How much do procedures cost at Wilkes-Barre General Hospital?

Taven tracks pricing for 778 procedures at Wilkes-Barre General Hospital. Prices vary by insurance plan and procedure. Visit the full pricing table on this page for specific procedure costs.

Can I get a price estimate before visiting Wilkes-Barre General Hospital?

Yes. Under the No Surprises Act, you have the right to receive a Good Faith Estimate before scheduled care. You can also compare Wilkes-Barre General Hospital's published prices on Taven Health to understand typical costs before your visit.

How does Wilkes-Barre General Hospital compare to other hospitals in Wilkes-Barre, PA?

Taven compares Wilkes-Barre General Hospital's negotiated rates against Wilkes-Barre, PA metro averages for each procedure. Visit the pricing table above to see how each procedure's cost compares.

What is Wilkes-Barre General Hospital's quality rating?

Wilkes-Barre General Hospital has an overall CMS quality rating of 1 out of 5 stars, based on measures including mortality, safety of care, readmission rates, patient experience, and timely & effective care.

Wilkes-Barre General Hospital

⭐ 1/5

hospital · Wilkes-Barre, PA

Data Grade B

📍 Wilkes-Barre, PA

🏥 Medicare #390137

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Compare real prices at Wilkes-Barre General Hospital in Wilkes-Barre, PA. Taven tracks 778 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.

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778

Procedures Tracked

with pricing data

⭐

1/5

Star Rating

CMS Care Compare

💰

8.2x

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: MICHAEL SARRAOOrg NPI: 1275350860

🔒 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 Wilkes-Barre General Hospital

778 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Wilkes-Barre, PA 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)	Wilkes-Barre Avg	vs. Avg	Payers
Debridement - Subcutaneous Tissue CPT 11042 Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing.	—	$2,241	—	—	$2,241	avg	64
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.	—	$2,944	—	—	$2,944	avg	64
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.	—	$2,980	—	—	$2,980	avg	64
Skin Graft Preparation CPT 15002 Skin Graft Preparation — CPT code 15002 covers skin graft preparation performed in a clinical or hospital setting.	—	$8,589	—	—	$8,589	avg	58
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.	—	$8,200	—	—	$8,200	avg	58
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.	—	$9,670	—	—	$9,670	avg	57
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.	—	$11,599	—	—	$11,599	avg	57
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.	—	$333	$293	$293–$698	$333	avg	7
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.	—	$5,108	—	—	$5,108	avg	64
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.	—	$8,443	—	—	$8,443	avg	64
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.	—	$13,193	—	—	$13,193	avg	57
Simple Mastectomy CPT 19303 Complete surgical removal of one breast. This procedure removes all breast tissue to treat or prevent breast cancer.	—	$16,404	—	—	$16,404	avg	58
Joint Injection (small joint) CPT 20600 Small joint injection — injection of medication into a small joint like a finger or toe to reduce pain and inflammation.	—	$1,092	—	—	$1,092	avg	64
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.	—	$782	—	—	$782	avg	64
Joint Injection (Major Joint) CPT 20610 Large joint injection — injection of medication (such as cortisone) into a large joint like the knee, shoulder, or hip to reduce pain and inflammation.	—	$1,688	—	—	$1,688	avg	64
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.	—	$727	—	—	$727	avg	64
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.	—	$6,957	$6,957	$6,957–$6,957	$6,957	avg	1
Lumbar Spinal Fusion (Posterior) CPT 22612 Lumbar spinal fusion (lower back) — surgery to permanently join two vertebrae in the lower spine to treat conditions like degenerative disc disease or spondylolisthesis.	—	$33,051	$35,522	$35,522–$35,522	$33,051	avg	7
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.	—	$33,124	$35,522	$35,522–$35,522	$33,124	avg	7
Rotator Cuff Repair CPT 23412 Rotator Cuff Repair — CPT code 23412 covers rotator cuff repair performed in a clinical or hospital setting.	—	$14,621	—	—	$14,621	avg	64
Shoulder Replacement (Arthroplasty) CPT 23472 Shoulder Replacement (Arthroplasty) — CPT code 23472 covers shoulder replacement (arthroplasty) performed in a clinical or hospital setting.	—	$42,433	—	—	$42,433	avg	57
Trigger Finger Release CPT 26055 Trigger finger release — a procedure to free a finger tendon that has become stuck, causing the finger to catch or lock when bending.	—	$4,114	—	—	$4,114	avg	64
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.	—	$8,517	—	—	$8,517	avg	64
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.	—	$35,450	—	—	$35,450	avg	57
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.	—	$10,818	$10,818	$10,818–$10,818	$10,818	avg	1
Total Knee Replacement - Unicompartmental CPT 27446 Partial knee replacement surgery that replaces only the damaged compartment of the knee joint with an artificial implant, preserving healthy bone and tissue.	—	$20,204	$21,166	$21,166–$21,166	$20,204	avg	7
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.	—	$32,302	—	—	$32,302	avg	63
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.	—	$10,222	$10,730	$10,730–$10,730	$10,222	avg	7
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.	—	$372	$336	$336–$698	$372	avg	7
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.	—	$10,429	—	—	$10,429	avg	64
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.	—	$13,345	—	—	$13,345	avg	58
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.	—	$9,798	—	—	$9,798	avg	64
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.	—	$16,808	—	—	$16,808	avg	58
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.	—	$8,591	—	—	$8,591	avg	58
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.	—	$7,601	—	—	$7,601	avg	64
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.	—	$9,218	—	—	$9,218	avg	58
Nasal Endoscopy (diagnostic) CPT 31231 Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting.	—	$331	$290	$290–$698	$331	avg	7
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.	—	$7,908	—	—	$7,908	avg	58
Ethmoidectomy - Partial CPT 31254 Ethmoidectomy - Partial — CPT code 31254 covers ethmoidectomy - partial performed in a clinical or hospital setting.	—	$13,103	—	—	$13,103	avg	58
Sinus Surgery - Ethmoidectomy CPT 31255 Sinus Surgery - Ethmoidectomy — CPT code 31255 covers sinus surgery - ethmoidectomy performed in a clinical or hospital setting.	—	$12,762	—	—	$12,762	avg	58
Sinus Surgery - Frontal CPT 31276 Sinus Surgery - Frontal — CPT code 31276 covers sinus surgery - frontal performed in a clinical or hospital setting.	—	$12,931	—	—	$12,931	avg	58
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.	—	$1,492	$1,492	$1,492–$1,492	$1,492	avg	1
Mitral Valve Repair CPT 33430 Open-heart surgery to repair a damaged mitral valve — the valve between the upper and lower left chambers of the heart — restoring normal blood flow.	—	$1,492	$1,492	$1,492–$1,492	$1,492	avg	1
Coronary Artery Bypass (CABG) - Single CPT 33533 Coronary artery bypass surgery (CABG) using a single graft. A healthy blood vessel from another part of the body is used to reroute blood around a blocked heart artery.	—	$1,492	$1,492	$1,492–$1,492	$1,492	avg	1
Venipuncture (blood draw) CPT 36415 A routine blood draw where a needle is inserted into a vein (usually in the arm) to collect blood for laboratory testing.	—	$11	—	—	$11	-1%	58
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.	—	$4,818	—	—	$4,818	avg	64
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.	—	$4,914	$4,832	$4,832–$5,652	$4,914	avg	7
Central Venous Access - Jugular CPT 36573 Insertion of a central venous catheter into the jugular vein (in the neck) for direct access to the central bloodstream for medications or monitoring.	—	$4,467	—	—	$4,467	avg	64
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.	—	$698	$698	$698–$698	$698	avg	1
Tonsillectomy & Adenoidectomy (Under 12) CPT 42820 Surgical removal of the tonsils and adenoids. This procedure treats chronic infections, breathing problems, or sleep apnea caused by enlarged tonsils and adenoids.	—	$10,259	—	—	$10,259	avg	58
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.	—	$9,132	—	—	$9,132	avg	58
Upper Endoscopy (EGD) Diagnostic CPT 43235 Upper endoscopy (EGD) — a flexible tube with a camera is passed through the mouth to visually examine the esophagus, stomach, and upper intestine.	—	$3,718	—	—	$3,718	avg	64
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.	—	$3,175	—	—	$3,175	avg	64
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.	—	$4,809	—	—	$4,809	avg	58
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.	—	$4,255	—	—	$4,255	avg	64
Upper GI Endoscopy with Band Ligation CPT 43270 Upper GI Endoscopy with Band Ligation — CPT code 43270 covers upper gi endoscopy with band ligation performed in a clinical or hospital setting.	—	$5,103	—	—	$5,103	avg	58
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.	—	$20,819	—	—	$20,819	avg	57
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.	—	$41,807	—	—	$41,807	avg	33
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.	—	$41,117	—	—	$41,117	avg	33
Gastric Bypass - Open CPT 43846 Gastric Bypass - Open — CPT code 43846 covers gastric bypass - open performed in a clinical or hospital setting.	—	$1,492	$1,492	$1,492–$1,492	$1,492	avg	1
Gastric Bypass with Small Intestine CPT 43847 Gastric Bypass with Small Intestine — CPT code 43847 covers gastric bypass with small intestine performed in a clinical or hospital setting.	—	$1,492	$1,492	$1,492–$1,492	$1,492	avg	1
Small Bowel Resection CPT 44120 Small bowel resection �� surgical removal of a portion of the small intestine to treat disease, obstruction, or injury.	—	$1,492	$1,492	$1,492–$1,492	$1,492	avg	1
Laparoscopic Small Bowel Enterostomy CPT 44180 Laparoscopic Small Bowel Enterostomy — CPT code 44180 covers laparoscopic small bowel enterostomy performed in a clinical or hospital setting.	—	$12,629	—	—	$12,629	avg	58
Laparoscopic Appendectomy CPT 44970 Laparoscopic appendectomy — minimally invasive surgical removal of the appendix, typically performed for appendicitis.	—	$14,583	—	—	$14,583	avg	58
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.	—	$2,672	—	—	$2,672	avg	64
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.	—	$3,244	—	—	$3,244	avg	64
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.	—	$3,282	—	—	$3,282	avg	64
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.	—	$12,500	—	—	$12,500	avg	58
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.	—	$12,732	—	—	$12,732	avg	58
Cholecystectomy - Open CPT 47600 Open cholecystectomy — surgical removal of the gallbladder through a larger incision in the abdomen.	—	$4,312	$4,018	$4,018–$6,957	$4,312	avg	7
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.	—	$8,858	—	—	$8,858	avg	64
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.	—	$11,018	—	—	$11,018	avg	58
Laparoscopic Inguinal Hernia Repair CPT 49650 Laparoscopic inguinal hernia repair — minimally invasive repair of a groin hernia using small incisions and a camera.	—	$13,560	—	—	$13,560	avg	58
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.	—	$4,878	—	—	$4,878	avg	64
Bladder Aspiration/Drainage CPT 51102 Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting.	—	$6,388	—	—	$6,388	avg	64
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.	—	$5,727	—	—	$5,727	avg	64
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.	—	$11,355	—	—	$11,355	avg	58
Prostate Biopsy CPT 55700 Prostate Biopsy — CPT code 55700 covers prostate biopsy performed in a clinical or hospital setting.	—	$5,641	—	—	$5,641	avg	64
Robotic Prostatectomy CPT 55866 Robotic Prostatectomy — CPT code 55866 covers robotic prostatectomy performed in a clinical or hospital setting.	—	$25,847	—	—	$25,847	avg	57
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.	—	$4,635	—	—	$4,635	avg	64
Endometrial Biopsy CPT 58100 Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting.	—	$330	$289	$289–$698	$330	avg	7
Total Hysterectomy - Abdominal CPT 58150 Total Hysterectomy - Abdominal — CPT code 58150 covers total hysterectomy - abdominal performed in a clinical or hospital setting.	—	$27,395	—	—	$27,395	avg	33
IUD Insertion CPT 58300 IUD Insertion — CPT code 58300 covers iud insertion performed in a clinical or hospital setting.	—	$5,683	—	—	$5,683	avg	42
IUD Removal CPT 58301 IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting.	—	$6,178	—	—	$6,178	avg	64
Laparoscopic Hysterectomy (250g or Less) CPT 58571 Total laparoscopic hysterectomy including removal of the cervix — minimally invasive complete removal of the uterus and cervix.	—	$16,532	—	—	$16,532	avg	58
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.	—	$12,955	—	—	$12,955	avg	58
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.	—	$361	$289	$289–$676	$361	avg	8
Vaginal Delivery (routine, global) CPT 59400 Routine obstetric care including prenatal visits, vaginal delivery, and postpartum care — comprehensive maternity care package.	—	$1,492	$1,492	$1,492–$1,492	$1,492	avg	1
Vaginal Delivery Only CPT 59409 Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting.	—	$4,464	$4,587	$4,587–$4,587	$4,464	avg	7
C-Section Delivery (global) CPT 59510 Routine obstetric care including prenatal visits, cesarean delivery, and postpartum care — comprehensive maternity care package with C-section.	—	$1,492	$1,492	$1,492–$1,492	$1,492	avg	1
VBAC Delivery CPT 59610 VBAC Delivery — CPT code 59610 covers vbac delivery performed in a clinical or hospital setting.	—	$1,492	$1,492	$1,492–$1,492	$1,492	avg	1
Lumbar Epidural Injection CPT 62322 Lumbar or sacral epidural injection — injection of medication into the epidural space of the lower spine for pain relief.	—	$1,395	$1,382	$1,382–$1,511	$1,395	avg	7
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.	—	$2,848	—	—	$2,848	avg	64
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.	—	$15,986	—	—	$15,986	avg	58
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.	—	$16,221	—	—	$16,221	avg	58
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.	—	$2,756	—	—	$2,756	avg	64
Facet Joint Injection - Lumbar CPT 64493 Lumbar facet joint injection — injection of medication into the small joints of the lower spine to diagnose and treat back pain.	—	$3,557	—	—	$3,557	avg	58
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.	—	$5,307	—	—	$5,307	avg	58
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.	—	$4,798	—	—	$4,798	avg	64
Glaucoma Laser Surgery CPT 65855 Glaucoma Laser Surgery — CPT code 65855 covers glaucoma laser surgery performed in a clinical or hospital setting.	—	$926	$861	$861–$1,511	$926	avg	7
Glaucoma Filter Surgery CPT 66170 Glaucoma Filter Surgery — CPT code 66170 covers glaucoma filter surgery performed in a clinical or hospital setting.	—	$3,489	$3,503	$3,503–$3,503	$3,489	avg	7
YAG Laser Capsulotomy CPT 66821 YAG Laser Capsulotomy — CPT code 66821 covers yag laser capsulotomy performed in a clinical or hospital setting.	—	$926	$861	$861–$1,511	$926	avg	7
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.	—	$3,487	$3,503	$3,360–$3,503	$3,487	avg	7
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.	—	$3,487	$3,503	$3,360–$3,503	$3,487	avg	7
Strabismus Surgery CPT 67311 Strabismus Surgery — CPT code 67311 covers strabismus surgery performed in a clinical or hospital setting.	—	$3,423	$3,430	$3,430–$3,430	$3,423	avg	7
Eyelid Repair - Blepharoplasty CPT 67904 Eyelid Repair - Blepharoplasty — CPT code 67904 covers eyelid repair - blepharoplasty performed in a clinical or hospital setting.	—	$3,423	$3,430	$3,430–$3,430	$3,423	avg	7
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.	—	$3,423	$3,430	$3,430–$3,430	$3,423	avg	7
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.	—	$456	$429	$429–$698	$456	avg	7
Ear Wax Removal CPT 69210 Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting.	—	$686	—	—	$686	avg	58
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.	—	$4,606	—	—	$4,606	avg	64
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.	—	$712	—	—	$712	avg	64
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.	—	$897	—	—	$897	avg	64
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.	—	$1,360	—	—	$1,360	avg	64
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.	—	$2,169	—	—	$2,169	avg	64
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.	—	$154	—	—	$154	avg	64
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.	—	$180	—	—	$180	avg	64
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.	—	$688	—	—	$688	avg	64
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.	—	$1,061	—	—	$1,061	avg	64
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.	—	$172	—	—	$172	avg	64
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.	—	$1,410	—	—	$1,410	avg	64
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.	—	$1,397	—	—	$1,397	avg	64
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.	—	$398	—	—	$398	avg	64
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.	—	$187	—	—	$187	avg	64
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.	—	$1,701	—	—	$1,701	avg	64
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.	—	$185	—	—	$185	avg	64
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.	—	$285	—	—	$285	avg	64
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.	—	$1,724	—	—	$1,724	avg	64
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.	—	$1,839	—	—	$1,839	avg	64
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.	—	$2,248	—	—	$2,248	avg	64
Breast Ultrasound CPT 76642 Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.	—	$310	—	—	$310	avg	64
Abdominal Ultrasound CPT 76700 Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas.	—	$486	—	—	$486	avg	64
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.	—	$447	—	—	$447	avg	64
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.	—	$447	—	—	$447	avg	64
Transvaginal Ultrasound CPT 76830 Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures.	—	$446	—	—	$446	avg	64
Pelvic Ultrasound CPT 76856 Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs.	—	$382	—	—	$382	avg	64
3D Mammography (Tomosynthesis) CPT 77063 3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting.	—	$71	—	—	$71	-1%	64
Diagnostic Mammogram (unilateral) CPT 77065 Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer.	—	$261	—	—	$261	avg	64
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.	—	$318	—	—	$318	avg	64
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.	—	$261	—	—	$261	avg	64
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.	—	$2,751	—	—	$2,751	avg	64
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.	—	$20	—	—	$20	avg	64
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.	—	$25	—	—	$25	avg	64
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.	—	$27	—	—	$27	+1%	64
Hepatic Function Panel CPT 80076 Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting.	—	$24	—	—	$24	avg	64
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.	—	$9	—	—	$9	+5%	64
Urinalysis (automated) CPT 81003 Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting.	—	$9	—	—	$9	-3%	64
Vitamin D Level CPT 82306 Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency.	—	$87	—	—	$87	avg	64
Urine Creatinine CPT 82570 Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting.	—	$19	—	—	$19	avg	64
Ferritin Level CPT 82728 Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting.	—	$39	—	—	$39	avg	64
Glucose (blood sugar) CPT 82947 Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes.	—	$12	—	—	$12	-1%	64
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.	—	$28	—	—	$28	avg	64
Potassium Level CPT 84132 Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting.	—	$14	—	—	$14	-1%	64
PSA (Prostate) CPT 84153 PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting.	—	$39	—	—	$39	+1%	64
Sodium Level CPT 84295 Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting.	—	$15	—	—	$15	-3%	64
TSH (Thyroid) CPT 84443 Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working.	—	$38	—	—	$38	avg	64
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.	—	$17	—	—	$17	-2%	64
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.	—	$12	—	—	$12	+1%	64
TB Skin Test CPT 86580 TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting.	—	$28	$29	$29–$29	$28	avg	7
Blood Type (ABO) CPT 86900 Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting.	—	$100	—	—	$100	avg	64
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.	—	$59	—	—	$59	-1%	63
Chlamydia Test CPT 87491 Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample.	—	$67	—	—	$67	avg	64
Gonorrhea Test CPT 87591 Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample.	—	$67	—	—	$67	avg	64
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.	—	$78	—	—	$78	avg	64
Flu Test (rapid) CPT 87804 Flu Test (rapid) — CPT code 87804 covers flu test (rapid) performed in a clinical or hospital setting.	—	$33	—	—	$33	+1%	64
Pap Smear (ThinPrep) CPT 88175 Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting.	—	$57	—	—	$57	avg	64
Immunization Administration CPT 90471 Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting.	—	$145	—	—	$145	avg	55
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.	—	$91	$91	$91–$97	$91	avg	7
Tdap Vaccine CPT 90715 Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting.	—	$192	—	—	$192	avg	38
Psychiatric Diagnostic Evaluation CPT 90791 Psychiatric Diagnostic Evaluation — CPT code 90791 covers psychiatric diagnostic evaluation performed in a clinical or hospital setting.	—	$202	$202	$202–$202	$202	avg	6
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	$202–$202	$202	avg	6
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.	—	$202	$202	$202–$202	$202	avg	6
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.	—	$202	$202	$202–$202	$202	avg	6
Psychotherapy (53+ min) CPT 90837 Psychotherapy (53+ min) — CPT code 90837 covers psychotherapy (53+ min) performed in a clinical or hospital setting.	—	$202	$202	$202–$202	$202	avg	6
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.	—	$202	$202	$202–$202	$202	avg	6
Group Psychotherapy CPT 90853 Group Psychotherapy — CPT code 90853 covers group psychotherapy performed in a clinical or hospital setting.	—	$105	$105	$105–$105	$105	avg	6
Coronary Stent Placement CPT 92928 Coronary Stent Placement — CPT code 92928 covers coronary stent placement performed in a clinical or hospital setting.	—	$23,399	—	—	$23,399	avg	56
Echocardiogram Complete CPT 93306 Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting.	—	$1,226	—	—	$1,226	avg	64
Stress Echocardiogram CPT 93350 Stress Echocardiogram — CPT code 93350 covers stress echocardiogram performed in a clinical or hospital setting.	—	$1,067	—	—	$1,067	avg	64
Stress Echocardiogram CPT 93351 Stress Echocardiogram — CPT code 93351 covers stress echocardiogram performed in a clinical or hospital setting.	—	$1,347	—	—	$1,347	avg	64
Left Heart Catheterization CPT 93458 Left Heart Catheterization — CPT code 93458 covers left heart catheterization performed in a clinical or hospital setting.	—	$6,927	—	—	$6,927	avg	57
Carotid Ultrasound CPT 93880 Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.	—	$491	—	—	$491	avg	64
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.	—	$426	—	—	$426	avg	64
Psychological Testing Evaluation CPT 96130 Psychological Testing Evaluation — CPT code 96130 covers psychological testing evaluation performed in a clinical or hospital setting.	—	$388	$388	$388–$388	$388	avg	6
Therapeutic Injection (IM/SubQ) CPT 96372 Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes.	—	$145	—	—	$145	avg	64
IV Push (single drug) CPT 96374 IV push medication — rapid injection of medication directly into a vein or existing IV line.	—	$322	—	—	$322	avg	64
Chemotherapy Infusion (first hour) CPT 96413 Chemotherapy IV infusion, first hour — administration of cancer-fighting medication through an IV line for the initial hour.	—	$750	—	—	$750	avg	62
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.	—	$52	—	—	$52	avg	58
PT - Therapeutic Exercise CPT 97110 Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion.	—	$93	—	—	$93	+1%	58
PT - Gait Training CPT 97116 PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting.	—	$85	—	—	$85	avg	57
PT - Manual Therapy CPT 97140 Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching.	—	$85	—	—	$85	avg	58
PT Evaluation - Low Complexity CPT 97161 Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition.	—	$213	—	—	$213	avg	64
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.	—	$213	—	—	$213	avg	64
PT Evaluation - High Complexity CPT 97163 Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition.	—	$213	—	—	$213	avg	64
PT - Therapeutic Activities CPT 97530 Therapeutic activities — functional movement training to improve your ability to perform daily activities.	—	$102	—	—	$102	avg	57
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.	—	$72	$72	$72–$72	$72	-1%	6
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.	—	$107	$107	$107–$107	$107	avg	6
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.	—	$184	$184	$184–$184	$184	avg	6
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.	—	$240	$240	$240–$240	$240	avg	6
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.	—	$33	$33	$33–$33	$33	avg	6
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.	—	$65	$65	$65–$65	$65	avg	6
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.	—	$108	$108	$108–$108	$108	avg	6
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.	—	$158	$158	$158–$158	$158	avg	6
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.	—	$212	$212	$212–$212	$212	avg	6
ER Visit - Minor Problem CPT 99281 Emergency department visit for a minor, self-limited problem requiring minimal evaluation.	—	$260	—	—	$260	avg	64
ER Visit - Low Complexity CPT 99282 Emergency department visit for a low to moderate severity problem requiring a brief evaluation.	—	$312	—	—	$312	avg	64
ER Visit - Moderate Complexity CPT 99283 Emergency department visit for a moderate severity problem requiring an expanded evaluation.	—	$484	—	—	$484	avg	64
ER Visit - High Complexity CPT 99284 Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life.	—	$767	—	—	$767	avg	64
ER Visit - Immediate Threat to Life CPT 99285 Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation.	—	$1,170	—	—	$1,170	avg	64
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.	—	$2,346	$2,340	$2,340–$2,355	$2,346	avg	7
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.	—	$668	—	—	$668	avg	41
Ceftriaxone Injection 250mg CPT J0696 HCPCS Level II code J0696 — Ceftriaxone Injection 250mg. Healthcare Common Procedure Coding System code for ceftriaxone injection 250mg.	—	$12	—	—	$12	-2%	31
Triamcinolone Injection CPT J3301 HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection.	—	$15	—	—	$15	-3%	31
Dexamethasone Injection CPT J1100 HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection.	—	$6	—	—	$6	-2%	31
Debridement of Skin (infected) CPT 11000 Debridement of extensively eczematous or infected skin	—	$798	$698	$698–$942	$798	avg	7
Skin Lesion Paring (single) CPT 11055 Paring or cutting of benign hyperkeratotic lesion	—	$532	$698	$293–$698	$532	avg	7
Skin Lesion Paring (2-4) CPT 11056 Paring or cutting of benign hyperkeratotic lesions, 2 to 4	—	$532	$698	$293–$698	$532	avg	7
Skin Tag Removal (up to 15) CPT 11200 Removal of skin tags, multiple fibrocutaneous tags	—	$698	$698	$698–$698	$698	avg	1
Skin Lesion Shave (0.5 cm or less) CPT 11300 Shave removal of epidermal or dermal lesion, trunk/extremities	—	$614	$605	$605–$698	$614	avg	7
Skin Lesion Shave (0.6-1.0 cm) CPT 11301 Shave removal of epidermal or dermal lesion, trunk/extremities	—	$333	$293	$293–$698	$333	avg	7
Skin Lesion Shave - Scalp/Neck (0.5 cm) CPT 11305 Shave removal of epidermal or dermal lesion, scalp/neck/hands/feet	—	$333	$293	$293–$698	$333	avg	7
Excision of Benign Skin Lesion (0.5 cm or less) CPT 11400 Excision of benign lesion, trunk/arms/legs	—	$1,324	$1,511	$1,053–$1,511	$1,324	avg	7
Excision of Benign Skin Lesion (0.6-1.0 cm) CPT 11401 Excision of benign lesion, trunk/arms/legs, 0.6-1.0 cm	—	$660	$698	$605–$698	$660	avg	7
Excision of Benign Skin Lesion (1.1-2.0 cm) CPT 11402 Excision of benign lesion, trunk/arms/legs, 1.1-2.0 cm	—	$1,324	$1,511	$1,053–$1,511	$1,324	avg	7
Excision Benign Lesion - Face (0.5 cm) CPT 11440 Excision of benign lesion, face/ears/eyelids/nose/lips	—	$1,339	$1,511	$1,053–$1,511	$1,339	avg	7
Excision Malignant Lesion (0.5 cm or less) CPT 11600 Excision of malignant lesion, trunk/arms/legs	—	$1,099	$1,053	$1,053–$1,511	$1,099	avg	7
Excision Malignant Lesion (0.6-1.0 cm) CPT 11601 Excision of malignant lesion, trunk/arms/legs, 0.6-1.0 cm	—	$1,099	$1,053	$1,053–$1,511	$1,099	avg	7
Excision Malignant Lesion (1.1-2.0 cm) CPT 11602 Excision of malignant lesion, trunk/arms/legs, 1.1-2.0 cm	—	$614	$605	$605–$698	$614	avg	7
Nail Removal (partial or complete) CPT 11730 Avulsion of nail plate, partial or complete	—	$333	$293	$293–$698	$333	avg	7
Permanent Nail Removal CPT 11750 Excision of nail and nail matrix, permanent removal	—	$614	$605	$605–$698	$614	avg	7
Destruction of Premalignant Lesions (2-14) CPT 17003 Destruction of premalignant lesions, second through 14th lesion	—	$698	$698	$698–$698	$698	avg	1
Destruction of Skin Lesions (15+) CPT 17004 Destruction of premalignant lesions, 15 or more lesions	—	$614	$605	$605–$698	$614	avg	7
Destruction Malignant Lesion (trunk) CPT 17260 Destruction of malignant lesion, trunk, any method	—	$333	$293	$293–$698	$333	avg	7
Mohs Surgery (first stage) CPT 17311 Mohs micrographic surgery, first stage, up to 5 tissue blocks	—	$918	$942	$942–$942	$918	avg	7
Laser Treatment for Skin (small) CPT 96920 Laser treatment for inflammatory skin disease, less than 250 sq cm	—	$273	$273	$273–$273	$273	avg	6
Tendon Sheath Injection CPT 20550 Injection of tendon sheath, ligament, or trigger point	—	$467	$441	$441–$698	$467	avg	7
Hardware Removal (deep) CPT 20680 Removal of implant, deep (plate, screw, rod)	—	$3,685	$3,360	$3,360–$4,190	$3,685	avg	7
Shoulder Injection with Imaging CPT 23350 Injection for shoulder arthrography	—	$698	$698	$698–$698	$698	avg	1
Tennis Elbow Repair CPT 24341 Repair of lateral collateral ligament, elbow	—	$10,353	$10,730	$10,730–$10,730	$10,353	avg	7
Closed Treatment Distal Radius Fracture CPT 25600 Closed treatment of distal radial fracture without manipulation	—	$372	$336	$336–$698	$372	avg	7
Closed Treatment Distal Radius Fracture (with manipulation) CPT 25605 Closed treatment of distal radial fracture with manipulation	—	$2,245	$2,327	$2,327–$2,327	$2,245	avg	7
Intertrochanteric Fracture Treatment CPT 27245 Treatment of intertrochanteric femoral fracture with plate/screws	—	$6,957	$6,957	$6,957–$6,957	$6,957	avg	1
Knee Manipulation Under Anesthesia CPT 27570 Manipulation of knee joint under general anesthesia	—	$2,290	$2,327	$2,327–$2,327	$2,290	avg	7
Open Treatment Ankle Fracture (bimalleolar) CPT 27792 Open treatment of distal fibula fracture, bimalleolar	—	$10,739	$10,730	$10,730–$10,818	$10,739	avg	7
Amputation - Toe CPT 28820 Amputation of toe at metatarsophalangeal joint	—	$4,682	$4,829	$4,829–$4,829	$4,682	avg	7
Endoscopic Carpal Tunnel Release CPT 29848 Endoscopy of wrist, carpal tunnel release	—	$4,351	$5,652	$2,327–$5,652	$4,351	avg	7
Shoulder Arthroscopy - Acromioplasty CPT 29826 Arthroscopy, shoulder, surgical, decompression of subacromial space	—	$698	$698	$698–$698	$698	avg	1
Knee Arthroscopy with Meniscus Repair CPT 29882 Arthroscopy, knee, surgical, meniscus repair	—	$5,330	$5,652	$4,829–$5,652	$5,330	avg	7
ACL Reconstruction (Knee Ligament Repair) CPT 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation	—	$10,784	$10,818	$10,730–$10,818	$10,784	avg	7
Esophagoscopy (diagnostic) CPT 43191 Esophagoscopy, flexible, diagnostic	—	$2,739	$2,825	$2,825–$2,825	$2,739	avg	7
EGD with Stent Placement CPT 43210 Esophagogastroduodenoscopy with stent placement	—	$5,652	$5,652	$5,652–$5,652	$5,652	avg	1
EGD with Gastrostomy Tube CPT 43246 Upper GI endoscopy with gastrostomy tube placement	—	$2,739	$2,825	$2,825–$2,825	$2,739	avg	7
EGD with Foreign Body Removal CPT 43247 Upper GI endoscopy with removal of foreign body	—	$1,401	$1,339	$1,339–$1,961	$1,401	avg	7
EGD with Hemostasis CPT 43255 Upper GI endoscopy with control of bleeding	—	$2,739	$2,825	$2,825–$2,825	$2,739	avg	7
Sigmoidoscopy (diagnostic) CPT 45330 Sigmoidoscopy, flexible, diagnostic	—	$1,364	$1,348	$1,348–$1,511	$1,364	avg	7
Sigmoidoscopy with Biopsy CPT 45331 Sigmoidoscopy, flexible, with biopsy	—	$1,364	$1,348	$1,348–$1,511	$1,364	avg	7
Colonoscopy with Control of Bleeding CPT 45382 Colonoscopy with control of bleeding	—	$1,777	$1,757	$1,757–$1,961	$1,777	avg	7
Colonoscopy with Lesion Removal (hot biopsy) CPT 45384 Colonoscopy with removal of tumor by hot biopsy forceps	—	$1,777	$1,757	$1,757–$1,961	$1,777	avg	7
Colonoscopy with Ablation CPT 45388 Colonoscopy with ablation of tumor or polyp	—	$1,777	$1,757	$1,757–$1,961	$1,777	avg	7
Colonoscopy with Foreign Body Removal CPT 45390 Colonoscopy with removal of foreign body	—	$3,947	$4,168	$4,168–$4,168	$3,947	avg	7
Colonoscopy with Endoscopic Ultrasound CPT 45391 Colonoscopy with endoscopic ultrasound examination	—	$1,777	$1,757	$1,757–$1,961	$1,777	avg	7
CT Sinus without Contrast CPT 70486 CT scan of maxillofacial area without contrast	—	$121	$121	$121–$121	$121	avg	6
CT Soft Tissue Neck with Contrast CPT 70491 CT scan of soft tissue neck with contrast	—	$196	$196	$196–$196	$196	avg	6
MRI Head/Neck MRA CPT 70543 Magnetic resonance angiography, head and/or neck	—	$412	$412	$412–$412	$412	avg	6
CT Chest Low Dose (Lung Screening) CPT 71271 CT chest for lung cancer screening, low dose	—	$89	$89	$89–$89	$89	-1%	6
CT Angiography Chest CPT 71275 CT angiography of chest with contrast	—	$196	$196	$196–$196	$196	avg	6
CT Cervical Spine without Contrast CPT 72125 CT cervical spine without contrast	—	$121	$121	$121–$121	$121	avg	6
CT Lumbar Spine without Contrast CPT 72131 CT lumbar spine without contrast	—	$121	$121	$121–$121	$121	avg	6
MRI Lumbar Spine with Contrast CPT 72149 MRI lumbar spine with contrast	—	$412	$412	$412–$412	$412	avg	6
MRI Cervical Spine with/without Contrast CPT 72156 MRI cervical spine without contrast, then with contrast	—	$412	$412	$412–$412	$412	avg	6
MRI Lumbar Spine with/without Contrast CPT 72158 MRI lumbar spine without contrast, then with contrast	—	$412	$412	$412–$412	$412	avg	6
CT Pelvis without Contrast CPT 72192 CT pelvis without contrast	—	$121	$121	$121–$121	$121	avg	6
CT Pelvis with Contrast CPT 72193 CT pelvis with contrast	—	$196	$196	$196–$196	$196	avg	6
MRI Pelvis without/with Contrast CPT 72197 MRI pelvis without contrast, then with contrast	—	$412	$412	$412–$412	$412	avg	6
Clavicle X-Ray CPT 73000 Radiologic examination of clavicle	—	$91	$86	$86–$136	$91	avg	7
Humerus X-Ray CPT 73060 Radiologic examination of humerus, minimum 2 views	—	$91	$86	$86–$136	$91	avg	7
Elbow X-Ray CPT 73070 Radiologic examination of elbow, 2 views	—	$91	$86	$86–$136	$91	avg	7
Elbow X-Ray (3+ views) CPT 73080 Radiologic examination of elbow, complete, minimum 3 views	—	$91	$86	$86–$136	$91	avg	7
Wrist X-Ray CPT 73100 Radiologic examination of wrist, 2 views	—	$91	$86	$86–$136	$91	avg	7
Wrist X-Ray (3+ views) CPT 73110 Radiologic examination of wrist, complete, minimum 3 views	—	$91	$86	$86–$136	$91	avg	7
MRI Shoulder with Contrast CPT 73222 MRI any joint of upper extremity with contrast	—	$734	$734	$734–$734	$734	avg	6
Hip X-Ray (2-3 views) CPT 73502 Radiologic examination of hip, 2-3 views	—	$91	$86	$86–$136	$91	avg	7
Femur X-Ray CPT 73552 Radiologic examination of femur, minimum 2 views	—	$91	$86	$86–$136	$91	avg	7
Knee X-Ray (3 views) CPT 73562 Radiologic examination of knee, 3 views	—	$91	$86	$86–$136	$91	avg	7
Tibia/Fibula X-Ray CPT 73590 Radiologic examination of tibia and fibula, 2 views	—	$91	$86	$86–$136	$91	avg	7
Foot X-Ray (2 views) CPT 73620 Radiologic examination of foot, 2 views	—	$91	$86	$86–$136	$91	avg	7
Foot X-Ray (3+ views) CPT 73630 Radiologic examination of foot, complete, minimum 3 views	—	$91	$86	$86–$136	$91	avg	7
MRI Lower Extremity without Contrast CPT 73718 MRI lower extremity other than joint without contrast	—	$251	$251	$251–$251	$251	avg	6
MRI Knee with/without Contrast CPT 73723 MRI any joint of lower extremity without then with contrast	—	$412	$412	$412–$412	$412	avg	6
Abdomen X-Ray (1 view) CPT 74018 Radiologic examination of abdomen, single anteroposterior view	—	$91	$86	$86–$136	$91	avg	7
Abdomen X-Ray (2 views) CPT 74019 Radiologic examination of abdomen, 2 views	—	$127	$121	$121–$183	$127	avg	7
CT Abdomen without Contrast CPT 74150 CT abdomen without contrast	—	$121	$121	$121–$121	$121	avg	6
CT Abdomen/Pelvis with/without Contrast CPT 74178 CT abdomen and pelvis without contrast, then with contrast	—	$412	$412	$412–$412	$412	avg	6
MRI Abdomen without Contrast CPT 74181 MRI abdomen without contrast	—	$251	$251	$251–$251	$251	avg	6
MRI Abdomen with/without Contrast CPT 74183 MRI abdomen without contrast, then with contrast	—	$412	$412	$412–$412	$412	avg	6
Thyroid Ultrasound CPT 76536 Ultrasound of head and neck, thyroid, real time with image	—	$127	$121	$121–$183	$127	avg	7
Chest Ultrasound CPT 76604 Ultrasound of chest, real time with image documentation	—	$127	$121	$121–$183	$127	avg	7
Retroperitoneal Ultrasound (complete) CPT 76770 Ultrasound, retroperitoneal, complete	—	$127	$121	$121–$183	$127	avg	7
Retroperitoneal Ultrasound (limited) CPT 76775 Ultrasound, retroperitoneal, limited	—	$127	$121	$121–$183	$127	avg	7
OB Ultrasound (limited) CPT 76815 Ultrasound, pregnant uterus, limited	—	$127	$121	$121–$183	$127	avg	7
Transvaginal OB Ultrasound CPT 76817 Ultrasound, pregnant uterus, transvaginal	—	$127	$121	$121–$183	$127	avg	7
Pelvic Ultrasound (limited) CPT 76857 Ultrasound, pelvic, limited or follow-up	—	$127	$121	$121–$183	$127	avg	7
Scrotal Ultrasound CPT 76870 Ultrasound, scrotum and contents	—	$128	$121	$121–$183	$128	avg	7
Extremity Ultrasound (complete) CPT 76881 Ultrasound, complete joint, real time	—	$128	$121	$121–$183	$128	avg	7
Extremity Ultrasound (limited) CPT 76882 Ultrasound, limited, joint or focal evaluation	—	$128	$121	$121–$183	$128	avg	7
Bone Age Study CPT 77072 Bone age studies	—	$127	$121	$121–$183	$127	avg	7
Bone Length Studies CPT 77073 Bone length studies	—	$127	$121	$121–$183	$127	avg	7
Bone Survey (complete) CPT 77075 Radiologic examination, osseous survey, complete	—	$127	$121	$121–$183	$127	avg	7
DEXA Scan (Bone Density) CPT 77080 DXA bone density study, axial skeleton	—	$127	$121	$121–$183	$127	avg	7
DEXA Scan (Peripheral) CPT 77081 DXA bone density study, appendicular skeleton	—	$91	$86	$86–$136	$91	avg	7
DEXA Body Composition CPT 77085 DXA bone density study, body composition	—	$183	$183	$183–$183	$183	avg	1
Bone Scan (whole body) CPT 78306 Bone imaging, whole body	—	$397	$397	$397–$397	$397	avg	6
Cardiac PET Scan (Myocardial Perfusion) CPT 78429 Myocardial imaging, PET, perfusion study	—	$1,556	$1,556	$1,556–$1,556	$1,556	avg	6
Nuclear Stress Test (Planar MPI) CPT 78451 Myocardial perfusion imaging, planar, single study	—	$1,372	$1,372	$1,372–$1,372	$1,372	avg	6
PET Scan (limited) CPT 78815 PET for limited area other than heart or brain	—	$1,556	$1,556	$1,556–$1,556	$1,556	avg	6
PET Scan (whole body) CPT 78816 PET for tumor, whole body	—	$1,556	$1,556	$1,556–$1,556	$1,556	avg	6
Renal Function Panel CPT 80069 Renal function panel blood test	—	$12	$11	$11–$16	$12	-3%	7
Acute Hepatitis Panel CPT 80074 Acute hepatitis panel blood test	—	$64	$61	$61–$89	$64	avg	7
Urinalysis (non-automated, with microscopy) CPT 81000 Urinalysis by dip stick or tablet reagent, non-automated, with microscopy	—	$5	$5	$5–$7	$5	+8%	7
Urinalysis (non-automated, without microscopy) CPT 81002 Urinalysis without microscopy, non-automated	—	$5	$4	$4–$6	$5	-7%	7
Albumin Level CPT 82040 Albumin, serum, plasma or whole blood	—	$7	$6	$6–$9	$7	-5%	7
Amylase Level CPT 82150 Amylase test	—	$9	$8	$8–$12	$9	-4%	7
Bilirubin Total CPT 82247 Bilirubin, total	—	$7	$6	$6–$9	$7	-4%	7
Bilirubin Direct CPT 82248 Bilirubin, direct	—	$7	$6	$6–$9	$7	-4%	7
Calcium Level CPT 82310 Calcium, total	—	$7	$7	$7–$10	$7	-1%	7
CO2/Bicarbonate Level CPT 82374 Carbon dioxide (bicarbonate)	—	$7	$6	$6–$9	$7	-7%	7
Cholesterol Total CPT 82465 Cholesterol, serum or whole blood, total	—	$6	$6	$6–$8	$6	-3%	7
CK/CPK (Creatine Kinase) CPT 82550 Creatine kinase (CK, CPK), total	—	$9	$8	$8–$12	$9	-3%	7
CK-MB (Heart) CPT 82553 Creatine kinase (CK), MB fraction	—	$15	$15	$15–$22	$15	+3%	7
Creatinine Level CPT 82565 Creatinine; blood	—	$7	$7	$7–$10	$7	-2%	7
Vitamin B12 Level CPT 82607 Cyanocobalamin (Vitamin B-12)	—	$20	$19	$19–$28	$20	+1%	7
Estradiol Level CPT 82670 Estradiol	—	$37	$36	$36–$52	$37	+1%	7
Folic Acid Level CPT 82746 Folic acid, serum	—	$20	$19	$19–$27	$20	-2%	7
IgA Level CPT 82784 Gammaglobulin IgA	—	$12	$12	$12–$17	$12	+4%	7
Blood Gas Panel (ABG) CPT 82803 Gases, blood, any combination of pH, pCO2, pO2	—	$35	$33	$33–$49	$35	avg	7
Glucose (point of care) CPT 82962 Glucose, blood by glucose monitoring device	—	$4	$4	$4–$6	$4	+10%	7
FSH (Follicle Stimulating Hormone) CPT 83001 Gonadotropin, follicle stimulating hormone (FSH)	—	$25	$24	$24–$35	$25	avg	7
LH (Luteinizing Hormone) CPT 83002 Gonadotropin, luteinizing hormone (LH)	—	$25	$24	$24–$35	$25	-1%	7
Iron Level CPT 83540 Iron	—	$9	$8	$8–$12	$9	-4%	7
Iron Binding Capacity (TIBC) CPT 83550 Iron binding capacity, total	—	$12	$11	$11–$16	$12	-3%	7
LDH (Lactate Dehydrogenase) CPT 83615 Lactate dehydrogenase (LD, LDH)	—	$8	$8	$8–$11	$8	+1%	7
Lipase Level CPT 83690 Lipase	—	$9	$9	$9–$13	$9	+2%	7
Magnesium Level CPT 83735 Magnesium	—	$9	$9	$9–$13	$9	avg	7
BNP (Brain Natriuretic Peptide) CPT 83880 Natriuretic peptide (BNP)	—	$53	$50	$50–$73	$53	-1%	7
Parathyroid Hormone (PTH) CPT 83970 Parathormone (parathyroid hormone, PTH)	—	$55	$53	$53–$77	$55	avg	7
Alkaline Phosphatase CPT 84075 Phosphatase, alkaline	—	$7	$7	$7–$10	$7	-1%	7
Phosphorus Level CPT 84100 Phosphorus inorganic (phosphate)	—	$6	$6	$6–$9	$6	+6%	7
Prealbumin Level CPT 84134 Prealbumin	—	$20	$19	$19–$27	$20	-2%	7
Progesterone Level CPT 84144 Progesterone	—	$28	$27	$27–$39	$28	avg	7
Prolactin Level CPT 84146 Prolactin	—	$26	$25	$25–$36	$26	avg	7
Testosterone Total CPT 84403 Testosterone, total	—	$35	$33	$33–$48	$35	-1%	7
Thyroxine Total (T4) CPT 84436 Thyroxine, total	—	$9	$9	$9–$13	$9	+2%	7
Free Thyroxine (Free T4) CPT 84439 Thyroxine, free	—	$12	$12	$12–$17	$12	+1%	7
Transferrin Level CPT 84466 Transferrin	—	$17	$16	$16–$24	$17	+1%	7
Triglycerides CPT 84478 Triglycerides	—	$8	$7	$7–$11	$8	-4%	7
T3 (Triiodothyronine) Total CPT 84480 Triiodothyronine T3, total	—	$19	$18	$18–$26	$19	avg	7
Free T3 CPT 84481 Triiodothyronine T3, free	—	$23	$22	$22–$32	$23	-1%	7
Troponin (Cardiac) CPT 84484 Troponin, quantitative	—	$17	$16	$16–$23	$17	-2%	7
BUN (Blood Urea Nitrogen) CPT 84520 Urea nitrogen, blood (BUN)	—	$5	$5	$5–$7	$5	+6%	7
Uric Acid Level CPT 84550 Uric acid, blood	—	$6	$6	$6–$8	$6	+1%	7
CBC (Automated) CPT 85027 Complete blood count, automated	—	$9	$8	$8–$12	$9	-4%	7
D-Dimer CPT 85379 Fibrin degradation products, D-dimer	—	$14	$13	$13–$19	$14	-3%	7
Sed Rate (ESR) CPT 85652 Sedimentation rate, erythrocyte; automated	—	$4	$3	$3–$5	$4	-9%	7
PTT (Partial Thromboplastin Time) CPT 85730 Thromboplastin time, partial (PTT)	—	$8	$8	$8–$11	$8	avg	7
Allergen Specific IgE CPT 86003 Allergen specific IgE; quantitative or semiquantitative, each allergen	—	$7	$7	$7–$10	$7	avg	7
C-Reactive Protein (CRP) CPT 86140 C-reactive protein	—	$7	$7	$7–$10	$7	-1%	7
Cyclic Citrullinated Peptide (CCP) CPT 86200 Cyclic citrullinated peptide (CCP), antibody	—	$17	$17	$17–$24	$17	+2%	7
Nuclear Antigen Antibody (ENA) CPT 86235 Extractable nuclear antigen (ENA) antibody	—	$24	$23	$23–$33	$24	avg	7
CA 125 Tumor Marker CPT 86300 Immunoassay for tumor antigen, CA 125	—	$28	$27	$27–$39	$28	-1%	7
CA 19-9 Tumor Marker CPT 86304 Immunoassay for tumor antigen, CA 19-9	—	$28	$27	$27–$39	$28	-1%	7
Rheumatoid Factor CPT 86431 Rheumatoid factor, quantitative	—	$8	$7	$7–$11	$8	-5%	7
TB Blood Test (QuantiFERON) CPT 86480 Tuberculosis test, cell mediated immunity antigen response	—	$83	$79	$79–$116	$83	avg	7
Syphilis Test (RPR/VDRL) CPT 86592 Syphilis test, non-treponemal antibody; qualitative	—	$6	$5	$5–$8	$6	-5%	7
Helicobacter Pylori Antibody CPT 86677 Antibody, Helicobacter pylori	—	$23	$22	$22–$31	$23	-2%	7
Herpes Simplex Antibody CPT 86695 Antibody, herpes simplex, type specific	—	$18	$17	$17–$25	$18	-2%	7
Hepatitis A Antibody CPT 86696 Antibody, hepatitis A	—	$26	$25	$25–$36	$26	avg	7
Hepatitis B Core Antibody CPT 86704 Hepatitis B core antibody (HBcAb); total	—	$16	$15	$15–$22	$16	+1%	7
Hepatitis B Surface Antibody CPT 86706 Hepatitis B surface antibody (HBsAb)	—	$14	$14	$14–$20	$14	+3%	7
Rubella Antibody CPT 86762 Antibody, rubella	—	$19	$18	$18–$27	$19	+1%	7
Rubeola (Measles) Antibody CPT 86765 Antibody, rubeola	—	$17	$16	$16–$24	$17	+1%	7
Varicella Antibody (Chickenpox) CPT 86787 Antibody, varicella-zoster	—	$17	$16	$16–$24	$17	+1%	7
Hepatitis C Antibody CPT 86803 Hepatitis C antibody	—	$19	$18	$18–$27	$19	+1%	7
Antibody Screen (RBC) CPT 86850 Antibody screen, RBC, each serum technique	—	$54	$58	$58–$58	$54	avg	7
Rh Blood Type CPT 86901 Blood typing, Rh (D)	—	$36	$39	$39–$39	$36	avg	7
Bacterial Culture CPT 87070 Culture, bacterial; any other source except urine, blood or stool	—	$12	$11	$11–$16	$12	-4%	7
Bacterial Culture (aerobic isolate) CPT 87077 Culture, bacterial; aerobic isolate, additional methods	—	$11	$10	$10–$15	$11	-2%	7
Culture, presumptive (screen) CPT 87081 Culture, presumptive, pathogenic organisms, screening only	—	$9	$8	$8–$12	$9	-1%	7
Urine Culture CPT 87086 Culture, bacterial; quantitative colony count, urine	—	$11	$10	$10–$15	$11	-2%	7
Chlamydia Culture CPT 87110 Culture, chlamydia	—	$26	$25	$25–$37	$26	+1%	7
Antibiotic Sensitivity (MIC) CPT 87186 Susceptibility studies, antimicrobial agent; microdilution or agar dilution	—	$12	$11	$11–$16	$12	-3%	7
Gram Stain CPT 87205 Smear, primary source with interpretation; Gram or Giemsa stain	—	$6	$5	$5–$8	$6	-5%	7
Hepatitis B Surface Antigen CPT 87340 Infectious agent antigen detection; hepatitis B surface antigen (HBsAg)	—	$14	$13	$13–$19	$14	-1%	7
HIV-1/HIV-2 Antibody Test CPT 87389 HIV-1 and HIV-2, single result, immunoassay	—	$32	$31	$31–$45	$32	+1%	7
Flu Test (PCR/molecular) CPT 87502 Infectious agent detection, influenza, multiplex reverse transcription	—	$128	$123	$123–$179	$128	avg	7
Mycobacterium TB Detection CPT 87580 Infectious agent detection, Mycobacterium tuberculosis, amplified probe	—	$27	$26	$26–$37	$27	-1%	7
HPV High-Risk Test CPT 87624 Infectious agent detection, human papillomavirus (HPV), high-risk types	—	$47	$45	$45–$65	$47	avg	7
Strep Test (rapid) CPT 87880 Infectious agent antigen detection, Streptococcus, group A	—	$22	$21	$21–$31	$22	+1%	7
Laceration Repair - Simple (2.5 cm or less) CPT 12001 Simple repair of superficial wounds, scalp/neck/extremities	—	$540	$698	$293–$698	$540	avg	7
Laceration Repair - Simple (2.6-7.5 cm) CPT 12002 Simple repair of superficial wounds, 2.6-7.5 cm	—	$540	$698	$293–$698	$540	avg	7
Laceration Repair - Simple (7.6-12.5 cm) CPT 12004 Simple repair of superficial wounds, 7.6-12.5 cm	—	$540	$698	$293–$698	$540	avg	7
Laceration Repair - Face (2.5 cm or less) CPT 12011 Simple repair of superficial wounds of face, 2.5 cm or less	—	$540	$698	$293–$698	$540	avg	7
Laceration Repair - Face (2.6-5.0 cm) CPT 12013 Simple repair of superficial wounds of face, 2.6-5.0 cm	—	$540	$698	$293–$698	$540	avg	7
Laceration Repair - Intermediate (2.5 cm or less) CPT 12031 Repair, intermediate, wounds of scalp/trunk/extremities	—	$662	$698	$605–$698	$662	avg	7
Laceration Repair - Intermediate (2.6-7.5 cm) CPT 12032 Repair, intermediate, wounds of scalp/trunk/extremities	—	$662	$698	$605–$698	$662	avg	7
Laceration Repair - Intermediate Face (2.5 cm) CPT 12051 Repair, intermediate, wounds of face, 2.5 cm or less	—	$662	$698	$605–$698	$662	avg	7
Laceration Repair - Intermediate Face (2.6-5.0 cm) CPT 12052 Repair, intermediate, wounds of face, 2.6-5.0 cm	—	$662	$698	$605–$698	$662	avg	7
Burn Dressing (small) CPT 16020 Dressings and/or debridement of partial-thickness burns, small	—	$333	$293	$293–$698	$333	avg	7
Burn Dressing (medium) CPT 16025 Dressings and/or debridement of partial-thickness burns, medium	—	$333	$293	$293–$698	$333	avg	7
Closed Treatment Radial Head Fracture CPT 24640 Closed treatment of radial head subluxation (nursemaid elbow)	—	$372	$336	$336–$698	$372	avg	7
Short Arm Splint CPT 29125 Application of short arm splint, forearm to hand	—	$239	$188	$188–$698	$239	avg	7
Finger Splint CPT 29130 Application of finger splint	—	$239	$188	$188–$698	$239	avg	7
Long Leg Splint CPT 29505 Application of long leg splint, thigh to ankle	—	$283	$236	$236–$698	$283	avg	7
Short Leg Splint CPT 29515 Application of short leg splint, calf to foot	—	$283	$236	$236–$698	$283	avg	7
Nasal Foreign Body Removal CPT 30300 Removal of foreign body from intranasal, office type	—	$239	$188	$188–$698	$239	avg	7
Anterior Nasal Packing (nosebleed) CPT 30901 Control nasal hemorrhage, anterior, simple	—	$239	$188	$188–$698	$239	avg	7
Anterior Nasal Packing (complex) CPT 30903 Control nasal hemorrhage, anterior, complex	—	$239	$188	$188–$698	$239	avg	7
Endotracheal Intubation CPT 31500 Intubation, endotracheal, emergency procedure	—	$373	$337	$337–$698	$373	avg	7
Chest Tube Insertion CPT 32551 Tube thoracostomy, insertion of chest tube	—	$2,323	$2,414	$2,414–$2,414	$2,323	avg	7
IV Line Placement (peripheral) CPT 36000 Introduction of needle or intracatheter, vein	—	$698	$698	$698–$698	$698	avg	1
Venipuncture (age 3+) CPT 36410 Venipuncture, age 3 years or older, necessitating physician skill	—	$17	$17	$17–$17	$17	+2%	1
Ear Foreign Body Removal CPT 69200 Removal of foreign body from external auditory canal	—	$239	$188	$188–$698	$239	avg	7
Ear Wax Removal (Irrigation) CPT 69209 Removal impacted cerumen using irrigation/lavage	—	$154	$93	$93–$698	$154	avg	7
IV Infusion (hydration, first hour) CPT 96360 Intravenous infusion, hydration, initial 31-60 minutes	—	$286	$286	$286–$286	$286	avg	6
IV Infusion (hydration, additional hour) CPT 96361 Intravenous infusion, hydration, each additional hour	—	$59	$59	$59–$59	$59	avg	6
IV Infusion (therapeutic, first hour) CPT 96365 Intravenous infusion for therapy/prophylaxis, initial up to 1 hour	—	$286	$286	$286–$286	$286	avg	6
IV Infusion (therapeutic, additional hour) CPT 96366 Intravenous infusion for therapy, each additional hour	—	$59	$59	$59–$59	$59	avg	6
IV Infusion (additional sequential) CPT 96367 Intravenous infusion, additional sequential infusion, up to 1 hour	—	$94	$94	$94–$94	$94	-1%	6
IV Push (each additional) CPT 96375 Therapeutic, prophylactic, or diagnostic injection; each additional sequential IV push	—	$59	$59	$59–$59	$59	avg	6
IV Push (each additional, same drug) CPT 96376 Therapeutic injection, IV push, each additional sequential IV push of same substance	—	$48	$48	$48–$48	$48	-1%	6
Flu Vaccine (intradermal) CPT 90630 Influenza virus vaccine, intradermal, preservative free	—	$21	$21	$21–$21	$21	+1%	6
Hepatitis A Vaccine (adult) CPT 90632 Hepatitis A vaccine, adult dosage	—	$80	$79	$79–$94	$80	avg	7
Hepatitis A & B Vaccine (combo) CPT 90636 Hepatitis A and hepatitis B vaccine, adult dosage	—	$134	$132	$132–$148	$134	avg	7
Hib Vaccine CPT 90647 Haemophilus influenzae type b vaccine	—	$31	$31	$31–$35	$31	avg	7
HPV Vaccine (9-valent) CPT 90651 Human papillomavirus vaccine, 9-valent, 3 dose schedule	—	$314	$308	$308–$369	$314	avg	7
Pneumococcal Vaccine (PCV13) CPT 90670 Pneumococcal conjugate vaccine, 13 valent	—	$277	$280	$280–$280	$277	avg	7
Rotavirus Vaccine CPT 90681 Rotavirus vaccine, human, attenuated	—	$149	$147	$147–$165	$149	avg	7
Flu Vaccine (quadrivalent) CPT 90686 Influenza virus vaccine, quadrivalent, preservative free	—	$24	$24	$24–$24	$24	avg	7
DTaP-IPV Vaccine CPT 90696 Diphtheria, tetanus, acellular pertussis and polio vaccine	—	$64	$63	$63–$70	$64	-1%	7
MMR Vaccine CPT 90707 Measles, mumps, rubella vaccine	—	$96	$95	$95–$107	$96	avg	7
MMRV Vaccine CPT 90710 Measles, mumps, rubella, and varicella vaccine	—	$283	$278	$278–$324	$283	avg	7
Polio Vaccine (IPV) CPT 90713 Poliovirus vaccine, inactivated	—	$46	$45	$45–$54	$46	-1%	7
Td Vaccine (adult) CPT 90714 Tetanus and diphtheria toxoids, adult, preservative free	—	$41	$39	$39–$51	$41	-1%	7
Varicella (Chickenpox) Vaccine CPT 90716 Varicella virus vaccine, live	—	$186	$183	$183–$215	$186	avg	7
Pneumococcal Vaccine (PPSV23) CPT 90732 Pneumococcal polysaccharide vaccine, 23-valent	—	$143	$145	$145–$145	$143	avg	7
Shingles Vaccine (Zoster) CPT 90736 Zoster (shingles) vaccine, live	—	$223	$223	$223–$223	$223	avg	6
Hepatitis B Vaccine (adult) CPT 90746 Hepatitis B vaccine, adult dosage	—	$77	$76	$76–$81	$77	avg	7
Shingles Vaccine (Shingrix) CPT 90750 Zoster vaccine, recombinant, adjuvanted	—	$218	$216	$216–$241	$218	avg	7
Brief Emotional/Behavioral Assessment CPT 96127 Brief emotional/behavioral assessment with scoring	—	$47	$47	$47–$47	$47	avg	6
Breast Biopsy (stereotactic) CPT 19081 Biopsy, breast, with placement of breast localization device, stereotactic guidance	—	$2,385	$2,433	$2,433–$2,433	$2,385	avg	7
Breast Biopsy (ultrasound-guided) CPT 19083 Biopsy, breast, with placement of breast localization device, ultrasound guidance	—	$2,385	$2,433	$2,433–$2,433	$2,385	avg	7
Breast Biopsy (MRI-guided) CPT 19084 Biopsy, breast, with placement of breast localization device, MRI guidance	—	$698	$698	$698–$698	$698	avg	1
Mastopexy (Breast Lift) CPT 19316 Mastopexy	—	$7,213	$5,652	$5,652–$9,641	$7,213	avg	7
Breast Augmentation (Implant) CPT 19325 Mammaplasty, augmentative	—	$12,174	$10,818	$10,818–$14,284	$12,174	avg	7
Breast Implant Removal CPT 19328 Removal of intact mammary implant	—	$5,623	$5,652	$5,577–$5,652	$5,623	avg	7
Breast Reconstruction (immediate) CPT 19340 Immediate insertion of breast prosthesis following mastopexy or mastectomy	—	$8,007	$6,957	$6,957–$9,641	$8,007	avg	7
Vulvectomy (partial) CPT 56620 Vulvectomy, simple, partial	—	$4,464	$4,587	$4,587–$4,587	$4,464	avg	7
Colposcopy (diagnostic) CPT 57420 Colposcopy of entire vagina, with cervix if present	—	$496	$474	$474–$698	$496	avg	7
Colposcopy with Biopsy (cervix) CPT 57452 Colposcopy of cervix including upper adjacent vagina	—	$330	$289	$289–$698	$330	avg	7
LEEP Procedure (cervix) CPT 57460 Colposcopy with loop electrode excision procedure of cervix	—	$4,464	$4,587	$4,587–$4,587	$4,464	avg	7
Cervical Biopsy CPT 57500 Biopsy of cervix, single or multiple, or local excision	—	$1,178	$1,141	$1,141–$1,511	$1,178	avg	7
Cervical Conization CPT 57520 Conization of cervix, with or without fulguration	—	$4,464	$4,587	$4,587–$4,587	$4,464	avg	7
Dilation and Curettage (D&C) CPT 58120 Dilation and curettage, diagnostic and/or therapeutic	—	$4,450	$4,587	$3,360–$4,587	$4,450	avg	7
Vaginal Hysterectomy CPT 58260 Vaginal hysterectomy, for uterus 250g or less	—	$7,312	$7,519	$5,652–$7,519	$7,312	avg	7
Vaginal Hysterectomy with Tube/Ovary Removal CPT 58262 Vaginal hysterectomy with removal of tube(s) and/or ovary(s)	—	$7,312	$7,519	$5,652–$7,519	$7,312	avg	7
Vaginal Hysterectomy (>250g) CPT 58291 Vaginal hysterectomy, for uterus greater than 250g	—	$7,463	$7,519	$7,519–$7,519	$7,463	avg	7
Hysterosalpingography (HSG) CPT 58340 Catheterization and introduction of saline for sonohysterography	—	$698	$698	$698–$698	$698	avg	1
Hysteroscopy (diagnostic) CPT 58555 Hysteroscopy, diagnostic, separate procedure	—	$4,464	$4,587	$4,587–$4,587	$4,464	avg	7
Hysteroscopy with Biopsy/Polypectomy CPT 58558 Hysteroscopy, surgical, with sampling of endometrium	—	$4,464	$4,587	$4,587–$4,587	$4,464	avg	7
Hysteroscopy with Ablation CPT 58563 Hysteroscopy, surgical, with endometrial ablation	—	$7,332	$7,519	$7,519–$7,519	$7,332	avg	7
Tubal Ligation CPT 58600 Ligation or transection of fallopian tube(s), abdominal or vaginal approach	—	$4,464	$4,587	$4,587–$4,587	$4,464	avg	7
Laparoscopy with Lysis of Adhesions CPT 58660 Laparoscopy, lysis of adhesions	—	$8,691	$8,455	$8,455–$10,818	$8,691	avg	7
Laparoscopic Endometriosis Excision CPT 58662 Laparoscopy with fulguration or excision of lesions of ovary/peritoneum	—	$8,691	$8,455	$8,455–$10,818	$8,691	avg	7
Laparoscopic Tubal Ligation CPT 58670 Laparoscopy, surgical, with fulguration of oviducts	—	$8,691	$8,455	$8,455–$10,818	$8,691	avg	7
Amniocentesis CPT 59000 Amniocentesis, diagnostic	—	$1,144	$1,141	$1,141–$1,141	$1,144	avg	8
Chorionic Villus Sampling CPT 59015 Chorionic villus sampling, any method	—	$1,178	$1,141	$1,141–$1,511	$1,178	avg	7
Delivery of Placenta CPT 59414 Delivery of placenta (separate procedure)	—	$4,464	$4,587	$4,587–$4,587	$4,464	avg	7
Incomplete Abortion Treatment CPT 59812 Treatment of incomplete abortion, any trimester, surgical	—	$4,464	$4,587	$4,587–$4,587	$4,464	avg	7
Missed Abortion Treatment (first trimester) CPT 59820 Treatment of missed abortion, completed surgically, first trimester	—	$4,464	$4,587	$4,587–$4,587	$4,464	avg	7
Maternity Care (unlisted) CPT 59899 Unlisted procedure, maternity care and delivery	—	$330	$289	$289–$698	$330	avg	7
Incision and Drainage of Abscess (simple) CPT 10060 Incision and drainage of abscess, simple or single	—	$333	$293	$293–$698	$333	avg	7
Incision and Drainage of Abscess (complex) CPT 10061 Incision and drainage of abscess, complicated or multiple	—	$614	$605	$605–$698	$614	avg	7
Foreign Body Removal (skin, simple) CPT 10120 Incision and removal of foreign body, subcutaneous tissues, simple	—	$660	$698	$605–$698	$660	avg	7
Foreign Body Removal (skin, complex) CPT 10121 Incision and removal of foreign body, subcutaneous tissues, complicated	—	$2,154	$1,961	$1,961–$2,433	$2,154	avg	7
Incision and Drainage of Hematoma CPT 10140 Incision and drainage of hematoma, seroma, or fluid collection	—	$2,154	$1,961	$1,961–$2,433	$2,154	avg	7
Aspiration of Abscess/Cyst CPT 10160 Puncture aspiration of abscess, hematoma, bulla, or cyst	—	$660	$698	$605–$698	$660	avg	7
Debridement - Muscle/Fascia CPT 11043 Debridement, muscle and/or fascia, first 20 sq cm	—	$798	$698	$698–$942	$798	avg	7
Breast Biopsy (needle, percutaneous) CPT 19100 Biopsy of breast, percutaneous, needle core	—	$2,385	$2,433	$2,433–$2,433	$2,385	avg	7
Soft Tissue Excision (back/flank) CPT 21931 Excision, tumor, soft tissue of back or flank, subcutaneous	—	$2,525	$2,433	$2,433–$3,360	$2,525	avg	7
Knee Cartilage Removal (arthrotomy) CPT 27332 Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee	—	$4,911	$4,829	$4,829–$5,652	$4,911	avg	7
Pacemaker Insertion CPT 33208 Insertion of new or replacement of permanent pacemaker	—	$16,349	$16,755	$16,755–$16,755	$16,349	avg	7
ICD (Defibrillator) Insertion CPT 33249 Insertion or replacement of permanent implantable defibrillator system	—	$49,103	$52,033	$52,033–$52,033	$49,103	avg	7
Bone Marrow Aspiration CPT 38220 Diagnostic bone marrow aspiration(s)	—	$2,340	$2,433	$2,433–$2,433	$2,340	avg	7
Bone Marrow Biopsy CPT 38221 Diagnostic bone marrow biopsy(ies)	—	$2,340	$2,433	$2,433–$2,433	$2,340	avg	7
Lymph Node Biopsy/Excision (superficial) CPT 38500 Biopsy or excision of lymph node(s), superficial	—	$5,355	$5,577	$5,577–$5,577	$5,355	avg	7
Lymph Node Biopsy/Excision (deep) CPT 38510 Biopsy or excision of lymph node(s), deep cervical	—	$5,355	$5,577	$5,577–$5,577	$5,355	avg	7
Lip Biopsy CPT 40490 Biopsy of lip, vermilion	—	$373	$337	$337–$698	$373	avg	7
Tongue Biopsy (anterior 2/3) CPT 41100 Biopsy of tongue, anterior two-thirds	—	$737	$741	$741–$741	$737	avg	7
Salivary Stone Removal (Sialolithotomy) CPT 42330 Sialolithotomy, submandibular or sublingual, intraoral	—	$4,320	$4,615	$1,961–$4,615	$4,320	avg	7
Drainage of Peritonsillar Abscess CPT 42700 Incision and drainage, abscess, peritonsillar	—	$377	$337	$337–$698	$377	avg	7
Lysis of Abdominal Adhesions (open) CPT 44005 Enterolysis, freeing of intestinal adhesion	—	$1,492	$1,492	$1,492–$1,492	$1,492	avg	1
Partial Colectomy CPT 44140 Colectomy, partial, with anastomosis	—	$1,492	$1,492	$1,492–$1,492	$1,492	avg	1
Laparoscopic Partial Colectomy CPT 44204 Laparoscopic partial colectomy with anastomosis	—	$6,957	$6,957	$6,957–$6,957	$6,957	avg	1
Appendectomy (open) CPT 44950 Appendectomy	—	$5,736	$5,746	$5,746–$5,746	$5,736	avg	7
Liver Biopsy (needle) CPT 47000 Biopsy of liver, needle, percutaneous	—	$2,385	$2,433	$2,433–$2,433	$2,385	avg	7
Exploratory Laparotomy CPT 49000 Exploratory laparotomy, exploratory celiotomy	—	$5,652	$5,652	$5,652–$5,652	$5,652	avg	1
Diagnostic Laparoscopy CPT 49320 Laparoscopy, abdomen, diagnostic	—	$8,305	$8,455	$8,455–$8,455	$8,305	avg	7
Kidney Biopsy (needle) CPT 50200 Renal biopsy, percutaneous, by trocar or needle	—	$2,385	$2,433	$2,433–$2,433	$2,385	avg	7
Kidney Stone Removal (percutaneous) CPT 50080 Percutaneous nephrostolithotomy or pyelostolithotomy	—	$13,189	$13,882	$13,882–$13,882	$13,189	avg	7
Cystoscopy with Ureteral Catheter CPT 52005 Cystourethroscopy, with ureteral catheterization	—	$3,044	$3,009	$3,009–$3,360	$3,044	avg	7
Cystoscopy with Stent Removal CPT 52310 Cystourethroscopy, with removal of foreign body or ureteral stent	—	$2,904	$3,009	$3,009–$3,009	$2,904	avg	7
Cystoscopy with Stent Insertion CPT 52332 Cystourethroscopy, with insertion of indwelling ureteral stent	—	$5,015	$5,199	$5,199–$5,199	$5,015	avg	7
Cystoscopy with Lithotripsy CPT 52353 Cystourethroscopy, with lithotripsy	—	$7,561	$7,628	$7,628–$7,628	$7,561	avg	7
Hydrocelectomy (excision) CPT 55040 Excision of hydrocele, unilateral	—	$5,736	$5,746	$5,746–$5,746	$5,736	avg	7
Vasectomy CPT 55250 Vasectomy, unilateral or bilateral	—	$3,044	$3,009	$3,009–$3,360	$3,044	avg	7
I&D of Bartholin Gland Abscess CPT 56405 Incision and drainage of vulva or perineal abscess	—	$496	$474	$474–$698	$496	avg	7
Lumbar Puncture (spinal tap) CPT 62270 Lumbar puncture (spinal tap), diagnostic	—	$1,092	$1,045	$1,045–$1,511	$1,092	avg	7
Psychotherapy Add-on (16-37 min) CPT 90833 Psychotherapy, 16-37 min, add-on to E/M service	—	$95	$95	$95–$95	$95	avg	6
Psychotherapy Add-on (38-52 min) CPT 90836 Psychotherapy, 38-52 min, add-on to E/M service	—	$120	$120	$120–$120	$120	avg	6
Psychotherapy Add-on (53+ min) CPT 90838 Psychotherapy, 53+ min, add-on to E/M service	—	$158	$158	$158–$158	$158	avg	6
Crisis Psychotherapy (first 60 min) CPT 90839 Psychotherapy for crisis, first 60 minutes	—	$202	$202	$202–$202	$202	avg	6
Crisis Psychotherapy (additional 30 min) CPT 90840 Psychotherapy for crisis, each additional 30 minutes	—	$92	$92	$92–$92	$92	avg	6
Family Psychotherapy (without patient) CPT 90846 Family psychotherapy without patient present	—	$202	$202	$202–$202	$202	avg	6
TMS Treatment (Transcranial Magnetic Stimulation) CPT 90867 Therapeutic repetitive transcranial magnetic stimulation treatment	—	$388	$388	$388–$388	$388	avg	6
Electroconvulsive Therapy (ECT) CPT 90870 Electroconvulsive therapy	—	$670	$670	$670–$670	$670	avg	6
Neuropsychological Testing (first hour) CPT 96132 Neuropsychological testing evaluation services, first hour	—	$670	$670	$670–$670	$670	avg	6
Psychological Test Administration (first 30 min) CPT 96136 Psychological or neuropsychological test administration, first 30 minutes	—	$161	$161	$161–$161	$161	avg	6
Health Behavior Assessment CPT 96156 Health behavior assessment or reassessment	—	$105	$105	$105–$105	$105	avg	6
Health Behavior Intervention (first 30 min) CPT 96158 Health behavior intervention, individual, first 30 minutes	—	$105	$105	$105–$105	$105	avg	6
Cervical Epidural Injection CPT 62320 Injection, including indwelling catheter placement, cervical or thoracic	—	$1,092	$1,045	$1,045–$1,511	$1,092	avg	7
Cervical Epidural with Imaging CPT 62321 Injection, cervical or thoracic with imaging guidance	—	$1,092	$1,045	$1,045–$1,511	$1,092	avg	7
Trigeminal Nerve Block CPT 64400 Injection, anesthetic agent; trigeminal nerve	—	$562	$441	$441–$698	$562	avg	7
Greater Occipital Nerve Block CPT 64405 Injection, anesthetic agent; greater occipital nerve	—	$562	$441	$441–$698	$562	avg	7
Brachial Plexus Block CPT 64415 Injection, anesthetic agent; brachial plexus, single	—	$1,443	$1,382	$1,382–$1,511	$1,443	avg	7
Femoral Nerve Block CPT 64447 Injection, anesthetic agent; femoral nerve, single	—	$1,264	$1,045	$1,045–$1,511	$1,264	avg	7
Peripheral Nerve Block CPT 64450 Injection, anesthetic agent; other peripheral nerve or branch	—	$1,264	$1,045	$1,045–$1,511	$1,264	avg	7
Cervical Transforaminal Epidural CPT 64479 Injection, anesthetic agent and/or steroid, transforaminal epidural, cervical or thoracic	—	$1,443	$1,382	$1,382–$1,511	$1,443	avg	7
Transforaminal Epidural (additional level) CPT 64484 Injection, transforaminal epidural, lumbar or sacral, each additional level	—	$698	$698	$698–$698	$698	avg	1
Facet Joint Injection - Cervical (first level) CPT 64490 Injection, diagnostic or therapeutic agent, paravertebral facet joint, cervical or thoracic, first level	—	$1,443	$1,382	$1,382–$1,511	$1,443	avg	7
Facet Joint Injection - Cervical (second level) CPT 64491 Injection, paravertebral facet joint, cervical or thoracic, second level	—	$698	$698	$698–$698	$698	avg	1
Facet Joint Injection - Lumbar (second level) CPT 64494 Injection, paravertebral facet joint, lumbar or sacral, second level	—	$698	$698	$698–$698	$698	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	—	$467	$441	$441–$698	$467	avg	7
Intercostal Nerve Destruction CPT 64625 Destruction by neurolytic agent, intercostal nerve	—	$3,360	$3,360	$3,360–$3,360	$3,360	avg	1
Facet Joint Destruction - Cervical (first level) CPT 64633 Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, single level	—	$2,960	$2,916	$2,916–$3,360	$2,960	avg	7
Facet Joint Destruction - Cervical (additional level) CPT 64634 Destruction by neurolytic agent, paravertebral facet joint nerve, cervical or thoracic, each additional level	—	$698	$698	$698–$698	$698	avg	1
Facet Joint Destruction - Lumbar (additional level) CPT 64636 Destruction by neurolytic agent, paravertebral facet joint nerve, lumbar or sacral, each additional level	—	$698	$698	$698–$698	$698	avg	1
Fluoroscopic Guidance CPT 77003 Fluoroscopic guidance and localization of needle or catheter tip	—	$75	$75	$75–$75	$75	avg	6
Pacemaker Insertion (ventricular) CPT 33207 Insertion of new or replacement of permanent pacemaker, ventricular	—	$16,234	$16,755	$16,755–$16,755	$16,234	avg	7
Leadless Pacemaker Insertion CPT 33274 Transcatheter insertion or replacement of permanent leadless pacemaker	—	$26,579	$27,865	$27,865–$27,865	$26,579	avg	7
Coronary Angioplasty (single vessel) CPT 92920 Percutaneous transluminal coronary angioplasty, single vessel	—	$9,356	$8,460	$8,460–$10,818	$9,356	avg	8
Stress Test - Tracing Only CPT 93017 Cardiovascular stress test, tracing only, without interpretation	—	$388	$388	$388–$388	$388	avg	6
Holter Monitor (recording) CPT 93225 External electrocardiographic recording, up to 48 hours, recording	—	$161	$161	$161–$161	$161	avg	6
Holter Monitor (review/interpretation) CPT 93226 External electrocardiographic recording, review and interpretation	—	$161	$161	$161–$161	$161	avg	6
Transthoracic Echocardiogram (follow-up) CPT 93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up	—	$697	$697	$697–$697	$697	avg	6
Echocardiogram (2D, limited) CPT 93307 Echocardiography, transthoracic, real-time, 2D, limited study	—	$324	$324	$324–$324	$324	avg	6
Echocardiogram (follow-up/limited) CPT 93308 Echocardiography, transthoracic, follow-up or limited study	—	$324	$324	$324–$324	$324	avg	6
Transesophageal Echocardiogram (TEE) CPT 93312 Echocardiography, transesophageal, real-time with image documentation	—	$697	$697	$697–$697	$697	avg	6
Doppler Echocardiography (complete) CPT 93320 Doppler echocardiography, pulsed wave and/or continuous wave, complete	—	$46	$46	$46–$46	$46	+1%	6
Doppler Color Flow Add-on CPT 93325 Doppler echocardiography color flow velocity mapping, add-on	—	$29	$29	$29–$29	$29	-1%	6
Right Heart Catheterization CPT 93451 Right heart catheterization	—	$5,015	$4,799	$4,799–$6,957	$5,015	avg	7
Coronary Angiography CPT 93454 Catheter placement in coronary artery for coronary angiography	—	$5,015	$4,799	$4,799–$6,957	$5,015	avg	7
Ankle-Brachial Index (ABI) CPT 93922 Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries	—	$164	$161	$161–$189	$164	avg	7
Complete Bilateral Extremity Study CPT 93923 Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries	—	$205	$202	$202–$234	$205	avg	7
Lower Extremity Arterial Duplex CPT 93925 Duplex scan of lower extremity arteries, complete bilateral study	—	$330	$324	$324–$386	$330	avg	7
Venous Duplex Scan (complete) CPT 93970 Duplex scan of extremity veins, complete bilateral study	—	$355	$355	$324–$386	$355	avg	7
Aorta/IVC/Iliac Duplex Scan CPT 93978 Duplex scan of aorta, inferior vena cava, iliac vasculature	—	$359	$386	$324–$386	$359	avg	7
Cytopathology (fluids) CPT 88104 Cytopathology, fluids, washings or brushings, smears with interpretation	—	$43	$39	$39–$76	$43	avg	7
Cytopathology (concentration technique) CPT 88108 Cytopathology, concentration technique, smears and interpretation	—	$43	$39	$39–$80	$43	+1%	7
Cytopathology (selective cellular enhancement) CPT 88112 Cytopathology, selective cellular enhancement technique with interpretation	—	$60	$58	$58–$74	$60	-1%	7
Pap Smear - Physician Interpretation CPT 88141 Cytopathology, cervical or vaginal, requiring interpretation by physician	—	$42	$42	$42–$42	$42	avg	1
Pap Smear - ThinPrep (automated) CPT 88142 Cytopathology, cervical or vaginal, collected in preservative fluid, automated thin layer	—	$27	$26	$26–$38	$27	avg	7
Cytopathology (smears, any source) CPT 88160 Cytopathology, smears, any other source, screening and interpretation	—	$35	$29	$29–$88	$35	-1%	7
Flow Cytometry (first marker) CPT 88184 Flow cytometry, cell surface, cytoplasmic, or nuclear marker, first marker	—	$351	$375	$375–$375	$351	avg	7
Flow Cytometry (each additional marker) CPT 88185 Flow cytometry, each additional marker	—	$41	$41	$41–$41	$41	+1%	1
Surgical Pathology (gross only) CPT 88300 Level I surgical pathology, gross examination only	—	$28	$29	$29–$29	$28	avg	7
Surgical Pathology (gross & micro) CPT 88302 Level II surgical pathology, gross and microscopic examination	—	$31	$29	$29–$47	$31	-1%	7
Surgical Pathology (Level III) CPT 88304 Level III surgical pathology	—	$58	$58	$58–$58	$58	avg	7
Surgical Pathology (Level IV) CPT 88305 Level IV surgical pathology, each specimen	—	$59	$58	$58–$65	$59	-1%	7
Surgical Pathology (Level V) CPT 88307 Level V surgical pathology, each specimen	—	$376	$375	$375–$389	$376	avg	7
Surgical Pathology (Level VI) CPT 88309 Level VI surgical pathology, each specimen	—	$864	$899	$899–$899	$864	avg	7
Special Stain (Group I) CPT 88312 Special stain including interpretation and report, Group I	—	$69	$58	$58–$165	$69	avg	7
Immunohistochemistry (first antibody) CPT 88342 Immunohistochemistry, each antibody, per specimen, first stain	—	$176	$182	$182–$182	$176	avg	7
PT - Traction (mechanical) CPT 97012 Application of modality, traction, mechanical	—	$22	$22	$22–$22	$22	-1%	6
PT - Electrical Stimulation (attended) CPT 97014 Application of modality, electrical stimulation, attended	—	$22	$22	$22–$22	$22	+1%	6
PT - Electrical Stimulation (manual) CPT 97032 Application of modality, electrical stimulation, manual	—	$22	$22	$22–$22	$22	-1%	6
PT - Neuromuscular Re-education CPT 97112 Therapeutic procedure, neuromuscular reeducation	—	$51	$51	$51–$51	$51	-1%	6
PT - Aquatic Therapy CPT 97113 Therapeutic procedure, aquatic therapy with therapeutic exercises	—	$60	$60	$60–$60	$60	-1%	6
PT - Massage Therapy CPT 97124 Therapeutic procedure, massage, including effleurage and petrissage	—	$44	$44	$44–$44	$44	+1%	6
PT - Group Therapeutic Procedures CPT 97150 Therapeutic procedure(s), group (2 or more individuals)	—	$27	$27	$27–$27	$27	-1%	6
PT Re-evaluation CPT 97164 Re-evaluation of physical therapy established plan of care	—	$103	$103	$103–$103	$103	avg	6
Wheelchair Management Training CPT 97542 Wheelchair management/propulsion training	—	$48	$48	$48–$48	$48	-1%	6
Orthotic Management/Training CPT 97760 Orthotic(s) management and training, initial encounter	—	$71	$71	$71–$71	$71	avg	6
Prosthetic Training CPT 97761 Prosthetic(s) training, initial encounter	—	$62	$62	$62–$62	$62	avg	6
Orthotic/Prosthetic Checkout CPT 97763 Orthotic/prosthetic management, subsequent encounter	—	$77	$77	$77–$77	$77	+1%	6
Medical Nutrition Therapy (initial) CPT 97802 Medical nutrition therapy, initial assessment and intervention, individual	—	$46	$46	$46–$46	$46	+1%	6
Medical Nutrition Therapy (follow-up) CPT 97803 Medical nutrition therapy, re-assessment and intervention, individual	—	$39	$39	$39–$39	$39	avg	6
OT Evaluation - Low Complexity CPT 97165 Occupational therapy evaluation, low complexity	—	$151	$151	$151–$151	$151	avg	6
OT Evaluation - Moderate Complexity CPT 97166 Occupational therapy evaluation, moderate complexity	—	$151	$151	$151–$151	$151	avg	6
OT Evaluation - High Complexity CPT 97167 Occupational therapy evaluation, high complexity	—	$151	$151	$151–$151	$151	avg	6
OT Re-evaluation CPT 97168 Re-evaluation of occupational therapy established plan of care	—	$103	$103	$103–$103	$103	avg	6
Speech Therapy (individual) CPT 92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder, individual	—	$115	$115	$115–$115	$115	avg	6
Evaluation of Speech Fluency CPT 92521 Evaluation of speech fluency (stuttering, cluttering)	—	$201	$201	$201–$201	$201	avg	6
Evaluation of Speech Production CPT 92522 Evaluation of speech sound production	—	$168	$168	$168–$168	$168	avg	6
Evaluation of Speech and Language CPT 92523 Evaluation of speech sound production with evaluation of language comprehension	—	$344	$344	$344–$344	$344	avg	6
Adrenaline (Epinephrine) Injection CPT J0171 Injection, adrenalin, epinephrine, 0.1 mg	—	$1	$1	$1–$1	$1	-24%	6
Botulinum Toxin A (Botox) Injection CPT J0585 Injection, onabotulinumtoxinA, 1 unit	—	$7	$7	$7–$7	$7	avg	7
Testosterone Injection CPT J1071 Injection, testosterone cypionate, 1 mg	—	$0	$0	$0–$0	—	—	7
Diphenhydramine (Benadryl) Injection CPT J1200 Injection, diphenhydramine HCl, up to 50 mg	—	$1	$1	$1–$1	$1	-5%	7
Heparin Injection (per 10 units) CPT J1642 Injection, heparin sodium, per 10 units	—	$0	$0	$0–$0	—	—	7
Ketorolac (Toradol) Injection CPT J1885 Injection, ketorolac tromethamine, per 15 mg	—	$0	$0	$0–$0	—	—	7
Meperidine (Demerol) Injection CPT J2175 Injection, meperidine hydrochloride, per 100 mg	—	$16	$17	$17–$17	$16	+1%	7
Midazolam Injection CPT J2250 Injection, midazolam hydrochloride, per 1 mg	—	$0	$0	$0–$0	—	—	7
Morphine Injection CPT J2270 Injection, morphine sulfate, up to 10 mg	—	$5	$5	$5–$5	$5	-5%	7
Ondansetron (Zofran) Injection CPT J2405 Injection, ondansetron hydrochloride, per 1 mg	—	$0	$0	$0–$1	—	—	7
Promethazine (Phenergan) Injection CPT J2550 Injection, promethazine HCl, up to 50 mg	—	$3	$3	$3–$4	$3	+7%	7
Propofol Injection CPT J2704 Injection, propofol, 10 mg	—	$0	$0	$0–$0	—	—	7
Ropivacaine Injection CPT J2795 Injection, ropivacaine hydrochloride, 1 mg	—	$0	$0	$0–$0	—	—	7
Fentanyl Injection CPT J3010 Injection, fentanyl citrate, 0.1 mg	—	$1	$1	$1–$1	$1	+6%	7
Normal Saline (1000 ml) CPT J7120 Ringers lactate infusion, up to 1000 cc	—	$3	$3	$3–$3	$3	-12%	7
Normal Saline Infusion (1000 cc) CPT J7030 Infusion, normal saline solution, 1000 cc	—	$2	$2	$2–$2	$2	+21%	7
Normal Saline with Dextrose (500 ml) CPT J7040 Infusion, normal saline solution, sterile, 500 ml	—	$1	$2	$2–$2	$1	+48%	7
Normal Saline Infusion (250 cc) CPT J7050 Infusion, normal saline solution, 250 cc	—	$1	$1	$1–$1	$1	-24%	7
Bronchoscopy with Lavage CPT 31624 Bronchoscopy with bronchial alveolar lavage	—	$2,530	$2,593	$2,593–$2,593	$2,530	avg	7
Bronchoscopy with Biopsy CPT 31625 Bronchoscopy with bronchial or endobronchial biopsy	—	$2,530	$2,593	$2,593–$2,593	$2,530	avg	7
Spirometry (Breathing Test) CPT 94010 Spirometry, including graphic record, total and timed vital capacity	—	$202	$202	$202–$202	$202	avg	6
Bronchospasm Evaluation CPT 94060 Bronchodilation responsiveness, spirometry before and after bronchodilator	—	$388	$388	$388–$388	$388	avg	6
Respiratory Flow Volume Loop CPT 94375 Respiratory flow volume loop	—	$388	$388	$388–$388	$388	avg	6
Nebulizer Treatment CPT 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction	—	$265	$265	$265–$265	$265	avg	6
CPAP Initiation CPT 94660 Continuous positive airway pressure ventilation (CPAP), initiation and management	—	$265	$265	$265–$265	$265	avg	6
Lung Volume Test (Plethysmography) CPT 94726 Plethysmography for determination of lung volumes and capacity	—	$388	$388	$388–$388	$388	avg	6
DLCO Test (Diffusing Capacity) CPT 94729 Diffusing capacity of carbon monoxide	—	$62	$62	$62–$62	$62	+1%	6
Sleep Study (Polysomnography) CPT 95810 Polysomnography, 6 or more hours of sleep, comprehensive	—	$1,295	$1,295	$1,295–$1,295	$1,295	avg	6
Sleep Study with CPAP CPT 95811 Polysomnography with CPAP titration	—	$1,295	$1,295	$1,295–$1,295	$1,295	avg	6
Comprehensive Audiometry CPT 92557 Comprehensive audiometry threshold evaluation and speech recognition	—	$202	$202	$202–$202	$202	avg	6
Tympanometry CPT 92567 Tympanometry (impedance testing)	—	$47	$47	$47–$47	$47	avg	6
Eye Exam (new, intermediate) CPT 92002 Ophthalmological services, new patient, intermediate	—	$167	$167	$167–$167	$167	avg	6
Eye Exam (new, comprehensive) CPT 92004 Ophthalmological services, new patient, comprehensive	—	$167	$167	$167–$167	$167	avg	6
Eye Exam (established, intermediate) CPT 92012 Ophthalmological services, established patient, intermediate	—	$167	$167	$167–$167	$167	avg	6
Eye Exam (established, comprehensive) CPT 92014 Ophthalmological services, established patient, comprehensive	—	$167	$167	$167–$167	$167	avg	6
Visual Field Exam CPT 92083 Visual field examination, unilateral or bilateral, with interpretation	—	$161	$161	$161–$161	$161	avg	6
OCT Scan (optic nerve) CPT 92133 Scanning computerized ophthalmic diagnostic imaging, posterior segment, optic nerve	—	$80	$80	$80–$80	$80	avg	6
OCT Scan (retina) CPT 92134 Scanning computerized ophthalmic diagnostic imaging, posterior segment, retina	—	$80	$80	$80–$80	$80	avg	6
Corneal Topography (IOL calculation) CPT 92136 Ophthalmic biometry by partial coherence interferometry with IOL power calculation	—	$161	$161	$161–$161	$161	avg	6
Fundus Photography CPT 92250 Fundus photography with interpretation and report	—	$161	$161	$161–$161	$161	avg	6
Intravitreal Injection CPT 67028 Intravitreal injection of a pharmacologic agent	—	$555	$540	$540–$698	$555	avg	7
Corneal Transplant (lamellar) CPT 65710 Keratoplasty (corneal transplant), lamellar	—	$6,529	$6,482	$6,482–$6,957	$6,529	avg	7
Allergy Skin Testing (percutaneous) CPT 95004 Percutaneous tests with allergenic extracts, immediate type reaction	—	$1,295	$1,295	$1,295–$1,295	$1,295	avg	6
Allergy Skin Testing (intracutaneous) CPT 95024 Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction	—	$80	$80	$80–$80	$80	avg	6
Allergy Immunotherapy (single injection) CPT 95115 Professional services for allergen immunotherapy, single injection	—	$59	$59	$59–$59	$59	avg	6
Allergy Immunotherapy (2+ injections) CPT 95117 Professional services for allergen immunotherapy, 2 or more injections	—	$59	$59	$59–$59	$59	avg	6
Allergy Antigen Preparation (multi-dose) CPT 95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multi-dose vials	—	$59	$59	$59–$59	$59	avg	6
Major Hip and Knee Joint Replacement without MCC CPT 469 Total hip or knee replacement without major complications	—	$40,420	$43,720	$26,569–$47,500	$40,420	avg	8
Major Hip and Knee Joint Replacement without CC/MCC CPT 470 Total hip or knee replacement without complications or comorbidities	—	$22,930	$24,707	$15,408–$30,207	$22,930	avg	8
Major Hip and Knee Joint Replacement with MCC CPT 468 Total hip or knee replacement with major complications	—	$33,838	$35,052	$27,275–$43,034	$33,838	avg	8
Hip and Femur Procedures without MCC CPT 480 Hip fracture repair or femur procedures without major complications	—	$37,225	$38,719	$30,579–$45,607	$37,225	avg	8
Hip and Femur Procedures without CC/MCC CPT 481 Hip fracture repair or femur procedures without complications	—	$25,206	$27,243	$16,937–$32,800	$25,206	avg	8
Hip and Femur Procedures with MCC CPT 479 Hip fracture repair or femur procedures with major complications	—	$22,316	$24,474	$14,522–$29,110	$22,316	avg	8
Cervical Spinal Fusion without CC/MCC CPT 473 Cervical spine fusion surgery without complications	—	$28,932	$32,308	$19,296–$38,231	$28,932	avg	8
Cervical Spinal Fusion without MCC CPT 472 Cervical spine fusion without major complications	—	$37,233	$38,804	$30,122–$46,136	$37,233	avg	8
Cervical Spinal Fusion with MCC CPT 471 Cervical spine fusion with major complications	—	$58,143	$64,586	$39,388–$75,617	$58,143	avg	8
Spinal Fusion except Cervical without MCC CPT 460 Lumbar or thoracic spinal fusion without major complications	—	$48,028	$48,028	$48,028–$48,028	$48,028	avg	6
Spinal Fusion except Cervical with MCC CPT 459 Lumbar or thoracic spinal fusion with major complications	—	$87,082	$87,082	$87,082–$87,082	$87,082	avg	6
Bilateral or Multiple Major Joint Procedures CPT 461 Bilateral joint replacement or multiple major joint procedures	—	$79,706	$89,527	$49,715–$89,527	$79,706	avg	8
Coronary Bypass without MCC CPT 236 CABG surgery without major complications	—	$50,506	$53,061	$33,375–$65,597	$50,506	avg	8
Coronary Bypass with MCC CPT 235 CABG surgery with major complications	—	$74,400	$77,212	$61,177–$91,902	$74,400	avg	8
Heart Failure and Shock with MCC CPT 291 Inpatient treatment for heart failure with major complications	—	$14,534	$15,213	$10,723–$16,858	$14,534	avg	8
Heart Failure and Shock with CC CPT 292 Inpatient treatment for heart failure with complications	—	$10,615	$11,246	$7,143–$13,295	$10,615	avg	8
Heart Failure and Shock without CC/MCC CPT 293 Inpatient treatment for heart failure without complications	—	$7,094	$7,373	$5,708–$8,864	$7,094	avg	8
Cardiac Valve Procedures with CC CPT 216 Heart valve repair or replacement with complications	—	$126,031	$127,431	$100,340–$153,199	$126,031	avg	8
Vaginal Delivery with OR Procedures CPT 768 Vaginal delivery requiring operating room procedures	—	$14,114	$15,994	$9,040–$16,781	$14,114	avg	8
Respiratory Infections and Inflammations with MCC CPT 177 Pneumonia or respiratory infections with major complications	—	$19,689	$22,274	$13,238–$24,472	$19,689	avg	8
Respiratory Infections and Inflammations with CC CPT 178 Pneumonia or respiratory infections with complications	—	$11,773	$12,955	$8,199–$15,284	$11,773	avg	8
Simple Pneumonia and Pleurisy with MCC CPT 193 Uncomplicated pneumonia with major complications	—	$16,748	$17,418	$13,702–$20,584	$16,748	avg	8
Simple Pneumonia and Pleurisy with CC CPT 194 Uncomplicated pneumonia with complications	—	$9,955	$10,795	$6,810–$12,620	$9,955	avg	8
Simple Pneumonia and Pleurisy without CC/MCC CPT 195 Uncomplicated pneumonia without complications	—	$7,609	$8,214	$5,218–$9,842	$7,609	avg	8
Major Small and Large Bowel Procedures with MCC CPT 329 Bowel resection or major intestinal surgery with major complications	—	$58,979	$59,306	$47,742–$71,981	$58,979	avg	8
Major Small and Large Bowel Procedures with CC CPT 330 Bowel resection or major intestinal surgery with complications	—	$29,384	$31,146	$19,267–$37,540	$29,384	avg	8
Major Small and Large Bowel Procedures without CC/MCC CPT 331 Bowel resection without complications	—	$21,681	$21,953	$17,166–$26,354	$21,681	avg	8
GI Hemorrhage with MCC CPT 377 Gastrointestinal bleeding with major complications	—	$22,322	$23,507	$14,865–$28,626	$22,322	avg	8
GI Hemorrhage with CC CPT 378 Gastrointestinal bleeding with complications	—	$11,741	$12,917	$8,149–$15,358	$11,741	avg	8
Intracranial Hemorrhage or Cerebral Infarction with MCC CPT 064 Stroke with major complications	—	$24,267	$26,299	$16,244–$31,492	$24,267	avg	8
Intracranial Hemorrhage or Cerebral Infarction with CC CPT 065 Stroke with complications	—	$12,583	$13,345	$8,400–$15,821	$12,583	avg	8
Intracranial Hemorrhage or Cerebral Infarction without CC/MCC CPT 066 Stroke without complications	—	$8,522	$9,027	$5,747–$10,718	$8,522	avg	8
Renal Failure with MCC CPT 682 Acute or chronic kidney failure with major complications	—	$17,854	$19,706	$12,314–$23,192	$17,854	avg	8
Renal Failure with CC CPT 683 Acute or chronic kidney failure with complications	—	$11,078	$11,828	$7,366–$13,715	$11,078	avg	8
Renal Failure without CC/MCC CPT 684 Acute or chronic kidney failure without complications	—	$7,386	$7,990	$5,095–$9,401	$7,386	avg	8
Septicemia or Severe Sepsis with MV >96 Hours CPT 870 Severe sepsis requiring extended ventilator support	—	$86,021	$91,449	$56,331–$108,239	$86,021	avg	8
Septicemia or Severe Sepsis without MV >96 Hours with MCC CPT 871 Sepsis with major complications	—	$24,958	$26,032	$20,403–$30,420	$24,958	avg	8
Septicemia or Severe Sepsis without MV >96 Hours without MCC CPT 872 Sepsis without major complications	—	$12,501	$13,523	$8,513–$16,025	$12,501	avg	8
Rehabilitation with CC/MCC CPT 945 Inpatient rehabilitation with complications	—	$19,241	$19,820	$15,871–$24,251	$19,241	avg	8
Rehabilitation without CC/MCC CPT 946 Inpatient rehabilitation without complications	—	$13,125	$13,297	$9,202–$17,959	$13,125	avg	8
Hip Replacement with Hip Fracture with MCC CPT 521 Hip replacement after hip fracture with major complications	—	$35,809	$39,314	$23,713–$44,947	$35,809	avg	8
Hip Replacement with Hip Fracture without MCC CPT 522 Hip replacement after hip fracture without major complications	—	$24,015	$27,733	$17,206–$27,733	$24,015	avg	8
Respiratory System Diagnosis with Ventilator Support >96 Hours CPT 207 Extended ventilator support for respiratory failure	—	$78,326	$90,702	$52,387–$100,767	$78,326	avg	8
Respiratory System Diagnosis with Ventilator Support ≤96 Hours CPT 208 Short-term ventilator support for respiratory failure	—	$33,492	$35,501	$21,853–$43,045	$33,492	avg	8
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.	—	$13,888	—	—	$13,888	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.	—	$9,168	—	—	$9,168	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.	—	$13,202	—	—	$13,202	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.	—	$9,924	—	—	$9,924	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.	—	$9,070	—	—	$9,070	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.	—	$8,956	—	—	$8,956	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.	—	$5,681	—	—	$5,681	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.	—	$5,870	—	—	$5,870	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.	—	$11,066	—	—	$11,066	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.	—	$7,353	—	—	$7,353	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.	—	$31,514	—	—	$31,514	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.	—	$6,675	—	—	$6,675	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.	—	$10,587	—	—	$10,587	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.	—	$8,986	—	—	$8,986	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.	—	$13,142	—	—	$13,142	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.	—	$7,501	—	—	$7,501	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.	—	$10,835	—	—	$10,835	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.	—	$9,119	—	—	$9,119	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.	—	$12,991	—	—	$12,991	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.	—	$14,017	—	—	$14,017	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.	—	$5,371	—	—	$5,371	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.	—	$5,552	—	—	$5,552	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.	—	$7,036	—	—	$7,036	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.	—	$10,024	—	—	$10,024	avg	1
Percutaneous Intracardiac Procedures w/o MCC MS-DRG 274 Medicare Severity Diagnosis Related Group DRG-274 — Percutaneous Intracardiac Procedures w/o MCC. Inpatient hospital payment classification for cases involving percutaneous intracardiac procedures w/o mcc.	—	$23,117	—	—	$23,117	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.	—	$5,907	—	—	$5,907	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.	—	$15,725	—	—	$15,725	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.	—	$18,060	—	—	$18,060	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.	—	$6,143	—	—	$6,143	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.	—	$8,132	$8,662	$8,662–$8,662	$8,132	avg	7
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.	—	$8,491	$8,662	$8,662–$8,662	$8,491	avg	7
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.	—	$8,491	$8,662	$8,662–$8,662	$8,491	avg	7
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.	—	$8,132	$8,662	$8,662–$8,662	$8,132	avg	7
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.	—	$8,491	$8,662	$8,662–$8,662	$8,491	avg	7
Revision Rhinoplasty - Major (Nose Job Revision) CPT 30450 Revision Rhinoplasty - Major (Nose Job Revision) — CPT code 30450 covers revision rhinoplasty - major (nose job revision) performed in a clinical or hospital setting.	—	$8,491	$8,662	$8,662–$8,662	$8,491	avg	7
Tummy Tuck (Abdominoplasty) CPT 15830 Tummy Tuck (Abdominoplasty) — CPT code 15830 covers tummy tuck (abdominoplasty) performed in a clinical or hospital setting.	—	$9,641	$9,641	$9,641–$9,641	$9,641	avg	6
Body Contouring - Thigh Lift CPT 15832 Body Contouring - Thigh Lift — CPT code 15832 covers body contouring - thigh lift performed in a clinical or hospital setting.	—	$4,190	$4,190	$4,190–$4,190	$4,190	avg	6
Body Contouring - Leg Lift CPT 15833 Body Contouring - Leg Lift — CPT code 15833 covers body contouring - leg lift performed in a clinical or hospital setting.	—	$4,190	$4,190	$4,190–$4,190	$4,190	avg	6
Body Contouring - Hip Lift CPT 15834 Body Contouring - Hip Lift — CPT code 15834 covers body contouring - hip lift performed in a clinical or hospital setting.	—	$4,190	$4,190	$4,190–$4,190	$4,190	avg	6
Body Contouring - Buttock Lift CPT 15835 Body Contouring - Buttock Lift — CPT code 15835 covers body contouring - buttock lift performed in a clinical or hospital setting.	—	$4,190	$4,190	$4,190–$4,190	$4,190	avg	6
Body Contouring - Arm Lift (Brachioplasty) CPT 15836 Body Contouring - Arm Lift (Brachioplasty) — CPT code 15836 covers body contouring - arm lift (brachioplasty) performed in a clinical or hospital setting.	—	$4,190	$4,190	$4,190–$4,190	$4,190	avg	6
Body Contouring - Forearm/Hand CPT 15837 Body Contouring - Forearm/Hand — CPT code 15837 covers body contouring - forearm/hand performed in a clinical or hospital setting.	—	$4,190	$4,190	$4,190–$4,190	$4,190	avg	6
Submental Fat Removal (Double Chin) CPT 15838 Submental Fat Removal (Double Chin) — CPT code 15838 covers submental fat removal (double chin) performed in a clinical or hospital setting.	—	$4,190	$4,190	$4,190–$4,190	$4,190	avg	6
Body Contouring - Other Area CPT 15839 Body Contouring - Other Area — CPT code 15839 covers body contouring - other area performed in a clinical or hospital setting.	—	$4,190	$4,190	$4,190–$4,190	$4,190	avg	6
Lower Eyelid Surgery (Blepharoplasty) CPT 15820 Lower Eyelid Surgery (Blepharoplasty) — CPT code 15820 covers lower eyelid surgery (blepharoplasty) performed in a clinical or hospital setting.	—	$2,800	$2,800	$2,800–$2,800	$2,800	avg	6
Lower Eyelid Surgery - Fat Pad Removal (Blepharoplasty) CPT 15821 Lower Eyelid Surgery - Fat Pad Removal (Blepharoplasty) — CPT code 15821 covers lower eyelid surgery - fat pad removal (blepharoplasty) performed in a clinical or hospital setting.	—	$2,800	$2,800	$2,800–$2,800	$2,800	avg	6
Upper Eyelid Surgery (Blepharoplasty) CPT 15822 Upper Eyelid Surgery (Blepharoplasty) — CPT code 15822 covers upper eyelid surgery (blepharoplasty) performed in a clinical or hospital setting.	—	$2,800	$2,800	$2,800–$2,800	$2,800	avg	6
Upper Eyelid Surgery - Excess Skin (Blepharoplasty) CPT 15823 Upper Eyelid Surgery - Excess Skin (Blepharoplasty) — CPT code 15823 covers upper eyelid surgery - excess skin (blepharoplasty) performed in a clinical or hospital setting.	—	$2,800	$2,800	$2,800–$2,800	$2,800	avg	6
Liposuction - Head and Neck CPT 15876 Liposuction - Head and Neck — CPT code 15876 covers liposuction - head and neck performed in a clinical or hospital setting.	—	$5,277	$5,277	$5,277–$5,277	$5,277	avg	6
Liposuction - Trunk/Abdomen CPT 15877 Liposuction - Trunk/Abdomen — CPT code 15877 covers liposuction - trunk/abdomen performed in a clinical or hospital setting.	—	$5,277	$5,277	$5,277–$5,277	$5,277	avg	6
Liposuction - Upper Extremity (Arms) CPT 15878 Liposuction - Upper Extremity (Arms) — CPT code 15878 covers liposuction - upper extremity (arms) performed in a clinical or hospital setting.	—	$2,800	$2,800	$2,800–$2,800	$2,800	avg	6
Liposuction - Lower Extremity (Legs) CPT 15879 Liposuction - Lower Extremity (Legs) — CPT code 15879 covers liposuction - lower extremity (legs) performed in a clinical or hospital setting.	—	$5,277	$5,277	$5,277–$5,277	$5,277	avg	6
Brow Lift (Forehead Lift) CPT 15824 Brow Lift (Forehead Lift) — CPT code 15824 covers brow lift (forehead lift) performed in a clinical or hospital setting.	—	$2,800	$2,800	$2,800–$2,800	$2,800	avg	6
Neck Lift (with Platysmal Tightening) CPT 15825 Neck Lift (with Platysmal Tightening) — CPT code 15825 covers neck lift (with platysmal tightening) performed in a clinical or hospital setting.	—	$5,277	$5,277	$5,277–$5,277	$5,277	avg	6
Frown Line Correction (Glabellar) CPT 15826 Frown Line Correction (Glabellar) — CPT code 15826 covers frown line correction (glabellar) performed in a clinical or hospital setting.	—	$5,277	$5,277	$5,277–$5,277	$5,277	avg	6
Facelift - Cheek, Chin & Neck (Rhytidectomy) CPT 15828 Facelift - Cheek, Chin & Neck (Rhytidectomy) — CPT code 15828 covers facelift - cheek, chin & neck (rhytidectomy) performed in a clinical or hospital setting.	—	$5,277	$5,277	$5,277–$5,277	$5,277	avg	6
Facelift - SMAS Flap (Deep Plane Rhytidectomy) CPT 15829 Facelift - SMAS Flap (Deep Plane Rhytidectomy) — CPT code 15829 covers facelift - smas flap (deep plane rhytidectomy) performed in a clinical or hospital setting.	—	$5,277	$5,277	$5,277–$5,277	$5,277	avg	6
Brow Lift (Brow Ptosis Repair) CPT 67900 Brow Lift (Brow Ptosis Repair) — CPT code 67900 covers brow lift (brow ptosis repair) performed in a clinical or hospital setting.	—	$3,430	$3,430	$3,430–$3,430	$3,430	avg	6
Ear Pinning (Otoplasty) CPT 69300 Ear Pinning (Otoplasty) — CPT code 69300 covers ear pinning (otoplasty) performed in a clinical or hospital setting.	—	$4,615	$4,615	$4,615–$4,615	$4,615	avg	6
Chin Implant (Genioplasty) CPT 21120 Chin Implant (Genioplasty) — CPT code 21120 covers chin implant (genioplasty) performed in a clinical or hospital setting.	—	$8,662	$8,662	$8,662–$8,662	$8,662	avg	6
Chin Reshaping - Sliding Osteotomy CPT 21121 Chin Reshaping - Sliding Osteotomy — CPT code 21121 covers chin reshaping - sliding osteotomy performed in a clinical or hospital setting.	—	$4,615	$4,615	$4,615–$4,615	$4,615	avg	6
Chin Reshaping - Multiple Osteotomies CPT 21122 Chin Reshaping - Multiple Osteotomies — CPT code 21122 covers chin reshaping - multiple osteotomies performed in a clinical or hospital setting.	—	$8,662	$8,662	$8,662–$8,662	$8,662	avg	6
Chin Reshaping with Bone Graft CPT 21123 Chin Reshaping with Bone Graft — CPT code 21123 covers chin reshaping with bone graft performed in a clinical or hospital setting.	—	$4,615	$4,615	$4,615–$4,615	$4,615	avg	6
Lap-Band Surgery (Laparoscopic Gastric Band) CPT 43770 Lap-Band Surgery (Laparoscopic Gastric Band) — CPT code 43770 covers lap-band surgery (laparoscopic gastric band) performed in a clinical or hospital setting.	—	$14,741	$14,741	$14,741–$14,741	$14,741	avg	6
Egg Retrieval (IVF Oocyte Retrieval) CPT 58970 Egg Retrieval (IVF Oocyte Retrieval) — CPT code 58970 covers egg retrieval (ivf oocyte retrieval) performed in a clinical or hospital setting.	—	$1,141	$1,141	$1,141–$1,141	$1,141	avg	6
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.	—	$361	$182	$182–$1,977	$361	avg	7
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.	—	$192	$182	$182–$284	$192	avg	7
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.	—	$934	$899	$899–$1,249	$934	avg	7
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.	—	$192	$182	$182–$284	$192	avg	7
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.	—	$934	$899	$899–$1,249	$934	avg	7
Vasectomy Reversal (Vasovasostomy) CPT 55400 Vasectomy Reversal (Vasovasostomy) — CPT code 55400 covers vasectomy reversal (vasovasostomy) performed in a clinical or hospital setting.	—	$5,199	$5,199	$5,199–$5,199	$5,199	avg	6
Male Breast Reduction (Gynecomastia Surgery) CPT 19300 Male Breast Reduction (Gynecomastia Surgery) — CPT code 19300 covers male breast reduction (gynecomastia surgery) performed in a clinical or hospital setting.	—	$5,577	$5,577	$5,577–$5,577	$5,577	avg	6
Laser Skin Resurfacing (Single Lesion) CPT 15786 Laser Skin Resurfacing (Single Lesion) — CPT code 15786 covers laser skin resurfacing (single lesion) performed in a clinical or hospital setting.	—	$293	$293	$293–$293	$293	avg	6
Circumcision (Newborn) CPT 54150 Circumcision (Newborn) — CPT code 54150 covers circumcision (newborn) performed in a clinical or hospital setting.	—	$3,009	$3,009	$3,009–$3,009	$3,009	avg	6
Circumcision (Surgical, Older Child/Adult) CPT 54160 Circumcision (Surgical, Older Child/Adult) — CPT code 54160 covers circumcision (surgical, older child/adult) performed in a clinical or hospital setting.	—	$1,014	$1,014	$1,014–$1,014	$1,014	avg	6
Bunionectomy (Hallux Valgus Correction) CPT 28292 Bunionectomy (Hallux Valgus Correction) — CPT code 28292 covers bunionectomy (hallux valgus correction) performed in a clinical or hospital setting.	—	$4,829	$4,829	$4,829–$4,829	$4,829	avg	6
Complex Bunionectomy CPT 28299 Complex Bunionectomy — CPT code 28299 covers complex bunionectomy performed in a clinical or hospital setting.	—	$10,730	$10,730	$10,730–$10,730	$10,730	avg	6
ACDF - Cervical Disc Fusion (Single Level) CPT 22551 Cervical spinal fusion (neck) — surgery to permanently join two or more vertebrae in the neck using bone grafts and hardware, typically to treat herniated discs or spinal instability.	—	$21,166	$21,166	$21,166–$21,166	$21,166	avg	6
Tonsillectomy (Under Age 12) CPT 42825 Tonsillectomy (Under Age 12) — CPT code 42825 covers tonsillectomy (under age 12) performed in a clinical or hospital setting.	—	$8,662	$8,662	$8,662–$8,662	$8,662	avg	6
Tonsillectomy & Adenoidectomy (Age 12+) CPT 42821 Tonsillectomy & Adenoidectomy (Age 12+) — CPT code 42821 covers tonsillectomy & adenoidectomy (age 12+) performed in a clinical or hospital setting.	—	$4,615	$4,615	$4,615–$4,615	$4,615	avg	6
Sinus Surgery - Maxillary Antrostomy CPT 31267 Sinus Surgery - Maxillary Antrostomy — CPT code 31267 covers sinus surgery - maxillary antrostomy performed in a clinical or hospital setting.	—	$10,036	$10,036	$10,036–$10,036	$10,036	avg	6
Ureteroscopy with Stone Removal (Litholapaxy) CPT 52352 Ureteroscopy with Stone Removal (Litholapaxy) — CPT code 52352 covers ureteroscopy with stone removal (litholapaxy) performed in a clinical or hospital setting.	—	$5,199	$5,199	$5,199–$5,199	$5,199	avg	6
Excision of Benign Skin Lesion (2.1-3.0 cm) CPT 11403 Excision of Benign Skin Lesion (2.1-3.0 cm) — CPT code 11403 covers excision of benign skin lesion (2.1-3.0 cm) performed in a clinical or hospital setting.	—	$1,053	$1,053	$1,053–$1,053	$1,053	avg	6
Excision of Benign Skin Lesion (3.1-4.0 cm) CPT 11404 Excision of Benign Skin Lesion (3.1-4.0 cm) — CPT code 11404 covers excision of benign skin lesion (3.1-4.0 cm) performed in a clinical or hospital setting.	—	$2,433	$2,433	$2,433–$2,433	$2,433	avg	6
Excision of Benign Skin Lesion (Over 4.0 cm) CPT 11406 Excision of Benign Skin Lesion (Over 4.0 cm) — CPT code 11406 covers excision of benign skin lesion (over 4.0 cm) performed in a clinical or hospital setting.	—	$2,433	$2,433	$2,433–$2,433	$2,433	avg	6

Prices are typical ranges based on Wilkes-Barre General 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 8 insurers at Wilkes-Barre General 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 Medicaid Medicare (CMS) 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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