How much do procedures cost at Mahnomen Health Center?

Taven tracks pricing for 291 procedures at Mahnomen Health Center. Prices vary by insurance plan and procedure. Visit the full pricing table on this page for specific procedure costs.

Can I get a price estimate before visiting Mahnomen Health Center?

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

How does Mahnomen Health Center compare to other hospitals in Mahnomen, MN?

Taven compares Mahnomen Health Center's negotiated rates against Mahnomen, MN metro averages for each procedure. Visit the pricing table above to see how each procedure's cost compares.

Mahnomen Health Center

hospital · Mahnomen, MN

Data Grade C

📍 Mahnomen, MN

🏥 Medicare #240779

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Compare real prices at Mahnomen Health Center in Mahnomen, MN. Taven tracks 291 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.

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291

Procedures Tracked

with pricing data

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Grade C

Data Quality

Moderate 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: LORI GUENTHEROrg NPI: 1942233234

🔒 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 Mahnomen Health Center

291 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Mahnomen, MN 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)	Mahnomen Avg	vs. Avg	Payers
Debridement - Subcutaneous Tissue CPT 11042 Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing.	—	$408	—	—	$408	avg	10
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.	—	$206	—	—	$206	avg	8
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.	—	$414	—	—	$414	avg	8
Skin Graft Preparation CPT 15002 Skin Graft Preparation — CPT code 15002 covers skin graft preparation performed in a clinical or hospital setting.	—	$1,896	—	—	$1,896	avg	8
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.	—	$1,896	—	—	$1,896	avg	8
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.	—	$1,896	—	—	$1,896	avg	8
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.	—	$1,896	—	—	$1,896	avg	8
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.	—	$206	—	—	$206	avg	8
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.	—	$206	—	—	$206	avg	8
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.	—	$3,969	—	—	$3,969	avg	8
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.	—	$3,969	—	—	$3,969	avg	8
Simple Mastectomy CPT 19303 Complete surgical removal of one breast. This procedure removes all breast tissue to treat or prevent breast cancer.	—	$6,759	—	—	$6,759	avg	8
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.	—	$306	—	—	$306	avg	8
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.	—	$289	—	—	$289	avg	10
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.	—	$336	—	—	$336	avg	11
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.	—	$306	—	—	$306	avg	8
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.	—	$6,131	—	—	$6,131	avg	8
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.	—	$19,059	—	—	$19,059	avg	8
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.	—	$19,059	—	—	$19,059	avg	8
Rotator Cuff Repair CPT 23412 Rotator Cuff Repair — CPT code 23412 covers rotator cuff repair performed in a clinical or hospital setting.	—	$7,404	—	—	$7,404	avg	8
Shoulder Replacement (Arthroplasty) CPT 23472 Shoulder Replacement (Arthroplasty) — CPT code 23472 covers shoulder replacement (arthroplasty) performed in a clinical or hospital setting.	—	$19,059	—	—	$19,059	avg	8
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.	—	$1,659	—	—	$1,659	avg	8
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.	—	$3,363	—	—	$3,363	avg	8
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.	—	$13,335	—	—	$13,335	avg	8
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.	—	$76	$76	$76–$76	$76	avg	1
Total Knee Replacement - Unicompartmental CPT 27446 Partial knee replacement surgery that replaces only the damaged compartment of the knee joint with an artificial implant, preserving healthy bone and tissue.	—	$13,335	—	—	$13,335	avg	8
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.	—	$13,335	—	—	$13,335	avg	8
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.	—	$7,404	—	—	$7,404	avg	8
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.	—	$706	—	—	$706	avg	11
Hammertoe Correction CPT 28285 Surgical correction of a hammertoe — a toe that has become bent or curled. The procedure straightens the toe by removing bone or releasing tight tendons.	—	$3,363	—	—	$3,363	avg	8
Bunionectomy with Metatarsal Osteotomy CPT 28296 Surgical correction of a bunion (hallux valgus) that includes cutting and realigning the metatarsal bone to straighten the big toe and relieve pain.	—	$3,363	—	—	$3,363	avg	8
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.	—	$3,363	—	—	$3,363	avg	8
Arthroscopic Rotator Cuff Repair CPT 29827 Arthroscopic repair of a torn rotator cuff — the group of tendons that stabilize the shoulder. The surgeon reattaches the torn tendon to the bone using small anchors.	—	$7,404	—	—	$7,404	avg	8
Knee Arthroscopy Medial & Lateral CPT 29880 Arthroscopic knee surgery to treat torn meniscus cartilage on both the inner and outer sides of the knee. Uses a small camera and tools to trim or repair the damaged cartilage.	—	$3,363	—	—	$3,363	avg	8
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.	—	$3,363	—	—	$3,363	avg	8
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.	—	$3,361	—	—	$3,361	avg	8
Nasal Endoscopy (diagnostic) CPT 31231 Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting.	—	$201	—	—	$201	avg	8
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.	—	$1,787	—	—	$1,787	avg	8
Ethmoidectomy - Partial CPT 31254 Ethmoidectomy - Partial — CPT code 31254 covers ethmoidectomy - partial performed in a clinical or hospital setting.	—	$7,174	—	—	$7,174	avg	8
Sinus Surgery - Ethmoidectomy CPT 31255 Sinus Surgery - Ethmoidectomy — CPT code 31255 covers sinus surgery - ethmoidectomy performed in a clinical or hospital setting.	—	$7,174	—	—	$7,174	avg	8
Sinus Surgery - Frontal CPT 31276 Sinus Surgery - Frontal — CPT code 31276 covers sinus surgery - frontal performed in a clinical or hospital setting.	—	$7,174	—	—	$7,174	avg	8
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.	—	$76	$76	$76–$76	$76	avg	1
Mitral Valve Repair CPT 33430 Open-heart surgery to repair a damaged mitral valve — the valve between the upper and lower left chambers of the heart — restoring normal blood flow.	—	$76	$76	$76–$76	$76	avg	1
Coronary Artery Bypass (CABG) - Single CPT 33533 Coronary artery bypass surgery (CABG) using a single graft. A healthy blood vessel from another part of the body is used to reroute blood around a blocked heart artery.	—	$76	$76	$76–$76	$76	avg	1
Venipuncture (blood draw) CPT 36415 A routine blood draw where a needle is inserted into a vein (usually in the arm) to collect blood for laboratory testing.	—	$23	—	—	$23	avg	11
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.	—	$3,262	—	—	$3,262	avg	8
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.	—	$3,262	—	—	$3,262	avg	8
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.	—	$1,610	—	—	$1,610	avg	8
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.	—	$76	$76	$76–$76	$76	avg	1
Tonsillectomy & Adenoidectomy (Under 12) CPT 42820 Surgical removal of the tonsils and adenoids. This procedure treats chronic infections, breathing problems, or sleep apnea caused by enlarged tonsils and adenoids.	—	$6,131	—	—	$6,131	avg	8
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.	—	$3,361	—	—	$3,361	avg	8
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.	—	$972	—	—	$972	avg	8
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.	—	$972	—	—	$972	avg	8
Upper Endoscopy with Dilation CPT 43249 Upper endoscopy with dilation — a flexible scope is used to stretch a narrowed area of the esophagus or stomach to improve swallowing.	—	$1,966	—	—	$1,966	avg	8
Upper GI Endoscopy with Polypectomy CPT 43251 Upper GI Endoscopy with Polypectomy — CPT code 43251 covers upper gi endoscopy with polypectomy performed in a clinical or hospital setting.	—	$1,966	—	—	$1,966	avg	8
Upper GI Endoscopy with Band Ligation CPT 43270 Upper GI Endoscopy with Band Ligation — CPT code 43270 covers upper gi endoscopy with band ligation performed in a clinical or hospital setting.	—	$1,966	—	—	$1,966	avg	8
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.	—	$10,790	—	—	$10,790	avg	8
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.	—	$6,047	—	—	$6,047	avg	8
Laparoscopic Appendectomy CPT 44970 Laparoscopic appendectomy — minimally invasive surgical removal of the appendix, typically performed for appendicitis.	—	$6,047	—	—	$6,047	avg	8
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.	—	$945	—	—	$945	avg	8
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.	—	$1,222	—	—	$1,222	avg	8
Colonoscopy with Polyp Removal CPT 45385 Colonoscopy with polyp removal — examination of the large intestine during which precancerous growths (polyps) are found and removed to prevent colon cancer.	—	$1,222	—	—	$1,222	avg	8
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.	—	$6,047	—	—	$6,047	avg	8
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.	—	$6,047	—	—	$6,047	avg	8
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.	—	$3,657	—	—	$3,657	avg	8
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.	—	$3,657	—	—	$3,657	avg	8
Laparoscopic Inguinal Hernia Repair CPT 49650 Laparoscopic inguinal hernia repair — minimally invasive repair of a groin hernia using small incisions and a camera.	—	$6,047	—	—	$6,047	avg	8
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.	—	$3,574	—	—	$3,574	avg	8
Bladder Aspiration/Drainage CPT 51102 Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting.	—	$2,123	—	—	$2,123	avg	8
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.	—	$692	—	—	$692	avg	8
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.	—	$5,268	—	—	$5,268	avg	8
Prostate Biopsy CPT 55700 Prostate Biopsy — CPT code 55700 covers prostate biopsy performed in a clinical or hospital setting.	—	$2,123	—	—	$2,123	avg	8
Robotic Prostatectomy CPT 55866 Robotic Prostatectomy — CPT code 55866 covers robotic prostatectomy performed in a clinical or hospital setting.	—	$10,790	—	—	$10,790	avg	8
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.	—	$315	—	—	$315	avg	8
Endometrial Biopsy CPT 58100 Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting.	—	$208	—	—	$208	avg	8
IUD Removal CPT 58301 IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting.	—	$382	—	—	$382	avg	11
Laparoscopic Hysterectomy (250g or Less) CPT 58571 Total laparoscopic hysterectomy including removal of the cervix — minimally invasive complete removal of the uterus and cervix.	—	$10,790	—	—	$10,790	avg	8
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.	—	$6,047	—	—	$6,047	avg	8
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.	—	$208	—	—	$208	avg	8
Vaginal Delivery Only CPT 59409 Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting.	—	$3,983	—	—	$3,983	avg	11
Lumbar Epidural Injection CPT 62322 Lumbar or sacral epidural injection — injection of medication into the epidural space of the lower spine for pain relief.	—	$923	—	—	$923	avg	8
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.	—	$718	—	—	$718	avg	8
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.	—	$7,404	—	—	$7,404	avg	8
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.	—	$7,404	—	—	$7,404	avg	8
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.	—	$923	—	—	$923	avg	8
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.	—	$923	—	—	$923	avg	8
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.	—	$2,024	—	—	$2,024	avg	8
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.	—	$2,024	—	—	$2,024	avg	8
Glaucoma Laser Surgery CPT 65855 Glaucoma Laser Surgery — CPT code 65855 covers glaucoma laser surgery performed in a clinical or hospital setting.	—	$569	—	—	$569	avg	8
Glaucoma Filter Surgery CPT 66170 Glaucoma Filter Surgery — CPT code 66170 covers glaucoma filter surgery performed in a clinical or hospital setting.	—	$2,364	—	—	$2,364	avg	8
YAG Laser Capsulotomy CPT 66821 YAG Laser Capsulotomy — CPT code 66821 covers yag laser capsulotomy performed in a clinical or hospital setting.	—	$569	—	—	$569	avg	8
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.	—	$2,364	—	—	$2,364	avg	8
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.	—	$2,364	—	—	$2,364	avg	8
Strabismus Surgery CPT 67311 Strabismus Surgery — CPT code 67311 covers strabismus surgery performed in a clinical or hospital setting.	—	$2,418	—	—	$2,418	avg	8
Eyelid Repair - Blepharoplasty CPT 67904 Eyelid Repair - Blepharoplasty — CPT code 67904 covers eyelid repair - blepharoplasty performed in a clinical or hospital setting.	—	$2,418	—	—	$2,418	avg	8
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.	—	$2,418	—	—	$2,418	avg	8
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.	—	$310	—	—	$310	avg	8
Ear Wax Removal CPT 69210 Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting.	—	$250	—	—	$250	avg	11
Ear Tube Placement (Tympanostomy) CPT 69436 Ear Tube Placement (Tympanostomy) — CPT code 69436 covers ear tube placement (tympanostomy) performed in a clinical or hospital setting.	—	$1,535	—	—	$1,535	avg	8
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.	—	$1,414	—	—	$1,414	avg	11
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.	—	$1,633	—	—	$1,633	avg	11
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.	—	$2,391	—	—	$2,391	avg	11
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.	—	$3,971	—	—	$3,971	avg	11
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.	—	$274	—	—	$274	avg	11
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.	—	$317	—	—	$317	avg	11
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.	—	$1,758	—	—	$1,758	avg	11
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.	—	$2,121	—	—	$2,121	avg	11
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.	—	$336	—	—	$336	avg	11
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.	—	$2,484	—	—	$2,484	avg	11
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.	—	$2,727	—	—	$2,727	avg	11
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.	—	$386	—	—	$386	avg	11
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.	—	$295	—	—	$295	avg	11
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.	—	$2,499	—	—	$2,499	avg	11
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.	—	$308	—	—	$308	avg	11
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.	—	$330	—	—	$330	avg	11
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.	—	$2,386	—	—	$2,386	avg	11
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.	—	$2,569	—	—	$2,569	avg	11
CT Abdomen/Pelvis with Contrast CPT 74177 CT scan of the abdomen and pelvis with contrast — comprehensive cross-sectional imaging of the abdominal and pelvic organs after contrast injection.	—	$3,890	—	—	$3,890	avg	11
Breast Ultrasound CPT 76642 Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.	—	$91	—	—	$91	avg	8
Abdominal Ultrasound CPT 76700 Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas.	—	$524	—	—	$524	avg	11
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.	—	$467	—	—	$467	avg	11
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.	—	$467	—	—	$467	avg	11
Transvaginal Ultrasound CPT 76830 Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures.	—	$294	—	—	$294	avg	11
Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs.	—	$405	—	—	$405	avg	11
3D Mammography (Tomosynthesis) CPT 77063 3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting.	—	$86	—	—	$86	avg	11
Diagnostic Mammogram (unilateral) CPT 77065 Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer.	—	$318	—	—	$318	avg	11
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.	—	$322	—	—	$322	avg	11
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.	—	$359	—	—	$359	avg	11
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.	—	$1,353	—	—	$1,353	avg	8
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.	—	$107	—	—	$107	avg	11
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.	—	$164	—	—	$164	avg	11
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.	—	$146	—	—	$146	avg	11
Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting.	—	$130	—	—	$130	avg	11
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.	—	$66	—	—	$66	-1%	11
Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting.	—	$46	—	—	$46	avg	11
Vitamin D Level CPT 82306 Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency.	—	$220	—	—	$220	avg	11
Urine Creatinine CPT 82570 Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting.	—	$71	—	—	$71	+1%	11
Ferritin Level CPT 82728 Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting.	—	$185	—	—	$185	avg	11
Glucose (blood sugar) CPT 82947 Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes.	—	$72	—	—	$72	avg	11
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.	—	$111	—	—	$111	avg	11
Potassium Level CPT 84132 Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting.	—	$70	—	—	$70	+1%	11
PSA (Prostate) CPT 84153 PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting.	—	$145	—	—	$145	avg	11
Sodium Level CPT 84295 Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting.	—	$71	—	—	$71	-1%	11
TSH (Thyroid) CPT 84443 Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working.	—	$186	—	—	$186	avg	11
CBC (Complete Blood Count) CPT 85025 Complete blood count (CBC) with differential — a common blood test that measures red blood cells, white blood cells, platelets, and hemoglobin to evaluate overall health.	—	$123	—	—	$123	avg	11
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.	—	$74	—	—	$74	avg	11
TB Skin Test CPT 86580 TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting.	—	$25	—	—	$25	+2%	8
Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting.	—	$93	—	—	$93	avg	11
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.	—	$37	—	—	$37	-1%	8
Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample.	—	$151	—	—	$151	avg	11
Gonorrhea Test CPT 87591 Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample.	—	$321	—	—	$321	avg	11
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.	—	$235	—	—	$235	avg	11
Flu Test (rapid) CPT 87804 Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting.	—	$73	—	—	$73	avg	11
Pap Smear (ThinPrep) CPT 88175 Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting.	—	$221	—	—	$221	avg	11
Immunization Administration CPT 90471 Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting.	—	$75	—	—	$75	avg	11
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.	—	$85	—	—	$85	+1%	8
Tdap Vaccine CPT 90715 Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting.	—	$188	—	—	$188	avg	11
Psychiatric Diagnostic Evaluation CPT 90791 Psychiatric Diagnostic Evaluation — CPT code 90791 covers psychiatric diagnostic evaluation performed in a clinical or hospital setting.	—	$167	—	—	$167	avg	8
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.	—	$282	—	—	$282	avg	10
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.	—	$167	—	—	$167	avg	8
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.	—	$167	—	—	$167	avg	8
Psychotherapy (53+ min) CPT 90837 Psychotherapy (53+ min) — CPT code 90837 covers psychotherapy (53+ min) performed in a clinical or hospital setting.	—	$167	—	—	$167	avg	8
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.	—	$167	—	—	$167	avg	8
Group Psychotherapy CPT 90853 Group Psychotherapy — CPT code 90853 covers group psychotherapy performed in a clinical or hospital setting.	—	$96	—	—	$96	avg	8
Coronary Stent Placement CPT 92928 Coronary Stent Placement — CPT code 92928 covers coronary stent placement performed in a clinical or hospital setting.	—	$11,753	—	—	$11,753	avg	8
EKG Interpretation CPT 93010 EKG Interpretation — CPT code 93010 covers ekg interpretation performed in a clinical or hospital setting.	—	$94	—	—	$94	avg	2
Echocardiogram Complete CPT 93306 Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting.	—	$3,048	—	—	$3,048	avg	11
Stress Echocardiogram CPT 93350 Stress Echocardiogram — CPT code 93350 covers stress echocardiogram performed in a clinical or hospital setting.	—	$568	—	—	$568	avg	8
Stress Echocardiogram CPT 93351 Stress Echocardiogram — CPT code 93351 covers stress echocardiogram performed in a clinical or hospital setting.	—	$568	—	—	$568	avg	8
Left Heart Catheterization CPT 93458 Left Heart Catheterization — CPT code 93458 covers left heart catheterization performed in a clinical or hospital setting.	—	$3,333	—	—	$3,333	avg	8
Carotid Ultrasound CPT 93880 Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.	—	$856	—	—	$856	avg	11
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.	—	$485	—	—	$485	avg	11
Psychological Testing Evaluation CPT 96130 Psychological Testing Evaluation — CPT code 96130 covers psychological testing evaluation performed in a clinical or hospital setting.	—	$323	—	—	$323	avg	8
Therapeutic Injection (IM/SubQ) CPT 96372 Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes.	—	$124	—	—	$124	avg	11
IV Push (single drug) CPT 96374 IV push medication — rapid injection of medication directly into a vein or existing IV line.	—	$219	—	—	$219	avg	11
Chemotherapy Infusion (first hour) CPT 96413 Chemotherapy IV infusion, first hour — administration of cancer-fighting medication through an IV line for the initial hour.	—	$344	—	—	$344	avg	8
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.	—	$96	—	—	$96	avg	11
PT - Therapeutic Exercise CPT 97110 Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion.	—	$125	—	—	$125	avg	11
PT - Gait Training CPT 97116 PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting.	—	$108	—	—	$108	avg	11
PT - Manual Therapy CPT 97140 Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching.	—	$201	—	—	$201	avg	11
PT Evaluation - Low Complexity CPT 97161 Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition.	—	$309	—	—	$309	avg	11
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.	—	$338	—	—	$338	avg	11
PT Evaluation - High Complexity CPT 97163 Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition.	—	$372	—	—	$372	avg	11
PT - Therapeutic Activities CPT 97530 Therapeutic activities — functional movement training to improve your ability to perform daily activities.	—	$124	—	—	$124	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.	—	$232	—	—	$232	avg	11
ER Visit - Minor Problem CPT 99281 Emergency department visit for a minor, self-limited problem requiring minimal evaluation.	—	$228	—	—	$228	avg	11
ER Visit - Low Complexity CPT 99282 Emergency department visit for a low to moderate severity problem requiring a brief evaluation.	—	$291	—	—	$291	avg	11
ER Visit - Moderate Complexity CPT 99283 Emergency department visit for a moderate severity problem requiring an expanded evaluation.	—	$419	—	—	$419	avg	11
ER Visit - High Complexity CPT 99284 Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life.	—	$690	—	—	$690	avg	11
ER Visit - Immediate Threat to Life CPT 99285 Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation.	—	$1,070	—	—	$1,070	avg	11
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.	—	$1,499	—	—	$1,499	avg	11
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.	—	$819	—	—	$819	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.	—	$49	—	—	$49	avg	11
Triamcinolone Injection CPT J3301 HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection.	—	$37	—	—	$37	-1%	11
Dexamethasone Injection CPT J1100 HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection.	—	$32	—	—	$32	+1%	11
Debridement of Skin (infected) CPT 11000 Debridement of extensively eczematous or infected skin	—	$76	$76	$76–$76	$76	avg	1
Skin Lesion Paring (single) CPT 11055 Paring or cutting of benign hyperkeratotic lesion	—	$76	$76	$76–$76	$76	avg	1
Skin Lesion Paring (2-4) CPT 11056 Paring or cutting of benign hyperkeratotic lesions, 2 to 4	—	$76	$76	$76–$76	$76	avg	1
Skin Tag Removal (up to 15) CPT 11200 Removal of skin tags, multiple fibrocutaneous tags	—	$76	$76	$76–$76	$76	avg	1
Skin Lesion Shave (0.5 cm or less) CPT 11300 Shave removal of epidermal or dermal lesion, trunk/extremities	—	$76	$76	$76–$76	$76	avg	1
Skin Lesion Shave (0.6-1.0 cm) CPT 11301 Shave removal of epidermal or dermal lesion, trunk/extremities	—	$76	$76	$76–$76	$76	avg	1
Skin Lesion Shave - Scalp/Neck (0.5 cm) CPT 11305 Shave removal of epidermal or dermal lesion, scalp/neck/hands/feet	—	$76	$76	$76–$76	$76	avg	1
Excision of Benign Skin Lesion (0.5 cm or less) CPT 11400 Excision of benign lesion, trunk/arms/legs	—	$76	$76	$76–$76	$76	avg	1
Excision of Benign Skin Lesion (0.6-1.0 cm) CPT 11401 Excision of benign lesion, trunk/arms/legs, 0.6-1.0 cm	—	$76	$76	$76–$76	$76	avg	1
Excision of Benign Skin Lesion (1.1-2.0 cm) CPT 11402 Excision of benign lesion, trunk/arms/legs, 1.1-2.0 cm	—	$76	$76	$76–$76	$76	avg	1
Excision Benign Lesion - Face (0.5 cm) CPT 11440 Excision of benign lesion, face/ears/eyelids/nose/lips	—	$76	$76	$76–$76	$76	avg	1
Excision Malignant Lesion (0.5 cm or less) CPT 11600 Excision of malignant lesion, trunk/arms/legs	—	$76	$76	$76–$76	$76	avg	1
Excision Malignant Lesion (0.6-1.0 cm) CPT 11601 Excision of malignant lesion, trunk/arms/legs, 0.6-1.0 cm	—	$76	$76	$76–$76	$76	avg	1
Excision Malignant Lesion (1.1-2.0 cm) CPT 11602 Excision of malignant lesion, trunk/arms/legs, 1.1-2.0 cm	—	$76	$76	$76–$76	$76	avg	1
Nail Removal (partial or complete) CPT 11730 Avulsion of nail plate, partial or complete	—	$76	$76	$76–$76	$76	avg	1
Permanent Nail Removal CPT 11750 Excision of nail and nail matrix, permanent removal	—	$76	$76	$76–$76	$76	avg	1
Destruction of Premalignant Lesions (2-14) CPT 17003 Destruction of premalignant lesions, second through 14th lesion	—	$76	$76	$76–$76	$76	avg	1
Destruction of Skin Lesions (15+) CPT 17004 Destruction of premalignant lesions, 15 or more lesions	—	$474	$474	$76–$871	$474	avg	1
Destruction Malignant Lesion (trunk) CPT 17260 Destruction of malignant lesion, trunk, any method	—	$76	$76	$76–$76	$76	avg	1
Mohs Surgery (first stage) CPT 17311 Mohs micrographic surgery, first stage, up to 5 tissue blocks	—	$76	$76	$76–$76	$76	avg	1
Tendon Sheath Injection CPT 20550 Injection of tendon sheath, ligament, or trigger point	—	$76	$76	$76–$76	$76	avg	1
Hardware Removal (deep) CPT 20680 Removal of implant, deep (plate, screw, rod)	—	$76	$76	$76–$76	$76	avg	1
Shoulder Injection with Imaging CPT 23350 Injection for shoulder arthrography	—	$76	$76	$76–$76	$76	avg	1
Tennis Elbow Repair CPT 24341 Repair of lateral collateral ligament, elbow	—	$12,045	$12,045	$76–$24,014	$12,045	avg	1
Closed Treatment Distal Radius Fracture CPT 25600 Closed treatment of distal radial fracture without manipulation	—	$76	$76	$76–$76	$76	avg	1
Closed Treatment Distal Radius Fracture (with manipulation) CPT 25605 Closed treatment of distal radial fracture with manipulation	—	$76	$76	$76–$76	$76	avg	1
Intertrochanteric Fracture Treatment CPT 27245 Treatment of intertrochanteric femoral fracture with plate/screws	—	$76	$76	$76–$76	$76	avg	1
Knee Manipulation Under Anesthesia CPT 27570 Manipulation of knee joint under general anesthesia	—	$76	$76	$76–$76	$76	avg	1
Open Treatment Ankle Fracture (bimalleolar) CPT 27792 Open treatment of distal fibula fracture, bimalleolar	—	$6,739	$6,739	$76–$13,401	$6,739	avg	1
Amputation - Toe CPT 28820 Amputation of toe at metatarsophalangeal joint	—	$76	$76	$76–$76	$76	avg	1
Endoscopic Carpal Tunnel Release CPT 29848 Endoscopy of wrist, carpal tunnel release	—	$1,599	$1,599	$76–$3,122	$1,599	avg	1
Shoulder Arthroscopy - Acromioplasty CPT 29826 Arthroscopy, shoulder, surgical, decompression of subacromial space	—	$76	$76	$76–$76	$76	avg	1
Knee Arthroscopy with Meniscus Repair CPT 29882 Arthroscopy, knee, surgical, meniscus repair	—	$4,020	$4,020	$76–$7,964	$4,020	avg	1
ACL Reconstruction (Knee Ligament Repair) CPT 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation	—	$11,951	$11,951	$76–$23,825	$11,951	avg	1
Esophagoscopy (diagnostic) CPT 43191 Esophagoscopy, flexible, diagnostic	—	$76	$76	$76–$76	$76	avg	1
EGD with Stent Placement CPT 43210 Esophagogastroduodenoscopy with stent placement	—	$76	$76	$76–$76	$76	avg	1
EGD with Gastrostomy Tube CPT 43246 Upper GI endoscopy with gastrostomy tube placement	—	$76	$76	$76–$76	$76	avg	1
Laceration Repair - Simple (2.5 cm or less) CPT 12001 Simple repair of superficial wounds, scalp/neck/extremities	—	$76	$76	$76–$76	$76	avg	1
Laceration Repair - Simple (2.6-7.5 cm) CPT 12002 Simple repair of superficial wounds, 2.6-7.5 cm	—	$76	$76	$76–$76	$76	avg	1
Laceration Repair - Simple (7.6-12.5 cm) CPT 12004 Simple repair of superficial wounds, 7.6-12.5 cm	—	$76	$76	$76–$76	$76	avg	1
Laceration Repair - Face (2.5 cm or less) CPT 12011 Simple repair of superficial wounds of face, 2.5 cm or less	—	$76	$76	$76–$76	$76	avg	1
Laceration Repair - Face (2.6-5.0 cm) CPT 12013 Simple repair of superficial wounds of face, 2.6-5.0 cm	—	$76	$76	$76–$76	$76	avg	1
Laceration Repair - Intermediate (2.5 cm or less) CPT 12031 Repair, intermediate, wounds of scalp/trunk/extremities	—	$76	$76	$76–$76	$76	avg	1
Laceration Repair - Intermediate (2.6-7.5 cm) CPT 12032 Repair, intermediate, wounds of scalp/trunk/extremities	—	$76	$76	$76–$76	$76	avg	1
Laceration Repair - Intermediate Face (2.5 cm) CPT 12051 Repair, intermediate, wounds of face, 2.5 cm or less	—	$76	$76	$76–$76	$76	avg	1
Laceration Repair - Intermediate Face (2.6-5.0 cm) CPT 12052 Repair, intermediate, wounds of face, 2.6-5.0 cm	—	$76	$76	$76–$76	$76	avg	1
Burn Dressing (small) CPT 16020 Dressings and/or debridement of partial-thickness burns, small	—	$76	$76	$76–$76	$76	avg	1
Burn Dressing (medium) CPT 16025 Dressings and/or debridement of partial-thickness burns, medium	—	$76	$76	$76–$76	$76	avg	1
Closed Treatment Radial Head Fracture CPT 24640 Closed treatment of radial head subluxation (nursemaid elbow)	—	$76	$76	$76–$76	$76	avg	1
Short Arm Splint CPT 29125 Application of short arm splint, forearm to hand	—	$76	$76	$76–$76	$76	avg	1
Finger Splint CPT 29130 Application of finger splint	—	$76	$76	$76–$76	$76	avg	1
Long Leg Splint CPT 29505 Application of long leg splint, thigh to ankle	—	$76	$76	$76–$76	$76	avg	1
Short Leg Splint CPT 29515 Application of short leg splint, calf to foot	—	$76	$76	$76–$76	$76	avg	1
Nasal Foreign Body Removal CPT 30300 Removal of foreign body from intranasal, office type	—	$76	$76	$76–$76	$76	avg	1
Anterior Nasal Packing (nosebleed) CPT 30901 Control nasal hemorrhage, anterior, simple	—	$76	$76	$76–$76	$76	avg	1
Anterior Nasal Packing (complex) CPT 30903 Control nasal hemorrhage, anterior, complex	—	$76	$76	$76–$76	$76	avg	1
Endotracheal Intubation CPT 31500 Intubation, endotracheal, emergency procedure	—	$76	$76	$76–$76	$76	avg	1
Chest Tube Insertion CPT 32551 Tube thoracostomy, insertion of chest tube	—	$76	$76	$76–$76	$76	avg	1
IV Line Placement (peripheral) CPT 36000 Introduction of needle or intracatheter, vein	—	$76	$76	$76–$76	$76	avg	1
Breast Biopsy (stereotactic) CPT 19081 Biopsy, breast, with placement of breast localization device, stereotactic guidance	—	$3,567	$3,567	$76–$7,057	$3,567	avg	1
Breast Biopsy (ultrasound-guided) CPT 19083 Biopsy, breast, with placement of breast localization device, ultrasound guidance	—	$2,370	$2,370	$76–$4,663	$2,370	avg	1
Breast Biopsy (MRI-guided) CPT 19084 Biopsy, breast, with placement of breast localization device, MRI guidance	—	$76	$76	$76–$76	$76	avg	1
Mastopexy (Breast Lift) CPT 19316 Mastopexy	—	$76	$76	$76–$76	$76	avg	1
Breast Augmentation (Implant) CPT 19325 Mammaplasty, augmentative	—	$10,056	$10,056	$76–$20,035	$10,056	avg	1
Breast Implant Removal CPT 19328 Removal of intact mammary implant	—	$76	$76	$76–$76	$76	avg	1
Breast Reconstruction (immediate) CPT 19340 Immediate insertion of breast prosthesis following mastopexy or mastectomy	—	$76	$76	$76–$76	$76	avg	1
Incision and Drainage of Abscess (simple) CPT 10060 Incision and drainage of abscess, simple or single	—	$76	$76	$76–$76	$76	avg	1
Incision and Drainage of Abscess (complex) CPT 10061 Incision and drainage of abscess, complicated or multiple	—	$76	$76	$76–$76	$76	avg	1
Foreign Body Removal (skin, simple) CPT 10120 Incision and removal of foreign body, subcutaneous tissues, simple	—	$76	$76	$76–$76	$76	avg	1
Foreign Body Removal (skin, complex) CPT 10121 Incision and removal of foreign body, subcutaneous tissues, complicated	—	$76	$76	$76–$76	$76	avg	1
Incision and Drainage of Hematoma CPT 10140 Incision and drainage of hematoma, seroma, or fluid collection	—	$76	$76	$76–$76	$76	avg	1
Aspiration of Abscess/Cyst CPT 10160 Puncture aspiration of abscess, hematoma, bulla, or cyst	—	$76	$76	$76–$76	$76	avg	1
Debridement - Muscle/Fascia CPT 11043 Debridement, muscle and/or fascia, first 20 sq cm	—	$76	$76	$76–$76	$76	avg	1
Breast Biopsy (needle, percutaneous) CPT 19100 Biopsy of breast, percutaneous, needle core	—	$76	$76	$76–$76	$76	avg	1
Soft Tissue Excision (back/flank) CPT 21931 Excision, tumor, soft tissue of back or flank, subcutaneous	—	$4,755	$4,755	$76–$9,433	$4,755	avg	1
Knee Cartilage Removal (arthrotomy) CPT 27332 Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee	—	$76	$76	$76–$76	$76	avg	1
Pacemaker Insertion CPT 33208 Insertion of new or replacement of permanent pacemaker	—	$76	$76	$76–$76	$76	avg	1
ICD (Defibrillator) Insertion CPT 33249 Insertion or replacement of permanent implantable defibrillator system	—	$76	$76	$76–$76	$76	avg	1
Bone Marrow Aspiration CPT 38220 Diagnostic bone marrow aspiration(s)	—	$76	$76	$76–$76	$76	avg	1
Bone Marrow Biopsy CPT 38221 Diagnostic bone marrow biopsy(ies)	—	$5,085	$5,085	$76–$10,093	$5,085	avg	1
Lymph Node Biopsy/Excision (superficial) CPT 38500 Biopsy or excision of lymph node(s), superficial	—	$8,521	$8,521	$76–$16,965	$8,521	avg	1
Lymph Node Biopsy/Excision (deep) CPT 38510 Biopsy or excision of lymph node(s), deep cervical	—	$8,595	$8,595	$76–$17,113	$8,595	avg	1
Lip Biopsy CPT 40490 Biopsy of lip, vermilion	—	$76	$76	$76–$76	$76	avg	1
Tongue Biopsy (anterior 2/3) CPT 41100 Biopsy of tongue, anterior two-thirds	—	$76	$76	$76–$76	$76	avg	1
Salivary Stone Removal (Sialolithotomy) CPT 42330 Sialolithotomy, submandibular or sublingual, intraoral	—	$76	$76	$76–$76	$76	avg	1
Drainage of Peritonsillar Abscess CPT 42700 Incision and drainage, abscess, peritonsillar	—	$76	$76	$76–$76	$76	avg	1
Pacemaker Insertion (ventricular) CPT 33207 Insertion of new or replacement of permanent pacemaker, ventricular	—	$76	$76	$76–$76	$76	avg	1
Leadless Pacemaker Insertion CPT 33274 Transcatheter insertion or replacement of permanent leadless pacemaker	—	$76	$76	$76–$76	$76	avg	1
Bronchoscopy with Lavage CPT 31624 Bronchoscopy with bronchial alveolar lavage	—	$76	$76	$76–$76	$76	avg	1
Bronchoscopy with Biopsy CPT 31625 Bronchoscopy with bronchial or endobronchial biopsy	—	$76	$76	$76–$76	$76	avg	1
Rhinoplasty - Nose Job (Primary, Tip/Cartilage) CPT 30400 Rhinoplasty - Nose Job (Primary, Tip/Cartilage) — CPT code 30400 covers rhinoplasty - nose job (primary, tip/cartilage) performed in a clinical or hospital setting.	—	$76	$76	$76–$76	$76	avg	1
Rhinoplasty - Nose Job (Primary, Complete) CPT 30410 Rhinoplasty - Nose Job (Primary, Complete) — CPT code 30410 covers rhinoplasty - nose job (primary, complete) performed in a clinical or hospital setting.	—	$76	$76	$76–$76	$76	avg	1
Septorhinoplasty (Nose Job with Septal Repair) CPT 30420 Septorhinoplasty (Nose Job with Septal Repair) — CPT code 30420 covers septorhinoplasty (nose job with septal repair) performed in a clinical or hospital setting.	—	$76	$76	$76–$76	$76	avg	1
Revision Rhinoplasty - Minor (Nose Job Revision) CPT 30430 Revision Rhinoplasty - Minor (Nose Job Revision) — CPT code 30430 covers revision rhinoplasty - minor (nose job revision) performed in a clinical or hospital setting.	—	$76	$76	$76–$76	$76	avg	1
Revision Rhinoplasty - Intermediate (Nose Job Revision) CPT 30435 Revision Rhinoplasty - Intermediate (Nose Job Revision) — CPT code 30435 covers revision rhinoplasty - intermediate (nose job revision) performed in a clinical or hospital setting.	—	$76	$76	$76–$76	$76	avg	1
Revision Rhinoplasty - Major (Nose Job Revision) CPT 30450 Revision Rhinoplasty - Major (Nose Job Revision) — CPT code 30450 covers revision rhinoplasty - major (nose job revision) performed in a clinical or hospital setting.	—	$76	$76	$76–$76	$76	avg	1

Prices are typical ranges based on Mahnomen Health Center'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 3 insurers at Mahnomen Health Center. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.

BCBS (Various Licensees) 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.

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.

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▸ Technical Details

Type

Rural Emergency Hospital

Ownership

Government - Local

Medicare Provider #

240779

Emergency Services

Yes

Metro Area

Mahnomen, MN

Procedures Tracked

291

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