Compare real prices at Brooks County Hospital in Alma, GA. Taven tracks 473 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.
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473
Procedures Tracked
with pricing data
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2.5x
Markup Ratio
Avg = 3.0x
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Grade C
Data Quality
Moderate data coverage
✓
CMS v3.0 Compliant
This hospital's pricing data meets the latest CMS v3.0 requirements, including actual allowed amounts from insurer remittance data.
Attested by: GREGORY HEMBREEOrg NPI: 1306890942
🔒 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 Brooks County Hospital
473 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Quitman, 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) | Quitman Avg | vs. Avg | Payers |
|---|---|---|---|---|---|---|---|
| Split-Thickness Skin Graft CPT 15100 Split-Thickness Skin Graft — CPT code 15100 covers split-thickness skin graft performed in a clinical or hospital setting. |
— | $553 | $553 | $553–$553 | $553 | avg | 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. |
— | $553 | $553 | $553–$553 | $553 | avg | 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. |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Destruction of Premalignant Lesion (First) CPT 17000 Destruction of precancerous skin lesion — removal of a precancerous growth (actinic keratosis) using freezing, chemicals, or other methods. |
— | $413 | $413 | $413–$413 | $413 | avg | 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. |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Partial Mastectomy (Lumpectomy) CPT 19301 Surgical removal of a breast tumor along with a small margin of surrounding tissue. Also called a lumpectomy, this breast-conserving surgery removes the cancer while keeping most of the breast intact. |
$19,032 | $3,290 | — | — | $3,290 | avg | 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. |
— | $413 | $413 | $413–$413 | $413 | avg | 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. |
— | $413 | $413 | $413–$413 | $413 | avg | 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. |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Lumbar Spinal Fusion (Posterior Interbody) CPT 22630 Posterior lumbar interbody fusion (PLIF) — spinal fusion through the back where a damaged disc is removed and replaced with a bone graft or cage to stabilize the spine. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| Rotator Cuff Repair CPT 23412 Rotator Cuff Repair — CPT code 23412 covers rotator cuff repair performed in a clinical or hospital setting. |
— | $1,234 | $1,234 | $1,234–$1,234 | $1,234 | avg | 1 |
| Shoulder Replacement (Arthroplasty) CPT 23472 Shoulder Replacement (Arthroplasty) — CPT code 23472 covers shoulder replacement (arthroplasty) performed in a clinical or hospital setting. |
— | $1,744 | $1,744 | $1,744–$1,744 | $1,744 | avg | 1 |
| Open Fracture Treatment - Metacarpal CPT 26615 Open Fracture Treatment - Metacarpal — CPT code 26615 covers open fracture treatment - metacarpal performed in a clinical or hospital setting. |
— | $782 | $782 | $782–$782 | $782 | avg | 1 |
| Total Knee Replacement CPT 27447 Full knee replacement surgery where the damaged knee joint is replaced with artificial metal and plastic components to relieve pain and restore function. |
— | $3,320 | $3,320 | $3,320–$3,320 | $3,320 | avg | 1 |
| Knee Realignment Osteotomy CPT 27477 Surgical reshaping of the leg bones around the knee to redistribute weight and relieve pain, typically used for patients with arthritis affecting one side of the knee. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| Closed Treatment Tibial Fracture CPT 27750 Treatment of a broken shinbone (tibia) without surgery, using a cast or brace to hold the bone in place while it heals. |
— | $84 | $84 | $84–$84 | $84 | +1% | 1 |
| Hammertoe Correction CPT 28285 Surgical correction of a hammertoe — a toe that has become bent or curled. The procedure straightens the toe by removing bone or releasing tight tendons. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Bunionectomy with Metatarsal Osteotomy CPT 28296 Surgical correction of a bunion (hallux valgus) that includes cutting and realigning the metatarsal bone to straighten the big toe and relieve pain. |
$6,262 | $2,951 | — | — | $2,951 | avg | 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. |
$8,607 | $2,951 | — | — | $2,951 | avg | 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. |
$13,934 | $2,951 | — | — | $2,951 | avg | 1 |
| Nasal Endoscopy (diagnostic) CPT 31231 Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting. |
— | $413 | $413 | $413–$413 | $413 | avg | 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. |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Ethmoidectomy - Partial CPT 31254 Ethmoidectomy - Partial — CPT code 31254 covers ethmoidectomy - partial performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Mitral Valve Repair CPT 33430 Open-heart surgery to repair a damaged mitral valve — the valve between the upper and lower left chambers of the heart — restoring normal blood flow. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| Coronary Artery Bypass (CABG) - Single CPT 33533 Coronary artery bypass surgery (CABG) using a single graft. A healthy blood vessel from another part of the body is used to reroute blood around a blocked heart artery. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 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. |
— | $413 | $413 | $413–$413 | $413 | avg | 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. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Tonsillectomy & Adenoidectomy (Under 12) CPT 42820 Surgical removal of the tonsils and adenoids. This procedure treats chronic infections, breathing problems, or sleep apnea caused by enlarged tonsils and adenoids. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Tonsillectomy (Age 12+) CPT 42826 Surgical removal of the tonsils for patients age 12 and older. This procedure treats chronic tonsillitis, recurrent infections, or breathing problems caused by enlarged tonsils. |
— | $782 | $782 | $782–$782 | $782 | avg | 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. |
$1,550 | $843 | — | — | $843 | avg | 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. |
$1,729 | $843 | — | — | $843 | avg | 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. |
— | $553 | $553 | $553–$553 | $553 | avg | 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. |
— | $553 | $553 | $553–$553 | $553 | avg | 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. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| Gastric Sleeve (Laparoscopic Sleeve Gastrectomy) CPT 43775 Gastric Sleeve (Laparoscopic Sleeve Gastrectomy) — CPT code 43775 covers gastric sleeve (laparoscopic sleeve gastrectomy) performed in a clinical or hospital setting. |
— | $1,873 | $1,873 | $1,873–$1,873 | $1,873 | avg | 1 |
| Gastric Bypass - Open CPT 43846 Gastric Bypass - Open — CPT code 43846 covers gastric bypass - open performed in a clinical or hospital setting. |
— | $1,743 | $1,743 | $1,743–$1,743 | $1,743 | avg | 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. |
— | $1,743 | $1,743 | $1,743–$1,743 | $1,743 | avg | 1 |
| Laparoscopic Small Bowel Enterostomy CPT 44180 Laparoscopic Small Bowel Enterostomy — CPT code 44180 covers laparoscopic small bowel enterostomy performed in a clinical or hospital setting. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| Laparoscopic Appendectomy CPT 44970 Laparoscopic appendectomy — minimally invasive surgical removal of the appendix, typically performed for appendicitis. |
— | $1,234 | $1,234 | $1,234–$1,234 | $1,234 | avg | 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. |
$1,381 | $827 | — | — | $827 | avg | 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. |
$3,396 | $1,081 | — | — | $1,081 | avg | 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. |
— | $553 | $553 | $553–$553 | $553 | avg | 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. |
$9,553 | $5,273 | — | — | $5,273 | avg | 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. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| Cholecystectomy - Open CPT 47600 Open cholecystectomy — surgical removal of the gallbladder through a larger incision in the abdomen. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 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. |
$11,557 | $3,315 | — | — | $3,315 | avg | 1 |
| Inguinal Hernia Repair (Incarcerated) CPT 49507 Inguinal Hernia Repair (Incarcerated) — CPT code 49507 covers inguinal hernia repair (incarcerated) performed in a clinical or hospital setting. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| Laparoscopic Inguinal Hernia Repair CPT 49650 Laparoscopic inguinal hernia repair — minimally invasive repair of a groin hernia using small incisions and a camera. |
— | $782 | $782 | $782–$782 | $782 | avg | 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. |
— | $2,709 | $2,709 | $2,709–$2,709 | $2,709 | avg | 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. |
$17,437 | $599 | — | — | $599 | avg | 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. |
$14,325 | $4,597 | — | — | $4,597 | avg | 1 |
| Robotic Prostatectomy CPT 55866 Robotic Prostatectomy — CPT code 55866 covers robotic prostatectomy performed in a clinical or hospital setting. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| Endometrial Biopsy CPT 58100 Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting. |
— | $75 | $75 | $75–$75 | $75 | avg | 1 |
| Total Hysterectomy - Abdominal CPT 58150 Total Hysterectomy - Abdominal — CPT code 58150 covers total hysterectomy - abdominal performed in a clinical or hospital setting. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| IUD Insertion CPT 58300 IUD Insertion — CPT code 58300 covers iud insertion performed in a clinical or hospital setting. |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| IUD Removal CPT 58301 IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 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. |
$32,592 | $9,281 | — | — | $9,281 | avg | 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. |
$23,548 | $5,273 | — | — | $5,273 | avg | 1 |
| Vaginal Delivery (routine, global) CPT 59400 Routine obstetric care including prenatal visits, vaginal delivery, and postpartum care — comprehensive maternity care package. |
— | $1,234 | $1,234 | $1,234–$1,234 | $1,234 | avg | 1 |
| Vaginal Delivery Only CPT 59409 Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting. |
— | $1,234 | $1,234 | $1,234–$1,234 | $1,234 | avg | 1 |
| VBAC Delivery CPT 59610 VBAC Delivery — CPT code 59610 covers vbac delivery performed in a clinical or hospital setting. |
— | $1,234 | $1,234 | $1,234–$1,234 | $1,234 | avg | 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. |
— | $128 | $128 | $128–$128 | $128 | avg | 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. |
— | $162 | $162 | $162–$162 | $162 | avg | 1 |
| 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. |
— | $1,234 | $1,234 | $1,234–$1,234 | $1,234 | avg | 1 |
| Lumbar Laminectomy (Single Level) CPT 63047 Lumbar laminectomy — surgical removal of the bony arch (lamina) of a vertebra in the lower back to create more space for the spinal cord and nerves. |
— | $1,234 | $1,234 | $1,234–$1,234 | $1,234 | avg | 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. |
— | $351 | $351 | $351–$351 | $351 | avg | 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. |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Glaucoma Laser Surgery CPT 65855 Glaucoma Laser Surgery — CPT code 65855 covers glaucoma laser surgery performed in a clinical or hospital setting. |
— | $782 | $782 | $782–$782 | $782 | avg | 1 |
| Glaucoma Filter Surgery CPT 66170 Glaucoma Filter Surgery — CPT code 66170 covers glaucoma filter surgery performed in a clinical or hospital setting. |
— | $848 | $848 | $848–$848 | $848 | avg | 1 |
| Strabismus Surgery CPT 67311 Strabismus Surgery — CPT code 67311 covers strabismus surgery performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Ear Wax Removal CPT 69210 Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting. |
— | $34 | $34 | $34–$34 | $34 | avg | 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. |
— | $633 | $633 | $633–$633 | $633 | avg | 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. |
— | $90 | $90 | $90–$90 | $90 | avg | 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. |
— | $12 | $12 | $12–$12 | $12 | avg | 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. |
— | $78 | $78 | $78–$78 | $78 | -1% | 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. |
$2,074 | $454 | — | — | $454 | avg | 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. |
— | $20 | $20 | $20–$20 | $20 | avg | 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. |
— | $114 | $114 | $114–$114 | $114 | avg | 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. |
— | $114 | $114 | $114–$114 | $114 | avg | 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. |
— | $18 | $18 | $18–$18 | $18 | -1% | 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. |
— | $20 | $20 | $20–$20 | $20 | avg | 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. |
— | $132 | $132 | $132–$132 | $132 | avg | 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. |
— | $18 | $18 | $18–$18 | $18 | avg | 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. |
— | $19 | $19 | $19–$19 | $19 | +2% | 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. |
— | $131 | $131 | $131–$131 | $131 | avg | 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. |
— | $96 | $96 | $96–$96 | $96 | avg | 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. |
$3,548 | $454 | — | — | $454 | avg | 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. |
— | $54 | $54 | $54–$54 | $54 | -1% | 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. |
— | $48 | $48 | $48–$48 | $48 | avg | 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. |
— | $60 | $60 | $60–$60 | $60 | avg | 1 |
| Transvaginal Ultrasound CPT 76830 Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures. |
— | $33 | $33 | $33–$33 | $33 | +1% | 1 |
| Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs. |
— | $50 | $50 | $50–$50 | $50 | avg | 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. |
— | $56 | $56 | $56–$56 | $56 | +1% | 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. |
$190 | $112 | — | — | $112 | avg | 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. |
— | $5 | $5 | $5–$5 | $5 | -5% | 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. |
$68 | $6 | $6 | $6–$6 | $6 | -2% | 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. |
— | $7 | $7 | $7–$7 | $7 | +7% | 1 |
| Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting. |
— | $5 | $5 | $5–$5 | $5 | -9% | 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. |
— | $2 | $2 | $2–$2 | $2 | -11% | 1 |
| Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting. |
— | $1 | $1 | $1–$1 | $1 | +26% | 1 |
| Vitamin D Level CPT 82306 Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency. |
— | $17 | $17 | $17–$17 | $17 | -1% | 1 |
| Urine Creatinine CPT 82570 Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting. |
— | $3 | $3 | $3–$3 | $3 | -3% | 1 |
| Ferritin Level CPT 82728 Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting. |
— | $8 | $8 | $8–$8 | $8 | -5% | 1 |
| Glucose (blood sugar) CPT 82947 Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes. |
— | $2 | $2 | $2–$2 | $2 | +10% | 1 |
| PSA (Prostate) CPT 84153 PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting. |
— | $10 | $10 | $10–$10 | $10 | +3% | 1 |
| Sodium Level CPT 84295 Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting. |
— | $3 | $3 | $3–$3 | $3 | -10% | 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. |
— | $2 | $2 | $2–$2 | $2 | +20% | 1 |
| Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting. |
— | $2 | $2 | $2–$2 | $2 | -5% | 1 |
| Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample. |
— | $20 | $20 | $20–$20 | $20 | -2% | 1 |
| Gonorrhea Test CPT 87591 Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample. |
— | $20 | $20 | $20–$20 | $20 | -2% | 1 |
| Immunization Administration CPT 90471 Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting. |
— | $6 | $6 | $6–$6 | $6 | +4% | 1 |
| 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. |
— | $76 | $76 | $73–$79 | $76 | avg | 1 |
| Tdap Vaccine CPT 90715 Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting. |
— | $38 | $38 | $31–$45 | $38 | avg | 1 |
| Psychiatric Diagnostic Evaluation CPT 90791 Psychiatric Diagnostic Evaluation — CPT code 90791 covers psychiatric diagnostic evaluation performed in a clinical or hospital setting. |
— | $107 | $113 | $96–$113 | $107 | avg | 2 |
| 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. |
— | $114 | $116 | $110–$116 | $114 | avg | 2 |
| 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. |
— | $46 | $46 | $46–$46 | $46 | +1% | 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. |
— | $66 | $66 | $61–$71 | $66 | avg | 2 |
| Psychotherapy (53+ min) CPT 90837 Psychotherapy (53+ min) — CPT code 90837 covers psychotherapy (53+ min) performed in a clinical or hospital setting. |
— | $90 | $90 | $90–$90 | $90 | avg | 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. |
— | $69 | $69 | $69–$69 | $69 | avg | 1 |
| Group Psychotherapy CPT 90853 Group Psychotherapy — CPT code 90853 covers group psychotherapy performed in a clinical or hospital setting. |
— | $16 | $16 | $16–$16 | $16 | +2% | 1 |
| EKG (12-lead) CPT 93000 EKG (12-lead) — CPT code 93000 covers ekg (12-lead) performed in a clinical or hospital setting. |
— | $23 | $23 | $23–$23 | $23 | avg | 1 |
| EKG Interpretation CPT 93010 EKG Interpretation — CPT code 93010 covers ekg interpretation performed in a clinical or hospital setting. |
— | $10 | $10 | $10–$10 | $10 | +1% | 1 |
| Cardiovascular Stress Test CPT 93015 Cardiovascular Stress Test — CPT code 93015 covers cardiovascular stress test performed in a clinical or hospital setting. |
— | $110 | $110 | $110–$110 | $110 | avg | 1 |
| Echocardiogram Complete CPT 93306 Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting. |
$2,612 | $504 | — | — | $504 | avg | 1 |
| Stress Echocardiogram CPT 93351 Stress Echocardiogram — CPT code 93351 covers stress echocardiogram performed in a clinical or hospital setting. |
— | $186 | $186 | $186–$186 | $186 | avg | 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. |
— | $131 | $131 | $131–$131 | $131 | avg | 1 |
| Psychological Testing - Additional Hour CPT 96131 Psychological Testing - Additional Hour — CPT code 96131 covers psychological testing - additional hour performed in a clinical or hospital setting. |
— | $52 | $52 | $52–$52 | $52 | avg | 1 |
| Therapeutic Injection (IM/SubQ) CPT 96372 Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes. |
— | $21 | $21 | $21–$21 | $21 | avg | 1 |
| IV Push (single drug) CPT 96374 IV push medication — rapid injection of medication directly into a vein or existing IV line. |
— | $54 | $54 | $54–$54 | $54 | +1% | 1 |
| PT - Therapeutic Exercise CPT 97110 Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion. |
— | $20 | $20 | $20–$20 | $20 | +1% | 1 |
| PT - Gait Training CPT 97116 PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting. |
— | $18 | $18 | $18–$18 | $18 | -2% | 1 |
| PT Evaluation - Low Complexity CPT 97161 Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition. |
— | $67 | $67 | $67–$67 | $67 | avg | 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. |
— | $67 | $67 | $67–$67 | $67 | avg | 1 |
| PT Evaluation - High Complexity CPT 97163 Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition. |
— | $67 | $67 | $67–$67 | $67 | avg | 1 |
| PT - Therapeutic Activities CPT 97530 Therapeutic activities — functional movement training to improve your ability to perform daily activities. |
— | $21 | $21 | $21–$21 | $21 | +1% | 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. |
— | $27 | $27 | $27–$27 | $27 | -1% | 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. |
— | $47 | $47 | $47–$47 | $47 | -1% | 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. |
— | $76 | $76 | $76–$76 | $76 | avg | 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. |
— | $104 | $104 | $104–$104 | $104 | avg | 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. |
— | $5 | $5 | $5–$5 | $5 | 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. |
— | $20 | $20 | $20–$20 | $20 | avg | 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. |
— | $38 | $38 | $38–$38 | $38 | -1% | 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. |
— | $55 | $55 | $55–$55 | $55 | +1% | 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. |
— | $82 | $82 | $82–$82 | $82 | avg | 1 |
| ER Visit - Minor Problem CPT 99281 Emergency department visit for a minor, self-limited problem requiring minimal evaluation. |
— | $6 | $6 | $6–$6 | $6 | +8% | 1 |
| ER Visit - Low Complexity CPT 99282 Emergency department visit for a low to moderate severity problem requiring a brief evaluation. |
— | $24 | $24 | $24–$24 | $24 | -1% | 1 |
| ER Visit - Moderate Complexity CPT 99283 Emergency department visit for a moderate severity problem requiring an expanded evaluation. |
$948 | $241 | — | — | $241 | avg | 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. |
$1,920 | $379 | — | — | $379 | avg | 1 |
| ER Visit - Immediate Threat to Life CPT 99285 Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation. |
$4,154 | $544 | — | — | $544 | avg | 1 |
| Dexamethasone Injection CPT J1100 HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection. |
— | $0 | $0 | $0–$0 | — | — | 1 |
| Debridement of Skin (infected) CPT 11000 Debridement of extensively eczematous or infected skin |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Skin Lesion Paring (2-4) CPT 11056 Paring or cutting of benign hyperkeratotic lesions, 2 to 4 |
— | $44 | $44 | $44–$44 | $44 | -1% | 1 |
| Skin Lesion Shave - Scalp/Neck (0.5 cm) CPT 11305 Shave removal of epidermal or dermal lesion, scalp/neck/hands/feet |
— | $44 | $44 | $44–$44 | $44 | -1% | 1 |
| Excision of Benign Skin Lesion (0.5 cm or less) CPT 11400 Excision of benign lesion, trunk/arms/legs |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Excision of Benign Skin Lesion (0.6-1.0 cm) CPT 11401 Excision of benign lesion, trunk/arms/legs, 0.6-1.0 cm |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Excision Malignant Lesion (0.5 cm or less) CPT 11600 Excision of malignant lesion, trunk/arms/legs |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Nail Removal (partial or complete) CPT 11730 Avulsion of nail plate, partial or complete |
— | $44 | $44 | $44–$44 | $44 | -1% | 1 |
| Destruction of Premalignant Lesions (2-14) CPT 17003 Destruction of premalignant lesions, second through 14th lesion |
— | $206 | $206 | $206–$206 | $206 | avg | 1 |
| Destruction of Skin Lesions (15+) CPT 17004 Destruction of premalignant lesions, 15 or more lesions |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Tendon Sheath Injection CPT 20550 Injection of tendon sheath, ligament, or trigger point |
— | $131 | $131 | $131–$131 | $131 | avg | 1 |
| Shoulder Injection with Imaging CPT 23350 Injection for shoulder arthrography |
— | $77 | $77 | $77–$77 | $77 | avg | 1 |
| Tennis Elbow Repair CPT 24341 Repair of lateral collateral ligament, elbow |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Closed Treatment Distal Radius Fracture (with manipulation) CPT 25605 Closed treatment of distal radial fracture with manipulation |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Intertrochanteric Fracture Treatment CPT 27245 Treatment of intertrochanteric femoral fracture with plate/screws |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| Knee Manipulation Under Anesthesia CPT 27570 Manipulation of knee joint under general anesthesia |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Open Treatment Ankle Fracture (bimalleolar) CPT 27792 Open treatment of distal fibula fracture, bimalleolar |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Amputation - Toe CPT 28820 Amputation of toe at metatarsophalangeal joint |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Endoscopic Carpal Tunnel Release CPT 29848 Endoscopy of wrist, carpal tunnel release |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| Shoulder Arthroscopy - Acromioplasty CPT 29826 Arthroscopy, shoulder, surgical, decompression of subacromial space |
— | $317 | $317 | $317–$317 | $317 | avg | 1 |
| ACL Reconstruction (Knee Ligament Repair) CPT 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Esophagoscopy (diagnostic) CPT 43191 Esophagoscopy, flexible, diagnostic |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| EGD with Stent Placement CPT 43210 Esophagogastroduodenoscopy with stent placement |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Sigmoidoscopy (diagnostic) CPT 45330 Sigmoidoscopy, flexible, diagnostic |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Sigmoidoscopy with Biopsy CPT 45331 Sigmoidoscopy, flexible, with biopsy |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Colonoscopy with Control of Bleeding CPT 45382 Colonoscopy with control of bleeding |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Colonoscopy with Ablation CPT 45388 Colonoscopy with ablation of tumor or polyp |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Colonoscopy with Foreign Body Removal CPT 45390 Colonoscopy with removal of foreign body |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Colonoscopy with Endoscopic Ultrasound CPT 45391 Colonoscopy with endoscopic ultrasound examination |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| CT Soft Tissue Neck with Contrast CPT 70491 CT scan of soft tissue neck with contrast |
— | $112 | $112 | $112–$112 | $112 | avg | 1 |
| MRI Head/Neck MRA CPT 70543 Magnetic resonance angiography, head and/or neck |
— | $223 | $223 | $223–$223 | $223 | avg | 1 |
| CT Chest Low Dose (Lung Screening) CPT 71271 CT chest for lung cancer screening, low dose |
— | $82 | $82 | $82–$82 | $82 | avg | 1 |
| CT Angiography Chest CPT 71275 CT angiography of chest with contrast |
— | $169 | $169 | $169–$169 | $169 | avg | 1 |
| CT Lumbar Spine without Contrast CPT 72131 CT lumbar spine without contrast |
— | $78 | $78 | $78–$78 | $78 | avg | 1 |
| MRI Cervical Spine with/without Contrast CPT 72156 MRI cervical spine without contrast, then with contrast |
— | $199 | $199 | $199–$199 | $199 | avg | 1 |
| CT Pelvis with Contrast CPT 72193 CT pelvis with contrast |
— | $162 | $162 | $162–$162 | $162 | avg | 1 |
| MRI Pelvis without/with Contrast CPT 72197 MRI pelvis without contrast, then with contrast |
— | $219 | $219 | $219–$219 | $219 | avg | 1 |
| Clavicle X-Ray CPT 73000 Radiologic examination of clavicle |
— | $17 | $17 | $17–$17 | $17 | avg | 1 |
| Humerus X-Ray CPT 73060 Radiologic examination of humerus, minimum 2 views |
— | $17 | $17 | $17–$17 | $17 | -1% | 1 |
| Elbow X-Ray CPT 73070 Radiologic examination of elbow, 2 views |
— | $15 | $15 | $15–$15 | $15 | -2% | 1 |
| Elbow X-Ray (3+ views) CPT 73080 Radiologic examination of elbow, complete, minimum 3 views |
— | $17 | $17 | $17–$17 | $17 | -1% | 1 |
| Wrist X-Ray CPT 73100 Radiologic examination of wrist, 2 views |
— | $18 | $18 | $18–$18 | $18 | -1% | 1 |
| Wrist X-Ray (3+ views) CPT 73110 Radiologic examination of wrist, complete, minimum 3 views |
— | $23 | $23 | $23–$23 | $23 | -1% | 1 |
| MRI Shoulder with Contrast CPT 73222 MRI any joint of upper extremity with contrast |
— | $220 | $220 | $220–$220 | $220 | avg | 1 |
| Hip X-Ray (2-3 views) CPT 73502 Radiologic examination of hip, 2-3 views |
— | $26 | $26 | $26–$26 | $26 | -2% | 1 |
| Femur X-Ray CPT 73552 Radiologic examination of femur, minimum 2 views |
— | $19 | $19 | $19–$19 | $19 | -2% | 1 |
| Foot X-Ray (2 views) CPT 73620 Radiologic examination of foot, 2 views |
— | $15 | $15 | $15–$15 | $15 | -3% | 1 |
| MRI Knee with/without Contrast CPT 73723 MRI any joint of lower extremity without then with contrast |
— | $264 | $264 | $264–$264 | $264 | avg | 1 |
| Abdomen X-Ray (1 view) CPT 74018 Radiologic examination of abdomen, single anteroposterior view |
— | $15 | $15 | $15–$15 | $15 | -2% | 1 |
| Abdomen X-Ray (2 views) CPT 74019 Radiologic examination of abdomen, 2 views |
— | $18 | $18 | $18–$18 | $18 | avg | 1 |
| Chest Ultrasound CPT 76604 Ultrasound of chest, real time with image documentation |
— | $21 | $21 | $21–$21 | $21 | +2% | 1 |
| Retroperitoneal Ultrasound (complete) CPT 76770 Ultrasound, retroperitoneal, complete |
— | $51 | $51 | $51–$51 | $51 | -1% | 1 |
| Retroperitoneal Ultrasound (limited) CPT 76775 Ultrasound, retroperitoneal, limited |
— | $23 | $23 | $23–$23 | $23 | avg | 1 |
| OB Ultrasound (limited) CPT 76815 Ultrasound, pregnant uterus, limited |
— | $35 | $35 | $35–$35 | $35 | -1% | 1 |
| Transvaginal OB Ultrasound CPT 76817 Ultrasound, pregnant uterus, transvaginal |
— | $39 | $39 | $39–$39 | $39 | avg | 1 |
| Pelvic Ultrasound (limited) CPT 76857 Ultrasound, pelvic, limited or follow-up |
— | $18 | $18 | $18–$18 | $18 | +2% | 1 |
| Extremity Ultrasound (limited) CPT 76882 Ultrasound, limited, joint or focal evaluation |
— | $22 | $22 | $22–$22 | $22 | avg | 1 |
| Bone Age Study CPT 77072 Bone age studies |
— | $13 | $13 | $13–$13 | $13 | +2% | 1 |
| Bone Length Studies CPT 77073 Bone length studies |
— | $26 | $26 | $26–$26 | $26 | -1% | 1 |
| Bone Survey (complete) CPT 77075 Radiologic examination, osseous survey, complete |
— | $58 | $58 | $58–$58 | $58 | +1% | 1 |
| PET Scan (limited) CPT 78815 PET for limited area other than heart or brain |
— | $1,431 | $1,431 | $1,431–$1,431 | $1,431 | avg | 1 |
| Renal Function Panel CPT 80069 Renal function panel blood test |
— | $5 | $5 | $5–$5 | $5 | -3% | 1 |
| Acute Hepatitis Panel CPT 80074 Acute hepatitis panel blood test |
— | $27 | $27 | $27–$27 | $27 | -1% | 1 |
| Urinalysis (non-automated, with microscopy) CPT 81000 Urinalysis by dip stick or tablet reagent, non-automated, with microscopy |
— | $2 | $2 | $2–$2 | $2 | +13% | 1 |
| Bilirubin Total CPT 82247 Bilirubin, total |
— | $3 | $3 | $3–$3 | $3 | -6% | 1 |
| Bilirubin Direct CPT 82248 Bilirubin, direct |
— | $3 | $3 | $3–$3 | $3 | -6% | 1 |
| Calcium Level CPT 82310 Calcium, total |
— | $3 | $3 | $3–$3 | $3 | -4% | 1 |
| Cholesterol Total CPT 82465 Cholesterol, serum or whole blood, total |
— | $2 | $2 | $2–$2 | $2 | +22% | 1 |
| Creatinine Level CPT 82565 Creatinine; blood |
— | $3 | $3 | $3–$3 | $3 | -5% | 1 |
| Vitamin B12 Level CPT 82607 Cyanocobalamin (Vitamin B-12) |
— | $8 | $8 | $8–$8 | $8 | +5% | 1 |
| Estradiol Level CPT 82670 Estradiol |
— | $16 | $16 | $16–$16 | $16 | -2% | 1 |
| Folic Acid Level CPT 82746 Folic acid, serum |
— | $8 | $8 | $8–$8 | $8 | +3% | 1 |
| IgA Level CPT 82784 Gammaglobulin IgA |
— | $5 | $5 | $5–$5 | $5 | +4% | 1 |
| Blood Gas Panel (ABG) CPT 82803 Gases, blood, any combination of pH, pCO2, pO2 |
— | $15 | $15 | $15–$15 | $15 | -3% | 1 |
| LH (Luteinizing Hormone) CPT 83002 Gonadotropin, luteinizing hormone (LH) |
— | $10 | $10 | $10–$10 | $10 | +4% | 1 |
| Lipase Level CPT 83690 Lipase |
— | $4 | $4 | $4–$4 | $4 | -4% | 1 |
| Magnesium Level CPT 83735 Magnesium |
— | $4 | $4 | $4–$4 | $4 | -6% | 1 |
| Parathyroid Hormone (PTH) CPT 83970 Parathormone (parathyroid hormone, PTH) |
— | $23 | $23 | $23–$23 | $23 | avg | 1 |
| Prealbumin Level CPT 84134 Prealbumin |
— | $8 | $8 | $8–$8 | $8 | +2% | 1 |
| Progesterone Level CPT 84144 Progesterone |
— | $12 | $12 | $12–$12 | $12 | -3% | 1 |
| Testosterone Total CPT 84403 Testosterone, total |
— | $14 | $14 | $14–$14 | $14 | +3% | 1 |
| Free T3 CPT 84481 Triiodothyronine T3, free |
— | $9 | $9 | $9–$9 | $9 | +5% | 1 |
| Troponin (Cardiac) CPT 84484 Troponin, quantitative |
— | $7 | $7 | $7–$7 | $7 | avg | 1 |
| CBC (Automated) CPT 85027 Complete blood count, automated |
— | $4 | $4 | $4–$4 | $4 | -9% | 1 |
| D-Dimer CPT 85379 Fibrin degradation products, D-dimer |
— | $6 | $6 | $6–$6 | $6 | -5% | 1 |
| Sed Rate (ESR) CPT 85652 Sedimentation rate, erythrocyte; automated |
— | $2 | $2 | $2–$2 | $2 | -24% | 1 |
| PTT (Partial Thromboplastin Time) CPT 85730 Thromboplastin time, partial (PTT) |
— | $3 | $3 | $3–$3 | $3 | +12% | 1 |
| C-Reactive Protein (CRP) CPT 86140 C-reactive protein |
— | $3 | $3 | $3–$3 | $3 | -3% | 1 |
| Cyclic Citrullinated Peptide (CCP) CPT 86200 Cyclic citrullinated peptide (CCP), antibody |
— | $7 | $7 | $7–$7 | $7 | +4% | 1 |
| Nuclear Antigen Antibody (ENA) CPT 86235 Extractable nuclear antigen (ENA) antibody |
— | $10 | $10 | $10–$10 | $10 | avg | 1 |
| CA 19-9 Tumor Marker CPT 86304 Immunoassay for tumor antigen, CA 19-9 |
— | $12 | $12 | $12–$12 | $12 | -3% | 1 |
| TB Blood Test (QuantiFERON) CPT 86480 Tuberculosis test, cell mediated immunity antigen response |
— | $45 | $45 | $45–$45 | $45 | avg | 1 |
| Herpes Simplex Antibody CPT 86695 Antibody, herpes simplex, type specific |
— | $10 | $10 | $10–$10 | $10 | -4% | 1 |
| Hepatitis A Antibody CPT 86696 Antibody, hepatitis A |
— | $14 | $14 | $14–$14 | $14 | +1% | 1 |
| Hepatitis B Core Antibody CPT 86704 Hepatitis B core antibody (HBcAb); total |
— | $7 | $7 | $7–$7 | $7 | -4% | 1 |
| Rubeola (Measles) Antibody CPT 86765 Antibody, rubeola |
— | $7 | $7 | $7–$7 | $7 | +3% | 1 |
| Varicella Antibody (Chickenpox) CPT 86787 Antibody, varicella-zoster |
— | $7 | $7 | $7–$7 | $7 | +3% | 1 |
| Bacterial Culture CPT 87070 Culture, bacterial; any other source except urine, blood or stool |
— | $5 | $5 | $5–$5 | $5 | -4% | 1 |
| Urine Culture CPT 87086 Culture, bacterial; quantitative colony count, urine |
— | $5 | $5 | $5–$5 | $5 | -10% | 1 |
| Antibiotic Sensitivity (MIC) CPT 87186 Susceptibility studies, antimicrobial agent; microdilution or agar dilution |
— | $5 | $5 | $5–$5 | $5 | -3% | 1 |
| Gram Stain CPT 87205 Smear, primary source with interpretation; Gram or Giemsa stain |
— | $2 | $2 | $2–$2 | $2 | +20% | 1 |
| Hepatitis B Surface Antigen CPT 87340 Infectious agent antigen detection; hepatitis B surface antigen (HBsAg) |
— | $6 | $6 | $6–$6 | $6 | -4% | 1 |
| HIV-1/HIV-2 Antibody Test CPT 87389 HIV-1 and HIV-2, single result, immunoassay |
— | $11 | $11 | $11–$11 | $11 | -3% | 1 |
| Flu Test (PCR/molecular) CPT 87502 Infectious agent detection, influenza, multiplex reverse transcription |
— | $54 | $54 | $54–$54 | $54 | -1% | 1 |
| HPV High-Risk Test CPT 87624 Infectious agent detection, human papillomavirus (HPV), high-risk types |
— | $26 | $26 | $26–$26 | $26 | -2% | 1 |
| Strep Test (rapid) CPT 87880 Infectious agent antigen detection, Streptococcus, group A |
— | $9 | $9 | $9–$9 | $9 | +3% | 1 |
| Laceration Repair - Simple (2.6-7.5 cm) CPT 12002 Simple repair of superficial wounds, 2.6-7.5 cm |
— | $69 | $69 | $69–$69 | $69 | +1% | 1 |
| Laceration Repair - Simple (7.6-12.5 cm) CPT 12004 Simple repair of superficial wounds, 7.6-12.5 cm |
— | $69 | $69 | $69–$69 | $69 | +1% | 1 |
| Laceration Repair - Intermediate (2.5 cm or less) CPT 12031 Repair, intermediate, wounds of scalp/trunk/extremities |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Laceration Repair - Intermediate Face (2.6-5.0 cm) CPT 12052 Repair, intermediate, wounds of face, 2.6-5.0 cm |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Burn Dressing (small) CPT 16020 Dressings and/or debridement of partial-thickness burns, small |
— | $80 | $80 | $80–$80 | $80 | avg | 1 |
| Burn Dressing (medium) CPT 16025 Dressings and/or debridement of partial-thickness burns, medium |
— | $80 | $80 | $80–$80 | $80 | avg | 1 |
| Closed Treatment Radial Head Fracture CPT 24640 Closed treatment of radial head subluxation (nursemaid elbow) |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Long Leg Splint CPT 29505 Application of long leg splint, thigh to ankle |
— | $57 | $57 | $57–$57 | $57 | +1% | 1 |
| Anterior Nasal Packing (nosebleed) CPT 30901 Control nasal hemorrhage, anterior, simple |
— | $59 | $59 | $59–$59 | $59 | avg | 1 |
| Anterior Nasal Packing (complex) CPT 30903 Control nasal hemorrhage, anterior, complex |
— | $59 | $59 | $59–$59 | $59 | avg | 1 |
| Venipuncture (age 3+) CPT 36410 Venipuncture, age 3 years or older, necessitating physician skill |
— | $10 | $10 | $10–$10 | $10 | -2% | 1 |
| Ear Foreign Body Removal CPT 69200 Removal of foreign body from external auditory canal |
— | $34 | $34 | $34–$34 | $34 | avg | 1 |
| Ear Wax Removal (Irrigation) CPT 69209 Removal impacted cerumen using irrigation/lavage |
— | $12 | $12 | $12–$12 | $12 | -1% | 1 |
| IV Infusion (therapeutic, additional hour) CPT 96366 Intravenous infusion for therapy, each additional hour |
— | $22 | $22 | $22–$22 | $22 | avg | 1 |
| IV Push (each additional, same drug) CPT 96376 Therapeutic injection, IV push, each additional sequential IV push of same substance |
— | $24 | $24 | $24–$24 | $24 | -1% | 1 |
| Immunization Admin (through age 18) CPT 90460 Immunization administration through 18 years of age, first or only component |
— | $6 | $6 | $6–$6 | $6 | +4% | 1 |
| Immunization Admin - Additional Component CPT 90461 Immunization administration, each additional vaccine component |
— | $6 | $6 | $6–$6 | $6 | -6% | 1 |
| Flu Vaccine (intradermal) CPT 90630 Influenza virus vaccine, intradermal, preservative free |
— | $16 | $16 | $16–$16 | $16 | +2% | 1 |
| Hepatitis A Vaccine (adult) CPT 90632 Hepatitis A vaccine, adult dosage |
— | $61 | $61 | $59–$63 | $61 | avg | 1 |
| Hepatitis A & B Vaccine (combo) CPT 90636 Hepatitis A and hepatitis B vaccine, adult dosage |
— | $110 | $110 | $106–$114 | $110 | avg | 1 |
| Hib Vaccine CPT 90647 Haemophilus influenzae type b vaccine |
— | $26 | $26 | $25–$26 | $26 | -1% | 1 |
| HPV Vaccine (9-valent) CPT 90651 Human papillomavirus vaccine, 9-valent, 3 dose schedule |
— | $264 | $264 | $263–$266 | $264 | avg | 1 |
| Pneumococcal Vaccine (PCV13) CPT 90670 Pneumococcal conjugate vaccine, 13 valent |
— | $216 | $216 | $206–$225 | $216 | avg | 1 |
| Rotavirus Vaccine CPT 90681 Rotavirus vaccine, human, attenuated |
— | $122 | $122 | $118–$127 | $122 | avg | 1 |
| Flu Vaccine (quadrivalent) CPT 90686 Influenza virus vaccine, quadrivalent, preservative free |
— | $16 | $16 | $16–$17 | $16 | +2% | 1 |
| DTaP-IPV Vaccine CPT 90696 Diphtheria, tetanus, acellular pertussis and polio vaccine |
— | $51 | $51 | $50–$52 | $51 | +1% | 1 |
| MMR Vaccine CPT 90707 Measles, mumps, rubella vaccine |
— | $87 | $87 | $76–$98 | $87 | avg | 1 |
| Polio Vaccine (IPV) CPT 90713 Poliovirus vaccine, inactivated |
— | $37 | $37 | $36–$39 | $37 | avg | 1 |
| Td Vaccine (adult) CPT 90714 Tetanus and diphtheria toxoids, adult, preservative free |
— | $30 | $30 | $30–$30 | $30 | -1% | 1 |
| Pneumococcal Vaccine (PPSV23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent |
— | $112 | $112 | $107–$116 | $112 | avg | 1 |
| Hepatitis B Vaccine (adult) CPT 90746 Hepatitis B vaccine, adult dosage |
— | $60 | $60 | $56–$63 | $60 | avg | 1 |
| Brief Emotional/Behavioral Assessment CPT 96127 Brief emotional/behavioral assessment with scoring |
— | $5 | $5 | $5–$5 | $5 | +5% | 1 |
| Breast Biopsy (stereotactic) CPT 19081 Biopsy, breast, with placement of breast localization device, stereotactic guidance |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Mastopexy (Breast Lift) CPT 19316 Mastopexy |
— | $782 | $782 | $782–$782 | $782 | avg | 1 |
| Breast Reconstruction (immediate) CPT 19340 Immediate insertion of breast prosthesis following mastopexy or mastectomy |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Colposcopy (diagnostic) CPT 57420 Colposcopy of entire vagina, with cervix if present |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| LEEP Procedure (cervix) CPT 57460 Colposcopy with loop electrode excision procedure of cervix |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Cervical Biopsy CPT 57500 Biopsy of cervix, single or multiple, or local excision |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Hysterosalpingography (HSG) CPT 58340 Catheterization and introduction of saline for sonohysterography |
— | $70 | $70 | $70–$70 | $70 | avg | 1 |
| Hysteroscopy with Biopsy/Polypectomy CPT 58558 Hysteroscopy, surgical, with sampling of endometrium |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Laparoscopic Endometriosis Excision CPT 58662 Laparoscopy with fulguration or excision of lesions of ovary/peritoneum |
— | $889 | $889 | $889–$889 | $889 | avg | 1 |
| Laparoscopic Tubal Ligation CPT 58670 Laparoscopy, surgical, with fulguration of oviducts |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Amniocentesis CPT 59000 Amniocentesis, diagnostic |
— | $159 | $159 | $159–$159 | $159 | avg | 1 |
| Chorionic Villus Sampling CPT 59015 Chorionic villus sampling, any method |
— | $159 | $159 | $159–$159 | $159 | avg | 1 |
| Delivery of Placenta CPT 59414 Delivery of placenta (separate procedure) |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Incision and Drainage of Abscess (simple) CPT 10060 Incision and drainage of abscess, simple or single |
— | $75 | $75 | $75–$75 | $75 | avg | 1 |
| Incision and Drainage of Abscess (complex) CPT 10061 Incision and drainage of abscess, complicated or multiple |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Aspiration of Abscess/Cyst CPT 10160 Puncture aspiration of abscess, hematoma, bulla, or cyst |
— | $75 | $75 | $75–$75 | $75 | avg | 1 |
| Breast Biopsy (needle, percutaneous) CPT 19100 Biopsy of breast, percutaneous, needle core |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Knee Cartilage Removal (arthrotomy) CPT 27332 Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee |
— | $782 | $782 | $782–$782 | $782 | avg | 1 |
| Lymph Node Biopsy/Excision (superficial) CPT 38500 Biopsy or excision of lymph node(s), superficial |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Lip Biopsy CPT 40490 Biopsy of lip, vermilion |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Tongue Biopsy (anterior 2/3) CPT 41100 Biopsy of tongue, anterior two-thirds |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Salivary Stone Removal (Sialolithotomy) CPT 42330 Sialolithotomy, submandibular or sublingual, intraoral |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Lysis of Abdominal Adhesions (open) CPT 44005 Enterolysis, freeing of intestinal adhesion |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| Liver Biopsy (needle) CPT 47000 Biopsy of liver, needle, percutaneous |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Diagnostic Laparoscopy CPT 49320 Laparoscopy, abdomen, diagnostic |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Kidney Biopsy (needle) CPT 50200 Renal biopsy, percutaneous, by trocar or needle |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Kidney Stone Removal (percutaneous) CPT 50080 Percutaneous nephrostolithotomy or pyelostolithotomy |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Cystoscopy with Ureteral Catheter CPT 52005 Cystourethroscopy, with ureteral catheterization |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Cystoscopy with Stent Removal CPT 52310 Cystourethroscopy, with removal of foreign body or ureteral stent |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Cystoscopy with Lithotripsy CPT 52353 Cystourethroscopy, with lithotripsy |
— | $782 | $782 | $782–$782 | $782 | avg | 1 |
| Hydrocelectomy (excision) CPT 55040 Excision of hydrocele, unilateral |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Vasectomy CPT 55250 Vasectomy, unilateral or bilateral |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| I&D of Bartholin Gland Abscess CPT 56405 Incision and drainage of vulva or perineal abscess |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Lumbar Puncture (spinal tap) CPT 62270 Lumbar puncture (spinal tap), diagnostic |
— | $193 | $193 | $193–$193 | $193 | avg | 1 |
| Psychotherapy Add-on (38-52 min) CPT 90836 Psychotherapy, 38-52 min, add-on to E/M service |
— | $65 | $65 | $65–$65 | $65 | avg | 1 |
| Psychotherapy Add-on (53+ min) CPT 90838 Psychotherapy, 53+ min, add-on to E/M service |
— | $104 | $104 | $104–$104 | $104 | avg | 1 |
| Crisis Psychotherapy (first 60 min) CPT 90839 Psychotherapy for crisis, first 60 minutes |
— | $83 | $83 | $83–$83 | $83 | -1% | 1 |
| Crisis Psychotherapy (additional 30 min) CPT 90840 Psychotherapy for crisis, each additional 30 minutes |
— | $41 | $41 | $41–$41 | $41 | +1% | 1 |
| Electroconvulsive Therapy (ECT) CPT 90870 Electroconvulsive therapy |
— | $362 | $362 | $362–$362 | $362 | avg | 1 |
| Biofeedback Training CPT 90875 Individual psychophysiological therapy with biofeedback training |
— | $61 | $61 | $61–$61 | $61 | +1% | 1 |
| Biofeedback Training (other) CPT 90901 Biofeedback training by any modality |
— | $20 | $20 | $20–$20 | $20 | +2% | 1 |
| Neuropsychological Testing (additional hour) CPT 96133 Neuropsychological testing evaluation services, each additional hour |
— | $79 | $79 | $79–$79 | $79 | avg | 1 |
| Psychological Test Administration (first 30 min) CPT 96136 Psychological or neuropsychological test administration, first 30 minutes |
— | $24 | $24 | $24–$24 | $24 | -1% | 1 |
| Cervical Epidural Injection CPT 62320 Injection, including indwelling catheter placement, cervical or thoracic |
— | $131 | $131 | $131–$131 | $131 | avg | 1 |
| Greater Occipital Nerve Block CPT 64405 Injection, anesthetic agent; greater occipital nerve |
— | $193 | $193 | $193–$193 | $193 | avg | 1 |
| Femoral Nerve Block CPT 64447 Injection, anesthetic agent; femoral nerve, single |
— | $193 | $193 | $193–$193 | $193 | avg | 1 |
| Peripheral Nerve Block CPT 64450 Injection, anesthetic agent; other peripheral nerve or branch |
— | $193 | $193 | $193–$193 | $193 | avg | 1 |
| Facet Joint Injection - Cervical (first level) CPT 64490 Injection, diagnostic or therapeutic agent, paravertebral facet joint, cervical or thoracic, first level |
— | $322 | $322 | $322–$322 | $322 | avg | 1 |
| Facet Joint Injection - Cervical (second level) CPT 64491 Injection, paravertebral facet joint, cervical or thoracic, second level |
— | $112 | $112 | $112–$112 | $112 | avg | 1 |
| Intercostal Nerve Destruction CPT 64625 Destruction by neurolytic agent, intercostal nerve |
— | $146 | $146 | $146–$146 | $146 | avg | 1 |
| Facet Joint Destruction - Cervical (additional level) CPT 64634 Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, each additional level |
— | $112 | $112 | $112–$112 | $112 | avg | 1 |
| Facet Joint Destruction - Lumbar (additional level) CPT 64636 Destruction by neurolytic agent, paravertebral facet joint nerve, lumbar or sacral, each additional level |
— | $175 | $175 | $175–$175 | $175 | avg | 1 |
| Pacemaker Insertion (ventricular) CPT 33207 Insertion of new or replacement of permanent pacemaker, ventricular |
— | $1,234 | $1,234 | $1,234–$1,234 | $1,234 | avg | 1 |
| Holter Monitor (review/interpretation) CPT 93226 External electrocardiographic recording, review and interpretation |
— | $60 | $60 | $60–$60 | $60 | -1% | 1 |
| Event Monitor (up to 30 days) CPT 93268 External patient and, when performed, auto activated electrocardiographic rhythm derived event recording |
— | $290 | $290 | $290–$290 | $290 | avg | 1 |
| Transthoracic Echocardiogram (follow-up) CPT 93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up |
— | $162 | $162 | $162–$162 | $162 | avg | 1 |
| Echocardiogram (2D, limited) CPT 93307 Echocardiography, transthoracic, real-time, 2D, limited study |
— | $138 | $138 | $138–$138 | $138 | avg | 1 |
| Transesophageal Echocardiogram (TEE) CPT 93312 Echocardiography, transesophageal, real-time with image documentation |
— | $227 | $227 | $227–$227 | $227 | avg | 1 |
| Doppler Echocardiography (complete) CPT 93320 Doppler echocardiography, pulsed wave and/or continuous wave, complete |
— | $62 | $62 | $62–$62 | $62 | +1% | 1 |
| Doppler Color Flow Add-on CPT 93325 Doppler echocardiography color flow velocity mapping, add-on |
— | $54 | $54 | $54–$54 | $54 | -1% | 1 |
| Coronary Angiography CPT 93454 Catheter placement in coronary artery for coronary angiography |
— | $1,938 | $1,938 | $1,938–$1,938 | $1,938 | avg | 1 |
| Ankle-Brachial Index (ABI) CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries |
— | $117 | $117 | $117–$117 | $117 | avg | 1 |
| Lower Extremity Arterial Duplex CPT 93925 Duplex scan of lower extremity arteries, complete bilateral study |
— | $234 | $234 | $234–$234 | $234 | avg | 1 |
| Venous Duplex Scan (complete) CPT 93970 Duplex scan of extremity veins, complete bilateral study |
— | $202 | $202 | $202–$202 | $202 | avg | 1 |
| Aorta/IVC/Iliac Duplex Scan CPT 93978 Duplex scan of aorta, inferior vena cava, iliac vasculature |
— | $194 | $194 | $194–$194 | $194 | avg | 1 |
| Cytopathology (fluids) CPT 88104 Cytopathology, fluids, washings or brushings, smears with interpretation |
— | $32 | $32 | $32–$32 | $32 | avg | 1 |
| Cytopathology (concentration technique) CPT 88108 Cytopathology, concentration technique, smears and interpretation |
— | $43 | $43 | $43–$43 | $43 | avg | 1 |
| Cytopathology (selective cellular enhancement) CPT 88112 Cytopathology, selective cellular enhancement technique with interpretation |
— | $25 | $25 | $25–$25 | $25 | +2% | 1 |
| Cytopathology (smears, any source) CPT 88160 Cytopathology, smears, any other source, screening and interpretation |
— | $28 | $28 | $28–$28 | $28 | +1% | 1 |
| Flow Cytometry (each additional marker) CPT 88185 Flow cytometry, each additional marker |
— | $40 | $40 | $40–$40 | $40 | avg | 1 |
| Surgical Pathology (Level IV) CPT 88305 Level IV surgical pathology, each specimen |
— | $24 | $24 | $24–$24 | $24 | -1% | 1 |
| Surgical Pathology (Level V) CPT 88307 Level V surgical pathology, each specimen |
— | $155 | $155 | $155–$155 | $155 | avg | 1 |
| Special Stain (Group I) CPT 88312 Special stain including interpretation and report, Group I |
— | $49 | $49 | $49–$49 | $49 | avg | 1 |
| PT - Traction (mechanical) CPT 97012 Application of modality, traction, mechanical |
— | $12 | $12 | $12–$12 | $12 | +3% | 1 |
| PT - Electrical Stimulation (attended) CPT 97014 Application of modality, electrical stimulation, attended |
— | $11 | $11 | $11–$11 | $11 | +3% | 1 |
| PT - Aquatic Therapy CPT 97113 Therapeutic procedure, aquatic therapy with therapeutic exercises |
— | $24 | $24 | $24–$24 | $24 | +2% | 1 |
| PT - Group Therapeutic Procedures CPT 97150 Therapeutic procedure(s), group (2 or more individuals) |
— | $13 | $13 | $13–$13 | $13 | -3% | 1 |
| Wheelchair Management Training CPT 97542 Wheelchair management/propulsion training |
— | $19 | $19 | $19–$19 | $19 | +2% | 1 |
| Orthotic/Prosthetic Checkout CPT 97763 Orthotic/prosthetic management, subsequent encounter |
— | $40 | $40 | $40–$40 | $40 | -1% | 1 |
| Medical Nutrition Therapy (follow-up) CPT 97803 Medical nutrition therapy, re-assessment and intervention, individual |
— | $20 | $20 | $20–$20 | $20 | +2% | 1 |
| OT Evaluation - Low Complexity CPT 97165 Occupational therapy evaluation, low complexity |
— | $65 | $65 | $65–$65 | $65 | avg | 1 |
| OT Evaluation - Moderate Complexity CPT 97166 Occupational therapy evaluation, moderate complexity |
— | $65 | $65 | $65–$65 | $65 | avg | 1 |
| Speech Therapy (individual) CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder, individual |
— | $27 | $27 | $27–$27 | $27 | -1% | 1 |
| Evaluation of Speech Fluency CPT 92521 Evaluation of speech fluency (stuttering, cluttering) |
— | $105 | $105 | $105–$105 | $105 | avg | 1 |
| Initial Hospital Care - Low CPT 99221 Initial hospital inpatient or observation care, low severity |
— | $89 | $89 | $89–$89 | $89 | avg | 1 |
| Initial Hospital Care - Moderate CPT 99222 Initial hospital inpatient or observation care, moderate severity |
— | $122 | $122 | $122–$122 | $122 | avg | 1 |
| Subsequent Hospital Care - Moderate CPT 99232 Subsequent hospital inpatient or observation care, moderate complexity |
— | $66 | $66 | $66–$66 | $66 | avg | 1 |
| Hospital Discharge Day (30 min or less) CPT 99238 Hospital inpatient or observation discharge day management, 30 min or less |
— | $67 | $67 | $67–$67 | $67 | +1% | 1 |
| Testosterone Injection CPT J1071 Injection, testosterone cypionate, 1 mg |
— | $0 | $0 | $0–$0 | — | — | 1 |
| Diphenhydramine (Benadryl) Injection CPT J1200 Injection, diphenhydramine HCl, up to 50 mg |
— | $1 | $1 | $1–$1 | $1 | -40% | 1 |
| Heparin Injection (per 10 units) CPT J1642 Injection, heparin sodium, per 10 units |
— | $0 | $0 | $0–$0 | — | — | 1 |
| Ketorolac (Toradol) Injection CPT J1885 Injection, ketorolac tromethamine, per 15 mg |
— | $0 | $0 | $0–$0 | — | — | 1 |
| Meperidine (Demerol) Injection CPT J2175 Injection, meperidine hydrochloride, per 100 mg |
— | $11 | $11 | $9–$13 | $11 | -3% | 1 |
| Midazolam Injection CPT J2250 Injection, midazolam hydrochloride, per 1 mg |
— | $0 | $0 | $0–$0 | — | — | 1 |
| Ondansetron (Zofran) Injection CPT J2405 Injection, ondansetron hydrochloride, per 1 mg |
— | $0 | $0 | $0–$0 | — | — | 1 |
| Ropivacaine Injection CPT J2795 Injection, ropivacaine hydrochloride, 1 mg |
— | $0 | $0 | $0–$0 | — | — | 1 |
| Fentanyl Injection CPT J3010 Injection, fentanyl citrate, 0.1 mg |
— | $1 | $1 | $1–$1 | $1 | -19% | 1 |
| Normal Saline (1000 ml) CPT J7120 Ringers lactate infusion, up to 1000 cc |
— | $2 | $2 | $2–$2 | $2 | -2% | 1 |
| Normal Saline Infusion (1000 cc) CPT J7030 Infusion, normal saline solution, 1000 cc |
— | $2 | $2 | $2–$2 | $2 | -7% | 1 |
| Normal Saline with Dextrose (500 ml) CPT J7040 Infusion, normal saline solution, sterile, 500 ml |
— | $1 | $1 | $1–$1 | $1 | +5% | 1 |
| Normal Saline Infusion (250 cc) CPT J7050 Infusion, normal saline solution, 250 cc |
— | $1 | $1 | $1–$1 | $1 | -47% | 1 |
| Bronchoscopy with Lavage CPT 31624 Bronchoscopy with bronchial alveolar lavage |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
| Bronchospasm Evaluation CPT 94060 Bronchodilation responsiveness, spirometry before and after bronchodilator |
— | $43 | $43 | $43–$43 | $43 | avg | 1 |
| Respiratory Flow Volume Loop CPT 94375 Respiratory flow volume loop |
— | $22 | $22 | $22–$22 | $22 | +1% | 1 |
| Pulse Oximetry (multiple readings) CPT 94761 Noninvasive ear or pulse oximetry for oxygen saturation, multiple determinations |
— | $5 | $5 | $5–$5 | $5 | +9% | 1 |
| Sleep Study (Polysomnography) CPT 95810 Polysomnography, 6 or more hours of sleep, comprehensive |
— | $595 | $595 | $595–$595 | $595 | avg | 1 |
| Eye Exam (new, intermediate) CPT 92002 Ophthalmological services, new patient, intermediate |
— | $45 | $45 | $45–$45 | $45 | -1% | 1 |
| Eye Exam (new, comprehensive) CPT 92004 Ophthalmological services, new patient, comprehensive |
— | $92 | $92 | $92–$92 | $92 | avg | 1 |
| Eye Exam (established, intermediate) CPT 92012 Ophthalmological services, established patient, intermediate |
— | $47 | $47 | $47–$47 | $47 | avg | 1 |
| Eye Exam (established, comprehensive) CPT 92014 Ophthalmological services, established patient, comprehensive |
— | $72 | $72 | $72–$72 | $72 | avg | 1 |
| Refraction (eyeglass prescription) CPT 92015 Determination of refractive state |
— | $16 | $16 | $16–$16 | $16 | -1% | 1 |
| Visual Field Exam CPT 92083 Visual field examination, unilateral or bilateral, with interpretation |
— | $47 | $47 | $47–$47 | $47 | avg | 1 |
| Allergy Skin Testing (percutaneous) CPT 95004 Percutaneous tests with allergenic extracts, immediate type reaction |
— | $6 | $6 | $6–$6 | $6 | -5% | 1 |
| Allergy Skin Testing (intracutaneous) CPT 95024 Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction |
— | $7 | $7 | $7–$7 | $7 | -3% | 1 |
| Allergy Immunotherapy (2+ injections) CPT 95117 Professional services for allergen immunotherapy, 2 or more injections |
— | $12 | $12 | $12–$12 | $12 | +4% | 1 |
| Major Hip and Knee Joint Replacement without MCC CPT 469 Total hip or knee replacement without major complications |
— | $14,713 | $14,713 | $14,713–$14,713 | $14,713 | avg | 1 |
| Major Hip and Knee Joint Replacement without CC/MCC CPT 470 Total hip or knee replacement without complications or comorbidities |
— | $11,675 | $11,675 | $11,675–$11,675 | $11,675 | avg | 1 |
| Major Hip and Knee Joint Replacement with MCC CPT 468 Total hip or knee replacement with major complications |
— | $13,767 | $13,767 | $13,767–$13,767 | $13,767 | avg | 1 |
| Cervical Spinal Fusion without CC/MCC CPT 473 Cervical spine fusion surgery without complications |
— | $9,582 | $9,582 | $9,582–$9,582 | $9,582 | avg | 1 |
| Cervical Spinal Fusion without MCC CPT 472 Cervical spine fusion without major complications |
— | $12,230 | $12,230 | $12,230–$12,230 | $12,230 | avg | 1 |
| Cervical Spinal Fusion with MCC CPT 471 Cervical spine fusion with major complications |
— | $17,111 | $17,111 | $17,111–$17,111 | $17,111 | avg | 1 |
| Bilateral or Multiple Major Joint Procedures CPT 461 Bilateral joint replacement or multiple major joint procedures |
— | $27,658 | $27,658 | $27,658–$27,658 | $27,658 | avg | 1 |
| Coronary Bypass without MCC CPT 236 CABG surgery without major complications |
— | $21,380 | $21,380 | $21,064–$21,696 | $21,380 | avg | 1 |
| Coronary Bypass with MCC CPT 235 CABG surgery with major complications |
— | $29,446 | $29,446 | $29,010–$29,881 | $29,446 | avg | 1 |
| Heart Failure and Shock with MCC CPT 291 Inpatient treatment for heart failure with major complications |
— | $5,861 | $5,861 | $5,861–$5,861 | $5,861 | avg | 1 |
| Heart Failure and Shock with CC CPT 292 Inpatient treatment for heart failure with complications |
— | $4,719 | $4,719 | $4,719–$4,719 | $4,719 | avg | 1 |
| Heart Failure and Shock without CC/MCC CPT 293 Inpatient treatment for heart failure without complications |
— | $4,082 | $4,082 | $4,082–$4,082 | $4,082 | avg | 1 |
| Cardiac Valve Procedures with CC CPT 216 Heart valve repair or replacement with complications |
— | $45,164 | $45,164 | $45,164–$45,164 | $45,164 | avg | 1 |
| Respiratory Infections and Inflammations with MCC CPT 177 Pneumonia or respiratory infections with major complications |
— | $9,281 | $9,281 | $9,281–$9,281 | $9,281 | avg | 1 |
| Respiratory Infections and Inflammations with CC CPT 178 Pneumonia or respiratory infections with complications |
— | $7,372 | $7,372 | $7,372–$7,372 | $7,372 | avg | 1 |
| Simple Pneumonia and Pleurisy with CC CPT 194 Uncomplicated pneumonia with complications |
— | $4,203 | $4,203 | $4,050–$4,355 | $4,203 | avg | 1 |
| Major Small and Large Bowel Procedures with CC CPT 330 Bowel resection or major intestinal surgery with complications |
— | $13,662 | $13,662 | $13,662–$13,662 | $13,662 | avg | 1 |
| Major Small and Large Bowel Procedures without CC/MCC CPT 331 Bowel resection without complications |
— | $8,695 | $8,695 | $8,695–$8,695 | $8,695 | avg | 1 |
| GI Hemorrhage with CC CPT 378 Gastrointestinal bleeding with complications |
— | $4,774 | $4,774 | $4,774–$4,774 | $4,774 | avg | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with MCC CPT 064 Stroke with major complications |
— | $8,444 | $8,444 | $8,042–$8,846 | $8,444 | avg | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with CC CPT 065 Stroke with complications |
— | $6,496 | $6,496 | $6,186–$6,805 | $6,496 | avg | 1 |
| Renal Failure with MCC CPT 682 Acute or chronic kidney failure with major complications |
— | $7,041 | $7,041 | $7,041–$7,041 | $7,041 | avg | 1 |
| Septicemia or Severe Sepsis with MV >96 Hours CPT 870 Severe sepsis requiring extended ventilator support |
— | $34,827 | $34,827 | $34,652–$35,002 | $34,827 | avg | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours with MCC CPT 871 Sepsis with major complications |
— | $8,022 | $8,022 | $7,774–$8,270 | $8,022 | avg | 1 |
| Hip Replacement with Hip Fracture with MCC CPT 521 Hip replacement after hip fracture with major complications |
— | $14,713 | $14,713 | $14,713–$14,713 | $14,713 | avg | 1 |
| Respiratory System Diagnosis with Ventilator Support >96 Hours CPT 207 Extended ventilator support for respiratory failure |
— | $30,812 | $30,812 | $30,812–$30,812 | $30,812 | avg | 1 |
| Rhinoplasty - Nose Job (Primary, Tip/Cartilage) CPT 30400 Rhinoplasty - Nose Job (Primary, Tip/Cartilage) — CPT code 30400 covers rhinoplasty - nose job (primary, tip/cartilage) performed in a clinical or hospital setting. |
— | $782 | $782 | $782–$782 | $782 | avg | 1 |
| Rhinoplasty - Nose Job (Primary, Complete) CPT 30410 Rhinoplasty - Nose Job (Primary, Complete) — CPT code 30410 covers rhinoplasty - nose job (primary, complete) performed in a clinical or hospital setting. |
— | $889 | $889 | $889–$889 | $889 | avg | 1 |
| Revision Rhinoplasty - Minor (Nose Job Revision) CPT 30430 Revision Rhinoplasty - Minor (Nose Job Revision) — CPT code 30430 covers revision rhinoplasty - minor (nose job revision) performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Revision Rhinoplasty - Intermediate (Nose Job Revision) CPT 30435 Revision Rhinoplasty - Intermediate (Nose Job Revision) — CPT code 30435 covers revision rhinoplasty - intermediate (nose job revision) performed in a clinical or hospital setting. |
— | $889 | $889 | $889–$889 | $889 | avg | 1 |
| Revision Rhinoplasty - Major (Nose Job Revision) CPT 30450 Revision Rhinoplasty - Major (Nose Job Revision) — CPT code 30450 covers revision rhinoplasty - major (nose job revision) performed in a clinical or hospital setting. |
— | $1,234 | $1,234 | $1,234–$1,234 | $1,234 | avg | 1 |
| Tummy Tuck (Abdominoplasty) CPT 15830 Tummy Tuck (Abdominoplasty) — CPT code 15830 covers tummy tuck (abdominoplasty) performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Body Contouring - Buttock Lift CPT 15835 Body Contouring - Buttock Lift — CPT code 15835 covers body contouring - buttock lift performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Body Contouring - Forearm/Hand CPT 15837 Body Contouring - Forearm/Hand — CPT code 15837 covers body contouring - forearm/hand performed in a clinical or hospital setting. |
— | $889 | $889 | $889–$889 | $889 | avg | 1 |
| Submental Fat Removal (Double Chin) CPT 15838 Submental Fat Removal (Double Chin) — CPT code 15838 covers submental fat removal (double chin) performed in a clinical or hospital setting. |
— | $889 | $889 | $889–$889 | $889 | avg | 1 |
| Lower Eyelid Surgery (Blepharoplasty) CPT 15820 Lower Eyelid Surgery (Blepharoplasty) — CPT code 15820 covers lower eyelid surgery (blepharoplasty) performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Lower Eyelid Surgery - Fat Pad Removal (Blepharoplasty) CPT 15821 Lower Eyelid Surgery - Fat Pad Removal (Blepharoplasty) — CPT code 15821 covers lower eyelid surgery - fat pad removal (blepharoplasty) performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Upper Eyelid Surgery (Blepharoplasty) CPT 15822 Upper Eyelid Surgery (Blepharoplasty) — CPT code 15822 covers upper eyelid surgery (blepharoplasty) performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Upper Eyelid Surgery - Excess Skin (Blepharoplasty) CPT 15823 Upper Eyelid Surgery - Excess Skin (Blepharoplasty) — CPT code 15823 covers upper eyelid surgery - excess skin (blepharoplasty) performed in a clinical or hospital setting. |
— | $889 | $889 | $889–$889 | $889 | avg | 1 |
| Liposuction - Head and Neck CPT 15876 Liposuction - Head and Neck — CPT code 15876 covers liposuction - head and neck performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Liposuction - Trunk/Abdomen CPT 15877 Liposuction - Trunk/Abdomen — CPT code 15877 covers liposuction - trunk/abdomen performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Liposuction - Upper Extremity (Arms) CPT 15878 Liposuction - Upper Extremity (Arms) — CPT code 15878 covers liposuction - upper extremity (arms) performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Liposuction - Lower Extremity (Legs) CPT 15879 Liposuction - Lower Extremity (Legs) — CPT code 15879 covers liposuction - lower extremity (legs) performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Brow Lift (Forehead Lift) CPT 15824 Brow Lift (Forehead Lift) — CPT code 15824 covers brow lift (forehead lift) performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Neck Lift (with Platysmal Tightening) CPT 15825 Neck Lift (with Platysmal Tightening) — CPT code 15825 covers neck lift (with platysmal tightening) performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Frown Line Correction (Glabellar) CPT 15826 Frown Line Correction (Glabellar) — CPT code 15826 covers frown line correction (glabellar) performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Facelift - SMAS Flap (Deep Plane Rhytidectomy) CPT 15829 Facelift - SMAS Flap (Deep Plane Rhytidectomy) — CPT code 15829 covers facelift - smas flap (deep plane rhytidectomy) performed in a clinical or hospital setting. |
— | $889 | $889 | $889–$889 | $889 | avg | 1 |
| Hair Transplant (1-15 Grafts) CPT 15775 Hair Transplant (1-15 Grafts) — CPT code 15775 covers hair transplant (1-15 grafts) performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Brow Lift (Brow Ptosis Repair) CPT 67900 Brow Lift (Brow Ptosis Repair) — CPT code 67900 covers brow lift (brow ptosis repair) performed in a clinical or hospital setting. |
— | $782 | $782 | $782–$782 | $782 | avg | 1 |
| Ear Pinning (Otoplasty) CPT 69300 Ear Pinning (Otoplasty) — CPT code 69300 covers ear pinning (otoplasty) performed in a clinical or hospital setting. |
— | $633 | $633 | $633–$633 | $633 | avg | 1 |
| Chin Implant (Genioplasty) CPT 21120 Chin Implant (Genioplasty) — CPT code 21120 covers chin implant (genioplasty) performed in a clinical or hospital setting. |
— | $1,234 | $1,234 | $1,234–$1,234 | $1,234 | avg | 1 |
| Chin Reshaping - Sliding Osteotomy CPT 21121 Chin Reshaping - Sliding Osteotomy — CPT code 21121 covers chin reshaping - sliding osteotomy performed in a clinical or hospital setting. |
— | $1,234 | $1,234 | $1,234–$1,234 | $1,234 | avg | 1 |
| Chin Reshaping - Multiple Osteotomies CPT 21122 Chin Reshaping - Multiple Osteotomies — CPT code 21122 covers chin reshaping - multiple osteotomies performed in a clinical or hospital setting. |
— | $1,234 | $1,234 | $1,234–$1,234 | $1,234 | avg | 1 |
| Egg Retrieval (IVF Oocyte Retrieval) CPT 58970 Egg Retrieval (IVF Oocyte Retrieval) — CPT code 58970 covers egg retrieval (ivf oocyte retrieval) performed in a clinical or hospital setting. |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Embryo Culture (IVF Lab) CPT 89250 Embryo Culture (IVF Lab) — CPT code 89250 covers embryo culture (ivf lab) performed in a clinical or hospital setting. |
— | $298 | $298 | $298–$298 | $298 | avg | 1 |
| Egg/Embryo Freezing (Cryopreservation) CPT 89258 Egg/Embryo Freezing (Cryopreservation) — CPT code 89258 covers egg/embryo freezing (cryopreservation) performed in a clinical or hospital setting. |
— | $126 | $126 | $126–$126 | $126 | avg | 1 |
| IVF Fertilization (Oocyte Insemination) CPT 89268 IVF Fertilization (Oocyte Insemination) — CPT code 89268 covers ivf fertilization (oocyte insemination) performed in a clinical or hospital setting. |
— | $318 | $318 | $318–$318 | $318 | avg | 1 |
| Extended Embryo Culture (IVF) CPT 89272 Extended Embryo Culture (IVF) — CPT code 89272 covers extended embryo culture (ivf) performed in a clinical or hospital setting. |
— | $233 | $233 | $233–$233 | $233 | avg | 1 |
| Male Breast Reduction (Gynecomastia Surgery) CPT 19300 Male Breast Reduction (Gynecomastia Surgery) — CPT code 19300 covers male breast reduction (gynecomastia surgery) performed in a clinical or hospital setting. |
— | $782 | $782 | $782–$782 | $782 | avg | 1 |
| Laser Skin Resurfacing (Additional Lesions) CPT 15787 Laser Skin Resurfacing (Additional Lesions) — CPT code 15787 covers laser skin resurfacing (additional lesions) performed in a clinical or hospital setting. |
— | $22 | $22 | $22–$22 | $22 | -2% | 1 |
| Chemical Peel - Facial (Epidermal) CPT 15788 Chemical Peel - Facial (Epidermal) — CPT code 15788 covers chemical peel - facial (epidermal) performed in a clinical or hospital setting. |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Circumcision (Newborn) CPT 54150 Circumcision (Newborn) — CPT code 54150 covers circumcision (newborn) performed in a clinical or hospital setting. |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| ACDF - Cervical Disc Fusion (Single Level) CPT 22551 Cervical spinal fusion (neck) — surgery to permanently join two or more vertebrae in the neck using bone grafts and hardware, typically to treat herniated discs or spinal instability. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,660 | avg | 1 |
| ACDF - Cervical Disc Fusion (Each Additional Level) CPT 22552 ACDF - Cervical Disc Fusion (Each Additional Level) — CPT code 22552 covers acdf - cervical disc fusion (each additional level) performed in a clinical or hospital setting. |
— | $889 | $889 | $889–$889 | $889 | avg | 1 |
| Lumbar Laminectomy (Each Additional Level) CPT 63048 Lumbar Laminectomy (Each Additional Level) — CPT code 63048 covers lumbar laminectomy (each additional level) performed in a clinical or hospital setting. |
— | $617 | $617 | $617–$617 | $617 | avg | 1 |
| Tonsillectomy (Under Age 12) CPT 42825 Tonsillectomy (Under Age 12) — CPT code 42825 covers tonsillectomy (under age 12) performed in a clinical or hospital setting. |
— | $782 | $782 | $782–$782 | $782 | avg | 1 |
| Tonsillectomy & Adenoidectomy (Age 12+) CPT 42821 Tonsillectomy & Adenoidectomy (Age 12+) — CPT code 42821 covers tonsillectomy & adenoidectomy (age 12+) performed in a clinical or hospital setting. |
— | $889 | $889 | $889–$889 | $889 | avg | 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. |
— | $782 | $782 | $782–$782 | $782 | avg | 1 |
| Excision of Benign Skin Lesion (2.1-3.0 cm) CPT 11403 Excision of Benign Skin Lesion (2.1-3.0 cm) — CPT code 11403 covers excision of benign skin lesion (2.1-3.0 cm) performed in a clinical or hospital setting. |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Excision of Benign Skin Lesion (3.1-4.0 cm) CPT 11404 Excision of Benign Skin Lesion (3.1-4.0 cm) — CPT code 11404 covers excision of benign skin lesion (3.1-4.0 cm) performed in a clinical or hospital setting. |
— | $413 | $413 | $413–$413 | $413 | avg | 1 |
| Excision of Benign Skin Lesion (Over 4.0 cm) CPT 11406 Excision of Benign Skin Lesion (Over 4.0 cm) — CPT code 11406 covers excision of benign skin lesion (over 4.0 cm) performed in a clinical or hospital setting. |
— | $553 | $553 | $553–$553 | $553 | avg | 1 |
Prices are typical ranges based on Brooks County 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.
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Insurance Plans with Negotiated Rates
Taven has payer-specific negotiated rate data from 1 insurer at Brooks County Hospital. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.
UnitedHealthcare (UHC)
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 Brooks County Hospital
As a nonprofit hospital, Brooks County 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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▸ Technical Details
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare Provider #
110032
Emergency Services
No
Metro Area
Quitman, GA
Procedures Tracked
473
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