Compare real prices at Sonoma Valley Hospital in Sonoma, CA. Taven tracks 235 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.
Procedure Prices at Sonoma Valley Hospital
235 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Sonoma, CA 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) | Sonoma Avg | vs. Avg | Payers |
|---|---|---|---|---|---|---|---|
| Debridement - Subcutaneous Tissue CPT 11042 Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing. |
— | $1,907 | — | — | $1,907 | avg | 53 |
| 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. |
— | $109 | $109 | $109–$109 | $109 | 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. |
— | $137 | $137 | $137–$137 | $137 | avg | 1 |
| Skin Graft Preparation CPT 15002 Skin Graft Preparation — CPT code 15002 covers skin graft preparation performed in a clinical or hospital setting. |
— | $307 | $307 | $307–$307 | $307 | avg | 1 |
| 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. |
— | $646 | $646 | $646–$646 | $646 | 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. |
— | $4,481 | — | — | $4,481 | avg | 53 |
| 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. |
— | $176 | $176 | $176–$176 | $176 | avg | 1 |
| Destruction of Premalignant Lesion (First) CPT 17000 Destruction of precancerous skin lesion — removal of a precancerous growth (actinic keratosis) using freezing, chemicals, or other methods. |
— | $69 | $69 | $69–$69 | $69 | -1% | 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. |
— | $71 | $71 | $71–$71 | $71 | 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. |
— | $448 | $448 | $448–$448 | $448 | avg | 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. |
$42,979 | $11,176 | — | — | $11,176 | avg | 4 |
| Simple Mastectomy CPT 19303 Complete surgical removal of one breast. This procedure removes all breast tissue to treat or prevent breast cancer. |
— | $839 | $839 | $839–$839 | $839 | 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. |
— | $2,099 | — | — | $2,099 | avg | 53 |
| 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. |
— | $1,101 | — | — | $1,101 | avg | 53 |
| 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. |
— | $1,552 | — | — | $1,552 | avg | 53 |
| 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. |
— | $2,228 | — | — | $2,228 | avg | 53 |
| 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. |
— | $1,289 | $1,289 | $1,289–$1,289 | $1,289 | 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. |
— | $1,655 | $1,655 | $1,655–$1,655 | $1,655 | 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. |
— | $1,666 | $1,666 | $1,666–$1,666 | $1,666 | avg | 1 |
| Rotator Cuff Repair CPT 23412 Rotator Cuff Repair — CPT code 23412 covers rotator cuff repair performed in a clinical or hospital setting. |
— | $1,170 | $1,170 | $1,170–$1,170 | $1,170 | avg | 1 |
| Shoulder Replacement (Arthroplasty) CPT 23472 Shoulder Replacement (Arthroplasty) — CPT code 23472 covers shoulder replacement (arthroplasty) performed in a clinical or hospital setting. |
— | $1,711 | $1,711 | $1,711–$1,711 | $1,711 | 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. |
— | $459 | $459 | $459–$459 | $459 | 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. |
— | $598 | $598 | $598–$598 | $598 | 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. |
$146,548 | $52,773 | — | — | $52,773 | avg | 4 |
| 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. |
— | $1,277 | $1,277 | $1,277–$1,277 | $1,277 | avg | 1 |
| Total Knee Replacement - Unicompartmental CPT 27446 Partial knee replacement surgery that replaces only the damaged compartment of the knee joint with an artificial implant, preserving healthy bone and tissue. |
— | $1,341 | $1,341 | $1,341–$1,341 | $1,341 | 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. |
$76,314 | $38,342 | — | — | $38,342 | avg | 4 |
| 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. |
— | $883 | $883 | $883–$883 | $883 | 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. |
— | $383 | $383 | $383–$383 | $383 | 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. |
— | $578 | $578 | $578–$578 | $578 | avg | 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. |
— | $882 | $882 | $882–$882 | $882 | avg | 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. |
— | $805 | $805 | $805–$805 | $805 | 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. |
— | $1,203 | $1,203 | $1,203–$1,203 | $1,203 | 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. |
$35,352 | $14,729 | — | — | $14,729 | avg | 4 |
| 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. |
$37,435 | $15,004 | — | — | $15,004 | avg | 4 |
| Septoplasty (Deviated Septum Repair) CPT 30520 Septoplasty (Deviated Septum Repair) — CPT code 30520 covers septoplasty (deviated septum repair) performed in a clinical or hospital setting. |
— | $529 | $529 | $529–$529 | $529 | avg | 1 |
| Nasal Endoscopy (diagnostic) CPT 31231 Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting. |
— | $139 | $139 | $139–$139 | $139 | 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. |
— | $282 | $282 | $282–$282 | $282 | avg | 1 |
| Ethmoidectomy - Partial CPT 31254 Ethmoidectomy - Partial — CPT code 31254 covers ethmoidectomy - partial performed in a clinical or hospital setting. |
— | $345 | $345 | $345–$345 | $345 | avg | 1 |
| Sinus Surgery - Ethmoidectomy CPT 31255 Sinus Surgery - Ethmoidectomy — CPT code 31255 covers sinus surgery - ethmoidectomy performed in a clinical or hospital setting. |
— | $515 | $515 | $515–$515 | $515 | avg | 1 |
| Sinus Surgery - Frontal CPT 31276 Sinus Surgery - Frontal — CPT code 31276 covers sinus surgery - frontal performed in a clinical or hospital setting. |
— | $653 | $653 | $653–$653 | $653 | 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. |
— | $80 | — | — | $80 | avg | 53 |
| 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. |
— | $7,197 | — | — | $7,197 | avg | 53 |
| 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. |
— | $1,535 | — | — | $1,535 | avg | 53 |
| 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. |
$9,018 | $5,309 | — | — | $5,309 | avg | 4 |
| Upper Endoscopy (EGD) with Biopsy CPT 43239 Upper endoscopy with biopsy — a flexible tube with a camera is passed through the mouth to examine the esophagus, stomach, and upper intestine, and tissue samples are taken for analysis. |
$8,758 | $5,384 | — | — | $5,384 | avg | 4 |
| Colonoscopy (diagnostic) CPT 45378 Diagnostic colonoscopy — a flexible tube with a camera is inserted through the rectum to examine the entire large intestine for polyps, cancer, or other abnormalities. |
$6,147 | $5,095 | — | — | $5,095 | avg | 4 |
| 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. |
$6,604 | $5,226 | — | — | $5,226 | avg | 4 |
| 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. |
$27,898 | $18,670 | — | — | $18,670 | avg | 4 |
| 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. |
$21,344 | $14,276 | — | — | $14,276 | avg | 4 |
| Bladder Aspiration/Drainage CPT 51102 Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting. |
— | $9,561 | — | — | $9,561 | avg | 53 |
| Endometrial Biopsy CPT 58100 Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting. |
— | $1,068 | — | — | $1,068 | avg | 53 |
| IUD Removal CPT 58301 IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting. |
— | $1,454 | — | — | $1,454 | avg | 53 |
| 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. |
$31,356 | $18,270 | — | — | $18,270 | avg | 4 |
| Vaginal Delivery Only CPT 59409 Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting. |
— | $4,032 | — | — | $4,032 | avg | 53 |
| 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. |
— | $3,907 | — | — | $3,907 | avg | 53 |
| 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. |
$20,532 | $13,388 | — | — | $13,388 | avg | 4 |
| 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. |
$11,513 | $10,803 | — | — | $10,803 | avg | 4 |
| Ear Wax Removal CPT 69210 Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting. |
— | $855 | — | — | $855 | avg | 53 |
| 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. |
— | $2,967 | — | — | $2,967 | avg | 53 |
| 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. |
— | $3,251 | — | — | $3,251 | avg | 53 |
| 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. |
— | $3,085 | — | — | $3,085 | avg | 53 |
| 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. |
— | $5,030 | — | — | $5,030 | avg | 53 |
| 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. |
— | $609 | — | — | $609 | avg | 53 |
| 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. |
— | $362 | — | — | $362 | avg | 53 |
| 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. |
— | $2,779 | — | — | $2,779 | avg | 53 |
| 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. |
— | $3,527 | — | — | $3,527 | avg | 53 |
| 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. |
— | $609 | — | — | $609 | avg | 53 |
| 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. |
— | $3,246 | — | — | $3,246 | avg | 53 |
| MRI Lumbar Spine without Contrast CPT 72148 MRI of the lumbar spine (lower back) without contrast — detailed imaging of the lower spine to evaluate for herniated discs, spinal stenosis, or nerve compression. |
— | $2,748 | — | — | $2,748 | avg | 53 |
| 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. |
— | $560 | — | — | $560 | avg | 53 |
| 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. |
— | $539 | — | — | $539 | avg | 53 |
| 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. |
— | $2,947 | — | — | $2,947 | avg | 53 |
| 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. |
— | $477 | — | — | $477 | avg | 53 |
| 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. |
— | $581 | — | — | $581 | avg | 53 |
| MRI Knee without Contrast CPT 73721 MRI of any joint of the lower extremity without contrast — detailed imaging of a hip, knee, ankle, or foot joint using magnetic resonance. |
— | $2,940 | — | — | $2,940 | avg | 53 |
| 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. |
— | $5,137 | — | — | $5,137 | avg | 53 |
| 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. |
— | $5,849 | — | — | $5,849 | avg | 53 |
| Breast Ultrasound CPT 76642 Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $617 | — | — | $617 | avg | 53 |
| Abdominal Ultrasound CPT 76700 Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas. |
— | $1,101 | — | — | $1,101 | avg | 53 |
| 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. |
— | $1,679 | — | — | $1,679 | avg | 53 |
| 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. |
— | $1,730 | — | — | $1,730 | avg | 53 |
| Transvaginal Ultrasound CPT 76830 Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures. |
— | $746 | — | — | $746 | avg | 53 |
| Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs. |
— | $981 | — | — | $981 | avg | 53 |
| 3D Mammography (Tomosynthesis) CPT 77063 3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting. |
— | $94 | — | — | $94 | avg | 53 |
| Diagnostic Mammogram (unilateral) CPT 77065 Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer. |
— | $402 | — | — | $402 | avg | 53 |
| 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. |
— | $553 | — | — | $553 | avg | 53 |
| 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. |
— | $369 | — | — | $369 | avg | 53 |
| 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. |
— | $5,957 | — | — | $5,957 | avg | 53 |
| 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. |
— | $197 | — | — | $197 | avg | 53 |
| 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. |
— | $213 | — | — | $213 | avg | 53 |
| 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. |
— | $170 | — | — | $170 | avg | 53 |
| Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting. |
— | $198 | — | — | $198 | avg | 53 |
| 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. |
— | $88 | — | — | $88 | avg | 53 |
| Vitamin D Level CPT 82306 Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency. |
— | $97 | — | — | $97 | avg | 53 |
| Urine Creatinine CPT 82570 Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting. |
— | $78 | — | — | $78 | avg | 53 |
| Ferritin Level CPT 82728 Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting. |
— | $144 | — | — | $144 | avg | 53 |
| Glucose (blood sugar) CPT 82947 Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes. |
— | $63 | — | — | $63 | avg | 53 |
| 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. |
— | $120 | — | — | $120 | avg | 53 |
| Potassium Level CPT 84132 Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting. |
— | $83 | — | — | $83 | avg | 53 |
| PSA (Prostate) CPT 84153 PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting. |
— | $193 | — | — | $193 | avg | 53 |
| Sodium Level CPT 84295 Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting. |
— | $74 | — | — | $74 | -1% | 53 |
| TSH (Thyroid) CPT 84443 Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working. |
— | $210 | — | — | $210 | avg | 53 |
| 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. |
— | $125 | — | — | $125 | avg | 53 |
| 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. |
— | $111 | — | — | $111 | avg | 53 |
| TB Skin Test CPT 86580 TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting. |
— | $35 | — | — | $35 | avg | 53 |
| Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting. |
— | $125 | — | — | $125 | avg | 53 |
| Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample. |
— | $22 | — | — | $22 | +2% | 53 |
| Gonorrhea Test CPT 87591 Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample. |
— | $22 | — | — | $22 | +2% | 53 |
| 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. |
— | $108 | — | — | $108 | avg | 53 |
| Immunization Administration CPT 90471 Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting. |
— | $124 | — | — | $124 | avg | 53 |
| Tdap Vaccine CPT 90715 Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting. |
— | $76 | — | — | $76 | avg | 53 |
| EKG (12-lead) CPT 93000 EKG (12-lead) — CPT code 93000 covers ekg (12-lead) performed in a clinical or hospital setting. |
— | $47 | — | — | $47 | -1% | 53 |
| Echocardiogram Complete CPT 93306 Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting. |
— | $3,828 | — | — | $3,828 | avg | 53 |
| Stress Echocardiogram CPT 93350 Stress Echocardiogram — CPT code 93350 covers stress echocardiogram performed in a clinical or hospital setting. |
— | $1,928 | — | — | $1,928 | avg | 53 |
| Carotid Ultrasound CPT 93880 Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $1,859 | — | — | $1,859 | avg | 53 |
| 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. |
— | $1,446 | — | — | $1,446 | avg | 53 |
| Therapeutic Injection (IM/SubQ) CPT 96372 Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes. |
— | $346 | — | — | $346 | avg | 53 |
| IV Push (single drug) CPT 96374 IV push medication — rapid injection of medication directly into a vein or existing IV line. |
— | $621 | — | — | $621 | avg | 53 |
| Chemotherapy Infusion (first hour) CPT 96413 Chemotherapy IV infusion, first hour — administration of cancer-fighting medication through an IV line for the initial hour. |
— | $1,095 | — | — | $1,095 | avg | 53 |
| PT - Ultrasound Therapy CPT 97035 Ultrasound — pt - ultrasound therapy. This imaging test uses sound waves to create pictures of organs and structures inside the body. |
— | $120 | — | — | $120 | avg | 53 |
| PT - Therapeutic Exercise CPT 97110 Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion. |
— | $145 | — | — | $145 | avg | 53 |
| PT - Gait Training CPT 97116 PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting. |
— | $148 | — | — | $148 | avg | 53 |
| PT - Manual Therapy CPT 97140 Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching. |
— | $155 | — | — | $155 | avg | 53 |
| PT Evaluation - Low Complexity CPT 97161 Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition. |
— | $363 | — | — | $363 | avg | 53 |
| PT Evaluation - Moderate Complexity CPT 97162 Physical therapy evaluation, moderate complexity — initial assessment by a physical therapist for a condition requiring moderate clinical decision-making. |
— | $409 | — | — | $409 | avg | 53 |
| PT Evaluation - High Complexity CPT 97163 Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition. |
— | $374 | — | — | $374 | avg | 53 |
| PT - Therapeutic Activities CPT 97530 Therapeutic activities — functional movement training to improve your ability to perform daily activities. |
— | $169 | — | — | $169 | avg | 53 |
| 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. |
— | $75 | — | — | $75 | avg | 53 |
| New Patient Visit - Moderate Complexity CPT 99203 Office visit for a new patient with a low complexity medical problem. Typically 30-44 minutes for initial evaluation, history, and treatment planning. |
— | $224 | — | — | $224 | avg | 53 |
| New Patient Visit - High Complexity CPT 99204 Office visit for a new patient with a moderate to high complexity medical problem. Typically 45-59 minutes for comprehensive evaluation. |
— | $284 | — | — | $284 | avg | 53 |
| New Patient Visit - Comprehensive CPT 99205 Office visit for a new patient with a high complexity medical problem. Typically 60-74 minutes for comprehensive evaluation and management. |
— | $427 | — | — | $427 | avg | 53 |
| Office Visit - Minimal (Level 1) CPT 99211 Office Visit - Minimal (Level 1) — CPT code 99211 covers office visit - minimal (level 1) performed in a clinical or hospital setting. |
— | $171 | — | — | $171 | avg | 53 |
| Office Visit - Straightforward (Level 2) CPT 99212 Office Visit - Straightforward (Level 2) — CPT code 99212 covers office visit - straightforward (level 2) performed in a clinical or hospital setting. |
— | $193 | — | — | $193 | avg | 53 |
| 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. |
— | $220 | — | — | $220 | avg | 53 |
| 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. |
— | $223 | — | — | $223 | avg | 53 |
| 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. |
— | $376 | — | — | $376 | avg | 53 |
| ER Visit - Minor Problem CPT 99281 Emergency department visit for a minor, self-limited problem requiring minimal evaluation. |
— | $699 | — | — | $699 | avg | 53 |
| ER Visit - Low Complexity CPT 99282 Emergency department visit for a low to moderate severity problem requiring a brief evaluation. |
— | $1,256 | — | — | $1,256 | avg | 53 |
| ER Visit - Moderate Complexity CPT 99283 Emergency department visit for a moderate severity problem requiring an expanded evaluation. |
— | $2,019 | — | — | $2,019 | avg | 53 |
| ER Visit - High Complexity CPT 99284 Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life. |
— | $3,301 | — | — | $3,301 | avg | 53 |
| ER Visit - Immediate Threat to Life CPT 99285 Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation. |
— | $4,808 | — | — | $4,808 | avg | 53 |
| Critical Care - First Hour CPT 99291 Critical care, first 30-74 minutes — intensive medical care for a critically ill or injured patient whose condition requires constant attention from the physician. |
— | $9,306 | — | — | $9,306 | avg | 53 |
| Critical Care - Additional 30 Min CPT 99292 Critical care, each additional 30 minutes — continued intensive care beyond the first 74 minutes for a critically ill patient. |
— | $3,036 | — | — | $3,036 | avg | 53 |
| Wound Care Supplies CPT A6250 HCPCS Level II code A6250 — Wound Care Supplies. Healthcare Common Procedure Coding System code for wound care supplies. |
— | $71 | — | — | $71 | avg | 53 |
| Anesthesia - Head CPT 00100 Anesthesia - Head — CPT code 00100 covers anesthesia - head performed in a clinical or hospital setting. |
— | $40 | $40 | $40–$40 | $40 | +1% | 1 |
| Anesthesia - Chest CPT 00400 Anesthesia - Chest — CPT code 00400 covers anesthesia - chest performed in a clinical or hospital setting. |
— | $40 | $40 | $40–$40 | $40 | +1% | 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. |
— | $121 | $121 | $121–$121 | $121 | avg | 1 |
| Debridement of Skin (infected) CPT 11000 Debridement of extensively eczematous or infected skin |
— | $52 | $52 | $52–$52 | $52 | avg | 1 |
| Skin Lesion Paring (single) CPT 11055 Paring or cutting of benign hyperkeratotic lesion |
— | $39 | $39 | $39–$39 | $39 | avg | 1 |
| Skin Lesion Paring (2-4) CPT 11056 Paring or cutting of benign hyperkeratotic lesions, 2 to 4 |
— | $49 | $49 | $49–$49 | $49 | +1% | 1 |
| Skin Tag Removal (up to 15) CPT 11200 Removal of skin tags, multiple fibrocutaneous tags |
— | $80 | $80 | $80–$80 | $80 | avg | 1 |
| Skin Lesion Shave (0.5 cm or less) CPT 11300 Shave removal of epidermal or dermal lesion, trunk/extremities |
— | $63 | $63 | $63–$63 | $63 | avg | 1 |
| Skin Lesion Shave (0.6-1.0 cm) CPT 11301 Shave removal of epidermal or dermal lesion, trunk/extremities |
— | $80 | $80 | $80–$80 | $80 | avg | 1 |
| Skin Lesion Shave - Scalp/Neck (0.5 cm) CPT 11305 Shave removal of epidermal or dermal lesion, scalp/neck/hands/feet |
— | $59 | $59 | $59–$59 | $59 | avg | 1 |
| Excision of Benign Skin Lesion (0.5 cm or less) CPT 11400 Excision of benign lesion, trunk/arms/legs |
— | $105 | $105 | $105–$105 | $105 | 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 |
— | $129 | $129 | $129–$129 | $129 | avg | 1 |
| Excision of Benign Skin Lesion (1.1-2.0 cm) CPT 11402 Excision of benign lesion, trunk/arms/legs, 1.1-2.0 cm |
— | $172 | $172 | $172–$172 | $172 | avg | 1 |
| Excision Benign Lesion - Face (0.5 cm) CPT 11440 Excision of benign lesion, face/ears/eyelids/nose/lips |
— | $138 | $138 | $138–$138 | $138 | avg | 1 |
| Excision Malignant Lesion (0.5 cm or less) CPT 11600 Excision of malignant lesion, trunk/arms/legs |
— | $157 | $157 | $157–$157 | $157 | avg | 1 |
| Excision Malignant Lesion (0.6-1.0 cm) CPT 11601 Excision of malignant lesion, trunk/arms/legs, 0.6-1.0 cm |
— | $182 | $182 | $182–$182 | $182 | avg | 1 |
| Excision Malignant Lesion (1.1-2.0 cm) CPT 11602 Excision of malignant lesion, trunk/arms/legs, 1.1-2.0 cm |
— | $194 | $194 | $194–$194 | $194 | avg | 1 |
| Nail Removal (partial or complete) CPT 11730 Avulsion of nail plate, partial or complete |
— | $82 | $82 | $82–$82 | $82 | avg | 1 |
| Permanent Nail Removal CPT 11750 Excision of nail and nail matrix, permanent removal |
— | $150 | $150 | $150–$150 | $150 | avg | 1 |
| Destruction of Premalignant Lesions (2-14) CPT 17003 Destruction of premalignant lesions, second through 14th lesion |
— | $16 | $16 | $16–$16 | $16 | -1% | 1 |
| Destruction of Skin Lesions (15+) CPT 17004 Destruction of premalignant lesions, 15 or more lesions |
— | $221 | $221 | $221–$221 | $221 | avg | 1 |
| Destruction Malignant Lesion (trunk) CPT 17260 Destruction of malignant lesion, trunk, any method |
— | $93 | $93 | $93–$93 | $93 | -1% | 1 |
| Mohs Surgery (first stage) CPT 17311 Mohs micrographic surgery, first stage, up to 5 tissue blocks |
— | $659 | $659 | $659–$659 | $659 | avg | 1 |
| Tendon Sheath Injection CPT 20550 Injection of tendon sheath, ligament, or trigger point |
— | $75 | $75 | $75–$75 | $75 | avg | 1 |
| Hardware Removal (deep) CPT 20680 Removal of implant, deep (plate, screw, rod) |
— | $366 | $366 | $366–$366 | $366 | avg | 1 |
| Shoulder Injection with Imaging CPT 23350 Injection for shoulder arthrography |
— | $340 | $340 | $340–$340 | $340 | avg | 1 |
| Tennis Elbow Repair CPT 24341 Repair of lateral collateral ligament, elbow |
— | $698 | $698 | $698–$698 | $698 | avg | 1 |
| Closed Treatment Distal Radius Fracture CPT 25600 Closed treatment of distal radial fracture without manipulation |
— | $310 | $310 | $310–$310 | $310 | avg | 1 |
| Closed Treatment Distal Radius Fracture (with manipulation) CPT 25605 Closed treatment of distal radial fracture with manipulation |
— | $612 | $612 | $612–$612 | $612 | avg | 1 |
| Intertrochanteric Fracture Treatment CPT 27245 Treatment of intertrochanteric femoral fracture with plate/screws |
— | $1,610 | $1,610 | $1,610–$1,610 | $1,610 | avg | 1 |
| Knee Manipulation Under Anesthesia CPT 27570 Manipulation of knee joint under general anesthesia |
— | $215 | $215 | $215–$215 | $215 | avg | 1 |
| Open Treatment Ankle Fracture (bimalleolar) CPT 27792 Open treatment of distal fibula fracture, bimalleolar |
— | $700 | $700 | $700–$700 | $700 | avg | 1 |
| Amputation - Toe CPT 28820 Amputation of toe at metatarsophalangeal joint |
— | $613 | $613 | $613–$613 | $613 | avg | 1 |
| Endoscopic Carpal Tunnel Release CPT 29848 Endoscopy of wrist, carpal tunnel release |
— | $605 | $605 | $605–$605 | $605 | avg | 1 |
| Shoulder Arthroscopy - Acromioplasty CPT 29826 Arthroscopy, shoulder, surgical, decompression of subacromial space |
— | $865 | $865 | $865–$865 | $865 | avg | 1 |
| Knee Arthroscopy with Meniscus Repair CPT 29882 Arthroscopy, knee, surgical, meniscus repair |
— | $780 | $780 | $780–$780 | $780 | avg | 1 |
| ACL Reconstruction (Knee Ligament Repair) CPT 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation |
— | $1,176 | $1,176 | $1,176–$1,176 | $1,176 | avg | 1 |
| Laceration Repair - Simple (2.5 cm or less) CPT 12001 Simple repair of superficial wounds, scalp/neck/extremities |
— | $157 | $157 | $157–$157 | $157 | avg | 1 |
| Laceration Repair - Simple (2.6-7.5 cm) CPT 12002 Simple repair of superficial wounds, 2.6-7.5 cm |
— | $167 | $167 | $167–$167 | $167 | avg | 1 |
| Laceration Repair - Simple (7.6-12.5 cm) CPT 12004 Simple repair of superficial wounds, 7.6-12.5 cm |
— | $194 | $194 | $194–$194 | $194 | avg | 1 |
| Laceration Repair - Face (2.5 cm or less) CPT 12011 Simple repair of superficial wounds of face, 2.5 cm or less |
— | $166 | $166 | $166–$166 | $166 | avg | 1 |
| Laceration Repair - Face (2.6-5.0 cm) CPT 12013 Simple repair of superficial wounds of face, 2.6-5.0 cm |
— | $182 | $182 | $182–$182 | $182 | avg | 1 |
| Laceration Repair - Intermediate (2.5 cm or less) CPT 12031 Repair, intermediate, wounds of scalp/trunk/extremities |
— | $180 | $180 | $180–$180 | $180 | avg | 1 |
| Laceration Repair - Intermediate (2.6-7.5 cm) CPT 12032 Repair, intermediate, wounds of scalp/trunk/extremities |
— | $218 | $218 | $218–$218 | $218 | avg | 1 |
| Laceration Repair - Intermediate Face (2.5 cm) CPT 12051 Repair, intermediate, wounds of face, 2.5 cm or less |
— | $229 | $229 | $229–$229 | $229 | avg | 1 |
| Laceration Repair - Intermediate Face (2.6-5.0 cm) CPT 12052 Repair, intermediate, wounds of face, 2.6-5.0 cm |
— | $237 | $237 | $237–$237 | $237 | avg | 1 |
| Burn Dressing (small) CPT 16020 Dressings and/or debridement of partial-thickness burns, small |
— | $82 | $82 | $82–$82 | $82 | -1% | 1 |
| Burn Dressing (medium) CPT 16025 Dressings and/or debridement of partial-thickness burns, medium |
— | $157 | $157 | $157–$157 | $157 | avg | 1 |
| Closed Treatment Radial Head Fracture CPT 24640 Closed treatment of radial head subluxation (nursemaid elbow) |
— | $193 | $193 | $193–$193 | $193 | avg | 1 |
| Short Arm Splint CPT 29125 Application of short arm splint, forearm to hand |
— | $64 | $64 | $64–$64 | $64 | avg | 1 |
| Finger Splint CPT 29130 Application of finger splint |
— | $42 | $42 | $42–$42 | $42 | -1% | 1 |
| Long Leg Splint CPT 29505 Application of long leg splint, thigh to ankle |
— | $77 | $77 | $77–$77 | $77 | avg | 1 |
| Short Leg Splint CPT 29515 Application of short leg splint, calf to foot |
— | $66 | $66 | $66–$66 | $66 | avg | 1 |
| Nasal Foreign Body Removal CPT 30300 Removal of foreign body from intranasal, office type |
— | $161 | $161 | $161–$161 | $161 | avg | 1 |
| Anterior Nasal Packing (nosebleed) CPT 30901 Control nasal hemorrhage, anterior, simple |
— | $120 | $120 | $120–$120 | $120 | avg | 1 |
| Anterior Nasal Packing (complex) CPT 30903 Control nasal hemorrhage, anterior, complex |
— | $211 | $211 | $211–$211 | $211 | avg | 1 |
| Endotracheal Intubation CPT 31500 Intubation, endotracheal, emergency procedure |
— | $143 | $143 | $143–$143 | $143 | avg | 1 |
| Breast Biopsy (stereotactic) CPT 19081 Biopsy, breast, with placement of breast localization device, stereotactic guidance |
— | $730 | $730 | $730–$730 | $730 | avg | 1 |
| Breast Biopsy (ultrasound-guided) CPT 19083 Biopsy, breast, with placement of breast localization device, ultrasound guidance |
— | $726 | $726 | $726–$726 | $726 | avg | 1 |
| Breast Biopsy (MRI-guided) CPT 19084 Biopsy, breast, with placement of breast localization device, MRI guidance |
— | $585 | $585 | $585–$585 | $585 | avg | 1 |
| Mastopexy (Breast Lift) CPT 19316 Mastopexy |
— | $786 | $786 | $786–$786 | $786 | avg | 1 |
| Breast Augmentation (Implant) CPT 19325 Mammaplasty, augmentative |
— | $648 | $648 | $648–$648 | $648 | avg | 1 |
| Breast Implant Removal CPT 19328 Removal of intact mammary implant |
— | $436 | $436 | $436–$436 | $436 | avg | 1 |
| Breast Reconstruction (immediate) CPT 19340 Immediate insertion of breast prosthesis following mastopexy or mastectomy |
— | $411 | $411 | $411–$411 | $411 | avg | 1 |
| Incision and Drainage of Abscess (simple) CPT 10060 Incision and drainage of abscess, simple or single |
— | $110 | $110 | $110–$110 | $110 | avg | 1 |
| Incision and Drainage of Abscess (complex) CPT 10061 Incision and drainage of abscess, complicated or multiple |
— | $178 | $178 | $178–$178 | $178 | avg | 1 |
| Foreign Body Removal (skin, simple) CPT 10120 Incision and removal of foreign body, subcutaneous tissues, simple |
— | $113 | $113 | $113–$113 | $113 | avg | 1 |
| Foreign Body Removal (skin, complex) CPT 10121 Incision and removal of foreign body, subcutaneous tissues, complicated |
— | $235 | $235 | $235–$235 | $235 | avg | 1 |
| Incision and Drainage of Hematoma CPT 10140 Incision and drainage of hematoma, seroma, or fluid collection |
— | $128 | $128 | $128–$128 | $128 | avg | 1 |
| Aspiration of Abscess/Cyst CPT 10160 Puncture aspiration of abscess, hematoma, bulla, or cyst |
— | $82 | $82 | $82–$82 | $82 | avg | 1 |
| Debridement - Muscle/Fascia CPT 11043 Debridement, muscle and/or fascia, first 20 sq cm |
— | $211 | $211 | $211–$211 | $211 | avg | 1 |
| Breast Biopsy (needle, percutaneous) CPT 19100 Biopsy of breast, percutaneous, needle core |
— | $114 | $114 | $114–$114 | $114 | avg | 1 |
| Soft Tissue Excision (back/flank) CPT 21931 Excision, tumor, soft tissue of back or flank, subcutaneous |
— | $528 | $528 | $528–$528 | $528 | avg | 1 |
| Knee Cartilage Removal (arthrotomy) CPT 27332 Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee |
— | $757 | $757 | $757–$757 | $757 | avg | 1 |
| Bronchoscopy with Lavage CPT 31624 Bronchoscopy with bronchial alveolar lavage |
— | $256 | $256 | $256–$256 | $256 | avg | 1 |
| Bronchoscopy with Biopsy CPT 31625 Bronchoscopy with bronchial or endobronchial biopsy |
— | $288 | $288 | $288–$288 | $288 | avg | 1 |
| Septicemia/Severe Sepsis w/o MV >96hrs w MCC MS-DRG 871 Medicare Severity Diagnosis Related Group DRG-871 — Septicemia/Severe Sepsis w/o MV >96hrs w MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w mcc. |
— | $19,067 | — | — | $19,067 | avg | 1 |
| Heart Failure and Shock w MCC MS-DRG 291 Medicare Severity Diagnosis Related Group DRG-291 — Heart Failure and Shock w MCC. Inpatient hospital payment classification for cases involving heart failure and shock w mcc. |
— | $13,280 | — | — | $13,280 | avg | 1 |
| Respiratory Infections/Inflammations w MCC MS-DRG 177 Medicare Severity Diagnosis Related Group DRG-177 — Respiratory Infections/Inflammations w MCC. Inpatient hospital payment classification for cases involving respiratory infections/inflammations w mcc. |
— | $20,332 | — | — | $20,332 | avg | 1 |
| Simple Pneumonia and Pleurisy w MCC MS-DRG 193 Medicare Severity Diagnosis Related Group DRG-193 — Simple Pneumonia and Pleurisy w MCC. Inpatient hospital payment classification for cases involving simple pneumonia and pleurisy w mcc. |
— | $12,631 | — | — | $12,631 | avg | 1 |
| Other Kidney/Urinary Tract Diagnoses w MCC MS-DRG 698 CT scan — other kidney/urinary tract diagnoses w mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body. |
— | $13,827 | — | — | $13,827 | avg | 1 |
| Hip/Femur Procedures Except Major Joint w CC MS-DRG 481 Medicare Severity Diagnosis Related Group DRG-481 — Hip/Femur Procedures Except Major Joint w CC. Inpatient hospital payment classification for cases involving hip/femur procedures except major joint w cc. |
— | $20,910 | — | — | $20,910 | avg | 1 |
| Misc Disorders of Nutrition/Metabolism/Fluids w/o MCC MS-DRG 641 Medicare Severity Diagnosis Related Group DRG-641 — Misc Disorders of Nutrition/Metabolism/Fluids w/o MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w/o mcc. |
— | $8,047 | — | — | $8,047 | avg | 1 |
| COPD w MCC MS-DRG 190 Medicare Severity Diagnosis Related Group DRG-190 — COPD w MCC. Inpatient hospital payment classification for cases involving copd w mcc. |
— | $11,103 | — | — | $11,103 | avg | 1 |
| Rhinoplasty - Nose Job (Primary, Tip/Cartilage) CPT 30400 Rhinoplasty - Nose Job (Primary, Tip/Cartilage) — CPT code 30400 covers rhinoplasty - nose job (primary, tip/cartilage) performed in a clinical or hospital setting. |
— | $860 | $860 | $860–$860 | $860 | avg | 1 |
| Rhinoplasty - Nose Job (Primary, Complete) CPT 30410 Rhinoplasty - Nose Job (Primary, Complete) — CPT code 30410 covers rhinoplasty - nose job (primary, complete) performed in a clinical or hospital setting. |
— | $1,078 | $1,078 | $1,078–$1,078 | $1,078 | 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. |
— | $1,305 | $1,305 | $1,305–$1,305 | $1,305 | 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. |
— | $667 | $667 | $667–$667 | $667 | 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. |
— | $1,027 | $1,027 | $1,027–$1,027 | $1,027 | 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. |
— | $1,521 | $1,521 | $1,521–$1,521 | $1,521 | avg | 1 |
Prices are typical ranges based on Sonoma Valley Hospital's published transparency data, including actual allowed amounts calculated from insurer remittance (ERA) data per CMS v3.0 requirements. Your actual cost depends on your specific plan, deductible status, and clinical details.
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Insurance Plans with Negotiated Rates
Taven has payer-specific negotiated rate data from 5 insurers at Sonoma Valley Hospital. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.
Negotiated rates vary by insurance plan. The prices shown are aggregated from this hospital's publicly filed machine-readable file. Your actual rate depends on your specific insurance plan and network tier. Use our price comparison tool to see payer-specific breakdowns.
Your Billing Rights
Under the No Surprises Act and hospital price transparency rules, you have the right to receive a Good Faith Estimate before scheduled care, protection from surprise out-of-network bills in emergencies, and access to the hospital's published pricing data.
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