Sweeny Community Hospital

hospital · Sweeny, TX
Data Grade C
📍 Sweeny, TX
🏥 Medicare #451311

Compare real prices at Sweeny Community Hospital in Sweeny, TX. Taven tracks 308 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.

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308
Procedures Tracked
with pricing data
💰
2.2x
Markup Ratio
Avg = 3.0x
🏥
Grade C
Data Quality
Moderate data coverage
✓
CMS v3.0 Compliant
This hospital's pricing data meets the latest CMS v3.0 requirements, including actual allowed amounts from insurer remittance data.
Attested by: CINDY BURGEOrg NPI: 1023011657
🔒 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 Sweeny Community Hospital

308 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Sweeny, TX 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) Sweeny Avg vs. Avg Payers
Debridement - Subcutaneous Tissue
CPT 11042
Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing.
 — $467 — — $467 avg 33
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.
 — $432 — — $432 avg 33
Skin Graft Preparation
CPT 15002
Skin Graft Preparation — CPT code 15002 covers skin graft preparation performed in a clinical or hospital setting.
 — $1,302 — — $1,302 avg 33
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.
 — $1,294 — — $1,294 avg 33
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.
 — $936 — — $936 avg 33
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.
 — $89 — — $89 avg 33
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.
 — $114 — — $114 avg 33
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.
 — $241 — — $241 avg 33
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.
 — $227 — — $227 avg 33
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.
 — $132 — — $132 avg 33
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.
 — $139 — — $139 avg 33
Joint Injection with Ultrasound (Major Joint)
CPT 20611
Ultrasound — joint injection with ultrasound (major joint). This imaging test uses sound waves to create pictures of organs and structures inside the body.
 — $1,621 — — $1,621 avg 33
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.
 — $12 — — $12 +3% 33
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.
 — $1,209 — — $1,209 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.
 — $382 — — $382 avg 33
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.
 — $462 — — $462 avg 33
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.
 — $370 — — $370 avg 33
Laparoscopic Appendectomy
CPT 44970
Laparoscopic appendectomy — minimally invasive surgical removal of the appendix, typically performed for appendicitis.
 — $985 — — $985 avg 33
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.
 — $435 — — $435 avg 33
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.
 — $497 — — $497 avg 33
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.
 — $699 — — $699 avg 33
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.
 — $1,184 — — $1,184 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.
 — $1,253 — — $1,253 avg 33
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.
 — $656 — — $656 avg 33
Laparoscopic Inguinal Hernia Repair
CPT 49650
Laparoscopic inguinal hernia repair — minimally invasive repair of a groin hernia using small incisions and a camera.
 — $733 — — $733 avg 33
Endometrial Biopsy
CPT 58100
Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting.
 — $90 — — $90 avg 33
Vaginal Delivery Only
CPT 59409
Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting.
 — $1,170 — — $1,170 avg 33
Ear Wax Removal
CPT 69210
Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting.
 — $111 — — $111 avg 33
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.
 — $971 — — $971 avg 33
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.
 — $963 — — $963 avg 33
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.
 — $992 — — $992 avg 33
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.
 — $1,461 — — $1,461 avg 33
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.
 — $167 — — $167 avg 33
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.
 — $190 — — $190 avg 33
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.
 — $940 — — $940 avg 33
CT Chest with Contrast
CPT 71260
CT scan of the chest with contrast — detailed cross-sectional imaging of the chest after injecting contrast dye to better visualize blood vessels and tissues.
 — $1,240 — — $1,240 avg 33
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.
 — $205 — — $205 avg 33
MRI Cervical Spine without Contrast
CPT 72141
MRI of the cervical spine (neck) without contrast — detailed imaging of the neck spine to evaluate for herniated discs, spinal cord problems, or nerve issues.
 — $1,205 — — $1,205 avg 33
MRI Lumbar Spine without Contrast
CPT 72148
MRI of the lumbar spine (lower back) without contrast — detailed imaging of the lower spine to evaluate for herniated discs, spinal stenosis, or nerve compression.
 — $1,205 — — $1,205 avg 33
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.
 — $280 — — $280 avg 33
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.
 — $266 — — $266 avg 33
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.
 — $1,106 — — $1,106 avg 33
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.
 — $167 — — $167 avg 33
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.
 — $276 — — $276 avg 33
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.
 — $1,106 — — $1,106 avg 33
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.
 — $1,505 — — $1,505 avg 33
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.
 — $1,644 — — $1,644 avg 33
Breast Ultrasound
CPT 76642
Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.
 — $349 — — $349 avg 33
Abdominal Ultrasound
CPT 76700
Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas.
 — $595 — — $595 avg 33
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.
 — $604 — — $604 avg 33
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.
 — $523 — — $523 avg 33
Transvaginal Ultrasound
CPT 76830
Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures.
 — $673 — — $673 avg 33
Pelvic Ultrasound
CPT 76856
Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs.
 — $777 — — $777 avg 33
3D Mammography (Tomosynthesis)
CPT 77063
3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting.
 — $28 — — $28 avg 33
Diagnostic Mammogram (unilateral)
CPT 77065
Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer.
 — $431 — — $431 avg 33
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.
 — $621 — — $621 avg 33
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.
 — $124 $124 $124–$124 $124 avg 1
BMP (Basic Metabolic Panel)
CPT 80048
Basic metabolic panel — a blood test measuring 8 substances (glucose, calcium, sodium, potassium, CO2, chloride, BUN, creatinine) to assess kidney function, blood sugar, and electrolyte balance.
 — $127 — — $127 avg 33
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.
 — $187 — — $187 avg 33
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.
 — $99 — — $99 avg 33
Hepatic Function Panel
CPT 80076
Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting.
 — $131 — — $131 avg 33
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.
 — $4 $4 $4–$4 $4 +12% 1
Urinalysis (automated)
CPT 81003
Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting.
 — $3 $3 $3–$3 $3 +5% 1
Vitamin D Level
CPT 82306
Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency.
 — $117 — — $117 avg 33
Urine Creatinine
CPT 82570
Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting.
 — $41 — — $41 -1% 33
Ferritin Level
CPT 82728
Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting.
 — $64 — — $64 avg 33
Glucose (blood sugar)
CPT 82947
Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes.
 — $37 — — $37 avg 33
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.
 — $70 — — $70 -1% 33
Potassium Level
CPT 84132
Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting.
 — $39 — — $39 +1% 33
PSA (Prostate)
CPT 84153
PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting.
 — $116 — — $116 avg 33
Sodium Level
CPT 84295
Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting.
 — $32 — — $32 -1% 33
TSH (Thyroid)
CPT 84443
Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working.
 — $95 — — $95 avg 33
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.
 — $63 — — $63 avg 33
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.
 — $64 — — $64 -1% 33
TB Skin Test
CPT 86580
TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting.
 — $42 — — $42 -1% 33
Blood Type (ABO)
CPT 86900
Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting.
 — $148 — — $148 avg 33
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.
 — $105 — — $105 avg 33
Chlamydia Test
CPT 87491
Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample.
 — $105 — — $105 avg 33
Gonorrhea Test
CPT 87591
Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample.
 — $117 — — $117 avg 33
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.
 — $119 — — $119 avg 33
Flu Test (rapid)
CPT 87804
Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting.
 — $35 — — $35 +1% 33
Pap Smear (ThinPrep)
CPT 88175
Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting.
 — $252 — — $252 avg 33
Immunization Administration
CPT 90471
Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting.
 — $50 — — $50 -1% 33
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.
 — $60 $60 $60–$60 $60 avg 1
Tdap Vaccine
CPT 90715
Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting.
 — $82 — — $82 +1% 33
Psychiatric Diagnostic Evaluation
CPT 90791
Psychiatric Diagnostic Evaluation — CPT code 90791 covers psychiatric diagnostic evaluation performed in a clinical or hospital setting.
 — $254 — — $254 avg 33
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.
 — $126 — — $126 avg 33
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.
 — $196 — — $196 avg 33
Psychotherapy (53+ min)
CPT 90837
Psychotherapy (53+ min) — CPT code 90837 covers psychotherapy (53+ min) performed in a clinical or hospital setting.
 — $183 — — $183 avg 33
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.
 — $198 — — $198 avg 33
Group Psychotherapy
CPT 90853
Group Psychotherapy — CPT code 90853 covers group psychotherapy performed in a clinical or hospital setting.
 — $164 — — $164 avg 33
EKG (12-lead)
CPT 93000
EKG (12-lead) — CPT code 93000 covers ekg (12-lead) performed in a clinical or hospital setting.
 — $45 — — $45 +1% 33
EKG Interpretation
CPT 93010
EKG Interpretation — CPT code 93010 covers ekg interpretation performed in a clinical or hospital setting.
 — $6 — — $6 +5% 33
Echocardiogram Complete
CPT 93306
Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting.
 — $1,132 — — $1,132 avg 33
Carotid Ultrasound
CPT 93880
Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.
 — $734 — — $734 avg 33
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.
 — $491 — — $491 avg 33
Psychological Testing Evaluation
CPT 96130
Psychological Testing Evaluation — CPT code 96130 covers psychological testing evaluation performed in a clinical or hospital setting.
 — $589 — — $589 avg 33
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.
 — $118 — — $118 avg 33
Therapeutic Injection (IM/SubQ)
CPT 96372
Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes.
 — $80 — — $80 avg 33
IV Push (single drug)
CPT 96374
IV push medication — rapid injection of medication directly into a vein or existing IV line.
 — $119 — — $119 avg 33
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.
 — $68 — — $68 avg 33
PT - Therapeutic Exercise
CPT 97110
Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion.
 — $84 — — $84 avg 33
PT - Gait Training
CPT 97116
PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting.
 — $69 — — $69 avg 33
PT - Manual Therapy
CPT 97140
Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching.
 — $89 — — $89 -1% 33
PT Evaluation - Low Complexity
CPT 97161
Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition.
 — $132 — — $132 avg 33
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.
 — $156 — — $156 avg 33
PT Evaluation - High Complexity
CPT 97163
Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition.
 — $229 — — $229 avg 33
PT - Therapeutic Activities
CPT 97530
Therapeutic activities — functional movement training to improve your ability to perform daily activities.
 — $75 — — $75 avg 33
Supplies and Materials
CPT 99070
Supplies and Materials — CPT code 99070 covers supplies and materials performed in a clinical or hospital setting.
 — $18 — — $18 -1% 33
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.
 — $157 — — $157 avg 33
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.
 — $250 — — $250 avg 33
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.
 — $310 — — $310 avg 33
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.
 — $330 — — $330 avg 33
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.
 — $94 — — $94 avg 33
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.
 — $154 — — $154 avg 33
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.
 — $201 — — $201 avg 33
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.
 — $282 — — $282 avg 33
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.
 — $317 — — $317 avg 33
ER Visit - Minor Problem
CPT 99281
Emergency department visit for a minor, self-limited problem requiring minimal evaluation.
 — $200 $200 $200–$200 $200 avg 1
ER Visit - Low Complexity
CPT 99282
Emergency department visit for a low to moderate severity problem requiring a brief evaluation.
 — $277 — — $277 avg 33
ER Visit - Moderate Complexity
CPT 99283
Emergency department visit for a moderate severity problem requiring an expanded evaluation.
 — $464 — — $464 avg 33
ER Visit - High Complexity
CPT 99284
Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life.
 — $707 — — $707 avg 33
ER Visit - Immediate Threat to Life
CPT 99285
Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation.
 — $1,071 — — $1,071 avg 33
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.
 — $1,287 — — $1,287 avg 33
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.
 — $199 — — $199 avg 33
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.
 — $146 — — $146 avg 33
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.
 — $146 — — $146 avg 33
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.
 — $146 — — $146 avg 33
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.
 — $136 — — $136 avg 33
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.
 — $136 — — $136 avg 33
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.
 — $136 — — $136 avg 33
Ceftriaxone Injection 250mg
CPT J0696
HCPCS Level II code J0696 — Ceftriaxone Injection 250mg. Healthcare Common Procedure Coding System code for ceftriaxone injection 250mg.
 — $43 — — $43 -1% 33
Triamcinolone Injection
CPT J3301
HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection.
 — $29 — — $29 avg 33
Dexamethasone Injection
CPT J1100
HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection.
 — $11 — — $11 -3% 33
Anesthesia - Head
CPT 00100
Anesthesia - Head — CPT code 00100 covers anesthesia - head performed in a clinical or hospital setting.
 — $50 $50 $50–$50 $50 avg 1
Anesthesia - Chest
CPT 00400
Anesthesia - Chest — CPT code 00400 covers anesthesia - chest performed in a clinical or hospital setting.
 — $50 $50 $50–$50 $50 avg 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.
 — $150 $150 $150–$150 $150 avg 1
Clavicle X-Ray
CPT 73000
Radiologic examination of clavicle
 — $26 $26 $26–$26 $26 avg 1
Humerus X-Ray
CPT 73060
Radiologic examination of humerus, minimum 2 views
 — $27 $27 $27–$27 $27 +1% 1
Elbow X-Ray
CPT 73070
Radiologic examination of elbow, 2 views
 — $24 $24 $24–$24 $24 -1% 1
Elbow X-Ray (3+ views)
CPT 73080
Radiologic examination of elbow, complete, minimum 3 views
 — $26 $26 $26–$26 $26 +2% 1
Wrist X-Ray
CPT 73100
Radiologic examination of wrist, 2 views
 — $30 $30 $30–$30 $30 -1% 1
Wrist X-Ray (3+ views)
CPT 73110
Radiologic examination of wrist, complete, minimum 3 views
 — $35 $35 $35–$35 $35 avg 1
Hip X-Ray (2-3 views)
CPT 73502
Radiologic examination of hip, 2-3 views
 — $40 $40 $40–$40 $40 avg 1
Femur X-Ray
CPT 73552
Radiologic examination of femur, minimum 2 views
 — $30 $30 $30–$30 $30 +2% 1
Knee X-Ray (3 views)
CPT 73562
Radiologic examination of knee, 3 views
 — $35 $35 $35–$35 $35 avg 1
Tibia/Fibula X-Ray
CPT 73590
Radiologic examination of tibia and fibula, 2 views
 — $27 $27 $27–$27 $27 avg 1
Foot X-Ray (2 views)
CPT 73620
Radiologic examination of foot, 2 views
 — $24 $24 $24–$24 $24 +1% 1
Foot X-Ray (3+ views)
CPT 73630
Radiologic examination of foot, complete, minimum 3 views
 — $29 $29 $29–$29 $29 -1% 1
Abdomen X-Ray (1 view)
CPT 74018
Radiologic examination of abdomen, single anteroposterior view
 — $24 $24 $24–$24 $24 +1% 1
Abdomen X-Ray (2 views)
CPT 74019
Radiologic examination of abdomen, 2 views
 — $29 $29 $29–$29 $29 avg 1
Thyroid Ultrasound
CPT 76536
Ultrasound of head and neck, thyroid, real time with image
 — $110 $110 $110–$110 $110 avg 1
Chest Ultrasound
CPT 76604
Ultrasound of chest, real time with image documentation
 — $78 $78 $78–$78 $78 avg 1
Retroperitoneal Ultrasound (complete)
CPT 76770
Ultrasound, retroperitoneal, complete
 — $96 $96 $96–$96 $96 avg 1
Retroperitoneal Ultrasound (limited)
CPT 76775
Ultrasound, retroperitoneal, limited
 — $37 $37 $37–$37 $37 +1% 1
OB Ultrasound (limited)
CPT 76815
Ultrasound, pregnant uterus, limited
 — $65 $65 $65–$65 $65 avg 1
Transvaginal OB Ultrasound
CPT 76817
Ultrasound, pregnant uterus, transvaginal
 — $74 $74 $74–$74 $74 avg 1
Pelvic Ultrasound (limited)
CPT 76857
Ultrasound, pelvic, limited or follow-up
 — $30 $30 $30–$30 $30 avg 1
Scrotal Ultrasound
CPT 76870
Ultrasound, scrotum and contents
 — $92 $92 $92–$92 $92 avg 1
Extremity Ultrasound (complete)
CPT 76881
Ultrasound, complete joint, real time
 — $72 $72 $72–$72 $72 avg 1
Extremity Ultrasound (limited)
CPT 76882
Ultrasound, limited, joint or focal evaluation
 — $41 $41 $41–$41 $41 +1% 1
Bone Age Study
CPT 77072
Bone age studies
 — $18 $18 $18–$18 $18 +2% 1
Bone Length Studies
CPT 77073
Bone length studies
 — $29 $29 $29–$29 $29 avg 1
Bone Survey (complete)
CPT 77075
Radiologic examination, osseous survey, complete
 — $82 $82 $82–$82 $82 avg 1
DEXA Scan (Bone Density)
CPT 77080
DXA bone density study, axial skeleton
 — $38 $38 $38–$38 $38 avg 1
DEXA Scan (Peripheral)
CPT 77081
DXA bone density study, appendicular skeleton
 — $29 $29 $29–$29 $29 avg 1
DEXA Body Composition
CPT 77085
DXA bone density study, body composition
 — $50 $50 $50–$50 $50 avg 1
Renal Function Panel
CPT 80069
Renal function panel blood test
 — $12 $12 $12–$12 $12 +1% 1
Acute Hepatitis Panel
CPT 80074
Acute hepatitis panel blood test
 — $66 $66 $66–$66 $66 avg 1
Urinalysis (non-automated, with microscopy)
CPT 81000
Urinalysis by dip stick or tablet reagent, non-automated, with microscopy
 — $5 $5 $5–$5 $5 -1% 1
Urinalysis (non-automated, without microscopy)
CPT 81002
Urinalysis without microscopy, non-automated
 — $4 $4 $4–$4 $4 +12% 1
Albumin Level
CPT 82040
Albumin, serum, plasma or whole blood
 — $7 $7 $7–$7 $7 -4% 1
Amylase Level
CPT 82150
Amylase test
 — $9 $9 $9–$9 $9 avg 1
Bilirubin Total
CPT 82247
Bilirubin, total
 — $7 $7 $7–$7 $7 -4% 1
Bilirubin Direct
CPT 82248
Bilirubin, direct
 — $7 $7 $7–$7 $7 -4% 1
Calcium Level
CPT 82310
Calcium, total
 — $7 $7 $7–$7 $7 +3% 1
CO2/Bicarbonate Level
CPT 82374
Carbon dioxide (bicarbonate)
 — $7 $7 $7–$7 $7 -4% 1
Cholesterol Total
CPT 82465
Cholesterol, serum or whole blood, total
 — $6 $6 $6–$6 $6 -3% 1
CK/CPK (Creatine Kinase)
CPT 82550
Creatine kinase (CK, CPK), total
 — $9 $9 $9–$9 $9 avg 1
CK-MB (Heart)
CPT 82553
Creatine kinase (CK), MB fraction
 — $16 $16 $16–$16 $16 +1% 1
Creatinine Level
CPT 82565
Creatinine; blood
 — $7 $7 $7–$7 $7 +3% 1
Vitamin B12 Level
CPT 82607
Cyanocobalamin (Vitamin B-12)
 — $21 $21 $21–$21 $21 -2% 1
Estradiol Level
CPT 82670
Estradiol
 — $39 $39 $39–$39 $39 -1% 1
Folic Acid Level
CPT 82746
Folic acid, serum
 — $20 $20 $20–$20 $20 +1% 1
IgA Level
CPT 82784
Gammaglobulin IgA
 — $13 $13 $13–$13 $13 avg 1
Blood Gas Panel (ABG)
CPT 82803
Gases, blood, any combination of pH, pCO2, pO2
 — $32 $32 $32–$32 $32 +1% 1
Glucose (point of care)
CPT 82962
Glucose, blood by glucose monitoring device
 — $4 $4 $4–$4 $4 +1% 1
FSH (Follicle Stimulating Hormone)
CPT 83001
Gonadotropin, follicle stimulating hormone (FSH)
 — $26 $26 $26–$26 $26 -2% 1
LH (Luteinizing Hormone)
CPT 83002
Gonadotropin, luteinizing hormone (LH)
 — $26 $26 $26–$26 $26 -2% 1
Iron Level
CPT 83540
Iron
 — $9 $9 $9–$9 $9 avg 1
Iron Binding Capacity (TIBC)
CPT 83550
Iron binding capacity, total
 — $12 $12 $12–$12 $12 +1% 1
LDH (Lactate Dehydrogenase)
CPT 83615
Lactate dehydrogenase (LD, LDH)
 — $9 $9 $9–$9 $9 -5% 1
Lipase Level
CPT 83690
Lipase
 — $9 $9 $9–$9 $9 +5% 1
Magnesium Level
CPT 83735
Magnesium
 — $9 $9 $9–$9 $9 +5% 1
BNP (Brain Natriuretic Peptide)
CPT 83880
Natriuretic peptide (BNP)
 — $49 $49 $49–$49 $49 avg 1
Parathyroid Hormone (PTH)
CPT 83970
Parathormone (parathyroid hormone, PTH)
 — $57 $57 $57–$57 $57 avg 1
Alkaline Phosphatase
CPT 84075
Phosphatase, alkaline
 — $7 $7 $7–$7 $7 +3% 1
Phosphorus Level
CPT 84100
Phosphorus inorganic (phosphate)
 — $7 $7 $7–$7 $7 -4% 1
Prealbumin Level
CPT 84134
Prealbumin
 — $20 $20 $20–$20 $20 +1% 1
Progesterone Level
CPT 84144
Progesterone
 — $29 $29 $29–$29 $29 -1% 1
Prolactin Level
CPT 84146
Prolactin
 — $27 $27 $27–$27 $27 avg 1
Testosterone Total
CPT 84403
Testosterone, total
 — $36 $36 $36–$36 $36 avg 1
Thyroxine Total (T4)
CPT 84436
Thyroxine, total
 — $9 $9 $9–$9 $9 +5% 1
Free Thyroxine (Free T4)
CPT 84439
Thyroxine, free
 — $13 $13 $13–$13 $13 -3% 1
Transferrin Level
CPT 84466
Transferrin
 — $18 $18 $18–$18 $18 -3% 1
Triglycerides
CPT 84478
Triglycerides
 — $8 $8 $8–$8 $8 +1% 1
T3 (Triiodothyronine) Total
CPT 84480
Triiodothyronine T3, total
 — $20 $20 $20–$20 $20 -1% 1
Free T3
CPT 84481
Triiodothyronine T3, free
 — $23 $23 $23–$23 $23 +2% 1
Troponin (Cardiac)
CPT 84484
Troponin, quantitative
 — $16 $16 $16–$16 $16 -2% 1
BUN (Blood Urea Nitrogen)
CPT 84520
Urea nitrogen, blood (BUN)
 — $5 $5 $5–$5 $5 +8% 1
Uric Acid Level
CPT 84550
Uric acid, blood
 — $6 $6 $6–$6 $6 +5% 1
CBC (Automated)
CPT 85027
Complete blood count, automated
 — $9 $9 $9–$9 $9 avg 1
D-Dimer
CPT 85379
Fibrin degradation products, D-dimer
 — $14 $14 $14–$14 $14 -1% 1
Sed Rate (ESR)
CPT 85652
Sedimentation rate, erythrocyte; automated
 — $4 $4 $4–$4 $4 -10% 1
PTT (Partial Thromboplastin Time)
CPT 85730
Thromboplastin time, partial (PTT)
 — $9 $9 $9–$9 $9 -5% 1
Allergen Specific IgE
CPT 86003
Allergen specific IgE; quantitative or semiquantitative, each allergen
 — $7 $7 $7–$7 $7 +3% 1
C-Reactive Protein (CRP)
CPT 86140
C-reactive protein
 — $7 $7 $7–$7 $7 +3% 1
Cyclic Citrullinated Peptide (CCP)
CPT 86200
Cyclic citrullinated peptide (CCP), antibody
 — $18 $18 $18–$18 $18 avg 1
Nuclear Antigen Antibody (ENA)
CPT 86235
Extractable nuclear antigen (ENA) antibody
 — $25 $25 $25–$25 $25 -1% 1
CA 125 Tumor Marker
CPT 86300
Immunoassay for tumor antigen, CA 125
 — $29 $29 $29–$29 $29 -1% 1
CA 19-9 Tumor Marker
CPT 86304
Immunoassay for tumor antigen, CA 19-9
 — $29 $29 $29–$29 $29 -1% 1
Rheumatoid Factor
CPT 86431
Rheumatoid factor, quantitative
 — $8 $8 $8–$8 $8 -5% 1
TB Blood Test (QuantiFERON)
CPT 86480
Tuberculosis test, cell mediated immunity antigen response
 — $86 $86 $86–$86 $86 avg 1
Syphilis Test (RPR/VDRL)
CPT 86592
Syphilis test, non-treponemal antibody; qualitative
 — $6 $6 $6–$6 $6 -3% 1
Helicobacter Pylori Antibody
CPT 86677
Antibody, Helicobacter pylori
 — $21 $21 $21–$21 $21 +1% 1
Herpes Simplex Antibody
CPT 86695
Antibody, herpes simplex, type specific
 — $18 $18 $18–$18 $18 +2% 1
Hepatitis A Antibody
CPT 86696
Antibody, hepatitis A
 — $27 $27 $27–$27 $27 avg 1
Hepatitis B Core Antibody
CPT 86704
Hepatitis B core antibody (HBcAb); total
 — $17 $17 $17–$17 $17 -2% 1
Hepatitis B Surface Antibody
CPT 86706
Hepatitis B surface antibody (HBsAb)
 — $15 $15 $15–$15 $15 -1% 1
Rubella Antibody
CPT 86762
Antibody, rubella
 — $20 $20 $20–$20 $20 -1% 1
Rubeola (Measles) Antibody
CPT 86765
Antibody, rubeola
 — $18 $18 $18–$18 $18 avg 1
Varicella Antibody (Chickenpox)
CPT 86787
Antibody, varicella-zoster
 — $18 $18 $18–$18 $18 avg 1
Hepatitis C Antibody
CPT 86803
Hepatitis C antibody
 — $20 $20 $20–$20 $20 -1% 1
Antibody Screen (RBC)
CPT 86850
Antibody screen, RBC, each serum technique
 — $12 $12 $12–$12 $12 +1% 1
Rh Blood Type
CPT 86901
Blood typing, Rh (D)
 — $4 $4 $4–$4 $4 +1% 1
Bacterial Culture
CPT 87070
Culture, bacterial; any other source except urine, blood or stool
 — $12 $12 $12–$12 $12 +1% 1
Bacterial Culture (aerobic isolate)
CPT 87077
Culture, bacterial; aerobic isolate, additional methods
 — $11 $11 $11–$11 $11 +2% 1
Culture, presumptive (screen)
CPT 87081
Culture, presumptive, pathogenic organisms, screening only
 — $9 $9 $9–$9 $9 avg 1
Urine Culture
CPT 87086
Culture, bacterial; quantitative colony count, urine
 — $11 $11 $11–$11 $11 +2% 1
Chlamydia Culture
CPT 87110
Culture, chlamydia
 — $27 $27 $27–$27 $27 avg 1
Antibiotic Sensitivity (MIC)
CPT 87186
Susceptibility studies, antimicrobial agent; microdilution or agar dilution
 — $12 $12 $12–$12 $12 +1% 1
Gram Stain
CPT 87205
Smear, primary source with interpretation; Gram or Giemsa stain
 — $6 $6 $6–$6 $6 -3% 1
Hepatitis B Surface Antigen
CPT 87340
Infectious agent antigen detection; hepatitis B surface antigen (HBsAg)
 — $14 $14 $14–$14 $14 +3% 1
HIV-1/HIV-2 Antibody Test
CPT 87389
HIV-1 and HIV-2, single result, immunoassay
 — $33 $33 $33–$33 $33 +1% 1
Flu Test (PCR/molecular)
CPT 87502
Infectious agent detection, influenza, multiplex reverse transcription
 — $119 $119 $119–$119 $119 avg 1
Mycobacterium TB Detection
CPT 87580
Infectious agent detection, Mycobacterium tuberculosis, amplified probe
 — $28 $28 $28–$28 $28 -1% 1
HPV High-Risk Test
CPT 87624
Infectious agent detection, human papillomavirus (HPV), high-risk types
 — $49 $49 $49–$49 $49 -1% 1
Strep Test (rapid)
CPT 87880
Infectious agent antigen detection, Streptococcus, group A
 — $21 $21 $21–$21 $21 -2% 1
Venipuncture (age 3+)
CPT 36410
Venipuncture, age 3 years or older, necessitating physician skill
 — $8 $8 $8–$8 $8 -1% 1
Hepatitis A Vaccine (adult)
CPT 90632
Hepatitis A vaccine, adult dosage
 — $78 $78 $78–$78 $78 avg 1
Hepatitis A & B Vaccine (combo)
CPT 90636
Hepatitis A and hepatitis B vaccine, adult dosage
 — $122 $122 $122–$122 $122 avg 1
Hib Vaccine
CPT 90647
Haemophilus influenzae type b vaccine
 — $29 $29 $29–$29 $29 +1% 1
HPV Vaccine (9-valent)
CPT 90651
Human papillomavirus vaccine, 9-valent, 3 dose schedule
 — $255 $255 $255–$255 $255 avg 1
Pneumococcal Vaccine (PCV13)
CPT 90670
Pneumococcal conjugate vaccine, 13 valent
 — $225 $225 $225–$225 $225 avg 1
Rotavirus Vaccine
CPT 90681
Rotavirus vaccine, human, attenuated
 — $140 $140 $140–$140 $140 avg 1
Flu Vaccine (quadrivalent)
CPT 90686
Influenza virus vaccine, quadrivalent, preservative free
 — $19 $19 $19–$19 $19 -1% 1
DTaP-IPV Vaccine
CPT 90696
Diphtheria, tetanus, acellular pertussis and polio vaccine
 — $60 $60 $60–$60 $60 avg 1
MMR Vaccine
CPT 90707
Measles, mumps, rubella vaccine
 — $88 $88 $88–$88 $88 avg 1
MMRV Vaccine
CPT 90710
Measles, mumps, rubella, and varicella vaccine
 — $252 $252 $252–$252 $252 avg 1
Polio Vaccine (IPV)
CPT 90713
Poliovirus vaccine, inactivated
 — $39 $39 $39–$39 $39 +1% 1
Td Vaccine (adult)
CPT 90714
Tetanus and diphtheria toxoids, adult, preservative free
 — $29 $29 $29–$29 $29 avg 1
Varicella (Chickenpox) Vaccine
CPT 90716
Varicella virus vaccine, live
 — $152 $152 $152–$152 $152 avg 1
Pneumococcal Vaccine (PPSV23)
CPT 90732
Pneumococcal polysaccharide vaccine, 23-valent
 — $118 $118 $118–$118 $118 avg 1
Shingles Vaccine (Zoster)
CPT 90736
Zoster (shingles) vaccine, live
 — $238 $238 $238–$238 $238 avg 1
Hepatitis B Vaccine (adult)
CPT 90746
Hepatitis B vaccine, adult dosage
 — $69 $69 $69–$69 $69 -1% 1
Shingles Vaccine (Shingrix)
CPT 90750
Zoster vaccine, recombinant, adjuvanted
 — $170 $170 $170–$170 $170 avg 1
Ankle-Brachial Index (ABI)
CPT 93922
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries
 — $93 $93 $93–$93 $93 avg 1
Complete Bilateral Extremity Study
CPT 93923
Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries
 — $141 $141 $141–$141 $141 avg 1
Lower Extremity Arterial Duplex
CPT 93925
Duplex scan of lower extremity arteries, complete bilateral study
 — $275 $275 $275–$275 $275 avg 1
Venous Duplex Scan (complete)
CPT 93970
Duplex scan of extremity veins, complete bilateral study
 — $204 $204 $204–$204 $204 avg 1
Aorta/IVC/Iliac Duplex Scan
CPT 93978
Duplex scan of aorta, inferior vena cava, iliac vasculature
 — $189 $189 $189–$189 $189 avg 1
Cytopathology (fluids)
CPT 88104
Cytopathology, fluids, washings or brushings, smears with interpretation
 — $52 $52 $52–$52 $52 avg 1
Cytopathology (concentration technique)
CPT 88108
Cytopathology, concentration technique, smears and interpretation
 — $48 $48 $48–$48 $48 -1% 1
Cytopathology (selective cellular enhancement)
CPT 88112
Cytopathology, selective cellular enhancement technique with interpretation
 — $49 $49 $49–$49 $49 avg 1
Pap Smear - Physician Interpretation
CPT 88141
Cytopathology, cervical or vaginal, requiring interpretation by physician
 — $26 $26 $26–$26 $26 +1% 1
Pap Smear - ThinPrep (automated)
CPT 88142
Cytopathology, cervical or vaginal, collected in preservative fluid, automated thin layer
 — $28 $28 $28–$28 $28 -1% 1
Cytopathology (smears, any source)
CPT 88160
Cytopathology, smears, any other source, screening and interpretation
 — $57 $57 $57–$57 $57 -1% 1
Flow Cytometry (first marker)
CPT 88184
Flow cytometry, cell surface, cytoplasmic, or nuclear marker, first marker
 — $84 $84 $84–$84 $84 avg 1
Flow Cytometry (each additional marker)
CPT 88185
Flow cytometry, each additional marker
 — $31 $31 $31–$31 $31 avg 1
Surgical Pathology (gross only)
CPT 88300
Level I surgical pathology, gross examination only
 — $14 $14 $14–$14 $14 +2% 1
Surgical Pathology (gross & micro)
CPT 88302
Level II surgical pathology, gross and microscopic examination
 — $30 $30 $30–$30 $30 avg 1
Surgical Pathology (Level III)
CPT 88304
Level III surgical pathology
 — $36 $36 $36–$36 $36 +1% 1
Surgical Pathology (Level IV)
CPT 88305
Level IV surgical pathology, each specimen
 — $38 $38 $38–$38 $38 avg 1
Surgical Pathology (Level V)
CPT 88307
Level V surgical pathology, each specimen
 — $233 $233 $233–$233 $233 avg 1
Surgical Pathology (Level VI)
CPT 88309
Level VI surgical pathology, each specimen
 — $326 $326 $326–$326 $326 avg 1
Special Stain (Group I)
CPT 88312
Special stain including interpretation and report, Group I
 — $92 $92 $92–$92 $92 avg 1
Immunohistochemistry (first antibody)
CPT 88342
Immunohistochemistry, each antibody, per specimen, first stain
 — $89 $89 $89–$89 $89 avg 1
Botulinum Toxin A (Botox) Injection
CPT J0585
Injection, onabotulinumtoxinA, 1 unit
 — $6 $6 $6–$6 $6 +6% 1
Testosterone Injection
CPT J1071
Injection, testosterone cypionate, 1 mg
 — $0 $0 $0–$0 — — 1
Diphenhydramine (Benadryl) Injection
CPT J1200
Injection, diphenhydramine HCl, up to 50 mg
 — $1 $1 $1–$1 $1 -25% 1
Ketorolac (Toradol) Injection
CPT J1885
Injection, ketorolac tromethamine, per 15 mg
 — $1 $1 $1–$1 $1 -41% 1
Meperidine (Demerol) Injection
CPT J2175
Injection, meperidine hydrochloride, per 100 mg
 — $8 $8 $8–$8 $8 -4% 1
Midazolam Injection
CPT J2250
Injection, midazolam hydrochloride, per 1 mg
 — $0 $0 $0–$0 — — 1
Morphine Injection
CPT J2270
Injection, morphine sulfate, up to 10 mg
 — $4 $4 $4–$4 $4 -4% 1
Ondansetron (Zofran) Injection
CPT J2405
Injection, ondansetron hydrochloride, per 1 mg
 — $0 $0 $0–$0 — — 1
Promethazine (Phenergan) Injection
CPT J2550
Injection, promethazine HCl, up to 50 mg
 — $2 $2 $2–$2 $2 +16% 1
Propofol Injection
CPT J2704
Injection, propofol, 10 mg
 — $0 $0 $0–$0 — — 1
Ropivacaine Injection
CPT J2795
Injection, ropivacaine hydrochloride, 1 mg
 — $0 $0 $0–$0 — — 1
Fentanyl Injection
CPT J3010
Injection, fentanyl citrate, 0.1 mg
 — $1 $1 $1–$1 $1 -6% 1
Normal Saline (1000 ml)
CPT J7120
Ringers lactate infusion, up to 1000 cc
 — $2 $2 $2–$2 $2 +22% 1
Normal Saline Infusion (1000 cc)
CPT J7030
Infusion, normal saline solution, 1000 cc
 — $3 $3 $3–$3 $3 -12% 1
Normal Saline with Dextrose (500 ml)
CPT J7040
Infusion, normal saline solution, sterile, 500 ml
 — $1 $1 $1–$1 $1 +32% 1
Normal Saline Infusion (250 cc)
CPT J7050
Infusion, normal saline solution, 250 cc
 — $1 $1 $1–$1 $1 -34% 1
Embryo Culture (IVF Lab)
CPT 89250
Embryo Culture (IVF Lab) — CPT code 89250 covers embryo culture (ivf lab) performed in a clinical or hospital setting.
 — $1,221 $1,221 $1,221–$1,221 $1,221 avg 1
Assisted Embryo Hatching (IVF)
CPT 89253
Assisted Embryo Hatching (IVF) — CPT code 89253 covers assisted embryo hatching (ivf) performed in a clinical or hospital setting.
 — $118 $118 $118–$118 $118 avg 1
Egg/Embryo Freezing (Cryopreservation)
CPT 89258
Egg/Embryo Freezing (Cryopreservation) — CPT code 89258 covers egg/embryo freezing (cryopreservation) performed in a clinical or hospital setting.
 — $453 $453 $453–$453 $453 avg 1
IVF Fertilization (Oocyte Insemination)
CPT 89268
IVF Fertilization (Oocyte Insemination) — CPT code 89268 covers ivf fertilization (oocyte insemination) performed in a clinical or hospital setting.
 — $118 $118 $118–$118 $118 avg 1
Extended Embryo Culture (IVF)
CPT 89272
Extended Embryo Culture (IVF) — CPT code 89272 covers extended embryo culture (ivf) performed in a clinical or hospital setting.
 — $453 $453 $453–$453 $453 avg 1

Prices are typical ranges based on Sweeny Community 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 6 insurers at Sweeny Community Hospital. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.

Aetna (CVS Health) BCBS (Various Licensees) Cigna Healthcare Humana 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.

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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▸ Technical Details
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare Provider #
451311
Emergency Services
Yes
Metro Area
Sweeny, TX
Procedures Tracked
308

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