
— | $5,060 | $5,060 | $5,060–$5,060 | $3,389 | +49% | 1 |
| Nuclear Stress Test (Planar MPI) CPT 78451 Myocardial perfusion imaging, planar, single study |
— | $353 | $353 | $353–$353 | $1,206 | -71% | 1 |
| PET Scan (limited) CPT 78815 PET for limited area other than heart or brain |
— | $5,060 | $5,060 | $5,060–$5,060 | $3,565 | +42% | 1 |
| PET Scan (whole body) CPT 78816 PET for tumor, whole body |
— | $5,060 | $5,060 | $5,060–$5,060 | $3,497 | +45% | 1 |
| Renal Function Panel CPT 80069 Renal function panel blood test |
— | $9 | $9 | $9–$9 | $18 | -52% | 1 |
| Acute Hepatitis Panel CPT 80074 Acute hepatitis panel blood test |
— | $47 | $47 | $47–$47 | $101 | -53% | 1 |
| Urinalysis (non-automated, with microscopy) CPT 81000 Urinalysis by dip stick or tablet reagent, non-automated, with microscopy |
— | $4 | $4 | $4–$4 | $8 | -52% | 1 |
| Urinalysis (non-automated, without microscopy) CPT 81002 Urinalysis without microscopy, non-automated |
— | $4 | $4 | $4–$4 | $7 | -49% | 1 |
| Albumin Level CPT 82040 Albumin, serum, plasma or whole blood |
— | $5 | $5 | $5–$5 | $10 | -52% | 1 |
| Amylase Level CPT 82150 Amylase test |
— | $6 | $6 | $6–$6 | $14 | -54% | 1 |
| Bilirubin Total CPT 82247 Bilirubin, total |
— | $5 | $5 | $5–$5 | $11 | -53% | 1 |
| Bilirubin Direct CPT 82248 Bilirubin, direct |
— | $5 | $5 | $5–$5 | $11 | -53% | 1 |
| Calcium Level CPT 82310 Calcium, total |
— | $5 | $5 | $5–$5 | $11 | -53% | 1 |
| CO2/Bicarbonate Level CPT 82374 Carbon dioxide (bicarbonate) |
— | $5 | $5 | $5–$5 | $10 | -52% | 1 |
| Cholesterol Total CPT 82465 Cholesterol, serum or whole blood, total |
— | $4 | $4 | $4–$4 | $9 | -53% | 1 |
| CK/CPK (Creatine Kinase) CPT 82550 Creatine kinase (CK, CPK), total |
— | $6 | $6 | $6–$6 | $14 | -54% | 1 |
| CK-MB (Heart) CPT 82553 Creatine kinase (CK), MB fraction |
— | $12 | $12 | $12–$12 | $24 | -52% | 1 |
| Creatinine Level CPT 82565 Creatinine; blood |
— | $5 | $5 | $5–$5 | $11 | -53% | 1 |
| Vitamin B12 Level CPT 82607 Cyanocobalamin (Vitamin B-12) |
— | $15 | $15 | $15–$15 | $32 | -53% | 1 |
| Estradiol Level CPT 82670 Estradiol |
— | $28 | $28 | $28–$28 | $59 | -53% | 1 |
| Folic Acid Level CPT 82746 Folic acid, serum |
— | $15 | $15 | $15–$15 | $31 | -53% | 1 |
| IgA Level CPT 82784 Gammaglobulin IgA |
— | $9 | $9 | $9–$9 | $20 | -53% | 1 |
| Blood Gas Panel (ABG) CPT 82803 Gases, blood, any combination of pH, pCO2, pO2 |
— | $26 | $26 | $26–$26 | $55 | -53% | 1 |
| Glucose (point of care) CPT 82962 Glucose, blood by glucose monitoring device |
— | $3 | $3 | $3–$3 | $7 | -54% | 1 |
| FSH (Follicle Stimulating Hormone) CPT 83001 Gonadotropin, follicle stimulating hormone (FSH) |
— | $18 | $18 | $18–$18 | $39 | -53% | 1 |
| LH (Luteinizing Hormone) CPT 83002 Gonadotropin, luteinizing hormone (LH) |
— | $18 | $18 | $18–$18 | $39 | -53% | 1 |
| Iron Level CPT 83540 Iron |
— | $6 | $6 | $6–$6 | $14 | -54% | 1 |
| Iron Binding Capacity (TIBC) CPT 83550 Iron binding capacity, total |
— | $9 | $9 | $9–$9 | $18 | -52% | 1 |
| LDH (Lactate Dehydrogenase) CPT 83615 Lactate dehydrogenase (LD, LDH) |
— | $6 | $6 | $6–$6 | $13 | -53% | 1 |
| Lipase Level CPT 83690 Lipase |
— | $7 | $7 | $7–$7 | $15 | -55% | 1 |
| Magnesium Level CPT 83735 Magnesium |
— | $7 | $7 | $7–$7 | $14 | -52% | 1 |
| BNP (Brain Natriuretic Peptide) CPT 83880 Natriuretic peptide (BNP) |
— | $39 | $39 | $39–$39 | $82 | -52% | 1 |
| Parathyroid Hormone (PTH) CPT 83970 Parathormone (parathyroid hormone, PTH) |
— | $41 | $41 | $41–$41 | $87 | -53% | 1 |
| Alkaline Phosphatase CPT 84075 Phosphatase, alkaline |
— | $5 | $5 | $5–$5 | $11 | -53% | 1 |
| Phosphorus Level CPT 84100 Phosphorus inorganic (phosphate) |
— | $5 | $5 | $5–$5 | $10 | -52% | 1 |
| Prealbumin Level CPT 84134 Prealbumin |
— | $15 | $15 | $15–$15 | $31 | -53% | 1 |
| Progesterone Level CPT 84144 Progesterone |
— | $21 | $21 | $21–$21 | $44 | -53% | 1 |
| Prolactin Level CPT 84146 Prolactin |
— | $19 | $19 | $19–$19 | $41 | -53% | 1 |
| Testosterone Total CPT 84403 Testosterone, total |
— | $26 | $26 | $26–$26 | $55 | -53% | 1 |
| Thyroxine Total (T4) CPT 84436 Thyroxine, total |
— | $7 | $7 | $7–$7 | $14 | -52% | 1 |
| Free Thyroxine (Free T4) CPT 84439 Thyroxine, free |
— | $9 | $9 | $9–$9 | $19 | -52% | 1 |
| Transferrin Level CPT 84466 Transferrin |
— | $13 | $13 | $13–$13 | $27 | -53% | 1 |
| Triglycerides CPT 84478 Triglycerides |
— | $6 | $6 | $6–$6 | $12 | -52% | 1 |
| T3 (Triiodothyronine) Total CPT 84480 Triiodothyronine T3, total |
— | $14 | $14 | $14–$14 | $30 | -53% | 1 |
| Free T3 CPT 84481 Triiodothyronine T3, free |
— | $17 | $17 | $17–$17 | $36 | -53% | 1 |
| Troponin (Cardiac) CPT 84484 Troponin, quantitative |
— | $13 | $13 | $13–$13 | $27 | -53% | 1 |
| BUN (Blood Urea Nitrogen) CPT 84520 Urea nitrogen, blood (BUN) |
— | $4 | $4 | $4–$4 | $8 | -52% | 1 |
| Uric Acid Level CPT 84550 Uric acid, blood |
— | $5 | $5 | $5–$5 | $9 | -50% | 1 |
| CBC (Automated) CPT 85027 Complete blood count, automated |
— | $6 | $6 | $6–$6 | $14 | -54% | 1 |
| D-Dimer CPT 85379 Fibrin degradation products, D-dimer |
— | $10 | $10 | $10–$10 | $22 | -55% | 1 |
| Sed Rate (ESR) CPT 85652 Sedimentation rate, erythrocyte; automated |
— | $3 | $3 | $3–$3 | $6 | -57% | 1 |
| PTT (Partial Thromboplastin Time) CPT 85730 Thromboplastin time, partial (PTT) |
— | $6 | $6 | $6–$6 | $13 | -53% | 1 |
| Allergen Specific IgE CPT 86003 Allergen specific IgE; quantitative or semiquantitative, each allergen |
— | $5 | $5 | $5–$5 | $11 | -53% | 1 |
| C-Reactive Protein (CRP) CPT 86140 C-reactive protein |
— | $5 | $5 | $5–$5 | $11 | -53% | 1 |
| Cyclic Citrullinated Peptide (CCP) CPT 86200 Cyclic citrullinated peptide (CCP), antibody |
— | $13 | $13 | $13–$13 | $27 | -52% | 1 |
| Nuclear Antigen Antibody (ENA) CPT 86235 Extractable nuclear antigen (ENA) antibody |
— | $18 | $18 | $18–$18 | $38 | -53% | 1 |
| CA 125 Tumor Marker CPT 86300 Immunoassay for tumor antigen, CA 125 |
— | $21 | $21 | $21–$21 | $43 | -52% | 1 |
| CA 19-9 Tumor Marker CPT 86304 Immunoassay for tumor antigen, CA 19-9 |
— | $21 | $21 | $21–$21 | $44 | -53% | 1 |
| Rheumatoid Factor CPT 86431 Rheumatoid factor, quantitative |
— | $6 | $6 | $6–$6 | $12 | -52% | 1 |
| TB Blood Test (QuantiFERON) CPT 86480 Tuberculosis test, cell mediated immunity antigen response |
— | $62 | $62 | $62–$62 | $139 | -55% | 1 |
| Syphilis Test (RPR/VDRL) CPT 86592 Syphilis test, non-treponemal antibody; qualitative |
— | $4 | $4 | $4–$4 | $9 | -53% | 1 |
| Helicobacter Pylori Antibody CPT 86677 Antibody, Helicobacter pylori |
— | $17 | $17 | $17–$17 | $35 | -52% | 1 |
| Herpes Simplex Antibody CPT 86695 Antibody, herpes simplex, type specific |
— | $13 | $13 | $13–$13 | $30 | -56% | 1 |
| Hepatitis A Antibody CPT 86696 Antibody, hepatitis A |
— | $19 | $19 | $19–$19 | $45 | -57% | 1 |
| Hepatitis B Core Antibody CPT 86704 Hepatitis B core antibody (HBcAb); total |
— | $12 | $12 | $12–$12 | $26 | -54% | 1 |
| Hepatitis B Surface Antibody CPT 86706 Hepatitis B surface antibody (HBsAb) |
— | $11 | $11 | $11–$11 | $23 | -54% | 1 |
| Rubella Antibody CPT 86762 Antibody, rubella |
— | $14 | $14 | $14–$14 | $30 | -53% | 1 |
| Rubeola (Measles) Antibody CPT 86765 Antibody, rubeola |
— | $13 | $13 | $13–$13 | $27 | -52% | 1 |
| Varicella Antibody (Chickenpox) CPT 86787 Antibody, varicella-zoster |
— | $13 | $13 | $13–$13 | $28 | -54% | 1 |
| Hepatitis C Antibody CPT 86803 Hepatitis C antibody |
— | $14 | $14 | $14–$14 | $30 | -53% | 1 |
| Antibody Screen (RBC) CPT 86850 Antibody screen, RBC, each serum technique |
— | $10 | $10 | $10–$10 | $21 | -54% | 1 |
| Rh Blood Type CPT 86901 Blood typing, Rh (D) |
— | $3 | $3 | $3–$3 | $6 | -52% | 1 |
| Bacterial Culture CPT 87070 Culture, bacterial; any other source except urine, blood or stool |
— | $9 | $9 | $9–$9 | $18 | -52% | 1 |
| Bacterial Culture (aerobic isolate) CPT 87077 Culture, bacterial; aerobic isolate, additional methods |
— | $8 | $8 | $8–$8 | $17 | -53% | 1 |
| Culture, presumptive (screen) CPT 87081 Culture, presumptive, pathogenic organisms, screening only |
— | $6 | $6 | $6–$6 | $14 | -54% | 1 |
| Urine Culture CPT 87086 Culture, bacterial; quantitative colony count, urine |
— | $8 | $8 | $8–$8 | $17 | -53% | 1 |
| Chlamydia Culture CPT 87110 Culture, chlamydia |
— | $20 | $20 | $20–$20 | $41 | -52% | 1 |
| Antibiotic Sensitivity (MIC) CPT 87186 Susceptibility studies, antimicrobial agent; microdilution or agar dilution |
— | $9 | $9 | $9–$9 | $19 | -54% | 1 |
| Gram Stain CPT 87205 Smear, primary source with interpretation; Gram or Giemsa stain |
— | $4 | $4 | $4–$4 | $9 | -53% | 1 |
| Hepatitis B Surface Antigen CPT 87340 Infectious agent antigen detection; hepatitis B surface antigen (HBsAg) |
— | $10 | $10 | $10–$10 | $22 | -53% | 1 |
| HIV-1/HIV-2 Antibody Test CPT 87389 HIV-1 and HIV-2, single result, immunoassay |
— | $24 | $24 | $24–$24 | $48 | -50% | 1 |
| Flu Test (PCR/molecular) CPT 87502 Infectious agent detection, influenza, multiplex reverse transcription |
— | $95 | $95 | $95–$95 | $201 | -53% | 1 |
| Mycobacterium TB Detection CPT 87580 Infectious agent detection, Mycobacterium tuberculosis, amplified probe |
— | $20 | $20 | $20–$20 | $42 | -52% | 1 |
| HPV High-Risk Test CPT 87624 Infectious agent detection, human papillomavirus (HPV), high-risk types |
— | $35 | $35 | $35–$35 | $80 | -56% | 1 |
| Strep Test (rapid) CPT 87880 Infectious agent antigen detection, Streptococcus, group A |
— | $16 | $16 | $16–$16 | $35 | -53% | 1 |
| Electroconvulsive Therapy (ECT) CPT 90870 Electroconvulsive therapy |
— | $405 | $405 | $405–$405 | $950 | -57% | 1 |
| Fluoroscopic Guidance CPT 77003 Fluoroscopic guidance and localization of needle or catheter tip |
— | $108 | $108 | $108–$108 | $336 | -68% | 1 |
| Coronary Angioplasty (single vessel) CPT 92920 Percutaneous transluminal coronary angioplasty, single vessel |
— | $21,424 | $21,424 | $21,424–$21,424 | $11,231 | +91% | 1 |
| Right Heart Catheterization CPT 93451 Right heart catheterization |
— | $6,851 | $6,851 | $6,851–$6,851 | $6,020 | +14% | 1 |
| Coronary Angiography CPT 93454 Catheter placement in coronary artery for coronary angiography |
— | $6,851 | $6,851 | $6,851–$6,851 | $6,168 | +11% | 1 |
| Cytopathology (fluids) CPT 88104 Cytopathology, fluids, washings or brushings, smears with interpretation |
— | $51 | $51 | $51–$51 | $182 | -72% | 1 |
| Cytopathology (concentration technique) CPT 88108 Cytopathology, concentration technique, smears and interpretation |
— | $47 | $47 | $47–$47 | $172 | -73% | 1 |
| Cytopathology (selective cellular enhancement) CPT 88112 Cytopathology, selective cellular enhancement technique with interpretation |
— | $40 | $40 | $40–$40 | $144 | -72% | 1 |
| Pap Smear - Physician Interpretation CPT 88141 Cytopathology, cervical or vaginal, requiring interpretation by physician |
— | $24 | $24 | $24–$24 | $72 | -66% | 1 |
| Pap Smear - ThinPrep (automated) CPT 88142 Cytopathology, cervical or vaginal, collected in preservative fluid, automated thin layer |
— | $20 | $20 | $20–$20 | $45 | -55% | 1 |
| Cytopathology (smears, any source) CPT 88160 Cytopathology, smears, any other source, screening and interpretation |
— | $57 | $57 | $57–$57 | $180 | -69% | 1 |
| Flow Cytometry (first marker) CPT 88184 Flow cytometry, cell surface, cytoplasmic, or nuclear marker, first marker |
— | $76 | $76 | $76–$76 | $230 | -67% | 1 |
| Flow Cytometry (each additional marker) CPT 88185 Flow cytometry, each additional marker |
— | $22 | $22 | $22–$22 | $90 | -76% | 1 |
| Surgical Pathology (gross only) CPT 88300 Level I surgical pathology, gross examination only |
— | $12 | $12 | $12–$12 | $38 | -68% | 1 |
| Surgical Pathology (gross & micro) CPT 88302 Level II surgical pathology, gross and microscopic examination |
— | $26 | $26 | $26–$26 | $81 | -68% | 1 |
| Surgical Pathology (Level III) CPT 88304 Level III surgical pathology |
— | $31 | $31 | $31–$31 | $102 | -70% | 1 |
| Surgical Pathology (Level IV) CPT 88305 Level IV surgical pathology, each specimen |
— | $35 | $35 | $35–$35 | $144 | -76% | 1 |
| Surgical Pathology (Level V) CPT 88307 Level V surgical pathology, each specimen |
— | $201 | $201 | $201–$201 | $680 | -70% | 1 |
| Surgical Pathology (Level VI) CPT 88309 Level VI surgical pathology, each specimen |
— | $279 | $279 | $279–$279 | $968 | -71% | 1 |
| Special Stain (Group I) CPT 88312 Special stain including interpretation and report, Group I |
— | $83 | $83 | $83–$83 | $261 | -68% | 1 |
| Immunohistochemistry (first antibody) CPT 88342 Immunohistochemistry, each antibody, per specimen, first stain |
— | $76 | $76 | $76–$76 | $239 | -68% | 1 |
| PT - Traction (mechanical) CPT 97012 Application of modality, traction, mechanical |
— | $14 | $14 | $14–$14 | $43 | -67% | 1 |
| PT - Electrical Stimulation (attended) CPT 97014 Application of modality, electrical stimulation, attended |
— | $12 | $12 | $12–$12 | $39 | -68% | 1 |
| PT - Electrical Stimulation (manual) CPT 97032 Application of modality, electrical stimulation, manual |
— | $14 | $14 | $14–$14 | $47 | -70% | 1 |
| PT - Neuromuscular Re-education CPT 97112 Therapeutic procedure, neuromuscular reeducation |
— | $32 | $32 | $32–$32 | $84 | -62% | 1 |
| PT - Aquatic Therapy CPT 97113 Therapeutic procedure, aquatic therapy with therapeutic exercises |
— | $37 | $37 | $37–$37 | $97 | -62% | 1 |
| PT - Massage Therapy CPT 97124 Therapeutic procedure, massage, including effleurage and petrissage |
— | $30 | $30 | $30–$30 | $71 | -58% | 1 |
| PT - Group Therapeutic Procedures CPT 97150 Therapeutic procedure(s), group (2 or more individuals) |
— | $17 | $17 | $17–$17 | $49 | -64% | 1 |
| PT Re-evaluation CPT 97164 Re-evaluation of physical therapy established plan of care |
— | $68 | $68 | $68–$68 | $179 | -62% | 1 |
| Wheelchair Management Training CPT 97542 Wheelchair management/propulsion training |
— | $31 | $31 | $31–$31 | $79 | -61% | 1 |
| Orthotic Management/Training CPT 97760 Orthotic(s) management and training, initial encounter |
— | $46 | $46 | $46–$46 | $115 | -60% | 1 |
| Prosthetic Training CPT 97761 Prosthetic(s) training, initial encounter |
— | $40 | $40 | $40–$40 | $101 | -60% | 1 |
| Orthotic/Prosthetic Checkout CPT 97763 Orthotic/prosthetic management, subsequent encounter |
— | $50 | $50 | $50–$50 | $144 | -65% | 1 |
| Medical Nutrition Therapy (initial) CPT 97802 Medical nutrition therapy, initial assessment and intervention, individual |
— | $31 | $31 | $31–$31 | $88 | -64% | 1 |
| Medical Nutrition Therapy (follow-up) CPT 97803 Medical nutrition therapy, re-assessment and intervention, individual |
— | $27 | $27 | $27–$27 | $74 | -64% | 1 |
| OT Evaluation - Low Complexity CPT 97165 Occupational therapy evaluation, low complexity |
— | $101 | $101 | $101–$101 | $261 | -61% | 1 |
| OT Evaluation - Moderate Complexity CPT 97166 Occupational therapy evaluation, moderate complexity |
— | $101 | $101 | $101–$101 | $261 | -61% | 1 |
| OT Evaluation - High Complexity CPT 97167 Occupational therapy evaluation, high complexity |
— | $101 | $101 | $101–$101 | $261 | -61% | 1 |
| OT Re-evaluation CPT 97168 Re-evaluation of occupational therapy established plan of care |
— | $70 | $70 | $70–$70 | $176 | -60% | 1 |
| Speech Therapy (individual) CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder, individual |
— | $75 | $75 | $75–$75 | $153 | -51% | 1 |
| Evaluation of Speech Fluency CPT 92521 Evaluation of speech fluency (stuttering, cluttering) |
— | $131 | $131 | $131–$131 | $383 | -66% | 1 |
| Evaluation of Speech Production CPT 92522 Evaluation of speech sound production |
— | $109 | $109 | $109–$109 | $315 | -65% | 1 |
| Evaluation of Speech and Language CPT 92523 Evaluation of speech sound production with evaluation of language comprehension |
— | $224 | $224 | $224–$224 | $648 | -65% | 1 |
| Major Hip and Knee Joint Replacement without MCC CPT 469 Total hip or knee replacement without major complications |
— | $60,570 | $60,570 | $60,570–$60,570 | $57,667 | +5% | 1 |
| Major Hip and Knee Joint Replacement without CC/MCC CPT 470 Total hip or knee replacement without complications or comorbidities |
— | $38,518 | $38,518 | $38,518–$38,518 | $38,751 | -1% | 1 |
| Major Hip and Knee Joint Replacement with MCC CPT 468 Total hip or knee replacement with major complications |
— | $54,875 | $54,875 | $54,875–$54,875 | $52,451 | +5% | 1 |
| Hip and Femur Procedures without MCC CPT 480 Hip fracture repair or femur procedures without major complications |
— | $58,156 | $58,156 | $58,156–$58,156 | $54,303 | +7% | 1 |
| Hip and Femur Procedures without CC/MCC CPT 481 Hip fracture repair or femur procedures without complications |
— | $41,825 | $41,825 | $41,825–$41,825 | $39,538 | +6% | 1 |
| Hip and Femur Procedures with MCC CPT 479 Hip fracture repair or femur procedures with major complications |
— | $37,120 | $37,120 | $37,120–$37,120 | $34,667 | +7% | 1 |
| Cervical Spinal Fusion without CC/MCC CPT 473 Cervical spine fusion surgery without complications |
— | $48,750 | $48,750 | $48,750–$48,750 | $43,966 | +11% | 1 |
| Cervical Spinal Fusion without MCC CPT 472 Cervical spine fusion without major complications |
— | $58,831 | $58,831 | $58,831–$58,831 | $53,890 | +9% | 1 |
| Cervical Spinal Fusion with MCC CPT 471 Cervical spine fusion with major complications |
— | $96,424 | $96,424 | $96,424–$96,424 | $85,064 | +13% | 1 |
| Bilateral or Multiple Major Joint Procedures CPT 461 Bilateral joint replacement or multiple major joint procedures |
— | $110,289 | $110,289 | $110,289–$110,289 | $105,624 | +4% | 1 |
| Coronary Bypass without MCC CPT 236 CABG surgery without major complications |
— | $55,775 | $55,775 | $55,775–$55,775 | $71,559 | -22% | 1 |
| Coronary Bypass with MCC CPT 235 CABG surgery with major complications |
— | $55,775 | $55,775 | $55,775–$55,775 | $92,295 | -40% | 1 |
| Heart Failure and Shock with MCC CPT 291 Inpatient treatment for heart failure with major complications |
— | $25,636 | $25,636 | $25,636–$25,636 | $23,955 | +7% | 1 |
| Heart Failure and Shock with CC CPT 292 Inpatient treatment for heart failure with complications |
— | $16,954 | $16,954 | $16,954–$16,954 | $16,718 | +1% | 1 |
| Heart Failure and Shock without CC/MCC CPT 293 Inpatient treatment for heart failure without complications |
— | $11,302 | $11,302 | $11,302–$11,302 | $12,137 | -7% | 1 |
| Cardiac Valve Procedures with CC CPT 216 Heart valve repair or replacement with complications |
— | $55,775 | $55,775 | $55,775–$55,775 | $136,623 | -59% | 1 |
| Vaginal Delivery with OR Procedures CPT 768 Vaginal delivery requiring operating room procedures |
— | $21,399 | $21,399 | $21,399–$21,399 | $18,822 | +14% | 1 |
| Respiratory Infections and Inflammations with MCC CPT 177 Pneumonia or respiratory infections with major complications |
— | $31,206 | $31,206 | $31,206–$31,206 | $30,997 | +1% | 1 |
| Respiratory Infections and Inflammations with CC CPT 178 Pneumonia or respiratory infections with complications |
— | $19,490 | $19,490 | $19,490–$19,490 | $21,273 | -8% | 1 |
| Simple Pneumonia and Pleurisy with MCC CPT 193 Uncomplicated pneumonia with major complications |
— | $26,247 | $26,247 | $26,247–$26,247 | $23,995 | +9% | 1 |
| Simple Pneumonia and Pleurisy with CC CPT 194 Uncomplicated pneumonia with complications |
— | $16,093 | $16,093 | $16,093–$16,093 | $15,395 | +5% | 1 |
| Simple Pneumonia and Pleurisy without CC/MCC CPT 195 Uncomplicated pneumonia without complications |
— | $12,551 | $12,551 | $12,551–$12,551 | $12,118 | +4% | 1 |
| Major Small and Large Bowel Procedures with MCC CPT 329 Bowel resection or major intestinal surgery with major complications |
— | $91,788 | $91,788 | $91,788–$91,788 | $86,192 | +6% | 1 |
| Major Small and Large Bowel Procedures with CC CPT 330 Bowel resection or major intestinal surgery with complications |
— | $47,870 | $47,870 | $47,870–$47,870 | $47,553 | +1% | 1 |
| Major Small and Large Bowel Procedures without CC/MCC CPT 331 Bowel resection without complications |
— | $33,606 | $33,606 | $33,606–$33,606 | $32,544 | +3% | 1 |
| GI Hemorrhage with MCC CPT 377 Gastrointestinal bleeding with major complications |
— | $36,503 | $36,503 | $36,503–$36,503 | $32,281 | +13% | 1 |
| GI Hemorrhage with CC CPT 378 Gastrointestinal bleeding with complications |
— | $19,584 | $19,584 | $19,584–$19,584 | $18,584 | +5% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with MCC CPT 064 Stroke with major complications |
— | $40,158 | $40,158 | $40,158–$40,158 | $37,197 | +8% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with CC CPT 065 Stroke with complications |
— | $20,175 | $20,175 | $20,175–$20,175 | $21,119 | -4% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction without CC/MCC CPT 066 Stroke without complications |
— | $13,667 | $13,667 | $13,667–$13,667 | $14,585 | -6% | 1 |
| Renal Failure with MCC CPT 682 Acute or chronic kidney failure with major complications |
— | $29,574 | $29,574 | $29,574–$29,574 | $27,904 | +6% | 1 |
| Renal Failure with CC CPT 683 Acute or chronic kidney failure with complications |
— | $17,489 | $17,489 | $17,489–$17,489 | $17,522 | avg | 1 |
| Renal Failure without CC/MCC CPT 684 Acute or chronic kidney failure without complications |
— | $11,987 | $11,987 | $11,987–$11,987 | $12,399 | -3% | 1 |
| Septicemia or Severe Sepsis with MV >96 Hours CPT 870 Severe sepsis requiring extended ventilator support |
— | $138,022 | $138,022 | $138,022–$138,022 | $131,908 | +5% | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours with MCC CPT 871 Sepsis with major complications |
— | $38,790 | $38,790 | $38,790–$38,790 | $35,195 | +10% | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours without MCC CPT 872 Sepsis without major complications |
— | $20,434 | $20,434 | $20,434–$20,434 | $20,455 | avg | 1 |
| Rehabilitation with CC/MCC CPT 945 Inpatient rehabilitation with complications |
— | $30,924 | $30,924 | $30,924–$30,924 | $29,675 | +4% | 1 |
| Rehabilitation without CC/MCC CPT 946 Inpatient rehabilitation without complications |
— | $22,900 | $22,900 | $22,900–$22,900 | $22,900 | avg | 1 |
| Hip Replacement with Hip Fracture with MCC CPT 521 Hip replacement after hip fracture with major complications |
— | $57,315 | $57,315 | $57,315–$57,315 | $55,240 | +4% | 1 |
| Hip Replacement with Hip Fracture without MCC CPT 522 Hip replacement after hip fracture without major complications |
— | $42,288 | $42,288 | $42,288–$42,288 | $41,068 | +3% | 1 |
| Respiratory System Diagnosis with Ventilator Support >96 Hours CPT 207 Extended ventilator support for respiratory failure |
— | $128,495 | $128,495 | $128,495–$128,495 | $121,449 | +6% | 1 |
| Respiratory System Diagnosis with Ventilator Support ≤96 Hours CPT 208 Short-term ventilator support for respiratory failure |
— | $54,889 | $54,889 | $54,889–$54,889 | $50,460 | +9% | 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. |
— | $1,081 | $1,081 | $1,081–$1,081 | $873 | +24% | 1 |
Prices are typical ranges based on Emory University 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 Emory University Hospital →
Financial Assistance at Emory University Hospital
As a nonprofit hospital, Emory University 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.
Not sure if you qualify? Upload your bill and we'll help you figure out your options.
Review your bill for free →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.
Nearby Hospitals in Atlanta, GA
Compare prices at other hospitals in the same area.
Piedmont Atlanta Hospital
4.6 mi
Atlanta, GA
4/5 ★
613 procedures
Emory University Hospital Midtown
3.9 mi
Atlanta, GA
2/5 ★
705 procedures
Piedmont Atlanta Hospital
4.6 mi
Atlanta, GA
4/5 ★
Piedmont Cartersville Hospital
39.0 mi
Cartersville, GA
4/5 ★
782 procedures
Select Specialty Hospital - Midtown Atlanta, Llc
3.7 mi
Atlanta, GA
Emory Rehabilitation Hospital
1520 ft
Atlanta, GA
2/5 ★
Emory Saint Joseph's Hospital
8.2 mi
Atlanta, GA
2/5 ★
Northside Hospital Atlanta
8.2 mi
Atlanta, GA
3/5 ★
▸ Technical Details
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Health System
Emory Healthcare
Medicare Provider #
110010
Emergency Services
Yes
Metro Area
Atlanta, GA
Procedures Tracked
376
Have a bill from Emory University Hospital?
Upload it and we'll break down every charge, check for errors, and find savings.
Review your bill for free →Compare Emory University Hospital with Nearby Hospitals
See how prices stack up against other hospitals in Atlanta, GA.
Compare hospitals →