Shriners Hospital for Children-Portland

hospital · Portland, OR
Data Grade D
📍 Portland, OR
🏥 Medicare #383300

Compare real prices at Shriners Hospital for Children-Portland in Portland, OR. Taven tracks 435 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.

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435
Procedures Tracked
with pricing data
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Grade D
Data Quality
Limited data coverage
CMS vv3.0.0
This hospital's data uses an older CMS schema. Updated v3.0 data with actual allowed amounts is expected by April 1, 2026.
🔒 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 Shriners Hospital for Children-Portland

435 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Portland, OR 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) Portland Avg vs. Avg Payers
Debridement - Subcutaneous Tissue
CPT 11042
Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing.
$17,065 $1,210 $978 +24% 3
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.
$896 $896 $896–$896 $472 +90% 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.
$896 $896 $896–$896 $588 +52% 1
Skin Graft Preparation
CPT 15002
Skin Graft Preparation — CPT code 15002 covers skin graft preparation performed in a clinical or hospital setting.
$15,354 $1,385 $2,238 -38% 3
Split-Thickness Skin Graft
CPT 15100
Split-Thickness Skin Graft — CPT code 15100 covers split-thickness skin graft performed in a clinical or hospital setting.
$1,537 $1,537 $1,537–$1,537 $2,271 -32% 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.
$1,537 $1,537 $1,537–$1,537 $2,490 -38% 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.
$3,207 $3,207 $1,537–$4,878 $2,521 +27% 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.
$711 $711 $525–$896 $688 +3% 2
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.
$896 $896 $896–$896 $852 +5% 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.
$2,270 $2,270 $2,270–$2,270 $2,989 -24% 1
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.
$2,270 $2,270 $2,270–$2,270 $3,110 -27% 1
Simple Mastectomy
CPT 19303
Complete surgical removal of one breast. This procedure removes all breast tissue to treat or prevent breast cancer.
$3,106 $3,106 $3,106–$3,106 $3,031 +2% 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.
$903 $896 $896–$896 $503 +80% 2
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.
$896 $896 $896–$896 $531 +69% 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.
$12,747 $946 $505 +87% 3
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.
$1,127 $766 $1,026 -25% 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.
$4,121 $4,121 $4,121–$4,121 $3,660 +13% 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.
$5,085 $5,085 $5,085–$5,085 $5,162 -1% 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.
$8,122 $8,122 $8,122–$8,122 $6,571 +24% 1
Rotator Cuff Repair
CPT 23412
Rotator Cuff Repair — CPT code 23412 covers rotator cuff repair performed in a clinical or hospital setting.
$4,121 $4,121 $4,121–$4,121 $4,662 -12% 1
Shoulder Replacement (Arthroplasty)
CPT 23472
Shoulder Replacement (Arthroplasty) — CPT code 23472 covers shoulder replacement (arthroplasty) performed in a clinical or hospital setting.
$8,122 $8,122 $8,122–$8,122 $6,150 +32% 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.
$13,812 $1,385 $1,381 avg 3
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.
$19,388 $2,050 $4,337 -53% 3
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.
$8,122 $8,122 $8,122–$8,122 $7,447 +9% 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.
$5,085 $5,085 $5,085–$5,085 $3,871 +31% 1
Total Knee Replacement - Unicompartmental
CPT 27446
Partial knee replacement surgery that replaces only the damaged compartment of the knee joint with an artificial implant, preserving healthy bone and tissue.
$8,122 $8,122 $8,122–$8,122 $5,746 +41% 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.
$8,122 $8,122 $8,122–$8,122 $7,800 +4% 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.
$20,971 $1,997 $3,024 -34% 3
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.
$932 $466 $982 -53% 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.
$2,270 $2,270 $2,270–$2,270 $2,075 +9% 1
Bunionectomy with Metatarsal Osteotomy
CPT 28296
Surgical correction of a bunion (hallux valgus) that includes cutting and realigning the metatarsal bone to straighten the big toe and relieve pain.
$25,880 $1,694 $4,203 -60% 3
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.
$5,735 $5,085 $5,085–$8,227 $3,762 +52% 2
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.
$36,504 $2,403 $3,747 -36% 3
Knee Arthroscopy Medial & Lateral
CPT 29880
Arthroscopic knee surgery to treat torn meniscus cartilage on both the inner and outer sides of the knee. Uses a small camera and tools to trim or repair the damaged cartilage.
$3,106 $3,106 $3,106–$3,106 $3,604 -14% 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.
$22,013 $1,800 $3,008 -40% 3
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.
$2,270 $2,270 $2,270–$2,270 $3,266 -30% 1
Nasal Endoscopy (diagnostic)
CPT 31231
Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting.
$375 $187 $1,181 -84% 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.
$1,537 $1,537 $1,537–$1,537 $1,230 +25% 1
Ethmoidectomy - Partial
CPT 31254
Ethmoidectomy - Partial — CPT code 31254 covers ethmoidectomy - partial performed in a clinical or hospital setting.
$13,363 $15,128 $2,270–$22,691 $4,104 +226% 2
Sinus Surgery - Ethmoidectomy
CPT 31255
Sinus Surgery - Ethmoidectomy — CPT code 31255 covers sinus surgery - ethmoidectomy performed in a clinical or hospital setting.
$3,106 $3,106 $3,106–$3,106 $2,792 +11% 1
Sinus Surgery - Frontal
CPT 31276
Sinus Surgery - Frontal — CPT code 31276 covers sinus surgery - frontal performed in a clinical or hospital setting.
$3,106 $3,106 $3,106–$3,106 $2,729 +14% 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.
$2,349 $2,349 $2,349–$2,349 $23,147 -90% 1
Mitral Valve Repair
CPT 33430
Open-heart surgery to repair a damaged mitral valve — the valve between the upper and lower left chambers of the heart — restoring normal blood flow.
$2,349 $2,349 $2,349–$2,349 $3,566 -34% 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.
$2,349 $2,349 $2,349–$2,349 $3,084 -24% 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.
$18 $6 $20 -68% 3
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.
$951 $951 $951–$951 $2,230 -57% 1
Central Venous Access Device
CPT 36571
Central Venous Access Device — CPT code 36571 covers central venous access device performed in a clinical or hospital setting.
$3,106 $3,106 $3,106–$3,106 $4,584 -32% 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.
$1,537 $1,537 $1,537–$1,537 $2,798 -45% 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.
$85 $896 $896 $896–$896 $801 +12% 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.
$2,270 $2,270 $2,270–$2,270 $2,071 +10% 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.
$4,555 $4,555 $2,270–$6,839 $2,324 +96% 2
Upper Endoscopy (EGD) Diagnostic
CPT 43235
Upper endoscopy (EGD) — a flexible tube with a camera is passed through the mouth to visually examine the esophagus, stomach, and upper intestine.
$1,537 $1,537 $1,537–$1,537 $1,030 +49% 1
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.
$1,537 $1,537 $1,537–$1,537 $1,331 +15% 1
Upper Endoscopy with Dilation
CPT 43249
Upper endoscopy with dilation — a flexible scope is used to stretch a narrowed area of the esophagus or stomach to improve swallowing.
$1,537 $1,537 $1,537–$1,537 $2,342 -34% 1
Upper GI Endoscopy with Polypectomy
CPT 43251
Upper GI Endoscopy with Polypectomy — CPT code 43251 covers upper gi endoscopy with polypectomy performed in a clinical or hospital setting.
$1,537 $1,537 $1,537–$1,537 $1,395 +10% 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.
$2,988 $2,988 $1,537–$4,439 $2,003 +49% 2
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.
$5,085 $5,085 $5,085–$5,085 $4,870 +4% 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.
$5,085 $5,085 $5,085–$5,085 $4,190 +21% 1
Gastric Sleeve (Laparoscopic Sleeve Gastrectomy)
CPT 43775
Gastric Sleeve (Laparoscopic Sleeve Gastrectomy) — CPT code 43775 covers gastric sleeve (laparoscopic sleeve gastrectomy) performed in a clinical or hospital setting.
$6,264 $6,264 $5,085–$7,444 $4,718 +33% 2
Gastric Bypass - Open
CPT 43846
Gastric Bypass - Open — CPT code 43846 covers gastric bypass - open performed in a clinical or hospital setting.
$2,349 $2,349 $2,349–$2,349 $2,749 -15% 1
Gastric Bypass with Small Intestine
CPT 43847
Gastric Bypass with Small Intestine — CPT code 43847 covers gastric bypass with small intestine performed in a clinical or hospital setting.
$2,349 $2,349 $2,349–$2,349 $2,811 -16% 1
Small Bowel Resection
CPT 44120
Small bowel resection �� surgical removal of a portion of the small intestine to treat disease, obstruction, or injury.
$2,349 $2,349 $2,349–$2,349 $2,391 -2% 1
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.
$5,085 $5,085 $5,085–$5,085 $3,934 +29% 1
Laparoscopic Appendectomy
CPT 44970
Laparoscopic appendectomy — minimally invasive surgical removal of the appendix, typically performed for appendicitis.
$5,085 $5,085 $5,085–$5,085 $4,785 +6% 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.
$1,537 $1,537 $1,537–$1,537 $1,490 +3% 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.
$1,537 $1,537 $1,537–$1,537 $1,341 +15% 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.
$1,537 $1,537 $1,537–$1,537 $1,237 +24% 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.
$5,085 $5,085 $5,085–$5,085 $6,862 -26% 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.
$5,085 $5,085 $5,085–$5,085 $11,598 -56% 1
Cholecystectomy - Open
CPT 47600
Open cholecystectomy — surgical removal of the gallbladder through a larger incision in the abdomen.
$3,395 $3,395 $2,669–$4,121 $2,988 +14% 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.
$3,106 $3,106 $3,106–$3,106 $6,364 -51% 1
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.
$8,580 $9,054 $3,106–$13,581 $3,868 +122% 2
Laparoscopic Inguinal Hernia Repair
CPT 49650
Laparoscopic inguinal hernia repair — minimally invasive repair of a groin hernia using small incisions and a camera.
$5,085 $5,085 $5,085–$5,085 $3,139 +62% 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.
$11,300 $11,526 $5,085–$17,289 $5,290 +114% 2
Bladder Aspiration/Drainage
CPT 51102
Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting.
$2,270 $2,270 $2,270–$2,270 $2,865 -21% 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.
$951 $951 $951–$951 $1,615 -41% 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.
$4,121 $4,121 $4,121–$4,121 $2,996 +38% 1
Robotic Prostatectomy
CPT 55866
Robotic Prostatectomy — CPT code 55866 covers robotic prostatectomy performed in a clinical or hospital setting.
$8,122 $8,122 $8,122–$8,122 $5,734 +42% 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.
$865 $865 $835–$896 $1,481 -42% 2
Endometrial Biopsy
CPT 58100
Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting.
$896 $896 $896–$896 $1,351 -34% 1
Total Hysterectomy - Abdominal
CPT 58150
Total Hysterectomy - Abdominal — CPT code 58150 covers total hysterectomy - abdominal performed in a clinical or hospital setting.
$1,588 $1,588 $70–$3,106 $2,657 -40% 2
IUD Insertion
CPT 58300
IUD Insertion — CPT code 58300 covers iud insertion performed in a clinical or hospital setting.
$896 $896 $896–$896 $734 +22% 1
IUD Removal
CPT 58301
IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting.
$896 $896 $896–$896 $494 +81% 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.
$5,085 $5,085 $5,085–$5,085 $6,099 -17% 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.
$5,085 $5,085 $5,085–$5,085 $3,834 +33% 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.
$896 $896 $896–$896 $725 +24% 1
Vaginal Delivery (routine, global)
CPT 59400
Routine obstetric care including prenatal visits, vaginal delivery, and postpartum care — comprehensive maternity care package.
$2,349 $2,349 $2,349–$2,349 $4,239 -45% 1
Vaginal Delivery Only
CPT 59409
Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting.
$4,669 $4,669 $2,270–$7,068 $3,374 +38% 2
C-Section Delivery (global)
CPT 59510
Routine obstetric care including prenatal visits, cesarean delivery, and postpartum care — comprehensive maternity care package with C-section.
$2,349 $2,349 $2,349–$2,349 $2,786 -16% 1
VBAC Delivery
CPT 59610
VBAC Delivery — CPT code 59610 covers vbac delivery performed in a clinical or hospital setting.
$2,349 $2,349 $2,349–$2,349 $2,894 -19% 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.
$9,818 $960 $1,373 -30% 2
Lumbar Epidural - Fluoroscopic
CPT 62323
Lumbar or sacral epidural injection with imaging guidance — a precisely targeted spinal injection using X-ray or fluoroscopy for accurate placement.
$1,320 $1,320 $951–$1,690 $1,464 -10% 2
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.
$23,064 $2,247 $3,475 -35% 3
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.
$5,085 $5,085 $5,085–$5,085 $4,200 +21% 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.
$951 $951 $951–$951 $1,706 -44% 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.
$951 $951 $951–$951 $1,508 -37% 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.
$4,931 $5,009 $2,270–$7,513 $2,458 +101% 2
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.
$16,770 $1,468 $3,684 -60% 3
Glaucoma Laser Surgery
CPT 65855
Glaucoma Laser Surgery — CPT code 65855 covers glaucoma laser surgery performed in a clinical or hospital setting.
$951 $951 $951–$951 $1,338 -29% 1
Glaucoma Filter Surgery
CPT 66170
Glaucoma Filter Surgery — CPT code 66170 covers glaucoma filter surgery performed in a clinical or hospital setting.
$5,735 $5,975 $2,270–$8,962 $2,983 +92% 2
YAG Laser Capsulotomy
CPT 66821
YAG Laser Capsulotomy — CPT code 66821 covers yag laser capsulotomy performed in a clinical or hospital setting.
$1,582 $1,518 $951–$2,276 $1,228 +29% 2
Complex Cataract Surgery
CPT 66982
CT scan — complex cataract surgery. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$2,270 $2,270 $2,270–$2,270 $2,309 -2% 1
Cataract Surgery
CPT 66984
Cataract surgery with lens implant — removal of the clouded natural lens of the eye and replacement with a clear artificial lens to restore vision.
$5,735 $5,975 $2,270–$8,962 $2,711 +112% 2
Strabismus Surgery
CPT 67311
Strabismus Surgery — CPT code 67311 covers strabismus surgery performed in a clinical or hospital setting.
$2,270 $2,270 $2,270–$2,270 $2,025 +12% 1
Eyelid Repair - Blepharoplasty
CPT 67904
Eyelid Repair - Blepharoplasty — CPT code 67904 covers eyelid repair - blepharoplasty performed in a clinical or hospital setting.
$2,270 $2,270 $2,270–$2,270 $2,049 +11% 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.
$5,451 $5,633 $2,270–$8,450 $2,431 +124% 2
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.
$992 $896 $832–$1,249 $694 +43% 2
Ear Wax Removal
CPT 69210
Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting.
$535 $535 $174–$896 $197 +172% 2
Ear Tube Placement (Tympanostomy)
CPT 69436
Ear Tube Placement (Tympanostomy) — CPT code 69436 covers ear tube placement (tympanostomy) performed in a clinical or hospital setting.
$3,462 $3,540 $1,537–$5,310 $1,776 +95% 2
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.
$236 $236 $236–$236 $619 -62% 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.
$2,083 $375 $1,262 -70% 3
MRI Brain with/without Contrast
CPT 70553
MRI of the brain with and without contrast dye — detailed imaging of the brain using magnetic fields and radio waves to diagnose tumors, stroke, or other conditions.
$3,191 $596 $1,923 -69% 3
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.
$193 $193 $193–$193 $190 +2% 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.
$321 $165 $191 -14% 2
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.
$1,770 $344 $951 -64% 3
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.
$1,984 $372 $1,169 -68% 3
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.
$1,984 $371 $1,207 -69% 3
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.
$193 $193 $193–$193 $187 +3% 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.
$619 $619 $515–$722 $1,283 -52% 2
CT Abdomen/Pelvis without Contrast
CPT 74176
CT scan of the abdomen and pelvis without contrast followed by with contrast — complete imaging study of the abdomen and pelvis.
$2,393 $326 $1,574 -79% 3
CT Abdomen/Pelvis with Contrast
CPT 74177
CT scan of the abdomen and pelvis with contrast — comprehensive cross-sectional imaging of the abdominal and pelvic organs after contrast injection.
$3,395 $503 $1,819 -72% 3
Breast Ultrasound
CPT 76642
Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.
$192 $192 $192–$192 $231 -17% 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.
$356 $356 $356–$356 $389 -8% 1
3D Mammography (Tomosynthesis)
CPT 77063
3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting.
$56 $56 $56–$56 $66 -15% 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.
$259 $259 $259–$259 $340 -24% 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.
$215 $215 $215–$215 $267 -20% 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.
$3,740 $3,740 $3,740–$3,740 $2,977 +26% 1
CMP (Comprehensive Metabolic Panel)
CPT 80053
Comprehensive metabolic panel — a blood test measuring 14 substances to evaluate kidney and liver function, blood sugar, electrolytes, and protein levels.
$89 $28 $28 $28–$28 $74 -62% 1
Lipid Panel
CPT 80061
Lipid panel — a blood test measuring cholesterol levels including total cholesterol, HDL ("good"), LDL ("bad"), and triglycerides to assess heart disease risk.
$35 $35 $35–$35 $69 -49% 1
Vitamin D Level
CPT 82306
Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency.
$37 $37 $37–$37 $122 -70% 1
PSA (Prostate)
CPT 84153
PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting.
$23 $23 $23–$23 $77 -71% 1
CBC (Complete Blood Count)
CPT 85025
Complete blood count (CBC) with differential — a common blood test that measures red blood cells, white blood cells, platelets, and hemoglobin to evaluate overall health.
$66 $23 $40 -42% 3
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.
$5 $5 $5–$5 $31 -84% 1
TB Skin Test
CPT 86580
TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting.
$54 $54 $54–$54 $34 +60% 1
Chlamydia Test
CPT 87491
Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample.
$43 $43 $43–$43 $95 -54% 1
COVID-19 Test (PCR)
CPT 87635
COVID-19 Test (PCR) — CPT code 87635 covers covid-19 test (pcr) performed in a clinical or hospital setting.
$51 $51 $51–$51 $76 -33% 1
Immunization Administration
CPT 90471
Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting.
$43 $43 $43–$43 $58 -26% 1
Tdap Vaccine
CPT 90715
Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting.
$68 $68 $68–$68 $149 -54% 1
Psychotherapy (16-37 min)
CPT 90832
Psychotherapy (16-37 min) — CPT code 90832 covers psychotherapy (16-37 min) performed in a clinical or hospital setting.
$385 $385 $385–$385 $177 +118% 1
Psychotherapy (38-52 min)
CPT 90834
Psychotherapy (38-52 min) — CPT code 90834 covers psychotherapy (38-52 min) performed in a clinical or hospital setting.
$385 $385 $385–$385 $224 +72% 1
Group Psychotherapy
CPT 90853
Group Psychotherapy — CPT code 90853 covers group psychotherapy performed in a clinical or hospital setting.
$224 $224 $224–$224 $163 +37% 1
Coronary Stent Placement
CPT 92928
Coronary Stent Placement — CPT code 92928 covers coronary stent placement performed in a clinical or hospital setting.
$5,085 $5,085 $5,085–$5,085 $12,209 -58% 1
Stress Echocardiogram
CPT 93350
Stress Echocardiogram — CPT code 93350 covers stress echocardiogram performed in a clinical or hospital setting.
$1,514 $1,514 $1,514–$1,514 $1,124 +35% 1
Left Heart Catheterization
CPT 93458
Left Heart Catheterization — CPT code 93458 covers left heart catheterization performed in a clinical or hospital setting.
$4,121 $4,121 $4,121–$4,121 $7,432 -45% 1
PT - Therapeutic Exercise
CPT 97110
Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion.
$31 $31 $31–$31 $93 -66% 1
New Patient Visit - Low Complexity
CPT 99202
New Patient Visit - Low Complexity — CPT code 99202 covers new patient visit - low complexity performed in a clinical or hospital setting.
$238 $238 $238–$238 $168 +42% 1
Office Visit - Low Complexity (Level 3)
CPT 99213
Office visit for an established patient with a low to moderate complexity medical problem. Typically 20-29 minutes with your doctor for evaluation and management.
$281 $176 $168 +4% 2
Office Visit - Moderate Complexity (Level 4)
CPT 99214
Office visit for an established patient with a moderate to high complexity medical problem. Typically 30-39 minutes with your doctor for evaluation and management.
$315 $197 $199 -1% 2
Office Visit - High Complexity (Level 5)
CPT 99215
Office visit for an established patient with a high complexity medical problem. Typically 40-54 minutes with your doctor for detailed evaluation and management.
$401 $251 $260 -3% 2
ER Visit - Moderate Complexity
CPT 99283
Emergency department visit for a moderate severity problem requiring an expanded evaluation.
$681 $681 $681–$681 $681 avg 1
ER Visit - High Complexity
CPT 99284
Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life.
$973 $973 $841–$1,106 $1,164 -16% 2
Anesthesia - Head
CPT 00100
Anesthesia - Head — CPT code 00100 covers anesthesia - head performed in a clinical or hospital setting.
$71 $71 $66–$76 $212 -67% 1
Anesthesia - Chest
CPT 00400
Anesthesia - Chest — CPT code 00400 covers anesthesia - chest performed in a clinical or hospital setting.
$71 $71 $66–$76 $132 -46% 1
Epidural/Spinal Daily Management
CPT 01996
Epidural/Spinal Daily Management — CPT code 01996 covers epidural/spinal daily management performed in a clinical or hospital setting.
$228 $228 $228–$228 $217 +5% 1
Debridement of Skin (infected)
CPT 11000
Debridement of extensively eczematous or infected skin
$896 $896 $896–$896 $867 +3% 1
Skin Lesion Paring (single)
CPT 11055
Paring or cutting of benign hyperkeratotic lesion
$896 $896 $896–$896 $764 +17% 1
Skin Lesion Paring (2-4)
CPT 11056
Paring or cutting of benign hyperkeratotic lesions, 2 to 4
$896 $896 $896–$896 $711 +26% 1
Skin Tag Removal (up to 15)
CPT 11200
Removal of skin tags, multiple fibrocutaneous tags
$896 $896 $896–$896 $699 +28% 1
Skin Lesion Shave (0.5 cm or less)
CPT 11300
Shave removal of epidermal or dermal lesion, trunk/extremities
$896 $896 $896–$896 $485 +85% 1
Skin Lesion Shave (0.6-1.0 cm)
CPT 11301
Shave removal of epidermal or dermal lesion, trunk/extremities
$896 $896 $896–$896 $465 +93% 1
Skin Lesion Shave - Scalp/Neck (0.5 cm)
CPT 11305
Shave removal of epidermal or dermal lesion, scalp/neck/hands/feet
$896 $896 $896–$896 $494 +81% 1
Excision of Benign Skin Lesion (0.5 cm or less)
CPT 11400
Excision of benign lesion, trunk/arms/legs
$951 $951 $951–$951 $1,025 -7% 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
$896 $896 $896–$896 $884 +1% 1
Excision of Benign Skin Lesion (1.1-2.0 cm)
CPT 11402
Excision of benign lesion, trunk/arms/legs, 1.1-2.0 cm
$951 $951 $951–$951 $1,097 -13% 1
Excision Benign Lesion - Face (0.5 cm)
CPT 11440
Excision of benign lesion, face/ears/eyelids/nose/lips
$951 $951 $951–$951 $1,048 -9% 1
Excision Malignant Lesion (0.5 cm or less)
CPT 11600
Excision of malignant lesion, trunk/arms/legs
$951 $951 $951–$951 $924 +3% 1
Excision Malignant Lesion (0.6-1.0 cm)
CPT 11601
Excision of malignant lesion, trunk/arms/legs, 0.6-1.0 cm
$951 $951 $951–$951 $834 +14% 1
Excision Malignant Lesion (1.1-2.0 cm)
CPT 11602
Excision of malignant lesion, trunk/arms/legs, 1.1-2.0 cm
$896 $896 $896–$896 $707 +27% 1
Nail Removal (partial or complete)
CPT 11730
Avulsion of nail plate, partial or complete
$896 $896 $896–$896 $506 +77% 1
Permanent Nail Removal
CPT 11750
Excision of nail and nail matrix, permanent removal
$896 $896 $896–$896 $757 +18% 1
Destruction of Premalignant Lesions (2-14)
CPT 17003
Destruction of premalignant lesions, second through 14th lesion
$896 $896 $896–$896 $458 +96% 1
Destruction of Skin Lesions (15+)
CPT 17004
Destruction of premalignant lesions, 15 or more lesions
$931 $931 $896–$967 $746 +25% 2
Destruction Malignant Lesion (trunk)
CPT 17260
Destruction of malignant lesion, trunk, any method
$711 $711 $525–$896 $609 +17% 2
Mohs Surgery (first stage)
CPT 17311
Mohs micrographic surgery, first stage, up to 5 tissue blocks
$1,207 $1,207 $896–$1,518 $1,068 +13% 2
Laser Treatment for Skin (small)
CPT 96920
Laser treatment for inflammatory skin disease, less than 250 sq cm
$525 $525 $525–$525 $317 +66% 1
Tendon Sheath Injection
CPT 20550
Injection of tendon sheath, ligament, or trigger point
$896 $896 $896–$896 $556 +61% 1
Hardware Removal (deep)
CPT 20680
Removal of implant, deep (plate, screw, rod)
$2,270 $2,270 $2,270–$2,270 $2,295 -1% 1
Shoulder Injection with Imaging
CPT 23350
Injection for shoulder arthrography
$896 $896 $896–$896 $550 +63% 1
Tennis Elbow Repair
CPT 24341
Repair of lateral collateral ligament, elbow
$4,121 $4,121 $4,121–$4,121 $3,439 +20% 1
Closed Treatment Distal Radius Fracture
CPT 25600
Closed treatment of distal radial fracture without manipulation
$896 $896 $896–$896 $882 +2% 1
Closed Treatment Distal Radius Fracture (with manipulation)
CPT 25605
Closed treatment of distal radial fracture with manipulation
$951 $951 $951–$951 $1,180 -19% 1
Intertrochanteric Fracture Treatment
CPT 27245
Treatment of intertrochanteric femoral fracture with plate/screws
$4,121 $4,121 $4,121–$4,121 $3,429 +20% 1
Knee Manipulation Under Anesthesia
CPT 27570
Manipulation of knee joint under general anesthesia
$1,537 $1,537 $1,537–$1,537 $1,220 +26% 1
Open Treatment Ankle Fracture (bimalleolar)
CPT 27792
Open treatment of distal fibula fracture, bimalleolar
$5,085 $5,085 $5,085–$5,085 $3,436 +48% 1
Amputation - Toe
CPT 28820
Amputation of toe at metatarsophalangeal joint
$3,234 $3,234 $2,270–$4,198 $2,190 +48% 2
Endoscopic Carpal Tunnel Release
CPT 29848
Endoscopy of wrist, carpal tunnel release
$3,106 $3,106 $3,106–$3,106 $2,657 +17% 1
Shoulder Arthroscopy - Acromioplasty
CPT 29826
Arthroscopy, shoulder, surgical, decompression of subacromial space
$896 $896 $896–$896 $1,011 -11% 1
Knee Arthroscopy with Meniscus Repair
CPT 29882
Arthroscopy, knee, surgical, meniscus repair
$3,106 $3,106 $3,106–$3,106 $2,796 +11% 1
ACL Reconstruction (Knee Ligament Repair)
CPT 29888
Arthroscopically aided anterior cruciate ligament repair/augmentation
$7,174 $5,085 $5,085–$17,436 $4,350 +65% 2
Esophagoscopy (diagnostic)
CPT 43191
Esophagoscopy, flexible, diagnostic
$2,988 $2,988 $1,537–$4,439 $1,742 +72% 2
EGD with Stent Placement
CPT 43210
Esophagogastroduodenoscopy with stent placement
$13,364 $13,364 $3,106–$23,622 $5,486 +144% 2
EGD with Gastrostomy Tube
CPT 43246
Upper GI endoscopy with gastrostomy tube placement
$1,537 $1,537 $1,537–$1,537 $1,269 +21% 1
EGD with Foreign Body Removal
CPT 43247
Upper GI endoscopy with removal of foreign body
$1,537 $1,537 $1,537–$1,537 $1,306 +18% 1
EGD with Hemostasis
CPT 43255
Upper GI endoscopy with control of bleeding
$1,537 $1,537 $1,537–$1,537 $1,394 +10% 1
Sigmoidoscopy (diagnostic)
CPT 45330
Sigmoidoscopy, flexible, diagnostic
$1,580 $1,580 $951–$2,208 $954 +66% 2
Sigmoidoscopy with Biopsy
CPT 45331
Sigmoidoscopy, flexible, with biopsy
$951 $951 $951–$951 $843 +13% 1
Colonoscopy with Control of Bleeding
CPT 45382
Colonoscopy with control of bleeding
$1,537 $1,537 $1,537–$1,537 $1,406 +9% 1
Colonoscopy with Lesion Removal (hot biopsy)
CPT 45384
Colonoscopy with removal of tumor by hot biopsy forceps
$1,537 $1,537 $1,537–$1,537 $1,396 +10% 1
Colonoscopy with Ablation
CPT 45388
Colonoscopy with ablation of tumor or polyp
$1,537 $1,537 $1,537–$1,537 $1,569 -2% 1
Colonoscopy with Foreign Body Removal
CPT 45390
Colonoscopy with removal of foreign body
$1,537 $1,537 $1,537–$1,537 $1,533 avg 1
Colonoscopy with Endoscopic Ultrasound
CPT 45391
Colonoscopy with endoscopic ultrasound examination
$1,537 $1,537 $1,537–$1,537 $1,205 +28% 1
CT Soft Tissue Neck with Contrast
CPT 70491
CT scan of soft tissue neck with contrast
$786 $786 $786–$786 $502 +57% 1
CT Pelvis with Contrast
CPT 72193
CT pelvis with contrast
$786 $786 $786–$786 $524 +50% 1
Wrist X-Ray (3+ views)
CPT 73110
Radiologic examination of wrist, complete, minimum 3 views
$193 $193 $193–$193 $100 +93% 1
MRI Shoulder with Contrast
CPT 73222
MRI any joint of upper extremity with contrast
$2,121 $2,121 $2,121–$2,121 $1,099 +93% 1
Femur X-Ray
CPT 73552
Radiologic examination of femur, minimum 2 views
$193 $193 $193–$193 $119 +62% 1
Foot X-Ray (2 views)
CPT 73620
Radiologic examination of foot, 2 views
$193 $193 $193–$193 $90 +115% 1
MRI Knee with/without Contrast
CPT 73723
MRI any joint of lower extremity without then with contrast
$1,419 $1,419 $1,419–$1,419 $1,045 +36% 1
OB Ultrasound (limited)
CPT 76815
Ultrasound, pregnant uterus, limited
$356 $356 $356–$356 $183 +95% 1
DEXA Body Composition
CPT 77085
DXA bone density study, body composition
$356 $356 $356–$356 $150 +137% 1
Cardiac PET Scan (Myocardial Perfusion)
CPT 78429
Myocardial imaging, PET, perfusion study
$4,488 $4,488 $4,488–$4,488 $3,292 +36% 1
Bilirubin Direct
CPT 82248
Bilirubin, direct
$6 $6 $6–$6 $19 -67% 1
Estradiol Level
CPT 82670
Estradiol
$34 $34 $34–$34 $78 -56% 1
IgA Level
CPT 82784
Gammaglobulin IgA
$11 $11 $11–$11 $26 -56% 1
Lipase Level
CPT 83690
Lipase
$9 $9 $9–$9 $23 -63% 1
Prealbumin Level
CPT 84134
Prealbumin
$18 $18 $18–$18 $32 -44% 1
Prolactin Level
CPT 84146
Prolactin
$24 $24 $24–$24 $66 -64% 1
Free Thyroxine (Free T4)
CPT 84439
Thyroxine, free
$11 $11 $11–$11 $44 -75% 1
Transferrin Level
CPT 84466
Transferrin
$16 $16 $16–$16 $32 -51% 1
Troponin (Cardiac)
CPT 84484
Troponin, quantitative
$12 $12 $12–$12 $29 -57% 1
Uric Acid Level
CPT 84550
Uric acid, blood
$6 $6 $6–$6 $19 -71% 1
Nuclear Antigen Antibody (ENA)
CPT 86235
Extractable nuclear antigen (ENA) antibody
$22 $22 $22–$22 $32 -31% 1
Helicobacter Pylori Antibody
CPT 86677
Antibody, Helicobacter pylori
$18 $18 $18–$18 $48 -63% 1
Hepatitis B Core Antibody
CPT 86704
Hepatitis B core antibody (HBcAb); total
$15 $15 $15–$15 $35 -57% 1
Rubella Antibody
CPT 86762
Antibody, rubella
$18 $18 $18–$18 $30 -41% 1
Rubeola (Measles) Antibody
CPT 86765
Antibody, rubeola
$16 $16 $16–$16 $30 -47% 1
Bacterial Culture
CPT 87070
Culture, bacterial; any other source except urine, blood or stool
$11 $11 $11–$11 $28 -62% 1
Hepatitis B Surface Antigen
CPT 87340
Infectious agent antigen detection; hepatitis B surface antigen (HBsAg)
$13 $13 $13–$13 $32 -60% 1
Mycobacterium TB Detection
CPT 87580
Infectious agent detection, Mycobacterium tuberculosis, amplified probe
$25 $25 $25–$25 $31 -20% 1
Laceration Repair - Simple (2.5 cm or less)
CPT 12001
Simple repair of superficial wounds, scalp/neck/extremities
$896 $896 $896–$896 $813 +10% 1
Laceration Repair - Simple (2.6-7.5 cm)
CPT 12002
Simple repair of superficial wounds, 2.6-7.5 cm
$896 $896 $896–$896 $804 +11% 1
Laceration Repair - Simple (7.6-12.5 cm)
CPT 12004
Simple repair of superficial wounds, 7.6-12.5 cm
$896 $896 $896–$896 $792 +13% 1
Laceration Repair - Face (2.5 cm or less)
CPT 12011
Simple repair of superficial wounds of face, 2.5 cm or less
$871 $896 $896–$896 $830 +5% 2
Laceration Repair - Face (2.6-5.0 cm)
CPT 12013
Simple repair of superficial wounds of face, 2.6-5.0 cm
$896 $896 $896–$896 $839 +7% 1
Laceration Repair - Intermediate (2.5 cm or less)
CPT 12031
Repair, intermediate, wounds of scalp/trunk/extremities
$901 $896 $896–$896 $907 -1% 2
Laceration Repair - Intermediate (2.6-7.5 cm)
CPT 12032
Repair, intermediate, wounds of scalp/trunk/extremities
$901 $896 $896–$896 $940 -4% 2
Laceration Repair - Intermediate Face (2.5 cm)
CPT 12051
Repair, intermediate, wounds of face, 2.5 cm or less
$896 $896 $896–$896 $923 -3% 1
Laceration Repair - Intermediate Face (2.6-5.0 cm)
CPT 12052
Repair, intermediate, wounds of face, 2.6-5.0 cm
$896 $896 $896–$896 $917 -2% 1
Burn Dressing (small)
CPT 16020
Dressings and/or debridement of partial-thickness burns, small
$896 $896 $896–$896 $456 +96% 1
Burn Dressing (medium)
CPT 16025
Dressings and/or debridement of partial-thickness burns, medium
$896 $896 $896–$896 $486 +84% 1
Closed Treatment Radial Head Fracture
CPT 24640
Closed treatment of radial head subluxation (nursemaid elbow)
$856 $896 $668–$1,003 $643 +33% 2
Short Arm Splint
CPT 29125
Application of short arm splint, forearm to hand
$896 $896 $896–$896 $444 +102% 1
Finger Splint
CPT 29130
Application of finger splint
$896 $896 $896–$896 $515 +74% 1
Long Leg Splint
CPT 29505
Application of long leg splint, thigh to ankle
$650 $632 $421–$896 $419 +55% 2
Short Leg Splint
CPT 29515
Application of short leg splint, calf to foot
$896 $896 $896–$896 $469 +91% 1
Nasal Foreign Body Removal
CPT 30300
Removal of foreign body from intranasal, office type
$896 $896 $896–$896 $516 +74% 1
Anterior Nasal Packing (nosebleed)
CPT 30901
Control nasal hemorrhage, anterior, simple
$611 $611 $327–$896 $510 +20% 2
Anterior Nasal Packing (complex)
CPT 30903
Control nasal hemorrhage, anterior, complex
$896 $896 $896–$896 $551 +63% 1
Endotracheal Intubation
CPT 31500
Intubation, endotracheal, emergency procedure
$896 $896 $896–$896 $592 +51% 1
Chest Tube Insertion
CPT 32551
Tube thoracostomy, insertion of chest tube
$951 $951 $951–$951 $858 +11% 1
IV Line Placement (peripheral)
CPT 36000
Introduction of needle or intracatheter, vein
$896 $896 $896–$896 $393 +128% 1
Ear Foreign Body Removal
CPT 69200
Removal of foreign body from external auditory canal
$896 $896 $896–$896 $428 +109% 1
Ear Wax Removal (Irrigation)
CPT 69209
Removal impacted cerumen using irrigation/lavage
$896 $896 $896–$896 $441 +103% 1
IV Infusion (therapeutic, first hour)
CPT 96365
Intravenous infusion for therapy/prophylaxis, initial up to 1 hour
$594 $594 $594–$594 $379 +57% 1
IV Infusion (therapeutic, additional hour)
CPT 96366
Intravenous infusion for therapy, each additional hour
$115 $115 $115–$115 $101 +14% 1
Hepatitis B Vaccine (adult)
CPT 90746
Hepatitis B vaccine, adult dosage
$65 $65 $65–$65 $100 -35% 1
Preventive Visit - New Adolescent (12-17)
CPT 99384
Initial comprehensive preventive visit, adolescent (12-17)
$138 $138 $138–$138 $147 -6% 1
Breast Biopsy (stereotactic)
CPT 19081
Biopsy, breast, with placement of breast localization device, stereotactic guidance
$1,537 $1,537 $1,537–$1,537 $1,606 -4% 1
Breast Biopsy (ultrasound-guided)
CPT 19083
Biopsy, breast, with placement of breast localization device, ultrasound guidance
$4,006 $4,192 $1,537–$6,289 $2,064 +94% 2
Breast Biopsy (MRI-guided)
CPT 19084
Biopsy, breast, with placement of breast localization device, MRI guidance
$896 $896 $896–$896 $726 +23% 1
Mastopexy (Breast Lift)
CPT 19316
Mastopexy
$3,106 $3,106 $3,106–$3,106 $2,978 +4% 1
Breast Augmentation (Implant)
CPT 19325
Mammaplasty, augmentative
$5,085 $5,085 $5,085–$5,085 $4,441 +15% 1
Breast Implant Removal
CPT 19328
Removal of intact mammary implant
$4,043 $3,106 $3,106–$8,484 $2,792 +45% 2
Breast Reconstruction (immediate)
CPT 19340
Immediate insertion of breast prosthesis following mastopexy or mastectomy
$4,121 $4,121 $4,121–$4,121 $3,408 +21% 1
Vulvectomy (partial)
CPT 56620
Vulvectomy, simple, partial
$2,270 $2,270 $2,270–$2,270 $1,972 +15% 1
Colposcopy (diagnostic)
CPT 57420
Colposcopy of entire vagina, with cervix if present
$896 $896 $896–$896 $639 +40% 1
Colposcopy with Biopsy (cervix)
CPT 57452
Colposcopy of cervix including upper adjacent vagina
$698 $698 $500–$896 $609 +15% 2
LEEP Procedure (cervix)
CPT 57460
Colposcopy with loop electrode excision procedure of cervix
$4,669 $4,669 $2,270–$7,068 $2,278 +105% 2
Cervical Biopsy
CPT 57500
Biopsy of cervix, single or multiple, or local excision
$951 $951 $951–$951 $967 -2% 1
Cervical Conization
CPT 57520
Conization of cervix, with or without fulguration
$4,669 $4,669 $2,270–$7,068 $2,344 +99% 2
Dilation and Curettage (D&C)
CPT 58120
Dilation and curettage, diagnostic and/or therapeutic
$2,270 $2,270 $2,270–$2,270 $1,544 +47% 1
Vaginal Hysterectomy
CPT 58260
Vaginal hysterectomy, for uterus 250g or less
$3,106 $3,106 $3,106–$3,106 $3,053 +2% 1
Vaginal Hysterectomy with Tube/Ovary Removal
CPT 58262
Vaginal hysterectomy with removal of tube(s) and/or ovary(s)
$7,947 $7,947 $3,106–$12,788 $4,077 +95% 2
Vaginal Hysterectomy (>250g)
CPT 58291
Vaginal hysterectomy, for uterus greater than 250g
$8,454 $8,454 $4,121–$12,788 $4,219 +100% 2
Hysterosalpingography (HSG)
CPT 58340
Catheterization and introduction of saline for sonohysterography
$896 $896 $896–$896 $532 +68% 1
Hysteroscopy (diagnostic)
CPT 58555
Hysteroscopy, diagnostic, separate procedure
$2,270 $2,270 $2,270–$2,270 $1,804 +26% 1
Hysteroscopy with Biopsy/Polypectomy
CPT 58558
Hysteroscopy, surgical, with sampling of endometrium
$2,270 $2,270 $2,270–$2,270 $2,093 +8% 1
Hysteroscopy with Ablation
CPT 58563
Hysteroscopy, surgical, with endometrial ablation
$3,106 $3,106 $3,106–$3,106 $3,526 -12% 1
Tubal Ligation
CPT 58600
Ligation or transection of fallopian tube(s), abdominal or vaginal approach
$4,669 $4,669 $2,270–$7,068 $2,294 +104% 2
Laparoscopy with Lysis of Adhesions
CPT 58660
Laparoscopy, lysis of adhesions
$5,085 $5,085 $5,085–$5,085 $3,361 +51% 1
Laparoscopic Endometriosis Excision
CPT 58662
Laparoscopy with fulguration or excision of lesions of ovary/peritoneum
$5,085 $5,085 $5,085–$5,085 $3,949 +29% 1
Laparoscopic Tubal Ligation
CPT 58670
Laparoscopy, surgical, with fulguration of oviducts
$5,085 $5,085 $5,085–$5,085 $3,658 +39% 1
Amniocentesis
CPT 59000
Amniocentesis, diagnostic
$951 $951 $951–$951 $779 +22% 1
Chorionic Villus Sampling
CPT 59015
Chorionic villus sampling, any method
$1,371 $1,371 $951–$1,790 $866 +58% 2
Delivery of Placenta
CPT 59414
Delivery of placenta (separate procedure)
$4,669 $4,669 $2,270–$7,068 $2,200 +112% 2
Incomplete Abortion Treatment
CPT 59812
Treatment of incomplete abortion, any trimester, surgical
$2,270 $2,270 $2,270–$2,270 $2,143 +6% 1
Missed Abortion Treatment (first trimester)
CPT 59820
Treatment of missed abortion, completed surgically, first trimester
$2,270 $2,270 $2,270–$2,270 $1,859 +22% 1
Maternity Care (unlisted)
CPT 59899
Unlisted procedure, maternity care and delivery
$896 $896 $896–$896 $989 -9% 1
Incision and Drainage of Abscess (simple)
CPT 10060
Incision and drainage of abscess, simple or single
$401 $167 $140–$896 $405 -1% 1
Incision and Drainage of Abscess (complex)
CPT 10061
Incision and drainage of abscess, complicated or multiple
$896 $896 $896–$896 $733 +22% 1
Foreign Body Removal (skin, simple)
CPT 10120
Incision and removal of foreign body, subcutaneous tissues, simple
$896 $896 $896–$896 $872 +3% 1
Foreign Body Removal (skin, complex)
CPT 10121
Incision and removal of foreign body, subcutaneous tissues, complicated
$1,537 $1,537 $1,537–$1,537 $1,625 -5% 1
Incision and Drainage of Hematoma
CPT 10140
Incision and drainage of hematoma, seroma, or fluid collection
$1,727 $1,537 $1,537–$1,537 $1,503 +15% 2
Aspiration of Abscess/Cyst
CPT 10160
Puncture aspiration of abscess, hematoma, bulla, or cyst
$896 $896 $896–$896 $797 +12% 1
Debridement - Muscle/Fascia
CPT 11043
Debridement, muscle and/or fascia, first 20 sq cm
$896 $896 $896–$896 $975 -8% 1
Breast Biopsy (needle, percutaneous)
CPT 19100
Biopsy of breast, percutaneous, needle core
$1,537 $1,537 $1,537–$1,537 $1,194 +29% 1
Soft Tissue Excision (back/flank)
CPT 21931
Excision, tumor, soft tissue of back or flank, subcutaneous
$2,270 $2,270 $2,270–$2,270 $1,966 +15% 1
Knee Cartilage Removal (arthrotomy)
CPT 27332
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee
$7,723 $7,723 $3,106–$12,340 $3,156 +145% 2
Pacemaker Insertion
CPT 33208
Insertion of new or replacement of permanent pacemaker
$11,229 $11,229 $11,229–$11,229 $6,989 +61% 1
ICD (Defibrillator) Insertion
CPT 33249
Insertion or replacement of permanent implantable defibrillator system
$58,838 $58,838 $21,384–$96,292 $16,598 +254% 2
Bone Marrow Aspiration
CPT 38220
Diagnostic bone marrow aspiration(s)
$951 $951 $951–$951 $953 avg 1
Bone Marrow Biopsy
CPT 38221
Diagnostic bone marrow biopsy(ies)
$3,811 $4,192 $951–$6,289 $1,366 +179% 2
Lymph Node Biopsy/Excision (superficial)
CPT 38500
Biopsy or excision of lymph node(s), superficial
$7,826 $8,484 $2,270–$12,725 $2,949 +165% 2
Lymph Node Biopsy/Excision (deep)
CPT 38510
Biopsy or excision of lymph node(s), deep cervical
$2,270 $2,270 $2,270–$2,270 $1,912 +19% 1
Lip Biopsy
CPT 40490
Biopsy of lip, vermilion
$726 $726 $555–$896 $628 +16% 2
Tongue Biopsy (anterior 2/3)
CPT 41100
Biopsy of tongue, anterior two-thirds
$896 $896 $896–$896 $750 +19% 1
Salivary Stone Removal (Sialolithotomy)
CPT 42330
Sialolithotomy, submandibular or sublingual, intraoral
$4,188 $4,188 $1,537–$6,839 $1,905 +120% 2
Drainage of Peritonsillar Abscess
CPT 42700
Incision and drainage, abscess, peritonsillar
$896 $896 $896–$896 $750 +19% 1
Lysis of Abdominal Adhesions (open)
CPT 44005
Enterolysis, freeing of intestinal adhesion
$2,349 $2,349 $2,349–$2,349 $2,240 +5% 1
Partial Colectomy
CPT 44140
Colectomy, partial, with anastomosis
$2,349 $2,349 $2,349–$2,349 $2,614 -10% 1
Laparoscopic Partial Colectomy
CPT 44204
Laparoscopic partial colectomy with anastomosis
$2,096 $2,096 $70–$4,121 $3,069 -32% 2
Appendectomy (open)
CPT 44950
Appendectomy
$3,106 $3,106 $3,106–$3,106 $3,229 -4% 1
Liver Biopsy (needle)
CPT 47000
Biopsy of liver, needle, percutaneous
$1,537 $1,537 $1,537–$1,537 $1,263 +22% 1
Exploratory Laparotomy
CPT 49000
Exploratory laparotomy, exploratory celiotomy
$3,106 $3,106 $3,106–$3,106 $3,050 +2% 1
Diagnostic Laparoscopy
CPT 49320
Laparoscopy, abdomen, diagnostic
$9,040 $9,040 $4,121–$13,960 $3,448 +162% 2
Kidney Biopsy (needle)
CPT 50200
Renal biopsy, percutaneous, by trocar or needle
$1,537 $1,537 $1,537–$1,537 $1,097 +40% 1
Kidney Stone Removal (percutaneous)
CPT 50080
Percutaneous nephrostolithotomy or pyelostolithotomy
$21,061 $23,624 $4,121–$35,437 $6,163 +242% 2
Cystoscopy with Ureteral Catheter
CPT 52005
Cystourethroscopy, with ureteral catheterization
$2,270 $2,270 $2,270–$2,270 $1,612 +41% 1
Cystoscopy with Stent Removal
CPT 52310
Cystourethroscopy, with removal of foreign body or ureteral stent
$1,537 $1,537 $1,537–$1,537 $1,291 +19% 1
Cystoscopy with Stent Insertion
CPT 52332
Cystourethroscopy, with insertion of indwelling ureteral stent
$7,746 $8,387 $2,270–$12,580 $2,950 +163% 2
Cystoscopy with Lithotripsy
CPT 52353
Cystourethroscopy, with lithotripsy
$10,978 $11,526 $4,121–$17,289 $4,356 +152% 2
Hydrocelectomy (excision)
CPT 55040
Excision of hydrocele, unilateral
$3,106 $3,106 $3,106–$3,106 $2,227 +39% 1
Vasectomy
CPT 55250
Vasectomy, unilateral or bilateral
$3,772 $3,772 $2,270–$5,274 $2,191 +72% 2
I&D of Bartholin Gland Abscess
CPT 56405
Incision and drainage of vulva or perineal abscess
$896 $896 $896–$896 $865 +4% 1
Lumbar Puncture (spinal tap)
CPT 62270
Lumbar puncture (spinal tap), diagnostic
$951 $951 $951–$951 $797 +19% 1
Family Psychotherapy (without patient)
CPT 90846
Family psychotherapy without patient present
$385 $385 $385–$385 $238 +62% 1
Cervical Epidural Injection
CPT 62320
Injection, including indwelling catheter placement, cervical or thoracic
$951 $951 $951–$951 $765 +24% 1
Cervical Epidural with Imaging
CPT 62321
Injection, cervical or thoracic with imaging guidance
$951 $951 $951–$951 $870 +9% 1
Trigeminal Nerve Block
CPT 64400
Injection, anesthetic agent; trigeminal nerve
$896 $896 $896–$896 $773 +16% 1
Greater Occipital Nerve Block
CPT 64405
Injection, anesthetic agent; greater occipital nerve
$896 $896 $896–$896 $732 +22% 1
Brachial Plexus Block
CPT 64415
Injection, anesthetic agent; brachial plexus, single
$951 $951 $951–$951 $984 -3% 1
Femoral Nerve Block
CPT 64447
Injection, anesthetic agent; femoral nerve, single
$951 $951 $951–$951 $958 -1% 1
Peripheral Nerve Block
CPT 64450
Injection, anesthetic agent; other peripheral nerve or branch
$951 $951 $951–$951 $954 avg 1
Cervical Transforaminal Epidural
CPT 64479
Injection, anesthetic agent and/or steroid, transforaminal epidural, cervical or thoracic
$951 $951 $951–$951 $1,064 -11% 1
Transforaminal Epidural (additional level)
CPT 64484
Injection, transforaminal epidural, lumbar or sacral, each additional level
$896 $896 $896–$896 $778 +15% 1
Facet Joint Injection - Cervical (first level)
CPT 64490
Injection, diagnostic or therapeutic agent, paravertebral facet joint, cervical or thoracic, first level
$951 $951 $951–$951 $1,174 -19% 1
Facet Joint Injection - Cervical (second level)
CPT 64491
Injection, paravertebral facet joint, cervical or thoracic, second level
$896 $896 $896–$896 $827 +8% 1
Facet Joint Injection - Lumbar (second level)
CPT 64494
Injection, paravertebral facet joint, lumbar or sacral, second level
$896 $896 $896–$896 $835 +7% 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
$829 $829 $761–$896 $627 +32% 2
Intercostal Nerve Destruction
CPT 64625
Destruction by neurolytic agent, intercostal nerve
$2,270 $2,270 $2,270–$2,270 $1,609 +41% 1
Facet Joint Destruction - Cervical (first level)
CPT 64633
Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, single level
$2,270 $2,270 $2,270–$2,270 $1,711 +33% 1
Facet Joint Destruction - Cervical (additional level)
CPT 64634
Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, each additional level
$896 $896 $896–$896 $564 +59% 1
Facet Joint Destruction - Lumbar (additional level)
CPT 64636
Destruction by neurolytic agent, paravertebral facet joint nerve, lumbar or sacral, each additional level
$896 $896 $896–$896 $663 +35% 1
Pacemaker Insertion (ventricular)
CPT 33207
Insertion of new or replacement of permanent pacemaker, ventricular
$8,122 $8,122 $8,122–$8,122 $6,188 +31% 1
Leadless Pacemaker Insertion
CPT 33274
Transcatheter insertion or replacement of permanent leadless pacemaker
$14,276 $14,276 $14,276–$14,276 $8,636 +65% 1
Coronary Angioplasty (single vessel)
CPT 92920
Percutaneous transluminal coronary angioplasty, single vessel
$10,450 $10,450 $5,085–$15,814 $7,308 +43% 2
Holter Monitor (recording)
CPT 93225
External electrocardiographic recording, up to 48 hours, recording
$327 $327 $327–$327 $160 +104% 1
Holter Monitor (review/interpretation)
CPT 93226
External electrocardiographic recording, review and interpretation
$327 $327 $327–$327 $265 +23% 1
Right Heart Catheterization
CPT 93451
Right heart catheterization
$6,436 $6,436 $4,121–$8,750 $4,848 +33% 2
Coronary Angiography
CPT 93454
Catheter placement in coronary artery for coronary angiography
$4,121 $4,121 $4,121–$4,121 $3,876 +6% 1
Ankle-Brachial Index (ABI)
CPT 93922
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries
$327 $327 $327–$327 $249 +31% 1
Aorta/IVC/Iliac Duplex Scan
CPT 93978
Duplex scan of aorta, inferior vena cava, iliac vasculature
$722 $722 $722–$722 $568 +27% 1
Cytopathology (fluids)
CPT 88104
Cytopathology, fluids, washings or brushings, smears with interpretation
$99 $99 $99–$99 $82 +21% 1
Surgical Pathology (Level V)
CPT 88307
Level V surgical pathology, each specimen
$670 $670 $670–$670 $390 +72% 1
Special Stain (Group I)
CPT 88312
Special stain including interpretation and report, Group I
$139 $139 $139–$139 $131 +6% 1
Immunohistochemistry (first antibody)
CPT 88342
Immunohistochemistry, each antibody, per specimen, first stain
$670 $670 $670–$670 $237 +183% 1
PT - Electrical Stimulation (attended)
CPT 97014
Application of modality, electrical stimulation, attended
$16 $16 $16–$16 $24 -34% 1
PT Re-evaluation
CPT 97164
Re-evaluation of physical therapy established plan of care
$58 $58 $58–$58 $130 -55% 1
OT Evaluation - High Complexity
CPT 97167
Occupational therapy evaluation, high complexity
$93 $93 $93–$93 $159 -42% 1
OT Re-evaluation
CPT 97168
Re-evaluation of occupational therapy established plan of care
$63 $63 $63–$63 $112 -44% 1
Speech Therapy (individual)
CPT 92507
Treatment of speech, language, voice, communication, and/or auditory processing disorder, individual
$80 $80 $80–$80 $107 -25% 1
Evaluation of Speech Fluency
CPT 92521
Evaluation of speech fluency (stuttering, cluttering)
$116 $116 $116–$116 $218 -47% 1
Swallowing Function Evaluation
CPT 92610
Evaluation of oral and pharyngeal swallowing function
$87 $87 $87–$87 $187 -53% 1
Bronchoscopy with Lavage
CPT 31624
Bronchoscopy with bronchial alveolar lavage
$2,827 $2,827 $1,537–$4,117 $1,435 +97% 2
Bronchoscopy with Biopsy
CPT 31625
Bronchoscopy with bronchial or endobronchial biopsy
$2,827 $2,827 $1,537–$4,117 $1,510 +87% 2
Respiratory Flow Volume Loop
CPT 94375
Respiratory flow volume loop
$774 $774 $774–$774 $251 +208% 1
Refraction (eyeglass prescription)
CPT 92015
Determination of refractive state
$20 $20 $20–$20 $36 -44% 1
OCT Scan (optic nerve)
CPT 92133
Scanning computerized ophthalmic diagnostic imaging, posterior segment, optic nerve
$174 $174 $174–$174 $80 +118% 1
OCT Scan (retina)
CPT 92134
Scanning computerized ophthalmic diagnostic imaging, posterior segment, retina
$174 $174 $174–$174 $83 +110% 1
Corneal Topography (IOL calculation)
CPT 92136
Ophthalmic biometry by partial coherence interferometry with IOL power calculation
$327 $327 $327–$327 $149 +119% 1
Intravitreal Injection
CPT 67028
Intravitreal injection of a pharmacologic agent
$911 $911 $896–$925 $790 +15% 2
Corneal Transplant (lamellar)
CPT 65710
Keratoplasty (corneal transplant), lamellar
$4,121 $4,121 $4,121–$4,121 $3,265 +26% 1
Allergy Antigen Preparation (multi-dose)
CPT 95165
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multi-dose vials
$115 $115 $115–$115 $44 +162% 1
Major Hip and Knee Joint Replacement without MCC
CPT 469
Total hip or knee replacement without major complications
$28,758 $28,758 $28,758–$28,758 $51,395 -44% 1
Major Hip and Knee Joint Replacement without CC/MCC
CPT 470
Total hip or knee replacement without complications or comorbidities
$18,288 $18,288 $18,288–$18,288 $28,866 -37% 1
Major Hip and Knee Joint Replacement with MCC
CPT 468
Total hip or knee replacement with major complications
$31,171 $31,171 $26,054–$36,288 $40,520 -23% 2
Hip and Femur Procedures without MCC
CPT 480
Hip fracture repair or femur procedures without major complications
$33,503 $33,503 $27,612–$39,395 $40,794 -18% 2
Hip and Femur Procedures without CC/MCC
CPT 481
Hip fracture repair or femur procedures without complications
$19,858 $19,858 $19,858–$19,858 $33,127 -40% 1
Hip and Femur Procedures with MCC
CPT 479
Hip fracture repair or femur procedures with major complications
$17,624 $17,624 $17,624–$17,624 $21,100 -16% 1
Cervical Spinal Fusion without CC/MCC
CPT 473
Cervical spine fusion surgery without complications
$23,146 $23,146 $23,146–$23,146 $33,108 -30% 1
Cervical Spinal Fusion without MCC
CPT 472
Cervical spine fusion without major complications
$33,120 $33,120 $27,932–$38,308 $40,928 -19% 2
Cervical Spinal Fusion with MCC
CPT 471
Cervical spine fusion with major complications
$45,781 $45,781 $45,781–$45,781 $57,714 -21% 1
Spinal Fusion except Cervical with MCC
CPT 459
Lumbar or thoracic spinal fusion with major complications
$83,002 $83,002 $83,002–$83,002 $76,988 +8% 1
Bilateral or Multiple Major Joint Procedures
CPT 461
Bilateral joint replacement or multiple major joint procedures
$52,364 $52,364 $52,364–$52,364 $111,930 -53% 1
Coronary Bypass without MCC
CPT 236
CABG surgery without major complications
$39,714 $39,714 $39,714–$39,714 $73,256 -46% 1
Coronary Bypass with MCC
CPT 235
CABG surgery with major complications
$55,640 $55,640 $55,640–$55,640 $101,795 -45% 1
Heart Failure and Shock with MCC
CPT 291
Inpatient treatment for heart failure with major complications
$12,172 $12,172 $12,172–$12,172 $22,744 -46% 1
Heart Failure and Shock with CC
CPT 292
Inpatient treatment for heart failure with complications
$8,049 $8,049 $8,049–$8,049 $12,536 -36% 1
Heart Failure and Shock without CC/MCC
CPT 293
Inpatient treatment for heart failure without complications
$5,366 $5,366 $5,366–$5,366 $7,174 -25% 1
Cardiac Valve Procedures with CC
CPT 216
Heart valve repair or replacement with complications
$92,751 $92,751 $92,751–$92,751 $120,283 -23% 1
Vaginal Delivery with OR Procedures
CPT 768
Vaginal delivery requiring operating room procedures
$10,160 $10,160 $10,160–$10,160 $14,284 -29% 1
Respiratory Infections and Inflammations with MCC
CPT 177
Pneumonia or respiratory infections with major complications
$19,373 $19,373 $14,816–$23,930 $25,769 -25% 2
Respiratory Infections and Inflammations with CC
CPT 178
Pneumonia or respiratory infections with complications
$9,253 $9,253 $9,253–$9,253 $15,624 -41% 1
Simple Pneumonia and Pleurisy with MCC
CPT 193
Uncomplicated pneumonia with major complications
$14,789 $14,789 $12,462–$17,117 $18,388 -20% 2
Simple Pneumonia and Pleurisy with CC
CPT 194
Uncomplicated pneumonia with complications
$7,641 $7,641 $7,641–$7,641 $11,429 -33% 1
Simple Pneumonia and Pleurisy without CC/MCC
CPT 195
Uncomplicated pneumonia without complications
$5,959 $5,959 $5,959–$5,959 $9,615 -38% 1
Major Small and Large Bowel Procedures with MCC
CPT 329
Bowel resection or major intestinal surgery with major complications
$43,579 $43,579 $43,579–$43,579 $61,853 -30% 1
Major Small and Large Bowel Procedures with CC
CPT 330
Bowel resection or major intestinal surgery with complications
$22,728 $22,728 $22,728–$22,728 $40,813 -44% 1
Major Small and Large Bowel Procedures without CC/MCC
CPT 331
Bowel resection without complications
$15,956 $15,956 $15,956–$15,956 $26,697 -40% 1
GI Hemorrhage with MCC
CPT 377
Gastrointestinal bleeding with major complications
$20,293 $20,293 $17,331–$23,254 $29,537 -31% 2
GI Hemorrhage with CC
CPT 378
Gastrointestinal bleeding with complications
$11,086 $11,086 $9,298–$12,874 $15,456 -28% 2
Appendectomy without Complicated Principal Diagnosis without CC/MCC
CPT 343
Simple appendectomy without complications
$14,109 $14,109 $14,109–$14,109 $16,483 -14% 1
Intracranial Hemorrhage or Cerebral Infarction with MCC
CPT 064
Stroke with major complications
$19,066 $19,066 $19,066–$19,066 $31,002 -38% 1
Intracranial Hemorrhage or Cerebral Infarction with CC
CPT 065
Stroke with complications
$9,579 $9,579 $9,579–$9,579 $16,364 -41% 1
Intracranial Hemorrhage or Cerebral Infarction without CC/MCC
CPT 066
Stroke without complications
$6,489 $6,489 $6,489–$6,489 $11,408 -43% 1
Renal Failure with MCC
CPT 682
Acute or chronic kidney failure with major complications
$16,979 $16,979 $14,041–$19,916 $23,609 -28% 2
Renal Failure with CC
CPT 683
Acute or chronic kidney failure with complications
$10,125 $10,125 $8,303–$11,947 $13,532 -25% 2
Renal Failure without CC/MCC
CPT 684
Acute or chronic kidney failure without complications
$5,691 $5,691 $5,691–$5,691 $8,755 -35% 1
Septicemia or Severe Sepsis with MV >96 Hours
CPT 870
Severe sepsis requiring extended ventilator support
$65,531 $65,531 $65,531–$65,531 $99,835 -34% 1
Septicemia or Severe Sepsis without MV >96 Hours with MCC
CPT 871
Sepsis with major complications
$21,275 $21,275 $18,417–$24,133 $30,170 -29% 2
Septicemia or Severe Sepsis without MV >96 Hours without MCC
CPT 872
Sepsis without major complications
$9,702 $9,702 $9,702–$9,702 $15,035 -35% 1
Rehabilitation with CC/MCC
CPT 945
Inpatient rehabilitation with complications
$14,682 $14,682 $14,682–$14,682 $33,375 -56% 1
Rehabilitation without CC/MCC
CPT 946
Inpatient rehabilitation without complications
$10,873 $10,873 $10,873–$10,873 $23,459 -54% 1
Hip Replacement with Hip Fracture with MCC
CPT 521
Hip replacement after hip fracture with major complications
$27,212 $27,212 $27,212–$27,212 $37,033 -27% 1
Hip Replacement with Hip Fracture without MCC
CPT 522
Hip replacement after hip fracture without major complications
$20,078 $20,078 $20,078–$20,078 $32,095 -37% 1
Respiratory System Diagnosis with Ventilator Support >96 Hours
CPT 207
Extended ventilator support for respiratory failure
$61,007 $61,007 $61,007–$61,007 $75,168 -19% 1
Respiratory System Diagnosis with Ventilator Support ≤96 Hours
CPT 208
Short-term ventilator support for respiratory failure
$26,060 $26,060 $26,060–$26,060 $35,738 -27% 1
Rhinoplasty - Nose Job (Primary, Tip/Cartilage)
CPT 30400
Rhinoplasty - Nose Job (Primary, Tip/Cartilage) — CPT code 30400 covers rhinoplasty - nose job (primary, tip/cartilage) performed in a clinical or hospital setting.
$2,270 $2,270 $2,270–$2,270 $3,174 -28% 1
Rhinoplasty - Nose Job (Primary, Complete)
CPT 30410
Rhinoplasty - Nose Job (Primary, Complete) — CPT code 30410 covers rhinoplasty - nose job (primary, complete) performed in a clinical or hospital setting.
$4,121 $4,121 $4,121–$4,121 $3,956 +4% 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.
$4,121 $4,121 $4,121–$4,121 $4,086 +1% 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.
$2,270 $2,270 $2,270–$2,270 $3,054 -26% 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.
$4,121 $4,121 $4,121–$4,121 $4,184 -2% 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.
$8,807 $8,807 $4,121–$13,494 $5,998 +47% 2
Body Contouring - Forearm/Hand
CPT 15837
Body Contouring - Forearm/Hand — CPT code 15837 covers body contouring - forearm/hand performed in a clinical or hospital setting.
$7,230 $7,230 $7,230–$7,230 $4,786 +51% 1
Body Contouring - Other Area
CPT 15839
Body Contouring - Other Area — CPT code 15839 covers body contouring - other area performed in a clinical or hospital setting.
$7,230 $7,230 $7,230–$7,230 $4,600 +57% 1
Lower Eyelid Surgery (Blepharoplasty)
CPT 15820
Lower Eyelid Surgery (Blepharoplasty) — CPT code 15820 covers lower eyelid surgery (blepharoplasty) performed in a clinical or hospital setting.
$6,097 $6,097 $4,878–$7,317 $4,000 +52% 1
Upper Eyelid Surgery (Blepharoplasty)
CPT 15822
Upper Eyelid Surgery (Blepharoplasty) — CPT code 15822 covers upper eyelid surgery (blepharoplasty) performed in a clinical or hospital setting.
$6,097 $6,097 $4,878–$7,317 $3,341 +82% 1
LASIK Eye Surgery
CPT 65760
LASIK Eye Surgery — CPT code 65760 covers lasik eye surgery performed in a clinical or hospital setting.
$1,197 $1,197 $1,197–$1,197 $1,897 -37% 1
Epikeratoplasty (Corneal Surgery)
CPT 65767
Epikeratoplasty (Corneal Surgery) — CPT code 65767 covers epikeratoplasty (corneal surgery) performed in a clinical or hospital setting.
$1,616 $1,616 $1,616–$1,616 $2,859 -43% 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.
$23,622 $23,622 $23,622–$23,622 $12,589 +88% 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.
$402 $402 $402–$402 $350 +15% 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.
$402 $402 $402–$402 $603 -33% 1
Vasectomy Reversal (Vasovasostomy)
CPT 55400
Vasectomy Reversal (Vasovasostomy) — CPT code 55400 covers vasectomy reversal (vasovasostomy) performed in a clinical or hospital setting.
$10,484 $10,484 $8,387–$12,580 $5,108 +105% 1
Male Breast Reduction (Gynecomastia Surgery)
CPT 19300
Male Breast Reduction (Gynecomastia Surgery) — CPT code 19300 covers male breast reduction (gynecomastia surgery) performed in a clinical or hospital setting.
$10,604 $10,604 $8,484–$12,725 $6,712 +58% 1
Circumcision (Newborn)
CPT 54150
Circumcision (Newborn) — CPT code 54150 covers circumcision (newborn) performed in a clinical or hospital setting.
$5,274 $5,274 $5,274–$5,274 $2,648 +99% 1

Prices are typical ranges based on Shriners Hospital for Children-Portland's published transparency data, including actual allowed amounts calculated from insurer remittance (ERA) data per CMS v3.0 requirements. Your actual cost depends on your specific plan, deductible status, and clinical details.

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Insurance Plans with Negotiated Rates

Taven has payer-specific negotiated rate data from 3 insurers at Shriners Hospital for Children-Portland. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.

Aetna (CVS Health) Cigna Healthcare UnitedHealthcare (UHC)

Negotiated rates vary by insurance plan. The prices shown are aggregated from this hospital's publicly filed machine-readable file. Your actual rate depends on your specific insurance plan and network tier. Use our price comparison tool to see payer-specific breakdowns.

Financial Assistance at Shriners Hospital for Children-Portland

As a nonprofit hospital, Shriners Hospital for Children-Portland is required under IRS Section 501(r) to offer a financial assistance program (also called "charity care").

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

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Your Billing Rights

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

Full guide to your medical billing rights in Oregon →

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Technical Details
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare Provider #
383300
Emergency Services
No
Metro Area
Portland, OR
Procedures Tracked
435

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