How much do procedures cost at Froedtert Menomonee Falls Hospital?

Taven tracks pricing for 796 procedures at Froedtert Menomonee Falls Hospital. Prices vary by insurance plan and procedure. Visit the full pricing table on this page for specific procedure costs.

Does Froedtert Menomonee Falls Hospital offer financial assistance?

Yes. As a nonprofit hospital, Froedtert Menomonee Falls Hospital is required under IRS Section 501(r) to offer a financial assistance program (charity care). Patients at or below 300% of the Federal Poverty Level generally qualify for reduced or free care.

Can I get a price estimate before visiting Froedtert Menomonee Falls Hospital?

Yes. Under the No Surprises Act, you have the right to receive a Good Faith Estimate before scheduled care. You can also compare Froedtert Menomonee Falls Hospital's published prices on Taven Health to understand typical costs before your visit.

How does Froedtert Menomonee Falls Hospital compare to other hospitals in Menomonee Falls, WI?

Taven compares Froedtert Menomonee Falls Hospital's negotiated rates against Menomonee Falls, WI metro averages for each procedure. Visit the pricing table above to see how each procedure's cost compares.

Froedtert Menomonee Falls Hospital

hospital · Froedtert Health · Menomonee Falls, WI

Data Grade B

📍 Menomonee Falls, WI

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Compare real prices at Froedtert Menomonee Falls Hospital in Menomonee Falls, WI. Taven tracks 796 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.

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796

Procedures Tracked

with pricing data

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Grade B

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Good data coverage

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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: TERESA LUXOrg NPI: 1609822881

🔒 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 Froedtert Menomonee Falls Hospital

796 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Menomonee Falls, WI 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)	Menomonee Falls Avg	vs. Avg	Payers
Debridement - Subcutaneous Tissue CPT 11042 Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing.	—	$562	—	—	$562	avg	59
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.	—	$301	—	—	$301	avg	59
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.	—	$514	—	—	$514	avg	59
Skin Graft Preparation CPT 15002 Skin Graft Preparation — CPT code 15002 covers skin graft preparation performed in a clinical or hospital setting.	—	$2,922	—	—	$2,922	avg	59
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.	—	$3,411	—	—	$3,411	avg	26
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.	—	$1,964	—	—	$1,964	avg	59
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.	—	$1,964	—	—	$1,964	avg	59
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.	—	$279	—	—	$279	avg	59
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.	—	$296	—	—	$296	avg	59
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.	—	$5,791	—	—	$5,791	avg	59
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.	—	$5,386	—	—	$5,386	avg	26
Simple Mastectomy CPT 19303 Complete surgical removal of one breast. This procedure removes all breast tissue to treat or prevent breast cancer.	—	$8,860	—	—	$8,860	avg	26
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.	—	$412	—	—	$412	avg	59
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.	—	$493	—	—	$493	avg	59
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.	—	$499	—	—	$499	avg	59
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.	—	$532	—	—	$532	avg	59
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.	—	$9,056	—	—	$9,056	avg	26
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.	—	$16,018	—	—	$16,018	avg	26
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.	—	$17,136	—	—	$17,136	avg	26
Rotator Cuff Repair CPT 23412 Rotator Cuff Repair — CPT code 23412 covers rotator cuff repair performed in a clinical or hospital setting.	—	$9,820	—	—	$9,820	avg	26
Shoulder Replacement (Arthroplasty) CPT 23472 Shoulder Replacement (Arthroplasty) — CPT code 23472 covers shoulder replacement (arthroplasty) performed in a clinical or hospital setting.	—	$17,086	—	—	$17,086	avg	26
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.	—	$3,104	—	—	$3,104	avg	59
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.	—	$8,058	—	—	$8,058	avg	26
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.	—	$14,367	—	—	$14,367	avg	26
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.	—	$13,317	—	—	$13,317	avg	11
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.	—	$14,417	—	—	$14,417	avg	26
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.	—	$14,417	—	—	$14,417	avg	26
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.	—	$8,932	—	—	$8,932	avg	26
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.	—	$843	—	—	$843	avg	26
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.	—	$5,101	—	—	$5,101	avg	26
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.	—	$6,987	—	—	$6,987	avg	26
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.	—	$8,058	—	—	$8,058	avg	26
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.	—	$10,266	—	—	$10,266	avg	26
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.	—	$6,987	—	—	$6,987	avg	26
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.	—	$6,987	—	—	$6,987	avg	26
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.	—	$5,001	—	—	$5,001	avg	26
Nasal Endoscopy (diagnostic) CPT 31231 Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting.	—	$824	—	—	$824	avg	26
Nasal Endoscopy - Surgical Debridement CPT 31237 Nasal Endoscopy - Surgical Debridement — CPT code 31237 covers nasal endoscopy - surgical debridement performed in a clinical or hospital setting.	—	$3,349	—	—	$3,349	avg	26
Ethmoidectomy - Partial CPT 31254 Ethmoidectomy - Partial — CPT code 31254 covers ethmoidectomy - partial performed in a clinical or hospital setting.	—	$7,134	—	—	$7,134	avg	26
Sinus Surgery - Ethmoidectomy CPT 31255 Sinus Surgery - Ethmoidectomy — CPT code 31255 covers sinus surgery - ethmoidectomy performed in a clinical or hospital setting.	—	$9,021	—	—	$9,021	avg	26
Sinus Surgery - Frontal CPT 31276 Sinus Surgery - Frontal — CPT code 31276 covers sinus surgery - frontal performed in a clinical or hospital setting.	—	$9,021	—	—	$9,021	avg	26
TAVR - Transcatheter Aortic Valve Replacement CPT 33361 Replacement of a diseased aortic heart valve without open-heart surgery. A new valve is delivered through a catheter (thin tube) inserted through the leg artery.	—	$3,584	—	—	$3,584	avg	11
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.	—	$3,584	—	—	$3,584	avg	11
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.	—	$3,584	—	—	$3,584	avg	11
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.	—	$30	—	—	$30	-1%	59
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.	—	$2,877	—	—	$2,877	avg	59
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.	—	$3,115	—	—	$3,115	avg	59
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.	—	$2,323	—	—	$2,323	avg	59
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.	—	$772	—	—	$772	avg	59
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.	—	$6,545	—	—	$6,545	avg	26
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.	—	$5,001	—	—	$5,001	avg	26
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.	—	$1,833	—	—	$1,833	avg	59
Upper Endoscopy (EGD) with Biopsy CPT 43239 Upper endoscopy with biopsy — a flexible tube with a camera is passed through the mouth to examine the esophagus, stomach, and upper intestine, and tissue samples are taken for analysis.	—	$2,919	—	—	$2,919	avg	26
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.	—	$3,451	—	—	$3,451	avg	26
Upper GI Endoscopy with Polypectomy CPT 43251 Upper GI Endoscopy with Polypectomy — CPT code 43251 covers upper gi endoscopy with polypectomy performed in a clinical or hospital setting.	—	$3,451	—	—	$3,451	avg	26
Upper GI Endoscopy with Band Ligation CPT 43270 Upper GI Endoscopy with Band Ligation — CPT code 43270 covers upper gi endoscopy with band ligation performed in a clinical or hospital setting.	—	$3,451	—	—	$3,451	avg	26
Laparoscopic Hiatal Hernia Repair CPT 43282 Laparoscopic Hiatal Hernia Repair — CPT code 43282 covers laparoscopic hiatal hernia repair performed in a clinical or hospital setting.	—	$11,876	—	—	$11,876	avg	26
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.	—	$13,781	—	—	$13,781	avg	11
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.	—	$13,781	—	—	$13,781	avg	11
Gastric Bypass - Open CPT 43846 Gastric Bypass - Open — CPT code 43846 covers gastric bypass - open performed in a clinical or hospital setting.	—	$2,937	—	—	$2,937	avg	11
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.	—	$2,937	—	—	$2,937	avg	11
Small Bowel Resection CPT 44120 Small bowel resection �� surgical removal of a portion of the small intestine to treat disease, obstruction, or injury.	—	$2,937	—	—	$2,937	avg	11
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.	—	$9,541	—	—	$9,541	avg	26
Laparoscopic Appendectomy CPT 44970 Laparoscopic appendectomy — minimally invasive surgical removal of the appendix, typically performed for appendicitis.	—	$9,541	—	—	$9,541	avg	26
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.	—	$2,923	—	—	$2,923	avg	26
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.	—	$3,092	—	—	$3,092	avg	26
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.	—	$3,092	—	—	$3,092	avg	26
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.	—	$9,541	—	—	$9,541	avg	26
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.	—	$9,541	—	—	$9,541	avg	26
Cholecystectomy - Open CPT 47600 Open cholecystectomy — surgical removal of the gallbladder through a larger incision in the abdomen.	—	$2,937	—	—	$2,937	avg	11
Inguinal Hernia Repair CPT 49505 Inguinal hernia repair — surgical repair of a hernia in the groin area where tissue pushes through a weak spot in the abdominal muscles.	—	$7,098	—	—	$7,098	avg	26
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.	—	$7,098	—	—	$7,098	avg	26
Ventral Hernia Repair CPT 49585 Ventral Hernia Repair — CPT code 49585 covers ventral hernia repair performed in a clinical or hospital setting.	—	$8,592	—	—	$8,592	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.	—	$9,541	—	—	$9,541	avg	26
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.	—	$9,482	—	—	$9,482	avg	59
Bladder Aspiration/Drainage CPT 51102 Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting.	—	$3,452	—	—	$3,452	avg	59
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.	—	$1,316	—	—	$1,316	avg	59
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.	—	$8,718	—	—	$8,718	avg	26
Prostate Biopsy CPT 55700 Prostate Biopsy — CPT code 55700 covers prostate biopsy performed in a clinical or hospital setting.	—	$2,537	—	—	$2,537	avg	59
Robotic Prostatectomy CPT 55866 Robotic Prostatectomy — CPT code 55866 covers robotic prostatectomy performed in a clinical or hospital setting.	—	$12,993	—	—	$12,993	avg	26
Colposcopy with Biopsy (Cervical) CPT 57454 Colposcopy with Biopsy (Cervical) — CPT code 57454 covers colposcopy with biopsy (cervical) performed in a clinical or hospital setting.	—	$430	—	—	$430	avg	59
Endometrial Biopsy CPT 58100 Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting.	—	$415	—	—	$415	avg	59
Total Hysterectomy - Abdominal CPT 58150 Total Hysterectomy - Abdominal — CPT code 58150 covers total hysterectomy - abdominal performed in a clinical or hospital setting.	—	$11,571	—	—	$11,571	avg	11
IUD Insertion CPT 58300 IUD Insertion — CPT code 58300 covers iud insertion performed in a clinical or hospital setting.	—	$242	—	—	$242	avg	59
IUD Removal CPT 58301 IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting.	—	$410	—	—	$410	avg	59
Laparoscopic Hysterectomy (250g or Less) CPT 58571 Total laparoscopic hysterectomy including removal of the cervix — minimally invasive complete removal of the uterus and cervix.	—	$11,876	—	—	$11,876	avg	26
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.	—	$9,541	—	—	$9,541	avg	26
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.	—	$320	—	—	$320	avg	59
Vaginal Delivery (routine, global) CPT 59400 Routine obstetric care including prenatal visits, vaginal delivery, and postpartum care — comprehensive maternity care package.	—	$8,103	—	—	$8,103	avg	1
Vaginal Delivery Only CPT 59409 Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting.	—	$4,955	—	—	$4,955	avg	26
C-Section Delivery (global) CPT 59510 Routine obstetric care including prenatal visits, cesarean delivery, and postpartum care — comprehensive maternity care package with C-section.	—	$8,103	—	—	$8,103	avg	1
VBAC Delivery CPT 59610 VBAC Delivery — CPT code 59610 covers vbac delivery performed in a clinical or hospital setting.	—	$8,103	—	—	$8,103	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.	—	$1,316	—	—	$1,316	avg	59
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.	—	$1,286	—	—	$1,286	avg	59
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.	—	$10,266	—	—	$10,266	avg	26
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.	—	$10,266	—	—	$10,266	avg	26
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.	—	$1,911	—	—	$1,911	avg	59
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.	—	$1,485	—	—	$1,485	avg	59
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.	—	$2,435	—	—	$2,435	avg	59
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.	—	$4,361	—	—	$4,361	avg	26
Glaucoma Laser Surgery CPT 65855 Glaucoma Laser Surgery — CPT code 65855 covers glaucoma laser surgery performed in a clinical or hospital setting.	—	$2,192	—	—	$2,192	avg	26
Glaucoma Filter Surgery CPT 66170 Glaucoma Filter Surgery — CPT code 66170 covers glaucoma filter surgery performed in a clinical or hospital setting.	—	$4,559	—	—	$4,559	avg	26
YAG Laser Capsulotomy CPT 66821 YAG Laser Capsulotomy — CPT code 66821 covers yag laser capsulotomy performed in a clinical or hospital setting.	—	$2,192	—	—	$2,192	avg	26
Complex Cataract Surgery CPT 66982 CT scan — complex cataract surgery. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.	—	$4,559	—	—	$4,559	avg	26
Cataract Surgery CPT 66984 Cataract surgery with lens implant — removal of the clouded natural lens of the eye and replacement with a clear artificial lens to restore vision.	—	$4,559	—	—	$4,559	avg	26
Strabismus Surgery CPT 67311 Strabismus Surgery — CPT code 67311 covers strabismus surgery performed in a clinical or hospital setting.	—	$4,563	—	—	$4,563	avg	26
Eyelid Repair - Blepharoplasty CPT 67904 Eyelid Repair - Blepharoplasty — CPT code 67904 covers eyelid repair - blepharoplasty performed in a clinical or hospital setting.	—	$4,563	—	—	$4,563	avg	26
Eyelid Repair - Lower Lid CPT 67917 Eyelid Repair - Lower Lid — CPT code 67917 covers eyelid repair - lower lid performed in a clinical or hospital setting.	—	$4,563	—	—	$4,563	avg	26
Tear Duct Probing CPT 68810 CT scan — tear duct probing. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.	—	$870	—	—	$870	avg	26
Ear Wax Removal CPT 69210 Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting.	—	$239	—	—	$239	avg	59
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.	—	$3,263	—	—	$3,263	avg	26
CT Head without Contrast CPT 70450 CT scan — ct head without contrast. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.	—	$1,287	—	—	$1,287	avg	59
CT Head with Contrast CPT 70460 CT scan — ct head with contrast. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.	—	$1,416	—	—	$1,416	avg	59
Brain MRI without Contrast CPT 70551 MRI of the brain without contrast — detailed magnetic resonance imaging of the brain to evaluate for abnormalities without using contrast dye.	—	$2,397	—	—	$2,397	avg	59
MRI Brain with/without Contrast CPT 70553 MRI of the brain with and without contrast dye — detailed imaging of the brain using magnetic fields and radio waves to diagnose tumors, stroke, or other conditions.	—	$3,124	—	—	$3,124	avg	59
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.	—	$205	—	—	$205	avg	59
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.	—	$242	—	—	$242	avg	59
CT Chest without Contrast CPT 71250 CT scan of the chest without contrast — detailed cross-sectional imaging of the lungs, heart, and chest structures without contrast dye.	—	$1,505	—	—	$1,505	avg	59
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.	—	$1,667	—	—	$1,667	avg	59
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.	—	$332	—	—	$332	avg	59
MRI Cervical Spine without Contrast CPT 72141 MRI of the cervical spine (neck) without contrast — detailed imaging of the neck spine to evaluate for herniated discs, spinal cord problems, or nerve issues.	—	$2,307	—	—	$2,307	avg	59
MRI Lumbar Spine without Contrast CPT 72148 MRI of the lumbar spine (lower back) without contrast — detailed imaging of the lower spine to evaluate for herniated discs, spinal stenosis, or nerve compression.	—	$2,346	—	—	$2,346	avg	59
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.	—	$322	—	—	$322	avg	59
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.	—	$324	—	—	$324	avg	59
MRI Shoulder without Contrast CPT 73221 MRI of any joint of the upper extremity without contrast — detailed imaging of a shoulder, elbow, wrist, or hand joint.	—	$2,451	—	—	$2,451	avg	59
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.	—	$318	—	—	$318	avg	59
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.	—	$316	—	—	$316	avg	59
MRI Knee without Contrast CPT 73721 MRI of any joint of the lower extremity without contrast — detailed imaging of a hip, knee, ankle, or foot joint using magnetic resonance.	—	$2,269	—	—	$2,269	avg	59
CT Abdomen/Pelvis without Contrast CPT 74176 CT scan of the abdomen and pelvis without contrast followed by with contrast — complete imaging study of the abdomen and pelvis.	—	$2,253	—	—	$2,253	avg	59
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.	—	$2,606	—	—	$2,606	avg	59
Breast Ultrasound CPT 76642 Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.	—	$441	—	—	$441	avg	59
Abdominal Ultrasound CPT 76700 Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas.	—	$604	—	—	$604	avg	59
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.	—	$436	—	—	$436	avg	59
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.	—	$552	—	—	$552	avg	59
Transvaginal Ultrasound CPT 76830 Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures.	—	$492	—	—	$492	avg	59
Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs.	—	$589	—	—	$589	avg	59
3D Mammography (Tomosynthesis) CPT 77063 3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting.	—	$103	—	—	$103	avg	59
Diagnostic Mammogram (unilateral) CPT 77065 Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer.	—	$154	—	—	$154	avg	59
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.	—	$176	—	—	$176	avg	59
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	—	—	$190	avg	59
Nuclear Stress Test (SPECT MPI) CPT 78452 Myocardial perfusion imaging (stress test with nuclear imaging) — evaluates blood flow to the heart muscle during rest and stress to detect blocked arteries.	—	$3,227	—	—	$3,227	avg	59
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.	—	$82	—	—	$82	avg	59
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.	—	$119	—	—	$119	avg	59
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.	—	$84	—	—	$84	avg	59
Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting.	—	$104	—	—	$104	avg	59
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.	—	$35	—	—	$35	+1%	59
Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting.	—	$29	—	—	$29	+1%	59
Vitamin D Level CPT 82306 Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency.	—	$123	—	—	$123	avg	59
Urine Creatinine CPT 82570 Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting.	—	$27	—	—	$27	avg	59
Ferritin Level CPT 82728 Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting.	—	$92	—	—	$92	avg	59
Glucose (blood sugar) CPT 82947 Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes.	—	$18	—	—	$18	avg	59
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.	—	$49	—	—	$49	avg	59
Potassium Level CPT 84132 Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting.	—	$25	—	—	$25	avg	59
PSA (Prostate) CPT 84153 PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting.	—	$92	—	—	$92	-1%	59
Sodium Level CPT 84295 Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting.	—	$20	—	—	$20	+2%	59
TSH (Thyroid) CPT 84443 Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working.	—	$103	—	—	$103	avg	59
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.	—	$67	—	—	$67	avg	59
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.	—	$31	—	—	$31	+1%	59
TB Skin Test CPT 86580 TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting.	—	$56	—	—	$56	+1%	59
Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting.	—	$83	—	—	$83	avg	59
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.	—	$45	—	—	$45	-1%	27
Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample.	—	$119	—	—	$119	avg	59
Gonorrhea Test CPT 87591 Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample.	—	$116	—	—	$116	avg	59
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.	—	$96	—	—	$96	avg	59
Flu Test (rapid) CPT 87804 Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting.	—	$74	—	—	$74	-1%	59
Pap Smear (ThinPrep) CPT 88175 Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting.	—	$120	—	—	$120	avg	59
Immunization Administration CPT 90471 Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting.	—	$41	—	—	$41	-1%	59
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.	—	$221	—	—	$221	avg	59
Tdap Vaccine CPT 90715 Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting.	—	$105	—	—	$105	avg	59
Psychiatric Diagnostic Evaluation CPT 90791 Psychiatric Diagnostic Evaluation — CPT code 90791 covers psychiatric diagnostic evaluation performed in a clinical or hospital setting.	—	$172	—	—	$172	avg	59
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.	—	$154	—	—	$154	avg	23
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.	—	$138	—	—	$138	avg	59
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.	—	$130	—	—	$130	avg	59
Psychotherapy (53+ min) CPT 90837 Psychotherapy (53+ min) — CPT code 90837 covers psychotherapy (53+ min) performed in a clinical or hospital setting.	—	$154	—	—	$154	avg	23
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.	—	$154	—	—	$154	avg	23
Group Psychotherapy CPT 90853 Group Psychotherapy — CPT code 90853 covers group psychotherapy performed in a clinical or hospital setting.	—	$223	—	—	$223	avg	59
Coronary Stent Placement CPT 92928 Coronary Stent Placement — CPT code 92928 covers coronary stent placement performed in a clinical or hospital setting.	—	$16,231	—	—	$16,231	avg	59
EKG (12-lead) CPT 93000 EKG (12-lead) — CPT code 93000 covers ekg (12-lead) performed in a clinical or hospital setting.	—	$13	—	—	$13	+2%	11
EKG Interpretation CPT 93010 EKG Interpretation — CPT code 93010 covers ekg interpretation performed in a clinical or hospital setting.	—	$7	—	—	$7	+7%	11
Cardiovascular Stress Test CPT 93015 Cardiovascular Stress Test — CPT code 93015 covers cardiovascular stress test performed in a clinical or hospital setting.	—	$68	—	—	$68	+1%	11
Echocardiogram Complete CPT 93306 Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting.	—	$1,319	—	—	$1,319	avg	59
Stress Echocardiogram CPT 93350 Stress Echocardiogram — CPT code 93350 covers stress echocardiogram performed in a clinical or hospital setting.	—	$531	—	—	$531	avg	23
Stress Echocardiogram CPT 93351 Stress Echocardiogram — CPT code 93351 covers stress echocardiogram performed in a clinical or hospital setting.	—	$2,482	—	—	$2,482	avg	59
Left Heart Catheterization CPT 93458 Left Heart Catheterization — CPT code 93458 covers left heart catheterization performed in a clinical or hospital setting.	—	$8,000	—	—	$8,000	avg	59
Carotid Ultrasound CPT 93880 Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.	—	$875	—	—	$875	avg	59
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.	—	$743	—	—	$743	avg	59
Psychological Testing Evaluation CPT 96130 Psychological Testing Evaluation — CPT code 96130 covers psychological testing evaluation performed in a clinical or hospital setting.	—	$302	—	—	$302	avg	23
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.	—	$82	—	—	$82	-1%	11
Therapeutic Injection (IM/SubQ) CPT 96372 Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes.	—	$141	—	—	$141	avg	59
IV Push (single drug) CPT 96374 IV push medication — rapid injection of medication directly into a vein or existing IV line.	—	$209	—	—	$209	avg	59
Chemotherapy Infusion (first hour) CPT 96413 Chemotherapy IV infusion, first hour — administration of cancer-fighting medication through an IV line for the initial hour.	—	$670	—	—	$670	avg	59
PT - Ultrasound Therapy CPT 97035 Ultrasound — pt - ultrasound therapy. This imaging test uses sound waves to create pictures of organs and structures inside the body.	—	$121	—	—	$121	avg	59
PT - Therapeutic Exercise CPT 97110 Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion.	—	$115	—	—	$115	avg	59
PT - Gait Training CPT 97116 PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting.	—	$110	—	—	$110	avg	59
PT - Manual Therapy CPT 97140 Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching.	—	$135	—	—	$135	avg	59
PT Evaluation - Low Complexity CPT 97161 Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition.	—	$229	—	—	$229	avg	59
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.	—	$256	—	—	$256	avg	59
PT Evaluation - High Complexity CPT 97163 Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition.	—	$296	—	—	$296	avg	59
PT - Therapeutic Activities CPT 97530 Therapeutic activities — functional movement training to improve your ability to perform daily activities.	—	$109	—	—	$109	avg	59
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.	—	$67	—	—	$67	avg	11
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.	—	$104	—	—	$104	avg	11
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.	—	$156	—	—	$156	avg	11
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.	—	$205	—	—	$205	avg	11
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.	—	$91	—	—	$91	avg	59
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.	—	$104	—	—	$104	avg	59
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.	—	$123	—	—	$123	avg	59
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.	—	$155	—	—	$155	avg	59
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.	—	$201	—	—	$201	avg	59
ER Visit - Minor Problem CPT 99281 Emergency department visit for a minor, self-limited problem requiring minimal evaluation.	—	$152	—	—	$152	avg	59
ER Visit - Low Complexity CPT 99282 Emergency department visit for a low to moderate severity problem requiring a brief evaluation.	—	$335	—	—	$335	avg	59
ER Visit - Moderate Complexity CPT 99283 Emergency department visit for a moderate severity problem requiring an expanded evaluation.	—	$743	—	—	$743	avg	59
ER Visit - High Complexity CPT 99284 Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life.	—	$1,183	—	—	$1,183	avg	59
ER Visit - Immediate Threat to Life CPT 99285 Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation.	—	$1,666	—	—	$1,666	avg	59
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.	—	$1,932	—	—	$1,932	avg	59
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.	—	$625	—	—	$625	avg	32
Preventive Visit - New Patient (18-39) CPT 99385 Preventive Visit - New Patient (18-39) — CPT code 99385 covers preventive visit - new patient (18-39) performed in a clinical or hospital setting.	—	$121	—	—	$121	avg	11
Preventive Visit - New Patient (40-64) CPT 99386 Preventive Visit - New Patient (40-64) — CPT code 99386 covers preventive visit - new patient (40-64) performed in a clinical or hospital setting.	—	$140	—	—	$140	avg	11
Preventive Visit - New Patient (65+) CPT 99387 Preventive Visit - New Patient (65+) — CPT code 99387 covers preventive visit - new patient (65+) performed in a clinical or hospital setting.	—	$152	—	—	$152	avg	11
Preventive Visit - Established (18-39) CPT 99395 Preventive Visit - Established (18-39) — CPT code 99395 covers preventive visit - established (18-39) performed in a clinical or hospital setting.	—	$109	—	—	$109	avg	11
Preventive Visit - Established (40-64) CPT 99396 Preventive Visit - Established (40-64) — CPT code 99396 covers preventive visit - established (40-64) performed in a clinical or hospital setting.	—	$116	—	—	$116	avg	11
Preventive Visit - Established (65+) CPT 99397 Preventive Visit - Established (65+) — CPT code 99397 covers preventive visit - established (65+) performed in a clinical or hospital setting.	—	$125	—	—	$125	avg	11
Ceftriaxone Injection 250mg CPT J0696 HCPCS Level II code J0696 — Ceftriaxone Injection 250mg. Healthcare Common Procedure Coding System code for ceftriaxone injection 250mg.	—	$30	—	—	$30	+1%	59
Triamcinolone Injection CPT J3301 HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection.	—	$95	—	—	$95	avg	59
Dexamethasone Injection CPT J1100 HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection.	—	$35	—	—	$35	-1%	59
Anesthesia - Head CPT 00100 Anesthesia - Head — CPT code 00100 covers anesthesia - head performed in a clinical or hospital setting.	—	$45	$45	$45–$45	$45	avg	1
Anesthesia - Chest CPT 00400 Anesthesia - Chest — CPT code 00400 covers anesthesia - chest performed in a clinical or hospital setting.	—	$45	$45	$45–$45	$45	avg	1
Epidural/Spinal Daily Management CPT 01996 Epidural/Spinal Daily Management — CPT code 01996 covers epidural/spinal daily management performed in a clinical or hospital setting.	—	$135	$135	$135–$135	$135	avg	1
Debridement of Skin (infected) CPT 11000 Debridement of extensively eczematous or infected skin	—	$490	—	—	$490	avg	32
Skin Lesion Paring (single) CPT 11055 Paring or cutting of benign hyperkeratotic lesion	—	$196	—	—	$196	avg	32
Skin Lesion Paring (2-4) CPT 11056 Paring or cutting of benign hyperkeratotic lesions, 2 to 4	—	$213	—	—	$213	avg	32
Skin Tag Removal (up to 15) CPT 11200 Removal of skin tags, multiple fibrocutaneous tags	—	$219	—	—	$219	avg	32
Skin Lesion Shave (0.5 cm or less) CPT 11300 Shave removal of epidermal or dermal lesion, trunk/extremities	—	$297	—	—	$297	avg	32
Skin Lesion Shave (0.6-1.0 cm) CPT 11301 Shave removal of epidermal or dermal lesion, trunk/extremities	—	$261	—	—	$261	avg	32
Skin Lesion Shave - Scalp/Neck (0.5 cm) CPT 11305 Shave removal of epidermal or dermal lesion, scalp/neck/hands/feet	—	$261	—	—	$261	avg	32
Excision of Benign Skin Lesion (0.5 cm or less) CPT 11400 Excision of benign lesion, trunk/arms/legs	—	$627	—	—	$627	avg	32
Excision of Benign Skin Lesion (0.6-1.0 cm) CPT 11401 Excision of benign lesion, trunk/arms/legs, 0.6-1.0 cm	—	$581	—	—	$581	avg	32
Excision of Benign Skin Lesion (1.1-2.0 cm) CPT 11402 Excision of benign lesion, trunk/arms/legs, 1.1-2.0 cm	—	$708	—	—	$708	avg	32
Excision Benign Lesion - Face (0.5 cm) CPT 11440 Excision of benign lesion, face/ears/eyelids/nose/lips	—	$648	—	—	$648	avg	32
Excision Malignant Lesion (0.5 cm or less) CPT 11600 Excision of malignant lesion, trunk/arms/legs	—	$786	—	—	$786	avg	32
Excision Malignant Lesion (0.6-1.0 cm) CPT 11601 Excision of malignant lesion, trunk/arms/legs, 0.6-1.0 cm	—	$843	—	—	$843	avg	32
Excision Malignant Lesion (1.1-2.0 cm) CPT 11602 Excision of malignant lesion, trunk/arms/legs, 1.1-2.0 cm	—	$767	—	—	$767	avg	32
Nail Removal (partial or complete) CPT 11730 Avulsion of nail plate, partial or complete	—	$229	—	—	$229	avg	32
Permanent Nail Removal CPT 11750 Excision of nail and nail matrix, permanent removal	—	$432	—	—	$432	avg	32
Destruction of Premalignant Lesions (2-14) CPT 17003 Destruction of premalignant lesions, second through 14th lesion	—	$526	—	—	$526	avg	12
Destruction of Skin Lesions (15+) CPT 17004 Destruction of premalignant lesions, 15 or more lesions	—	$968	—	—	$968	avg	12
Destruction Malignant Lesion (trunk) CPT 17260 Destruction of malignant lesion, trunk, any method	—	$848	—	—	$848	avg	12
Mohs Surgery (first stage) CPT 17311 Mohs micrographic surgery, first stage, up to 5 tissue blocks	—	$1,094	—	—	$1,094	avg	12
Laser Treatment for Skin (small) CPT 96920 Laser treatment for inflammatory skin disease, less than 250 sq cm	—	$533	—	—	$533	avg	11
Tendon Sheath Injection CPT 20550 Injection of tendon sheath, ligament, or trigger point	—	$246	—	—	$246	avg	32
Hardware Removal (deep) CPT 20680 Removal of implant, deep (plate, screw, rod)	—	$4,372	—	—	$4,372	avg	12
Shoulder Injection with Imaging CPT 23350 Injection for shoulder arthrography	—	$328	—	—	$328	avg	32
Tennis Elbow Repair CPT 24341 Repair of lateral collateral ligament, elbow	—	$6,669	—	—	$6,669	avg	32
Closed Treatment Distal Radius Fracture CPT 25600 Closed treatment of distal radial fracture without manipulation	—	$380	—	—	$380	avg	32
Closed Treatment Distal Radius Fracture (with manipulation) CPT 25605 Closed treatment of distal radial fracture with manipulation	—	$1,132	—	—	$1,132	avg	32
Intertrochanteric Fracture Treatment CPT 27245 Treatment of intertrochanteric femoral fracture with plate/screws	—	$4,951	—	—	$4,951	avg	12
Knee Manipulation Under Anesthesia CPT 27570 Manipulation of knee joint under general anesthesia	—	$2,864	—	—	$2,864	avg	12
Open Treatment Ankle Fracture (bimalleolar) CPT 27792 Open treatment of distal fibula fracture, bimalleolar	—	$9,419	—	—	$9,419	avg	12
Amputation - Toe CPT 28820 Amputation of toe at metatarsophalangeal joint	—	$3,294	—	—	$3,294	avg	32
Endoscopic Carpal Tunnel Release CPT 29848 Endoscopy of wrist, carpal tunnel release	—	$4,712	—	—	$4,712	avg	12
Shoulder Arthroscopy - Acromioplasty CPT 29826 Arthroscopy, shoulder, surgical, decompression of subacromial space	—	$620	—	—	$620	avg	12
Knee Arthroscopy with Meniscus Repair CPT 29882 Arthroscopy, knee, surgical, meniscus repair	—	$5,864	—	—	$5,864	avg	12
ACL Reconstruction (Knee Ligament Repair) CPT 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation	—	$9,419	—	—	$9,419	avg	12
Esophagoscopy (diagnostic) CPT 43191 Esophagoscopy, flexible, diagnostic	—	$3,041	—	—	$3,041	avg	12
EGD with Stent Placement CPT 43210 Esophagogastroduodenoscopy with stent placement	—	$10,726	—	—	$10,726	avg	12
EGD with Gastrostomy Tube CPT 43246 Upper GI endoscopy with gastrostomy tube placement	—	$3,041	—	—	$3,041	avg	12
EGD with Foreign Body Removal CPT 43247 Upper GI endoscopy with removal of foreign body	—	$2,400	—	—	$2,400	avg	12
EGD with Hemostasis CPT 43255 Upper GI endoscopy with control of bleeding	—	$3,041	—	—	$3,041	avg	12
Sigmoidoscopy (diagnostic) CPT 45330 Sigmoidoscopy, flexible, diagnostic	—	$1,993	—	—	$1,993	avg	12
Sigmoidoscopy with Biopsy CPT 45331 Sigmoidoscopy, flexible, with biopsy	—	$1,993	—	—	$1,993	avg	12
Colonoscopy with Control of Bleeding CPT 45382 Colonoscopy with control of bleeding	—	$2,613	—	—	$2,613	avg	12
Colonoscopy with Lesion Removal (hot biopsy) CPT 45384 Colonoscopy with removal of tumor by hot biopsy forceps	—	$2,613	—	—	$2,613	avg	12
Colonoscopy with Ablation CPT 45388 Colonoscopy with ablation of tumor or polyp	—	$2,613	—	—	$2,613	avg	12
Colonoscopy with Foreign Body Removal CPT 45390 Colonoscopy with removal of foreign body	—	$3,545	—	—	$3,545	avg	12
Colonoscopy with Endoscopic Ultrasound CPT 45391 Colonoscopy with endoscopic ultrasound examination	—	$2,613	—	—	$2,613	avg	12
CT Sinus without Contrast CPT 70486 CT scan of maxillofacial area without contrast	—	$942	—	—	$942	avg	32
CT Soft Tissue Neck with Contrast CPT 70491 CT scan of soft tissue neck with contrast	—	$1,197	—	—	$1,197	avg	32
MRI Head/Neck MRA CPT 70543 Magnetic resonance angiography, head and/or neck	—	$2,440	—	—	$2,440	avg	33
CT Chest Low Dose (Lung Screening) CPT 71271 CT chest for lung cancer screening, low dose	—	$466	—	—	$466	avg	32
CT Angiography Chest CPT 71275 CT angiography of chest with contrast	—	$1,299	—	—	$1,299	avg	32
CT Cervical Spine without Contrast CPT 72125 CT cervical spine without contrast	—	$1,038	—	—	$1,038	avg	32
CT Lumbar Spine without Contrast CPT 72131 CT lumbar spine without contrast	—	$1,045	—	—	$1,045	avg	32
MRI Lumbar Spine with Contrast CPT 72149 MRI lumbar spine with contrast	—	$1,790	—	—	$1,790	avg	32
MRI Cervical Spine with/without Contrast CPT 72156 MRI cervical spine without contrast, then with contrast	—	$2,141	—	—	$2,141	avg	32
MRI Lumbar Spine with/without Contrast CPT 72158 MRI lumbar spine without contrast, then with contrast	—	$2,111	—	—	$2,111	avg	32
CT Pelvis without Contrast CPT 72192 CT pelvis without contrast	—	$978	—	—	$978	avg	32
CT Pelvis with Contrast CPT 72193 CT pelvis with contrast	—	$1,083	—	—	$1,083	avg	32
MRI Pelvis without/with Contrast CPT 72197 MRI pelvis without contrast, then with contrast	—	$2,333	—	—	$2,333	avg	33
Clavicle X-Ray CPT 73000 Radiologic examination of clavicle	—	$221	—	—	$221	avg	32
Humerus X-Ray CPT 73060 Radiologic examination of humerus, minimum 2 views	—	$234	—	—	$234	avg	32
Elbow X-Ray CPT 73070 Radiologic examination of elbow, 2 views	—	$218	—	—	$218	avg	32
Elbow X-Ray (3+ views) CPT 73080 Radiologic examination of elbow, complete, minimum 3 views	—	$233	—	—	$233	avg	32
Wrist X-Ray CPT 73100 Radiologic examination of wrist, 2 views	—	$217	—	—	$217	avg	32
Wrist X-Ray (3+ views) CPT 73110 Radiologic examination of wrist, complete, minimum 3 views	—	$223	—	—	$223	avg	32
MRI Shoulder with Contrast CPT 73222 MRI any joint of upper extremity with contrast	—	$1,924	—	—	$1,924	avg	33
Hip X-Ray (2-3 views) CPT 73502 Radiologic examination of hip, 2-3 views	—	$299	—	—	$299	avg	32
Femur X-Ray CPT 73552 Radiologic examination of femur, minimum 2 views	—	$294	—	—	$294	avg	32
Knee X-Ray (3 views) CPT 73562 Radiologic examination of knee, 3 views	—	$261	—	—	$261	avg	32
Tibia/Fibula X-Ray CPT 73590 Radiologic examination of tibia and fibula, 2 views	—	$249	—	—	$249	avg	32
Foot X-Ray (2 views) CPT 73620 Radiologic examination of foot, 2 views	—	$262	—	—	$262	avg	32
Foot X-Ray (3+ views) CPT 73630 Radiologic examination of foot, complete, minimum 3 views	—	$278	—	—	$278	avg	32
MRI Lower Extremity without Contrast CPT 73718 MRI lower extremity other than joint without contrast	—	$1,582	—	—	$1,582	avg	33
MRI Knee with/without Contrast CPT 73723 MRI any joint of lower extremity without then with contrast	—	$2,300	—	—	$2,300	avg	33
Abdomen X-Ray (1 view) CPT 74018 Radiologic examination of abdomen, single anteroposterior view	—	$237	—	—	$237	avg	32
Abdomen X-Ray (2 views) CPT 74019 Radiologic examination of abdomen, 2 views	—	$249	—	—	$249	avg	32
CT Abdomen without Contrast CPT 74150 CT abdomen without contrast	—	$1,001	—	—	$1,001	avg	32
CT Abdomen/Pelvis with/without Contrast CPT 74178 CT abdomen and pelvis without contrast, then with contrast	—	$2,257	—	—	$2,257	avg	32
MRI Abdomen without Contrast CPT 74181 MRI abdomen without contrast	—	$1,568	—	—	$1,568	avg	33
MRI Abdomen with/without Contrast CPT 74183 MRI abdomen without contrast, then with contrast	—	$2,008	—	—	$2,008	avg	33
Thyroid Ultrasound CPT 76536 Ultrasound of head and neck, thyroid, real time with image	—	$405	—	—	$405	avg	32
Chest Ultrasound CPT 76604 Ultrasound of chest, real time with image documentation	—	$357	—	—	$357	avg	32
Retroperitoneal Ultrasound (complete) CPT 76770 Ultrasound, retroperitoneal, complete	—	$435	—	—	$435	avg	32
Retroperitoneal Ultrasound (limited) CPT 76775 Ultrasound, retroperitoneal, limited	—	$384	—	—	$384	avg	32
OB Ultrasound (limited) CPT 76815 Ultrasound, pregnant uterus, limited	—	$325	—	—	$325	avg	32
Transvaginal OB Ultrasound CPT 76817 Ultrasound, pregnant uterus, transvaginal	—	$336	—	—	$336	avg	32
Pelvic Ultrasound (limited) CPT 76857 Ultrasound, pelvic, limited or follow-up	—	$372	—	—	$372	avg	32
Scrotal Ultrasound CPT 76870 Ultrasound, scrotum and contents	—	$357	—	—	$357	avg	32
Extremity Ultrasound (complete) CPT 76881 Ultrasound, complete joint, real time	—	$278	—	—	$278	avg	32
Extremity Ultrasound (limited) CPT 76882 Ultrasound, limited, joint or focal evaluation	—	$268	—	—	$268	avg	32
Bone Age Study CPT 77072 Bone age studies	—	$205	—	—	$205	avg	32
Bone Length Studies CPT 77073 Bone length studies	—	$100	—	—	$100	avg	11
Bone Survey (complete) CPT 77075 Radiologic examination, osseous survey, complete	—	$406	—	—	$406	avg	32
DEXA Scan (Bone Density) CPT 77080 DXA bone density study, axial skeleton	—	$300	—	—	$300	avg	32
DEXA Scan (Peripheral) CPT 77081 DXA bone density study, appendicular skeleton	—	$253	—	—	$253	avg	32
DEXA Body Composition CPT 77085 DXA bone density study, body composition	—	$485	—	—	$485	avg	32
Bone Scan (whole body) CPT 78306 Bone imaging, whole body	—	$1,191	—	—	$1,191	avg	32
Cardiac PET Scan (Myocardial Perfusion) CPT 78429 Myocardial imaging, PET, perfusion study	—	$1,357	—	—	$1,357	avg	11
Nuclear Stress Test (Planar MPI) CPT 78451 Myocardial perfusion imaging, planar, single study	—	$1,830	—	—	$1,830	avg	32
PET Scan (limited) CPT 78815 PET for limited area other than heart or brain	—	$2,661	—	—	$2,661	avg	32
PET Scan (whole body) CPT 78816 PET for tumor, whole body	—	$2,813	—	—	$2,813	avg	32
Renal Function Panel CPT 80069 Renal function panel blood test	—	$82	—	—	$82	avg	32
Acute Hepatitis Panel CPT 80074 Acute hepatitis panel blood test	—	$215	—	—	$215	avg	32
Urinalysis (non-automated, with microscopy) CPT 81000 Urinalysis by dip stick or tablet reagent, non-automated, with microscopy	—	$5	—	—	$5	+3%	13
Urinalysis (non-automated, without microscopy) CPT 81002 Urinalysis without microscopy, non-automated	—	$4	—	—	$4	+12%	13
Albumin Level CPT 82040 Albumin, serum, plasma or whole blood	—	$51	—	—	$51	avg	32
Amylase Level CPT 82150 Amylase test	—	$52	—	—	$52	+1%	32
Bilirubin Total CPT 82247 Bilirubin, total	—	$43	—	—	$43	avg	32
Bilirubin Direct CPT 82248 Bilirubin, direct	—	$50	—	—	$50	avg	32
Calcium Level CPT 82310 Calcium, total	—	$47	—	—	$47	avg	32
CO2/Bicarbonate Level CPT 82374 Carbon dioxide (bicarbonate)	—	$46	—	—	$46	avg	32
Cholesterol Total CPT 82465 Cholesterol, serum or whole blood, total	—	$44	—	—	$44	+1%	32
CK/CPK (Creatine Kinase) CPT 82550 Creatine kinase (CK, CPK), total	—	$51	—	—	$51	avg	32
CK-MB (Heart) CPT 82553 Creatine kinase (CK), MB fraction	—	$76	—	—	$76	avg	32
Creatinine Level CPT 82565 Creatinine; blood	—	$51	—	—	$51	+1%	32
Vitamin B12 Level CPT 82607 Cyanocobalamin (Vitamin B-12)	—	$86	—	—	$86	avg	32
Estradiol Level CPT 82670 Estradiol	—	$74	—	—	$74	avg	32
Folic Acid Level CPT 82746 Folic acid, serum	—	$86	—	—	$86	avg	32
IgA Level CPT 82784 Gammaglobulin IgA	—	$64	—	—	$64	avg	32
Blood Gas Panel (ABG) CPT 82803 Gases, blood, any combination of pH, pCO2, pO2	—	$34	—	—	$34	-1%	13
Glucose (point of care) CPT 82962 Glucose, blood by glucose monitoring device	—	$40	—	—	$40	avg	32
FSH (Follicle Stimulating Hormone) CPT 83001 Gonadotropin, follicle stimulating hormone (FSH)	—	$86	—	—	$86	avg	32
LH (Luteinizing Hormone) CPT 83002 Gonadotropin, luteinizing hormone (LH)	—	$85	—	—	$85	avg	32
Iron Level CPT 83540 Iron	—	$62	—	—	$62	avg	32
Iron Binding Capacity (TIBC) CPT 83550 Iron binding capacity, total	—	$70	—	—	$70	avg	32
LDH (Lactate Dehydrogenase) CPT 83615 Lactate dehydrogenase (LD, LDH)	—	$55	—	—	$55	avg	32
Lipase Level CPT 83690 Lipase	—	$66	—	—	$66	+1%	32
Magnesium Level CPT 83735 Magnesium	—	$54	—	—	$54	avg	32
BNP (Brain Natriuretic Peptide) CPT 83880 Natriuretic peptide (BNP)	—	$118	—	—	$118	avg	32
Parathyroid Hormone (PTH) CPT 83970 Parathormone (parathyroid hormone, PTH)	—	$164	—	—	$164	avg	32
Alkaline Phosphatase CPT 84075 Phosphatase, alkaline	—	$45	—	—	$45	avg	32
Phosphorus Level CPT 84100 Phosphorus inorganic (phosphate)	—	$58	—	—	$58	+1%	32
Prealbumin Level CPT 84134 Prealbumin	—	$66	—	—	$66	-1%	32
Progesterone Level CPT 84144 Progesterone	—	$53	—	—	$53	-1%	32
Prolactin Level CPT 84146 Prolactin	—	$73	—	—	$73	avg	32
Testosterone Total CPT 84403 Testosterone, total	—	$87	—	—	$87	-1%	32
Thyroxine Total (T4) CPT 84436 Thyroxine, total	—	$77	—	—	$77	avg	32
Free Thyroxine (Free T4) CPT 84439 Thyroxine, free	—	$78	—	—	$78	-1%	32
Transferrin Level CPT 84466 Transferrin	—	$61	—	—	$61	-1%	32
Triglycerides CPT 84478 Triglycerides	—	$51	—	—	$51	avg	32
T3 (Triiodothyronine) Total CPT 84480 Triiodothyronine T3, total	—	$88	—	—	$88	avg	32
Free T3 CPT 84481 Triiodothyronine T3, free	—	$63	—	—	$63	avg	32
Troponin (Cardiac) CPT 84484 Troponin, quantitative	—	$82	—	—	$82	avg	32
BUN (Blood Urea Nitrogen) CPT 84520 Urea nitrogen, blood (BUN)	—	$45	—	—	$45	avg	32
Uric Acid Level CPT 84550 Uric acid, blood	—	$58	—	—	$58	avg	32
CBC (Automated) CPT 85027 Complete blood count, automated	—	$56	—	—	$56	avg	32
D-Dimer CPT 85379 Fibrin degradation products, D-dimer	—	$68	—	—	$68	avg	32
Sed Rate (ESR) CPT 85652 Sedimentation rate, erythrocyte; automated	—	$42	—	—	$42	-1%	32
PTT (Partial Thromboplastin Time) CPT 85730 Thromboplastin time, partial (PTT)	—	$48	—	—	$48	+1%	32
Allergen Specific IgE CPT 86003 Allergen specific IgE; quantitative or semiquantitative, each allergen	—	$54	—	—	$54	avg	32
C-Reactive Protein (CRP) CPT 86140 C-reactive protein	—	$59	—	—	$59	-1%	32
Cyclic Citrullinated Peptide (CCP) CPT 86200 Cyclic citrullinated peptide (CCP), antibody	—	$49	—	—	$49	-1%	32
Nuclear Antigen Antibody (ENA) CPT 86235 Extractable nuclear antigen (ENA) antibody	—	$64	—	—	$64	+1%	32
CA 125 Tumor Marker CPT 86300 Immunoassay for tumor antigen, CA 125	—	$92	—	—	$92	avg	32
CA 19-9 Tumor Marker CPT 86304 Immunoassay for tumor antigen, CA 19-9	—	$99	—	—	$99	avg	32
Rheumatoid Factor CPT 86431 Rheumatoid factor, quantitative	—	$51	—	—	$51	avg	32
TB Blood Test (QuantiFERON) CPT 86480 Tuberculosis test, cell mediated immunity antigen response	—	$120	—	—	$120	avg	32
Syphilis Test (RPR/VDRL) CPT 86592 Syphilis test, non-treponemal antibody; qualitative	—	$45	—	—	$45	+1%	32
Helicobacter Pylori Antibody CPT 86677 Antibody, Helicobacter pylori	—	$119	—	—	$119	avg	32
Herpes Simplex Antibody CPT 86695 Antibody, herpes simplex, type specific	—	$61	—	—	$61	+1%	32
Hepatitis A Antibody CPT 86696 Antibody, hepatitis A	—	$64	—	—	$64	-1%	32
Hepatitis B Core Antibody CPT 86704 Hepatitis B core antibody (HBcAb); total	—	$93	—	—	$93	avg	32
Hepatitis B Surface Antibody CPT 86706 Hepatitis B surface antibody (HBsAb)	—	$79	—	—	$79	-1%	32
Rubella Antibody CPT 86762 Antibody, rubella	—	$62	—	—	$62	-1%	32
Rubeola (Measles) Antibody CPT 86765 Antibody, rubeola	—	$51	—	—	$51	+1%	32
Varicella Antibody (Chickenpox) CPT 86787 Antibody, varicella-zoster	—	$61	—	—	$61	+1%	32
Hepatitis C Antibody CPT 86803 Hepatitis C antibody	—	$120	—	—	$120	avg	32
Antibody Screen (RBC) CPT 86850 Antibody screen, RBC, each serum technique	—	$91	—	—	$91	avg	32
Rh Blood Type CPT 86901 Blood typing, Rh (D)	—	$50	—	—	$50	-1%	32
Bacterial Culture CPT 87070 Culture, bacterial; any other source except urine, blood or stool	—	$60	—	—	$60	avg	32
Bacterial Culture (aerobic isolate) CPT 87077 Culture, bacterial; aerobic isolate, additional methods	—	$73	—	—	$73	avg	32
Culture, presumptive (screen) CPT 87081 Culture, presumptive, pathogenic organisms, screening only	—	$51	—	—	$51	-1%	32
Urine Culture CPT 87086 Culture, bacterial; quantitative colony count, urine	—	$49	—	—	$49	+1%	32
Chlamydia Culture CPT 87110 Culture, chlamydia	—	$68	—	—	$68	avg	32
Antibiotic Sensitivity (MIC) CPT 87186 Susceptibility studies, antimicrobial agent; microdilution or agar dilution	—	$68	—	—	$68	avg	32
Gram Stain CPT 87205 Smear, primary source with interpretation; Gram or Giemsa stain	—	$54	—	—	$54	avg	32
Hepatitis B Surface Antigen CPT 87340 Infectious agent antigen detection; hepatitis B surface antigen (HBsAg)	—	$76	—	—	$76	+1%	32
HIV-1/HIV-2 Antibody Test CPT 87389 HIV-1 and HIV-2, single result, immunoassay	—	$54	—	—	$54	-1%	32
Flu Test (PCR/molecular) CPT 87502 Infectious agent detection, influenza, multiplex reverse transcription	—	$123	—	—	$123	avg	13
Mycobacterium TB Detection CPT 87580 Infectious agent detection, Mycobacterium tuberculosis, amplified probe	—	$26	—	—	$26	-1%	13
HPV High-Risk Test CPT 87624 Infectious agent detection, human papillomavirus (HPV), high-risk types	—	$93	—	—	$93	avg	32
Strep Test (rapid) CPT 87880 Infectious agent antigen detection, Streptococcus, group A	—	$75	—	—	$75	+1%	32
Laceration Repair - Simple (2.5 cm or less) CPT 12001 Simple repair of superficial wounds, scalp/neck/extremities	—	$364	—	—	$364	avg	32
Laceration Repair - Simple (2.6-7.5 cm) CPT 12002 Simple repair of superficial wounds, 2.6-7.5 cm	—	$407	—	—	$407	avg	32
Laceration Repair - Simple (7.6-12.5 cm) CPT 12004 Simple repair of superficial wounds, 7.6-12.5 cm	—	$414	—	—	$414	avg	32
Laceration Repair - Face (2.5 cm or less) CPT 12011 Simple repair of superficial wounds of face, 2.5 cm or less	—	$390	—	—	$390	avg	32
Laceration Repair - Face (2.6-5.0 cm) CPT 12013 Simple repair of superficial wounds of face, 2.6-5.0 cm	—	$417	—	—	$417	avg	32
Laceration Repair - Intermediate (2.5 cm or less) CPT 12031 Repair, intermediate, wounds of scalp/trunk/extremities	—	$419	—	—	$419	avg	32
Laceration Repair - Intermediate (2.6-7.5 cm) CPT 12032 Repair, intermediate, wounds of scalp/trunk/extremities	—	$425	—	—	$425	avg	32
Laceration Repair - Intermediate Face (2.5 cm) CPT 12051 Repair, intermediate, wounds of face, 2.5 cm or less	—	$448	—	—	$448	avg	32
Laceration Repair - Intermediate Face (2.6-5.0 cm) CPT 12052 Repair, intermediate, wounds of face, 2.6-5.0 cm	—	$459	—	—	$459	avg	32
Burn Dressing (small) CPT 16020 Dressings and/or debridement of partial-thickness burns, small	—	$321	—	—	$321	avg	32
Burn Dressing (medium) CPT 16025 Dressings and/or debridement of partial-thickness burns, medium	—	$315	—	—	$315	avg	32
Closed Treatment Radial Head Fracture CPT 24640 Closed treatment of radial head subluxation (nursemaid elbow)	—	$296	—	—	$296	avg	32
Short Arm Splint CPT 29125 Application of short arm splint, forearm to hand	—	$266	—	—	$266	avg	32
Finger Splint CPT 29130 Application of finger splint	—	$265	—	—	$265	avg	32
Long Leg Splint CPT 29505 Application of long leg splint, thigh to ankle	—	$242	—	—	$242	avg	32
Short Leg Splint CPT 29515 Application of short leg splint, calf to foot	—	$242	—	—	$242	avg	32
Nasal Foreign Body Removal CPT 30300 Removal of foreign body from intranasal, office type	—	$241	—	—	$241	avg	32
Anterior Nasal Packing (nosebleed) CPT 30901 Control nasal hemorrhage, anterior, simple	—	$368	—	—	$368	avg	32
Anterior Nasal Packing (complex) CPT 30903 Control nasal hemorrhage, anterior, complex	—	$477	—	—	$477	avg	32
Endotracheal Intubation CPT 31500 Intubation, endotracheal, emergency procedure	—	$373	—	—	$373	avg	32
Chest Tube Insertion CPT 32551 Tube thoracostomy, insertion of chest tube	—	$1,101	—	—	$1,101	avg	32
IV Line Placement (peripheral) CPT 36000 Introduction of needle or intracatheter, vein	—	$119	—	—	$119	avg	32
Venipuncture (age 3+) CPT 36410 Venipuncture, age 3 years or older, necessitating physician skill	—	$118	—	—	$118	avg	32
Ear Foreign Body Removal CPT 69200 Removal of foreign body from external auditory canal	—	$260	—	—	$260	avg	32
Ear Wax Removal (Irrigation) CPT 69209 Removal impacted cerumen using irrigation/lavage	—	$165	—	—	$165	avg	32
IV Infusion (hydration, first hour) CPT 96360 Intravenous infusion, hydration, initial 31-60 minutes	—	$250	—	—	$250	avg	32
IV Infusion (hydration, additional hour) CPT 96361 Intravenous infusion, hydration, each additional hour	—	$114	—	—	$114	avg	32
IV Infusion (therapeutic, first hour) CPT 96365 Intravenous infusion for therapy/prophylaxis, initial up to 1 hour	—	$258	—	—	$258	avg	32
IV Infusion (therapeutic, additional hour) CPT 96366 Intravenous infusion for therapy, each additional hour	—	$121	—	—	$121	avg	32
IV Infusion (additional sequential) CPT 96367 Intravenous infusion, additional sequential infusion, up to 1 hour	—	$122	—	—	$122	avg	32
IV Push (each additional) CPT 96375 Therapeutic, prophylactic, or diagnostic injection; each additional sequential IV push	—	$122	—	—	$122	avg	32
IV Push (each additional, same drug) CPT 96376 Therapeutic injection, IV push, each additional sequential IV push of same substance	—	$130	—	—	$130	avg	26
Immunization Admin (through age 18) CPT 90460 Immunization administration through 18 years of age, first or only component	—	$21	—	—	$21	+2%	11
Immunization Admin - Additional Component CPT 90461 Immunization administration, each additional vaccine component	—	$8	—	—	$8	+2%	11
Immunization Admin (each additional) CPT 90472 Immunization administration, each additional vaccine	—	$49	—	—	$49	avg	32
Flu Vaccine (intradermal) CPT 90630 Influenza virus vaccine, intradermal, preservative free	—	$21	$21	$21–$21	$21	+1%	5
Hepatitis A Vaccine (adult) CPT 90632 Hepatitis A vaccine, adult dosage	—	$150	—	—	$150	avg	26
Hepatitis A & B Vaccine (combo) CPT 90636 Hepatitis A and hepatitis B vaccine, adult dosage	—	$135	—	—	$135	avg	3
Hib Vaccine CPT 90647 Haemophilus influenzae type b vaccine	—	$77	—	—	$77	avg	26
HPV Vaccine (9-valent) CPT 90651 Human papillomavirus vaccine, 9-valent, 3 dose schedule	—	$385	—	—	$385	avg	3
Pneumococcal Vaccine (PCV13) CPT 90670 Pneumococcal conjugate vaccine, 13 valent	—	$321	—	—	$321	avg	13
Rotavirus Vaccine CPT 90681 Rotavirus vaccine, human, attenuated	—	$116	—	—	$116	avg	3
Flu Vaccine (quadrivalent) CPT 90686 Influenza virus vaccine, quadrivalent, preservative free	—	$24	$24	$24–$24	$24	+1%	5
DTaP-IPV Vaccine CPT 90696 Diphtheria, tetanus, acellular pertussis and polio vaccine	—	$159	—	—	$159	avg	3
MMR Vaccine CPT 90707 Measles, mumps, rubella vaccine	—	$162	—	—	$162	avg	26
MMRV Vaccine CPT 90710 Measles, mumps, rubella, and varicella vaccine	—	$358	—	—	$358	avg	26
Polio Vaccine (IPV) CPT 90713 Poliovirus vaccine, inactivated	—	$883	—	—	$883	avg	26
Td Vaccine (adult) CPT 90714 Tetanus and diphtheria toxoids, adult, preservative free	—	$90	—	—	$90	avg	26
Varicella (Chickenpox) Vaccine CPT 90716 Varicella virus vaccine, live	—	$248	—	—	$248	avg	26
Pneumococcal Vaccine (PPSV23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent	—	$166	—	—	$166	avg	13
Shingles Vaccine (Zoster) CPT 90736 Zoster (shingles) vaccine, live	—	$139	—	—	$139	avg	3
Hepatitis B Vaccine (adult) CPT 90746 Hepatitis B vaccine, adult dosage	—	$88	—	—	$88	avg	13
Shingles Vaccine (Shingrix) CPT 90750 Zoster vaccine, recombinant, adjuvanted	—	$216	$216	$216–$216	$216	avg	5
Developmental Screening CPT 96110 Developmental screening with scoring and documentation	—	$11	—	—	$11	-3%	11
Brief Emotional/Behavioral Assessment CPT 96127 Brief emotional/behavioral assessment with scoring	—	$38	—	—	$38	+1%	11
Preventive Visit - New Infant CPT 99381 Initial comprehensive preventive visit, infant (under 1)	—	$102	—	—	$102	avg	11
Preventive Visit - New Child (1-4) CPT 99382 Initial comprehensive preventive visit, early childhood (1-4)	—	$107	—	—	$107	avg	11
Preventive Visit - New Child (5-11) CPT 99383 Initial comprehensive preventive visit, late childhood (5-11)	—	$111	—	—	$111	avg	11
Preventive Visit - New Adolescent (12-17) CPT 99384 Initial comprehensive preventive visit, adolescent (12-17)	—	$125	—	—	$125	avg	11
Preventive Visit - Established Infant CPT 99391 Periodic comprehensive preventive visit, infant (under 1)	—	$92	—	—	$92	avg	11
Preventive Visit - Established Child (1-4) CPT 99392 Periodic comprehensive preventive visit, early childhood (1-4)	—	$98	—	—	$98	avg	11
Preventive Visit - Established Child (5-11) CPT 99393 Periodic comprehensive preventive visit, late childhood (5-11)	—	$98	—	—	$98	avg	11
Preventive Visit - Established Adolescent (12-17) CPT 99394 Periodic comprehensive preventive visit, adolescent (12-17)	—	$107	—	—	$107	avg	11
Breast Biopsy (stereotactic) CPT 19081 Biopsy, breast, with placement of breast localization device, stereotactic guidance	—	$2,157	—	—	$2,157	avg	32
Breast Biopsy (ultrasound-guided) CPT 19083 Biopsy, breast, with placement of breast localization device, ultrasound guidance	—	$1,917	—	—	$1,917	avg	32
Breast Biopsy (MRI-guided) CPT 19084 Biopsy, breast, with placement of breast localization device, MRI guidance	—	$1,783	—	—	$1,783	avg	32
Mastopexy (Breast Lift) CPT 19316 Mastopexy	—	$8,274	—	—	$8,274	avg	12
Breast Augmentation (Implant) CPT 19325 Mammaplasty, augmentative	—	$10,960	—	—	$10,960	avg	12
Breast Implant Removal CPT 19328 Removal of intact mammary implant	—	$6,213	—	—	$6,213	avg	12
Breast Reconstruction (immediate) CPT 19340 Immediate insertion of breast prosthesis following mastopexy or mastectomy	—	$8,617	—	—	$8,617	avg	12
Vulvectomy (partial) CPT 56620 Vulvectomy, simple, partial	—	$4,389	—	—	$4,389	avg	12
Colposcopy (diagnostic) CPT 57420 Colposcopy of entire vagina, with cervix if present	—	$380	—	—	$380	avg	32
Colposcopy with Biopsy (cervix) CPT 57452 Colposcopy of cervix including upper adjacent vagina	—	$308	—	—	$308	avg	32
LEEP Procedure (cervix) CPT 57460 Colposcopy with loop electrode excision procedure of cervix	—	$1,916	—	—	$1,916	avg	32
Cervical Biopsy CPT 57500 Biopsy of cervix, single or multiple, or local excision	—	$999	—	—	$999	avg	32
Cervical Conization CPT 57520 Conization of cervix, with or without fulguration	—	$4,389	—	—	$4,389	avg	12
Dilation and Curettage (D&C) CPT 58120 Dilation and curettage, diagnostic and/or therapeutic	—	$4,389	—	—	$4,389	avg	12
Vaginal Hysterectomy CPT 58260 Vaginal hysterectomy, for uterus 250g or less	—	$7,144	—	—	$7,144	avg	12
Vaginal Hysterectomy with Tube/Ovary Removal CPT 58262 Vaginal hysterectomy with removal of tube(s) and/or ovary(s)	—	$7,144	—	—	$7,144	avg	12
Vaginal Hysterectomy (>250g) CPT 58291 Vaginal hysterectomy, for uterus greater than 250g	—	$7,487	—	—	$7,487	avg	12
Hysterosalpingography (HSG) CPT 58340 Catheterization and introduction of saline for sonohysterography	—	$290	—	—	$290	avg	32
Hysteroscopy (diagnostic) CPT 58555 Hysteroscopy, diagnostic, separate procedure	—	$4,389	—	—	$4,389	avg	12
Hysteroscopy with Biopsy/Polypectomy CPT 58558 Hysteroscopy, surgical, with sampling of endometrium	—	$4,389	—	—	$4,389	avg	12
Hysteroscopy with Ablation CPT 58563 Hysteroscopy, surgical, with endometrial ablation	—	$7,144	—	—	$7,144	avg	12
Tubal Ligation CPT 58600 Ligation or transection of fallopian tube(s), abdominal or vaginal approach	—	$4,389	—	—	$4,389	avg	12
Laparoscopy with Lysis of Adhesions CPT 58660 Laparoscopy, lysis of adhesions	—	$8,568	—	—	$8,568	avg	12
Laparoscopic Endometriosis Excision CPT 58662 Laparoscopy with fulguration or excision of lesions of ovary/peritoneum	—	$8,568	—	—	$8,568	avg	12
Laparoscopic Tubal Ligation CPT 58670 Laparoscopy, surgical, with fulguration of oviducts	—	$8,568	—	—	$8,568	avg	12
Amniocentesis CPT 59000 Amniocentesis, diagnostic	—	$728	—	—	$728	avg	32
Chorionic Villus Sampling CPT 59015 Chorionic villus sampling, any method	—	$1,969	—	—	$1,969	avg	12
Delivery of Placenta CPT 59414 Delivery of placenta (separate procedure)	—	$2,114	—	—	$2,114	avg	32
Incomplete Abortion Treatment CPT 59812 Treatment of incomplete abortion, any trimester, surgical	—	$4,389	—	—	$4,389	avg	12
Missed Abortion Treatment (first trimester) CPT 59820 Treatment of missed abortion, completed surgically, first trimester	—	$4,389	—	—	$4,389	avg	12
Maternity Care (unlisted) CPT 59899 Unlisted procedure, maternity care and delivery	—	$2,195	—	—	$2,195	avg	12
Incision and Drainage of Abscess (simple) CPT 10060 Incision and drainage of abscess, simple or single	—	$249	—	—	$249	avg	32
Incision and Drainage of Abscess (complex) CPT 10061 Incision and drainage of abscess, complicated or multiple	—	$374	—	—	$374	avg	32
Foreign Body Removal (skin, simple) CPT 10120 Incision and removal of foreign body, subcutaneous tissues, simple	—	$396	—	—	$396	avg	32
Foreign Body Removal (skin, complex) CPT 10121 Incision and removal of foreign body, subcutaneous tissues, complicated	—	$2,876	—	—	$2,876	avg	12
Incision and Drainage of Hematoma CPT 10140 Incision and drainage of hematoma, seroma, or fluid collection	—	$1,353	—	—	$1,353	avg	32
Aspiration of Abscess/Cyst CPT 10160 Puncture aspiration of abscess, hematoma, bulla, or cyst	—	$362	—	—	$362	avg	32
Debridement - Muscle/Fascia CPT 11043 Debridement, muscle and/or fascia, first 20 sq cm	—	$526	—	—	$526	avg	32
Breast Biopsy (needle, percutaneous) CPT 19100 Biopsy of breast, percutaneous, needle core	—	$1,220	—	—	$1,220	avg	32
Soft Tissue Excision (back/flank) CPT 21931 Excision, tumor, soft tissue of back or flank, subcutaneous	—	$3,460	—	—	$3,460	avg	12
Knee Cartilage Removal (arthrotomy) CPT 27332 Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee	—	$5,864	—	—	$5,864	avg	12
Pacemaker Insertion CPT 33208 Insertion of new or replacement of permanent pacemaker	—	$8,243	—	—	$8,243	avg	32
ICD (Defibrillator) Insertion CPT 33249 Insertion or replacement of permanent implantable defibrillator system	—	$22,399	—	—	$22,399	avg	32
Bone Marrow Aspiration CPT 38220 Diagnostic bone marrow aspiration(s)	—	$1,154	—	—	$1,154	avg	32
Bone Marrow Biopsy CPT 38221 Diagnostic bone marrow biopsy(ies)	—	$1,126	—	—	$1,126	avg	32
Lymph Node Biopsy/Excision (superficial) CPT 38500 Biopsy or excision of lymph node(s), superficial	—	$4,948	—	—	$4,948	avg	12
Lymph Node Biopsy/Excision (deep) CPT 38510 Biopsy or excision of lymph node(s), deep cervical	—	$4,948	—	—	$4,948	avg	12
Lip Biopsy CPT 40490 Biopsy of lip, vermilion	—	$868	—	—	$868	avg	12
Tongue Biopsy (anterior 2/3) CPT 41100 Biopsy of tongue, anterior two-thirds	—	$1,033	—	—	$1,033	avg	12
Salivary Stone Removal (Sialolithotomy) CPT 42330 Sialolithotomy, submandibular or sublingual, intraoral	—	$3,843	—	—	$3,843	avg	12
Drainage of Peritonsillar Abscess CPT 42700 Incision and drainage, abscess, peritonsillar	—	$353	—	—	$353	avg	32
Lysis of Abdominal Adhesions (open) CPT 44005 Enterolysis, freeing of intestinal adhesion	—	$1,812	—	—	$1,812	avg	12
Partial Colectomy CPT 44140 Colectomy, partial, with anastomosis	—	$1,947	—	—	$1,947	avg	12
Laparoscopic Partial Colectomy CPT 44204 Laparoscopic partial colectomy with anastomosis	—	$5,524	—	—	$5,524	avg	12
Appendectomy (open) CPT 44950 Appendectomy	—	$7,650	—	—	$7,650	avg	12
Liver Biopsy (needle) CPT 47000 Biopsy of liver, needle, percutaneous	—	$1,214	—	—	$1,214	avg	32
Exploratory Laparotomy CPT 49000 Exploratory laparotomy, exploratory celiotomy	—	$4,346	—	—	$4,346	avg	12
Diagnostic Laparoscopy CPT 49320 Laparoscopy, abdomen, diagnostic	—	$4,371	—	—	$4,371	avg	32
Incisional Hernia Repair CPT 49560 Repair initial incisional or ventral hernia, reducible	—	$8,592	—	—	$8,592	avg	1
Incisional Hernia Repair (incarcerated) CPT 49561 Repair initial incisional or ventral hernia, incarcerated or strangulated	—	$8,592	—	—	$8,592	avg	1
Laparoscopic Ventral Hernia Repair CPT 49652 Laparoscopy, repair of ventral hernia	—	$16,224	—	—	$16,224	avg	1
Laparoscopic Incisional Hernia Repair CPT 49653 Laparoscopy, repair of incisional hernia	—	$16,224	—	—	$16,224	avg	1
Kidney Biopsy (needle) CPT 50200 Renal biopsy, percutaneous, by trocar or needle	—	$1,309	—	—	$1,309	avg	32
Kidney Stone Removal (percutaneous) CPT 50080 Percutaneous nephrostolithotomy or pyelostolithotomy	—	$10,376	—	—	$10,376	avg	12
Cystoscopy with Ureteral Catheter CPT 52005 Cystourethroscopy, with ureteral catheterization	—	$3,009	—	—	$3,009	avg	32
Cystoscopy with Stent Removal CPT 52310 Cystourethroscopy, with removal of foreign body or ureteral stent	—	$1,888	—	—	$1,888	avg	32
Cystoscopy with Stent Insertion CPT 52332 Cystourethroscopy, with insertion of indwelling ureteral stent	—	$4,722	—	—	$4,722	avg	12
Cystoscopy with Lithotripsy CPT 52353 Cystourethroscopy, with lithotripsy	—	$7,575	—	—	$7,575	avg	12
Hydrocelectomy (excision) CPT 55040 Excision of hydrocele, unilateral	—	$6,034	—	—	$6,034	avg	12
Vasectomy CPT 55250 Vasectomy, unilateral or bilateral	—	$2,037	—	—	$2,037	avg	32
I&D of Bartholin Gland Abscess CPT 56405 Incision and drainage of vulva or perineal abscess	—	$354	—	—	$354	avg	32
Lumbar Puncture (spinal tap) CPT 62270 Lumbar puncture (spinal tap), diagnostic	—	$660	—	—	$660	avg	32
Interactive Complexity Add-on CPT 90785 Interactive complexity add-on to psych services	—	$14	—	—	$14	avg	11
Psychotherapy Add-on (16-37 min) CPT 90833 Psychotherapy, 16-37 min, add-on to E/M service	—	$71	—	—	$71	avg	11
Psychotherapy Add-on (38-52 min) CPT 90836 Psychotherapy, 38-52 min, add-on to E/M service	—	$90	—	—	$90	avg	11
Psychotherapy Add-on (53+ min) CPT 90838 Psychotherapy, 53+ min, add-on to E/M service	—	$119	—	—	$119	avg	11
Crisis Psychotherapy (first 60 min) CPT 90839 Psychotherapy for crisis, first 60 minutes	—	$157	—	—	$157	avg	11
Crisis Psychotherapy (additional 30 min) CPT 90840 Psychotherapy for crisis, each additional 30 minutes	—	$71	—	—	$71	avg	11
Family Psychotherapy (without patient) CPT 90846 Family psychotherapy without patient present	—	$157	—	—	$157	avg	11
TMS Treatment (Transcranial Magnetic Stimulation) CPT 90867 Therapeutic repetitive transcranial magnetic stimulation treatment	—	$304	—	—	$304	avg	11
Electroconvulsive Therapy (ECT) CPT 90870 Electroconvulsive therapy	—	$729	—	—	$729	avg	34
Biofeedback Training CPT 90875 Individual psychophysiological therapy with biofeedback training	—	$55	—	—	$55	avg	11
Biofeedback Training (other) CPT 90901 Biofeedback training by any modality	—	$38	—	—	$38	avg	11
Neuropsychological Testing (first hour) CPT 96132 Neuropsychological testing evaluation services, first hour	—	$518	—	—	$518	avg	11
Neuropsychological Testing (additional hour) CPT 96133 Neuropsychological testing evaluation services, each additional hour	—	$92	—	—	$92	avg	11
Psychological Test Administration (first 30 min) CPT 96136 Psychological or neuropsychological test administration, first 30 minutes	—	$126	—	—	$126	avg	11
Psychological Test Administration (additional 30 min) CPT 96137 Psychological or neuropsychological test administration, each additional 30 min	—	$35	—	—	$35	avg	11
Health Behavior Assessment CPT 96156 Health behavior assessment or reassessment	—	$90	—	—	$90	avg	11
Health Behavior Intervention (first 30 min) CPT 96158 Health behavior intervention, individual, first 30 minutes	—	$157	—	—	$157	avg	11
Cervical Epidural Injection CPT 62320 Injection, including indwelling catheter placement, cervical or thoracic	—	$736	—	—	$736	avg	32
Cervical Epidural with Imaging CPT 62321 Injection, cervical or thoracic with imaging guidance	—	$918	—	—	$918	avg	32
Trigeminal Nerve Block CPT 64400 Injection, anesthetic agent; trigeminal nerve	—	$381	—	—	$381	avg	32
Greater Occipital Nerve Block CPT 64405 Injection, anesthetic agent; greater occipital nerve	—	$363	—	—	$363	avg	32
Brachial Plexus Block CPT 64415 Injection, anesthetic agent; brachial plexus, single	—	$1,052	—	—	$1,052	avg	32
Femoral Nerve Block CPT 64447 Injection, anesthetic agent; femoral nerve, single	—	$969	—	—	$969	avg	32
Peripheral Nerve Block CPT 64450 Injection, anesthetic agent; other peripheral nerve or branch	—	$615	—	—	$615	avg	32
Cervical Transforaminal Epidural CPT 64479 Injection, anesthetic agent and/or steroid, transforaminal epidural, cervical or thoracic	—	$942	—	—	$942	avg	32
Transforaminal Epidural (additional level) CPT 64484 Injection, transforaminal epidural, lumbar or sacral, each additional level	—	$361	—	—	$361	avg	32
Facet Joint Injection - Cervical (first level) CPT 64490 Injection, diagnostic or therapeutic agent, paravertebral facet joint, cervical or thoracic, first level	—	$1,046	—	—	$1,046	avg	32
Facet Joint Injection - Cervical (second level) CPT 64491 Injection, paravertebral facet joint, cervical or thoracic, second level	—	$320	—	—	$320	avg	32
Facet Joint Injection - Lumbar (second level) CPT 64494 Injection, paravertebral facet joint, lumbar or sacral, second level	—	$231	—	—	$231	avg	32
Botox Injection for Migraine CPT 64615 Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, for chronic migraine	—	$905	—	—	$905	avg	12
Intercostal Nerve Destruction CPT 64625 Destruction by neurolytic agent, intercostal nerve	—	$1,763	—	—	$1,763	avg	32
Facet Joint Destruction - Cervical (first level) CPT 64633 Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, single level	—	$1,720	—	—	$1,720	avg	32
Facet Joint Destruction - Cervical (additional level) CPT 64634 Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, each additional level	—	$332	—	—	$332	avg	32
Facet Joint Destruction - Lumbar (additional level) CPT 64636 Destruction by neurolytic agent, paravertebral facet joint nerve, lumbar or sacral, each additional level	—	$870	—	—	$870	avg	32
Fluoroscopic Guidance CPT 77003 Fluoroscopic guidance and localization of needle or catheter tip	—	$279	—	—	$279	avg	32
Pacemaker Insertion (ventricular) CPT 33207 Insertion of new or replacement of permanent pacemaker, ventricular	—	$7,911	—	—	$7,911	avg	32
Leadless Pacemaker Insertion CPT 33274 Transcatheter insertion or replacement of permanent leadless pacemaker	—	$11,902	—	—	$11,902	avg	32
Coronary Angioplasty (single vessel) CPT 92920 Percutaneous transluminal coronary angioplasty, single vessel	—	$7,984	—	—	$7,984	avg	32
Stress Test - Tracing Only CPT 93017 Cardiovascular stress test, tracing only, without interpretation	—	$683	—	—	$683	avg	32
Holter Monitor (recording) CPT 93225 External electrocardiographic recording, up to 48 hours, recording	—	$341	—	—	$341	avg	32
Holter Monitor (review/interpretation) CPT 93226 External electrocardiographic recording, review and interpretation	—	$58	—	—	$58	avg	11
Mobile Cardiac Telemetry (up to 30 days) CPT 93228 External mobile cardiovascular telemetry with ECG recording	—	$23	—	—	$23	+2%	11
Event Monitor (up to 30 days) CPT 93268 External patient and, when performed, auto activated electrocardiographic rhythm derived event recording	—	$157	—	—	$157	avg	11
Transthoracic Echocardiogram (follow-up) CPT 93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up	—	$784	—	—	$784	avg	32
Echocardiogram (2D, limited) CPT 93307 Echocardiography, transthoracic, real-time, 2D, limited study	—	$236	—	—	$236	avg	11
Echocardiogram (follow-up/limited) CPT 93308 Echocardiography, transthoracic, follow-up or limited study	—	$472	—	—	$472	avg	32
Transesophageal Echocardiogram (TEE) CPT 93312 Echocardiography, transesophageal, real-time with image documentation	—	$1,289	—	—	$1,289	avg	32
Doppler Echocardiography (complete) CPT 93320 Doppler echocardiography, pulsed wave and/or continuous wave, complete	—	$572	—	—	$572	avg	32
Doppler Color Flow Add-on CPT 93325 Doppler echocardiography color flow velocity mapping, add-on	—	$392	—	—	$392	avg	32
Right Heart Catheterization CPT 93451 Right heart catheterization	—	$5,184	—	—	$5,184	avg	32
Coronary Angiography CPT 93454 Catheter placement in coronary artery for coronary angiography	—	$6,531	—	—	$6,531	avg	32
Ankle-Brachial Index (ABI) CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries	—	$264	—	—	$264	avg	32
Complete Bilateral Extremity Study CPT 93923 Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries	—	$407	—	—	$407	avg	32
Lower Extremity Arterial Duplex CPT 93925 Duplex scan of lower extremity arteries, complete bilateral study	—	$627	—	—	$627	avg	32
Venous Duplex Scan (complete) CPT 93970 Duplex scan of extremity veins, complete bilateral study	—	$647	—	—	$647	avg	32
Aorta/IVC/Iliac Duplex Scan CPT 93978 Duplex scan of aorta, inferior vena cava, iliac vasculature	—	$486	—	—	$486	avg	32
Cytopathology (fluids) CPT 88104 Cytopathology, fluids, washings or brushings, smears with interpretation	—	$49	—	—	$49	-1%	12
Cytopathology (concentration technique) CPT 88108 Cytopathology, concentration technique, smears and interpretation	—	$149	—	—	$149	avg	32
Cytopathology (selective cellular enhancement) CPT 88112 Cytopathology, selective cellular enhancement technique with interpretation	—	$155	—	—	$155	avg	32
Pap Smear - Physician Interpretation CPT 88141 Cytopathology, cervical or vaginal, requiring interpretation by physician	—	$30	—	—	$30	-1%	12
Pap Smear - ThinPrep (automated) CPT 88142 Cytopathology, cervical or vaginal, collected in preservative fluid, automated thin layer	—	$26	—	—	$26	+1%	12
Cytopathology (smears, any source) CPT 88160 Cytopathology, smears, any other source, screening and interpretation	—	$47	—	—	$47	-1%	32
Flow Cytometry (first marker) CPT 88184 Flow cytometry, cell surface, cytoplasmic, or nuclear marker, first marker	—	$210	—	—	$210	avg	32
Flow Cytometry (each additional marker) CPT 88185 Flow cytometry, each additional marker	—	$61	—	—	$61	avg	32
Surgical Pathology (gross only) CPT 88300 Level I surgical pathology, gross examination only	—	$64	—	—	$64	avg	32
Surgical Pathology (gross & micro) CPT 88302 Level II surgical pathology, gross and microscopic examination	—	$111	—	—	$111	avg	32
Surgical Pathology (Level III) CPT 88304 Level III surgical pathology	—	$142	—	—	$142	avg	32
Surgical Pathology (Level IV) CPT 88305 Level IV surgical pathology, each specimen	—	$153	—	—	$153	avg	32
Surgical Pathology (Level V) CPT 88307 Level V surgical pathology, each specimen	—	$959	—	—	$959	avg	32
Surgical Pathology (Level VI) CPT 88309 Level VI surgical pathology, each specimen	—	$520	—	—	$520	avg	32
Special Stain (Group I) CPT 88312 Special stain including interpretation and report, Group I	—	$114	—	—	$114	avg	32
Immunohistochemistry (first antibody) CPT 88342 Immunohistochemistry, each antibody, per specimen, first stain	—	$163	—	—	$163	avg	32
PT - Traction (mechanical) CPT 97012 Application of modality, traction, mechanical	—	$146	—	—	$146	avg	32
PT - Electrical Stimulation (attended) CPT 97014 Application of modality, electrical stimulation, attended	—	$105	—	—	$105	avg	32
PT - Electrical Stimulation (manual) CPT 97032 Application of modality, electrical stimulation, manual	—	$107	—	—	$107	avg	32
PT - Neuromuscular Re-education CPT 97112 Therapeutic procedure, neuromuscular reeducation	—	$109	—	—	$109	avg	32
PT - Aquatic Therapy CPT 97113 Therapeutic procedure, aquatic therapy with therapeutic exercises	—	$36	—	—	$36	-1%	11
PT - Massage Therapy CPT 97124 Therapeutic procedure, massage, including effleurage and petrissage	—	$29	—	—	$29	avg	11
PT - Group Therapeutic Procedures CPT 97150 Therapeutic procedure(s), group (2 or more individuals)	—	$17	—	—	$17	avg	11
PT Re-evaluation CPT 97164 Re-evaluation of physical therapy established plan of care	—	$135	—	—	$135	avg	32
Wheelchair Management Training CPT 97542 Wheelchair management/propulsion training	—	$98	—	—	$98	avg	32
Orthotic Management/Training CPT 97760 Orthotic(s) management and training, initial encounter	—	$113	—	—	$113	avg	32
Prosthetic Training CPT 97761 Prosthetic(s) training, initial encounter	—	$106	—	—	$106	avg	32
Orthotic/Prosthetic Checkout CPT 97763 Orthotic/prosthetic management, subsequent encounter	—	$121	—	—	$121	avg	32
Medical Nutrition Therapy (initial) CPT 97802 Medical nutrition therapy, initial assessment and intervention, individual	—	$35	—	—	$35	-1%	11
Medical Nutrition Therapy (follow-up) CPT 97803 Medical nutrition therapy, re-assessment and intervention, individual	—	$30	—	—	$30	+1%	11
OT Evaluation - Low Complexity CPT 97165 Occupational therapy evaluation, low complexity	—	$190	—	—	$190	avg	32
OT Evaluation - Moderate Complexity CPT 97166 Occupational therapy evaluation, moderate complexity	—	$203	—	—	$203	avg	32
OT Evaluation - High Complexity CPT 97167 Occupational therapy evaluation, high complexity	—	$223	—	—	$223	avg	32
OT Re-evaluation CPT 97168 Re-evaluation of occupational therapy established plan of care	—	$126	—	—	$126	avg	32
Speech Therapy (individual) CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder, individual	—	$171	—	—	$171	avg	32
Evaluation of Speech Fluency CPT 92521 Evaluation of speech fluency (stuttering, cluttering)	—	$184	—	—	$184	avg	32
Evaluation of Speech Production CPT 92522 Evaluation of speech sound production	—	$202	—	—	$202	avg	32
Evaluation of Speech and Language CPT 92523 Evaluation of speech sound production with evaluation of language comprehension	—	$282	—	—	$282	avg	32
Swallowing Function Evaluation CPT 92610 Evaluation of oral and pharyngeal swallowing function	—	$219	—	—	$219	avg	32
Initial Hospital Care - Low CPT 99221 Initial hospital inpatient or observation care, low severity	—	$75	—	—	$75	avg	11
Initial Hospital Care - Moderate CPT 99222 Initial hospital inpatient or observation care, moderate severity	—	$120	—	—	$120	avg	11
Initial Hospital Care - High CPT 99223 Initial hospital inpatient or observation care, high severity	—	$160	—	—	$160	avg	11
Subsequent Hospital Care - Low CPT 99231 Subsequent hospital inpatient or observation care, low complexity	—	$45	—	—	$45	avg	11
Subsequent Hospital Care - Moderate CPT 99232 Subsequent hospital inpatient or observation care, moderate complexity	—	$73	—	—	$73	avg	11
Subsequent Hospital Care - High CPT 99233 Subsequent hospital inpatient or observation care, high complexity	—	$109	—	—	$109	avg	11
Hospital Discharge Day (30 min or less) CPT 99238 Hospital inpatient or observation discharge day management, 30 min or less	—	$75	—	—	$75	avg	11
Hospital Discharge Day (>30 min) CPT 99239 Hospital inpatient or observation discharge day management, more than 30 min	—	$106	—	—	$106	avg	11
Adrenaline (Epinephrine) Injection CPT J0171 Injection, adrenalin, epinephrine, 0.1 mg	—	$1	$1	$1–$1	$1	-24%	5
Botulinum Toxin A (Botox) Injection CPT J0585 Injection, onabotulinumtoxinA, 1 unit	—	$595	—	—	$595	avg	32
Testosterone Injection CPT J1071 Injection, testosterone cypionate, 1 mg	—	$0	$0	$0–$0	—	—	5
Diphenhydramine (Benadryl) Injection CPT J1200 Injection, diphenhydramine HCl, up to 50 mg	—	$1	$1	$1–$1	$1	-2%	5
Heparin Injection (per 10 units) CPT J1642 Injection, heparin sodium, per 10 units	—	$0	$0	$0–$0	—	—	5
Ketorolac (Toradol) Injection CPT J1885 Injection, ketorolac tromethamine, per 15 mg	—	$0	$0	$0–$0	—	—	5
Meperidine (Demerol) Injection CPT J2175 Injection, meperidine hydrochloride, per 100 mg	—	$60	—	—	$60	+1%	26
Midazolam Injection CPT J2250 Injection, midazolam hydrochloride, per 1 mg	—	$0	$0	$0–$0	—	—	5
Morphine Injection CPT J2270 Injection, morphine sulfate, up to 10 mg	—	$53	—	—	$53	+1%	26
Ondansetron (Zofran) Injection CPT J2405 Injection, ondansetron hydrochloride, per 1 mg	—	$0	$0	$0–$0	—	—	5
Promethazine (Phenergan) Injection CPT J2550 Injection, promethazine HCl, up to 50 mg	—	$5	—	—	$5	+1%	5
Propofol Injection CPT J2704 Injection, propofol, 10 mg	—	$0	$0	$0–$0	—	—	5
Ropivacaine Injection CPT J2795 Injection, ropivacaine hydrochloride, 1 mg	—	$0	$0	$0–$0	—	—	5
Fentanyl Injection CPT J3010 Injection, fentanyl citrate, 0.1 mg	—	$1	$1	$1–$1	$1	+5%	5
Normal Saline (1000 ml) CPT J7120 Ringers lactate infusion, up to 1000 cc	—	$4	—	—	$4	-4%	5
Normal Saline Infusion (1000 cc) CPT J7030 Infusion, normal saline solution, 1000 cc	—	$4	—	—	$4	-6%	5
Normal Saline with Dextrose (500 ml) CPT J7040 Infusion, normal saline solution, sterile, 500 ml	—	$2	—	—	$2	+4%	5
Normal Saline Infusion (250 cc) CPT J7050 Infusion, normal saline solution, 250 cc	—	$1	$1	$1–$1	$1	-23%	5
Bronchoscopy with Lavage CPT 31624 Bronchoscopy with bronchial alveolar lavage	—	$2,938	—	—	$2,938	avg	12
Bronchoscopy with Biopsy CPT 31625 Bronchoscopy with bronchial or endobronchial biopsy	—	$2,938	—	—	$2,938	avg	12
Spirometry (Breathing Test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity	—	$199	—	—	$199	avg	32
Bronchospasm Evaluation CPT 94060 Bronchodilation responsiveness, spirometry before and after bronchodilator	—	$430	—	—	$430	avg	32
Vital Capacity Test CPT 94150 Vital capacity, total	—	$134	—	—	$134	avg	32
Respiratory Flow Volume Loop CPT 94375 Respiratory flow volume loop	—	$304	—	—	$304	avg	11
Nebulizer Treatment CPT 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction	—	$151	—	—	$151	avg	32
CPAP Initiation CPT 94660 Continuous positive airway pressure ventilation (CPAP), initiation and management	—	$181	—	—	$181	avg	32
Lung Volume Test (Plethysmography) CPT 94726 Plethysmography for determination of lung volumes and capacity	—	$304	—	—	$304	avg	11
DLCO Test (Diffusing Capacity) CPT 94729 Diffusing capacity of carbon monoxide	—	$52	—	—	$52	avg	11
Pulse Oximetry (multiple readings) CPT 94761 Noninvasive ear or pulse oximetry for oxygen saturation, multiple determinations	—	$160	—	—	$160	avg	32
Sleep Study (Polysomnography) CPT 95810 Polysomnography, 6 or more hours of sleep, comprehensive	—	$2,333	—	—	$2,333	avg	32
Sleep Study with CPAP CPT 95811 Polysomnography with CPAP titration	—	$2,418	—	—	$2,418	avg	32
Comprehensive Audiometry CPT 92557 Comprehensive audiometry threshold evaluation and speech recognition	—	$153	—	—	$153	avg	11
Tympanometry CPT 92567 Tympanometry (impedance testing)	—	$71	—	—	$71	avg	32
Eye Exam (new, intermediate) CPT 92002 Ophthalmological services, new patient, intermediate	—	$126	—	—	$126	avg	11
Eye Exam (new, comprehensive) CPT 92004 Ophthalmological services, new patient, comprehensive	—	$126	—	—	$126	avg	11
Eye Exam (established, intermediate) CPT 92012 Ophthalmological services, established patient, intermediate	—	$126	—	—	$126	avg	11
Eye Exam (established, comprehensive) CPT 92014 Ophthalmological services, established patient, comprehensive	—	$126	—	—	$126	avg	11
Refraction (eyeglass prescription) CPT 92015 Determination of refractive state	—	$18	—	—	$18	-1%	11
Visual Field Exam CPT 92083 Visual field examination, unilateral or bilateral, with interpretation	—	$126	—	—	$126	avg	11
OCT Scan (optic nerve) CPT 92133 Scanning computerized ophthalmic diagnostic imaging, posterior segment, optic nerve	—	$58	—	—	$58	avg	11
OCT Scan (retina) CPT 92134 Scanning computerized ophthalmic diagnostic imaging, posterior segment, retina	—	$58	—	—	$58	avg	11
Corneal Topography (IOL calculation) CPT 92136 Ophthalmic biometry by partial coherence interferometry with IOL power calculation	—	$126	—	—	$126	avg	11
Fundus Photography CPT 92250 Fundus photography with interpretation and report	—	$126	—	—	$126	avg	11
Intravitreal Injection CPT 67028 Intravitreal injection of a pharmacologic agent	—	$927	—	—	$927	avg	12
Corneal Transplant (lamellar) CPT 65710 Keratoplasty (corneal transplant), lamellar	—	$7,620	—	—	$7,620	avg	12
Allergy Skin Testing (percutaneous) CPT 95004 Percutaneous tests with allergenic extracts, immediate type reaction	—	$992	—	—	$992	avg	11
Allergy Skin Testing (intracutaneous) CPT 95024 Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction	—	$58	—	—	$58	avg	11
Allergy Immunotherapy (single injection) CPT 95115 Professional services for allergen immunotherapy, single injection	—	$45	—	—	$45	avg	11
Allergy Immunotherapy (2+ injections) CPT 95117 Professional services for allergen immunotherapy, 2 or more injections	—	$45	—	—	$45	avg	11
Allergy Antigen Preparation (multi-dose) CPT 95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multi-dose vials	—	$45	—	—	$45	avg	11
Major Hip and Knee Joint Replacement without MCC CPT 469 Total hip or knee replacement without major complications	—	$48,848	—	—	$48,848	avg	19
Major Hip and Knee Joint Replacement without CC/MCC CPT 470 Total hip or knee replacement without complications or comorbidities	—	$31,174	—	—	$31,174	avg	19
Major Hip and Knee Joint Replacement with MCC CPT 468 Total hip or knee replacement with major complications	—	$44,283	—	—	$44,283	avg	19
Hip and Femur Procedures without MCC CPT 480 Hip fracture repair or femur procedures without major complications	—	$46,913	—	—	$46,913	avg	19
Hip and Femur Procedures without CC/MCC CPT 481 Hip fracture repair or femur procedures without complications	—	$33,825	—	—	$33,825	avg	19
Hip and Femur Procedures with MCC CPT 479 Hip fracture repair or femur procedures with major complications	—	$30,054	—	—	$30,054	avg	19
Cervical Spinal Fusion without CC/MCC CPT 473 Cervical spine fusion surgery without complications	—	$39,375	—	—	$39,375	avg	19
Cervical Spinal Fusion without MCC CPT 472 Cervical spine fusion without major complications	—	$47,454	—	—	$47,454	avg	19
Cervical Spinal Fusion with MCC CPT 471 Cervical spine fusion with major complications	—	$77,583	—	—	$77,583	avg	19
Bilateral or Multiple Major Joint Procedures CPT 461 Bilateral joint replacement or multiple major joint procedures	—	$88,695	—	—	$88,695	avg	19
Coronary Bypass without MCC CPT 236 CABG surgery without major complications	—	$67,342	—	—	$67,342	avg	19
Coronary Bypass with MCC CPT 235 CABG surgery with major complications	—	$94,226	—	—	$94,226	avg	19
Heart Failure and Shock with MCC CPT 291 Inpatient treatment for heart failure with major complications	—	$20,850	—	—	$20,850	avg	19
Heart Failure and Shock with CC CPT 292 Inpatient treatment for heart failure with complications	—	$13,891	—	—	$13,891	avg	19
Heart Failure and Shock without CC/MCC CPT 293 Inpatient treatment for heart failure without complications	—	$9,362	—	—	$9,362	avg	19
Cardiac Valve Procedures with CC CPT 216 Heart valve repair or replacement with complications	—	$156,870	—	—	$156,870	avg	19
Vaginal Delivery with OR Procedures CPT 768 Vaginal delivery requiring operating room procedures	—	$10,059	—	—	$10,059	avg	19
Respiratory Infections and Inflammations with MCC CPT 177 Pneumonia or respiratory infections with major complications	—	$25,314	—	—	$25,314	avg	19
Respiratory Infections and Inflammations with CC CPT 178 Pneumonia or respiratory infections with complications	—	$15,924	—	—	$15,924	avg	19
Simple Pneumonia and Pleurisy with MCC CPT 193 Uncomplicated pneumonia with major complications	—	$21,340	—	—	$21,340	avg	19
Simple Pneumonia and Pleurisy with CC CPT 194 Uncomplicated pneumonia with complications	—	$13,202	—	—	$13,202	avg	19
Simple Pneumonia and Pleurisy without CC/MCC CPT 195 Uncomplicated pneumonia without complications	—	$10,362	—	—	$10,362	avg	19
Major Small and Large Bowel Procedures with MCC CPT 329 Bowel resection or major intestinal surgery with major complications	—	$73,867	—	—	$73,867	avg	19
Major Small and Large Bowel Procedures with CC CPT 330 Bowel resection or major intestinal surgery with complications	—	$38,669	—	—	$38,669	avg	19
Major Small and Large Bowel Procedures without CC/MCC CPT 331 Bowel resection without complications	—	$27,237	—	—	$27,237	avg	19
GI Hemorrhage with MCC CPT 377 Gastrointestinal bleeding with major complications	—	$29,560	—	—	$29,560	avg	19
GI Hemorrhage with CC CPT 378 Gastrointestinal bleeding with complications	—	$15,999	—	—	$15,999	avg	19
Intracranial Hemorrhage or Cerebral Infarction with MCC CPT 064 Stroke with major complications	—	$32,488	—	—	$32,488	avg	19
Intracranial Hemorrhage or Cerebral Infarction with CC CPT 065 Stroke with complications	—	$16,473	—	—	$16,473	avg	19
Intracranial Hemorrhage or Cerebral Infarction without CC/MCC CPT 066 Stroke without complications	—	$11,257	—	—	$11,257	avg	19
Renal Failure with MCC CPT 682 Acute or chronic kidney failure with major complications	—	$24,006	—	—	$24,006	avg	19
Renal Failure with CC CPT 683 Acute or chronic kidney failure with complications	—	$14,320	—	—	$14,320	avg	19
Renal Failure without CC/MCC CPT 684 Acute or chronic kidney failure without complications	—	$9,911	—	—	$9,911	avg	19
Septicemia or Severe Sepsis with MV >96 Hours CPT 870 Severe sepsis requiring extended ventilator support	—	$110,922	—	—	$110,922	avg	19
Septicemia or Severe Sepsis without MV >96 Hours with MCC CPT 871 Sepsis with major complications	—	$31,392	—	—	$31,392	avg	19
Septicemia or Severe Sepsis without MV >96 Hours without MCC CPT 872 Sepsis without major complications	—	$16,681	—	—	$16,681	avg	19
Rehabilitation with CC/MCC CPT 945 Inpatient rehabilitation with complications	—	$9,706	—	—	$9,706	avg	19
Rehabilitation without CC/MCC CPT 946 Inpatient rehabilitation without complications	—	$7,733	—	—	$7,733	avg	19
Hip Replacement with Hip Fracture with MCC CPT 521 Hip replacement after hip fracture with major complications	—	$46,239	—	—	$46,239	avg	19
Hip Replacement with Hip Fracture without MCC CPT 522 Hip replacement after hip fracture without major complications	—	$34,196	—	—	$34,196	avg	19
Respiratory System Diagnosis with Ventilator Support >96 Hours CPT 207 Extended ventilator support for respiratory failure	—	$103,286	—	—	$103,286	avg	19
Respiratory System Diagnosis with Ventilator Support ≤96 Hours CPT 208 Short-term ventilator support for respiratory failure	—	$44,295	—	—	$44,295	avg	19
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.	—	$4,473	$5,431	$1,068–$5,431	$4,473	avg	6
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.	—	$4,556	$5,431	$1,367–$5,431	$4,556	avg	6
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.	—	$4,558	$5,431	$1,383–$5,431	$4,558	avg	6
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.	—	$4,456	$5,431	$1,019–$5,431	$4,456	avg	6
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.	—	$4,548	$5,431	$1,290–$5,431	$4,548	avg	6
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.	—	$4,594	$5,431	$1,625–$5,431	$4,594	avg	6
Tummy Tuck (Abdominoplasty) CPT 15830 Tummy Tuck (Abdominoplasty) — CPT code 15830 covers tummy tuck (abdominoplasty) performed in a clinical or hospital setting.	—	$6,044	$6,044	$6,044–$6,044	$6,044	avg	5
Body Contouring - Thigh Lift CPT 15832 Body Contouring - Thigh Lift — CPT code 15832 covers body contouring - thigh lift performed in a clinical or hospital setting.	—	$2,627	$2,627	$2,627–$2,627	$2,627	avg	5
Body Contouring - Leg Lift CPT 15833 Body Contouring - Leg Lift — CPT code 15833 covers body contouring - leg lift performed in a clinical or hospital setting.	—	$2,627	$2,627	$2,627–$2,627	$2,627	avg	5
Body Contouring - Hip Lift CPT 15834 Body Contouring - Hip Lift — CPT code 15834 covers body contouring - hip lift performed in a clinical or hospital setting.	—	$2,627	$2,627	$2,627–$2,627	$2,627	avg	5
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.	—	$2,627	$2,627	$2,627–$2,627	$2,627	avg	5
Body Contouring - Arm Lift (Brachioplasty) CPT 15836 Body Contouring - Arm Lift (Brachioplasty) — CPT code 15836 covers body contouring - arm lift (brachioplasty) performed in a clinical or hospital setting.	—	$2,627	$2,627	$2,627–$2,627	$2,627	avg	5
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.	—	$2,627	$2,627	$2,627–$2,627	$2,627	avg	5
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.	—	$2,627	$2,627	$2,627–$2,627	$2,627	avg	5
Body Contouring - Other Area CPT 15839 Body Contouring - Other Area — CPT code 15839 covers body contouring - other area performed in a clinical or hospital setting.	—	$2,627	$2,627	$2,627–$2,627	$2,627	avg	5
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.	—	$1,755	$1,755	$1,755–$1,755	$1,755	avg	5
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.	—	$1,755	$1,755	$1,755–$1,755	$1,755	avg	5
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.	—	$1,755	$1,755	$1,755–$1,755	$1,755	avg	5
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.	—	$1,755	$1,755	$1,755–$1,755	$1,755	avg	5
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.	—	$3,308	$3,308	$3,308–$3,308	$3,308	avg	5
Liposuction - Trunk/Abdomen CPT 15877 Liposuction - Trunk/Abdomen — CPT code 15877 covers liposuction - trunk/abdomen performed in a clinical or hospital setting.	—	$3,308	$3,308	$3,308–$3,308	$3,308	avg	5
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.	—	$1,755	$1,755	$1,755–$1,755	$1,755	avg	5
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.	—	$3,308	$3,308	$3,308–$3,308	$3,308	avg	5
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.	—	$1,755	$1,755	$1,755–$1,755	$1,755	avg	5
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.	—	$3,308	$3,308	$3,308–$3,308	$3,308	avg	5
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.	—	$3,308	$3,308	$3,308–$3,308	$3,308	avg	5
Facelift - Cheek, Chin & Neck (Rhytidectomy) CPT 15828 Facelift - Cheek, Chin & Neck (Rhytidectomy) — CPT code 15828 covers facelift - cheek, chin & neck (rhytidectomy) performed in a clinical or hospital setting.	—	$3,308	$3,308	$3,308–$3,308	$3,308	avg	5
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.	—	$3,308	$3,308	$3,308–$3,308	$3,308	avg	5
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.	—	$2,150	$2,150	$2,150–$2,150	$2,150	avg	5
Ear Pinning (Otoplasty) CPT 69300 Ear Pinning (Otoplasty) — CPT code 69300 covers ear pinning (otoplasty) performed in a clinical or hospital setting.	—	$2,893	$2,893	$2,893–$2,893	$2,893	avg	5
Chin Implant (Genioplasty) CPT 21120 Chin Implant (Genioplasty) — CPT code 21120 covers chin implant (genioplasty) performed in a clinical or hospital setting.	—	$5,431	$5,431	$5,431–$5,431	$5,431	avg	5
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.	—	$2,893	$2,893	$2,893–$2,893	$2,893	avg	5
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.	—	$5,431	$5,431	$5,431–$5,431	$5,431	avg	5
Chin Reshaping with Bone Graft CPT 21123 Chin Reshaping with Bone Graft — CPT code 21123 covers chin reshaping with bone graft performed in a clinical or hospital setting.	—	$2,893	$2,893	$2,893–$2,893	$2,893	avg	5
Lap-Band Surgery (Laparoscopic Gastric Band) CPT 43770 Lap-Band Surgery (Laparoscopic Gastric Band) — CPT code 43770 covers lap-band surgery (laparoscopic gastric band) performed in a clinical or hospital setting.	—	$9,242	$9,242	$9,242–$9,242	$9,242	avg	5
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.	—	$715	$715	$715–$715	$715	avg	5
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.	—	$249	$162	$162–$861	$249	avg	6
Assisted Embryo Hatching (IVF) CPT 89253 Assisted Embryo Hatching (IVF) — CPT code 89253 covers assisted embryo hatching (ivf) performed in a clinical or hospital setting.	—	$148	$162	$50–$162	$148	avg	6
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.	—	$706	$800	$50–$800	$706	avg	6
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.	—	$148	$162	$50–$162	$148	avg	6
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.	—	$706	$800	$50–$800	$706	avg	6
Vasectomy Reversal (Vasovasostomy) CPT 55400 Vasectomy Reversal (Vasovasostomy) — CPT code 55400 covers vasectomy reversal (vasovasostomy) performed in a clinical or hospital setting.	—	$3,260	$3,260	$3,260–$3,260	$3,260	avg	5
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.	—	$3,496	$3,496	$3,496–$3,496	$3,496	avg	5
Laser Skin Resurfacing (Single Lesion) CPT 15786 Laser Skin Resurfacing (Single Lesion) — CPT code 15786 covers laser skin resurfacing (single lesion) performed in a clinical or hospital setting.	—	$184	$184	$184–$184	$184	avg	5
Circumcision (Newborn) CPT 54150 Circumcision (Newborn) — CPT code 54150 covers circumcision (newborn) performed in a clinical or hospital setting.	—	$1,886	$1,886	$1,886–$1,886	$1,886	avg	5
Circumcision (Surgical, Older Child/Adult) CPT 54160 Circumcision (Surgical, Older Child/Adult) — CPT code 54160 covers circumcision (surgical, older child/adult) performed in a clinical or hospital setting.	—	$636	$636	$636–$636	$636	avg	5
Bunionectomy (Hallux Valgus Correction) CPT 28292 Bunionectomy (Hallux Valgus Correction) — CPT code 28292 covers bunionectomy (hallux valgus correction) performed in a clinical or hospital setting.	—	$3,027	$3,027	$3,027–$3,027	$3,027	avg	5
Complex Bunionectomy CPT 28299 Complex Bunionectomy — CPT code 28299 covers complex bunionectomy performed in a clinical or hospital setting.	—	$6,727	$6,727	$6,727–$6,727	$6,727	avg	5
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.	—	$13,270	$13,270	$13,270–$13,270	$13,270	avg	5
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.	—	$5,431	$5,431	$5,431–$5,431	$5,431	avg	5
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.	—	$2,893	$2,893	$2,893–$2,893	$2,893	avg	5
Sinus Surgery - Maxillary Antrostomy CPT 31267 Sinus Surgery - Maxillary Antrostomy — CPT code 31267 covers sinus surgery - maxillary antrostomy performed in a clinical or hospital setting.	—	$6,292	$6,292	$6,292–$6,292	$6,292	avg	5
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.	—	$3,260	$3,260	$3,260–$3,260	$3,260	avg	5
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.	—	$660	$660	$660–$660	$660	avg	5
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.	—	$1,525	$1,525	$1,525–$1,525	$1,525	avg	5
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.	—	$1,525	$1,525	$1,525–$1,525	$1,525	avg	5

Prices are typical ranges based on Froedtert Menomonee Falls 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 6 insurers at Froedtert Menomonee Falls Hospital. 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 Other 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 Froedtert Menomonee Falls Hospital

As a nonprofit hospital, Froedtert Menomonee Falls Hospital is required under IRS Section 501(r) to offer a financial assistance program (also called "charity care").

Patients at or below 300% of the Federal Poverty Level generally qualify for reduced or free care. You can apply as soon as care is received — through the hospital's financial counseling office, online portal, or billing department.

Not sure if you qualify? Upload your bill and we'll help you figure out your options.

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Your Billing Rights

Under the No Surprises Act and hospital price transparency rules, you have the right to receive a Good Faith Estimate before scheduled care, protection from surprise out-of-network bills in emergencies, and access to the hospital's published pricing data.

Full guide to your medical billing rights in Wisconsin →

▸ Technical Details

Ownership

Voluntary non-profit - Private

Health System

Froedtert Health

Metro Area

Menomonee Falls, WI

Procedures Tracked

796