Compare real prices at Community Hospital East in Indianapolis, IN. Taven tracks 457 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.
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457
Procedures Tracked
with pricing data
⭐
3/5
Star Rating
CMS Care Compare
💰
4.3x
Markup Ratio
Avg = 3.0x
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Grade B
Data Quality
Good data coverage
⟳
CMS vv3.0.0
This hospital's data uses an older CMS schema. Updated v3.0 data with actual allowed amounts is expected by April 1, 2026.
🔒 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 Community Hospital East
457 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Indianapolis, IN 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) | Indianapolis Avg | vs. Avg | Payers |
|---|---|---|---|---|---|---|---|
| Debridement - Subcutaneous Tissue CPT 11042 Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing. |
$500 | $599 | — | — | $574 | +4% | 5 |
| 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. |
$412 | $227 | — | — | $227 | avg | 4 |
| Skin Biopsy (Punch, Single Lesion) CPT 11104 Skin punch biopsy — removal of a small, full-thickness circular sample of skin for laboratory analysis to diagnose skin conditions. |
— | $1,250 | $1,250 | $1,250–$1,250 | $887 | +41% | 1 |
| Skin Graft Preparation CPT 15002 Skin Graft Preparation — CPT code 15002 covers skin graft preparation performed in a clinical or hospital setting. |
$2,588 | $861 | — | — | $1,057 | -19% | 2 |
| 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. |
$3,055 | $1,390 | — | — | $1,305 | +7% | 3 |
| 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. |
$1,230 | $1,404 | — | — | $1,404 | avg | 4 |
| 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. |
$1,344 | $1,407 | — | — | $1,585 | -11% | 3 |
| 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. |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | 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. |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Breast Excision CPT 19120 Surgical removal of a breast lump or abnormal tissue. This procedure removes a specific area of concern while preserving as much healthy breast tissue as possible. |
$6,508 | $4,266 | — | — | $3,115 | +37% | 2 |
| 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. |
$4,257 | $2,988 | — | — | $2,988 | avg | 1 |
| Simple Mastectomy CPT 19303 Complete surgical removal of one breast. This procedure removes all breast tissue to treat or prevent breast cancer. |
— | $3,896 | $3,896 | $3,896–$3,896 | $3,896 | avg | 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. |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | 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. |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | 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. |
$809 | $932 | — | — | $1,099 | -15% | 5 |
| 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. |
$1,245 | $1,171 | — | — | $1,132 | +3% | 2 |
| Le Fort I Osteotomy CPT 21141 Le Fort I Osteotomy — CPT code 21141 covers le fort i osteotomy performed in a clinical or hospital setting. |
— | $5,345 | $5,345 | $5,345–$5,345 | $5,345 | avg | 1 |
| Lumbar Spinal Fusion (Posterior) CPT 22612 Lumbar spinal fusion (lower back) — surgery to permanently join two vertebrae in the lower spine to treat conditions like degenerative disc disease or spondylolisthesis. |
$13,915 | $39,756 | — | — | $39,756 | 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. |
— | $7,634 | $7,634 | $7,634–$7,634 | $7,634 | avg | 1 |
| Rotator Cuff Repair CPT 23412 Rotator Cuff Repair — CPT code 23412 covers rotator cuff repair performed in a clinical or hospital setting. |
— | $5,345 | $5,345 | $5,345–$5,345 | $5,345 | avg | 1 |
| Shoulder Replacement (Arthroplasty) CPT 23472 Shoulder Replacement (Arthroplasty) — CPT code 23472 covers shoulder replacement (arthroplasty) performed in a clinical or hospital setting. |
$33,126 | $9,099 | — | — | $9,099 | avg | 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. |
$3,927 | $579 | — | — | $1,718 | -66% | 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. |
— | $7,299 | $7,299 | $7,299–$7,299 | $6,221 | +17% | 1 |
| Total Hip Replacement CPT 27130 Total hip replacement surgery where the damaged hip joint is replaced with an artificial implant to relieve pain and improve mobility. |
$19,199 | $8,549 | — | — | $10,644 | -20% | 1 |
| Open Treatment Hip Fracture CPT 27236 Surgical repair of a broken hip using metal pins, screws, or plates to hold the bone fragments together while they heal. |
— | $7,299 | $7,299 | $7,299–$7,299 | $7,299 | avg | 1 |
| Total Knee Replacement - Unicompartmental CPT 27446 Partial knee replacement surgery that replaces only the damaged compartment of the knee joint with an artificial implant, preserving healthy bone and tissue. |
— | $7,634 | $7,634 | $7,634–$7,634 | $7,634 | 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. |
$21,340 | $7,949 | — | — | $6,193 | +28% | 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. |
— | $3,896 | $3,896 | $3,896–$3,896 | $3,896 | 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. |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 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. |
— | $3,585 | $3,585 | $3,585–$3,585 | $2,978 | +20% | 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. |
— | $3,896 | $3,896 | $3,896–$3,896 | $3,896 | avg | 1 |
| Shoulder Arthroscopy - Debridement CPT 29823 Minimally invasive shoulder surgery using a small camera (arthroscope) to clean out damaged tissue, bone spurs, or loose fragments from the shoulder joint. |
— | $7,299 | $7,299 | $7,299–$7,299 | $7,187 | +2% | 1 |
| Arthroscopic Rotator Cuff Repair CPT 29827 Arthroscopic repair of a torn rotator cuff — the group of tendons that stabilize the shoulder. The surgeon reattaches the torn tendon to the bone using small anchors. |
— | $7,299 | $7,299 | $7,299–$7,299 | $11,380 | -36% | 1 |
| Knee Arthroscopy Medial & Lateral CPT 29880 Arthroscopic knee surgery to treat torn meniscus cartilage on both the inner and outer sides of the knee. Uses a small camera and tools to trim or repair the damaged cartilage. |
— | $3,896 | $3,896 | $3,896–$3,896 | $3,896 | 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. |
$15,555 | $1,020 | — | — | $1,020 | avg | 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. |
$4,779 | $2,727 | — | — | $2,727 | avg | 2 |
| Nasal Endoscopy (diagnostic) CPT 31231 Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting. |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | 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. |
— | $2,528 | $2,528 | $2,528–$2,528 | $2,528 | avg | 1 |
| Ethmoidectomy - Partial CPT 31254 Ethmoidectomy - Partial — CPT code 31254 covers ethmoidectomy - partial performed in a clinical or hospital setting. |
$2,883 | $1,735 | — | — | $1,735 | avg | 1 |
| Sinus Surgery - Ethmoidectomy CPT 31255 Sinus Surgery - Ethmoidectomy — CPT code 31255 covers sinus surgery - ethmoidectomy performed in a clinical or hospital setting. |
— | $3,896 | $3,896 | $3,896–$3,896 | $8,677 | -55% | 1 |
| Sinus Surgery - Frontal CPT 31276 Sinus Surgery - Frontal — CPT code 31276 covers sinus surgery - frontal performed in a clinical or hospital setting. |
$2,883 | $1,735 | — | — | $1,735 | avg | 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. |
$5 | $7 | — | — | $8 | -12% | 5 |
| 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. |
$4,484 | $2,102 | — | — | $2,463 | -15% | 2 |
| 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. |
$2,217 | $3,262 | — | — | $3,236 | +1% | 5 |
| 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. |
$389 | $779 | — | — | $1,367 | -43% | 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. |
$1,413 | $1,166 | — | — | $1,855 | -37% | 3 |
| 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. |
$1,759 | $1,677 | — | — | $1,624 | +3% | 5 |
| 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. |
$1,805 | $1,805 | — | — | $1,945 | -7% | 3 |
| 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. |
$1,442 | $2,096 | — | — | $2,236 | -6% | 3 |
| 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. |
$1,633 | $681 | — | — | $1,638 | -58% | 1 |
| Laparoscopic Appendectomy CPT 44970 Laparoscopic appendectomy — minimally invasive surgical removal of the appendix, typically performed for appendicitis. |
$12,919 | $11,592 | — | — | $9,878 | +17% | 2 |
| 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. |
$1,530 | $1,942 | — | — | $2,277 | -15% | 4 |
| 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. |
$1,745 | $2,144 | — | — | $1,989 | +8% | 5 |
| 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. |
$1,541 | $1,594 | — | — | $1,857 | -14% | 5 |
| 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. |
$13,509 | $10,865 | — | — | $9,639 | +13% | 2 |
| Ventral Hernia Repair CPT 49585 Ventral Hernia Repair — CPT code 49585 covers ventral hernia repair performed in a clinical or hospital setting. |
$4,593 | $9,047 | — | — | $7,083 | +28% | 1 |
| Laparoscopic Inguinal Hernia Repair CPT 49650 Laparoscopic inguinal hernia repair — minimally invasive repair of a groin hernia using small incisions and a camera. |
$17,421 | $12,169 | — | — | $11,564 | +5% | 2 |
| Bladder Aspiration/Drainage CPT 51102 Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting. |
$2,877 | $1,935 | — | — | $1,664 | +16% | 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. |
$1,600 | $1,151 | — | — | $1,060 | +9% | 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. |
$15,002 | $21,235 | — | — | $15,395 | +38% | 2 |
| 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. |
$13,835 | $4,969 | — | — | $6,193 | -20% | 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. |
$343 | $634 | — | — | $618 | +3% | 4 |
| Lumbar Epidural Injection CPT 62322 Lumbar or sacral epidural injection — injection of medication into the epidural space of the lower spine for pain relief. |
$1,996 | $574 | — | — | $1,133 | -49% | 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. |
$1,501 | $1,080 | — | — | $980 | +10% | 3 |
| 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. |
$17,805 | $44,537 | — | — | $27,298 | +63% | 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. |
$1,749 | $554 | — | — | $875 | -37% | 2 |
| 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. |
$7,178 | $1,331 | — | — | $1,241 | +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. |
$4,061 | $1,458 | — | — | $1,546 | -6% | 2 |
| 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. |
$4,389 | $931 | — | — | $1,139 | -18% | 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. |
$949 | $442 | — | — | $470 | -6% | 4 |
| 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. |
$1,166 | $772 | — | — | $699 | +10% | 5 |
| 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. |
— | $133 | $133 | $133–$133 | $133 | avg | 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. |
$93 | $153 | — | — | $152 | +1% | 5 |
| 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. |
$676 | $374 | — | — | $382 | -2% | 5 |
| 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. |
— | $161 | $161 | $161–$161 | $161 | 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. |
$997 | $533 | — | — | $603 | -12% | 5 |
| 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. |
$949 | $664 | — | — | $660 | +1% | 5 |
| 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. |
— | $133 | $133 | $133–$133 | $133 | avg | 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. |
— | $133 | $133 | $133–$133 | $133 | 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. |
— | $133 | $133 | $133–$133 | $133 | 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. |
— | $133 | $133 | $133–$133 | $133 | avg | 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. |
$994 | $720 | — | — | $711 | +1% | 5 |
| 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. |
$529 | $486 | — | — | $525 | -7% | 5 |
| 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. |
$1,552 | $802 | — | — | $778 | +3% | 5 |
| Breast Ultrasound CPT 76642 Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
$151 | $221 | — | — | $220 | avg | 5 |
| Abdominal Ultrasound CPT 76700 Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas. |
— | $161 | $161 | $161–$161 | $161 | avg | 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. |
$292 | $384 | — | — | $441 | -13% | 5 |
| 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. |
$339 | $511 | — | — | $542 | -6% | 5 |
| Transvaginal Ultrasound CPT 76830 Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures. |
$213 | $161 | $161 | $161–$161 | $228 | -29% | 1 |
| Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs. |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| 3D Mammography (Tomosynthesis) CPT 77063 3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting. |
— | $35 | $35 | $35–$35 | $35 | +1% | 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. |
— | $129 | $129 | $129–$129 | $129 | avg | 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. |
— | $164 | $164 | $164–$164 | $164 | avg | 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. |
$132 | $194 | — | — | $194 | avg | 5 |
| 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. |
— | $7 | $7 | $7–$7 | $7 | +2% | 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. |
$102 | $113 | — | — | $113 | avg | 5 |
| 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. |
— | $11 | $11 | $11–$11 | $11 | +3% | 1 |
| Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting. |
— | $7 | $7 | $7–$7 | $7 | -1% | 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. |
— | $3 | $3 | $3–$3 | $3 | -11% | 1 |
| Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting. |
— | $2 | $2 | $2–$2 | $2 | -5% | 1 |
| Vitamin D Level CPT 82306 Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency. |
— | $25 | $25 | $25–$25 | $25 | avg | 1 |
| Urine Creatinine CPT 82570 Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting. |
— | $4 | $4 | $4–$4 | $4 | +9% | 1 |
| Ferritin Level CPT 82728 Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting. |
— | $12 | $12 | $12–$12 | $12 | -4% | 1 |
| Glucose (blood sugar) CPT 82947 Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes. |
— | $3 | $3 | $3–$3 | $3 | +11% | 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. |
— | $8 | $8 | $8–$8 | $8 | +2% | 1 |
| Potassium Level CPT 84132 Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting. |
— | $4 | $4 | $4–$4 | $4 | avg | 1 |
| PSA (Prostate) CPT 84153 PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting. |
— | $16 | $16 | $16–$16 | $16 | -3% | 1 |
| Sodium Level CPT 84295 Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting. |
— | $4 | $4 | $4–$4 | $4 | +2% | 1 |
| TSH (Thyroid) CPT 84443 Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working. |
— | $14 | $14 | $14–$14 | $14 | +1% | 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. |
$58 | $64 | — | — | $63 | +2% | 5 |
| 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. |
— | $4 | $4 | $4–$4 | $4 | -9% | 1 |
| TB Skin Test CPT 86580 TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting. |
— | $8 | $8 | $8–$8 | $8 | +2% | 1 |
| Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting. |
— | $3 | $3 | $3–$3 | $3 | -16% | 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. |
— | $30 | $30 | $30–$30 | $30 | avg | 1 |
| Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample. |
$43 | $56 | — | — | $63 | -12% | 4 |
| Gonorrhea Test CPT 87591 Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample. |
— | $30 | $30 | $30–$30 | $30 | -1% | 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. |
— | $43 | $43 | $43–$43 | $43 | +1% | 1 |
| Flu Test (rapid) CPT 87804 Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting. |
— | $14 | $14 | $14–$14 | $14 | avg | 1 |
| Pap Smear (ThinPrep) CPT 88175 Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting. |
— | $22 | $22 | $22–$22 | $22 | +2% | 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. |
— | $97 | $97 | $97–$97 | $97 | avg | 1 |
| Tdap Vaccine CPT 90715 Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting. |
— | $55 | $55 | $55–$55 | $55 | -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. |
$54 | $108 | — | — | $108 | avg | 2 |
| Psychotherapy (53+ min) CPT 90837 Psychotherapy (53+ min) — CPT code 90837 covers psychotherapy (53+ min) performed in a clinical or hospital setting. |
$54 | $144 | — | — | $144 | 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. |
$54 | $46 | — | — | $46 | avg | 2 |
| Echocardiogram Complete CPT 93306 Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting. |
$758 | $1,120 | — | — | $915 | +22% | 5 |
| Stress Echocardiogram CPT 93351 Stress Echocardiogram — CPT code 93351 covers stress echocardiogram performed in a clinical or hospital setting. |
$977 | $1,351 | — | — | $1,351 | avg | 5 |
| Left Heart Catheterization CPT 93458 Left Heart Catheterization — CPT code 93458 covers left heart catheterization performed in a clinical or hospital setting. |
$12,102 | $11,359 | — | — | $11,359 | avg | 5 |
| Carotid Ultrasound CPT 93880 Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $366 | $366 | $366–$366 | $366 | 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. |
— | $161 | $161 | $161–$161 | $161 | 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. |
$57 | $147 | — | — | $442 | -67% | 4 |
| 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. |
$54 | $93 | — | — | $135 | -31% | 2 |
| 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. |
$54 | $93 | — | — | $171 | -46% | 2 |
| ER Visit - Minor Problem CPT 99281 Emergency department visit for a minor, self-limited problem requiring minimal evaluation. |
— | $579 | $579 | $579–$579 | $579 | avg | 1 |
| ER Visit - Low Complexity CPT 99282 Emergency department visit for a low to moderate severity problem requiring a brief evaluation. |
$154 | $229 | — | — | $221 | +4% | 5 |
| ER Visit - Moderate Complexity CPT 99283 Emergency department visit for a moderate severity problem requiring an expanded evaluation. |
$584 | $761 | — | — | $784 | -3% | 5 |
| ER Visit - High Complexity CPT 99284 Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life. |
$1,249 | $1,140 | — | — | $1,362 | -16% | 5 |
| ER Visit - Immediate Threat to Life CPT 99285 Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation. |
$2,048 | $2,470 | — | — | $2,470 | avg | 5 |
| 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. |
$3,188 | $2,620 | — | — | $2,686 | -2% | 4 |
| 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. |
— | $2,324 | $2,324 | $2,324–$2,324 | $2,324 | 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. |
— | $0 | $0 | $0–$0 | — | — | 1 |
| Triamcinolone Injection CPT J3301 HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection. |
— | $1 | $1 | $1–$1 | $1 | -26% | 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 |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Skin Lesion Paring (single) CPT 11055 Paring or cutting of benign hyperkeratotic lesion |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Skin Lesion Paring (2-4) CPT 11056 Paring or cutting of benign hyperkeratotic lesions, 2 to 4 |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Skin Tag Removal (up to 15) CPT 11200 Removal of skin tags, multiple fibrocutaneous tags |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Skin Lesion Shave (0.5 cm or less) CPT 11300 Shave removal of epidermal or dermal lesion, trunk/extremities |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Skin Lesion Shave (0.6-1.0 cm) CPT 11301 Shave removal of epidermal or dermal lesion, trunk/extremities |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Skin Lesion Shave - Scalp/Neck (0.5 cm) CPT 11305 Shave removal of epidermal or dermal lesion, scalp/neck/hands/feet |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Excision of Benign Skin Lesion (0.5 cm or less) CPT 11400 Excision of benign lesion, trunk/arms/legs |
— | $1,948 | $1,948 | $1,948–$1,948 | $1,948 | 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 |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Excision of Benign Skin Lesion (1.1-2.0 cm) CPT 11402 Excision of benign lesion, trunk/arms/legs, 1.1-2.0 cm |
— | $1,948 | $1,948 | $1,948–$1,948 | $1,948 | avg | 1 |
| Excision Benign Lesion - Face (0.5 cm) CPT 11440 Excision of benign lesion, face/ears/eyelids/nose/lips |
— | $1,948 | $1,948 | $1,948–$1,948 | $1,948 | avg | 1 |
| Excision Malignant Lesion (0.5 cm or less) CPT 11600 Excision of malignant lesion, trunk/arms/legs |
— | $1,948 | $1,948 | $1,948–$1,948 | $1,948 | avg | 1 |
| Excision Malignant Lesion (0.6-1.0 cm) CPT 11601 Excision of malignant lesion, trunk/arms/legs, 0.6-1.0 cm |
— | $1,948 | $1,948 | $1,948–$1,948 | $1,948 | avg | 1 |
| Excision Malignant Lesion (1.1-2.0 cm) CPT 11602 Excision of malignant lesion, trunk/arms/legs, 1.1-2.0 cm |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Nail Removal (partial or complete) CPT 11730 Avulsion of nail plate, partial or complete |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Permanent Nail Removal CPT 11750 Excision of nail and nail matrix, permanent removal |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Destruction of Premalignant Lesions (2-14) CPT 17003 Destruction of premalignant lesions, second through 14th lesion |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Destruction of Skin Lesions (15+) CPT 17004 Destruction of premalignant lesions, 15 or more lesions |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Destruction Malignant Lesion (trunk) CPT 17260 Destruction of malignant lesion, trunk, any method |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Mohs Surgery (first stage) CPT 17311 Mohs micrographic surgery, first stage, up to 5 tissue blocks |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Tendon Sheath Injection CPT 20550 Injection of tendon sheath, ligament, or trigger point |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Hardware Removal (deep) CPT 20680 Removal of implant, deep (plate, screw, rod) |
— | $3,585 | $3,585 | $3,585–$3,585 | $3,585 | avg | 1 |
| Shoulder Injection with Imaging CPT 23350 Injection for shoulder arthrography |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Tennis Elbow Repair CPT 24341 Repair of lateral collateral ligament, elbow |
— | $5,345 | $5,345 | $5,345–$5,345 | $5,345 | avg | 1 |
| Closed Treatment Distal Radius Fracture CPT 25600 Closed treatment of distal radial fracture without manipulation |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Closed Treatment Distal Radius Fracture (with manipulation) CPT 25605 Closed treatment of distal radial fracture with manipulation |
— | $1,948 | $1,948 | $1,948–$1,948 | $1,948 | avg | 1 |
| Intertrochanteric Fracture Treatment CPT 27245 Treatment of intertrochanteric femoral fracture with plate/screws |
— | $5,345 | $5,345 | $5,345–$5,345 | $5,345 | avg | 1 |
| Knee Manipulation Under Anesthesia CPT 27570 Manipulation of knee joint under general anesthesia |
— | $2,528 | $2,528 | $2,528–$2,528 | $2,528 | avg | 1 |
| Open Treatment Ankle Fracture (bimalleolar) CPT 27792 Open treatment of distal fibula fracture, bimalleolar |
— | $7,299 | $7,299 | $7,299–$7,299 | $7,299 | avg | 1 |
| Amputation - Toe CPT 28820 Amputation of toe at metatarsophalangeal joint |
— | $3,585 | $3,585 | $3,585–$3,585 | $3,585 | avg | 1 |
| Endoscopic Carpal Tunnel Release CPT 29848 Endoscopy of wrist, carpal tunnel release |
— | $3,896 | $3,896 | $3,896–$3,896 | $3,896 | avg | 1 |
| Shoulder Arthroscopy - Acromioplasty CPT 29826 Arthroscopy, shoulder, surgical, decompression of subacromial space |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Knee Arthroscopy with Meniscus Repair CPT 29882 Arthroscopy, knee, surgical, meniscus repair |
— | $3,896 | $3,896 | $3,896–$3,896 | $3,896 | avg | 1 |
| ACL Reconstruction (Knee Ligament Repair) CPT 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation |
— | $7,299 | $7,299 | $7,299–$7,299 | $7,299 | avg | 1 |
| Clavicle X-Ray CPT 73000 Radiologic examination of clavicle |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Humerus X-Ray CPT 73060 Radiologic examination of humerus, minimum 2 views |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Elbow X-Ray CPT 73070 Radiologic examination of elbow, 2 views |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Elbow X-Ray (3+ views) CPT 73080 Radiologic examination of elbow, complete, minimum 3 views |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Wrist X-Ray CPT 73100 Radiologic examination of wrist, 2 views |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Wrist X-Ray (3+ views) CPT 73110 Radiologic examination of wrist, complete, minimum 3 views |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Hip X-Ray (2-3 views) CPT 73502 Radiologic examination of hip, 2-3 views |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Femur X-Ray CPT 73552 Radiologic examination of femur, minimum 2 views |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Knee X-Ray (3 views) CPT 73562 Radiologic examination of knee, 3 views |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Tibia/Fibula X-Ray CPT 73590 Radiologic examination of tibia and fibula, 2 views |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Foot X-Ray (2 views) CPT 73620 Radiologic examination of foot, 2 views |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Foot X-Ray (3+ views) CPT 73630 Radiologic examination of foot, complete, minimum 3 views |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Abdomen X-Ray (1 view) CPT 74018 Radiologic examination of abdomen, single anteroposterior view |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| Abdomen X-Ray (2 views) CPT 74019 Radiologic examination of abdomen, 2 views |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Thyroid Ultrasound CPT 76536 Ultrasound of head and neck, thyroid, real time with image |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Chest Ultrasound CPT 76604 Ultrasound of chest, real time with image documentation |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Retroperitoneal Ultrasound (complete) CPT 76770 Ultrasound, retroperitoneal, complete |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Retroperitoneal Ultrasound (limited) CPT 76775 Ultrasound, retroperitoneal, limited |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| OB Ultrasound (limited) CPT 76815 Ultrasound, pregnant uterus, limited |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Transvaginal OB Ultrasound CPT 76817 Ultrasound, pregnant uterus, transvaginal |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Pelvic Ultrasound (limited) CPT 76857 Ultrasound, pelvic, limited or follow-up |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Scrotal Ultrasound CPT 76870 Ultrasound, scrotum and contents |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Extremity Ultrasound (complete) CPT 76881 Ultrasound, complete joint, real time |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Extremity Ultrasound (limited) CPT 76882 Ultrasound, limited, joint or focal evaluation |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Bone Age Study CPT 77072 Bone age studies |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Bone Length Studies CPT 77073 Bone length studies |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Bone Survey (complete) CPT 77075 Radiologic examination, osseous survey, complete |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| DEXA Scan (Bone Density) CPT 77080 DXA bone density study, axial skeleton |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| DEXA Scan (Peripheral) CPT 77081 DXA bone density study, appendicular skeleton |
— | $133 | $133 | $133–$133 | $133 | avg | 1 |
| DEXA Body Composition CPT 77085 DXA bone density study, body composition |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Renal Function Panel CPT 80069 Renal function panel blood test |
— | $7 | $7 | $7–$7 | $7 | +5% | 1 |
| Acute Hepatitis Panel CPT 80074 Acute hepatitis panel blood test |
— | $40 | $40 | $40–$40 | $40 | +1% | 1 |
| Urinalysis (non-automated, with microscopy) CPT 81000 Urinalysis by dip stick or tablet reagent, non-automated, with microscopy |
— | $3 | $3 | $3–$3 | $3 | +13% | 1 |
| Urinalysis (non-automated, without microscopy) CPT 81002 Urinalysis without microscopy, non-automated |
— | $3 | $3 | $3–$3 | $3 | -2% | 1 |
| Albumin Level CPT 82040 Albumin, serum, plasma or whole blood |
— | $4 | $4 | $4–$4 | $4 | +5% | 1 |
| Amylase Level CPT 82150 Amylase test |
— | $5 | $5 | $5–$5 | $5 | +9% | 1 |
| Bilirubin Total CPT 82247 Bilirubin, total |
— | $4 | $4 | $4–$4 | $4 | +6% | 1 |
| Bilirubin Direct CPT 82248 Bilirubin, direct |
— | $4 | $4 | $4–$4 | $4 | +6% | 1 |
| Calcium Level CPT 82310 Calcium, total |
— | $4 | $4 | $4–$4 | $4 | +9% | 1 |
| CO2/Bicarbonate Level CPT 82374 Carbon dioxide (bicarbonate) |
— | $4 | $4 | $4–$4 | $4 | +3% | 1 |
| Cholesterol Total CPT 82465 Cholesterol, serum or whole blood, total |
— | $4 | $4 | $4–$4 | $4 | -8% | 1 |
| CK/CPK (Creatine Kinase) CPT 82550 Creatine kinase (CK, CPK), total |
— | $6 | $6 | $6–$6 | $6 | -8% | 1 |
| CK-MB (Heart) CPT 82553 Creatine kinase (CK), MB fraction |
— | $10 | $10 | $10–$10 | $10 | -2% | 1 |
| Creatinine Level CPT 82565 Creatinine; blood |
— | $4 | $4 | $4–$4 | $4 | +8% | 1 |
| Vitamin B12 Level CPT 82607 Cyanocobalamin (Vitamin B-12) |
— | $13 | $13 | $13–$13 | $13 | -2% | 1 |
| Estradiol Level CPT 82670 Estradiol |
— | $24 | $24 | $24–$24 | $24 | -2% | 1 |
| Folic Acid Level CPT 82746 Folic acid, serum |
— | $12 | $12 | $12–$12 | $12 | +4% | 1 |
| IgA Level CPT 82784 Gammaglobulin IgA |
— | $8 | $8 | $8–$8 | $8 | -2% | 1 |
| Blood Gas Panel (ABG) CPT 82803 Gases, blood, any combination of pH, pCO2, pO2 |
— | $22 | $22 | $22–$22 | $22 | avg | 1 |
| Glucose (point of care) CPT 82962 Glucose, blood by glucose monitoring device |
— | $3 | $3 | $3–$3 | $3 | -8% | 1 |
| FSH (Follicle Stimulating Hormone) CPT 83001 Gonadotropin, follicle stimulating hormone (FSH) |
— | $16 | $16 | $16–$16 | $16 | -2% | 1 |
| LH (Luteinizing Hormone) CPT 83002 Gonadotropin, luteinizing hormone (LH) |
— | $16 | $16 | $16–$16 | $16 | -2% | 1 |
| Iron Level CPT 83540 Iron |
— | $5 | $5 | $5–$5 | $5 | +9% | 1 |
| Iron Binding Capacity (TIBC) CPT 83550 Iron binding capacity, total |
— | $7 | $7 | $7–$7 | $7 | +5% | 1 |
| LDH (Lactate Dehydrogenase) CPT 83615 Lactate dehydrogenase (LD, LDH) |
— | $5 | $5 | $5–$5 | $5 | +2% | 1 |
| Lipase Level CPT 83690 Lipase |
— | $6 | $6 | $6–$6 | $6 | -3% | 1 |
| Magnesium Level CPT 83735 Magnesium |
— | $6 | $6 | $6–$6 | $6 | -6% | 1 |
| BNP (Brain Natriuretic Peptide) CPT 83880 Natriuretic peptide (BNP) |
— | $33 | $33 | $33–$33 | $33 | +1% | 1 |
| Parathyroid Hormone (PTH) CPT 83970 Parathormone (parathyroid hormone, PTH) |
— | $35 | $35 | $35–$35 | $35 | avg | 1 |
| Alkaline Phosphatase CPT 84075 Phosphatase, alkaline |
— | $4 | $4 | $4–$4 | $4 | +9% | 1 |
| Phosphorus Level CPT 84100 Phosphorus inorganic (phosphate) |
— | $4 | $4 | $4–$4 | $4 | avg | 1 |
| Prealbumin Level CPT 84134 Prealbumin |
— | $12 | $12 | $12–$12 | $12 | +3% | 1 |
| Progesterone Level CPT 84144 Progesterone |
— | $18 | $18 | $18–$18 | $18 | -2% | 1 |
| Prolactin Level CPT 84146 Prolactin |
— | $16 | $16 | $16–$16 | $16 | +2% | 1 |
| Testosterone Total CPT 84403 Testosterone, total |
— | $22 | $22 | $22–$22 | $22 | -1% | 1 |
| Thyroxine Total (T4) CPT 84436 Thyroxine, total |
— | $6 | $6 | $6–$6 | $6 | -3% | 1 |
| Free Thyroxine (Free T4) CPT 84439 Thyroxine, free |
— | $8 | $8 | $8–$8 | $8 | -5% | 1 |
| Transferrin Level CPT 84466 Transferrin |
— | $11 | $11 | $11–$11 | $11 | -2% | 1 |
| Triglycerides CPT 84478 Triglycerides |
— | $5 | $5 | $5–$5 | $5 | -3% | 1 |
| T3 (Triiodothyronine) Total CPT 84480 Triiodothyronine T3, total |
— | $12 | $12 | $12–$12 | $12 | avg | 1 |
| Free T3 CPT 84481 Triiodothyronine T3, free |
— | $14 | $14 | $14–$14 | $14 | +2% | 1 |
| Troponin (Cardiac) CPT 84484 Troponin, quantitative |
— | $11 | $11 | $11–$11 | $11 | -4% | 1 |
| BUN (Blood Urea Nitrogen) CPT 84520 Urea nitrogen, blood (BUN) |
— | $3 | $3 | $3–$3 | $3 | +11% | 1 |
| Uric Acid Level CPT 84550 Uric acid, blood |
— | $4 | $4 | $4–$4 | $4 | -5% | 1 |
| CBC (Automated) CPT 85027 Complete blood count, automated |
— | $5 | $5 | $5–$5 | $5 | +9% | 1 |
| D-Dimer CPT 85379 Fibrin degradation products, D-dimer |
— | $9 | $9 | $9–$9 | $9 | -4% | 1 |
| Sed Rate (ESR) CPT 85652 Sedimentation rate, erythrocyte; automated |
— | $2 | $2 | $2–$2 | $2 | +15% | 1 |
| PTT (Partial Thromboplastin Time) CPT 85730 Thromboplastin time, partial (PTT) |
— | $5 | $5 | $5–$5 | $5 | +2% | 1 |
| Allergen Specific IgE CPT 86003 Allergen specific IgE; quantitative or semiquantitative, each allergen |
— | $4 | $4 | $4–$4 | $4 | +10% | 1 |
| C-Reactive Protein (CRP) CPT 86140 C-reactive protein |
— | $4 | $4 | $4–$4 | $4 | +9% | 1 |
| Cyclic Citrullinated Peptide (CCP) CPT 86200 Cyclic citrullinated peptide (CCP), antibody |
— | $11 | $11 | $11–$11 | $11 | avg | 1 |
| Nuclear Antigen Antibody (ENA) CPT 86235 Extractable nuclear antigen (ENA) antibody |
— | $15 | $15 | $15–$15 | $15 | +1% | 1 |
| CA 125 Tumor Marker CPT 86300 Immunoassay for tumor antigen, CA 125 |
— | $18 | $18 | $18–$18 | $18 | -2% | 1 |
| CA 19-9 Tumor Marker CPT 86304 Immunoassay for tumor antigen, CA 19-9 |
— | $18 | $18 | $18–$18 | $18 | -2% | 1 |
| Rheumatoid Factor CPT 86431 Rheumatoid factor, quantitative |
— | $5 | $5 | $5–$5 | $5 | -4% | 1 |
| TB Blood Test (QuantiFERON) CPT 86480 Tuberculosis test, cell mediated immunity antigen response |
— | $52 | $52 | $52–$52 | $52 | +1% | 1 |
| Syphilis Test (RPR/VDRL) CPT 86592 Syphilis test, non-treponemal antibody; qualitative |
— | $4 | $4 | $4–$4 | $4 | -10% | 1 |
| Helicobacter Pylori Antibody CPT 86677 Antibody, Helicobacter pylori |
— | $14 | $14 | $14–$14 | $14 | +2% | 1 |
| Herpes Simplex Antibody CPT 86695 Antibody, herpes simplex, type specific |
— | $11 | $11 | $11–$11 | $11 | +1% | 1 |
| Hepatitis A Antibody CPT 86696 Antibody, hepatitis A |
— | $16 | $16 | $16–$16 | $16 | +2% | 1 |
| Hepatitis B Core Antibody CPT 86704 Hepatitis B core antibody (HBcAb); total |
— | $10 | $10 | $10–$10 | $10 | +2% | 1 |
| Hepatitis B Surface Antibody CPT 86706 Hepatitis B surface antibody (HBsAb) |
— | $9 | $9 | $9–$9 | $9 | +1% | 1 |
| Rubella Antibody CPT 86762 Antibody, rubella |
— | $12 | $12 | $12–$12 | $12 | +1% | 1 |
| Rubeola (Measles) Antibody CPT 86765 Antibody, rubeola |
— | $11 | $11 | $11–$11 | $11 | -1% | 1 |
| Varicella Antibody (Chickenpox) CPT 86787 Antibody, varicella-zoster |
— | $11 | $11 | $11–$11 | $11 | -1% | 1 |
| Hepatitis C Antibody CPT 86803 Hepatitis C antibody |
— | $12 | $12 | $12–$12 | $12 | +1% | 1 |
| Antibody Screen (RBC) CPT 86850 Antibody screen, RBC, each serum technique |
— | $8 | $8 | $8–$8 | $8 | +3% | 1 |
| Rh Blood Type CPT 86901 Blood typing, Rh (D) |
— | $3 | $3 | $3–$3 | $3 | -16% | 1 |
| Bacterial Culture CPT 87070 Culture, bacterial; any other source except urine, blood or stool |
— | $7 | $7 | $7–$7 | $7 | +4% | 1 |
| Bacterial Culture (aerobic isolate) CPT 87077 Culture, bacterial; aerobic isolate, additional methods |
— | $7 | $7 | $7–$7 | $7 | -2% | 1 |
| Culture, presumptive (screen) CPT 87081 Culture, presumptive, pathogenic organisms, screening only |
— | $6 | $6 | $6–$6 | $6 | -7% | 1 |
| Urine Culture CPT 87086 Culture, bacterial; quantitative colony count, urine |
— | $7 | $7 | $7–$7 | $7 | -2% | 1 |
| Chlamydia Culture CPT 87110 Culture, chlamydia |
— | $17 | $17 | $17–$17 | $17 | -3% | 1 |
| Antibiotic Sensitivity (MIC) CPT 87186 Susceptibility studies, antimicrobial agent; microdilution or agar dilution |
— | $7 | $7 | $7–$7 | $7 | +4% | 1 |
| Gram Stain CPT 87205 Smear, primary source with interpretation; Gram or Giemsa stain |
— | $4 | $4 | $4–$4 | $4 | -10% | 1 |
| Hepatitis B Surface Antigen CPT 87340 Infectious agent antigen detection; hepatitis B surface antigen (HBsAg) |
— | $9 | $9 | $9–$9 | $9 | -3% | 1 |
| HIV-1/HIV-2 Antibody Test CPT 87389 HIV-1 and HIV-2, single result, immunoassay |
— | $20 | $20 | $20–$20 | $20 | +2% | 1 |
| Flu Test (PCR/molecular) CPT 87502 Infectious agent detection, influenza, multiplex reverse transcription |
— | $81 | $81 | $81–$81 | $81 | avg | 1 |
| Mycobacterium TB Detection CPT 87580 Infectious agent detection, Mycobacterium tuberculosis, amplified probe |
— | $17 | $17 | $17–$17 | $17 | avg | 1 |
| HPV High-Risk Test CPT 87624 Infectious agent detection, human papillomavirus (HPV), high-risk types |
— | $30 | $30 | $30–$30 | $30 | -1% | 1 |
| Strep Test (rapid) CPT 87880 Infectious agent antigen detection, Streptococcus, group A |
— | $14 | $14 | $14–$14 | $14 | avg | 1 |
| Laceration Repair - Simple (2.5 cm or less) CPT 12001 Simple repair of superficial wounds, scalp/neck/extremities |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Laceration Repair - Simple (2.6-7.5 cm) CPT 12002 Simple repair of superficial wounds, 2.6-7.5 cm |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Laceration Repair - Simple (7.6-12.5 cm) CPT 12004 Simple repair of superficial wounds, 7.6-12.5 cm |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Laceration Repair - Face (2.5 cm or less) CPT 12011 Simple repair of superficial wounds of face, 2.5 cm or less |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Laceration Repair - Face (2.6-5.0 cm) CPT 12013 Simple repair of superficial wounds of face, 2.6-5.0 cm |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Laceration Repair - Intermediate (2.5 cm or less) CPT 12031 Repair, intermediate, wounds of scalp/trunk/extremities |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Laceration Repair - Intermediate (2.6-7.5 cm) CPT 12032 Repair, intermediate, wounds of scalp/trunk/extremities |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Laceration Repair - Intermediate Face (2.5 cm) CPT 12051 Repair, intermediate, wounds of face, 2.5 cm or less |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Laceration Repair - Intermediate Face (2.6-5.0 cm) CPT 12052 Repair, intermediate, wounds of face, 2.6-5.0 cm |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Burn Dressing (small) CPT 16020 Dressings and/or debridement of partial-thickness burns, small |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Burn Dressing (medium) CPT 16025 Dressings and/or debridement of partial-thickness burns, medium |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Closed Treatment Radial Head Fracture CPT 24640 Closed treatment of radial head subluxation (nursemaid elbow) |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Short Arm Splint CPT 29125 Application of short arm splint, forearm to hand |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Finger Splint CPT 29130 Application of finger splint |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Long Leg Splint CPT 29505 Application of long leg splint, thigh to ankle |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Short Leg Splint CPT 29515 Application of short leg splint, calf to foot |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Nasal Foreign Body Removal CPT 30300 Removal of foreign body from intranasal, office type |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Anterior Nasal Packing (nosebleed) CPT 30901 Control nasal hemorrhage, anterior, simple |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Anterior Nasal Packing (complex) CPT 30903 Control nasal hemorrhage, anterior, complex |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Endotracheal Intubation CPT 31500 Intubation, endotracheal, emergency procedure |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Venipuncture (age 3+) CPT 36410 Venipuncture, age 3 years or older, necessitating physician skill |
— | $7 | $7 | $7–$7 | $7 | +5% | 1 |
| Hepatitis A Vaccine (adult) CPT 90632 Hepatitis A vaccine, adult dosage |
— | $94 | $94 | $94–$94 | $94 | avg | 1 |
| Hepatitis A & B Vaccine (combo) CPT 90636 Hepatitis A and hepatitis B vaccine, adult dosage |
— | $148 | $148 | $148–$148 | $148 | avg | 1 |
| Hib Vaccine CPT 90647 Haemophilus influenzae type b vaccine |
— | $35 | $35 | $35–$35 | $35 | +1% | 1 |
| HPV Vaccine (9-valent) CPT 90651 Human papillomavirus vaccine, 9-valent, 3 dose schedule |
— | $369 | $369 | $369–$369 | $369 | avg | 1 |
| Pneumococcal Vaccine (PCV13) CPT 90670 Pneumococcal conjugate vaccine, 13 valent |
— | $254 | $254 | $254–$254 | $254 | avg | 1 |
| Rotavirus Vaccine CPT 90681 Rotavirus vaccine, human, attenuated |
— | $165 | $165 | $165–$165 | $165 | avg | 1 |
| Flu Vaccine (quadrivalent) CPT 90686 Influenza virus vaccine, quadrivalent, preservative free |
— | $22 | $22 | $22–$22 | $22 | avg | 1 |
| DTaP-IPV Vaccine CPT 90696 Diphtheria, tetanus, acellular pertussis and polio vaccine |
— | $70 | $70 | $70–$70 | $70 | +1% | 1 |
| MMR Vaccine CPT 90707 Measles, mumps, rubella vaccine |
— | $107 | $107 | $107–$107 | $107 | avg | 1 |
| MMRV Vaccine CPT 90710 Measles, mumps, rubella, and varicella vaccine |
— | $324 | $324 | $324–$324 | $324 | avg | 1 |
| Polio Vaccine (IPV) CPT 90713 Poliovirus vaccine, inactivated |
— | $54 | $54 | $54–$54 | $54 | -1% | 1 |
| Td Vaccine (adult) CPT 90714 Tetanus and diphtheria toxoids, adult, preservative free |
— | $51 | $51 | $51–$51 | $51 | +1% | 1 |
| Varicella (Chickenpox) Vaccine CPT 90716 Varicella virus vaccine, live |
— | $215 | $215 | $215–$215 | $215 | avg | 1 |
| Pneumococcal Vaccine (PPSV23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent |
— | $131 | $131 | $131–$131 | $131 | avg | 1 |
| Hepatitis B Vaccine (adult) CPT 90746 Hepatitis B vaccine, adult dosage |
— | $81 | $81 | $81–$81 | $81 | avg | 1 |
| Shingles Vaccine (Shingrix) CPT 90750 Zoster vaccine, recombinant, adjuvanted |
— | $241 | $241 | $241–$241 | $241 | avg | 1 |
| Breast Biopsy (stereotactic) CPT 19081 Biopsy, breast, with placement of breast localization device, stereotactic guidance |
— | $2,528 | $2,528 | $2,528–$2,528 | $2,528 | avg | 1 |
| Breast Biopsy (ultrasound-guided) CPT 19083 Biopsy, breast, with placement of breast localization device, ultrasound guidance |
— | $2,528 | $2,528 | $2,528–$2,528 | $2,528 | avg | 1 |
| Breast Biopsy (MRI-guided) CPT 19084 Biopsy, breast, with placement of breast localization device, MRI guidance |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Mastopexy (Breast Lift) CPT 19316 Mastopexy |
— | $3,896 | $3,896 | $3,896–$3,896 | $3,896 | avg | 1 |
| Breast Augmentation (Implant) CPT 19325 Mammaplasty, augmentative |
— | $7,299 | $7,299 | $7,299–$7,299 | $7,299 | avg | 1 |
| Breast Implant Removal CPT 19328 Removal of intact mammary implant |
— | $3,896 | $3,896 | $3,896–$3,896 | $3,896 | avg | 1 |
| Breast Reconstruction (immediate) CPT 19340 Immediate insertion of breast prosthesis following mastopexy or mastectomy |
— | $5,345 | $5,345 | $5,345–$5,345 | $5,345 | avg | 1 |
| Amniocentesis CPT 59000 Amniocentesis, diagnostic |
— | $39 | $39 | $39–$39 | $39 | -1% | 1 |
| Incision and Drainage of Abscess (simple) CPT 10060 Incision and drainage of abscess, simple or single |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Incision and Drainage of Abscess (complex) CPT 10061 Incision and drainage of abscess, complicated or multiple |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Foreign Body Removal (skin, simple) CPT 10120 Incision and removal of foreign body, subcutaneous tissues, simple |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Foreign Body Removal (skin, complex) CPT 10121 Incision and removal of foreign body, subcutaneous tissues, complicated |
— | $2,528 | $2,528 | $2,528–$2,528 | $2,528 | avg | 1 |
| Incision and Drainage of Hematoma CPT 10140 Incision and drainage of hematoma, seroma, or fluid collection |
— | $2,528 | $2,528 | $2,528–$2,528 | $2,528 | avg | 1 |
| Aspiration of Abscess/Cyst CPT 10160 Puncture aspiration of abscess, hematoma, bulla, or cyst |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Debridement - Muscle/Fascia CPT 11043 Debridement, muscle and/or fascia, first 20 sq cm |
— | $1,250 | $1,250 | $1,250–$1,250 | $1,250 | avg | 1 |
| Breast Biopsy (needle, percutaneous) CPT 19100 Biopsy of breast, percutaneous, needle core |
— | $2,528 | $2,528 | $2,528–$2,528 | $2,528 | avg | 1 |
| Soft Tissue Excision (back/flank) CPT 21931 Excision, tumor, soft tissue of back or flank, subcutaneous |
— | $3,585 | $3,585 | $3,585–$3,585 | $3,585 | avg | 1 |
| Knee Cartilage Removal (arthrotomy) CPT 27332 Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee |
— | $3,896 | $3,896 | $3,896–$3,896 | $3,896 | avg | 1 |
| Ankle-Brachial Index (ABI) CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries |
— | $195 | $195 | $195–$195 | $195 | avg | 1 |
| Complete Bilateral Extremity Study CPT 93923 Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries |
— | $237 | $237 | $237–$237 | $237 | avg | 1 |
| Lower Extremity Arterial Duplex CPT 93925 Duplex scan of lower extremity arteries, complete bilateral study |
— | $366 | $366 | $366–$366 | $366 | avg | 1 |
| Venous Duplex Scan (complete) CPT 93970 Duplex scan of extremity veins, complete bilateral study |
— | $366 | $366 | $366–$366 | $366 | avg | 1 |
| Aorta/IVC/Iliac Duplex Scan CPT 93978 Duplex scan of aorta, inferior vena cava, iliac vasculature |
— | $366 | $366 | $366–$366 | $366 | avg | 1 |
| Cytopathology (fluids) CPT 88104 Cytopathology, fluids, washings or brushings, smears with interpretation |
— | $43 | $43 | $43–$43 | $43 | +1% | 1 |
| Cytopathology (concentration technique) CPT 88108 Cytopathology, concentration technique, smears and interpretation |
— | $40 | $40 | $40–$40 | $40 | -1% | 1 |
| Cytopathology (selective cellular enhancement) CPT 88112 Cytopathology, selective cellular enhancement technique with interpretation |
— | $34 | $34 | $34–$34 | $34 | -1% | 1 |
| Pap Smear - Physician Interpretation CPT 88141 Cytopathology, cervical or vaginal, requiring interpretation by physician |
— | $21 | $21 | $21–$21 | $21 | -2% | 1 |
| Pap Smear - ThinPrep (automated) CPT 88142 Cytopathology, cervical or vaginal, collected in preservative fluid, automated thin layer |
— | $17 | $17 | $17–$17 | $17 | +1% | 1 |
| Cytopathology (smears, any source) CPT 88160 Cytopathology, smears, any other source, screening and interpretation |
— | $48 | $48 | $48–$48 | $48 | avg | 1 |
| Flow Cytometry (first marker) CPT 88184 Flow cytometry, cell surface, cytoplasmic, or nuclear marker, first marker |
— | $64 | $64 | $64–$64 | $64 | avg | 1 |
| Flow Cytometry (each additional marker) CPT 88185 Flow cytometry, each additional marker |
— | $19 | $19 | $19–$19 | $19 | -2% | 1 |
| Surgical Pathology (gross only) CPT 88300 Level I surgical pathology, gross examination only |
— | $10 | $10 | $10–$10 | $10 | +1% | 1 |
| Surgical Pathology (gross & micro) CPT 88302 Level II surgical pathology, gross and microscopic examination |
— | $22 | $22 | $22–$22 | $22 | -1% | 1 |
| Surgical Pathology (Level III) CPT 88304 Level III surgical pathology |
— | $26 | $26 | $26–$26 | $26 | avg | 1 |
| Surgical Pathology (Level IV) CPT 88305 Level IV surgical pathology, each specimen |
— | $29 | $29 | $29–$29 | $29 | +1% | 1 |
| Surgical Pathology (Level V) CPT 88307 Level V surgical pathology, each specimen |
— | $170 | $170 | $170–$170 | $170 | avg | 1 |
| Surgical Pathology (Level VI) CPT 88309 Level VI surgical pathology, each specimen |
— | $237 | $237 | $237–$237 | $237 | avg | 1 |
| Special Stain (Group I) CPT 88312 Special stain including interpretation and report, Group I |
— | $71 | $71 | $71–$71 | $71 | -1% | 1 |
| Immunohistochemistry (first antibody) CPT 88342 Immunohistochemistry, each antibody, per specimen, first stain |
— | $65 | $65 | $65–$65 | $65 | -1% | 1 |
| Botulinum Toxin A (Botox) Injection CPT J0585 Injection, onabotulinumtoxinA, 1 unit |
— | $6 | $6 | $6–$6 | $6 | +4% | 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 | -29% | 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 |
— | $8 | $8 | $8–$8 | $8 | +2% | 1 |
| Midazolam Injection CPT J2250 Injection, midazolam hydrochloride, per 1 mg |
— | $0 | $0 | $0–$0 | — | — | 1 |
| Morphine Injection CPT J2270 Injection, morphine sulfate, up to 10 mg |
— | $3 | $3 | $3–$3 | $3 | +1% | 1 |
| Ondansetron (Zofran) Injection CPT J2405 Injection, ondansetron hydrochloride, per 1 mg |
— | $1 | $1 | $1–$1 | $1 | -16% | 1 |
| Promethazine (Phenergan) Injection CPT J2550 Injection, promethazine HCl, up to 50 mg |
— | $4 | $4 | $4–$4 | $4 | -1% | 1 |
| Propofol Injection CPT J2704 Injection, propofol, 10 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 | +19% | 1 |
| Normal Saline Infusion (1000 cc) CPT J7030 Infusion, normal saline solution, 1000 cc |
— | $2 | $2 | $2–$2 | $2 | -1% | 1 |
| Normal Saline with Dextrose (500 ml) CPT J7040 Infusion, normal saline solution, sterile, 500 ml |
— | $1 | $1 | $1–$1 | $1 | +29% | 1 |
| Normal Saline Infusion (250 cc) CPT J7050 Infusion, normal saline solution, 250 cc |
— | $1 | $1 | $1–$1 | $1 | -34% | 1 |
| Bronchoscopy with Lavage CPT 31624 Bronchoscopy with bronchial alveolar lavage |
— | $2,528 | $2,528 | $2,528–$2,528 | $2,528 | avg | 1 |
| Bronchoscopy with Biopsy CPT 31625 Bronchoscopy with bronchial or endobronchial biopsy |
— | $2,528 | $2,528 | $2,528–$2,528 | $2,528 | avg | 1 |
| Major Hip and Knee Joint Replacement without MCC CPT 469 Total hip or knee replacement without major complications |
— | $41,333 | $41,333 | $41,333–$41,333 | $41,333 | avg | 1 |
| Major Hip and Knee Joint Replacement without CC/MCC CPT 470 Total hip or knee replacement without complications or comorbidities |
— | $26,285 | $26,285 | $26,285–$26,285 | $26,285 | avg | 1 |
| Major Hip and Knee Joint Replacement with MCC CPT 468 Total hip or knee replacement with major complications |
— | $37,447 | $37,447 | $37,447–$37,447 | $37,447 | avg | 1 |
| Hip and Femur Procedures without MCC CPT 480 Hip fracture repair or femur procedures without major complications |
— | $39,686 | $39,686 | $39,686–$39,686 | $39,686 | avg | 1 |
| Hip and Femur Procedures without CC/MCC CPT 481 Hip fracture repair or femur procedures without complications |
— | $28,542 | $28,542 | $28,542–$28,542 | $28,542 | avg | 1 |
| Hip and Femur Procedures with MCC CPT 479 Hip fracture repair or femur procedures with major complications |
— | $25,331 | $25,331 | $25,331–$25,331 | $25,331 | avg | 1 |
| Cervical Spinal Fusion without CC/MCC CPT 473 Cervical spine fusion surgery without complications |
— | $33,268 | $33,268 | $33,268–$33,268 | $33,268 | avg | 1 |
| Cervical Spinal Fusion without MCC CPT 472 Cervical spine fusion without major complications |
— | $40,147 | $40,147 | $40,147–$40,147 | $40,147 | avg | 1 |
| Cervical Spinal Fusion with MCC CPT 471 Cervical spine fusion with major complications |
— | $65,801 | $65,801 | $65,801–$65,801 | $65,801 | avg | 1 |
| Bilateral or Multiple Major Joint Procedures CPT 461 Bilateral joint replacement or multiple major joint procedures |
— | $75,262 | $75,262 | $75,262–$75,262 | $75,262 | avg | 1 |
| Coronary Bypass without MCC CPT 236 CABG surgery without major complications |
— | $57,081 | $57,081 | $57,081–$57,081 | $57,081 | avg | 1 |
| Coronary Bypass with MCC CPT 235 CABG surgery with major complications |
— | $79,971 | $79,971 | $79,971–$79,971 | $79,971 | avg | 1 |
| Heart Failure and Shock with MCC CPT 291 Inpatient treatment for heart failure with major complications |
— | $17,494 | $17,494 | $17,494–$17,494 | $17,494 | avg | 1 |
| Heart Failure and Shock with CC CPT 292 Inpatient treatment for heart failure with complications |
— | $11,569 | $11,569 | $11,569–$11,569 | $11,569 | avg | 1 |
| Heart Failure and Shock without CC/MCC CPT 293 Inpatient treatment for heart failure without complications |
— | $7,713 | $7,713 | $7,713–$7,713 | $7,713 | avg | 1 |
| Cardiac Valve Procedures with CC CPT 216 Heart valve repair or replacement with complications |
— | $133,310 | $133,310 | $133,310–$133,310 | $133,310 | avg | 1 |
| Vaginal Delivery with OR Procedures CPT 768 Vaginal delivery requiring operating room procedures |
— | $14,603 | $14,603 | $14,603–$14,603 | $14,603 | avg | 1 |
| Respiratory Infections and Inflammations with MCC CPT 177 Pneumonia or respiratory infections with major complications |
— | $21,295 | $21,295 | $21,295–$21,295 | $21,295 | avg | 1 |
| Respiratory Infections and Inflammations with CC CPT 178 Pneumonia or respiratory infections with complications |
— | $13,300 | $13,300 | $13,300–$13,300 | $13,300 | avg | 1 |
| Simple Pneumonia and Pleurisy with MCC CPT 193 Uncomplicated pneumonia with major complications |
— | $17,911 | $17,911 | $17,911–$17,911 | $17,911 | avg | 1 |
| Simple Pneumonia and Pleurisy with CC CPT 194 Uncomplicated pneumonia with complications |
— | $10,982 | $10,982 | $10,982–$10,982 | $10,982 | avg | 1 |
| Simple Pneumonia and Pleurisy without CC/MCC CPT 195 Uncomplicated pneumonia without complications |
— | $8,565 | $8,565 | $8,565–$8,565 | $8,565 | avg | 1 |
| Major Small and Large Bowel Procedures with MCC CPT 329 Bowel resection or major intestinal surgery with major complications |
— | $62,637 | $62,637 | $62,637–$62,637 | $62,637 | avg | 1 |
| Major Small and Large Bowel Procedures with CC CPT 330 Bowel resection or major intestinal surgery with complications |
— | $32,667 | $32,667 | $32,667–$32,667 | $32,667 | avg | 1 |
| Major Small and Large Bowel Procedures without CC/MCC CPT 331 Bowel resection without complications |
— | $22,933 | $22,933 | $22,933–$22,933 | $22,933 | avg | 1 |
| GI Hemorrhage with MCC CPT 377 Gastrointestinal bleeding with major complications |
— | $24,910 | $24,910 | $24,910–$24,910 | $24,910 | avg | 1 |
| GI Hemorrhage with CC CPT 378 Gastrointestinal bleeding with complications |
— | $13,364 | $13,364 | $13,364–$13,364 | $13,364 | avg | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with MCC CPT 064 Stroke with major complications |
— | $27,404 | $27,404 | $27,404–$27,404 | $27,404 | avg | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with CC CPT 065 Stroke with complications |
— | $13,767 | $13,767 | $13,767–$13,767 | $13,767 | avg | 1 |
| Intracranial Hemorrhage or Cerebral Infarction without CC/MCC CPT 066 Stroke without complications |
— | $9,326 | $9,326 | $9,326–$9,326 | $9,326 | avg | 1 |
| Renal Failure with MCC CPT 682 Acute or chronic kidney failure with major complications |
— | $20,182 | $20,182 | $20,182–$20,182 | $20,182 | avg | 1 |
| Renal Failure with CC CPT 683 Acute or chronic kidney failure with complications |
— | $11,935 | $11,935 | $11,935–$11,935 | $11,935 | avg | 1 |
| Renal Failure without CC/MCC CPT 684 Acute or chronic kidney failure without complications |
— | $8,180 | $8,180 | $8,180–$8,180 | $8,180 | avg | 1 |
| Septicemia or Severe Sepsis with MV >96 Hours CPT 870 Severe sepsis requiring extended ventilator support |
— | $94,187 | $94,187 | $94,187–$94,187 | $94,187 | avg | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours with MCC CPT 871 Sepsis with major complications |
— | $26,470 | $26,470 | $26,470–$26,470 | $26,470 | avg | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours without MCC CPT 872 Sepsis without major complications |
— | $13,945 | $13,945 | $13,945–$13,945 | $13,945 | avg | 1 |
| Rehabilitation with CC/MCC CPT 945 Inpatient rehabilitation with complications |
— | $21,103 | $21,103 | $21,103–$21,103 | $21,103 | avg | 1 |
| Rehabilitation without CC/MCC CPT 946 Inpatient rehabilitation without complications |
— | $15,627 | $15,627 | $15,627–$15,627 | $15,627 | avg | 1 |
| Hip Replacement with Hip Fracture with MCC CPT 521 Hip replacement after hip fracture with major complications |
— | $39,112 | $39,112 | $39,112–$39,112 | $39,112 | avg | 1 |
| Hip Replacement with Hip Fracture without MCC CPT 522 Hip replacement after hip fracture without major complications |
— | $28,858 | $28,858 | $28,858–$28,858 | $28,858 | avg | 1 |
| Respiratory System Diagnosis with Ventilator Support >96 Hours CPT 207 Extended ventilator support for respiratory failure |
— | $87,686 | $87,686 | $87,686–$87,686 | $87,686 | avg | 1 |
| Respiratory System Diagnosis with Ventilator Support ≤96 Hours CPT 208 Short-term ventilator support for respiratory failure |
— | $37,457 | $37,457 | $37,457–$37,457 | $37,457 | avg | 1 |
| Septicemia/Severe Sepsis w/o MV >96hrs w MCC MS-DRG 871 Medicare Severity Diagnosis Related Group DRG-871 — Septicemia/Severe Sepsis w/o MV >96hrs w MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w mcc. |
— | $16,867 | — | — | $16,867 | avg | 1 |
| Heart Failure and Shock w MCC MS-DRG 291 Medicare Severity Diagnosis Related Group DRG-291 — Heart Failure and Shock w MCC. Inpatient hospital payment classification for cases involving heart failure and shock w mcc. |
— | $10,427 | — | — | $10,427 | avg | 1 |
| Respiratory Infections/Inflammations w MCC MS-DRG 177 Medicare Severity Diagnosis Related Group DRG-177 — Respiratory Infections/Inflammations w MCC. Inpatient hospital payment classification for cases involving respiratory infections/inflammations w mcc. |
— | $13,633 | — | — | $13,633 | avg | 1 |
| Simple Pneumonia and Pleurisy w MCC MS-DRG 193 Medicare Severity Diagnosis Related Group DRG-193 — Simple Pneumonia and Pleurisy w MCC. Inpatient hospital payment classification for cases involving simple pneumonia and pleurisy w mcc. |
— | $10,661 | — | — | $10,661 | avg | 1 |
| Pulmonary Edema and Respiratory Failure MS-DRG 189 Medicare Severity Diagnosis Related Group DRG-189 — Pulmonary Edema and Respiratory Failure. Inpatient hospital payment classification for cases involving pulmonary edema and respiratory failure. |
— | $10,010 | — | — | $10,010 | avg | 1 |
| Esophagitis/Gastroenteritis/Misc Digestive w/o MCC MS-DRG 392 Medicare Severity Diagnosis Related Group DRG-392 — Esophagitis/Gastroenteritis/Misc Digestive w/o MCC. Inpatient hospital payment classification for cases involving esophagitis/gastroenteritis/misc digestive w/o mcc. |
— | $6,832 | — | — | $6,832 | avg | 1 |
| Kidney/Urinary Tract Infections w/o MCC MS-DRG 690 CT scan — kidney/urinary tract infections w/o mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $6,908 | — | — | $6,908 | avg | 1 |
| Acute Myocardial Infarction, Discharged Alive w MCC MS-DRG 280 Medicare Severity Diagnosis Related Group DRG-280 — Acute Myocardial Infarction, Discharged Alive w MCC. Inpatient hospital payment classification for cases involving acute myocardial infarction, discharged alive w mcc. |
— | $12,537 | — | — | $12,537 | avg | 1 |
| GI Hemorrhage w CC MS-DRG 378 Medicare Severity Diagnosis Related Group DRG-378 — GI Hemorrhage w CC. Inpatient hospital payment classification for cases involving gi hemorrhage w cc. |
— | $8,317 | — | — | $8,317 | avg | 1 |
| Infectious/Parasitic Diseases w OR Procedures w MCC MS-DRG 853 Medicare Severity Diagnosis Related Group DRG-853 — Infectious/Parasitic Diseases w OR Procedures w MCC. Inpatient hospital payment classification for cases involving infectious/parasitic diseases w or procedures w mcc. |
— | $29,082 | — | — | $29,082 | avg | 1 |
| Renal Failure w CC MS-DRG 683 Medicare Severity Diagnosis Related Group DRG-683 — Renal Failure w CC. Inpatient hospital payment classification for cases involving renal failure w cc. |
— | $7,616 | — | — | $7,616 | avg | 1 |
| Renal Failure w MCC MS-DRG 682 Medicare Severity Diagnosis Related Group DRG-682 — Renal Failure w MCC. Inpatient hospital payment classification for cases involving renal failure w mcc. |
— | $10,736 | — | — | $10,736 | avg | 1 |
| Kidney/Urinary Tract Infections w MCC MS-DRG 689 CT scan — kidney/urinary tract infections w mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $9,372 | — | — | $9,372 | avg | 1 |
| Major Hip/Knee Joint Replacement MS-DRG 470 Medicare Severity Diagnosis Related Group DRG-470 — Major Hip/Knee Joint Replacement. Inpatient hospital payment classification for cases involving major hip/knee joint replacement. |
— | $15,129 | — | — | $15,129 | avg | 1 |
| Intracranial Hemorrhage/Cerebral Infarction w CC MS-DRG 065 Medicare Severity Diagnosis Related Group DRG-065 — Intracranial Hemorrhage/Cerebral Infarction w CC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w cc. |
— | $8,469 | — | — | $8,469 | avg | 1 |
| Misc Disorders of Nutrition/Metabolism/Fluids w MCC MS-DRG 640 Medicare Severity Diagnosis Related Group DRG-640 — Misc Disorders of Nutrition/Metabolism/Fluids w MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w mcc. |
— | $10,996 | — | — | $10,996 | avg | 1 |
| Intracranial Hemorrhage/Cerebral Infarction w MCC MS-DRG 064 Medicare Severity Diagnosis Related Group DRG-064 — Intracranial Hemorrhage/Cerebral Infarction w MCC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w mcc. |
— | $17,900 | — | — | $17,900 | avg | 1 |
| Hip/Femur Procedures Except Major Joint w CC MS-DRG 481 Medicare Severity Diagnosis Related Group DRG-481 — Hip/Femur Procedures Except Major Joint w CC. Inpatient hospital payment classification for cases involving hip/femur procedures except major joint w cc. |
— | $19,558 | — | — | $19,558 | avg | 1 |
| Cardiac Arrhythmia/Conduction Disorders w CC MS-DRG 309 Medicare Severity Diagnosis Related Group DRG-309 — Cardiac Arrhythmia/Conduction Disorders w CC. Inpatient hospital payment classification for cases involving cardiac arrhythmia/conduction disorders w cc. |
— | $6,590 | — | — | $6,590 | avg | 1 |
| Misc Disorders of Nutrition/Metabolism/Fluids w/o MCC MS-DRG 641 Medicare Severity Diagnosis Related Group DRG-641 — Misc Disorders of Nutrition/Metabolism/Fluids w/o MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w/o mcc. |
— | $6,814 | — | — | $6,814 | avg | 1 |
| Cellulitis w/o MCC MS-DRG 603 Medicare Severity Diagnosis Related Group DRG-603 — Cellulitis w/o MCC. Inpatient hospital payment classification for cases involving cellulitis w/o mcc. |
— | $7,689 | — | — | $7,689 | avg | 1 |
| COPD w MCC MS-DRG 190 Medicare Severity Diagnosis Related Group DRG-190 — COPD w MCC. Inpatient hospital payment classification for cases involving copd w mcc. |
— | $9,466 | — | — | $9,466 | avg | 1 |
| Percutaneous Intracardiac Procedures w/o MCC MS-DRG 274 Medicare Severity Diagnosis Related Group DRG-274 — Percutaneous Intracardiac Procedures w/o MCC. Inpatient hospital payment classification for cases involving percutaneous intracardiac procedures w/o mcc. |
— | $26,734 | — | — | $26,734 | avg | 1 |
| Simple Pneumonia and Pleurisy w CC MS-DRG 194 Medicare Severity Diagnosis Related Group DRG-194 — Simple Pneumonia and Pleurisy w CC. Inpatient hospital payment classification for cases involving simple pneumonia and pleurisy w cc. |
— | $7,200 | — | — | $7,200 | avg | 1 |
| Percutaneous Cardiovascular Proc w Drug-Eluting Stent w/o MCC MS-DRG 247 Medicare Severity Diagnosis Related Group DRG-247 — Percutaneous Cardiovascular Proc w Drug-Eluting Stent w/o MCC. Inpatient hospital payment classification for cases involving percutaneous cardiovascular proc w drug-eluting stent w/o mcc. |
— | $20,342 | — | — | $20,342 | avg | 1 |
| Coronary Bypass w/o Cardiac Cath w/o MCC MS-DRG 236 Medicare Severity Diagnosis Related Group DRG-236 — Coronary Bypass w/o Cardiac Cath w/o MCC. Inpatient hospital payment classification for cases involving coronary bypass w/o cardiac cath w/o mcc. |
— | $31,058 | — | — | $31,058 | 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. |
— | $3,585 | $3,585 | $3,585–$3,585 | $3,585 | 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. |
— | $5,345 | $5,345 | $5,345–$5,345 | $5,345 | avg | 1 |
| Septorhinoplasty (Nose Job with Septal Repair) CPT 30420 Septorhinoplasty (Nose Job with Septal Repair) — CPT code 30420 covers septorhinoplasty (nose job with septal repair) performed in a clinical or hospital setting. |
— | $5,345 | $5,345 | $5,345–$5,345 | $5,345 | 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. |
— | $3,585 | $3,585 | $3,585–$3,585 | $3,585 | 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. |
— | $5,345 | $5,345 | $5,345–$5,345 | $5,345 | 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. |
— | $5,345 | $5,345 | $5,345–$5,345 | $5,345 | 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. |
— | $28 | $28 | $28–$28 | $28 | avg | 1 |
Prices are typical ranges based on Community Hospital East'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 Community Hospital East →
Insurance Plans with Negotiated Rates
Taven has payer-specific negotiated rate data from 5 insurers at Community Hospital East. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.
Aetna (CVS Health)
BCBS (Various Licensees)
Cigna Healthcare
Humana
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 Community Hospital East
As a nonprofit hospital, Community Hospital East is required under IRS Section 501(r) to offer a financial assistance program (also called "charity care").
Patients at or below 300% of the Federal Poverty Level generally qualify for reduced or free care. You can apply as soon as care is received — through the hospital's financial counseling office, online portal, or billing department.
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Under the No Surprises Act and hospital price transparency rules, you have the right to receive a Good Faith Estimate before scheduled care, protection from surprise out-of-network bills in emergencies, and access to the hospital's published pricing data.
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▸ Technical Details
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare Provider #
150074
Emergency Services
Yes
Metro Area
Indianapolis, IN
Procedures Tracked
457
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