Southwest General Health Center

⭐ 4/5
hospital · Middleburg Heights, OH
Data Grade B
📍 Middleburg Heights, OH
🏥 Medicare #360155

Compare real prices at Southwest General Health Center in Middleburg Heights, OH. Taven tracks 433 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.

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433
Procedures Tracked
with pricing data
4/5
Star Rating
CMS Care Compare
💰
4.5x
Markup Ratio
Avg = 3.0x
🏥
Grade B
Data Quality
Good data coverage
CMS v3.0 Compliant
This hospital's pricing data meets the latest CMS v3.0 requirements, including actual allowed amounts from insurer remittance data.
Attested by: WILLIAM YOUNGOrg NPI: 1871096289
🔒 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 Southwest General Health Center

433 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Middleburg Heights, OH 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) Middleburg Heights Avg vs. Avg Payers
Debridement - Subcutaneous Tissue
CPT 11042
Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing.
$551 $551 avg 59
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.
$229 $229 avg 59
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.
$447 $447 avg 59
Skin Graft Preparation
CPT 15002
Skin Graft Preparation — CPT code 15002 covers skin graft preparation performed in a clinical or hospital setting.
$1,721 $1,721 avg 59
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.
$939 $939 avg 31
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.
$1,638 $1,638 avg 59
Skin Substitute Graft (≤100 sq cm)
CPT 15275
Skin Substitute Graft (≤100 sq cm) — CPT code 15275 covers skin substitute graft (≤100 sq cm) performed in a clinical or hospital setting.
$1,642 $1,642 avg 59
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.
$104 $104 avg 31
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.
$117 $117 avg 31
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.
$641 $641 avg 33
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.
$1,401 $1,401 avg 34
Simple Mastectomy
CPT 19303
Complete surgical removal of one breast. This procedure removes all breast tissue to treat or prevent breast cancer.
$1,579 $1,579 avg 31
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.
$271 $271 avg 59
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.
$339 $339 avg 59
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.
$382 $382 avg 59
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.
$384 $384 avg 55
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.
$3,689 $3,689 avg 18
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.
$3,978 $3,978 avg 33
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.
$3,971 $3,971 avg 33
Rotator Cuff Repair
CPT 23412
Rotator Cuff Repair — CPT code 23412 covers rotator cuff repair performed in a clinical or hospital setting.
$2,682 $2,682 avg 18
Shoulder Replacement (Arthroplasty)
CPT 23472
Shoulder Replacement (Arthroplasty) — CPT code 23472 covers shoulder replacement (arthroplasty) performed in a clinical or hospital setting.
$5,236 $5,236 avg 34
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.
$669 $669 avg 21
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.
$2,945 $2,945 avg 18
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.
$4,660 $4,660 avg 34
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.
$1,950 $1,950 avg 31
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.
$6,386 $6,386 avg 18
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.
$5,606 $5,606 avg 36
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.
$2,045 $2,045 avg 18
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.
$344 $344 avg 59
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.
$972 $972 avg 33
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.
$1,581 $1,581 avg 33
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.
$1,775 $1,775 avg 20
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.
$3,593 $3,593 avg 21
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.
$1,501 $1,501 avg 20
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.
$1,025 $1,025 avg 32
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.
$1,273 $1,273 avg 34
Nasal Endoscopy (diagnostic)
CPT 31231
Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting.
$199 $199 avg 59
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.
$525 $525 avg 31
Ethmoidectomy - Partial
CPT 31254
Ethmoidectomy - Partial — CPT code 31254 covers ethmoidectomy - partial performed in a clinical or hospital setting.
$648 $648 avg 31
Sinus Surgery - Ethmoidectomy
CPT 31255
Sinus Surgery - Ethmoidectomy — CPT code 31255 covers sinus surgery - ethmoidectomy performed in a clinical or hospital setting.
$1,287 $1,287 avg 33
Sinus Surgery - Frontal
CPT 31276
Sinus Surgery - Frontal — CPT code 31276 covers sinus surgery - frontal performed in a clinical or hospital setting.
$461 $461 avg 32
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.
$25,746 $25,746 avg 59
Mitral Valve Repair
CPT 33430
Open-heart surgery to repair a damaged mitral valve — the valve between the upper and lower left chambers of the heart — restoring normal blood flow.
$3,006 $3,006 avg 31
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.
$2,821 $2,821 avg 31
Venipuncture (blood draw)
CPT 36415
A routine blood draw where a needle is inserted into a vein (usually in the arm) to collect blood for laboratory testing.
$23 $23 +1% 59
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.
$2,002 $2,002 avg 59
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.
$2,121 $2,121 avg 59
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.
$1,447 $1,447 avg 59
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.
$327 $327 avg 59
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.
$706 $706 avg 33
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.
$641 $641 avg 33
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.
$479 $479 avg 34
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.
$140 $140 avg 37
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.
$146 $146 avg 36
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.
$529 $529 avg 33
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.
$688 $688 avg 31
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.
$2,850 $2,850 avg 31
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.
$2,749 $2,749 avg 31
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.
$1,813 $1,813 avg 31
Gastric Bypass - Open
CPT 43846
Gastric Bypass - Open — CPT code 43846 covers gastric bypass - open performed in a clinical or hospital setting.
$3,886 $3,886 avg 18
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.
$2,765 $2,765 avg 31
Small Bowel Resection
CPT 44120
Small bowel resection �� surgical removal of a portion of the small intestine to treat disease, obstruction, or injury.
$1,877 $1,877 avg 31
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.
$1,678 $1,678 avg 31
Laparoscopic Appendectomy
CPT 44970
Laparoscopic appendectomy — minimally invasive surgical removal of the appendix, typically performed for appendicitis.
$1,481 $1,481 avg 34
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.
$494 $494 avg 34
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.
$203 $203 avg 36
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.
$708 $708 avg 36
Gallbladder Removal (Laparoscopic)
CPT 47562
Minimally invasive removal of the gallbladder (laparoscopic cholecystectomy). Small incisions and a camera are used to remove the gallbladder, typically for gallstones or inflammation.
$1,410 $1,410 avg 33
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.
$2,078 $2,078 avg 34
Cholecystectomy - Open
CPT 47600
Open cholecystectomy — surgical removal of the gallbladder through a larger incision in the abdomen.
$1,745 $1,745 avg 31
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.
$1,349 $1,349 avg 33
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.
$1,226 $1,226 avg 33
Ventral Hernia Repair
CPT 49585
Ventral Hernia Repair — CPT code 49585 covers ventral hernia repair performed in a clinical or hospital setting.
$1,175 $1,175 avg 31
Laparoscopic Inguinal Hernia Repair
CPT 49650
Laparoscopic inguinal hernia repair — minimally invasive repair of a groin hernia using small incisions and a camera.
$1,666 $1,666 avg 34
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.
$5,856 $5,856 avg 55
Bladder Aspiration/Drainage
CPT 51102
Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting.
$1,922 $1,922 avg 55
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.
$942 $942 avg 59
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.
$3,307 $3,307 avg 20
Prostate Biopsy
CPT 55700
Prostate Biopsy — CPT code 55700 covers prostate biopsy performed in a clinical or hospital setting.
$1,226 $1,226 avg 21
Robotic Prostatectomy
CPT 55866
Robotic Prostatectomy — CPT code 55866 covers robotic prostatectomy performed in a clinical or hospital setting.
$2,689 $2,689 avg 18
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.
$189 $189 avg 31
Endometrial Biopsy
CPT 58100
Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting.
$209 $209 avg 59
Total Hysterectomy - Abdominal
CPT 58150
Total Hysterectomy - Abdominal — CPT code 58150 covers total hysterectomy - abdominal performed in a clinical or hospital setting.
$2,312 $2,312 avg 31
IUD Insertion
CPT 58300
IUD Insertion — CPT code 58300 covers iud insertion performed in a clinical or hospital setting.
$128 $128 avg 31
IUD Removal
CPT 58301
IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting.
$319 $319 avg 59
Laparoscopic Hysterectomy (250g or Less)
CPT 58571
Total laparoscopic hysterectomy including removal of the cervix — minimally invasive complete removal of the uterus and cervix.
$2,350 $2,350 avg 34
Laparoscopic Ovarian Cyst/Adnexal Removal
CPT 58661
Laparoscopic removal of the uterus (hysterectomy) — minimally invasive surgery using small incisions and a camera to remove the uterus.
$1,768 $1,768 avg 34
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.
$214 $214 avg 59
Vaginal Delivery (routine, global)
CPT 59400
Routine obstetric care including prenatal visits, vaginal delivery, and postpartum care — comprehensive maternity care package.
$2,190 $2,190 avg 31
Vaginal Delivery Only
CPT 59409
Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting.
$2,491 $2,491 avg 59
C-Section Delivery (global)
CPT 59510
Routine obstetric care including prenatal visits, cesarean delivery, and postpartum care — comprehensive maternity care package with C-section.
$3,137 $3,137 avg 31
VBAC Delivery
CPT 59610
VBAC Delivery — CPT code 59610 covers vbac delivery performed in a clinical or hospital setting.
$3,108 $3,108 avg 31
Lumbar Epidural Injection
CPT 62322
Lumbar or sacral epidural injection — injection of medication into the epidural space of the lower spine for pain relief.
$238 $238 avg 31
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.
$938 $938 avg 59
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.
$725 $725 avg 33
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.
$2,501 $2,501 avg 33
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.
$972 $972 avg 59
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.
$1,540 $1,540 avg 59
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.
$1,385 $1,385 avg 59
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.
$804 $804 avg 24
Glaucoma Laser Surgery
CPT 65855
Glaucoma Laser Surgery — CPT code 65855 covers glaucoma laser surgery performed in a clinical or hospital setting.
$376 $376 avg 21
Glaucoma Filter Surgery
CPT 66170
Glaucoma Filter Surgery — CPT code 66170 covers glaucoma filter surgery performed in a clinical or hospital setting.
$1,994 $1,994 avg 18
YAG Laser Capsulotomy
CPT 66821
YAG Laser Capsulotomy — CPT code 66821 covers yag laser capsulotomy performed in a clinical or hospital setting.
$366 $366 avg 23
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.
$1,279 $1,279 avg 20
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.
$970 $970 avg 25
Strabismus Surgery
CPT 67311
Strabismus Surgery — CPT code 67311 covers strabismus surgery performed in a clinical or hospital setting.
$1,605 $1,605 avg 18
Eyelid Repair - Blepharoplasty
CPT 67904
Eyelid Repair - Blepharoplasty — CPT code 67904 covers eyelid repair - blepharoplasty performed in a clinical or hospital setting.
$1,279 $1,279 avg 18
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.
$1,279 $1,279 avg 18
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.
$207 $207 avg 18
Ear Wax Removal
CPT 69210
Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting.
$112 $112 avg 59
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.
$495 $495 avg 34
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.
$490 $490 avg 59
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.
$653 $653 avg 55
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.
$777 $777 avg 59
MRI Brain with/without Contrast
CPT 70553
MRI of the brain with and without contrast dye — detailed imaging of the brain using magnetic fields and radio waves to diagnose tumors, stroke, or other conditions.
$1,214 $1,214 avg 59
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.
$123 $123 avg 59
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.
$140 $140 avg 59
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.
$584 $584 avg 59
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.
$721 $721 avg 59
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.
$202 $202 avg 59
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.
$907 $907 avg 59
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.
$781 $781 avg 59
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.
$146 $146 avg 59
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.
$150 $150 avg 59
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.
$989 $989 avg 55
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.
$156 $156 avg 59
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.
$170 $170 avg 59
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.
$1,004 $1,004 avg 55
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.
$793 $793 avg 59
CT Abdomen/Pelvis with Contrast
CPT 74177
CT scan of the abdomen and pelvis with contrast — comprehensive cross-sectional imaging of the abdominal and pelvic organs after contrast injection.
$1,012 $1,012 avg 59
Breast Ultrasound
CPT 76642
Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.
$141 $141 avg 55
Abdominal Ultrasound
CPT 76700
Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas.
$397 $397 avg 59
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.
$341 $341 avg 59
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.
$324 $324 avg 59
Transvaginal Ultrasound
CPT 76830
Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures.
$240 $240 avg 59
Pelvic Ultrasound
CPT 76856
Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs.
$303 $303 avg 59
3D Mammography (Tomosynthesis)
CPT 77063
3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting.
$66 $66 +1% 55
Diagnostic Mammogram (unilateral)
CPT 77065
Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer.
$271 $271 avg 55
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.
$340 $340 avg 55
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.
$233 $233 avg 55
Nuclear Stress Test (SPECT MPI)
CPT 78452
Myocardial perfusion imaging (stress test with nuclear imaging) — evaluates blood flow to the heart muscle during rest and stress to detect blocked arteries.
$1,552 $1,552 avg 59
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.
$46 $46 avg 55
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.
$76 $76 avg 59
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.
$54 $54 +1% 59
Hepatic Function Panel
CPT 80076
Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting.
$44 $44 avg 59
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.
$30 $30 avg 55
Urinalysis (automated)
CPT 81003
Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting.
$23 $23 -2% 59
Vitamin D Level
CPT 82306
Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency.
$59 $59 avg 59
Urine Creatinine
CPT 82570
Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting.
$24 $24 avg 59
Ferritin Level
CPT 82728
Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting.
$44 $44 avg 55
Glucose (blood sugar)
CPT 82947
Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes.
$23 $23 avg 55
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.
$31 $31 -2% 59
Potassium Level
CPT 84132
Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting.
$23 $23 +2% 55
PSA (Prostate)
CPT 84153
PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting.
$55 $55 +1% 55
Sodium Level
CPT 84295
Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting.
$22 $22 +1% 55
TSH (Thyroid)
CPT 84443
Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working.
$50 $50 -1% 55
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.
$36 $36 +1% 55
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.
$24 $24 -2% 59
TB Skin Test
CPT 86580
TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting.
$66 $66 -1% 59
Blood Type (ABO)
CPT 86900
Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting.
$61 $61 avg 55
COVID-19 Test (rapid antigen)
CPT 87426
COVID-19 Test (rapid antigen) — CPT code 87426 covers covid-19 test (rapid antigen) performed in a clinical or hospital setting.
$44 $44 avg 55
Chlamydia Test
CPT 87491
Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample.
$78 $78 avg 59
Gonorrhea Test
CPT 87591
Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample.
$78 $78 -1% 59
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.
$57 $57 -1% 55
Flu Test (rapid)
CPT 87804
Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting.
$45 $45 -1% 59
Pap Smear (ThinPrep)
CPT 88175
Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting.
$36 $36 +1% 55
Immunization Administration
CPT 90471
Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting.
$84 $84 avg 59
Flu Vaccine (high dose)
CPT 90662
Flu Vaccine (high dose) — CPT code 90662 covers flu vaccine (high dose) performed in a clinical or hospital setting.
$105 $105 avg 31
Tdap Vaccine
CPT 90715
Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting.
$107 $107 avg 59
Psychiatric Diagnostic Evaluation
CPT 90791
Psychiatric Diagnostic Evaluation — CPT code 90791 covers psychiatric diagnostic evaluation performed in a clinical or hospital setting.
$216 $216 avg 59
Psychiatric Eval with Medical Services
CPT 90792
Psychiatric Eval with Medical Services — CPT code 90792 covers psychiatric eval with medical services performed in a clinical or hospital setting.
$202 $202 avg 31
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.
$134 $134 avg 59
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.
$152 $152 avg 59
Psychotherapy (53+ min)
CPT 90837
Psychotherapy (53+ min) — CPT code 90837 covers psychotherapy (53+ min) performed in a clinical or hospital setting.
$172 $172 avg 59
Family Psychotherapy (with patient)
CPT 90847
Family Psychotherapy (with patient) — CPT code 90847 covers family psychotherapy (with patient) performed in a clinical or hospital setting.
$163 $163 avg 59
Group Psychotherapy
CPT 90853
Group Psychotherapy — CPT code 90853 covers group psychotherapy performed in a clinical or hospital setting.
$127 $127 avg 55
Coronary Stent Placement
CPT 92928
Coronary Stent Placement — CPT code 92928 covers coronary stent placement performed in a clinical or hospital setting.
$6,587 $6,587 avg 59
EKG (12-lead)
CPT 93000
EKG (12-lead) — CPT code 93000 covers ekg (12-lead) performed in a clinical or hospital setting.
$36 $36 -1% 31
EKG Interpretation
CPT 93010
EKG Interpretation — CPT code 93010 covers ekg interpretation performed in a clinical or hospital setting.
$31 $31 -1% 31
Cardiovascular Stress Test
CPT 93015
Cardiovascular Stress Test — CPT code 93015 covers cardiovascular stress test performed in a clinical or hospital setting.
$103 $103 avg 31
Echocardiogram Complete
CPT 93306
Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting.
$899 $899 avg 59
Stress Echocardiogram
CPT 93350
Stress Echocardiogram — CPT code 93350 covers stress echocardiogram performed in a clinical or hospital setting.
$332 $332 avg 18
Stress Echocardiogram
CPT 93351
Stress Echocardiogram — CPT code 93351 covers stress echocardiogram performed in a clinical or hospital setting.
$919 $919 avg 59
Left Heart Catheterization
CPT 93458
Left Heart Catheterization — CPT code 93458 covers left heart catheterization performed in a clinical or hospital setting.
$4,203 $4,203 avg 59
Carotid Ultrasound
CPT 93880
Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.
$475 $475 avg 59
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.
$374 $374 avg 59
Psychological Testing Evaluation
CPT 96130
Psychological Testing Evaluation — CPT code 96130 covers psychological testing evaluation performed in a clinical or hospital setting.
$193 $193 avg 18
Psychological Testing - Additional Hour
CPT 96131
Psychological Testing - Additional Hour — CPT code 96131 covers psychological testing - additional hour performed in a clinical or hospital setting.
$193 $193 avg 18
Therapeutic Injection (IM/SubQ)
CPT 96372
Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes.
$97 $97 avg 59
IV Push (single drug)
CPT 96374
IV push medication — rapid injection of medication directly into a vein or existing IV line.
$252 $252 avg 55
Chemotherapy Infusion (first hour)
CPT 96413
Chemotherapy IV infusion, first hour — administration of cancer-fighting medication through an IV line for the initial hour.
$484 $484 avg 55
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.
$76 $76 -1% 55
PT - Therapeutic Exercise
CPT 97110
Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion.
$99 $99 avg 55
PT - Gait Training
CPT 97116
PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting.
$79 $79 avg 55
PT - Manual Therapy
CPT 97140
Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching.
$96 $96 avg 55
PT Evaluation - Low Complexity
CPT 97161
Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition.
$140 $140 avg 55
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.
$164 $164 avg 55
PT Evaluation - High Complexity
CPT 97163
Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition.
$196 $196 avg 55
PT - Therapeutic Activities
CPT 97530
Therapeutic activities — functional movement training to improve your ability to perform daily activities.
$111 $111 avg 55
Post-Op Follow-Up Visit
CPT 99024
Post-Op Follow-Up Visit — CPT code 99024 covers post-op follow-up visit performed in a clinical or hospital setting.
$99 $99 avg 18
Supplies and Materials
CPT 99070
Supplies and Materials — CPT code 99070 covers supplies and materials performed in a clinical or hospital setting.
$62 $62 -1% 18
New Patient Visit - Straightforward
CPT 99201
New Patient Visit - Straightforward — CPT code 99201 covers new patient visit - straightforward performed in a clinical or hospital setting.
$81 $81 avg 31
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.
$73 $73 -1% 31
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.
$99 $99 avg 31
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.
$139 $139 avg 31
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.
$176 $176 avg 31
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.
$43 $43 -1% 31
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.
$63 $63 avg 31
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.
$87 $87 avg 31
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.
$111 $111 avg 31
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.
$149 $149 avg 31
ER Visit - Minor Problem
CPT 99281
Emergency department visit for a minor, self-limited problem requiring minimal evaluation.
$132 $132 avg 59
ER Visit - Low Complexity
CPT 99282
Emergency department visit for a low to moderate severity problem requiring a brief evaluation.
$219 $219 avg 59
ER Visit - Moderate Complexity
CPT 99283
Emergency department visit for a moderate severity problem requiring an expanded evaluation.
$369 $369 avg 59
ER Visit - High Complexity
CPT 99284
Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life.
$543 $543 avg 59
ER Visit - Immediate Threat to Life
CPT 99285
Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation.
$868 $868 avg 59
Critical Care - First Hour
CPT 99291
Critical care, first 30-74 minutes — intensive medical care for a critically ill or injured patient whose condition requires constant attention from the physician.
$1,111 $1,111 avg 59
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.
$932 $932 avg 59
Preventive Visit - New Patient (18-39)
CPT 99385
Preventive Visit - New Patient (18-39) — CPT code 99385 covers preventive visit - new patient (18-39) performed in a clinical or hospital setting.
$133 $133 avg 31
Preventive Visit - New Patient (40-64)
CPT 99386
Preventive Visit - New Patient (40-64) — CPT code 99386 covers preventive visit - new patient (40-64) performed in a clinical or hospital setting.
$151 $151 avg 31
Preventive Visit - New Patient (65+)
CPT 99387
Preventive Visit - New Patient (65+) — CPT code 99387 covers preventive visit - new patient (65+) performed in a clinical or hospital setting.
$161 $161 avg 31
Preventive Visit - Established (18-39)
CPT 99395
Preventive Visit - Established (18-39) — CPT code 99395 covers preventive visit - established (18-39) performed in a clinical or hospital setting.
$124 $124 avg 31
Preventive Visit - Established (40-64)
CPT 99396
Preventive Visit - Established (40-64) — CPT code 99396 covers preventive visit - established (40-64) performed in a clinical or hospital setting.
$131 $131 avg 31
Preventive Visit - Established (65+)
CPT 99397
Preventive Visit - Established (65+) — CPT code 99397 covers preventive visit - established (65+) performed in a clinical or hospital setting.
$138 $138 avg 31
Telehealth Visit - 5-10 min
CPT 99441
Telehealth Visit - 5-10 min — CPT code 99441 covers telehealth visit - 5-10 min performed in a clinical or hospital setting.
$82 $82 +1% 31
Telehealth Visit - 11-20 min
CPT 99442
Telehealth Visit - 11-20 min — CPT code 99442 covers telehealth visit - 11-20 min performed in a clinical or hospital setting.
$106 $106 avg 31
Telehealth Visit - 21-30 min
CPT 99443
Telehealth Visit - 21-30 min — CPT code 99443 covers telehealth visit - 21-30 min performed in a clinical or hospital setting.
$155 $155 avg 31
Ceftriaxone Injection 250mg
CPT J0696
HCPCS Level II code J0696 — Ceftriaxone Injection 250mg. Healthcare Common Procedure Coding System code for ceftriaxone injection 250mg.
$78 $78 avg 59
Triamcinolone Injection
CPT J3301
HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection.
$21 $21 -2% 59
Dexamethasone Injection
CPT J1100
HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection.
$7 $7 -5% 59
Wound Care Supplies
CPT A6250
HCPCS Level II code A6250 — Wound Care Supplies. Healthcare Common Procedure Coding System code for wound care supplies.
$62 $62 -1% 18
Anesthesia - Head
CPT 00100
Anesthesia - Head — CPT code 00100 covers anesthesia - head performed in a clinical or hospital setting.
$150 $150 avg 31
Anesthesia - Chest
CPT 00400
Anesthesia - Chest — CPT code 00400 covers anesthesia - chest performed in a clinical or hospital setting.
$150 $150 avg 31
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.
$209 $209 avg 18
Anesthesia - Lower Abdomen
CPT 00810
Anesthesia for lower intestinal endoscopic procedures — sedation and pain management during colonoscopy or similar procedures.
$209 $209 avg 18
Debridement of Skin (infected)
CPT 11000
Debridement of extensively eczematous or infected skin
$275 $275 $275–$275 $275 avg 1
Skin Lesion Paring (single)
CPT 11055
Paring or cutting of benign hyperkeratotic lesion
$275 $275 $275–$275 $275 avg 1
Skin Lesion Paring (2-4)
CPT 11056
Paring or cutting of benign hyperkeratotic lesions, 2 to 4
$275 $275 $275–$275 $275 avg 1
Skin Tag Removal (up to 15)
CPT 11200
Removal of skin tags, multiple fibrocutaneous tags
$275 $275 $275–$275 $275 avg 1
Skin Lesion Shave (0.5 cm or less)
CPT 11300
Shave removal of epidermal or dermal lesion, trunk/extremities
$275 $275 $275–$275 $275 avg 1
Skin Lesion Shave (0.6-1.0 cm)
CPT 11301
Shave removal of epidermal or dermal lesion, trunk/extremities
$275 $275 $275–$275 $275 avg 1
Skin Lesion Shave - Scalp/Neck (0.5 cm)
CPT 11305
Shave removal of epidermal or dermal lesion, scalp/neck/hands/feet
$275 $275 $275–$275 $275 avg 1
Excision of Benign Skin Lesion (0.5 cm or less)
CPT 11400
Excision of benign lesion, trunk/arms/legs
$823 $823 $823–$823 $823 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
$275 $275 $275–$275 $275 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
$823 $823 $823–$823 $823 avg 1
Excision Benign Lesion - Face (0.5 cm)
CPT 11440
Excision of benign lesion, face/ears/eyelids/nose/lips
$823 $823 $823–$823 $823 avg 1
Excision Malignant Lesion (0.5 cm or less)
CPT 11600
Excision of malignant lesion, trunk/arms/legs
$823 $823 $823–$823 $823 avg 1
Excision Malignant Lesion (0.6-1.0 cm)
CPT 11601
Excision of malignant lesion, trunk/arms/legs, 0.6-1.0 cm
$823 $823 $823–$823 $823 avg 1
Excision Malignant Lesion (1.1-2.0 cm)
CPT 11602
Excision of malignant lesion, trunk/arms/legs, 1.1-2.0 cm
$275 $275 $275–$275 $275 avg 1
Nail Removal (partial or complete)
CPT 11730
Avulsion of nail plate, partial or complete
$275 $275 $275–$275 $275 avg 1
Permanent Nail Removal
CPT 11750
Excision of nail and nail matrix, permanent removal
$275 $275 $275–$275 $275 avg 1
Destruction of Premalignant Lesions (2-14)
CPT 17003
Destruction of premalignant lesions, second through 14th lesion
$275 $275 $275–$275 $275 avg 1
Destruction of Skin Lesions (15+)
CPT 17004
Destruction of premalignant lesions, 15 or more lesions
$275 $275 $275–$275 $275 avg 1
Destruction Malignant Lesion (trunk)
CPT 17260
Destruction of malignant lesion, trunk, any method
$275 $275 $275–$275 $275 avg 1
Mohs Surgery (first stage)
CPT 17311
Mohs micrographic surgery, first stage, up to 5 tissue blocks
$275 $275 $275–$275 $275 avg 1
Tendon Sheath Injection
CPT 20550
Injection of tendon sheath, ligament, or trigger point
$275 $275 $275–$275 $275 avg 1
Hardware Removal (deep)
CPT 20680
Removal of implant, deep (plate, screw, rod)
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Shoulder Injection with Imaging
CPT 23350
Injection for shoulder arthrography
$275 $275 $275–$275 $275 avg 1
Tennis Elbow Repair
CPT 24341
Repair of lateral collateral ligament, elbow
$4,179 $4,179 $4,179–$4,179 $4,179 avg 1
Closed Treatment Distal Radius Fracture
CPT 25600
Closed treatment of distal radial fracture without manipulation
$275 $275 $275–$275 $275 avg 1
Closed Treatment Distal Radius Fracture (with manipulation)
CPT 25605
Closed treatment of distal radial fracture with manipulation
$823 $823 $823–$823 $823 avg 1
Intertrochanteric Fracture Treatment
CPT 27245
Treatment of intertrochanteric femoral fracture with plate/screws
$4,179 $4,179 $4,179–$4,179 $4,179 avg 1
Knee Manipulation Under Anesthesia
CPT 27570
Manipulation of knee joint under general anesthesia
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Open Treatment Ankle Fracture (bimalleolar)
CPT 27792
Open treatment of distal fibula fracture, bimalleolar
$5,856 $5,856 $5,856–$5,856 $5,856 avg 1
Amputation - Toe
CPT 28820
Amputation of toe at metatarsophalangeal joint
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Endoscopic Carpal Tunnel Release
CPT 29848
Endoscopy of wrist, carpal tunnel release
$2,983 $2,983 $2,983–$2,983 $2,983 avg 1
Shoulder Arthroscopy - Acromioplasty
CPT 29826
Arthroscopy, shoulder, surgical, decompression of subacromial space
$275 $275 $275–$275 $275 avg 1
Knee Arthroscopy with Meniscus Repair
CPT 29882
Arthroscopy, knee, surgical, meniscus repair
$2,983 $2,983 $2,983–$2,983 $2,983 avg 1
ACL Reconstruction (Knee Ligament Repair)
CPT 29888
Arthroscopically aided anterior cruciate ligament repair/augmentation
$5,856 $5,856 $5,856–$5,856 $5,856 avg 1
Esophagoscopy (diagnostic)
CPT 43191
Esophagoscopy, flexible, diagnostic
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
EGD with Stent Placement
CPT 43210
Esophagogastroduodenoscopy with stent placement
$2,983 $2,983 $2,983–$2,983 $2,983 avg 1
EGD with Gastrostomy Tube
CPT 43246
Upper GI endoscopy with gastrostomy tube placement
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
EGD with Foreign Body Removal
CPT 43247
Upper GI endoscopy with removal of foreign body
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
EGD with Hemostasis
CPT 43255
Upper GI endoscopy with control of bleeding
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Sigmoidoscopy (diagnostic)
CPT 45330
Sigmoidoscopy, flexible, diagnostic
$823 $823 $823–$823 $823 avg 1
Sigmoidoscopy with Biopsy
CPT 45331
Sigmoidoscopy, flexible, with biopsy
$823 $823 $823–$823 $823 avg 1
Colonoscopy with Control of Bleeding
CPT 45382
Colonoscopy with control of bleeding
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Colonoscopy with Lesion Removal (hot biopsy)
CPT 45384
Colonoscopy with removal of tumor by hot biopsy forceps
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Colonoscopy with Ablation
CPT 45388
Colonoscopy with ablation of tumor or polyp
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Colonoscopy with Foreign Body Removal
CPT 45390
Colonoscopy with removal of foreign body
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Colonoscopy with Endoscopic Ultrasound
CPT 45391
Colonoscopy with endoscopic ultrasound examination
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Laceration Repair - Simple (2.5 cm or less)
CPT 12001
Simple repair of superficial wounds, scalp/neck/extremities
$275 $275 $275–$275 $275 avg 1
Laceration Repair - Simple (2.6-7.5 cm)
CPT 12002
Simple repair of superficial wounds, 2.6-7.5 cm
$275 $275 $275–$275 $275 avg 1
Laceration Repair - Simple (7.6-12.5 cm)
CPT 12004
Simple repair of superficial wounds, 7.6-12.5 cm
$275 $275 $275–$275 $275 avg 1
Laceration Repair - Face (2.5 cm or less)
CPT 12011
Simple repair of superficial wounds of face, 2.5 cm or less
$275 $275 $275–$275 $275 avg 1
Laceration Repair - Face (2.6-5.0 cm)
CPT 12013
Simple repair of superficial wounds of face, 2.6-5.0 cm
$275 $275 $275–$275 $275 avg 1
Laceration Repair - Intermediate (2.5 cm or less)
CPT 12031
Repair, intermediate, wounds of scalp/trunk/extremities
$275 $275 $275–$275 $275 avg 1
Laceration Repair - Intermediate (2.6-7.5 cm)
CPT 12032
Repair, intermediate, wounds of scalp/trunk/extremities
$275 $275 $275–$275 $275 avg 1
Laceration Repair - Intermediate Face (2.5 cm)
CPT 12051
Repair, intermediate, wounds of face, 2.5 cm or less
$275 $275 $275–$275 $275 avg 1
Laceration Repair - Intermediate Face (2.6-5.0 cm)
CPT 12052
Repair, intermediate, wounds of face, 2.6-5.0 cm
$275 $275 $275–$275 $275 avg 1
Burn Dressing (small)
CPT 16020
Dressings and/or debridement of partial-thickness burns, small
$275 $275 $275–$275 $275 avg 1
Burn Dressing (medium)
CPT 16025
Dressings and/or debridement of partial-thickness burns, medium
$275 $275 $275–$275 $275 avg 1
Closed Treatment Radial Head Fracture
CPT 24640
Closed treatment of radial head subluxation (nursemaid elbow)
$275 $275 $275–$275 $275 avg 1
Short Arm Splint
CPT 29125
Application of short arm splint, forearm to hand
$275 $275 $275–$275 $275 avg 1
Finger Splint
CPT 29130
Application of finger splint
$275 $275 $275–$275 $275 avg 1
Long Leg Splint
CPT 29505
Application of long leg splint, thigh to ankle
$275 $275 $275–$275 $275 avg 1
Short Leg Splint
CPT 29515
Application of short leg splint, calf to foot
$275 $275 $275–$275 $275 avg 1
Nasal Foreign Body Removal
CPT 30300
Removal of foreign body from intranasal, office type
$275 $275 $275–$275 $275 avg 1
Anterior Nasal Packing (nosebleed)
CPT 30901
Control nasal hemorrhage, anterior, simple
$275 $275 $275–$275 $275 avg 1
Anterior Nasal Packing (complex)
CPT 30903
Control nasal hemorrhage, anterior, complex
$275 $275 $275–$275 $275 avg 1
Endotracheal Intubation
CPT 31500
Intubation, endotracheal, emergency procedure
$275 $275 $275–$275 $275 avg 1
Chest Tube Insertion
CPT 32551
Tube thoracostomy, insertion of chest tube
$823 $823 $823–$823 $823 avg 1
IV Line Placement (peripheral)
CPT 36000
Introduction of needle or intracatheter, vein
$275 $275 $275–$275 $275 avg 1
Ear Foreign Body Removal
CPT 69200
Removal of foreign body from external auditory canal
$275 $275 $275–$275 $275 avg 1
Ear Wax Removal (Irrigation)
CPT 69209
Removal impacted cerumen using irrigation/lavage
$275 $275 $275–$275 $275 avg 1
Breast Biopsy (stereotactic)
CPT 19081
Biopsy, breast, with placement of breast localization device, stereotactic guidance
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Breast Biopsy (ultrasound-guided)
CPT 19083
Biopsy, breast, with placement of breast localization device, ultrasound guidance
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Breast Biopsy (MRI-guided)
CPT 19084
Biopsy, breast, with placement of breast localization device, MRI guidance
$275 $275 $275–$275 $275 avg 1
Mastopexy (Breast Lift)
CPT 19316
Mastopexy
$2,983 $2,983 $2,983–$2,983 $2,983 avg 1
Breast Augmentation (Implant)
CPT 19325
Mammaplasty, augmentative
$5,856 $5,856 $5,856–$5,856 $5,856 avg 1
Breast Implant Removal
CPT 19328
Removal of intact mammary implant
$2,983 $2,983 $2,983–$2,983 $2,983 avg 1
Breast Reconstruction (immediate)
CPT 19340
Immediate insertion of breast prosthesis following mastopexy or mastectomy
$4,179 $4,179 $4,179–$4,179 $4,179 avg 1
Vulvectomy (partial)
CPT 56620
Vulvectomy, simple, partial
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Colposcopy (diagnostic)
CPT 57420
Colposcopy of entire vagina, with cervix if present
$275 $275 $275–$275 $275 avg 1
Colposcopy with Biopsy (cervix)
CPT 57452
Colposcopy of cervix including upper adjacent vagina
$275 $275 $275–$275 $275 avg 1
LEEP Procedure (cervix)
CPT 57460
Colposcopy with loop electrode excision procedure of cervix
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Cervical Biopsy
CPT 57500
Biopsy of cervix, single or multiple, or local excision
$823 $823 $823–$823 $823 avg 1
Cervical Conization
CPT 57520
Conization of cervix, with or without fulguration
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Dilation and Curettage (D&C)
CPT 58120
Dilation and curettage, diagnostic and/or therapeutic
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Vaginal Hysterectomy
CPT 58260
Vaginal hysterectomy, for uterus 250g or less
$2,983 $2,983 $2,983–$2,983 $2,983 avg 1
Vaginal Hysterectomy with Tube/Ovary Removal
CPT 58262
Vaginal hysterectomy with removal of tube(s) and/or ovary(s)
$2,983 $2,983 $2,983–$2,983 $2,983 avg 1
Vaginal Hysterectomy (>250g)
CPT 58291
Vaginal hysterectomy, for uterus greater than 250g
$4,179 $4,179 $4,179–$4,179 $4,179 avg 1
Hysterosalpingography (HSG)
CPT 58340
Catheterization and introduction of saline for sonohysterography
$275 $275 $275–$275 $275 avg 1
Hysteroscopy (diagnostic)
CPT 58555
Hysteroscopy, diagnostic, separate procedure
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Hysteroscopy with Biopsy/Polypectomy
CPT 58558
Hysteroscopy, surgical, with sampling of endometrium
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Hysteroscopy with Ablation
CPT 58563
Hysteroscopy, surgical, with endometrial ablation
$2,983 $2,983 $2,983–$2,983 $2,983 avg 1
Tubal Ligation
CPT 58600
Ligation or transection of fallopian tube(s), abdominal or vaginal approach
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Laparoscopy with Lysis of Adhesions
CPT 58660
Laparoscopy, lysis of adhesions
$5,856 $5,856 $5,856–$5,856 $5,856 avg 1
Laparoscopic Endometriosis Excision
CPT 58662
Laparoscopy with fulguration or excision of lesions of ovary/peritoneum
$5,856 $5,856 $5,856–$5,856 $5,856 avg 1
Laparoscopic Tubal Ligation
CPT 58670
Laparoscopy, surgical, with fulguration of oviducts
$5,856 $5,856 $5,856–$5,856 $5,856 avg 1
Amniocentesis
CPT 59000
Amniocentesis, diagnostic
$823 $823 $823–$823 $823 avg 1
Chorionic Villus Sampling
CPT 59015
Chorionic villus sampling, any method
$823 $823 $823–$823 $823 avg 1
Delivery of Placenta
CPT 59414
Delivery of placenta (separate procedure)
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Incomplete Abortion Treatment
CPT 59812
Treatment of incomplete abortion, any trimester, surgical
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Missed Abortion Treatment (first trimester)
CPT 59820
Treatment of missed abortion, completed surgically, first trimester
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Maternity Care (unlisted)
CPT 59899
Unlisted procedure, maternity care and delivery
$275 $275 $275–$275 $275 avg 1
Incision and Drainage of Abscess (simple)
CPT 10060
Incision and drainage of abscess, simple or single
$275 $275 $275–$275 $275 avg 1
Incision and Drainage of Abscess (complex)
CPT 10061
Incision and drainage of abscess, complicated or multiple
$275 $275 $275–$275 $275 avg 1
Foreign Body Removal (skin, simple)
CPT 10120
Incision and removal of foreign body, subcutaneous tissues, simple
$275 $275 $275–$275 $275 avg 1
Foreign Body Removal (skin, complex)
CPT 10121
Incision and removal of foreign body, subcutaneous tissues, complicated
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Incision and Drainage of Hematoma
CPT 10140
Incision and drainage of hematoma, seroma, or fluid collection
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Aspiration of Abscess/Cyst
CPT 10160
Puncture aspiration of abscess, hematoma, bulla, or cyst
$275 $275 $275–$275 $275 avg 1
Debridement - Muscle/Fascia
CPT 11043
Debridement, muscle and/or fascia, first 20 sq cm
$275 $275 $275–$275 $275 avg 1
Breast Biopsy (needle, percutaneous)
CPT 19100
Biopsy of breast, percutaneous, needle core
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Soft Tissue Excision (back/flank)
CPT 21931
Excision, tumor, soft tissue of back or flank, subcutaneous
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Knee Cartilage Removal (arthrotomy)
CPT 27332
Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee
$2,983 $2,983 $2,983–$2,983 $2,983 avg 1
Pacemaker Insertion
CPT 33208
Insertion of new or replacement of permanent pacemaker
$8,373 $8,373 $8,373–$8,373 $8,373 avg 1
ICD (Defibrillator) Insertion
CPT 33249
Insertion or replacement of permanent implantable defibrillator system
$11,783 $11,783 $11,783–$11,783 $11,783 avg 1
Bone Marrow Aspiration
CPT 38220
Diagnostic bone marrow aspiration(s)
$823 $823 $823–$823 $823 avg 1
Bone Marrow Biopsy
CPT 38221
Diagnostic bone marrow biopsy(ies)
$823 $823 $823–$823 $823 avg 1
Lymph Node Biopsy/Excision (superficial)
CPT 38500
Biopsy or excision of lymph node(s), superficial
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Lymph Node Biopsy/Excision (deep)
CPT 38510
Biopsy or excision of lymph node(s), deep cervical
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Lip Biopsy
CPT 40490
Biopsy of lip, vermilion
$275 $275 $275–$275 $275 avg 1
Tongue Biopsy (anterior 2/3)
CPT 41100
Biopsy of tongue, anterior two-thirds
$275 $275 $275–$275 $275 avg 1
Salivary Stone Removal (Sialolithotomy)
CPT 42330
Sialolithotomy, submandibular or sublingual, intraoral
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Drainage of Peritonsillar Abscess
CPT 42700
Incision and drainage, abscess, peritonsillar
$275 $275 $275–$275 $275 avg 1
Lysis of Abdominal Adhesions (open)
CPT 44005
Enterolysis, freeing of intestinal adhesion
$1,072 $1,072 $1,072–$1,072 $1,072 avg 1
Partial Colectomy
CPT 44140
Colectomy, partial, with anastomosis
$1,072 $1,072 $1,072–$1,072 $1,072 avg 1
Laparoscopic Partial Colectomy
CPT 44204
Laparoscopic partial colectomy with anastomosis
$4,179 $4,179 $4,179–$4,179 $4,179 avg 1
Appendectomy (open)
CPT 44950
Appendectomy
$2,983 $2,983 $2,983–$2,983 $2,983 avg 1
Liver Biopsy (needle)
CPT 47000
Biopsy of liver, needle, percutaneous
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Exploratory Laparotomy
CPT 49000
Exploratory laparotomy, exploratory celiotomy
$2,983 $2,983 $2,983–$2,983 $2,983 avg 1
Diagnostic Laparoscopy
CPT 49320
Laparoscopy, abdomen, diagnostic
$4,179 $4,179 $4,179–$4,179 $4,179 avg 1
Kidney Biopsy (needle)
CPT 50200
Renal biopsy, percutaneous, by trocar or needle
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Kidney Stone Removal (percutaneous)
CPT 50080
Percutaneous nephrostolithotomy or pyelostolithotomy
$4,179 $4,179 $4,179–$4,179 $4,179 avg 1
Cystoscopy with Ureteral Catheter
CPT 52005
Cystourethroscopy, with ureteral catheterization
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Cystoscopy with Stent Removal
CPT 52310
Cystourethroscopy, with removal of foreign body or ureteral stent
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Cystoscopy with Stent Insertion
CPT 52332
Cystourethroscopy, with insertion of indwelling ureteral stent
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Cystoscopy with Lithotripsy
CPT 52353
Cystourethroscopy, with lithotripsy
$4,179 $4,179 $4,179–$4,179 $4,179 avg 1
Hydrocelectomy (excision)
CPT 55040
Excision of hydrocele, unilateral
$2,983 $2,983 $2,983–$2,983 $2,983 avg 1
Vasectomy
CPT 55250
Vasectomy, unilateral or bilateral
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
I&D of Bartholin Gland Abscess
CPT 56405
Incision and drainage of vulva or perineal abscess
$275 $275 $275–$275 $275 avg 1
Lumbar Puncture (spinal tap)
CPT 62270
Lumbar puncture (spinal tap), diagnostic
$823 $823 $823–$823 $823 avg 1
Cervical Epidural Injection
CPT 62320
Injection, including indwelling catheter placement, cervical or thoracic
$823 $823 $823–$823 $823 avg 1
Cervical Epidural with Imaging
CPT 62321
Injection, cervical or thoracic with imaging guidance
$823 $823 $823–$823 $823 avg 1
Trigeminal Nerve Block
CPT 64400
Injection, anesthetic agent; trigeminal nerve
$275 $275 $275–$275 $275 avg 1
Greater Occipital Nerve Block
CPT 64405
Injection, anesthetic agent; greater occipital nerve
$275 $275 $275–$275 $275 avg 1
Brachial Plexus Block
CPT 64415
Injection, anesthetic agent; brachial plexus, single
$823 $823 $823–$823 $823 avg 1
Femoral Nerve Block
CPT 64447
Injection, anesthetic agent; femoral nerve, single
$823 $823 $823–$823 $823 avg 1
Peripheral Nerve Block
CPT 64450
Injection, anesthetic agent; other peripheral nerve or branch
$823 $823 $823–$823 $823 avg 1
Cervical Transforaminal Epidural
CPT 64479
Injection, anesthetic agent and/or steroid, transforaminal epidural, cervical or thoracic
$823 $823 $823–$823 $823 avg 1
Transforaminal Epidural (additional level)
CPT 64484
Injection, transforaminal epidural, lumbar or sacral, each additional level
$275 $275 $275–$275 $275 avg 1
Facet Joint Injection - Cervical (first level)
CPT 64490
Injection, diagnostic or therapeutic agent, paravertebral facet joint, cervical or thoracic, first level
$823 $823 $823–$823 $823 avg 1
Facet Joint Injection - Cervical (second level)
CPT 64491
Injection, paravertebral facet joint, cervical or thoracic, second level
$275 $275 $275–$275 $275 avg 1
Facet Joint Injection - Lumbar (second level)
CPT 64494
Injection, paravertebral facet joint, lumbar or sacral, second level
$275 $275 $275–$275 $275 avg 1
Botox Injection for Migraine
CPT 64615
Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, for chronic migraine
$275 $275 $275–$275 $275 avg 1
Intercostal Nerve Destruction
CPT 64625
Destruction by neurolytic agent, intercostal nerve
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Facet Joint Destruction - Cervical (first level)
CPT 64633
Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, single level
$2,675 $2,675 $2,675–$2,675 $2,675 avg 1
Facet Joint Destruction - Cervical (additional level)
CPT 64634
Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, each additional level
$275 $275 $275–$275 $275 avg 1
Facet Joint Destruction - Lumbar (additional level)
CPT 64636
Destruction by neurolytic agent, paravertebral facet joint nerve, lumbar or sacral, each additional level
$275 $275 $275–$275 $275 avg 1
Pacemaker Insertion (ventricular)
CPT 33207
Insertion of new or replacement of permanent pacemaker, ventricular
$7,727 $7,727 $7,727–$7,727 $7,727 avg 1
Leadless Pacemaker Insertion
CPT 33274
Transcatheter insertion or replacement of permanent leadless pacemaker
$10,466 $10,466 $10,466–$10,466 $10,466 avg 1
Coronary Angioplasty (single vessel)
CPT 92920
Percutaneous transluminal coronary angioplasty, single vessel
$5,856 $5,856 $5,856–$5,856 $5,856 avg 1
Right Heart Catheterization
CPT 93451
Right heart catheterization
$4,179 $4,179 $4,179–$4,179 $4,179 avg 1
Coronary Angiography
CPT 93454
Catheter placement in coronary artery for coronary angiography
$4,179 $4,179 $4,179–$4,179 $4,179 avg 1
Bronchoscopy with Lavage
CPT 31624
Bronchoscopy with bronchial alveolar lavage
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Bronchoscopy with Biopsy
CPT 31625
Bronchoscopy with bronchial or endobronchial biopsy
$1,282 $1,282 $1,282–$1,282 $1,282 avg 1
Intravitreal Injection
CPT 67028
Intravitreal injection of a pharmacologic agent
$275 $275 $275–$275 $275 avg 1
Corneal Transplant (lamellar)
CPT 65710
Keratoplasty (corneal transplant), lamellar
$4,179 $4,179 $4,179–$4,179 $4,179 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.
$12,488 $12,488 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.
$8,136 $8,136 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.
$10,758 $10,758 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.
$8,677 $8,677 avg 1
Septicemia/Severe Sepsis w/o MV >96hrs w/o MCC
MS-DRG 872
Medicare Severity Diagnosis Related Group DRG-872 — Septicemia/Severe Sepsis w/o MV >96hrs w/o MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w/o mcc.
$6,768 $6,768 avg 1
Pulmonary Edema and Respiratory Failure
MS-DRG 189
Medicare Severity Diagnosis Related Group DRG-189 — Pulmonary Edema and Respiratory Failure. Inpatient hospital payment classification for cases involving pulmonary edema and respiratory failure.
$7,880 $7,880 avg 1
Esophagitis/Gastroenteritis/Misc Digestive w/o MCC
MS-DRG 392
Medicare Severity Diagnosis Related Group DRG-392 — Esophagitis/Gastroenteritis/Misc Digestive w/o MCC. Inpatient hospital payment classification for cases involving esophagitis/gastroenteritis/misc digestive w/o mcc.
$5,198 $5,198 avg 1
Kidney/Urinary Tract Infections w/o MCC
MS-DRG 690
CT scan — kidney/urinary tract infections w/o mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$4,918 $4,918 avg 1
Acute Myocardial Infarction, Discharged Alive w MCC
MS-DRG 280
Medicare Severity Diagnosis Related Group DRG-280 — Acute Myocardial Infarction, Discharged Alive w MCC. Inpatient hospital payment classification for cases involving acute myocardial infarction, discharged alive w mcc.
$9,087 $9,087 avg 1
GI Hemorrhage w CC
MS-DRG 378
Medicare Severity Diagnosis Related Group DRG-378 — GI Hemorrhage w CC. Inpatient hospital payment classification for cases involving gi hemorrhage w cc.
$6,207 $6,207 avg 1
Infectious/Parasitic Diseases w OR Procedures w MCC
MS-DRG 853
Medicare Severity Diagnosis Related Group DRG-853 — Infectious/Parasitic Diseases w OR Procedures w MCC. Inpatient hospital payment classification for cases involving infectious/parasitic diseases w or procedures w mcc.
$27,871 $27,871 avg 1
Renal Failure w CC
MS-DRG 683
Medicare Severity Diagnosis Related Group DRG-683 — Renal Failure w CC. Inpatient hospital payment classification for cases involving renal failure w cc.
$5,802 $5,802 avg 1
Renal Failure w MCC
MS-DRG 682
Medicare Severity Diagnosis Related Group DRG-682 — Renal Failure w MCC. Inpatient hospital payment classification for cases involving renal failure w mcc.
$8,844 $8,844 avg 1
Kidney/Urinary Tract Infections w MCC
MS-DRG 689
CT scan — kidney/urinary tract infections w mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$7,033 $7,033 avg 1
Major Hip/Knee Joint Replacement
MS-DRG 470
Medicare Severity Diagnosis Related Group DRG-470 — Major Hip/Knee Joint Replacement. Inpatient hospital payment classification for cases involving major hip/knee joint replacement.
$12,393 $12,393 avg 1
Intracranial Hemorrhage/Cerebral Infarction w CC
MS-DRG 065
Medicare Severity Diagnosis Related Group DRG-065 — Intracranial Hemorrhage/Cerebral Infarction w CC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w cc.
$6,787 $6,787 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.
$9,284 $9,284 avg 1
Misc Disorders of Nutrition/Metabolism/Fluids w MCC
MS-DRG 640
Medicare Severity Diagnosis Related Group DRG-640 — Misc Disorders of Nutrition/Metabolism/Fluids w MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w mcc.
$7,864 $7,864 avg 1
Intracranial Hemorrhage/Cerebral Infarction w MCC
MS-DRG 064
Medicare Severity Diagnosis Related Group DRG-064 — Intracranial Hemorrhage/Cerebral Infarction w MCC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w mcc.
$10,235 $10,235 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.
$13,302 $13,302 avg 1
Cardiac Arrhythmia/Conduction Disorders w CC
MS-DRG 309
Medicare Severity Diagnosis Related Group DRG-309 — Cardiac Arrhythmia/Conduction Disorders w CC. Inpatient hospital payment classification for cases involving cardiac arrhythmia/conduction disorders w cc.
$4,858 $4,858 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.
$4,650 $4,650 avg 1
Cellulitis w/o MCC
MS-DRG 603
Medicare Severity Diagnosis Related Group DRG-603 — Cellulitis w/o MCC. Inpatient hospital payment classification for cases involving cellulitis w/o mcc.
$5,469 $5,469 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.
$7,483 $7,483 avg 1
Simple Pneumonia and Pleurisy w CC
MS-DRG 194
Medicare Severity Diagnosis Related Group DRG-194 — Simple Pneumonia and Pleurisy w CC. Inpatient hospital payment classification for cases involving simple pneumonia and pleurisy w cc.
$5,933 $5,933 avg 1
Percutaneous Cardiovascular Proc w Drug-Eluting Stent w/o MCC
MS-DRG 247
Medicare Severity Diagnosis Related Group DRG-247 — Percutaneous Cardiovascular Proc w Drug-Eluting Stent w/o MCC. Inpatient hospital payment classification for cases involving percutaneous cardiovascular proc w drug-eluting stent w/o mcc.
$14,759 $14,759 avg 1
Major Small/Large Bowel Procedures w CC
MS-DRG 330
Medicare Severity Diagnosis Related Group DRG-330 — Major Small/Large Bowel Procedures w CC. Inpatient hospital payment classification for cases involving major small/large bowel procedures w cc.
$15,718 $15,718 avg 1
Syncope and Collapse
MS-DRG 312
Medicare Severity Diagnosis Related Group DRG-312 — Syncope and Collapse. Inpatient hospital payment classification for cases involving syncope and collapse.
$5,358 $5,358 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.
$2,675 $2,675 $2,675–$2,675 $2,675 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.
$4,179 $4,179 $4,179–$4,179 $4,179 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.
$4,179 $4,179 $4,179–$4,179 $4,179 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.
$2,675 $2,675 $2,675–$2,675 $2,675 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.
$4,179 $4,179 $4,179–$4,179 $4,179 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.
$4,179 $4,179 $4,179–$4,179 $4,179 avg 1

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

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Insurance Plans with Negotiated Rates

Taven has payer-specific negotiated rate data from 6 insurers at Southwest General Health Center. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.

Aetna (CVS Health) BCBS (Various Licensees) Cigna Healthcare Humana Other UnitedHealthcare (UHC)

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

Financial Assistance at Southwest General Health Center

As a nonprofit hospital, Southwest General Health Center 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 Ohio →

Nearby Hospitals in Middleburg Heights, OH

Compare prices at other hospitals in the same area.

Brunswick Medical Center & Emergency Room
1.3 mi
Middleburg Heights, OH
Technical Details
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare Provider #
360155
Emergency Services
Yes
Metro Area
Middleburg Heights, OH
Procedures Tracked
433

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