Compare real prices at Proctor Hospital in Peoria, IL. Taven tracks 239 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.
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239
Procedures Tracked
with pricing data
⭐
3/5
Star Rating
CMS Care Compare
💰
5.9x
Markup Ratio
Avg = 3.0x
🏥
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: ROBERT QUINOrg NPI: 1861026478
🔒 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 Proctor Hospital
239 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Peoria, 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) | Peoria Avg | vs. Avg | Payers |
|---|---|---|---|---|---|---|---|
| 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 | $150 | -39% | 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. |
— | $904 | $904 | $904–$904 | $1,358 | -33% | 1 |
| Total Knee Replacement CPT 27447 Full knee replacement surgery where the damaged knee joint is replaced with artificial metal and plastic components to relieve pain and restore function. |
$61,286 | $23,746 | — | — | $14,988 | +58% | 5 |
| 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. |
— | $696 | $696 | $671–$721 | $1,099 | -37% | 1 |
| Bunionectomy with Metatarsal Osteotomy CPT 28296 Surgical correction of a bunion (hallux valgus) that includes cutting and realigning the metatarsal bone to straighten the big toe and relieve pain. |
$12,169 | $5,898 | — | — | $4,375 | +35% | 5 |
| 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. |
$19,759 | $7,169 | — | — | $4,902 | +46% | 5 |
| Knee Arthroscopy (Meniscus Surgery) CPT 29881 Arthroscopic knee surgery to treat a torn meniscus on one side of the knee. The surgeon trims or repairs the damaged cartilage through small incisions. |
$15,807 | $7,169 | — | — | $4,879 | +47% | 5 |
| 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. |
— | $48 | $48 | $48–$48 | $3,645 | -99% | 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. |
$25 | $3 | — | — | $14 | -79% | 5 |
| Arterial Line Placement CPT 36620 Placement of a thin tube (catheter) into an artery, usually in the wrist, to continuously monitor blood pressure during surgery or critical care. |
— | $97 | $97 | $97–$97 | $132 | -26% | 1 |
| Gastric Bypass (Laparoscopic Roux-en-Y) CPT 43644 Gastric Bypass (Laparoscopic Roux-en-Y) — CPT code 43644 covers gastric bypass (laparoscopic roux-en-y) performed in a clinical or hospital setting. |
— | $48 | $48 | $48–$48 | $3,357 | -99% | 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. |
— | $2,045 | $2,045 | $2,045–$2,045 | $3,082 | -34% | 1 |
| Gallbladder Removal (Laparoscopic) CPT 47562 Minimally invasive removal of the gallbladder (laparoscopic cholecystectomy). Small incisions and a camera are used to remove the gallbladder, typically for gallstones or inflammation. |
— | $1,213 | $1,213 | $1,213–$1,213 | $2,060 | -41% | 1 |
| Bladder Aspiration/Drainage CPT 51102 Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting. |
— | $388 | $388 | $296–$479 | $918 | -58% | 1 |
| IUD Insertion CPT 58300 IUD Insertion — CPT code 58300 covers iud insertion performed in a clinical or hospital setting. |
— | $144 | $144 | $94–$193 | $343 | -58% | 1 |
| Laparoscopic Hysterectomy (250g or Less) CPT 58571 Total laparoscopic hysterectomy including removal of the cervix — minimally invasive complete removal of the uterus and cervix. |
— | $1,765 | $1,765 | $1,765–$1,765 | $2,925 | -40% | 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. |
— | $1,274 | $1,274 | $1,274–$1,274 | $1,768 | -28% | 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. |
— | $5,750 | $5,750 | $5,750–$5,750 | $3,069 | +87% | 1 |
| Vaginal Delivery Only CPT 59409 Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting. |
— | $1,218 | $1,218 | $1,218–$1,218 | $1,961 | -38% | 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. |
— | $2,044 | $2,044 | $48–$4,040 | $5,654 | -64% | 1 |
| VBAC Delivery CPT 59610 VBAC Delivery — CPT code 59610 covers vbac delivery performed in a clinical or hospital setting. |
— | $3,813 | $3,813 | $3,813–$3,813 | $6,271 | -39% | 1 |
| Carpal Tunnel Release CPT 64721 Carpal tunnel release — surgery to relieve pressure on the median nerve in the wrist, treating numbness, tingling, and weakness in the hand. |
— | $817 | $817 | $817–$817 | $1,404 | -42% | 1 |
| Ear Tube Placement (Tympanostomy) CPT 69436 Ear Tube Placement (Tympanostomy) — CPT code 69436 covers ear tube placement (tympanostomy) performed in a clinical or hospital setting. |
— | $288 | $288 | $288–$288 | $396 | -27% | 1 |
| 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. |
— | $243 | $243 | $243–$243 | $985 | -75% | 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. |
— | $125 | $125 | $125–$125 | $996 | -87% | 1 |
| Chest X-Ray (single view) CPT 71045 X-ray imaging — chest x-ray (single view). A quick imaging test using small amounts of radiation to create pictures of bones and internal structures. |
— | $20 | $20 | $20–$20 | $116 | -82% | 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. |
— | $274 | $274 | $150–$398 | $2,286 | -88% | 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. |
— | $76 | $76 | $76–$76 | $263 | -71% | 1 |
| MRI Shoulder without Contrast CPT 73221 MRI of any joint of the upper extremity without contrast — detailed imaging of a shoulder, elbow, wrist, or hand joint. |
— | $150 | $150 | $150–$150 | $1,438 | -90% | 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. |
— | $62 | $62 | $48–$75 | $257 | -76% | 1 |
| MRI Knee without Contrast CPT 73721 MRI of any joint of the lower extremity without contrast — detailed imaging of a hip, knee, ankle, or foot joint using magnetic resonance. |
— | $460 | $460 | $460–$460 | $1,744 | -74% | 1 |
| CT Abdomen/Pelvis with Contrast CPT 74177 CT scan of the abdomen and pelvis with contrast — comprehensive cross-sectional imaging of the abdominal and pelvic organs after contrast injection. |
— | $203 | $203 | $203–$203 | $1,890 | -89% | 1 |
| Breast Ultrasound CPT 76642 Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $48 | $48 | $48–$48 | $124 | -61% | 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. |
— | $258 | $258 | $258–$258 | $926 | -72% | 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. |
— | $261 | $261 | $261–$261 | $533 | -51% | 1 |
| Diagnostic Mammogram (unilateral) CPT 77065 Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer. |
— | $185 | $185 | $89–$280 | $241 | -23% | 1 |
| Diagnostic Mammogram (bilateral) CPT 77066 Screening mammogram of both breasts — routine X-ray imaging of both breasts to detect early breast cancer in women without symptoms. |
— | $48 | $48 | $48–$48 | $202 | -76% | 1 |
| Lipid Panel CPT 80061 Lipid panel — a blood test measuring cholesterol levels including total cholesterol, HDL ("good"), LDL ("bad"), and triglycerides to assess heart disease risk. |
— | $4 | $4 | $4–$4 | $82 | -96% | 1 |
| Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting. |
— | $4 | $4 | $4–$4 | $155 | -98% | 1 |
| Urinalysis with Microscopy CPT 81001 Urinalysis with microscopy — a urine test that examines the physical, chemical, and microscopic properties of urine to detect infections, kidney disease, or other conditions. |
— | $3 | $3 | $3–$3 | $47 | -93% | 1 |
| Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting. |
— | $4 | $4 | $4–$4 | $23 | -85% | 1 |
| Potassium Level CPT 84132 Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting. |
— | $48 | $48 | $48–$48 | $52 | -7% | 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. |
— | $8 | $8 | $8–$8 | $50 | -84% | 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 | $45 | -21% | 1 |
| Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample. |
— | $48 | $48 | $48–$48 | $51 | -5% | 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 | $48 | +7% | 2 |
| 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. |
— | $48 | $48 | $48–$48 | $78 | -38% | 1 |
| Cardiovascular Stress Test CPT 93015 Cardiovascular Stress Test — CPT code 93015 covers cardiovascular stress test performed in a clinical or hospital setting. |
— | $48 | $48 | $48–$48 | $134 | -64% | 1 |
| IV Push (single drug) CPT 96374 IV push medication — rapid injection of medication directly into a vein or existing IV line. |
— | $57 | $57 | $57–$57 | $198 | -71% | 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. |
— | $48 | $48 | $48–$48 | $64 | -25% | 1 |
| PT - Therapeutic Exercise CPT 97110 Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion. |
— | $48 | $48 | $48–$48 | $77 | -37% | 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. |
— | $48 | $48 | $48–$48 | $238 | -80% | 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. |
— | $82 | $82 | $70–$95 | $130 | -37% | 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. |
— | $118 | $118 | $102–$134 | $193 | -39% | 1 |
| Preventive Visit - Established (18-39) CPT 99395 Preventive Visit - Established (18-39) — CPT code 99395 covers preventive visit - established (18-39) performed in a clinical or hospital setting. |
— | $144 | $144 | $123–$166 | $219 | -34% | 1 |
| Anesthesia - Head CPT 00100 Anesthesia - Head — CPT code 00100 covers anesthesia - head performed in a clinical or hospital setting. |
— | $48 | $48 | $48–$48 | $207 | -77% | 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. |
— | $48 | $48 | $48–$48 | $146 | -67% | 1 |
| Debridement of Skin (infected) CPT 11000 Debridement of extensively eczematous or infected skin |
— | $46 | $46 | $46–$46 | $77 | -40% | 1 |
| Skin Lesion Shave (0.6-1.0 cm) CPT 11301 Shave removal of epidermal or dermal lesion, trunk/extremities |
— | $197 | $197 | $197–$197 | $217 | -9% | 1 |
| Excision of Benign Skin Lesion (0.5 cm or less) CPT 11400 Excision of benign lesion, trunk/arms/legs |
— | $177 | $177 | $144–$211 | $242 | -27% | 1 |
| Excision Malignant Lesion (0.6-1.0 cm) CPT 11601 Excision of malignant lesion, trunk/arms/legs, 0.6-1.0 cm |
— | $379 | $379 | $379–$379 | $456 | -17% | 1 |
| Excision Malignant Lesion (1.1-2.0 cm) CPT 11602 Excision of malignant lesion, trunk/arms/legs, 1.1-2.0 cm |
— | $341 | $341 | $276–$407 | $453 | -25% | 1 |
| Mohs Surgery (first stage) CPT 17311 Mohs micrographic surgery, first stage, up to 5 tissue blocks |
— | $609 | $609 | $609–$609 | $1,020 | -40% | 1 |
| Shoulder Injection with Imaging CPT 23350 Injection for shoulder arthrography |
— | $48 | $48 | $48–$48 | $229 | -79% | 1 |
| Endoscopic Carpal Tunnel Release CPT 29848 Endoscopy of wrist, carpal tunnel release |
— | $1,058 | $1,058 | $1,058–$1,058 | $1,529 | -31% | 1 |
| Knee Arthroscopy with Meniscus Repair CPT 29882 Arthroscopy, knee, surgical, meniscus repair |
— | $1,422 | $1,422 | $1,422–$1,422 | $2,034 | -30% | 1 |
| EGD with Hemostasis CPT 43255 Upper GI endoscopy with control of bleeding |
— | $351 | $351 | $351–$351 | $1,068 | -67% | 1 |
| Sigmoidoscopy (diagnostic) CPT 45330 Sigmoidoscopy, flexible, diagnostic |
— | $309 | $309 | $309–$309 | $432 | -28% | 1 |
| Colonoscopy with Ablation CPT 45388 Colonoscopy with ablation of tumor or polyp |
— | $475 | $475 | $475–$475 | $3,222 | -85% | 1 |
| Colonoscopy with Endoscopic Ultrasound CPT 45391 Colonoscopy with endoscopic ultrasound examination |
— | $451 | $451 | $451–$451 | $691 | -35% | 1 |
| CT Sinus without Contrast CPT 70486 CT scan of maxillofacial area without contrast |
— | $290 | $290 | $290–$290 | $325 | -11% | 1 |
| CT Soft Tissue Neck with Contrast CPT 70491 CT scan of soft tissue neck with contrast |
— | $285 | $285 | $152–$417 | $384 | -26% | 1 |
| CT Cervical Spine without Contrast CPT 72125 CT cervical spine without contrast |
— | $271 | $271 | $271–$271 | $319 | -15% | 1 |
| CT Lumbar Spine without Contrast CPT 72131 CT lumbar spine without contrast |
— | $269 | $269 | $269–$269 | $306 | -12% | 1 |
| MRI Lumbar Spine with Contrast CPT 72149 MRI lumbar spine with contrast |
— | $183 | $183 | $183–$183 | $470 | -61% | 1 |
| MRI Lumbar Spine with/without Contrast CPT 72158 MRI lumbar spine without contrast, then with contrast |
— | $235 | $235 | $235–$235 | $564 | -58% | 1 |
| MRI Pelvis without/with Contrast CPT 72197 MRI pelvis without contrast, then with contrast |
— | $461 | $461 | $224–$698 | $700 | -34% | 1 |
| Wrist X-Ray CPT 73100 Radiologic examination of wrist, 2 views |
— | $58 | $58 | $48–$69 | $78 | -25% | 1 |
| MRI Shoulder with Contrast CPT 73222 MRI any joint of upper extremity with contrast |
— | $439 | $439 | $179–$698 | $658 | -33% | 1 |
| Hip X-Ray (2-3 views) CPT 73502 Radiologic examination of hip, 2-3 views |
— | $106 | $106 | $106–$106 | $121 | -13% | 1 |
| Knee X-Ray (3 views) CPT 73562 Radiologic examination of knee, 3 views |
— | $56 | $56 | $21–$90 | $87 | -36% | 1 |
| Foot X-Ray (3+ views) CPT 73630 Radiologic examination of foot, complete, minimum 3 views |
— | $48 | $48 | $48–$48 | $72 | -33% | 1 |
| MRI Lower Extremity without Contrast CPT 73718 MRI lower extremity other than joint without contrast |
— | $149 | $149 | $149–$149 | $387 | -62% | 1 |
| Chest Ultrasound CPT 76604 Ultrasound of chest, real time with image documentation |
— | $48 | $48 | $48–$48 | $110 | -56% | 1 |
| Retroperitoneal Ultrasound (complete) CPT 76770 Ultrasound, retroperitoneal, complete |
— | $241 | $241 | $241–$241 | $270 | -11% | 1 |
| Transvaginal OB Ultrasound CPT 76817 Ultrasound, pregnant uterus, transvaginal |
— | $205 | $205 | $205–$205 | $233 | -12% | 1 |
| Nuclear Stress Test (Planar MPI) CPT 78451 Myocardial perfusion imaging, planar, single study |
— | $676 | $676 | $676–$676 | $775 | -13% | 1 |
| Renal Function Panel CPT 80069 Renal function panel blood test |
— | $9 | $9 | $9–$9 | $17 | -49% | 1 |
| Amylase Level CPT 82150 Amylase test |
— | $48 | $48 | $48–$48 | $34 | +42% | 1 |
| Bilirubin Total CPT 82247 Bilirubin, total |
— | $48 | $48 | $48–$48 | $32 | +51% | 1 |
| Calcium Level CPT 82310 Calcium, total |
— | $5 | $5 | $5–$5 | $10 | -48% | 1 |
| CK/CPK (Creatine Kinase) CPT 82550 Creatine kinase (CK, CPK), total |
— | $4 | $4 | $4–$4 | $12 | -71% | 1 |
| CK-MB (Heart) CPT 82553 Creatine kinase (CK), MB fraction |
— | $9 | $9 | $9–$9 | $22 | -60% | 1 |
| Blood Gas Panel (ABG) CPT 82803 Gases, blood, any combination of pH, pCO2, pO2 |
— | $4 | $4 | $4–$4 | $41 | -91% | 1 |
| FSH (Follicle Stimulating Hormone) CPT 83001 Gonadotropin, follicle stimulating hormone (FSH) |
— | $48 | $48 | $48–$48 | $52 | -7% | 1 |
| Iron Level CPT 83540 Iron |
— | $5 | $5 | $5–$5 | $12 | -58% | 1 |
| Lipase Level CPT 83690 Lipase |
— | $4 | $4 | $4–$4 | $12 | -71% | 1 |
| Parathyroid Hormone (PTH) CPT 83970 Parathormone (parathyroid hormone, PTH) |
— | $48 | $48 | $48–$48 | $86 | -44% | 1 |
| Alkaline Phosphatase CPT 84075 Phosphatase, alkaline |
— | $48 | $48 | $48–$48 | $32 | +51% | 1 |
| Prealbumin Level CPT 84134 Prealbumin |
— | $30 | $30 | $11–$48 | $37 | -20% | 1 |
| Progesterone Level CPT 84144 Progesterone |
— | $48 | $48 | $48–$48 | $55 | -12% | 1 |
| Thyroxine Total (T4) CPT 84436 Thyroxine, total |
— | $27 | $27 | $5–$48 | $24 | +11% | 1 |
| Free Thyroxine (Free T4) CPT 84439 Thyroxine, free |
— | $7 | $7 | $7–$7 | $17 | -59% | 1 |
| T3 (Triiodothyronine) Total CPT 84480 Triiodothyronine T3, total |
— | $48 | $48 | $48–$48 | $45 | +7% | 1 |
| Free T3 CPT 84481 Triiodothyronine T3, free |
— | $48 | $48 | $48–$48 | $50 | -4% | 1 |
| Uric Acid Level CPT 84550 Uric acid, blood |
— | $48 | $48 | $48–$48 | $31 | +55% | 1 |
| CBC (Automated) CPT 85027 Complete blood count, automated |
— | $27 | $27 | $6–$48 | $23 | +19% | 1 |
| Sed Rate (ESR) CPT 85652 Sedimentation rate, erythrocyte; automated |
— | $4 | $4 | $4–$4 | $6 | -42% | 1 |
| PTT (Partial Thromboplastin Time) CPT 85730 Thromboplastin time, partial (PTT) |
— | $6 | $6 | $6–$6 | $12 | -50% | 1 |
| C-Reactive Protein (CRP) CPT 86140 C-reactive protein |
— | $48 | $48 | $48–$48 | $32 | +51% | 1 |
| TB Blood Test (QuantiFERON) CPT 86480 Tuberculosis test, cell mediated immunity antigen response |
— | $48 | $48 | $48–$48 | $117 | -59% | 1 |
| Herpes Simplex Antibody CPT 86695 Antibody, herpes simplex, type specific |
— | $48 | $48 | $48–$48 | $44 | +10% | 1 |
| Rubella Antibody CPT 86762 Antibody, rubella |
— | $11 | $11 | $11–$11 | $27 | -59% | 1 |
| Rubeola (Measles) Antibody CPT 86765 Antibody, rubeola |
— | $7 | $7 | $4–$10 | $23 | -71% | 1 |
| Varicella Antibody (Chickenpox) CPT 86787 Antibody, varicella-zoster |
— | $10 | $10 | $10–$10 | $24 | -59% | 1 |
| Antibiotic Sensitivity (MIC) CPT 87186 Susceptibility studies, antimicrobial agent; microdilution or agar dilution |
— | $19 | $7 | $4–$48 | $23 | -15% | 1 |
| Flu Test (PCR/molecular) CPT 87502 Infectious agent detection, influenza, multiplex reverse transcription |
— | $96 | $96 | $96–$96 | $192 | -50% | 1 |
| Mycobacterium TB Detection CPT 87580 Infectious agent detection, Mycobacterium tuberculosis, amplified probe |
— | $32 | $32 | $15–$48 | $46 | -31% | 1 |
| HPV High-Risk Test CPT 87624 Infectious agent detection, human papillomavirus (HPV), high-risk types |
— | $26 | $26 | $4–$48 | $66 | -61% | 1 |
| Laceration Repair - Simple (2.5 cm or less) CPT 12001 Simple repair of superficial wounds, scalp/neck/extremities |
— | $158 | $158 | $158–$158 | $197 | -20% | 1 |
| Laceration Repair - Simple (2.6-7.5 cm) CPT 12002 Simple repair of superficial wounds, 2.6-7.5 cm |
— | $48 | $48 | $48–$48 | $172 | -72% | 1 |
| Laceration Repair - Face (2.5 cm or less) CPT 12011 Simple repair of superficial wounds of face, 2.5 cm or less |
— | $48 | $48 | $48–$48 | $170 | -72% | 1 |
| Laceration Repair - Intermediate Face (2.6-5.0 cm) CPT 12052 Repair, intermediate, wounds of face, 2.6-5.0 cm |
— | $522 | $522 | $522–$522 | $624 | -16% | 1 |
| Burn Dressing (small) CPT 16020 Dressings and/or debridement of partial-thickness burns, small |
— | $96 | $96 | $96–$96 | $159 | -39% | 1 |
| Short Arm Splint CPT 29125 Application of short arm splint, forearm to hand |
— | $48 | $48 | $48–$48 | $148 | -67% | 1 |
| Finger Splint CPT 29130 Application of finger splint |
— | $48 | $48 | $48–$48 | $98 | -51% | 1 |
| Nasal Foreign Body Removal CPT 30300 Removal of foreign body from intranasal, office type |
— | $220 | $220 | $220–$220 | $448 | -51% | 1 |
| IV Line Placement (peripheral) CPT 36000 Introduction of needle or intracatheter, vein |
— | $15 | $15 | $15–$15 | $44 | -65% | 1 |
| Venipuncture (age 3+) CPT 36410 Venipuncture, age 3 years or older, necessitating physician skill |
— | $48 | $48 | $48–$48 | $52 | -7% | 1 |
| Immunization Admin (through age 18) CPT 90460 Immunization administration through 18 years of age, first or only component |
— | $48 | $48 | $48–$48 | $59 | -18% | 1 |
| Flu Vaccine (quadrivalent) CPT 90686 Influenza virus vaccine, quadrivalent, preservative free |
— | $23 | $23 | $23–$23 | $12 | +92% | 1 |
| Td Vaccine (adult) CPT 90714 Tetanus and diphtheria toxoids, adult, preservative free |
— | $34 | $34 | $34–$34 | $38 | -11% | 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) |
— | $101 | $101 | $48–$154 | $184 | -45% | 1 |
| Preventive Visit - Established Child (5-11) CPT 99393 Periodic comprehensive preventive visit, late childhood (5-11) |
— | $48 | $48 | $48–$48 | $153 | -68% | 1 |
| Breast Biopsy (MRI-guided) CPT 19084 Biopsy, breast, with placement of breast localization device, MRI guidance |
— | $133 | $133 | $133–$133 | $383 | -65% | 1 |
| Breast Implant Removal CPT 19328 Removal of intact mammary implant |
— | $970 | $970 | $970–$970 | $1,255 | -23% | 1 |
| Vulvectomy (partial) CPT 56620 Vulvectomy, simple, partial |
— | $1,121 | $1,121 | $1,121–$1,121 | $1,584 | -29% | 1 |
| Cervical Biopsy CPT 57500 Biopsy of cervix, single or multiple, or local excision |
— | $278 | $278 | $278–$278 | $345 | -19% | 1 |
| Hysteroscopy with Biopsy/Polypectomy CPT 58558 Hysteroscopy, surgical, with sampling of endometrium |
— | $2,425 | $2,425 | $2,425–$2,425 | $2,593 | -6% | 1 |
| Laparoscopic Endometriosis Excision CPT 58662 Laparoscopy with fulguration or excision of lesions of ovary/peritoneum |
— | $1,391 | $1,391 | $1,391–$1,391 | $1,907 | -27% | 1 |
| Amniocentesis CPT 59000 Amniocentesis, diagnostic |
— | $205 | $205 | $205–$205 | $283 | -28% | 1 |
| Missed Abortion Treatment (first trimester) CPT 59820 Treatment of missed abortion, completed surgically, first trimester |
— | $685 | $685 | $685–$685 | $1,076 | -36% | 1 |
| Incision and Drainage of Abscess (complex) CPT 10061 Incision and drainage of abscess, complicated or multiple |
— | $314 | $314 | $314–$314 | $452 | -30% | 1 |
| Debridement - Muscle/Fascia CPT 11043 Debridement, muscle and/or fascia, first 20 sq cm |
— | $393 | $393 | $393–$393 | $480 | -18% | 1 |
| Tongue Biopsy (anterior 2/3) CPT 41100 Biopsy of tongue, anterior two-thirds |
— | $308 | $308 | $308–$308 | $448 | -31% | 1 |
| Salivary Stone Removal (Sialolithotomy) CPT 42330 Sialolithotomy, submandibular or sublingual, intraoral |
— | $392 | $392 | $392–$392 | $596 | -34% | 1 |
| Appendectomy (open) CPT 44950 Appendectomy |
— | $1,178 | $1,178 | $1,178–$1,178 | $1,836 | -36% | 1 |
| Liver Biopsy (needle) CPT 47000 Biopsy of liver, needle, percutaneous |
— | $321 | $321 | $153–$489 | $536 | -40% | 1 |
| Diagnostic Laparoscopy CPT 49320 Laparoscopy, abdomen, diagnostic |
— | $598 | $598 | $598–$598 | $950 | -37% | 1 |
| Kidney Biopsy (needle) CPT 50200 Renal biopsy, percutaneous, by trocar or needle |
— | $262 | $262 | $262–$262 | $695 | -62% | 1 |
| Cystoscopy with Ureteral Catheter CPT 52005 Cystourethroscopy, with ureteral catheterization |
— | $305 | $305 | $305–$305 | $527 | -42% | 1 |
| Cystoscopy with Stent Removal CPT 52310 Cystourethroscopy, with removal of foreign body or ureteral stent |
— | $506 | $506 | $348–$665 | $659 | -23% | 1 |
| Interactive Complexity Add-on CPT 90785 Interactive complexity add-on to psych services |
— | $48 | $48 | $48–$48 | $44 | +10% | 1 |
| Psychotherapy Add-on (53+ min) CPT 90838 Psychotherapy, 53+ min, add-on to E/M service |
— | $113 | $113 | $48–$177 | $241 | -53% | 1 |
| Biofeedback Training (other) CPT 90901 Biofeedback training by any modality |
— | $61 | $61 | $48–$73 | $73 | -17% | 1 |
| Neuropsychological Testing (first hour) CPT 96132 Neuropsychological testing evaluation services, first hour |
— | $239 | $239 | $239–$239 | $285 | -16% | 1 |
| Neuropsychological Testing (additional hour) CPT 96133 Neuropsychological testing evaluation services, each additional hour |
— | $191 | $191 | $169–$213 | $222 | -14% | 1 |
| Health Behavior Intervention (first 30 min) CPT 96158 Health behavior intervention, individual, first 30 minutes |
— | $113 | $113 | $113–$113 | $156 | -28% | 1 |
| Impacted Tooth Removal (soft tissue) CPT D7220 Removal of impacted tooth, soft tissue |
— | $420 | $420 | $420–$420 | $420 | avg | 1 |
| Trigeminal Nerve Block CPT 64400 Injection, anesthetic agent; trigeminal nerve |
— | $99 | $99 | $99–$99 | $224 | -56% | 1 |
| Transforaminal Epidural (additional level) CPT 64484 Injection, transforaminal epidural, lumbar or sacral, each additional level |
— | $48 | $48 | $48–$48 | $190 | -75% | 1 |
| Botox Injection for Migraine CPT 64615 Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, for chronic migraine |
— | $263 | $263 | $238–$288 | $406 | -35% | 1 |
| Facet Joint Destruction - Cervical (first level) CPT 64633 Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, single level |
— | $754 | $754 | $754–$754 | $1,028 | -27% | 1 |
| Echocardiogram (2D, limited) CPT 93307 Echocardiography, transthoracic, real-time, 2D, limited study |
— | $271 | $271 | $271–$271 | $291 | -7% | 1 |
| Echocardiogram (follow-up/limited) CPT 93308 Echocardiography, transthoracic, follow-up or limited study |
— | $52 | $52 | $52–$52 | $140 | -63% | 1 |
| Transesophageal Echocardiogram (TEE) CPT 93312 Echocardiography, transesophageal, real-time with image documentation |
— | $346 | $346 | $220–$472 | $442 | -22% | 1 |
| Cytopathology (selective cellular enhancement) CPT 88112 Cytopathology, selective cellular enhancement technique with interpretation |
— | $106 | $106 | $106–$106 | $145 | -27% | 1 |
| PT - Electrical Stimulation (attended) CPT 97014 Application of modality, electrical stimulation, attended |
— | $29 | $29 | $10–$48 | $34 | -14% | 1 |
| PT - Neuromuscular Re-education CPT 97112 Therapeutic procedure, neuromuscular reeducation |
— | $34 | $34 | $34–$34 | $66 | -49% | 1 |
| PT Re-evaluation CPT 97164 Re-evaluation of physical therapy established plan of care |
— | $71 | $71 | $71–$71 | $137 | -48% | 1 |
| OT Evaluation - Moderate Complexity CPT 97166 Occupational therapy evaluation, moderate complexity |
— | $48 | $48 | $48–$48 | $175 | -72% | 1 |
| Swallowing Function Evaluation CPT 92610 Evaluation of oral and pharyngeal swallowing function |
— | $143 | $143 | $143–$143 | $179 | -20% | 1 |
| Initial Hospital Care - Low CPT 99221 Initial hospital inpatient or observation care, low severity |
— | $91 | $91 | $91–$91 | $157 | -42% | 1 |
| Initial Hospital Care - High CPT 99223 Initial hospital inpatient or observation care, high severity |
— | $190 | $190 | $190–$190 | $329 | -42% | 1 |
| Subsequent Hospital Care - High CPT 99233 Subsequent hospital inpatient or observation care, high complexity |
— | $48 | $48 | $48–$48 | $184 | -74% | 1 |
| Morphine Injection CPT J2270 Injection, morphine sulfate, up to 10 mg |
— | $48 | $48 | $48–$48 | $26 | +85% | 1 |
| Propofol Injection CPT J2704 Injection, propofol, 10 mg |
— | $48 | $48 | $48–$48 | $24 | +101% | 1 |
| Normal Saline Infusion (250 cc) CPT J7050 Infusion, normal saline solution, 250 cc |
— | $48 | $48 | $48–$48 | $24 | +101% | 1 |
| Spirometry (Breathing Test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity |
— | $17 | $17 | $17–$17 | $42 | -58% | 1 |
| Sleep Study (Polysomnography) CPT 95810 Polysomnography, 6 or more hours of sleep, comprehensive |
— | $5,750 | $5,750 | $5,750–$5,750 | $3,632 | +58% | 1 |
| Sleep Study with CPAP CPT 95811 Polysomnography with CPAP titration |
— | $5,750 | $5,750 | $5,750–$5,750 | $3,671 | +57% | 1 |
| Intravitreal Injection CPT 67028 Intravitreal injection of a pharmacologic agent |
— | $241 | $241 | $217–$264 | $316 | -24% | 1 |
| Allergy Skin Testing (intracutaneous) CPT 95024 Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction |
— | $6 | $6 | $2–$11 | $10 | -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 |
— | $12 | $12 | $5–$19 | $19 | -38% | 1 |
| Major Hip and Knee Joint Replacement without MCC CPT 469 Total hip or knee replacement without major complications |
— | $26,920 | $26,920 | $26,920–$26,920 | $26,920 | avg | 1 |
| Major Hip and Knee Joint Replacement without CC/MCC CPT 470 Total hip or knee replacement without complications or comorbidities |
— | $17,119 | $17,119 | $17,119–$17,119 | $17,119 | avg | 1 |
| Major Hip and Knee Joint Replacement with MCC CPT 468 Total hip or knee replacement with major complications |
— | $24,389 | $24,389 | $24,389–$24,389 | $24,389 | avg | 1 |
| Hip and Femur Procedures without MCC CPT 480 Hip fracture repair or femur procedures without major complications |
— | $25,847 | $25,847 | $25,847–$25,847 | $25,847 | avg | 1 |
| Hip and Femur Procedures without CC/MCC CPT 481 Hip fracture repair or femur procedures without complications |
— | $18,589 | $18,589 | $18,589–$18,589 | $18,589 | avg | 1 |
| Hip and Femur Procedures with MCC CPT 479 Hip fracture repair or femur procedures with major complications |
— | $16,498 | $16,498 | $16,498–$16,498 | $16,498 | avg | 1 |
| Cervical Spinal Fusion without CC/MCC CPT 473 Cervical spine fusion surgery without complications |
— | $21,667 | $21,667 | $21,667–$21,667 | $21,667 | avg | 1 |
| Cervical Spinal Fusion without MCC CPT 472 Cervical spine fusion without major complications |
— | $30,001 | $26,147 | $26,147–$37,709 | $30,001 | avg | 2 |
| Cervical Spinal Fusion with MCC CPT 471 Cervical spine fusion with major complications |
— | $42,855 | $42,855 | $42,855–$42,855 | $42,855 | avg | 1 |
| Bilateral or Multiple Major Joint Procedures CPT 461 Bilateral joint replacement or multiple major joint procedures |
— | $49,017 | $49,017 | $49,017–$49,017 | $49,017 | avg | 1 |
| Coronary Bypass without MCC CPT 236 CABG surgery without major complications |
— | $37,176 | $37,176 | $37,176–$37,176 | $37,176 | avg | 1 |
| Coronary Bypass with MCC CPT 235 CABG surgery with major complications |
— | $52,084 | $52,084 | $52,084–$52,084 | $52,084 | avg | 1 |
| Heart Failure and Shock with MCC CPT 291 Inpatient treatment for heart failure with major complications |
— | $11,394 | $11,394 | $11,394–$11,394 | $11,394 | avg | 1 |
| Heart Failure and Shock with CC CPT 292 Inpatient treatment for heart failure with complications |
— | $7,535 | $7,535 | $7,535–$7,535 | $7,535 | avg | 1 |
| Heart Failure and Shock without CC/MCC CPT 293 Inpatient treatment for heart failure without complications |
— | $5,023 | $5,023 | $5,023–$5,023 | $5,023 | avg | 1 |
| Cardiac Valve Procedures with CC CPT 216 Heart valve repair or replacement with complications |
— | $86,822 | $86,822 | $86,822–$86,822 | $86,822 | avg | 1 |
| Vaginal Delivery with OR Procedures CPT 768 Vaginal delivery requiring operating room procedures |
— | $10,914 | $9,510 | $9,510–$13,722 | $10,914 | avg | 2 |
| Respiratory Infections and Inflammations with MCC CPT 177 Pneumonia or respiratory infections with major complications |
— | $13,869 | $13,869 | $13,869–$13,869 | $13,869 | avg | 1 |
| Respiratory Infections and Inflammations with CC CPT 178 Pneumonia or respiratory infections with complications |
— | $8,662 | $8,662 | $8,662–$8,662 | $8,662 | avg | 1 |
| Simple Pneumonia and Pleurisy with MCC CPT 193 Uncomplicated pneumonia with major complications |
— | $11,665 | $11,665 | $11,665–$11,665 | $11,665 | avg | 1 |
| Simple Pneumonia and Pleurisy with CC CPT 194 Uncomplicated pneumonia with complications |
— | $7,152 | $7,152 | $7,152–$7,152 | $7,152 | avg | 1 |
| Simple Pneumonia and Pleurisy without CC/MCC CPT 195 Uncomplicated pneumonia without complications |
— | $6,398 | $5,578 | $5,578–$8,038 | $6,398 | avg | 2 |
| Major Small and Large Bowel Procedures with MCC CPT 329 Bowel resection or major intestinal surgery with major complications |
— | $46,806 | $40,794 | $40,794–$58,829 | $46,806 | avg | 2 |
| Major Small and Large Bowel Procedures with CC CPT 330 Bowel resection or major intestinal surgery with complications |
— | $24,411 | $21,275 | $21,275–$30,682 | $24,411 | avg | 2 |
| Major Small and Large Bowel Procedures without CC/MCC CPT 331 Bowel resection without complications |
— | $17,138 | $14,936 | $14,936–$21,542 | $17,138 | avg | 2 |
| GI Hemorrhage with MCC CPT 377 Gastrointestinal bleeding with major complications |
— | $16,224 | $16,224 | $16,224–$16,224 | $16,224 | avg | 1 |
| GI Hemorrhage with CC CPT 378 Gastrointestinal bleeding with complications |
— | $8,704 | $8,704 | $8,704–$8,704 | $8,704 | avg | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with MCC CPT 064 Stroke with major complications |
— | $17,848 | $17,848 | $17,848–$17,848 | $17,848 | avg | 1 |
| Intracranial Hemorrhage or Cerebral Infarction with CC CPT 065 Stroke with complications |
— | $8,966 | $8,966 | $8,966–$8,966 | $8,966 | avg | 1 |
| Intracranial Hemorrhage or Cerebral Infarction without CC/MCC CPT 066 Stroke without complications |
— | $6,968 | $6,074 | $6,074–$8,755 | $6,968 | avg | 2 |
| Renal Failure with MCC CPT 682 Acute or chronic kidney failure with major complications |
— | $15,082 | $13,144 | $13,144–$18,957 | $15,082 | avg | 2 |
| Renal Failure with CC CPT 683 Acute or chronic kidney failure with complications |
— | $7,773 | $7,773 | $7,773–$7,773 | $7,773 | avg | 1 |
| Renal Failure without CC/MCC CPT 684 Acute or chronic kidney failure without complications |
— | $5,328 | $5,328 | $5,328–$5,328 | $5,328 | avg | 1 |
| Septicemia or Severe Sepsis with MV >96 Hours CPT 870 Severe sepsis requiring extended ventilator support |
— | $61,342 | $61,342 | $61,342–$61,342 | $61,342 | avg | 1 |
| Septicemia or Severe Sepsis without MV >96 Hours with MCC CPT 871 Sepsis with major complications |
— | $19,779 | $17,240 | $17,240–$24,858 | $19,779 | avg | 2 |
| Septicemia or Severe Sepsis without MV >96 Hours without MCC CPT 872 Sepsis without major complications |
— | $10,419 | $9,082 | $9,082–$13,094 | $10,419 | avg | 2 |
| Rehabilitation with CC/MCC CPT 945 Inpatient rehabilitation with complications |
— | $13,744 | $13,744 | $13,744–$13,744 | $13,744 | avg | 1 |
| Rehabilitation without CC/MCC CPT 946 Inpatient rehabilitation without complications |
— | $10,178 | $10,178 | $10,178–$10,178 | $10,178 | avg | 1 |
| Hip Replacement with Hip Fracture with MCC CPT 521 Hip replacement after hip fracture with major complications |
— | $29,227 | $25,473 | $25,473–$36,736 | $29,227 | avg | 2 |
| Hip Replacement with Hip Fracture without MCC CPT 522 Hip replacement after hip fracture without major complications |
— | $18,795 | $18,795 | $18,795–$18,795 | $18,795 | avg | 1 |
| Respiratory System Diagnosis with Ventilator Support >96 Hours CPT 207 Extended ventilator support for respiratory failure |
— | $57,108 | $57,108 | $57,108–$57,108 | $57,108 | avg | 1 |
| Respiratory System Diagnosis with Ventilator Support ≤96 Hours CPT 208 Short-term ventilator support for respiratory failure |
— | $24,395 | $24,395 | $24,395–$24,395 | $24,395 | 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. |
— | $2,431 | $2,431 | $2,431–$2,431 | $3,874 | -37% | 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. |
— | $3,214 | $3,214 | $3,214–$3,214 | $4,986 | -36% | 1 |
| Tummy Tuck (Abdominoplasty) CPT 15830 Tummy Tuck (Abdominoplasty) — CPT code 15830 covers tummy tuck (abdominoplasty) performed in a clinical or hospital setting. |
— | $2,059 | $2,059 | $2,059–$2,059 | $2,630 | -22% | 1 |
| Upper Eyelid Surgery (Blepharoplasty) CPT 15822 Upper Eyelid Surgery (Blepharoplasty) — CPT code 15822 covers upper eyelid surgery (blepharoplasty) performed in a clinical or hospital setting. |
— | $669 | $669 | $669–$669 | $955 | -30% | 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. |
— | $612 | $612 | $612–$612 | $942 | -35% | 1 |
| Epikeratoplasty (Corneal Surgery) CPT 65767 Epikeratoplasty (Corneal Surgery) — CPT code 65767 covers epikeratoplasty (corneal surgery) performed in a clinical or hospital setting. |
— | $48 | $48 | $48–$48 | $24 | +101% | 1 |
| Chin Reshaping - Sliding Osteotomy CPT 21121 Chin Reshaping - Sliding Osteotomy — CPT code 21121 covers chin reshaping - sliding osteotomy performed in a clinical or hospital setting. |
— | $1,262 | $1,262 | $1,262–$1,262 | $1,802 | -30% | 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. |
— | $1,674 | $1,674 | $1,674–$1,674 | $2,439 | -31% | 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. |
— | $2,065 | $2,065 | $2,065–$2,065 | $3,234 | -36% | 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. |
— | $365 | $365 | $365–$365 | $616 | -41% | 1 |
| Lumbar Laminectomy (Each Additional Level) CPT 63048 Lumbar Laminectomy (Each Additional Level) — CPT code 63048 covers lumbar laminectomy (each additional level) performed in a clinical or hospital setting. |
— | $408 | $408 | $408–$408 | $590 | -31% | 1 |
| Excision of Benign Skin Lesion (2.1-3.0 cm) CPT 11403 Excision of Benign Skin Lesion (2.1-3.0 cm) — CPT code 11403 covers excision of benign skin lesion (2.1-3.0 cm) performed in a clinical or hospital setting. |
— | $258 | $258 | $258–$258 | $381 | -32% | 1 |
Prices are typical ranges based on Proctor 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 Proctor 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 Proctor Hospital
As a nonprofit hospital, Proctor 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 #
140013
Emergency Services
Yes
Metro Area
Peoria, IL
Procedures Tracked
239
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