Select Specialty Hospital-North Knoxville

hospital · Powell, TN
Data Grade F
📍 Powell, TN

Compare real prices at Select Specialty Hospital-North Knoxville in Powell, TN. Taven tracks 604 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.

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604
Procedures Tracked
with pricing data
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Grade F
Data Quality
Minimal 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: TASHA LAWRENCEOrg NPI: 1740609130
🔒 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 Select Specialty Hospital-North Knoxville

604 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Powell, TN 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) Powell Avg vs. Avg Payers
Debridement - Subcutaneous Tissue
CPT 11042
Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing.
$1,421 $1,825 $256–$2,009 $1,421 avg 2
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.
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Skin Biopsy (Punch, Single Lesion)
CPT 11104
Skin punch biopsy — removal of a small, full-thickness circular sample of skin for laboratory analysis to diagnose skin conditions.
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Skin Graft Preparation
CPT 15002
Skin Graft Preparation — CPT code 15002 covers skin graft preparation performed in a clinical or hospital setting.
$5,221 $5,643 $3,255–$7,412 $5,221 avg 2
Split-Thickness Skin Graft
CPT 15100
Split-Thickness Skin Graft — CPT code 15100 covers split-thickness skin graft performed in a clinical or hospital setting.
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
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.
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
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.
$3,842 $3,583 $302–$7,412 $3,842 avg 2
Destruction of Premalignant Lesion (First)
CPT 17000
Destruction of precancerous skin lesion — removal of a precancerous growth (actinic keratosis) using freezing, chemicals, or other methods.
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Wart Removal (Up to 14 Lesions)
CPT 17110
Destruction of benign skin lesions, up to 14 — removal of warts, skin tags, or other non-cancerous growths.
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Breast Excision
CPT 19120
Surgical removal of a breast lump or abnormal tissue. This procedure removes a specific area of concern while preserving as much healthy breast tissue as possible.
$7,522 $8,093 $1,052–$13,858 $7,522 avg 2
Partial Mastectomy (Lumpectomy)
CPT 19301
Surgical removal of a breast tumor along with a small margin of surrounding tissue. Also called a lumpectomy, this breast-conserving surgery removes the cancer while keeping most of the breast intact.
$12,307 $12,590 $8,093–$13,858 $7,729 +59% 1
Simple Mastectomy
CPT 19303
Complete surgical removal of one breast. This procedure removes all breast tissue to treat or prevent breast cancer.
$16,881 $17,334 $10,742–$19,081 $16,881 avg 1
Joint Injection (small joint)
CPT 20600
Small joint injection — injection of medication into a small joint like a finger or toe to reduce pain and inflammation.
$1,729 $1,825 $827–$2,009 $1,729 avg 1
Joint Injection (medium joint)
CPT 20605
Medium joint injection — injection of medication into a medium-sized joint like the elbow, wrist, or ankle to reduce pain and inflammation.
$1,729 $1,825 $827–$2,009 $1,729 avg 1
Joint Injection (Major Joint)
CPT 20610
Large joint injection — injection of medication (such as cortisone) into a large joint like the knee, shoulder, or hip to reduce pain and inflammation.
$1,729 $1,825 $827–$2,009 $1,729 avg 1
Joint Injection with Ultrasound (Major Joint)
CPT 20611
Ultrasound — joint injection with ultrasound (major joint). This imaging test uses sound waves to create pictures of organs and structures inside the body.
$1,728 $1,825 $827–$2,009 $1,728 avg 2
Le Fort I Osteotomy
CPT 21141
Le Fort I Osteotomy — CPT code 21141 covers le fort i osteotomy performed in a clinical or hospital setting.
$18,037 $17,799 $12,446–$24,104 $18,037 avg 1
Lumbar Spinal Fusion (Posterior)
CPT 22612
Lumbar spinal fusion (lower back) — surgery to permanently join two vertebrae in the lower spine to treat conditions like degenerative disc disease or spondylolisthesis.
$19,328 $19,060 $13,078–$26,115 $19,328 avg 1
Lumbar Spinal Fusion (Posterior Interbody)
CPT 22630
Posterior lumbar interbody fusion (PLIF) — spinal fusion through the back where a damaged disc is removed and replaced with a bone graft or cage to stabilize the spine.
$40,528 $39,960 $27,316–$54,876 $40,528 avg 1
Rotator Cuff Repair
CPT 23412
Rotator Cuff Repair — CPT code 23412 covers rotator cuff repair performed in a clinical or hospital setting.
$18,037 $17,799 $12,446–$24,104 $18,037 avg 1
Shoulder Replacement (Arthroplasty)
CPT 23472
Shoulder Replacement (Arthroplasty) — CPT code 23472 covers shoulder replacement (arthroplasty) performed in a clinical or hospital setting.
$40,528 $39,960 $27,316–$54,876 $40,528 avg 1
Trigger Finger Release
CPT 26055
Trigger finger release — a procedure to free a finger tendon that has become stuck, causing the finger to catch or lock when bending.
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
Open Fracture Treatment - Metacarpal
CPT 26615
Open Fracture Treatment - Metacarpal — CPT code 26615 covers open fracture treatment - metacarpal performed in a clinical or hospital setting.
$19,328 $19,060 $13,078–$26,115 $19,328 avg 1
Total Hip Replacement
CPT 27130
Total hip replacement surgery where the damaged hip joint is replaced with an artificial implant to relieve pain and improve mobility.
$40,528 $39,960 $27,316–$54,876 $23,776 +70% 1
Open Treatment Hip Fracture
CPT 27236
Surgical repair of a broken hip using metal pins, screws, or plates to hold the bone fragments together while they heal.
$17,189 $14,396 $7,412–$26,115 $17,189 avg 3
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.
$40,528 $39,960 $27,316–$54,876 $40,528 avg 1
Total Knee Replacement
CPT 27447
Full knee replacement surgery where the damaged knee joint is replaced with artificial metal and plastic components to relieve pain and restore function.
$40,528 $39,960 $27,316–$54,876 $23,964 +69% 1
Knee Realignment Osteotomy
CPT 27477
Surgical reshaping of the leg bones around the knee to redistribute weight and relieve pain, typically used for patients with arthritis affecting one side of the knee.
$14,229 $14,038 $9,758–$19,081 $14,229 avg 1
Closed Treatment Tibial Fracture
CPT 27750
Treatment of a broken shinbone (tibia) without surgery, using a cast or brace to hold the bone in place while it heals.
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Hammertoe Correction
CPT 28285
Surgical correction of a hammertoe — a toe that has become bent or curled. The procedure straightens the toe by removing bone or releasing tight tendons.
$7,400 $7,723 $1,016–$13,858 $7,400 avg 2
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.
$14,229 $14,038 $9,758–$19,081 $8,060 +77% 1
Shoulder Arthroscopy - Debridement
CPT 29823
Minimally invasive shoulder surgery using a small camera (arthroscope) to clean out damaged tissue, bone spurs, or loose fragments from the shoulder joint.
$23,056 $23,724 $14,396–$26,115 $23,056 avg 1
Arthroscopic Rotator Cuff Repair
CPT 29827
Arthroscopic repair of a torn rotator cuff — the group of tendons that stabilize the shoulder. The surgeon reattaches the torn tendon to the bone using small anchors.
$23,056 $23,724 $14,396–$26,115 $23,056 avg 1
Knee Arthroscopy Medial & Lateral
CPT 29880
Arthroscopic knee surgery to treat torn meniscus cartilage on both the inner and outer sides of the knee. Uses a small camera and tools to trim or repair the damaged cartilage.
$16,881 $17,334 $10,742–$19,081 $9,577 +76% 1
Knee Arthroscopy (Meniscus Surgery)
CPT 29881
Arthroscopic knee surgery to treat a torn meniscus on one side of the knee. The surgeon trims or repairs the damaged cartilage through small incisions.
$16,881 $17,334 $10,742–$19,081 $9,659 +75% 1
Septoplasty (Deviated Septum Repair)
CPT 30520
Septoplasty (Deviated Septum Repair) — CPT code 30520 covers septoplasty (deviated septum repair) performed in a clinical or hospital setting.
$10,473 $10,342 $7,352–$13,858 $6,462 +62% 1
Nasal Endoscopy (diagnostic)
CPT 31231
Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting.
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Nasal Endoscopy - Surgical Debridement
CPT 31237
Nasal Endoscopy - Surgical Debridement — CPT code 31237 covers nasal endoscopy - surgical debridement performed in a clinical or hospital setting.
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
Ethmoidectomy - Partial
CPT 31254
Ethmoidectomy - Partial — CPT code 31254 covers ethmoidectomy - partial performed in a clinical or hospital setting.
$8,548 $8,093 $849–$13,858 $8,548 avg 2
Sinus Surgery - Ethmoidectomy
CPT 31255
Sinus Surgery - Ethmoidectomy — CPT code 31255 covers sinus surgery - ethmoidectomy performed in a clinical or hospital setting.
$14,229 $14,038 $9,758–$19,081 $14,229 avg 1
Sinus Surgery - Frontal
CPT 31276
Sinus Surgery - Frontal — CPT code 31276 covers sinus surgery - frontal performed in a clinical or hospital setting.
$14,229 $14,038 $9,758–$19,081 $14,229 avg 1
TAVR - Transcatheter Aortic Valve Replacement
CPT 33361
Replacement of a diseased aortic heart valve without open-heart surgery. A new valve is delivered through a catheter (thin tube) inserted through the leg artery.
$15,609 $4,141 $2,280–$32,191 $15,609 avg 4
Mitral Valve Repair
CPT 33430
Open-heart surgery to repair a damaged mitral valve — the valve between the upper and lower left chambers of the heart — restoring normal blood flow.
$3,173 $3,136 $2,280–$4,141 $3,173 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.
$3,173 $3,136 $2,280–$4,141 $3,173 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.
$16 $16 $9–$23 $11 +42% 2
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.
$3,434 $3,505 $2,032–$5,539 $3,434 avg 2
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.
$14,229 $14,038 $9,758–$19,081 $14,229 avg 1
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.
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
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.
$1,353 $1,326 $752–$2,009 $1,353 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.
$10,473 $10,342 $7,352–$13,858 $6,016 +74% 1
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.
$10,473 $10,342 $7,352–$13,858 $10,473 avg 1
Upper Endoscopy (EGD) Diagnostic
CPT 43235
Upper endoscopy (EGD) — a flexible tube with a camera is passed through the mouth to visually examine the esophagus, stomach, and upper intestine.
$3,362 $3,419 $413–$6,211 $2,541 +32% 2
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.
$5,221 $5,643 $3,255–$7,412 $3,594 +45% 2
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.
$6,422 $6,211 $5,643–$7,412 $6,422 avg 2
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.
$5,927 $5,927 $5,643–$6,211 $5,927 avg 1
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.
$5,927 $5,927 $5,643–$6,211 $5,927 avg 1
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.
$24,920 $24,920 $23,724–$26,115 $24,920 avg 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.
$22,595 $23,724 $17,946–$26,115 $22,595 avg 2
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.
$23,492 $17,946 $17,946–$33,336 $23,492 avg 4
Gastric Bypass - Open
CPT 43846
Gastric Bypass - Open — CPT code 43846 covers gastric bypass - open performed in a clinical or hospital setting.
$6,253 $4,141 $3,762–$10,855 $6,253 avg 2
Gastric Bypass with Small Intestine
CPT 43847
Gastric Bypass with Small Intestine — CPT code 43847 covers gastric bypass with small intestine performed in a clinical or hospital setting.
$7,403 $7,498 $3,762–$10,855 $7,403 avg 2
Small Bowel Resection
CPT 44120
Small bowel resection �� surgical removal of a portion of the small intestine to treat disease, obstruction, or injury.
$8,094 $10,855 $3,762–$10,855 $8,094 avg 4
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.
$24,920 $24,920 $23,724–$26,115 $24,920 avg 1
Laparoscopic Appendectomy
CPT 44970
Laparoscopic appendectomy — minimally invasive surgical removal of the appendix, typically performed for appendicitis.
$24,920 $24,920 $23,724–$26,115 $24,920 avg 1
Colonoscopy (diagnostic)
CPT 45378
Diagnostic colonoscopy — a flexible tube with a camera is inserted through the rectum to examine the entire large intestine for polyps, cancer, or other abnormalities.
$5,927 $5,927 $5,643–$6,211 $3,778 +57% 1
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.
$5,927 $5,927 $5,643–$6,211 $3,921 +51% 1
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.
$5,927 $5,927 $5,643–$6,211 $5,927 avg 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.
$24,920 $24,920 $23,724–$26,115 $13,716 +82% 1
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.
$24,920 $24,920 $23,724–$26,115 $13,505 +85% 1
Cholecystectomy - Open
CPT 47600
Open cholecystectomy — surgical removal of the gallbladder through a larger incision in the abdomen.
$18,952 $21,897 $10,855–$24,104 $18,952 avg 2
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.
$12,646 $17,334 $1,523–$19,081 $7,543 +68% 2
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.
$18,208 $18,208 $17,334–$19,081 $18,208 avg 1
Laparoscopic Inguinal Hernia Repair
CPT 49650
Laparoscopic inguinal hernia repair — minimally invasive repair of a groin hernia using small incisions and a camera.
$24,920 $24,920 $23,724–$26,115 $24,920 avg 1
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.
$15,356 $22,253 $1,745–$26,115 $9,340 +64% 2
Bladder Aspiration/Drainage
CPT 51102
Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting.
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Cystoscopy (Bladder Exam)
CPT 52000
Cystoscopy — a thin scope with a camera is inserted through the urethra to examine the inside of the bladder and urinary tract.
$3,682 $3,682 $3,505–$3,858 $3,528 +4% 1
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.
$23,001 $23,001 $21,897–$24,104 $12,531 +84% 1
Robotic Prostatectomy
CPT 55866
Robotic Prostatectomy — CPT code 55866 covers robotic prostatectomy performed in a clinical or hospital setting.
$52,364 $52,364 $49,851–$54,876 $52,364 avg 1
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.
$1,184 $1,153 $422–$2,009 $1,184 avg 2
Endometrial Biopsy
CPT 58100
Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting.
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
Total Hysterectomy - Abdominal
CPT 58150
Total Hysterectomy - Abdominal — CPT code 58150 covers total hysterectomy - abdominal performed in a clinical or hospital setting.
$17,200 $17,334 $15,184–$19,081 $17,200 avg 2
IUD Insertion
CPT 58300
IUD Insertion — CPT code 58300 covers iud insertion performed in a clinical or hospital setting.
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
IUD Removal
CPT 58301
IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting.
$1,917 $1,917 $1,825–$2,009 $1,917 avg 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.
$24,920 $24,920 $23,724–$26,115 $14,136 +76% 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.
$24,920 $24,920 $23,724–$26,115 $13,807 +80% 1
Fetal Non-Stress Test
CPT 59025
Fetal non-stress test — monitoring the baby's heart rate in response to its own movements to assess fetal wellbeing.
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
Vaginal Delivery (routine, global)
CPT 59400
Routine obstetric care including prenatal visits, vaginal delivery, and postpartum care — comprehensive maternity care package.
$5,105 $4,141 $3,762–$7,412 $5,105 avg 2
Vaginal Delivery Only
CPT 59409
Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting.
$13,224 $13,224 $12,590–$13,858 $13,224 avg 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.
$3,952 $3,952 $3,762–$4,141 $3,952 avg 1
VBAC Delivery
CPT 59610
VBAC Delivery — CPT code 59610 covers vbac delivery performed in a clinical or hospital setting.
$3,952 $3,952 $3,762–$4,141 $3,952 avg 1
Lumbar Epidural Injection
CPT 62322
Lumbar or sacral epidural injection — injection of medication into the epidural space of the lower spine for pain relief.
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
Lumbar Epidural - Fluoroscopic
CPT 62323
Lumbar or sacral epidural injection with imaging guidance — a precisely targeted spinal injection using X-ray or fluoroscopy for accurate placement.
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
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.
$24,920 $24,920 $23,724–$26,115 $24,920 avg 1
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.
$24,920 $24,920 $23,724–$26,115 $24,920 avg 1
Transforaminal Epidural Injection
CPT 64483
Lumbar epidural steroid injection — injection of anti-inflammatory medication into the space around spinal nerves in the lower back to relieve pain.
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
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.
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
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.
$13,224 $13,224 $12,590–$13,858 $13,224 avg 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.
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Glaucoma Laser Surgery
CPT 65855
Glaucoma Laser Surgery — CPT code 65855 covers glaucoma laser surgery performed in a clinical or hospital setting.
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
Glaucoma Filter Surgery
CPT 66170
Glaucoma Filter Surgery — CPT code 66170 covers glaucoma filter surgery performed in a clinical or hospital setting.
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
YAG Laser Capsulotomy
CPT 66821
YAG Laser Capsulotomy — CPT code 66821 covers yag laser capsulotomy performed in a clinical or hospital setting.
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
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.
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Cataract Surgery
CPT 66984
Cataract surgery with lens implant — removal of the clouded natural lens of the eye and replacement with a clear artificial lens to restore vision.
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Strabismus Surgery
CPT 67311
Strabismus Surgery — CPT code 67311 covers strabismus surgery performed in a clinical or hospital setting.
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Eyelid Repair - Blepharoplasty
CPT 67904
Eyelid Repair - Blepharoplasty — CPT code 67904 covers eyelid repair - blepharoplasty performed in a clinical or hospital setting.
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
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.
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
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.
$3,124 $2,009 $1,825–$5,539 $3,124 avg 2
Ear Wax Removal
CPT 69210
Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting.
$1,917 $1,917 $1,825–$2,009 $1,917 avg 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.
$5,927 $5,927 $5,643–$6,211 $3,796 +56% 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.
$326 $326 $326–$326 $326 avg 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.
$550 $550 $550–$550 $550 avg 1
Brain MRI without Contrast
CPT 70551
MRI of the brain without contrast — detailed magnetic resonance imaging of the brain to evaluate for abnormalities without using contrast dye.
$713 $713 $713–$713 $713 avg 1
MRI Brain with/without Contrast
CPT 70553
MRI of the brain with and without contrast dye — detailed imaging of the brain using magnetic fields and radio waves to diagnose tumors, stroke, or other conditions.
$1,124 $1,124 $1,124–$1,124 $947 +19% 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.
$265 $265 $265–$265 $265 avg 1
Chest X-Ray (2 views)
CPT 71046
Chest X-ray, two views — standard imaging of the lungs and chest from front and side to evaluate for pneumonia, heart problems, or other chest conditions.
$265 $265 $265–$265 $265 avg 1
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.
$326 $326 $326–$326 $326 avg 1
CT Chest with Contrast
CPT 71260
CT scan of the chest with contrast — detailed cross-sectional imaging of the chest after injecting contrast dye to better visualize blood vessels and tissues.
$1,723 $1,723 $550–$2,895 $1,098 +57% 2
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.
$300 $300 $275–$326 $300 avg 2
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.
$713 $713 $713–$713 $713 avg 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.
$713 $713 $713–$713 $613 +16% 1
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.
$250 $250 $236–$265 $250 avg 2
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.
$265 $265 $265–$265 $265 avg 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.
$2,617 $2,617 $713–$4,521 $2,617 avg 2
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.
$265 $265 $265–$265 $265 avg 1
Ankle X-Ray
CPT 73610
X-ray imaging — ankle x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$265 $265 $265–$265 $265 avg 1
MRI Knee without Contrast
CPT 73721
MRI of any joint of the lower extremity without contrast — detailed imaging of a hip, knee, ankle, or foot joint using magnetic resonance.
$713 $713 $713–$713 $635 +12% 1
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.
$713 $713 $713–$713 $713 avg 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.
$1,124 $1,124 $1,124–$1,124 $946 +19% 1
Breast Ultrasound
CPT 76642
Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.
$432 $432 $265–$598 $432 avg 2
Abdominal Ultrasound
CPT 76700
Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas.
$326 $326 $326–$326 $326 avg 1
OB Ultrasound (first trimester)
CPT 76801
Ultrasound — ob ultrasound (first trimester). This imaging test uses sound waves to create pictures of organs and structures inside the body.
$326 $326 $326–$326 $326 avg 1
OB Ultrasound (complete)
CPT 76805
Ultrasound — ob ultrasound (complete). This imaging test uses sound waves to create pictures of organs and structures inside the body.
$326 $326 $326–$326 $326 avg 1
Transvaginal Ultrasound
CPT 76830
Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures.
$326 $326 $326–$326 $326 avg 1
Pelvic Ultrasound
CPT 76856
Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs.
$326 $326 $326–$326 $326 avg 1
3D Mammography (Tomosynthesis)
CPT 77063
3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting.
$75 $75 $75–$75 $75 avg 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.
$272 $272 $272–$272 $272 avg 1
Diagnostic Mammogram (bilateral)
CPT 77066
Screening mammogram of both breasts — routine X-ray imaging of both breasts to detect early breast cancer in women without symptoms.
$347 $347 $347–$347 $347 avg 1
Screening Mammogram (bilateral)
CPT 77067
Screening mammogram of both breasts including computer-aided detection — enhanced breast X-ray with software assistance for improved cancer detection.
$288 $288 $288–$288 $185 +56% 1
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.
$4,050 $4,050 $4,050–$4,050 $4,050 avg 1
BMP (Basic Metabolic Panel)
CPT 80048
Basic metabolic panel — a blood test measuring 8 substances (glucose, calcium, sodium, potassium, CO2, chloride, BUN, creatinine) to assess kidney function, blood sugar, and electrolyte balance.
$15 $15 $9–$21 $15 -1% 2
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.
$18 $18 $11–$26 $40 -54% 2
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.
$14 $14 $14–$14 $14 -3% 1
Hepatic Function Panel
CPT 80076
Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting.
$16 $20 $8–$20 $16 +2% 3
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.
$6 $6 $3–$8 $6 -8% 2
Urinalysis (automated)
CPT 81003
Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting.
$4 $4 $2–$6 $4 -2% 2
Vitamin D Level
CPT 82306
Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency.
$59 $74 $30–$74 $59 avg 2
Urine Creatinine
CPT 82570
Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting.
$11 $13 $5–$13 $11 avg 4
Ferritin Level
CPT 82728
Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting.
$27 $34 $14–$34 $27 +1% 2
Glucose (blood sugar)
CPT 82947
Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes.
$8 $10 $4–$10 $8 -2% 3
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.
$52 $24 $10–$122 $52 avg 3
Potassium Level
CPT 84132
Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting.
$9 $12 $5–$12 $9 +5% 2
PSA (Prostate)
CPT 84153
PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting.
$32 $32 $19–$46 $32 +1% 2
Sodium Level
CPT 84295
Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting.
$10 $12 $5–$12 $10 -4% 2
TSH (Thyroid)
CPT 84443
Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working.
$29 $29 $17–$42 $29 +1% 2
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.
$14 $14 $8–$19 $20 -32% 2
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.
$8 $8 $4–$11 $8 -6% 2
TB Skin Test
CPT 86580
TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting.
$10 $10 $10–$10 $10 +3% 1
Blood Type (ABO)
CPT 86900
Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting.
$6 $7 $3–$7 $6 +6% 4
Chlamydia Test
CPT 87491
Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample.
$74 $87 $36–$87 $74 avg 4
Gonorrhea Test
CPT 87591
Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample.
$61 $61 $36–$87 $61 +1% 2
Flu Test (rapid)
CPT 87804
Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting.
$35 $41 $17–$41 $35 avg 4
Pap Smear (ThinPrep)
CPT 88175
Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting.
$53 $66 $27–$66 $53 avg 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.
$142 $187 $54–$187 $142 avg 2
Tdap Vaccine
CPT 90715
Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting.
$37 $37 $37–$37 $37 +1% 1
Family Psychotherapy (with patient)
CPT 90847
Family Psychotherapy (with patient) — CPT code 90847 covers family psychotherapy (with patient) performed in a clinical or hospital setting.
$208 $208 $208–$208 $208 avg 1
Group Psychotherapy
CPT 90853
Group Psychotherapy — CPT code 90853 covers group psychotherapy performed in a clinical or hospital setting.
$107 $114 $81–$126 $107 avg 1
Cardiovascular Stress Test
CPT 93015
Cardiovascular Stress Test — CPT code 93015 covers cardiovascular stress test performed in a clinical or hospital setting.
$811 $811 $811–$811 $811 avg 1
Carotid Ultrasound
CPT 93880
Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.
$713 $713 $713–$713 $713 avg 1
Venous Duplex Scan (legs)
CPT 93971
Venous Duplex Scan (legs) — CPT code 93971 covers venous duplex scan (legs) performed in a clinical or hospital setting.
$326 $326 $326–$326 $326 avg 1
Chemotherapy Infusion (first hour)
CPT 96413
Chemotherapy IV infusion, first hour — administration of cancer-fighting medication through an IV line for the initial hour.
$1,438 $1,438 $1,438–$1,438 $1,438 avg 1
Ceftriaxone Injection 250mg
CPT J0696
HCPCS Level II code J0696 — Ceftriaxone Injection 250mg. Healthcare Common Procedure Coding System code for ceftriaxone injection 250mg.
$0 $0 $0–$0 1
Triamcinolone Injection
CPT J3301
HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection.
$1 $1 $1–$1 $1 -30% 1
Dexamethasone Injection
CPT J1100
HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection.
$0 $0 $0–$0 1
Debridement of Skin (infected)
CPT 11000
Debridement of extensively eczematous or infected skin
$1,603 $1,825 $752–$2,009 $1,603 avg 2
Skin Lesion Paring (single)
CPT 11055
Paring or cutting of benign hyperkeratotic lesion
$1,595 $1,825 $752–$2,009 $1,595 avg 1
Skin Lesion Paring (2-4)
CPT 11056
Paring or cutting of benign hyperkeratotic lesions, 2 to 4
$1,595 $1,825 $752–$2,009 $1,595 avg 1
Skin Tag Removal (up to 15)
CPT 11200
Removal of skin tags, multiple fibrocutaneous tags
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Skin Lesion Shave (0.5 cm or less)
CPT 11300
Shave removal of epidermal or dermal lesion, trunk/extremities
$1,425 $1,711 $752–$2,009 $1,425 avg 2
Skin Lesion Shave (0.6-1.0 cm)
CPT 11301
Shave removal of epidermal or dermal lesion, trunk/extremities
$966 $790 $145–$2,009 $966 avg 2
Skin Lesion Shave - Scalp/Neck (0.5 cm)
CPT 11305
Shave removal of epidermal or dermal lesion, scalp/neck/hands/feet
$952 $790 $113–$2,009 $952 avg 2
Excision of Benign Skin Lesion (0.5 cm or less)
CPT 11400
Excision of benign lesion, trunk/arms/legs
$3,240 $3,505 $2,032–$3,858 $3,240 avg 1
Excision of Benign Skin Lesion (0.6-1.0 cm)
CPT 11401
Excision of benign lesion, trunk/arms/legs, 0.6-1.0 cm
$1,679 $1,825 $408–$2,009 $1,679 avg 2
Excision of Benign Skin Lesion (1.1-2.0 cm)
CPT 11402
Excision of benign lesion, trunk/arms/legs, 1.1-2.0 cm
$3,393 $3,505 $2,032–$3,858 $3,393 avg 2
Excision Benign Lesion - Face (0.5 cm)
CPT 11440
Excision of benign lesion, face/ears/eyelids/nose/lips
$3,240 $3,505 $2,032–$3,858 $3,240 avg 1
Excision Malignant Lesion (0.5 cm or less)
CPT 11600
Excision of malignant lesion, trunk/arms/legs
$2,908 $2,871 $2,032–$3,858 $2,908 avg 1
Excision Malignant Lesion (0.6-1.0 cm)
CPT 11601
Excision of malignant lesion, trunk/arms/legs, 0.6-1.0 cm
$2,908 $2,871 $2,032–$3,858 $2,908 avg 1
Excision Malignant Lesion (1.1-2.0 cm)
CPT 11602
Excision of malignant lesion, trunk/arms/legs, 1.1-2.0 cm
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Nail Removal (partial or complete)
CPT 11730
Avulsion of nail plate, partial or complete
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Permanent Nail Removal
CPT 11750
Excision of nail and nail matrix, permanent removal
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Destruction of Premalignant Lesions (2-14)
CPT 17003
Destruction of premalignant lesions, second through 14th lesion
$908 $790 $13–$2,009 $908 avg 2
Destruction of Skin Lesions (15+)
CPT 17004
Destruction of premalignant lesions, 15 or more lesions
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Destruction Malignant Lesion (trunk)
CPT 17260
Destruction of malignant lesion, trunk, any method
$2,190 $1,825 $752–$5,539 $2,190 avg 2
Mohs Surgery (first stage)
CPT 17311
Mohs micrographic surgery, first stage, up to 5 tissue blocks
$1,992 $1,825 $752–$5,539 $1,992 avg 2
Laser Treatment for Skin (small)
CPT 96920
Laser treatment for inflammatory skin disease, less than 250 sq cm
$233 $233 $233–$233 $233 avg 1
Tendon Sheath Injection
CPT 20550
Injection of tendon sheath, ligament, or trigger point
$1,425 $1,711 $752–$2,009 $1,425 avg 2
Hardware Removal (deep)
CPT 20680
Removal of implant, deep (plate, screw, rod)
$10,747 $12,590 $1,727–$13,858 $10,747 avg 2
Shoulder Injection with Imaging
CPT 23350
Injection for shoulder arthrography
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Tennis Elbow Repair
CPT 24341
Repair of lateral collateral ligament, elbow
$18,037 $17,799 $12,446–$24,104 $18,037 avg 1
Closed Treatment Distal Radius Fracture
CPT 25600
Closed treatment of distal radial fracture without manipulation
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Closed Treatment Distal Radius Fracture (with manipulation)
CPT 25605
Closed treatment of distal radial fracture with manipulation
$2,908 $2,871 $2,032–$3,858 $2,908 avg 1
Intertrochanteric Fracture Treatment
CPT 27245
Treatment of intertrochanteric femoral fracture with plate/screws
$18,824 $21,897 $12,446–$24,104 $18,824 avg 2
Knee Manipulation Under Anesthesia
CPT 27570
Manipulation of knee joint under general anesthesia
$4,846 $5,539 $3,255–$6,211 $4,846 avg 2
Open Treatment Ankle Fracture (bimalleolar)
CPT 27792
Open treatment of distal fibula fracture, bimalleolar
$19,328 $19,060 $13,078–$26,115 $19,328 avg 1
Amputation - Toe
CPT 28820
Amputation of toe at metatarsophalangeal joint
$9,861 $8,093 $7,352–$13,858 $9,861 avg 2
Endoscopic Carpal Tunnel Release
CPT 29848
Endoscopy of wrist, carpal tunnel release
$16,881 $17,334 $10,742–$19,081 $16,881 avg 1
Shoulder Arthroscopy - Acromioplasty
CPT 29826
Arthroscopy, shoulder, surgical, decompression of subacromial space
$2,248 $1,825 $827–$2,009 $2,248 avg 2
Knee Arthroscopy with Meniscus Repair
CPT 29882
Arthroscopy, knee, surgical, meniscus repair
$16,881 $17,334 $10,742–$19,081 $16,881 avg 1
ACL Reconstruction (Knee Ligament Repair)
CPT 29888
Arthroscopically aided anterior cruciate ligament repair/augmentation
$23,056 $23,724 $14,396–$26,115 $23,056 avg 1
Esophagoscopy (diagnostic)
CPT 43191
Esophagoscopy, flexible, diagnostic
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
EGD with Stent Placement
CPT 43210
Esophagogastroduodenoscopy with stent placement
$14,229 $14,038 $9,758–$19,081 $14,229 avg 1
EGD with Gastrostomy Tube
CPT 43246
Upper GI endoscopy with gastrostomy tube placement
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
EGD with Foreign Body Removal
CPT 43247
Upper GI endoscopy with removal of foreign body
$5,927 $5,927 $5,643–$6,211 $5,927 avg 1
EGD with Hemostasis
CPT 43255
Upper GI endoscopy with control of bleeding
$3,494 $3,549 $666–$6,211 $3,494 avg 2
Sigmoidoscopy (diagnostic)
CPT 45330
Sigmoidoscopy, flexible, diagnostic
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
Sigmoidoscopy with Biopsy
CPT 45331
Sigmoidoscopy, flexible, with biopsy
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
Colonoscopy with Control of Bleeding
CPT 45382
Colonoscopy with control of bleeding
$5,927 $5,927 $5,643–$6,211 $5,927 avg 1
Colonoscopy with Lesion Removal (hot biopsy)
CPT 45384
Colonoscopy with removal of tumor by hot biopsy forceps
$5,927 $5,927 $5,643–$6,211 $5,927 avg 1
Colonoscopy with Ablation
CPT 45388
Colonoscopy with ablation of tumor or polyp
$5,927 $5,927 $5,643–$6,211 $5,927 avg 1
Colonoscopy with Foreign Body Removal
CPT 45390
Colonoscopy with removal of foreign body
$5,927 $5,927 $5,643–$6,211 $5,927 avg 1
Colonoscopy with Endoscopic Ultrasound
CPT 45391
Colonoscopy with endoscopic ultrasound examination
$5,927 $5,927 $5,643–$6,211 $5,927 avg 1
CT Sinus without Contrast
CPT 70486
CT scan of maxillofacial area without contrast
$326 $326 $326–$326 $326 avg 1
CT Soft Tissue Neck with Contrast
CPT 70491
CT scan of soft tissue neck with contrast
$1,432 $1,432 $550–$2,313 $1,432 avg 2
MRI Head/Neck MRA
CPT 70543
Magnetic resonance angiography, head and/or neck
$1,124 $1,124 $1,124–$1,124 $1,124 avg 1
CT Chest Low Dose (Lung Screening)
CPT 71271
CT chest for lung cancer screening, low dose
$326 $326 $326–$326 $326 avg 1
CT Angiography Chest
CPT 71275
CT angiography of chest with contrast
$2,767 $2,767 $550–$4,983 $2,767 avg 2
CT Cervical Spine without Contrast
CPT 72125
CT cervical spine without contrast
$326 $326 $326–$326 $326 avg 1
CT Lumbar Spine without Contrast
CPT 72131
CT lumbar spine without contrast
$1,372 $1,372 $326–$2,418 $1,372 avg 2
MRI Lumbar Spine with Contrast
CPT 72149
MRI lumbar spine with contrast
$1,124 $1,124 $1,124–$1,124 $1,124 avg 1
MRI Cervical Spine with/without Contrast
CPT 72156
MRI cervical spine without contrast, then with contrast
$1,124 $1,124 $1,124–$1,124 $1,124 avg 1
MRI Lumbar Spine with/without Contrast
CPT 72158
MRI lumbar spine without contrast, then with contrast
$5,656 $5,656 $1,124–$10,187 $5,656 avg 2
CT Pelvis without Contrast
CPT 72192
CT pelvis without contrast
$326 $326 $326–$326 $326 avg 1
CT Pelvis with Contrast
CPT 72193
CT pelvis with contrast
$550 $550 $550–$550 $550 avg 1
MRI Pelvis without/with Contrast
CPT 72197
MRI pelvis without contrast, then with contrast
$1,124 $1,124 $1,124–$1,124 $1,124 avg 1
Clavicle X-Ray
CPT 73000
Radiologic examination of clavicle
$265 $265 $265–$265 $265 avg 1
Humerus X-Ray
CPT 73060
Radiologic examination of humerus, minimum 2 views
$265 $265 $265–$265 $265 avg 1
Elbow X-Ray
CPT 73070
Radiologic examination of elbow, 2 views
$265 $265 $265–$265 $265 avg 1
Elbow X-Ray (3+ views)
CPT 73080
Radiologic examination of elbow, complete, minimum 3 views
$265 $265 $265–$265 $265 avg 1
Wrist X-Ray
CPT 73100
Radiologic examination of wrist, 2 views
$265 $265 $265–$265 $265 avg 1
Wrist X-Ray (3+ views)
CPT 73110
Radiologic examination of wrist, complete, minimum 3 views
$265 $265 $265–$265 $265 avg 1
MRI Shoulder with Contrast
CPT 73222
MRI any joint of upper extremity with contrast
$2,260 $2,260 $2,260–$2,260 $2,260 avg 1
Hip X-Ray (2-3 views)
CPT 73502
Radiologic examination of hip, 2-3 views
$265 $265 $265–$265 $265 avg 1
Femur X-Ray
CPT 73552
Radiologic examination of femur, minimum 2 views
$265 $265 $265–$265 $265 avg 1
Knee X-Ray (3 views)
CPT 73562
Radiologic examination of knee, 3 views
$265 $265 $265–$265 $265 avg 1
Tibia/Fibula X-Ray
CPT 73590
Radiologic examination of tibia and fibula, 2 views
$265 $265 $265–$265 $265 avg 1
Foot X-Ray (2 views)
CPT 73620
Radiologic examination of foot, 2 views
$265 $265 $265–$265 $265 avg 1
Foot X-Ray (3+ views)
CPT 73630
Radiologic examination of foot, complete, minimum 3 views
$265 $265 $265–$265 $265 avg 1
MRI Lower Extremity without Contrast
CPT 73718
MRI lower extremity other than joint without contrast
$2,617 $2,617 $713–$4,521 $2,617 avg 2
MRI Knee with/without Contrast
CPT 73723
MRI any joint of lower extremity without then with contrast
$1,124 $1,124 $1,124–$1,124 $1,124 avg 1
Abdomen X-Ray (1 view)
CPT 74018
Radiologic examination of abdomen, single anteroposterior view
$265 $265 $265–$265 $265 avg 1
Abdomen X-Ray (2 views)
CPT 74019
Radiologic examination of abdomen, 2 views
$326 $326 $326–$326 $326 avg 1
CT Abdomen without Contrast
CPT 74150
CT abdomen without contrast
$326 $326 $326–$326 $326 avg 1
CT Abdomen/Pelvis with/without Contrast
CPT 74178
CT abdomen and pelvis without contrast, then with contrast
$1,124 $1,124 $1,124–$1,124 $1,124 avg 1
MRI Abdomen without Contrast
CPT 74181
MRI abdomen without contrast
$713 $713 $713–$713 $713 avg 1
MRI Abdomen with/without Contrast
CPT 74183
MRI abdomen without contrast, then with contrast
$1,124 $1,124 $1,124–$1,124 $1,124 avg 1
Thyroid Ultrasound
CPT 76536
Ultrasound of head and neck, thyroid, real time with image
$326 $326 $326–$326 $326 avg 1
Chest Ultrasound
CPT 76604
Ultrasound of chest, real time with image documentation
$326 $326 $326–$326 $326 avg 1
Retroperitoneal Ultrasound (complete)
CPT 76770
Ultrasound, retroperitoneal, complete
$326 $326 $326–$326 $326 avg 1
Retroperitoneal Ultrasound (limited)
CPT 76775
Ultrasound, retroperitoneal, limited
$326 $326 $326–$326 $326 avg 1
OB Ultrasound (limited)
CPT 76815
Ultrasound, pregnant uterus, limited
$326 $326 $326–$326 $326 avg 1
Transvaginal OB Ultrasound
CPT 76817
Ultrasound, pregnant uterus, transvaginal
$326 $326 $326–$326 $326 avg 1
Pelvic Ultrasound (limited)
CPT 76857
Ultrasound, pelvic, limited or follow-up
$326 $326 $326–$326 $326 avg 1
Scrotal Ultrasound
CPT 76870
Ultrasound, scrotum and contents
$326 $326 $326–$326 $326 avg 1
Extremity Ultrasound (complete)
CPT 76881
Ultrasound, complete joint, real time
$326 $326 $326–$326 $326 avg 1
Extremity Ultrasound (limited)
CPT 76882
Ultrasound, limited, joint or focal evaluation
$326 $326 $326–$326 $326 avg 1
Bone Age Study
CPT 77072
Bone age studies
$326 $326 $326–$326 $326 avg 1
Bone Length Studies
CPT 77073
Bone length studies
$326 $326 $326–$326 $326 avg 1
Bone Survey (complete)
CPT 77075
Radiologic examination, osseous survey, complete
$326 $326 $326–$326 $326 avg 1
DEXA Scan (Bone Density)
CPT 77080
DXA bone density study, axial skeleton
$326 $326 $326–$326 $326 avg 1
DEXA Scan (Peripheral)
CPT 77081
DXA bone density study, appendicular skeleton
$265 $265 $265–$265 $265 avg 1
DEXA Body Composition
CPT 77085
DXA bone density study, body composition
$326 $326 $326–$326 $326 avg 1
Bone Scan (whole body)
CPT 78306
Bone imaging, whole body
$1,186 $1,186 $1,186–$1,186 $1,186 avg 1
Cardiac PET Scan (Myocardial Perfusion)
CPT 78429
Myocardial imaging, PET, perfusion study
$4,545 $4,545 $4,545–$4,545 $4,545 avg 1
Nuclear Stress Test (Planar MPI)
CPT 78451
Myocardial perfusion imaging, planar, single study
$4,050 $4,050 $4,050–$4,050 $4,050 avg 1
PET Scan (limited)
CPT 78815
PET for limited area other than heart or brain
$4,545 $4,545 $4,545–$4,545 $4,545 avg 1
PET Scan (whole body)
CPT 78816
PET for tumor, whole body
$4,545 $4,545 $4,545–$4,545 $4,545 avg 1
Renal Function Panel
CPT 80069
Renal function panel blood test
$17 $22 $9–$22 $17 +2% 2
Acute Hepatitis Panel
CPT 80074
Acute hepatitis panel blood test
$95 $118 $48–$118 $95 avg 2
Urinalysis (non-automated, with microscopy)
CPT 81000
Urinalysis by dip stick or tablet reagent, non-automated, with microscopy
$18 $10 $4–$40 $18 avg 3
Urinalysis (non-automated, without microscopy)
CPT 81002
Urinalysis without microscopy, non-automated
$6 $6 $4–$9 $6 +1% 2
Albumin Level
CPT 82040
Albumin, serum, plasma or whole blood
$9 $9 $5–$12 $9 -4% 2
Amylase Level
CPT 82150
Amylase test
$11 $11 $7–$16 $11 +3% 2
Bilirubin Total
CPT 82247
Bilirubin, total
$10 $12 $5–$12 $10 avg 2
Bilirubin Direct
CPT 82248
Bilirubin, direct
$10 $12 $5–$12 $10 avg 2
Calcium Level
CPT 82310
Calcium, total
$10 $13 $5–$13 $10 +3% 2
CO2/Bicarbonate Level
CPT 82374
Carbon dioxide (bicarbonate)
$10 $12 $5–$12 $10 -3% 2
Cholesterol Total
CPT 82465
Cholesterol, serum or whole blood, total
$8 $8 $4–$11 $8 -5% 2
CK/CPK (Creatine Kinase)
CPT 82550
Creatine kinase (CK, CPK), total
$35 $16 $7–$82 $35 avg 3
CK-MB (Heart)
CPT 82553
Creatine kinase (CK), MB fraction
$20 $20 $12–$29 $20 +1% 2
Creatinine Level
CPT 82565
Creatinine; blood
$9 $9 $5–$13 $9 avg 2
Vitamin B12 Level
CPT 82607
Cyanocobalamin (Vitamin B-12)
$30 $37 $15–$37 $30 avg 2
Estradiol Level
CPT 82670
Estradiol
$118 $69 $28–$351 $118 avg 5
Folic Acid Level
CPT 82746
Folic acid, serum
$26 $26 $15–$37 $26 -1% 2
IgA Level
CPT 82784
Gammaglobulin IgA
$19 $23 $9–$23 $19 -2% 3
Blood Gas Panel (ABG)
CPT 82803
Gases, blood, any combination of pH, pCO2, pO2
$55 $65 $26–$65 $55 avg 4
Glucose (point of care)
CPT 82962
Glucose, blood by glucose monitoring device
$7 $8 $3–$8 $7 -7% 3
FSH (Follicle Stimulating Hormone)
CPT 83001
Gonadotropin, follicle stimulating hormone (FSH)
$19 $19 $19–$19 $19 -1% 1
LH (Luteinizing Hormone)
CPT 83002
Gonadotropin, luteinizing hormone (LH)
$32 $32 $19–$46 $32 +1% 2
Iron Level
CPT 83540
Iron
$11 $11 $7–$16 $11 +3% 2
Iron Binding Capacity (TIBC)
CPT 83550
Iron binding capacity, total
$41 $22 $9–$93 $41 avg 3
LDH (Lactate Dehydrogenase)
CPT 83615
Lactate dehydrogenase (LD, LDH)
$12 $15 $6–$15 $12 +1% 2
Lipase Level
CPT 83690
Lipase
$7 $7 $7–$7 $7 avg 1
Magnesium Level
CPT 83735
Magnesium
$13 $17 $7–$17 $13 +3% 3
BNP (Brain Natriuretic Peptide)
CPT 83880
Natriuretic peptide (BNP)
$78 $98 $40–$98 $78 avg 2
Parathyroid Hormone (PTH)
CPT 83970
Parathormone (parathyroid hormone, PTH)
$82 $103 $42–$103 $82 avg 3
Alkaline Phosphatase
CPT 84075
Phosphatase, alkaline
$10 $13 $5–$13 $10 +3% 2
Phosphorus Level
CPT 84100
Phosphorus inorganic (phosphate)
$10 $12 $5–$12 $10 avg 4
Prealbumin Level
CPT 84134
Prealbumin
$29 $36 $15–$36 $29 avg 3
Progesterone Level
CPT 84144
Progesterone
$37 $37 $21–$52 $37 -1% 2
Prolactin Level
CPT 84146
Prolactin
$39 $48 $20–$48 $39 -1% 2
Testosterone Total
CPT 84403
Testosterone, total
$45 $45 $26–$64 $45 avg 2
Thyroxine Total (T4)
CPT 84436
Thyroxine, total
$29 $17 $7–$86 $29 avg 5
Free Thyroxine (Free T4)
CPT 84439
Thyroxine, free
$9 $9 $9–$9 $9 +2% 1
Transferrin Level
CPT 84466
Transferrin
$13 $13 $13–$13 $13 -1% 1
Triglycerides
CPT 84478
Triglycerides
$11 $14 $6–$14 $11 +4% 2
T3 (Triiodothyronine) Total
CPT 84480
Triiodothyronine T3, total
$28 $35 $14–$35 $28 +1% 3
Free T3
CPT 84481
Triiodothyronine T3, free
$34 $42 $17–$42 $34 -1% 2
Troponin (Cardiac)
CPT 84484
Troponin, quantitative
$22 $22 $13–$31 $22 -1% 2
BUN (Blood Urea Nitrogen)
CPT 84520
Urea nitrogen, blood (BUN)
$4 $4 $4–$4 $4 avg 1
Uric Acid Level
CPT 84550
Uric acid, blood
$9 $11 $5–$11 $9 avg 2
CBC (Automated)
CPT 85027
Complete blood count, automated
$13 $16 $7–$16 $13 -1% 2
D-Dimer
CPT 85379
Fibrin degradation products, D-dimer
$18 $18 $10–$25 $18 -1% 2
Sed Rate (ESR)
CPT 85652
Sedimentation rate, erythrocyte; automated
$5 $7 $3–$7 $5 +8% 3
PTT (Partial Thromboplastin Time)
CPT 85730
Thromboplastin time, partial (PTT)
$12 $15 $6–$15 $12 avg 2
Allergen Specific IgE
CPT 86003
Allergen specific IgE; quantitative or semiquantitative, each allergen
$10 $13 $5–$13 $10 +4% 2
C-Reactive Protein (CRP)
CPT 86140
C-reactive protein
$10 $13 $5–$13 $10 +3% 2
Cyclic Citrullinated Peptide (CCP)
CPT 86200
Cyclic citrullinated peptide (CCP), antibody
$55 $32 $13–$163 $55 -1% 5
Nuclear Antigen Antibody (ENA)
CPT 86235
Extractable nuclear antigen (ENA) antibody
$36 $45 $18–$45 $36 -1% 2
CA 125 Tumor Marker
CPT 86300
Immunoassay for tumor antigen, CA 125
$42 $52 $21–$52 $42 -1% 2
CA 19-9 Tumor Marker
CPT 86304
Immunoassay for tumor antigen, CA 19-9
$42 $52 $21–$52 $42 -1% 2
Rheumatoid Factor
CPT 86431
Rheumatoid factor, quantitative
$30 $14 $6–$71 $30 +1% 3
TB Blood Test (QuantiFERON)
CPT 86480
Tuberculosis test, cell mediated immunity antigen response
$124 $154 $63–$154 $124 avg 2
Syphilis Test (RPR/VDRL)
CPT 86592
Syphilis test, non-treponemal antibody; qualitative
$9 $11 $4–$11 $9 +1% 4
Helicobacter Pylori Antibody
CPT 86677
Antibody, Helicobacter pylori
$36 $42 $17–$42 $36 -1% 4
Herpes Simplex Antibody
CPT 86695
Antibody, herpes simplex, type specific
$23 $23 $13–$33 $23 avg 2
Hepatitis A Antibody
CPT 86696
Antibody, hepatitis A
$39 $48 $20–$48 $39 -1% 2
Hepatitis B Core Antibody
CPT 86704
Hepatitis B core antibody (HBcAb); total
$12 $12 $12–$12 $12 +2% 1
Hepatitis B Surface Antibody
CPT 86706
Hepatitis B surface antibody (HBsAb)
$73 $73 $11–$135 $73 avg 2
Rubella Antibody
CPT 86762
Antibody, rubella
$77 $36 $15–$181 $77 avg 3
Rubeola (Measles) Antibody
CPT 86765
Antibody, rubeola
$23 $23 $13–$32 $23 -2% 2
Varicella Antibody (Chickenpox)
CPT 86787
Antibody, varicella-zoster
$13 $13 $13–$13 $13 avg 1
Hepatitis C Antibody
CPT 86803
Hepatitis C antibody
$76 $35 $14–$179 $76 +1% 3
Antibody Screen (RBC)
CPT 86850
Antibody screen, RBC, each serum technique
$73 $24 $10–$184 $73 avg 3
Rh Blood Type
CPT 86901
Blood typing, Rh (D)
$6 $7 $3–$7 $6 -1% 3
Bacterial Culture
CPT 87070
Culture, bacterial; any other source except urine, blood or stool
$18 $21 $9–$21 $18 +1% 4
Bacterial Culture (aerobic isolate)
CPT 87077
Culture, bacterial; aerobic isolate, additional methods
$14 $14 $8–$20 $14 +1% 2
Culture, presumptive (screen)
CPT 87081
Culture, presumptive, pathogenic organisms, screening only
$13 $16 $7–$16 $13 +2% 2
Urine Culture
CPT 87086
Culture, bacterial; quantitative colony count, urine
$17 $20 $8–$20 $17 +1% 4
Chlamydia Culture
CPT 87110
Culture, chlamydia
$34 $34 $20–$49 $34 +1% 2
Antibiotic Sensitivity (MIC)
CPT 87186
Susceptibility studies, antimicrobial agent; microdilution or agar dilution
$17 $22 $9–$22 $17 +2% 3
Gram Stain
CPT 87205
Smear, primary source with interpretation; Gram or Giemsa stain
$23 $11 $4–$54 $23 -1% 3
Hepatitis B Surface Antigen
CPT 87340
Infectious agent antigen detection; hepatitis B surface antigen (HBsAg)
$55 $26 $10–$130 $55 +1% 3
HIV-1/HIV-2 Antibody Test
CPT 87389
HIV-1 and HIV-2, single result, immunoassay
$42 $42 $24–$60 $42 avg 2
Flu Test (PCR/molecular)
CPT 87502
Infectious agent detection, influenza, multiplex reverse transcription
$471 $238 $97–$1,078 $471 avg 3
Mycobacterium TB Detection
CPT 87580
Infectious agent detection, Mycobacterium tuberculosis, amplified probe
$35 $35 $20–$50 $35 avg 2
HPV High-Risk Test
CPT 87624
Infectious agent detection, human papillomavirus (HPV), high-risk types
$70 $87 $36–$87 $70 avg 2
Strep Test (rapid)
CPT 87880
Infectious agent antigen detection, Streptococcus, group A
$33 $41 $17–$41 $33 avg 2
Laceration Repair - Simple (2.5 cm or less)
CPT 12001
Simple repair of superficial wounds, scalp/neck/extremities
$1,729 $1,825 $827–$2,009 $1,729 avg 1
Laceration Repair - Simple (2.6-7.5 cm)
CPT 12002
Simple repair of superficial wounds, 2.6-7.5 cm
$1,729 $1,825 $827–$2,009 $1,729 avg 1
Laceration Repair - Simple (7.6-12.5 cm)
CPT 12004
Simple repair of superficial wounds, 7.6-12.5 cm
$1,550 $1,825 $559–$2,009 $1,550 avg 2
Laceration Repair - Face (2.5 cm or less)
CPT 12011
Simple repair of superficial wounds of face, 2.5 cm or less
$1,729 $1,825 $827–$2,009 $1,729 avg 1
Laceration Repair - Face (2.6-5.0 cm)
CPT 12013
Simple repair of superficial wounds of face, 2.6-5.0 cm
$1,556 $1,825 $524–$2,009 $1,556 avg 2
Laceration Repair - Intermediate (2.5 cm or less)
CPT 12031
Repair, intermediate, wounds of scalp/trunk/extremities
$1,729 $1,825 $827–$2,009 $1,729 avg 1
Laceration Repair - Intermediate (2.6-7.5 cm)
CPT 12032
Repair, intermediate, wounds of scalp/trunk/extremities
$1,729 $1,825 $827–$2,009 $1,729 avg 1
Laceration Repair - Intermediate Face (2.5 cm)
CPT 12051
Repair, intermediate, wounds of face, 2.5 cm or less
$1,729 $1,825 $827–$2,009 $1,729 avg 1
Laceration Repair - Intermediate Face (2.6-5.0 cm)
CPT 12052
Repair, intermediate, wounds of face, 2.6-5.0 cm
$1,729 $1,825 $827–$2,009 $1,729 avg 1
Burn Dressing (small)
CPT 16020
Dressings and/or debridement of partial-thickness burns, small
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Burn Dressing (medium)
CPT 16025
Dressings and/or debridement of partial-thickness burns, medium
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Closed Treatment Radial Head Fracture
CPT 24640
Closed treatment of radial head subluxation (nursemaid elbow)
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Short Arm Splint
CPT 29125
Application of short arm splint, forearm to hand
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Finger Splint
CPT 29130
Application of finger splint
$1,049 $827 $85–$2,009 $1,049 avg 2
Long Leg Splint
CPT 29505
Application of long leg splint, thigh to ankle
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Short Leg Splint
CPT 29515
Application of short leg splint, calf to foot
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Nasal Foreign Body Removal
CPT 30300
Removal of foreign body from intranasal, office type
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Anterior Nasal Packing (nosebleed)
CPT 30901
Control nasal hemorrhage, anterior, simple
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Anterior Nasal Packing (complex)
CPT 30903
Control nasal hemorrhage, anterior, complex
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Endotracheal Intubation
CPT 31500
Intubation, endotracheal, emergency procedure
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Chest Tube Insertion
CPT 32551
Tube thoracostomy, insertion of chest tube
$2,908 $2,871 $2,032–$3,858 $2,908 avg 1
IV Line Placement (peripheral)
CPT 36000
Introduction of needle or intracatheter, vein
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Venipuncture (age 3+)
CPT 36410
Venipuncture, age 3 years or older, necessitating physician skill
$9 $9 $9–$9 $9 +3% 1
Ear Foreign Body Removal
CPT 69200
Removal of foreign body from external auditory canal
$1,115 $1,135 $178–$2,009 $1,115 avg 2
Ear Wax Removal (Irrigation)
CPT 69209
Removal impacted cerumen using irrigation/lavage
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
IV Infusion (hydration, first hour)
CPT 96360
Intravenous infusion, hydration, initial 31-60 minutes
$527 $527 $527–$527 $527 avg 1
IV Infusion (therapeutic, first hour)
CPT 96365
Intravenous infusion for therapy/prophylaxis, initial up to 1 hour
$640 $640 $640–$640 $640 avg 1
Hepatitis A Vaccine (adult)
CPT 90632
Hepatitis A vaccine, adult dosage
$69 $69 $69–$69 $69 +1% 1
Hepatitis A & B Vaccine (combo)
CPT 90636
Hepatitis A and hepatitis B vaccine, adult dosage
$54 $54 $54–$54 $54 avg 1
Hib Vaccine
CPT 90647
Haemophilus influenzae type b vaccine
$54 $54 $54–$54 $54 avg 1
HPV Vaccine (9-valent)
CPT 90651
Human papillomavirus vaccine, 9-valent, 3 dose schedule
$195 $195 $54–$336 $195 avg 2
Pneumococcal Vaccine (PCV13)
CPT 90670
Pneumococcal conjugate vaccine, 13 valent
$231 $231 $231–$231 $231 avg 1
Rotavirus Vaccine
CPT 90681
Rotavirus vaccine, human, attenuated
$54 $54 $54–$54 $54 avg 1
Flu Vaccine (quadrivalent)
CPT 90686
Influenza virus vaccine, quadrivalent, preservative free
$37 $37 $20–$54 $37 avg 2
DTaP-IPV Vaccine
CPT 90696
Diphtheria, tetanus, acellular pertussis and polio vaccine
$54 $54 $54–$54 $54 avg 1
MMR Vaccine
CPT 90707
Measles, mumps, rubella vaccine
$54 $54 $54–$54 $54 avg 1
MMRV Vaccine
CPT 90710
Measles, mumps, rubella, and varicella vaccine
$54 $54 $54–$54 $54 avg 1
Polio Vaccine (IPV)
CPT 90713
Poliovirus vaccine, inactivated
$54 $54 $54–$54 $54 avg 1
Td Vaccine (adult)
CPT 90714
Tetanus and diphtheria toxoids, adult, preservative free
$37 $37 $37–$37 $37 -1% 1
Varicella (Chickenpox) Vaccine
CPT 90716
Varicella virus vaccine, live
$54 $54 $54–$54 $54 avg 1
Pneumococcal Vaccine (PPSV23)
CPT 90732
Pneumococcal polysaccharide vaccine, 23-valent
$254 $254 $254–$254 $254 avg 2
Shingles Vaccine (Zoster)
CPT 90736
Zoster (shingles) vaccine, live
$54 $54 $54–$54 $54 avg 1
Hepatitis B Vaccine (adult)
CPT 90746
Hepatitis B vaccine, adult dosage
$113 $134 $73–$134 $113 avg 3
Shingles Vaccine (Shingrix)
CPT 90750
Zoster vaccine, recombinant, adjuvanted
$54 $54 $54–$54 $54 avg 1
Breast Biopsy (stereotactic)
CPT 19081
Biopsy, breast, with placement of breast localization device, stereotactic guidance
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
Breast Biopsy (ultrasound-guided)
CPT 19083
Biopsy, breast, with placement of breast localization device, ultrasound guidance
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
Breast Biopsy (MRI-guided)
CPT 19084
Biopsy, breast, with placement of breast localization device, MRI guidance
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Mastopexy (Breast Lift)
CPT 19316
Mastopexy
$16,881 $17,334 $10,742–$19,081 $16,881 avg 1
Breast Augmentation (Implant)
CPT 19325
Mammaplasty, augmentative
$22,994 $23,724 $14,396–$26,115 $22,994 avg 2
Breast Implant Removal
CPT 19328
Removal of intact mammary implant
$16,881 $17,334 $10,742–$19,081 $16,881 avg 1
Breast Reconstruction (immediate)
CPT 19340
Immediate insertion of breast prosthesis following mastopexy or mastectomy
$21,346 $21,897 $13,701–$24,104 $21,346 avg 1
Vulvectomy (partial)
CPT 56620
Vulvectomy, simple, partial
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Colposcopy (diagnostic)
CPT 57420
Colposcopy of entire vagina, with cervix if present
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
Colposcopy with Biopsy (cervix)
CPT 57452
Colposcopy of cervix including upper adjacent vagina
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
LEEP Procedure (cervix)
CPT 57460
Colposcopy with loop electrode excision procedure of cervix
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Cervical Biopsy
CPT 57500
Biopsy of cervix, single or multiple, or local excision
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
Cervical Conization
CPT 57520
Conization of cervix, with or without fulguration
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Dilation and Curettage (D&C)
CPT 58120
Dilation and curettage, diagnostic and/or therapeutic
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Vaginal Hysterectomy
CPT 58260
Vaginal hysterectomy, for uterus 250g or less
$18,208 $18,208 $17,334–$19,081 $18,208 avg 1
Vaginal Hysterectomy with Tube/Ovary Removal
CPT 58262
Vaginal hysterectomy with removal of tube(s) and/or ovary(s)
$18,208 $18,208 $17,334–$19,081 $18,208 avg 1
Vaginal Hysterectomy (>250g)
CPT 58291
Vaginal hysterectomy, for uterus greater than 250g
$17,180 $21,897 $5,539–$24,104 $17,180 avg 2
Hysterosalpingography (HSG)
CPT 58340
Catheterization and introduction of saline for sonohysterography
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
Hysteroscopy (diagnostic)
CPT 58555
Hysteroscopy, diagnostic, separate procedure
$6,957 $6,668 $635–$13,858 $6,957 avg 2
Hysteroscopy with Biopsy/Polypectomy
CPT 58558
Hysteroscopy, surgical, with sampling of endometrium
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Hysteroscopy with Ablation
CPT 58563
Hysteroscopy, surgical, with endometrial ablation
$18,208 $18,208 $17,334–$19,081 $18,208 avg 1
Tubal Ligation
CPT 58600
Ligation or transection of fallopian tube(s), abdominal or vaginal approach
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Laparoscopy with Lysis of Adhesions
CPT 58660
Laparoscopy, lysis of adhesions
$24,920 $24,920 $23,724–$26,115 $24,920 avg 1
Laparoscopic Endometriosis Excision
CPT 58662
Laparoscopy with fulguration or excision of lesions of ovary/peritoneum
$24,920 $24,920 $23,724–$26,115 $24,920 avg 1
Laparoscopic Tubal Ligation
CPT 58670
Laparoscopy, surgical, with fulguration of oviducts
$24,920 $24,920 $23,724–$26,115 $24,920 avg 1
Amniocentesis
CPT 59000
Amniocentesis, diagnostic
$4,301 $3,858 $3,505–$5,539 $4,301 avg 2
Chorionic Villus Sampling
CPT 59015
Chorionic villus sampling, any method
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
Delivery of Placenta
CPT 59414
Delivery of placenta (separate procedure)
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Incomplete Abortion Treatment
CPT 59812
Treatment of incomplete abortion, any trimester, surgical
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Missed Abortion Treatment (first trimester)
CPT 59820
Treatment of missed abortion, completed surgically, first trimester
$12,785 $12,590 $11,908–$13,858 $12,785 avg 2
Maternity Care (unlisted)
CPT 59899
Unlisted procedure, maternity care and delivery
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
Incision and Drainage of Abscess (simple)
CPT 10060
Incision and drainage of abscess, simple or single
$994 $790 $258–$2,009 $994 avg 2
Incision and Drainage of Abscess (complex)
CPT 10061
Incision and drainage of abscess, complicated or multiple
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Foreign Body Removal (skin, simple)
CPT 10120
Incision and removal of foreign body, subcutaneous tissues, simple
$1,595 $1,825 $752–$2,009 $1,595 avg 1
Foreign Body Removal (skin, complex)
CPT 10121
Incision and removal of foreign body, subcutaneous tissues, complicated
$5,210 $5,643 $3,255–$6,211 $5,210 avg 1
Incision and Drainage of Hematoma
CPT 10140
Incision and drainage of hematoma, seroma, or fluid collection
$4,661 $5,643 $409–$6,211 $4,661 avg 2
Aspiration of Abscess/Cyst
CPT 10160
Puncture aspiration of abscess, hematoma, bulla, or cyst
$1,595 $1,825 $752–$2,009 $1,595 avg 1
Debridement - Muscle/Fascia
CPT 11043
Debridement, muscle and/or fascia, first 20 sq cm
$1,595 $1,825 $752–$2,009 $1,595 avg 1
Breast Biopsy (needle, percutaneous)
CPT 19100
Biopsy of breast, percutaneous, needle core
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
Soft Tissue Excision (back/flank)
CPT 21931
Excision, tumor, soft tissue of back or flank, subcutaneous
$10,473 $10,342 $7,352–$13,858 $10,473 avg 1
Knee Cartilage Removal (arthrotomy)
CPT 27332
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee
$14,229 $14,038 $9,758–$19,081 $14,229 avg 1
Pacemaker Insertion
CPT 33208
Insertion of new or replacement of permanent pacemaker
$42,403 $41,833 $29,066–$56,878 $42,403 avg 1
ICD (Defibrillator) Insertion
CPT 33249
Insertion or replacement of permanent implantable defibrillator system
$73,408 $72,638 $54,612–$93,742 $73,408 avg 1
Bone Marrow Aspiration
CPT 38220
Diagnostic bone marrow aspiration(s)
$2,908 $2,871 $2,032–$3,858 $2,908 avg 1
Bone Marrow Biopsy
CPT 38221
Diagnostic bone marrow biopsy(ies)
$2,908 $2,871 $2,032–$3,858 $2,908 avg 1
Lymph Node Biopsy/Excision (superficial)
CPT 38500
Biopsy or excision of lymph node(s), superficial
$10,473 $10,342 $7,352–$13,858 $10,473 avg 1
Lymph Node Biopsy/Excision (deep)
CPT 38510
Biopsy or excision of lymph node(s), deep cervical
$7,477 $7,723 $1,340–$13,858 $7,477 avg 2
Lip Biopsy
CPT 40490
Biopsy of lip, vermilion
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Tongue Biopsy (anterior 2/3)
CPT 41100
Biopsy of tongue, anterior two-thirds
$1,699 $827 $381–$5,539 $1,699 avg 2
Salivary Stone Removal (Sialolithotomy)
CPT 42330
Sialolithotomy, submandibular or sublingual, intraoral
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
Drainage of Peritonsillar Abscess
CPT 42700
Incision and drainage, abscess, peritonsillar
$1,353 $1,326 $752–$2,009 $1,353 avg 1
Lysis of Abdominal Adhesions (open)
CPT 44005
Enterolysis, freeing of intestinal adhesion
$4,481 $4,141 $3,762–$5,539 $4,481 avg 2
Partial Colectomy
CPT 44140
Colectomy, partial, with anastomosis
$6,253 $4,141 $3,762–$10,855 $6,253 avg 2
Laparoscopic Partial Colectomy
CPT 44204
Laparoscopic partial colectomy with anastomosis
$23,001 $23,001 $21,897–$24,104 $23,001 avg 1
Appendectomy (open)
CPT 44950
Appendectomy
$18,208 $18,208 $17,334–$19,081 $18,208 avg 1
Liver Biopsy (needle)
CPT 47000
Biopsy of liver, needle, percutaneous
$5,927 $5,927 $5,643–$6,211 $5,927 avg 1
Exploratory Laparotomy
CPT 49000
Exploratory laparotomy, exploratory celiotomy
$14,531 $14,095 $10,855–$19,081 $14,531 avg 2
Diagnostic Laparoscopy
CPT 49320
Laparoscopy, abdomen, diagnostic
$23,001 $23,001 $21,897–$24,104 $23,001 avg 1
Kidney Biopsy (needle)
CPT 50200
Renal biopsy, percutaneous, by trocar or needle
$5,927 $5,927 $5,643–$6,211 $5,927 avg 1
Kidney Stone Removal (percutaneous)
CPT 50080
Percutaneous nephrostolithotomy or pyelostolithotomy
$20,845 $21,897 $16,535–$24,104 $20,845 avg 2
Cystoscopy with Ureteral Catheter
CPT 52005
Cystourethroscopy, with ureteral catheterization
$6,936 $6,736 $416–$13,858 $6,936 avg 2
Cystoscopy with Stent Removal
CPT 52310
Cystourethroscopy, with removal of foreign body or ureteral stent
$5,927 $5,927 $5,643–$6,211 $5,927 avg 1
Cystoscopy with Stent Insertion
CPT 52332
Cystourethroscopy, with insertion of indwelling ureteral stent
$7,149 $7,127 $485–$13,858 $7,149 avg 2
Cystoscopy with Lithotripsy
CPT 52353
Cystourethroscopy, with lithotripsy
$23,001 $23,001 $21,897–$24,104 $23,001 avg 1
Hydrocelectomy (excision)
CPT 55040
Excision of hydrocele, unilateral
$18,208 $18,208 $17,334–$19,081 $18,208 avg 1
Vasectomy
CPT 55250
Vasectomy, unilateral or bilateral
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
I&D of Bartholin Gland Abscess
CPT 56405
Incision and drainage of vulva or perineal abscess
$3,124 $2,009 $1,825–$5,539 $3,124 avg 2
Lumbar Puncture (spinal tap)
CPT 62270
Lumbar puncture (spinal tap), diagnostic
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
Health Behavior Assessment
CPT 96156
Health behavior assessment or reassessment
$283 $283 $268–$299 $283 avg 1
Health Behavior Intervention (first 30 min)
CPT 96158
Health behavior intervention, individual, first 30 minutes
$194 $194 $183–$204 $194 avg 1
Cervical Epidural Injection
CPT 62320
Injection, including indwelling catheter placement, cervical or thoracic
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
Cervical Epidural with Imaging
CPT 62321
Injection, cervical or thoracic with imaging guidance
$2,129 $2,159 $343–$3,858 $2,129 avg 2
Trigeminal Nerve Block
CPT 64400
Injection, anesthetic agent; trigeminal nerve
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
Greater Occipital Nerve Block
CPT 64405
Injection, anesthetic agent; greater occipital nerve
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
Brachial Plexus Block
CPT 64415
Injection, anesthetic agent; brachial plexus, single
$4,053 $3,858 $3,505–$5,539 $4,053 avg 2
Femoral Nerve Block
CPT 64447
Injection, anesthetic agent; femoral nerve, single
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
Peripheral Nerve Block
CPT 64450
Injection, anesthetic agent; other peripheral nerve or branch
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
Cervical Transforaminal Epidural
CPT 64479
Injection, anesthetic agent and/or steroid, transforaminal epidural, cervical or thoracic
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
Transforaminal Epidural (additional level)
CPT 64484
Injection, transforaminal epidural, lumbar or sacral, each additional level
$1,384 $1,825 $196–$2,009 $1,384 avg 2
Facet Joint Injection - Cervical (first level)
CPT 64490
Injection, diagnostic or therapeutic agent, paravertebral facet joint, cervical or thoracic, first level
$3,682 $3,682 $3,505–$3,858 $3,682 avg 1
Facet Joint Injection - Cervical (second level)
CPT 64491
Injection, paravertebral facet joint, cervical or thoracic, second level
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
Facet Joint Injection - Lumbar (second level)
CPT 64494
Injection, paravertebral facet joint, lumbar or sacral, second level
$1,917 $1,917 $1,825–$2,009 $1,917 avg 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
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
Intercostal Nerve Destruction
CPT 64625
Destruction by neurolytic agent, intercostal nerve
$13,224 $13,224 $12,590–$13,858 $13,224 avg 1
Facet Joint Destruction - Cervical (first level)
CPT 64633
Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, single level
$7,430 $8,471 $734–$13,858 $7,430 avg 2
Facet Joint Destruction - Cervical (additional level)
CPT 64634
Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, each additional level
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
Facet Joint Destruction - Lumbar (additional level)
CPT 64636
Destruction by neurolytic agent, paravertebral facet joint nerve, lumbar or sacral, each additional level
$1,917 $1,917 $1,825–$2,009 $1,917 avg 1
Pacemaker Insertion (ventricular)
CPT 33207
Insertion of new or replacement of permanent pacemaker, ventricular
$40,528 $39,960 $27,316–$54,876 $40,528 avg 1
Leadless Pacemaker Insertion
CPT 33274
Transcatheter insertion or replacement of permanent leadless pacemaker
$47,553 $47,076 $35,796–$60,265 $47,553 avg 1
Doppler Echocardiography (complete)
CPT 93320
Doppler echocardiography, pulsed wave and/or continuous wave, complete
$711 $711 $711–$711 $711 avg 1
Ankle-Brachial Index (ABI)
CPT 93922
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries
$354 $354 $354–$354 $354 avg 1
Complete Bilateral Extremity Study
CPT 93923
Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries
$444 $444 $444–$444 $444 avg 1
Lower Extremity Arterial Duplex
CPT 93925
Duplex scan of lower extremity arteries, complete bilateral study
$713 $713 $713–$713 $713 avg 1
Venous Duplex Scan (complete)
CPT 93970
Duplex scan of extremity veins, complete bilateral study
$713 $713 $713–$713 $713 avg 1
Aorta/IVC/Iliac Duplex Scan
CPT 93978
Duplex scan of aorta, inferior vena cava, iliac vasculature
$713 $713 $713–$713 $713 avg 1
Cytopathology (fluids)
CPT 88104
Cytopathology, fluids, washings or brushings, smears with interpretation
$44 $44 $44–$44 $44 -1% 1
Cytopathology (concentration technique)
CPT 88108
Cytopathology, concentration technique, smears and interpretation
$45 $45 $45–$45 $45 +1% 1
Cytopathology (selective cellular enhancement)
CPT 88112
Cytopathology, selective cellular enhancement technique with interpretation
$41 $41 $41–$41 $41 avg 1
Pap Smear - Physician Interpretation
CPT 88141
Cytopathology, cervical or vaginal, requiring interpretation by physician
$23 $23 $23–$23 $23 +2% 1
Pap Smear - ThinPrep (automated)
CPT 88142
Cytopathology, cervical or vaginal, collected in preservative fluid, automated thin layer
$43 $50 $21–$50 $43 avg 4
Cytopathology (smears, any source)
CPT 88160
Cytopathology, smears, any other source, screening and interpretation
$166 $166 $51–$280 $166 avg 2
Flow Cytometry (first marker)
CPT 88184
Flow cytometry, cell surface, cytoplasmic, or nuclear marker, first marker
$76 $76 $76–$76 $76 avg 1
Flow Cytometry (each additional marker)
CPT 88185
Flow cytometry, each additional marker
$24 $24 $24–$24 $24 +2% 1
Surgical Pathology (gross only)
CPT 88300
Level I surgical pathology, gross examination only
$12 $12 $12–$12 $12 avg 1
Surgical Pathology (gross & micro)
CPT 88302
Level II surgical pathology, gross and microscopic examination
$27 $27 $27–$27 $27 -1% 1
Surgical Pathology (Level III)
CPT 88304
Level III surgical pathology
$32 $32 $32–$32 $32 +1% 1
Surgical Pathology (Level IV)
CPT 88305
Level IV surgical pathology, each specimen
$298 $298 $36–$560 $298 avg 2
Surgical Pathology (Level V)
CPT 88307
Level V surgical pathology, each specimen
$500 $500 $215–$786 $500 avg 2
Surgical Pathology (Level VI)
CPT 88309
Level VI surgical pathology, each specimen
$303 $303 $303–$303 $303 avg 1
Special Stain (Group I)
CPT 88312
Special stain including interpretation and report, Group I
$89 $89 $89–$89 $89 avg 1
Immunohistochemistry (first antibody)
CPT 88342
Immunohistochemistry, each antibody, per specimen, first stain
$229 $229 $68–$390 $229 avg 2
PT - Electrical Stimulation (attended)
CPT 97014
Application of modality, electrical stimulation, attended
$74 $74 $74–$74 $74 -1% 1
PT - Electrical Stimulation (manual)
CPT 97032
Application of modality, electrical stimulation, manual
$67 $67 $53–$81 $67 avg 1
PT - Massage Therapy
CPT 97124
Therapeutic procedure, massage, including effleurage and petrissage
$92 $92 $74–$109 $92 avg 1
Medical Nutrition Therapy (follow-up)
CPT 97803
Medical nutrition therapy, re-assessment and intervention, individual
$187 $187 $187–$187 $187 avg 1
Botulinum Toxin A (Botox) Injection
CPT J0585
Injection, onabotulinumtoxinA, 1 unit
$6 $6 $6–$7 $6 +6% 2
Testosterone Injection
CPT J1071
Injection, testosterone cypionate, 1 mg
$0 $0 $0–$0 1
Diphenhydramine (Benadryl) Injection
CPT J1200
Injection, diphenhydramine HCl, up to 50 mg
$1 $1 $1–$1 $1 -6% 2
Heparin Injection (per 10 units)
CPT J1642
Injection, heparin sodium, per 10 units
$0 $0 $0–$0 1
Ketorolac (Toradol) Injection
CPT J1885
Injection, ketorolac tromethamine, per 15 mg
$0 $0 $0–$1 2
Meperidine (Demerol) Injection
CPT J2175
Injection, meperidine hydrochloride, per 100 mg
$8 $8 $8–$8 $8 -4% 1
Midazolam Injection
CPT J2250
Injection, midazolam hydrochloride, per 1 mg
$0 $0 $0–$0 1
Morphine Injection
CPT J2270
Injection, morphine sulfate, up to 10 mg
$3 $3 $3–$3 $3 -5% 1
Ondansetron (Zofran) Injection
CPT J2405
Injection, ondansetron hydrochloride, per 1 mg
$0 $0 $0–$0 1
Promethazine (Phenergan) Injection
CPT J2550
Injection, promethazine HCl, up to 50 mg
$4 $4 $4–$4 $4 -6% 1
Propofol Injection
CPT J2704
Injection, propofol, 10 mg
$0 $0 $0–$0 1
Ropivacaine Injection
CPT J2795
Injection, ropivacaine hydrochloride, 1 mg
$0 $0 $0–$0 1
Fentanyl Injection
CPT J3010
Injection, fentanyl citrate, 0.1 mg
$2 $2 $1–$2 $2 -11% 2
Normal Saline (1000 ml)
CPT J7120
Ringers lactate infusion, up to 1000 cc
$2 $2 $2–$2 $2 +13% 1
Normal Saline Infusion (1000 cc)
CPT J7030
Infusion, normal saline solution, 1000 cc
$2 $2 $2–$2 $2 -6% 1
Normal Saline with Dextrose (500 ml)
CPT J7040
Infusion, normal saline solution, sterile, 500 ml
$1 $1 $1–$1 $1 +21% 1
Normal Saline Infusion (250 cc)
CPT J7050
Infusion, normal saline solution, 250 cc
$1 $1 $1–$1 $1 -37% 1
Bronchoscopy with Lavage
CPT 31624
Bronchoscopy with bronchial alveolar lavage
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
Bronchoscopy with Biopsy
CPT 31625
Bronchoscopy with bronchial or endobronchial biopsy
$4,673 $4,613 $3,255–$6,211 $4,673 avg 1
DLCO Test (Diffusing Capacity)
CPT 94729
Diffusing capacity of carbon monoxide
$520 $520 $520–$520 $520 avg 1
Refraction (eyeglass prescription)
CPT 92015
Determination of refractive state
$86 $86 $53–$118 $86 avg 1
Corneal Topography (IOL calculation)
CPT 92136
Ophthalmic biometry by partial coherence interferometry with IOL power calculation
$609 $609 $609–$609 $609 avg 1
Intravitreal Injection
CPT 67028
Intravitreal injection of a pharmacologic agent
$1,264 $1,261 $527–$2,009 $1,264 avg 2
Corneal Transplant (lamellar)
CPT 65710
Keratoplasty (corneal transplant), lamellar
$20,845 $21,897 $16,535–$24,104 $20,845 avg 2
Allergy Immunotherapy (2+ injections)
CPT 95117
Professional services for allergen immunotherapy, 2 or more injections
$202 $202 $202–$202 $202 avg 1
Major Hip and Knee Joint Replacement without MCC
CPT 469
Total hip or knee replacement without major complications
$73,138 $67,763 $62,881–$94,144 $73,138 avg 4
Major Hip and Knee Joint Replacement without CC/MCC
CPT 470
Total hip or knee replacement without complications or comorbidities
$59,869 $59,869 $59,869–$59,869 $59,869 avg 1
Major Hip and Knee Joint Replacement with MCC
CPT 468
Total hip or knee replacement with major complications
$69,838 $69,838 $54,384–$85,292 $69,838 avg 2
Hip and Femur Procedures without MCC
CPT 480
Hip fracture repair or femur procedures without major complications
$75,681 $75,681 $60,970–$90,392 $75,681 avg 2
Hip and Femur Procedures without CC/MCC
CPT 481
Hip fracture repair or femur procedures without complications
$50,346 $43,015 $43,015–$65,009 $50,346 avg 2
Hip and Femur Procedures with MCC
CPT 479
Hip fracture repair or femur procedures with major complications
$43,775 $36,814 $36,814–$57,697 $43,775 avg 3
Cervical Spinal Fusion without CC/MCC
CPT 473
Cervical spine fusion surgery without complications
$56,135 $49,845 $49,079–$75,773 $56,135 avg 3
Cervical Spinal Fusion without MCC
CPT 472
Cervical spine fusion without major complications
$70,860 $61,076 $60,062–$91,441 $70,860 avg 3
Cervical Spinal Fusion with MCC
CPT 471
Cervical spine fusion with major complications
$116,891 $100,697 $100,104–$149,873 $116,891 avg 3
Bilateral or Multiple Major Joint Procedures
CPT 461
Bilateral joint replacement or multiple major joint procedures
$149,321 $149,321 $127,220–$171,423 $149,321 avg 2
Coronary Bypass without MCC
CPT 236
CABG surgery without major complications
$107,630 $107,630 $85,248–$130,012 $107,630 avg 2
Coronary Bypass with MCC
CPT 235
CABG surgery with major complications
$142,040 $121,985 $121,985–$182,150 $142,040 avg 2
Heart Failure and Shock with MCC
CPT 291
Inpatient treatment for heart failure with major complications
$31,315 $27,050 $27,050–$39,847 $31,315 avg 2
Heart Failure and Shock with CC
CPT 292
Inpatient treatment for heart failure with complications
$20,686 $17,854 $17,854–$26,351 $20,686 avg 2
Heart Failure and Shock without CC/MCC
CPT 293
Inpatient treatment for heart failure without complications
$14,471 $14,471 $11,375–$17,568 $14,471 avg 2
Cardiac Valve Procedures with CC
CPT 216
Heart valve repair or replacement with complications
$303,639 $303,639 $303,639–$303,639 $303,639 avg 1
Vaginal Delivery with OR Procedures
CPT 768
Vaginal delivery requiring operating room procedures
$26,068 $22,727 $22,215–$33,260 $26,068 avg 3
Respiratory Infections and Inflammations with MCC
CPT 177
Pneumonia or respiratory infections with major complications
$38,509 $33,512 $33,512–$48,503 $38,509 avg 3
Respiratory Infections and Inflammations with CC
CPT 178
Pneumonia or respiratory infections with complications
$23,698 $20,567 $20,233–$30,293 $23,698 avg 3
Simple Pneumonia and Pleurisy with MCC
CPT 193
Uncomplicated pneumonia with major complications
$34,057 $34,057 $27,317–$40,796 $34,057 avg 2
Simple Pneumonia and Pleurisy with CC
CPT 194
Uncomplicated pneumonia with complications
$19,671 $16,999 $16,999–$25,014 $19,671 avg 2
Simple Pneumonia and Pleurisy without CC/MCC
CPT 195
Uncomplicated pneumonia without complications
$16,208 $16,208 $12,909–$19,507 $16,208 avg 2
Major Small and Large Bowel Procedures with MCC
CPT 329
Bowel resection or major intestinal surgery with major complications
$111,050 $95,290 $95,195–$142,666 $111,050 avg 3
Major Small and Large Bowel Procedures with CC
CPT 330
Bowel resection or major intestinal surgery with complications
$55,526 $49,349 $49,002–$74,404 $55,526 avg 4
Major Small and Large Bowel Procedures without CC/MCC
CPT 331
Bowel resection without complications
$40,450 $34,888 $34,227–$52,234 $40,450 avg 3
GI Hemorrhage with MCC
CPT 377
Gastrointestinal bleeding with major complications
$47,215 $47,215 $37,693–$56,737 $47,215 avg 2
GI Hemorrhage with CC
CPT 378
Gastrointestinal bleeding with complications
$30,439 $30,439 $30,439–$30,439 $30,439 avg 1
Intracranial Hemorrhage or Cerebral Infarction with MCC
CPT 064
Stroke with major complications
$46,646 $41,464 $41,238–$62,417 $46,646 avg 3
Intracranial Hemorrhage or Cerebral Infarction with CC
CPT 065
Stroke with complications
$31,358 $31,358 $31,358–$31,358 $31,358 avg 1
Intracranial Hemorrhage or Cerebral Infarction without CC/MCC
CPT 066
Stroke without complications
$16,567 $14,269 $14,188–$21,242 $16,567 avg 3
Renal Failure with MCC
CPT 682
Acute or chronic kidney failure with major complications
$35,935 $31,136 $30,703–$45,967 $35,935 avg 3
Renal Failure with CC
CPT 683
Acute or chronic kidney failure with complications
$22,805 $22,805 $18,428–$27,183 $22,805 avg 2
Renal Failure without CC/MCC
CPT 684
Acute or chronic kidney failure without complications
$14,556 $12,592 $12,445–$18,632 $14,556 avg 3
Septicemia or Severe Sepsis with MV >96 Hours
CPT 870
Severe sepsis requiring extended ventilator support
$178,908 $178,908 $143,289–$214,528 $178,908 avg 2
Septicemia or Severe Sepsis without MV >96 Hours with MCC
CPT 871
Sepsis with major complications
$47,079 $40,676 $40,270–$60,291 $47,079 avg 3
Septicemia or Severe Sepsis without MV >96 Hours without MCC
CPT 872
Sepsis without major complications
$26,567 $26,567 $21,374–$31,761 $26,567 avg 2
Rehabilitation with CC/MCC
CPT 945
Inpatient rehabilitation with complications
$39,856 $39,856 $31,646–$48,065 $39,856 avg 2
Rehabilitation without CC/MCC
CPT 946
Inpatient rehabilitation without complications
$29,370 $29,370 $23,146–$35,594 $29,370 avg 2
Hip Replacement with Hip Fracture with MCC
CPT 521
Hip replacement after hip fracture with major complications
$69,978 $60,425 $60,425–$89,085 $69,978 avg 2
Hip Replacement with Hip Fracture without MCC
CPT 522
Hip replacement after hip fracture without major complications
$54,816 $54,816 $43,902–$65,729 $54,816 avg 2
Respiratory System Diagnosis with Ventilator Support >96 Hours
CPT 207
Extended ventilator support for respiratory failure
$166,896 $166,896 $134,072–$199,720 $166,896 avg 2
Respiratory System Diagnosis with Ventilator Support ≤96 Hours
CPT 208
Short-term ventilator support for respiratory failure
$70,476 $70,476 $55,638–$85,314 $70,476 avg 2
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.
$10,474 $10,475 $7,352–$13,858 $10,474 avg 2
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.
$18,037 $17,799 $12,446–$24,104 $18,037 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.
$18,037 $17,799 $12,446–$24,104 $18,037 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.
$10,473 $10,342 $7,352–$13,858 $10,473 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.
$18,037 $17,799 $12,446–$24,104 $18,037 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.
$18,037 $17,799 $12,446–$24,104 $18,037 avg 1
Body Contouring - Leg Lift
CPT 15833
Body Contouring - Leg Lift — CPT code 15833 covers body contouring - leg lift performed in a clinical or hospital setting.
$8,471 $8,471 $8,471–$8,471 $8,471 avg 1
Body Contouring - Buttock Lift
CPT 15835
Body Contouring - Buttock Lift — CPT code 15835 covers body contouring - buttock lift performed in a clinical or hospital setting.
$5,405 $5,405 $2,338–$8,471 $5,405 avg 1
Hair Transplant (1-15 Grafts)
CPT 15775
Hair Transplant (1-15 Grafts) — CPT code 15775 covers hair transplant (1-15 grafts) performed in a clinical or hospital setting.
$8,471 $8,471 $8,471–$8,471 $8,471 avg 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.
$2,271 $2,271 $2,141–$2,401 $2,271 avg 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.
$16,535 $16,535 $16,535–$16,535 $16,535 avg 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.
$9,188 $9,188 $9,188–$9,188 $9,188 avg 1
Embryo Culture (IVF Lab)
CPT 89250
Embryo Culture (IVF Lab) — CPT code 89250 covers embryo culture (ivf lab) performed in a clinical or hospital setting.
$33 $33 $33–$33 $33 -1% 1
Assisted Embryo Hatching (IVF)
CPT 89253
Assisted Embryo Hatching (IVF) — CPT code 89253 covers assisted embryo hatching (ivf) performed in a clinical or hospital setting.
$159 $159 $159–$159 $159 avg 1
Egg/Embryo Freezing (Cryopreservation)
CPT 89258
Egg/Embryo Freezing (Cryopreservation) — CPT code 89258 covers egg/embryo freezing (cryopreservation) performed in a clinical or hospital setting.
$787 $787 $787–$787 $787 avg 1
IVF Fertilization (Oocyte Insemination)
CPT 89268
IVF Fertilization (Oocyte Insemination) — CPT code 89268 covers ivf fertilization (oocyte insemination) performed in a clinical or hospital setting.
$159 $159 $159–$159 $159 avg 1
Extended Embryo Culture (IVF)
CPT 89272
Extended Embryo Culture (IVF) — CPT code 89272 covers extended embryo culture (ivf) performed in a clinical or hospital setting.
$787 $787 $787–$787 $787 avg 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.
$1,170 $1,155 $644–$1,711 $1,170 avg 1
ACDF - Cervical Disc Fusion (Single Level)
CPT 22551
Cervical spinal fusion (neck) — surgery to permanently join two or more vertebrae in the neck using bone grafts and hardware, typically to treat herniated discs or spinal instability.
$8,471 $8,471 $8,471–$8,471 $8,471 avg 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.
$16,535 $16,535 $16,535–$16,535 $16,535 avg 1
Ureteroscopy with Stone Removal (Litholapaxy)
CPT 52352
Ureteroscopy with Stone Removal (Litholapaxy) — CPT code 52352 covers ureteroscopy with stone removal (litholapaxy) performed in a clinical or hospital setting.
$10,475 $10,475 $10,475–$10,475 $10,475 avg 1
Excision of Benign Skin Lesion (Over 4.0 cm)
CPT 11406
Excision of Benign Skin Lesion (Over 4.0 cm) — CPT code 11406 covers excision of benign skin lesion (over 4.0 cm) performed in a clinical or hospital setting.
$663 $663 $582–$744 $663 avg 1

Prices are typical ranges based on Select Specialty Hospital-North Knoxville'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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Nearby Hospitals in Powell, TN

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Tennova Healthcare North Knoxville Medical Center
0 ft
Newport, TN
2/5 ★ 36 procedures
North Knoxville Medical Center
2.4 mi
Powell, TN
Technical Details
Type
Long-term Acute Care (LTACH)
Ownership
Proprietary
Metro Area
Powell, TN
Procedures Tracked
604

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