Compare real prices at Loyola Gottlieb Memorial Hospital in Melrose Park, IL. Taven tracks 381 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.
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381
Procedures Tracked
with pricing data
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2/5
Star Rating
CMS Care Compare
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5.3x
Markup Ratio
Avg = 3.0x
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Grade C
Data Quality
Moderate data coverage
✓
CMS v3.0 Compliant
This hospital's pricing data meets the latest CMS v3.0 requirements, including actual allowed amounts from insurer remittance data.
Attested by: KRISTEN WRIGLEYOrg NPI: 1457515991
🔒 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 Loyola Gottlieb Memorial Hospital
381 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Chicago, IL 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) | Chicago Avg | vs. Avg | Payers |
|---|---|---|---|---|---|---|---|
| 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. |
— | $119 | $119 | $119–$119 | $1,429 | -92% | 1 |
| Destruction of Premalignant Lesion (First) CPT 17000 Destruction of precancerous skin lesion — removal of a precancerous growth (actinic keratosis) using freezing, chemicals, or other methods. |
— | $92 | $92 | $92–$92 | $966 | -90% | 1 |
| Breast Excision CPT 19120 Surgical removal of a breast lump or abnormal tissue. This procedure removes a specific area of concern while preserving as much healthy breast tissue as possible. |
— | $623 | $623 | $623–$623 | $3,118 | -80% | 1 |
| Open Treatment Hip Fracture CPT 27236 Surgical repair of a broken hip using metal pins, screws, or plates to hold the bone fragments together while they heal. |
— | $2,020 | $2,020 | $2,020–$2,020 | $5,951 | -66% | 1 |
| Closed Treatment Tibial Fracture CPT 27750 Treatment of a broken shinbone (tibia) without surgery, using a cast or brace to hold the bone in place while it heals. |
— | $572 | $572 | $551–$592 | $997 | -43% | 1 |
| Knee Arthroscopy (Meniscus Surgery) CPT 29881 Arthroscopic knee surgery to treat a torn meniscus on one side of the knee. The surgeon trims or repairs the damaged cartilage through small incisions. |
$12,770 | $1,648 | — | — | $4,426 | -63% | 4 |
| 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. |
— | $1,138 | $1,138 | $1,138–$1,138 | $2,540 | -55% | 1 |
| Nasal Endoscopy (diagnostic) CPT 31231 Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting. |
— | $112 | $112 | $112–$112 | $813 | -86% | 1 |
| Sinus Surgery - Frontal CPT 31276 Sinus Surgery - Frontal — CPT code 31276 covers sinus surgery - frontal performed in a clinical or hospital setting. |
— | $656 | $656 | $656–$656 | $3,773 | -83% | 1 |
| TAVR - Transcatheter Aortic Valve Replacement CPT 33361 Replacement of a diseased aortic heart valve without open-heart surgery. A new valve is delivered through a catheter (thin tube) inserted through the leg artery. |
— | $67 | $67 | $67–$67 | $6,186 | -99% | 1 |
| Coronary Artery Bypass (CABG) - Single CPT 33533 Coronary artery bypass surgery (CABG) using a single graft. A healthy blood vessel from another part of the body is used to reroute blood around a blocked heart artery. |
— | $1,408 | $1,408 | $67–$2,748 | $2,388 | -41% | 1 |
| Venipuncture (blood draw) CPT 36415 A routine blood draw where a needle is inserted into a vein (usually in the arm) to collect blood for laboratory testing. |
— | $7 | $7 | $7–$7 | $19 | -65% | 1 |
| Upper Endoscopy (EGD) Diagnostic CPT 43235 Upper endoscopy (EGD) — a flexible tube with a camera is passed through the mouth to visually examine the esophagus, stomach, and upper intestine. |
$6,352 | $693 | — | — | $2,029 | -66% | 5 |
| 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. |
$8,257 | $708 | — | — | $1,896 | -63% | 5 |
| 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. |
— | $933 | $933 | $933–$933 | $2,267 | -59% | 1 |
| Gastric Sleeve (Laparoscopic Sleeve Gastrectomy) CPT 43775 Gastric Sleeve (Laparoscopic Sleeve Gastrectomy) — CPT code 43775 covers gastric sleeve (laparoscopic sleeve gastrectomy) performed in a clinical or hospital setting. |
— | $1,638 | $1,638 | $1,638–$1,638 | $6,081 | -73% | 1 |
| Colonoscopy (diagnostic) CPT 45378 Diagnostic colonoscopy — a flexible tube with a camera is inserted through the rectum to examine the entire large intestine for polyps, cancer, or other abnormalities. |
$6,508 | $671 | — | — | $1,827 | -63% | 5 |
| Colonoscopy with Biopsy CPT 45380 Colonoscopy with biopsy — examination of the large intestine with a camera, during which tissue samples are taken from suspicious areas for laboratory analysis. |
$1,144 | $762 | — | — | $1,972 | -61% | 5 |
| Gallbladder Removal (Laparoscopic) CPT 47562 Minimally invasive removal of the gallbladder (laparoscopic cholecystectomy). Small incisions and a camera are used to remove the gallbladder, typically for gallstones or inflammation. |
$1,314 | $3,629 | — | — | $6,331 | -43% | 3 |
| Gallbladder Removal with Cholangiography CPT 47563 Laparoscopic gallbladder removal with X-ray imaging of the bile ducts (cholangiography) to check for gallstones in the ducts during surgery. |
$19,617 | $2,838 | — | — | $6,020 | -53% | 5 |
| 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. |
$1,227 | $2,479 | — | — | $4,115 | -40% | 5 |
| Bladder Aspiration/Drainage CPT 51102 Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting. |
— | $273 | $273 | $273–$273 | $2,378 | -89% | 1 |
| Cystoscopy (Bladder Exam) CPT 52000 Cystoscopy — a thin scope with a camera is inserted through the urethra to examine the inside of the bladder and urinary tract. |
$3,173 | $1,024 | — | — | $1,378 | -26% | 3 |
| Prostate Biopsy CPT 55700 Prostate Biopsy — CPT code 55700 covers prostate biopsy performed in a clinical or hospital setting. |
$830 | $1,490 | — | — | $2,215 | -33% | 3 |
| 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. |
— | $221 | $221 | $221–$221 | $2,932 | -92% | 1 |
| IUD Insertion CPT 58300 IUD Insertion — CPT code 58300 covers iud insertion performed in a clinical or hospital setting. |
— | $172 | $172 | $172–$172 | $1,251 | -86% | 1 |
| Laparoscopic Ovarian Cyst/Adnexal Removal CPT 58661 Laparoscopic removal of the uterus (hysterectomy) — minimally invasive surgery using small incisions and a camera to remove the uterus. |
— | $1,079 | $1,079 | $1,079–$1,079 | $5,410 | -80% | 1 |
| Fetal Non-Stress Test CPT 59025 Fetal non-stress test — monitoring the baby's heart rate in response to its own movements to assess fetal wellbeing. |
— | $47 | $47 | $47–$47 | $371 | -87% | 1 |
| C-Section Delivery (global) CPT 59510 Routine obstetric care including prenatal visits, cesarean delivery, and postpartum care — comprehensive maternity care package with C-section. |
— | $67 | $67 | $67–$67 | $2,237 | -97% | 1 |
| VBAC Delivery CPT 59610 VBAC Delivery — CPT code 59610 covers vbac delivery performed in a clinical or hospital setting. |
— | $4,333 | $4,333 | $4,333–$4,333 | $2,731 | +59% | 1 |
| Glaucoma Laser Surgery CPT 65855 Glaucoma Laser Surgery — CPT code 65855 covers glaucoma laser surgery performed in a clinical or hospital setting. |
— | $391 | $391 | $391–$391 | $1,114 | -65% | 1 |
| Cataract Surgery CPT 66984 Cataract surgery with lens implant — removal of the clouded natural lens of the eye and replacement with a clear artificial lens to restore vision. |
$5,263 | $1,318 | — | — | $3,037 | -57% | 4 |
| 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. |
— | $256 | $256 | $256–$256 | $1,077 | -76% | 1 |
| CT Head with Contrast CPT 70460 CT scan — ct head with contrast. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $1,282 | $1,282 | $1,282–$1,282 | $979 | +31% | 1 |
| MRI Brain with/without Contrast CPT 70553 MRI of the brain with and without contrast dye — detailed imaging of the brain using magnetic fields and radio waves to diagnose tumors, stroke, or other conditions. |
$1,201 | $325 | — | — | $2,289 | -86% | 4 |
| 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. |
— | $49 | $49 | $40–$59 | $173 | -71% | 1 |
| Chest X-Ray (2 views) CPT 71046 Chest X-ray, two views — standard imaging of the lungs and chest from front and side to evaluate for pneumonia, heart problems, or other chest conditions. |
— | $65 | $65 | $52–$78 | $273 | -76% | 1 |
| CT Chest with Contrast CPT 71260 CT scan of the chest with contrast — detailed cross-sectional imaging of the chest after injecting contrast dye to better visualize blood vessels and tissues. |
$2,599 | $320 | — | — | $1,181 | -73% | 4 |
| 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. |
— | $80 | $80 | $64–$96 | $235 | -66% | 1 |
| MRI Lumbar Spine without Contrast CPT 72148 MRI of the lumbar spine (lower back) without contrast — detailed imaging of the lower spine to evaluate for herniated discs, spinal stenosis, or nerve compression. |
$3,687 | $433 | — | — | $1,710 | -75% | 5 |
| Shoulder X-Ray CPT 73030 X-ray imaging — shoulder x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $70 | $70 | $56–$84 | $211 | -67% | 1 |
| Hand X-Ray CPT 73130 X-ray imaging — hand x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $78 | $78 | $62–$93 | $216 | -64% | 1 |
| Knee X-Ray CPT 73560 X-ray imaging — knee x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $75 | $75 | $60–$90 | $205 | -64% | 1 |
| Ankle X-Ray CPT 73610 X-ray imaging — ankle x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $85 | $80 | $62–$118 | $207 | -59% | 2 |
| 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. |
$3,870 | $420 | — | — | $1,590 | -74% | 5 |
| CT Abdomen/Pelvis with Contrast CPT 74177 CT scan of the abdomen and pelvis with contrast — comprehensive cross-sectional imaging of the abdominal and pelvic organs after contrast injection. |
$4,969 | $624 | — | — | $1,940 | -68% | 5 |
| Breast Ultrasound CPT 76642 Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $160 | $160 | $128–$192 | $263 | -39% | 1 |
| Abdominal Ultrasound CPT 76700 Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas. |
— | $244 | $244 | $196–$293 | $662 | -63% | 1 |
| OB Ultrasound (first trimester) CPT 76801 Ultrasound — ob ultrasound (first trimester). This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $216 | $216 | $173–$259 | $415 | -48% | 1 |
| OB Ultrasound (complete) CPT 76805 Ultrasound — ob ultrasound (complete). This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $322 | $322 | $322–$322 | $519 | -38% | 1 |
| Transvaginal Ultrasound CPT 76830 Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures. |
— | $316 | $316 | $316–$316 | $511 | -38% | 1 |
| Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs. |
— | $224 | $224 | $180–$269 | $523 | -57% | 1 |
| 3D Mammography (Tomosynthesis) CPT 77063 3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting. |
— | $57 | $56 | $29–$88 | $93 | -38% | 2 |
| Diagnostic Mammogram (unilateral) CPT 77065 Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer. |
— | $200 | $206 | $58–$332 | $242 | -17% | 2 |
| 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. |
— | $253 | $261 | $67–$423 | $283 | -11% | 2 |
| 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. |
$177 | $95 | — | — | $239 | -60% | 5 |
| 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. |
— | $1,422 | $1,422 | $1,422–$1,422 | $2,322 | -39% | 1 |
| BMP (Basic Metabolic Panel) CPT 80048 Basic metabolic panel — a blood test measuring 8 substances (glucose, calcium, sodium, potassium, CO2, chloride, BUN, creatinine) to assess kidney function, blood sugar, and electrolyte balance. |
— | $27 | $27 | $22–$33 | $59 | -54% | 1 |
| CMP (Comprehensive Metabolic Panel) CPT 80053 Comprehensive metabolic panel — a blood test measuring 14 substances to evaluate kidney and liver function, blood sugar, electrolytes, and protein levels. |
$289 | $12 | — | — | $107 | -89% | 5 |
| Lipid Panel CPT 80061 Lipid panel — a blood test measuring cholesterol levels including total cholesterol, HDL ("good"), LDL ("bad"), and triglycerides to assess heart disease risk. |
— | $43 | $43 | $35–$52 | $67 | -36% | 1 |
| Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting. |
— | $12 | $12 | $4–$21 | $65 | -81% | 2 |
| 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. |
— | $7 | $6 | $3–$13 | $25 | -72% | 2 |
| Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting. |
— | $9 | $7 | $4–$19 | $16 | -43% | 2 |
| Vitamin D Level CPT 82306 Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency. |
— | $115 | $115 | $115–$115 | $128 | -10% | 1 |
| Urine Creatinine CPT 82570 Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting. |
— | $17 | $17 | $14–$20 | $34 | -50% | 1 |
| Ferritin Level CPT 82728 Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting. |
— | $53 | $53 | $53–$53 | $68 | -22% | 1 |
| Glucose (blood sugar) CPT 82947 Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes. |
— | $15 | $15 | $15–$15 | $17 | -11% | 1 |
| Hemoglobin A1C CPT 83036 Hemoglobin A1c test — a blood test that shows your average blood sugar level over the past 2-3 months, used to diagnose and monitor diabetes. |
— | $38 | $38 | $38–$38 | $49 | -23% | 1 |
| Potassium Level CPT 84132 Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting. |
— | $25 | $15 | $5–$67 | $24 | +6% | 2 |
| PSA (Prostate) CPT 84153 PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting. |
— | $62 | $67 | $48–$72 | $66 | -6% | 2 |
| Sodium Level CPT 84295 Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting. |
— | $16 | $16 | $13–$19 | $22 | -28% | 1 |
| TSH (Thyroid) CPT 84443 Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working. |
— | $55 | $55 | $44–$66 | $69 | -21% | 1 |
| CBC (Complete Blood Count) CPT 85025 Complete blood count (CBC) with differential — a common blood test that measures red blood cells, white blood cells, platelets, and hemoglobin to evaluate overall health. |
$134 | $15 | — | — | $52 | -71% | 5 |
| PT/INR (Prothrombin Time) CPT 85610 PT/INR (Prothrombin Time) — CPT code 85610 covers pt/inr (prothrombin time) performed in a clinical or hospital setting. |
— | $13 | $13 | $10–$15 | $25 | -49% | 1 |
| TB Skin Test CPT 86580 TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting. |
— | $28 | $28 | $23–$34 | $21 | +35% | 1 |
| Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting. |
— | $9 | $9 | $8–$11 | $41 | -77% | 1 |
| COVID-19 Test (rapid antigen) CPT 87426 COVID-19 Test (rapid antigen) — CPT code 87426 covers covid-19 test (rapid antigen) performed in a clinical or hospital setting. |
— | $35 | $35 | $35–$35 | $49 | -28% | 1 |
| Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample. |
— | $98 | $91 | $67–$136 | $112 | -12% | 2 |
| Gonorrhea Test CPT 87591 Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample. |
— | $114 | $114 | $91–$136 | $96 | +19% | 1 |
| COVID-19 Test (PCR) CPT 87635 COVID-19 Test (PCR) — CPT code 87635 covers covid-19 test (pcr) performed in a clinical or hospital setting. |
— | $51 | $51 | $51–$51 | $99 | -48% | 1 |
| Flu Test (rapid) CPT 87804 Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting. |
— | $48 | $48 | $39–$58 | $54 | -10% | 1 |
| Pap Smear (ThinPrep) CPT 88175 Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting. |
— | $86 | $86 | $69–$104 | $76 | +14% | 1 |
| Flu Vaccine (high dose) CPT 90662 Flu Vaccine (high dose) — CPT code 90662 covers flu vaccine (high dose) performed in a clinical or hospital setting. |
— | $67 | $67 | $67–$67 | $88 | -24% | 1 |
| Psychotherapy (16-37 min) CPT 90832 Psychotherapy (16-37 min) — CPT code 90832 covers psychotherapy (16-37 min) performed in a clinical or hospital setting. |
— | $98 | $98 | $98–$98 | $129 | -24% | 1 |
| Family Psychotherapy (with patient) CPT 90847 Family Psychotherapy (with patient) — CPT code 90847 covers family psychotherapy (with patient) performed in a clinical or hospital setting. |
— | $162 | $162 | $162–$162 | $243 | -33% | 1 |
| Cardiovascular Stress Test CPT 93015 Cardiovascular Stress Test — CPT code 93015 covers cardiovascular stress test performed in a clinical or hospital setting. |
— | $67 | $67 | $67–$67 | $264 | -75% | 1 |
| Echocardiogram Complete CPT 93306 Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting. |
$750 | $471 | — | — | $1,494 | -68% | 5 |
| Stress Echocardiogram CPT 93350 Stress Echocardiogram — CPT code 93350 covers stress echocardiogram performed in a clinical or hospital setting. |
— | $220 | $220 | $119–$321 | $966 | -77% | 1 |
| Carotid Ultrasound CPT 93880 Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $477 | $477 | $382–$572 | $749 | -36% | 1 |
| Venous Duplex Scan (legs) CPT 93971 Venous Duplex Scan (legs) — CPT code 93971 covers venous duplex scan (legs) performed in a clinical or hospital setting. |
— | $317 | $356 | $238–$356 | $537 | -41% | 1 |
| Psychological Testing Evaluation CPT 96130 Psychological Testing Evaluation — CPT code 96130 covers psychological testing evaluation performed in a clinical or hospital setting. |
— | $185 | $185 | $185–$185 | $369 | -50% | 1 |
| Therapeutic Injection (IM/SubQ) CPT 96372 Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes. |
— | $32 | $32 | $32–$32 | $150 | -79% | 1 |
| PT - Ultrasound Therapy CPT 97035 Ultrasound — pt - ultrasound therapy. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $67 | $67 | $67–$67 | $91 | -26% | 1 |
| PT - Manual Therapy CPT 97140 Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching. |
— | $19 | $19 | $19–$19 | $105 | -82% | 1 |
| PT Evaluation - High Complexity CPT 97163 Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition. |
— | $219 | $219 | $83–$354 | $230 | -5% | 1 |
| New Patient Visit - Comprehensive CPT 99205 Office visit for a new patient with a high complexity medical problem. Typically 60-74 minutes for comprehensive evaluation and management. |
— | $67 | $67 | $67–$67 | $276 | -76% | 1 |
| Office Visit - Straightforward (Level 2) CPT 99212 Office Visit - Straightforward (Level 2) — CPT code 99212 covers office visit - straightforward (level 2) performed in a clinical or hospital setting. |
— | $66 | $66 | $62–$69 | $80 | -18% | 1 |
| Office Visit - Low Complexity (Level 3) CPT 99213 Office visit for an established patient with a low to moderate complexity medical problem. Typically 20-29 minutes with your doctor for evaluation and management. |
— | $93 | $93 | $85–$101 | $145 | -36% | 1 |
| Office Visit - Moderate Complexity (Level 4) CPT 99214 Office visit for an established patient with a moderate to high complexity medical problem. Typically 30-39 minutes with your doctor for evaluation and management. |
— | $109 | $118 | $67–$142 | $190 | -43% | 1 |
| ER Visit - Minor Problem CPT 99281 Emergency department visit for a minor, self-limited problem requiring minimal evaluation. |
— | $531 | $531 | $531–$531 | $376 | +41% | 1 |
| ER Visit - Low Complexity CPT 99282 Emergency department visit for a low to moderate severity problem requiring a brief evaluation. |
— | $995 | $995 | $995–$995 | $571 | +74% | 1 |
| ER Visit - Moderate Complexity CPT 99283 Emergency department visit for a moderate severity problem requiring an expanded evaluation. |
— | $1,660 | $1,660 | $1,660–$1,660 | $1,013 | +64% | 1 |
| ER Visit - High Complexity CPT 99284 Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life. |
— | $57 | $57 | $57–$57 | $1,271 | -95% | 1 |
| ER Visit - Immediate Threat to Life CPT 99285 Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation. |
— | $50 | $50 | $50–$50 | $1,935 | -97% | 1 |
| Critical Care - First Hour CPT 99291 Critical care, first 30-74 minutes — intensive medical care for a critically ill or injured patient whose condition requires constant attention from the physician. |
— | $50 | $50 | $50–$50 | $1,601 | -97% | 1 |
| Critical Care - Additional 30 Min CPT 99292 Critical care, each additional 30 minutes — continued intensive care beyond the first 74 minutes for a critically ill patient. |
— | $50 | $50 | $50–$50 | $660 | -92% | 1 |
| Triamcinolone Injection CPT J3301 HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection. |
— | $67 | $67 | $67–$67 | $18 | +272% | 1 |
| Anesthesia - Head CPT 00100 Anesthesia - Head — CPT code 00100 covers anesthesia - head performed in a clinical or hospital setting. |
— | $67 | $67 | $67–$67 | $54 | +24% | 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. |
— | $67 | $67 | $67–$67 | $163 | -59% | 1 |
| Debridement of Skin (infected) CPT 11000 Debridement of extensively eczematous or infected skin |
— | $58 | $58 | $37–$79 | $260 | -78% | 1 |
| Skin Lesion Shave - Scalp/Neck (0.5 cm) CPT 11305 Shave removal of epidermal or dermal lesion, scalp/neck/hands/feet |
— | $103 | $103 | $67–$139 | $237 | -57% | 1 |
| Excision Malignant Lesion (1.1-2.0 cm) CPT 11602 Excision of malignant lesion, trunk/arms/legs, 1.1-2.0 cm |
— | $334 | $334 | $334–$334 | $470 | -29% | 1 |
| Mohs Surgery (first stage) CPT 17311 Mohs micrographic surgery, first stage, up to 5 tissue blocks |
— | $492 | $492 | $492–$492 | $566 | -13% | 1 |
| Shoulder Injection with Imaging CPT 23350 Injection for shoulder arthrography |
— | $67 | $67 | $67–$67 | $286 | -77% | 1 |
| Knee Manipulation Under Anesthesia CPT 27570 Manipulation of knee joint under general anesthesia |
— | $262 | $262 | $262–$262 | $822 | -68% | 1 |
| Open Treatment Ankle Fracture (bimalleolar) CPT 27792 Open treatment of distal fibula fracture, bimalleolar |
— | $1,082 | $1,082 | $1,082–$1,082 | $2,899 | -63% | 1 |
| Knee Arthroscopy with Meniscus Repair CPT 29882 Arthroscopy, knee, surgical, meniscus repair |
— | $1,166 | $1,166 | $1,166–$1,166 | $2,853 | -59% | 1 |
| EGD with Foreign Body Removal CPT 43247 Upper GI endoscopy with removal of foreign body |
— | $241 | $241 | $241–$241 | $904 | -73% | 1 |
| EGD with Hemostasis CPT 43255 Upper GI endoscopy with control of bleeding |
— | $536 | $536 | $272–$800 | $911 | -41% | 1 |
| Sigmoidoscopy (diagnostic) CPT 45330 Sigmoidoscopy, flexible, diagnostic |
— | $246 | $246 | $246–$246 | $679 | -64% | 1 |
| Colonoscopy with Lesion Removal (hot biopsy) CPT 45384 Colonoscopy with removal of tumor by hot biopsy forceps |
— | $648 | $648 | $648–$648 | $972 | -33% | 1 |
| Colonoscopy with Endoscopic Ultrasound CPT 45391 Colonoscopy with endoscopic ultrasound examination |
— | $349 | $349 | $349–$349 | $887 | -61% | 1 |
| CT Sinus without Contrast CPT 70486 CT scan of maxillofacial area without contrast |
— | $575 | $575 | $79–$1,070 | $405 | +42% | 1 |
| CT Soft Tissue Neck with Contrast CPT 70491 CT scan of soft tissue neck with contrast |
— | $1,282 | $1,282 | $1,282–$1,282 | $360 | +256% | 1 |
| CT Lumbar Spine without Contrast CPT 72131 CT lumbar spine without contrast |
— | $1,339 | $1,339 | $1,339–$1,339 | $604 | +122% | 1 |
| MRI Lumbar Spine with Contrast CPT 72149 MRI lumbar spine with contrast |
— | $1,721 | $1,721 | $401–$3,040 | $485 | +255% | 1 |
| MRI Lumbar Spine with/without Contrast CPT 72158 MRI lumbar spine without contrast, then with contrast |
— | $3,132 | $3,132 | $631–$5,633 | $810 | +287% | 1 |
| CT Pelvis without Contrast CPT 72192 CT pelvis without contrast |
— | $720 | $720 | $100–$1,339 | $205 | +251% | 1 |
| Clavicle X-Ray CPT 73000 Radiologic examination of clavicle |
— | $68 | $68 | $55–$82 | $65 | +5% | 1 |
| Humerus X-Ray CPT 73060 Radiologic examination of humerus, minimum 2 views |
— | $82 | $82 | $82–$82 | $72 | +14% | 1 |
| Elbow X-Ray CPT 73070 Radiologic examination of elbow, 2 views |
— | $72 | $72 | $72–$72 | $69 | +4% | 1 |
| Elbow X-Ray (3+ views) CPT 73080 Radiologic examination of elbow, complete, minimum 3 views |
— | $66 | $66 | $53–$79 | $109 | -39% | 1 |
| Wrist X-Ray CPT 73100 Radiologic examination of wrist, 2 views |
— | $82 | $77 | $58–$114 | $77 | +6% | 2 |
| Wrist X-Ray (3+ views) CPT 73110 Radiologic examination of wrist, complete, minimum 3 views |
— | $72 | $72 | $72–$72 | $70 | +2% | 1 |
| MRI Shoulder with Contrast CPT 73222 MRI any joint of upper extremity with contrast |
— | $610 | $610 | $610–$610 | $439 | +39% | 1 |
| Hip X-Ray (2-3 views) CPT 73502 Radiologic examination of hip, 2-3 views |
— | $85 | $81 | $16–$134 | $136 | -38% | 2 |
| Femur X-Ray CPT 73552 Radiologic examination of femur, minimum 2 views |
— | $70 | $61 | $13–$130 | $47 | +49% | 2 |
| Knee X-Ray (3 views) CPT 73562 Radiologic examination of knee, 3 views |
— | $93 | $106 | $18–$130 | $71 | +31% | 2 |
| Tibia/Fibula X-Ray CPT 73590 Radiologic examination of tibia and fibula, 2 views |
— | $81 | $81 | $81–$81 | $71 | +14% | 1 |
| Foot X-Ray (2 views) CPT 73620 Radiologic examination of foot, 2 views |
— | $60 | $60 | $48–$72 | $62 | -3% | 1 |
| Foot X-Ray (3+ views) CPT 73630 Radiologic examination of foot, complete, minimum 3 views |
— | $46 | $58 | $12–$67 | $48 | -5% | 2 |
| Abdomen X-Ray (1 view) CPT 74018 Radiologic examination of abdomen, single anteroposterior view |
— | $60 | $60 | $48–$72 | $63 | -5% | 1 |
| Abdomen X-Ray (2 views) CPT 74019 Radiologic examination of abdomen, 2 views |
— | $73 | $73 | $58–$87 | $77 | -6% | 1 |
| Thyroid Ultrasound CPT 76536 Ultrasound of head and neck, thyroid, real time with image |
— | $261 | $261 | $209–$313 | $251 | +4% | 1 |
| Chest Ultrasound CPT 76604 Ultrasound of chest, real time with image documentation |
— | $122 | $120 | $67–$179 | $99 | +23% | 2 |
| Retroperitoneal Ultrasound (complete) CPT 76770 Ultrasound, retroperitoneal, complete |
— | $360 | $360 | $273–$448 | $143 | +152% | 2 |
| Retroperitoneal Ultrasound (limited) CPT 76775 Ultrasound, retroperitoneal, limited |
— | $107 | $107 | $107–$107 | $112 | -4% | 1 |
| OB Ultrasound (limited) CPT 76815 Ultrasound, pregnant uterus, limited |
— | $154 | $154 | $123–$184 | $116 | +32% | 1 |
| Transvaginal OB Ultrasound CPT 76817 Ultrasound, pregnant uterus, transvaginal |
— | $139 | $139 | $69–$208 | $127 | +9% | 2 |
| Pelvic Ultrasound (limited) CPT 76857 Ultrasound, pelvic, limited or follow-up |
— | $71 | $71 | $57–$86 | $97 | -26% | 1 |
| Scrotal Ultrasound CPT 76870 Ultrasound, scrotum and contents |
— | $261 | $261 | $261–$261 | $146 | +79% | 1 |
| Extremity Ultrasound (complete) CPT 76881 Ultrasound, complete joint, real time |
— | $138 | $138 | $110–$165 | $220 | -37% | 1 |
| Extremity Ultrasound (limited) CPT 76882 Ultrasound, limited, joint or focal evaluation |
— | $98 | $98 | $78–$117 | $146 | -33% | 1 |
| Bone Age Study CPT 77072 Bone age studies |
— | $47 | $47 | $38–$57 | $111 | -57% | 1 |
| Bone Length Studies CPT 77073 Bone length studies |
— | $120 | $108 | $72–$179 | $74 | +62% | 2 |
| Bone Survey (complete) CPT 77075 Radiologic examination, osseous survey, complete |
— | $147 | $160 | $40–$240 | $114 | +29% | 2 |
| DEXA Scan (Bone Density) CPT 77080 DXA bone density study, axial skeleton |
— | $71 | $71 | $71–$71 | $91 | -22% | 1 |
| DEXA Scan (Peripheral) CPT 77081 DXA bone density study, appendicular skeleton |
— | $66 | $66 | $53–$79 | $65 | +2% | 1 |
| DEXA Body Composition CPT 77085 DXA bone density study, body composition |
— | $138 | $138 | $138–$138 | $147 | -6% | 1 |
| Bone Scan (whole body) CPT 78306 Bone imaging, whole body |
— | $670 | $670 | $398–$942 | $460 | +46% | 2 |
| Nuclear Stress Test (Planar MPI) CPT 78451 Myocardial perfusion imaging, planar, single study |
— | $982 | $982 | $982–$982 | $376 | +161% | 1 |
| PET Scan (limited) CPT 78815 PET for limited area other than heart or brain |
— | $2,410 | $2,410 | $2,410–$2,410 | $2,109 | +14% | 1 |
| Renal Function Panel CPT 80069 Renal function panel blood test |
— | $34 | $34 | $34–$34 | $15 | +127% | 1 |
| Acute Hepatitis Panel CPT 80074 Acute hepatitis panel blood test |
— | $155 | $155 | $124–$186 | $99 | +56% | 1 |
| Urinalysis (non-automated, with microscopy) CPT 81000 Urinalysis by dip stick or tablet reagent, non-automated, with microscopy |
— | $14 | $14 | $14–$14 | $6 | +131% | 1 |
| Urinalysis (non-automated, without microscopy) CPT 81002 Urinalysis without microscopy, non-automated |
— | $13 | $13 | $13–$13 | $13 | -3% | 1 |
| Albumin Level CPT 82040 Albumin, serum, plasma or whole blood |
— | $19 | $19 | $19–$19 | $20 | -5% | 1 |
| Amylase Level CPT 82150 Amylase test |
— | $46 | $46 | $25–$67 | $34 | +36% | 2 |
| Bilirubin Total CPT 82247 Bilirubin, total |
— | $33 | $19 | $13–$67 | $21 | +57% | 2 |
| Bilirubin Direct CPT 82248 Bilirubin, direct |
— | $16 | $16 | $13–$19 | $14 | +13% | 1 |
| Calcium Level CPT 82310 Calcium, total |
— | $25 | $25 | $5–$44 | $17 | +46% | 1 |
| CO2/Bicarbonate Level CPT 82374 Carbon dioxide (bicarbonate) |
— | $16 | $16 | $13–$19 | $11 | +44% | 1 |
| Cholesterol Total CPT 82465 Cholesterol, serum or whole blood, total |
— | $16 | $16 | $16–$16 | $13 | +26% | 1 |
| CK/CPK (Creatine Kinase) CPT 82550 Creatine kinase (CK, CPK), total |
— | $14 | $14 | $4–$25 | $10 | +44% | 2 |
| CK-MB (Heart) CPT 82553 Creatine kinase (CK), MB fraction |
— | $40 | $30 | $4–$113 | $25 | +61% | 2 |
| Creatinine Level CPT 82565 Creatinine; blood |
— | $17 | $17 | $14–$20 | $9 | +87% | 1 |
| Vitamin B12 Level CPT 82607 Cyanocobalamin (Vitamin B-12) |
— | $48 | $48 | $39–$58 | $35 | +39% | 1 |
| Estradiol Level CPT 82670 Estradiol |
— | $91 | $91 | $73–$109 | $64 | +42% | 1 |
| Folic Acid Level CPT 82746 Folic acid, serum |
— | $47 | $47 | $38–$57 | $35 | +35% | 1 |
| IgA Level CPT 82784 Gammaglobulin IgA |
— | $37 | $37 | $37–$37 | $25 | +47% | 1 |
| Blood Gas Panel (ABG) CPT 82803 Gases, blood, any combination of pH, pCO2, pO2 |
— | $103 | $103 | $91–$115 | $59 | +75% | 2 |
| Glucose (point of care) CPT 82962 Glucose, blood by glucose monitoring device |
— | $9 | $9 | $8–$11 | $8 | +18% | 1 |
| FSH (Follicle Stimulating Hormone) CPT 83001 Gonadotropin, follicle stimulating hormone (FSH) |
— | $62 | $67 | $48–$72 | $50 | +25% | 2 |
| LH (Luteinizing Hormone) CPT 83002 Gonadotropin, luteinizing hormone (LH) |
— | $72 | $72 | $72–$72 | $49 | +47% | 1 |
| Iron Level CPT 83540 Iron |
— | $16 | $17 | $5–$25 | $15 | +5% | 2 |
| Iron Binding Capacity (TIBC) CPT 83550 Iron binding capacity, total |
— | $28 | $28 | $23–$34 | $22 | +29% | 1 |
| LDH (Lactate Dehydrogenase) CPT 83615 Lactate dehydrogenase (LD, LDH) |
— | $20 | $20 | $16–$24 | $16 | +25% | 1 |
| Lipase Level CPT 83690 Lipase |
— | $16 | $18 | $4–$27 | $18 | -12% | 2 |
| Magnesium Level CPT 83735 Magnesium |
— | $22 | $22 | $18–$27 | $18 | +23% | 1 |
| BNP (Brain Natriuretic Peptide) CPT 83880 Natriuretic peptide (BNP) |
— | $78 | $92 | $4–$138 | $83 | -6% | 2 |
| Parathyroid Hormone (PTH) CPT 83970 Parathormone (parathyroid hormone, PTH) |
— | $112 | $107 | $67–$160 | $84 | +33% | 2 |
| Alkaline Phosphatase CPT 84075 Phosphatase, alkaline |
— | $34 | $20 | $14–$67 | $17 | +97% | 2 |
| Phosphorus Level CPT 84100 Phosphorus inorganic (phosphate) |
— | $16 | $16 | $13–$19 | $13 | +22% | 1 |
| Prealbumin Level CPT 84134 Prealbumin |
— | $43 | $47 | $11–$67 | $28 | +54% | 2 |
| Progesterone Level CPT 84144 Progesterone |
— | $54 | $61 | $16–$81 | $55 | -1% | 2 |
| Prolactin Level CPT 84146 Prolactin |
— | $63 | $63 | $51–$76 | $54 | +17% | 1 |
| Testosterone Total CPT 84403 Testosterone, total |
— | $83 | $83 | $67–$100 | $50 | +66% | 1 |
| Thyroxine Total (T4) CPT 84436 Thyroxine, total |
— | $45 | $47 | $18–$68 | $27 | +66% | 2 |
| Free Thyroxine (Free T4) CPT 84439 Thyroxine, free |
— | $49 | $35 | $24–$89 | $27 | +82% | 2 |
| Transferrin Level CPT 84466 Transferrin |
— | $41 | $41 | $33–$49 | $21 | +96% | 1 |
| Triglycerides CPT 84478 Triglycerides |
— | $23 | $23 | $23–$23 | $11 | +107% | 1 |
| T3 (Triiodothyronine) Total CPT 84480 Triiodothyronine T3, total |
— | $61 | $61 | $56–$67 | $48 | +28% | 2 |
| Free T3 CPT 84481 Triiodothyronine T3, free |
— | $59 | $66 | $44–$67 | $51 | +15% | 2 |
| Troponin (Cardiac) CPT 84484 Troponin, quantitative |
— | $44 | $44 | $44–$44 | $37 | +19% | 1 |
| BUN (Blood Urea Nitrogen) CPT 84520 Urea nitrogen, blood (BUN) |
— | $15 | $15 | $15–$15 | $7 | +117% | 1 |
| Uric Acid Level CPT 84550 Uric acid, blood |
— | $32 | $18 | $12–$67 | $17 | +89% | 2 |
| CBC (Automated) CPT 85027 Complete blood count, automated |
— | $32 | $25 | $6–$64 | $22 | +44% | 2 |
| D-Dimer CPT 85379 Fibrin degradation products, D-dimer |
— | $33 | $33 | $26–$39 | $30 | +9% | 1 |
| Sed Rate (ESR) CPT 85652 Sedimentation rate, erythrocyte; automated |
— | $27 | $10 | $4–$67 | $7 | +284% | 2 |
| PTT (Partial Thromboplastin Time) CPT 85730 Thromboplastin time, partial (PTT) |
— | $15 | $15 | $6–$23 | $16 | -8% | 2 |
| Allergen Specific IgE CPT 86003 Allergen specific IgE; quantitative or semiquantitative, each allergen |
— | $20 | $20 | $20–$20 | $19 | +6% | 1 |
| C-Reactive Protein (CRP) CPT 86140 C-reactive protein |
— | $20 | $20 | $20–$20 | $30 | -33% | 1 |
| Cyclic Citrullinated Peptide (CCP) CPT 86200 Cyclic citrullinated peptide (CCP), antibody |
— | $42 | $42 | $34–$51 | $27 | +56% | 1 |
| Nuclear Antigen Antibody (ENA) CPT 86235 Extractable nuclear antigen (ENA) antibody |
— | $58 | $58 | $46–$70 | $36 | +61% | 1 |
| CA 125 Tumor Marker CPT 86300 Immunoassay for tumor antigen, CA 125 |
— | $81 | $81 | $81–$81 | $51 | +59% | 1 |
| CA 19-9 Tumor Marker CPT 86304 Immunoassay for tumor antigen, CA 19-9 |
— | $81 | $81 | $81–$81 | $70 | +16% | 1 |
| Rheumatoid Factor CPT 86431 Rheumatoid factor, quantitative |
— | $18 | $18 | $14–$21 | $13 | +38% | 1 |
| TB Blood Test (QuantiFERON) CPT 86480 Tuberculosis test, cell mediated immunity antigen response |
— | $157 | $161 | $67–$241 | $91 | +72% | 2 |
| Syphilis Test (RPR/VDRL) CPT 86592 Syphilis test, non-treponemal antibody; qualitative |
— | $10 | $10 | $3–$16 | $17 | -42% | 2 |
| Helicobacter Pylori Antibody CPT 86677 Antibody, Helicobacter pylori |
— | $59 | $59 | $59–$59 | $27 | +120% | 1 |
| Herpes Simplex Antibody CPT 86695 Antibody, herpes simplex, type specific |
— | $51 | $52 | $35–$67 | $31 | +65% | 2 |
| Hepatitis A Antibody CPT 86696 Antibody, hepatitis A |
— | $63 | $63 | $51–$76 | $35 | +81% | 1 |
| Hepatitis B Core Antibody CPT 86704 Hepatitis B core antibody (HBcAb); total |
— | $39 | $39 | $31–$47 | $35 | +11% | 1 |
| Hepatitis B Surface Antibody CPT 86706 Hepatitis B surface antibody (HBsAb) |
— | $42 | $42 | $42–$42 | $42 | -1% | 1 |
| Rubella Antibody CPT 86762 Antibody, rubella |
— | $65 | $56 | $11–$130 | $30 | +118% | 2 |
| Rubeola (Measles) Antibody CPT 86765 Antibody, rubeola |
— | $31 | $34 | $10–$51 | $19 | +65% | 2 |
| Varicella Antibody (Chickenpox) CPT 86787 Antibody, varicella-zoster |
— | $30 | $30 | $10–$51 | $28 | +8% | 2 |
| Hepatitis C Antibody CPT 86803 Hepatitis C antibody |
— | $46 | $46 | $37–$56 | $31 | +50% | 1 |
| Antibody Screen (RBC) CPT 86850 Antibody screen, RBC, each serum technique |
— | $34 | $34 | $34–$34 | $32 | +7% | 1 |
| Rh Blood Type CPT 86901 Blood typing, Rh (D) |
— | $9 | $9 | $8–$11 | $11 | -14% | 1 |
| Bacterial Culture CPT 87070 Culture, bacterial; any other source except urine, blood or stool |
— | $28 | $28 | $23–$34 | $31 | -8% | 1 |
| Bacterial Culture (aerobic isolate) CPT 87077 Culture, bacterial; aerobic isolate, additional methods |
— | $26 | $26 | $21–$32 | $14 | +88% | 1 |
| Culture, presumptive (screen) CPT 87081 Culture, presumptive, pathogenic organisms, screening only |
— | $25 | $25 | $25–$25 | $20 | +26% | 1 |
| Urine Culture CPT 87086 Culture, bacterial; quantitative colony count, urine |
— | $26 | $26 | $21–$32 | $14 | +88% | 1 |
| Chlamydia Culture CPT 87110 Culture, chlamydia |
— | $76 | $76 | $76–$76 | $32 | +137% | 1 |
| Antibiotic Sensitivity (MIC) CPT 87186 Susceptibility studies, antimicrobial agent; microdilution or agar dilution |
— | $27 | $23 | $4–$67 | $44 | -39% | 2 |
| Gram Stain CPT 87205 Smear, primary source with interpretation; Gram or Giemsa stain |
— | $16 | $16 | $16–$16 | $8 | +105% | 1 |
| Hepatitis B Surface Antigen CPT 87340 Infectious agent antigen detection; hepatitis B surface antigen (HBsAg) |
— | $40 | $40 | $40–$40 | $34 | +19% | 1 |
| HIV-1/HIV-2 Antibody Test CPT 87389 HIV-1 and HIV-2, single result, immunoassay |
— | $78 | $78 | $62–$94 | $45 | +73% | 1 |
| Flu Test (PCR/molecular) CPT 87502 Infectious agent detection, influenza, multiplex reverse transcription |
— | $224 | $224 | $224–$224 | $125 | +79% | 1 |
| Mycobacterium TB Detection CPT 87580 Infectious agent detection, Mycobacterium tuberculosis, amplified probe |
— | $53 | $60 | $15–$78 | $33 | +61% | 2 |
| HPV High-Risk Test CPT 87624 Infectious agent detection, human papillomavirus (HPV), high-risk types |
— | $98 | $91 | $67–$136 | $57 | +72% | 2 |
| Strep Test (rapid) CPT 87880 Infectious agent antigen detection, Streptococcus, group A |
— | $38 | $39 | $16–$58 | $25 | +50% | 2 |
| Laceration Repair - Simple (2.5 cm or less) CPT 12001 Simple repair of superficial wounds, scalp/neck/extremities |
— | $98 | $98 | $66–$131 | $344 | -71% | 1 |
| Laceration Repair - Simple (2.6-7.5 cm) CPT 12002 Simple repair of superficial wounds, 2.6-7.5 cm |
— | $67 | $67 | $67–$67 | $290 | -77% | 1 |
| Laceration Repair - Face (2.5 cm or less) CPT 12011 Simple repair of superficial wounds of face, 2.5 cm or less |
— | $67 | $67 | $67–$67 | $345 | -81% | 1 |
| Laceration Repair - Intermediate Face (2.6-5.0 cm) CPT 12052 Repair, intermediate, wounds of face, 2.6-5.0 cm |
— | $354 | $354 | $279–$429 | $520 | -32% | 1 |
| Short Arm Splint CPT 29125 Application of short arm splint, forearm to hand |
— | $67 | $67 | $67–$67 | $272 | -75% | 1 |
| Finger Splint CPT 29130 Application of finger splint |
— | $67 | $67 | $67–$67 | $260 | -74% | 1 |
| Short Leg Splint CPT 29515 Application of short leg splint, calf to foot |
— | $83 | $83 | $83–$83 | $281 | -70% | 1 |
| IV Line Placement (peripheral) CPT 36000 Introduction of needle or intracatheter, vein |
— | $42 | $42 | $42–$42 | $227 | -82% | 1 |
| Venipuncture (age 3+) CPT 36410 Venipuncture, age 3 years or older, necessitating physician skill |
— | $41 | $41 | $14–$67 | $114 | -64% | 2 |
| Immunization Admin (through age 18) CPT 90460 Immunization administration through 18 years of age, first or only component |
— | $67 | $67 | $67–$67 | $44 | +52% | 1 |
| Rotavirus Vaccine CPT 90681 Rotavirus vaccine, human, attenuated |
— | $67 | $67 | $67–$67 | $143 | -53% | 1 |
| Hepatitis B Vaccine (adult) CPT 90746 Hepatitis B vaccine, adult dosage |
— | $80 | $80 | $80–$80 | $81 | -1% | 1 |
| Preventive Visit - New Infant CPT 99381 Initial comprehensive preventive visit, infant (under 1) |
— | $67 | $67 | $67–$67 | $94 | -29% | 1 |
| Preventive Visit - New Child (5-11) CPT 99383 Initial comprehensive preventive visit, late childhood (5-11) |
— | $109 | $109 | $67–$152 | $114 | -4% | 1 |
| Preventive Visit - Established Child (5-11) CPT 99393 Periodic comprehensive preventive visit, late childhood (5-11) |
— | $67 | $67 | $67–$67 | $89 | -25% | 1 |
| Breast Biopsy (MRI-guided) CPT 19084 Biopsy, breast, with placement of breast localization device, MRI guidance |
— | $107 | $107 | $107–$107 | $390 | -73% | 1 |
| Breast Implant Removal CPT 19328 Removal of intact mammary implant |
— | $803 | $803 | $803–$803 | $2,204 | -64% | 1 |
| Vulvectomy (partial) CPT 56620 Vulvectomy, simple, partial |
— | $954 | $954 | $954–$954 | $1,547 | -38% | 1 |
| Cervical Biopsy CPT 57500 Biopsy of cervix, single or multiple, or local excision |
— | $124 | $124 | $124–$124 | $890 | -86% | 1 |
| Cervical Conization CPT 57520 Conization of cervix, with or without fulguration |
— | $568 | $568 | $568–$568 | $1,297 | -56% | 1 |
| Dilation and Curettage (D&C) CPT 58120 Dilation and curettage, diagnostic and/or therapeutic |
— | $390 | $390 | $390–$390 | $1,237 | -68% | 1 |
| Laparoscopic Endometriosis Excision CPT 58662 Laparoscopy with fulguration or excision of lesions of ovary/peritoneum |
— | $1,180 | $1,180 | $1,180–$1,180 | $2,906 | -59% | 1 |
| Amniocentesis CPT 59000 Amniocentesis, diagnostic |
— | $118 | $118 | $47–$190 | $579 | -80% | 2 |
| Missed Abortion Treatment (first trimester) CPT 59820 Treatment of missed abortion, completed surgically, first trimester |
— | $661 | $661 | $661–$661 | $1,306 | -49% | 1 |
| Bone Marrow Biopsy CPT 38221 Diagnostic bone marrow biopsy(ies) |
— | $166 | $166 | $101–$231 | $550 | -70% | 1 |
| Salivary Stone Removal (Sialolithotomy) CPT 42330 Sialolithotomy, submandibular or sublingual, intraoral |
— | $315 | $315 | $315–$315 | $773 | -59% | 1 |
| Liver Biopsy (needle) CPT 47000 Biopsy of liver, needle, percutaneous |
— | $252 | $252 | $118–$386 | $784 | -68% | 1 |
| Cystoscopy with Ureteral Catheter CPT 52005 Cystourethroscopy, with ureteral catheterization |
— | $398 | $398 | $259–$537 | $1,386 | -71% | 1 |
| Cystoscopy with Stent Removal CPT 52310 Cystourethroscopy, with removal of foreign body or ureteral stent |
— | $296 | $296 | $296–$296 | $811 | -64% | 1 |
| Vasectomy CPT 55250 Vasectomy, unilateral or bilateral |
— | $595 | $595 | $595–$595 | $1,231 | -52% | 1 |
| Interactive Complexity Add-on CPT 90785 Interactive complexity add-on to psych services |
— | $67 | $67 | $67–$67 | $23 | +191% | 1 |
| Psychotherapy Add-on (53+ min) CPT 90838 Psychotherapy, 53+ min, add-on to E/M service |
— | $67 | $67 | $67–$67 | $136 | -51% | 1 |
| Biofeedback Training (other) CPT 90901 Biofeedback training by any modality |
— | $49 | $54 | $26–$67 | $43 | +14% | 1 |
| Health Behavior Assessment CPT 96156 Health behavior assessment or reassessment |
— | $141 | $141 | $141–$141 | $138 | +2% | 1 |
| Health Behavior Intervention (first 30 min) CPT 96158 Health behavior intervention, individual, first 30 minutes |
— | $104 | $104 | $97–$111 | $94 | +10% | 1 |
| Cervical Epidural with Imaging CPT 62321 Injection, cervical or thoracic with imaging guidance |
— | $393 | $393 | $393–$393 | $758 | -48% | 1 |
| Trigeminal Nerve Block CPT 64400 Injection, anesthetic agent; trigeminal nerve |
— | $132 | $132 | $88–$177 | $355 | -63% | 1 |
| Femoral Nerve Block CPT 64447 Injection, anesthetic agent; femoral nerve, single |
— | $100 | $100 | $100–$100 | $635 | -84% | 1 |
| Transforaminal Epidural (additional level) CPT 64484 Injection, transforaminal epidural, lumbar or sacral, each additional level |
— | $67 | $67 | $67–$67 | $294 | -77% | 1 |
| Facet Joint Destruction - Cervical (first level) CPT 64633 Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, single level |
— | $299 | $299 | $299–$299 | $1,492 | -80% | 1 |
| Holter Monitor (recording) CPT 93225 External electrocardiographic recording, up to 48 hours, recording |
— | $449 | $449 | $449–$449 | $113 | +297% | 1 |
| Event Monitor (up to 30 days) CPT 93268 External patient and, when performed, auto activated electrocardiographic rhythm derived event recording |
— | $502 | $502 | $296–$709 | $309 | +63% | 1 |
| Echocardiogram (2D, limited) CPT 93307 Echocardiography, transthoracic, real-time, 2D, limited study |
— | $693 | $693 | $693–$693 | $229 | +202% | 1 |
| Echocardiogram (follow-up/limited) CPT 93308 Echocardiography, transthoracic, follow-up or limited study |
— | $423 | $423 | $423–$423 | $153 | +177% | 1 |
| Transesophageal Echocardiogram (TEE) CPT 93312 Echocardiography, transesophageal, real-time with image documentation |
— | $715 | $715 | $184–$1,247 | $311 | +130% | 1 |
| Right Heart Catheterization CPT 93451 Right heart catheterization |
— | $849 | $849 | $246–$1,453 | $1,973 | -57% | 1 |
| Ankle-Brachial Index (ABI) CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries |
— | $216 | $216 | $173–$259 | $206 | +5% | 1 |
| Complete Bilateral Extremity Study CPT 93923 Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries |
— | $329 | $329 | $264–$395 | $314 | +5% | 1 |
| Lower Extremity Arterial Duplex CPT 93925 Duplex scan of lower extremity arteries, complete bilateral study |
— | $769 | $769 | $769–$769 | $531 | +45% | 1 |
| Venous Duplex Scan (complete) CPT 93970 Duplex scan of extremity veins, complete bilateral study |
— | $511 | $575 | $384–$575 | $332 | +54% | 1 |
| Aorta/IVC/Iliac Duplex Scan CPT 93978 Duplex scan of aorta, inferior vena cava, iliac vasculature |
— | $418 | $418 | $303–$533 | $391 | +7% | 2 |
| Cytopathology (fluids) CPT 88104 Cytopathology, fluids, washings or brushings, smears with interpretation |
— | $116 | $109 | $95–$143 | $64 | +81% | 2 |
| Cytopathology (concentration technique) CPT 88108 Cytopathology, concentration technique, smears and interpretation |
— | $117 | $117 | $94–$140 | $78 | +50% | 1 |
| Cytopathology (selective cellular enhancement) CPT 88112 Cytopathology, selective cellular enhancement technique with interpretation |
— | $90 | $93 | $36–$140 | $66 | +37% | 2 |
| Pap Smear - Physician Interpretation CPT 88141 Cytopathology, cervical or vaginal, requiring interpretation by physician |
— | $58 | $58 | $58–$58 | $33 | +75% | 1 |
| Pap Smear - ThinPrep (automated) CPT 88142 Cytopathology, cervical or vaginal, collected in preservative fluid, automated thin layer |
— | $65 | $65 | $52–$78 | $39 | +68% | 1 |
| Cytopathology (smears, any source) CPT 88160 Cytopathology, smears, any other source, screening and interpretation |
— | $134 | $134 | $107–$160 | $68 | +97% | 1 |
| Flow Cytometry (first marker) CPT 88184 Flow cytometry, cell surface, cytoplasmic, or nuclear marker, first marker |
— | $201 | $201 | $161–$241 | $132 | +52% | 1 |
| Flow Cytometry (each additional marker) CPT 88185 Flow cytometry, each additional marker |
— | $78 | $78 | $78–$78 | $63 | +24% | 1 |
| Surgical Pathology (gross only) CPT 88300 Level I surgical pathology, gross examination only |
— | $34 | $34 | $27–$40 | $18 | +86% | 1 |
| Surgical Pathology (gross & micro) CPT 88302 Level II surgical pathology, gross and microscopic examination |
— | $71 | $71 | $57–$86 | $64 | +12% | 1 |
| Surgical Pathology (Level III) CPT 88304 Level III surgical pathology |
— | $91 | $79 | $13–$191 | $66 | +37% | 2 |
| Surgical Pathology (Level IV) CPT 88305 Level IV surgical pathology, each specimen |
— | $114 | $114 | $114–$114 | $137 | -17% | 1 |
| Surgical Pathology (Level V) CPT 88307 Level V surgical pathology, each specimen |
— | $685 | $685 | $685–$685 | $296 | +132% | 1 |
| Surgical Pathology (Level VI) CPT 88309 Level VI surgical pathology, each specimen |
— | $806 | $806 | $645–$966 | $349 | +131% | 1 |
| Special Stain (Group I) CPT 88312 Special stain including interpretation and report, Group I |
— | $186 | $186 | $186–$186 | $104 | +79% | 1 |
| Immunohistochemistry (first antibody) CPT 88342 Immunohistochemistry, each antibody, per specimen, first stain |
— | $182 | $182 | $35–$330 | $105 | +73% | 2 |
| PT - Electrical Stimulation (attended) CPT 97014 Application of modality, electrical stimulation, attended |
— | $67 | $67 | $67–$67 | $44 | +52% | 1 |
| PT - Neuromuscular Re-education CPT 97112 Therapeutic procedure, neuromuscular reeducation |
— | $114 | $114 | $114–$114 | $69 | +65% | 1 |
| PT - Aquatic Therapy CPT 97113 Therapeutic procedure, aquatic therapy with therapeutic exercises |
— | $126 | $126 | $126–$126 | $82 | +54% | 1 |
| PT Re-evaluation CPT 97164 Re-evaluation of physical therapy established plan of care |
— | $63 | $63 | $63–$63 | $61 | +3% | 1 |
| Medical Nutrition Therapy (follow-up) CPT 97803 Medical nutrition therapy, re-assessment and intervention, individual |
— | $34 | $34 | $34–$34 | $33 | +4% | 1 |
| OT Evaluation - Moderate Complexity CPT 97166 Occupational therapy evaluation, moderate complexity |
— | $354 | $354 | $354–$354 | $136 | +160% | 1 |
| OT Re-evaluation CPT 97168 Re-evaluation of occupational therapy established plan of care |
— | $48 | $48 | $48–$48 | $92 | -47% | 1 |
| Swallowing Function Evaluation CPT 92610 Evaluation of oral and pharyngeal swallowing function |
— | $108 | $108 | $108–$108 | $160 | -33% | 1 |
| Morphine Injection CPT J2270 Injection, morphine sulfate, up to 10 mg |
— | $67 | $67 | $67–$67 | $18 | +272% | 1 |
| Bronchospasm Evaluation CPT 94060 Bronchodilation responsiveness, spirometry before and after bronchodilator |
— | $274 | $274 | $274–$274 | $144 | +91% | 1 |
| DLCO Test (Diffusing Capacity) CPT 94729 Diffusing capacity of carbon monoxide |
— | $96 | $96 | $96–$96 | $59 | +63% | 1 |
| Eye Exam (established, intermediate) CPT 92012 Ophthalmological services, established patient, intermediate |
— | $127 | $127 | $127–$127 | $84 | +51% | 1 |
| Intravitreal Injection CPT 67028 Intravitreal injection of a pharmacologic agent |
— | $149 | $149 | $149–$149 | $608 | -76% | 1 |
| Corneal Transplant (lamellar) CPT 65710 Keratoplasty (corneal transplant), lamellar |
— | $1,820 | $1,820 | $1,820–$1,820 | $2,935 | -38% | 1 |
| Allergy Antigen Preparation (multi-dose) CPT 95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multi-dose vials |
— | $10 | $10 | $4–$16 | $12 | -15% | 1 |
| Major Hip and Knee Joint Replacement without MCC CPT 469 Total hip or knee replacement without major complications |
— | $38,035 | $38,035 | $33,978–$42,092 | $43,832 | -13% | 1 |
| Major Hip and Knee Joint Replacement without CC/MCC CPT 470 Total hip or knee replacement without complications or comorbidities |
— | $24,187 | $24,187 | $21,608–$26,767 | $27,731 | -13% | 1 |
| Major Hip and Knee Joint Replacement with MCC CPT 468 Total hip or knee replacement with major complications |
— | $30,155 | $30,783 | $21,547–$38,134 | $38,862 | -22% | 2 |
| Hip and Femur Procedures without MCC CPT 480 Hip fracture repair or femur procedures without major complications |
— | $36,519 | $36,519 | $32,624–$40,414 | $41,365 | -12% | 1 |
| Hip and Femur Procedures without CC/MCC CPT 481 Hip fracture repair or femur procedures without complications |
— | $26,264 | $26,264 | $23,463–$29,065 | $29,846 | -12% | 1 |
| Hip and Femur Procedures with MCC CPT 479 Hip fracture repair or femur procedures with major complications |
— | $23,310 | $23,310 | $20,823–$25,796 | $29,658 | -21% | 1 |
| Cervical Spinal Fusion without CC/MCC CPT 473 Cervical spine fusion surgery without complications |
— | $30,613 | $30,613 | $27,347–$33,878 | $33,639 | -9% | 1 |
| Cervical Spinal Fusion without MCC CPT 472 Cervical spine fusion without major complications |
— | $37,396 | $37,396 | $33,908–$40,883 | $40,457 | -8% | 2 |
| Cervical Spinal Fusion with MCC CPT 471 Cervical spine fusion with major complications |
— | $67,008 | $67,008 | $67,008–$67,008 | $65,654 | +2% | 1 |
| Bilateral or Multiple Major Joint Procedures CPT 461 Bilateral joint replacement or multiple major joint procedures |
— | $69,256 | $69,256 | $61,869–$76,643 | $77,837 | -11% | 1 |
| Coronary Bypass without MCC CPT 236 CABG surgery without major complications |
— | $45,966 | $46,923 | $32,846–$58,128 | $59,787 | -23% | 2 |
| Coronary Bypass with MCC CPT 235 CABG surgery with major complications |
— | $81,439 | $81,439 | $81,439–$81,439 | $87,092 | -6% | 1 |
| Heart Failure and Shock with MCC CPT 291 Inpatient treatment for heart failure with major complications |
— | $16,098 | $16,098 | $14,381–$17,815 | $19,791 | -19% | 1 |
| Heart Failure and Shock with CC CPT 292 Inpatient treatment for heart failure with complications |
— | $10,646 | $10,646 | $9,511–$11,782 | $12,542 | -15% | 1 |
| Heart Failure and Shock without CC/MCC CPT 293 Inpatient treatment for heart failure without complications |
— | $7,097 | $7,097 | $6,340–$7,854 | $8,272 | -14% | 1 |
| Cardiac Valve Procedures with CC CPT 216 Heart valve repair or replacement with complications |
— | $135,756 | $135,756 | $135,756–$135,756 | $140,753 | -4% | 1 |
| Vaginal Delivery with OR Procedures CPT 768 Vaginal delivery requiring operating room procedures |
— | $13,071 | $12,339 | $12,004–$14,871 | $16,875 | -23% | 2 |
| Respiratory Infections and Inflammations with MCC CPT 177 Pneumonia or respiratory infections with major complications |
— | $21,686 | $21,686 | $21,686–$21,686 | $25,689 | -16% | 1 |
| Respiratory Infections and Inflammations with CC CPT 178 Pneumonia or respiratory infections with complications |
— | $13,544 | $13,544 | $13,544–$13,544 | $15,308 | -12% | 1 |
| Simple Pneumonia and Pleurisy with MCC CPT 193 Uncomplicated pneumonia with major complications |
— | $18,240 | $18,240 | $18,240–$18,240 | $20,937 | -13% | 1 |
| Simple Pneumonia and Pleurisy with CC CPT 194 Uncomplicated pneumonia with complications |
— | $11,183 | $11,183 | $11,183–$11,183 | $12,901 | -13% | 1 |
| Simple Pneumonia and Pleurisy without CC/MCC CPT 195 Uncomplicated pneumonia without complications |
— | $7,663 | $7,228 | $7,040–$8,722 | $10,007 | -23% | 2 |
| Major Small and Large Bowel Procedures with MCC CPT 329 Bowel resection or major intestinal surgery with major complications |
— | $56,059 | $52,900 | $51,490–$63,786 | $70,382 | -20% | 2 |
| Major Small and Large Bowel Procedures with CC CPT 330 Bowel resection or major intestinal surgery with complications |
— | $29,236 | $27,589 | $26,853–$33,266 | $38,694 | -24% | 2 |
| Major Small and Large Bowel Procedures without CC/MCC CPT 331 Bowel resection without complications |
— | $20,526 | $19,371 | $18,852–$23,354 | $26,128 | -21% | 2 |
| GI Hemorrhage with MCC CPT 377 Gastrointestinal bleeding with major complications |
— | $19,850 | $19,850 | $14,333–$25,367 | $28,062 | -29% | 2 |
| GI Hemorrhage with CC CPT 378 Gastrointestinal bleeding with complications |
— | $12,297 | $12,297 | $10,986–$13,609 | $15,557 | -21% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with MCC CPT 064 Stroke with major complications |
— | $21,837 | $21,837 | $15,768–$27,907 | $31,177 | -30% | 2 |
| Intracranial Hemorrhage or Cerebral Infarction with CC CPT 065 Stroke with complications |
— | $12,669 | $12,669 | $11,317–$14,020 | $15,832 | -20% | 1 |
| Intracranial Hemorrhage or Cerebral Infarction without CC/MCC CPT 066 Stroke without complications |
— | $8,346 | $7,873 | $7,667–$9,497 | $10,923 | -24% | 2 |
| Renal Failure with MCC CPT 682 Acute or chronic kidney failure with major complications |
— | $18,063 | $17,046 | $16,590–$20,552 | $23,252 | -22% | 2 |
| Renal Failure with CC CPT 683 Acute or chronic kidney failure with complications |
— | $10,982 | $10,982 | $9,811–$12,153 | $13,940 | -21% | 1 |
| Renal Failure without CC/MCC CPT 684 Acute or chronic kidney failure without complications |
— | $7,527 | $7,527 | $6,725–$8,330 | $9,535 | -21% | 1 |
| Septicemia or Severe Sepsis with MV >96 Hours CPT 870 Severe sepsis requiring extended ventilator support |
— | $95,915 | $95,915 | $95,915–$95,915 | $110,162 | -13% | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours with MCC CPT 871 Sepsis with major complications |
— | $18,494 | $18,494 | $15,227–$21,760 | $29,457 | -37% | 2 |
| Septicemia or Severe Sepsis without MV >96 Hours without MCC CPT 872 Sepsis without major complications |
— | $12,479 | $11,775 | $11,463–$14,200 | $15,691 | -20% | 2 |
| Rehabilitation with CC/MCC CPT 945 Inpatient rehabilitation with complications |
— | $19,419 | $19,419 | $17,347–$21,490 | $23,651 | -18% | 1 |
| Rehabilitation without CC/MCC CPT 946 Inpatient rehabilitation without complications |
— | $15,914 | $15,914 | $15,914–$15,914 | $18,145 | -12% | 1 |
| Hip Replacement with Hip Fracture with MCC CPT 521 Hip replacement after hip fracture with major complications |
— | $35,005 | $33,034 | $32,152–$39,830 | $45,629 | -23% | 2 |
| Hip Replacement with Hip Fracture without MCC CPT 522 Hip replacement after hip fracture without major complications |
— | $26,555 | $26,555 | $23,722–$29,387 | $32,440 | -18% | 1 |
| Respiratory System Diagnosis with Ventilator Support >96 Hours CPT 207 Extended ventilator support for respiratory failure |
— | $89,294 | $89,294 | $89,294–$89,294 | $103,740 | -14% | 1 |
| Respiratory System Diagnosis with Ventilator Support ≤96 Hours CPT 208 Short-term ventilator support for respiratory failure |
— | $34,467 | $34,467 | $30,791–$38,144 | $42,670 | -19% | 1 |
| Revision Rhinoplasty - Intermediate (Nose Job Revision) CPT 30435 Revision Rhinoplasty - Intermediate (Nose Job Revision) — CPT code 30435 covers revision rhinoplasty - intermediate (nose job revision) performed in a clinical or hospital setting. |
— | $2,279 | $2,279 | $2,279–$2,279 | $2,984 | -24% | 1 |
| Revision Rhinoplasty - Major (Nose Job Revision) CPT 30450 Revision Rhinoplasty - Major (Nose Job Revision) — CPT code 30450 covers revision rhinoplasty - major (nose job revision) performed in a clinical or hospital setting. |
— | $3,008 | $3,008 | $3,008–$3,008 | $3,193 | -6% | 1 |
| Hair Transplant (16+ Grafts) CPT 15776 Hair Transplant (16+ Grafts) — CPT code 15776 covers hair transplant (16+ grafts) performed in a clinical or hospital setting. |
— | $505 | $505 | $505–$505 | $372 | +36% | 1 |
| Epikeratoplasty (Corneal Surgery) CPT 65767 Epikeratoplasty (Corneal Surgery) — CPT code 65767 covers epikeratoplasty (corneal surgery) performed in a clinical or hospital setting. |
— | $67 | $67 | $67–$67 | $54 | +24% | 1 |
| Chin Reshaping - Sliding Osteotomy CPT 21121 Chin Reshaping - Sliding Osteotomy — CPT code 21121 covers chin reshaping - sliding osteotomy performed in a clinical or hospital setting. |
— | $859 | $859 | $859–$859 | $794 | +8% | 1 |
| 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. |
— | $1,347 | $1,347 | $1,347–$1,347 | $1,035 | +30% | 1 |
| Lap-Band Surgery (Laparoscopic Gastric Band) CPT 43770 Lap-Band Surgery (Laparoscopic Gastric Band) — CPT code 43770 covers lap-band surgery (laparoscopic gastric band) performed in a clinical or hospital setting. |
— | $1,654 | $1,654 | $1,654–$1,654 | $1,373 | +20% | 1 |
| Embryo Culture (IVF Lab) CPT 89250 Embryo Culture (IVF Lab) — CPT code 89250 covers embryo culture (ivf lab) performed in a clinical or hospital setting. |
— | $3,461 | $3,461 | $3,461–$3,461 | $1,522 | +127% | 1 |
| Egg/Embryo Freezing (Cryopreservation) CPT 89258 Egg/Embryo Freezing (Cryopreservation) — CPT code 89258 covers egg/embryo freezing (cryopreservation) performed in a clinical or hospital setting. |
— | $1,376 | $1,376 | $1,376–$1,376 | $1,408 | -2% | 1 |
| IVF Fertilization (Oocyte Insemination) CPT 89268 IVF Fertilization (Oocyte Insemination) — CPT code 89268 covers ivf fertilization (oocyte insemination) performed in a clinical or hospital setting. |
— | $262 | $262 | $210–$314 | $277 | -5% | 1 |
| Extended Embryo Culture (IVF) CPT 89272 Extended Embryo Culture (IVF) — CPT code 89272 covers extended embryo culture (ivf) performed in a clinical or hospital setting. |
— | $1,147 | $1,147 | $919–$1,376 | $1,331 | -14% | 1 |
| Male Breast Reduction (Gynecomastia Surgery) CPT 19300 Male Breast Reduction (Gynecomastia Surgery) — CPT code 19300 covers male breast reduction (gynecomastia surgery) performed in a clinical or hospital setting. |
— | $820 | $820 | $820–$820 | $599 | +37% | 1 |
| Chemical Peel - Facial (Epidermal) CPT 15788 Chemical Peel - Facial (Epidermal) — CPT code 15788 covers chemical peel - facial (epidermal) performed in a clinical or hospital setting. |
— | $300 | $300 | $300–$300 | $356 | -16% | 1 |
| Tonsillectomy & Adenoidectomy (Age 12+) CPT 42821 Tonsillectomy & Adenoidectomy (Age 12+) — CPT code 42821 covers tonsillectomy & adenoidectomy (age 12+) performed in a clinical or hospital setting. |
— | $425 | $425 | $425–$425 | $338 | +26% | 1 |
Prices are typical ranges based on Loyola Gottlieb Memorial 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 5 insurers at Loyola Gottlieb Memorial 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
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 Loyola Gottlieb Memorial Hospital
As a nonprofit hospital, Loyola Gottlieb Memorial Hospital is required under IRS Section 501(r) to offer a financial assistance program (also called "charity care").
Patients at or below 300% of the Federal Poverty Level generally qualify for reduced or free care. You can apply as soon as care is received — through the hospital's financial counseling office, online portal, or billing department.
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Under the No Surprises Act and hospital price transparency rules, you have the right to receive a Good Faith Estimate before scheduled care, protection from surprise out-of-network bills in emergencies, and access to the hospital's published pricing data.
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▸ Technical Details
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare Provider #
140008
Emergency Services
Yes
Metro Area
Chicago, IL
Procedures Tracked
381
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