Hospital

Norton Sound Health

Listed in its price file as “Norton Sound Health Corporation”.

Norton Sound Health in Nome, AK publishes cash prices for 262 common procedures listed here, from its own machine-readable price file updated Feb 19, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Alaska median for 200 of 262 procedures and above it for 55. By typical cash price it ranks #1 of 15 Alaska hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1000 Greg Kruschek Ave Nome AK 99762 Collected Sep 27, 2026 Source price file (907) 443-3311

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 021308 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs AlaskaOff list
Barium swallow (esophagus X-ray with contrast) CPT 74220 Single contrast X-ray of esophagus $497.00 $994.00 $881.68 40% below 50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast $738.50 $1,477.00 $1,310.10 76% below 50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT scan of heart with evaluation of blood vessel calcium $254.50 $509.00 $451.48 34% above 50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast $2,639.00 $5,278.00 $4,681.59 28% below 50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast $3,053.50 $6,107.00 $5,416.91 29% below 50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast $3,737.00 $7,474.00 $6,629.44 31% below 50%
CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast $1,738.50 $3,477.00 $3,084.10 32% below 50%
CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast $1,439.00 $2,878.00 $2,552.79 40% below 50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast $1,482.00 $2,964.00 $2,629.07 21% below 50%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast $1,505.50 $3,011.00 $2,670.76 32% below 50%
CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast $1,607.00 $3,214.00 $2,850.82 34% below 50%
CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast $2,080.00 $4,160.00 $3,689.92 22% below 50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast $1,483.00 $2,966.00 $2,630.84 30% below 50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast $1,545.50 $3,091.00 $2,741.72 25% below 50%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast $1,630.50 $3,261.00 $2,892.51 33% below 50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow $469.50 $939.00 $832.89 74% below 50%
Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views $371.00 $742.00 $658.15 30% below 50%
Chest X-ray, single view CPT 71045 X-ray of chest, 1 view $263.00 $526.00 $466.56 31% below 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity $617.50 $1,235.00 $1,095.45 39% below 50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA bone density measurement of hip, pelvis, spine $262.50 $525.00 $465.68 34% below 50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA bone density measurement of forearm, finger, hand, or foot $407.50 $815.00 $722.91 67% above 50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast $1,528.00 $3,056.00 $2,710.67 30% below 50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast $1,954.00 $3,908.00 $3,466.40 35% below 50%
Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts $384.50 $769.00 $682.10 41% below 50%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound of leg arteries or artery grafts $961.00 $1,922.00 $1,704.81 25% below 50%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers $1,036.50 $2,073.00 $1,838.75 26% below 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function $1,049.50 $2,099.00 $260.00–$1,861.81 45% below 50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study including heart rate, breathing, airflow, and effort $245.50 $491.00 $160.00–$435.52 54% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen $493.50 $987.00 $875.47 22% below 50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening $291.50 $583.00 $517.12 at median 50%
MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast $2,515.50 $5,031.00 $4,462.50 40% below 50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast $2,973.50 $5,947.00 $5,274.99 45% below 50%
MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast $2,544.50 $5,089.00 $4,513.94 27% below 50%
MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast $3,460.00 $6,920.00 $6,138.04 19% below 50%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast $2,326.50 $4,653.00 $4,127.21 32% below 50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast $3,135.50 $6,271.00 $5,562.38 28% below 50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast $2,305.00 $4,610.00 $4,089.07 24% below 50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast $3,254.50 $6,509.00 $5,773.48 15% below 50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast $2,225.50 $4,451.00 $3,948.04 36% below 50%
MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast $3,006.50 $6,013.00 $5,333.53 39% below 50%
MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast $2,540.00 $5,080.00 $4,505.96 24% below 50%
OCT scan of the retina (optical coherence tomography) CPT 92134 Imaging of retina $84.50 $169.00 $90.00 61% below 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis $440.50 $881.00 $781.45 21% below 50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis $615.00 $1,230.00 $1,091.01 37% below 50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $658.50 $1,317.00 $1,168.18 38% below 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus $374.00 $748.00 $663.48 59% below 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited ultrasound of pregnant uterus $327.00 $654.00 $580.10 52% below 50%
Screening mammogram, both breasts CPT 77067 Screening mammography $191.50 $383.00 $339.72 64% below 50%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $432.50 $865.00 $767.26 40% below 50%
Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus $308.00 $616.00 $546.39 58% below 50%
Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen $670.50 $1,341.00 $1,189.47 42% below 50%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum $609.00 $1,218.00 $1,080.37 37% below 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue $605.00 $1,210.00 $1,073.27 36% below 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract $502.50 $1,005.00 $891.44 48% below 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers $750.00 $1,500.00 $1,330.50 34% below 50%
X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view $258.00 $516.00 $457.69 45% below 50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views $323.50 $647.00 $573.89 38% below 50%
X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views $513.50 $1,027.00 $910.95 18% below 50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views $313.50 $627.00 $556.15 36% below 50%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views $305.50 $611.00 $541.96 20% below 50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views $403.00 $806.00 $714.92 16% below 50%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views $283.00 $566.00 $502.04 34% below 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views $305.00 $610.00 $541.07 13% below 50%

Lab tests

ProcedureCash price List priceInsurers payvs AlaskaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level $53.00 $106.00 $94.02 8% below 50%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level $53.00 $106.00 $94.02 6% above 50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel $424.50 $849.00 $753.06 25% above 50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment $143.00 $286.00 $253.68 53% above 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder $136.50 $273.00 $242.15 79% above 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level $284.50 $569.00 $504.70 4% below 50%
Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) $189.00 $378.00 $335.29 54% above 50%
Blood culture for bacteria CPT 87040 Bacterial blood culture $146.00 $292.00 $259.00 32% below 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample $36.00 $72.00 $63.86 1% below 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample $36.00 $72.00 $63.86 1% below 50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Insertion of needle into vein for collection of blood sample $36.00 $72.00 $63.86 — 50%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level $64.50 $129.00 $114.42 82% above 50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis $75.50 $151.00 $133.94 25% below 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) $55.00 $110.00 $97.57 at median 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation $69.00 $138.00 $122.41 20% above 50%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique $222.00 $444.00 $393.83 3% below 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen $157.50 $315.00 $279.41 49% above 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique $172.50 $345.00 $306.02 21% above 50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) $129.50 $259.00 $229.73 32% above 50%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $108.50 $217.00 $192.48 3% above 50%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test $102.00 $204.00 $180.95 26% above 50%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals $199.50 $399.00 $353.91 23% above 50%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative $160.00 $320.00 $283.84 26% below 50%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level $166.50 $333.00 $295.37 14% below 50%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level $168.00 $336.00 $298.03 60% above 50%
Folate (folic acid) blood test CPT 82746 Folic acid level, serum $136.50 $273.00 $242.15 at median 50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free $126.00 $252.00 $223.52 10% below 50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose $75.50 $151.00 $133.94 8% above 50%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens $99.00 $198.00 $175.63 5% below 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique $174.50 $349.00 $309.56 75% above 50%
H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool $240.00 $480.00 $425.76 30% above 50%
HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus $88.00 $176.00 $156.11 65% below 50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies $67.00 $134.00 $118.86 41% below 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level $122.00 $244.00 $216.43 1% below 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement $124.00 $248.00 $219.98 36% above 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen $111.50 $223.00 $197.80 57% above 50%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement $172.50 $345.00 $306.02 80% above 50%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 $69.00 $138.00 $122.41 23% above 50%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 $96.50 $193.00 $171.19 19% above 50%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity $135.00 $270.00 $239.49 17% below 50%
Iron blood test (serum iron) CPT 83540 Iron level $70.50 $141.00 $125.07 11% below 50%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity $65.00 $130.00 $115.31 14% below 50%
Kidney function blood test panel CPT 80069 Kidney function blood test panel $278.50 $557.00 $494.06 94% above 50%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level $136.50 $273.00 $242.15 33% below 50%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level $84.00 $168.00 $149.02 29% below 50%
Liver function blood test panel CPT 80076 Liver function blood test panel $132.00 $264.00 $234.17 39% above 50%
Magnesium blood test CPT 83735 Magnesium level $76.50 $153.00 $135.71 7% above 50%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) $97.00 $194.00 $172.08 70% above 50%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) $68.50 $137.00 $121.52 9% below 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total $145.00 $290.00 $257.23 14% below 50%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level $367.50 $735.00 $651.95 11% above 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood $117.50 $235.00 $208.45 24% above 50%
Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level $208.00 $416.00 $368.99 6% above 50%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time $67.00 $134.00 $118.86 71% above 50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for presence of drug, read by direct observation $144.00 $288.00 $255.46 77% above 50%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level $102.50 $205.00 $181.84 78% above 50%
Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus) $106.50 $213.00 $188.93 69% above 50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated $53.00 $106.00 $94.02 17% below 50%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen evaluation volume, sperm count, motility and analysis $33.00 $66.00 $58.54 67% below 50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors $61.00 $122.00 $108.21 at median 50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay $52.50 $105.00 $93.14 7% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test $61.50 $123.00 $109.10 at median 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) $162.00 $324.00 $287.39 11% above 50%
Trichomonas test (NAAT) CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique $97.50 $195.00 $172.97 at median 50%
Uric acid blood test CPT 84550 Uric acid level, blood $53.00 $106.00 $94.02 10% below 50%
Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated $76.00 $152.00 $134.82 31% below 50%
Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test $64.00 $128.00 $113.54 46% above 50%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test $61.50 $123.00 $109.10 56% above 50%
Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine $104.00 $208.00 $184.50 at median 50%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test $90.00 $180.00 $159.66 1% above 50%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level $98.50 $197.00 $174.74 5% below 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level $170.00 $340.00 $301.58 16% above 50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level $160.50 $321.00 $284.73 30% above 50%

Surgery and procedures

ProcedureCash price List priceInsurers payvs AlaskaOff list
Botox injections for chronic migraine CPT 64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face $552.00 $1,104.00 $443.75–$979.25 56% below 50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed treatment of broken outside lower leg bone at ankle $564.50 $1,129.00 $1,001.42–$1,031.25 29% below 50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed treatment of broken outside lower leg bone at ankle $592.50 $1,185.00 $1,001.42–$1,031.25 26% below 50%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed treatment of broken outside lower leg bone at ankle $564.50 $1,129.00 $1,001.42–$1,031.25 — 50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed treatment of broken bone in forefoot or midfoot $428.50 $857.00 $731.25–$1,001.42 22% below 50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed treatment of broken bone in forefoot or midfoot $564.50 $1,129.00 $731.25–$1,001.42 3% above 50%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed treatment of broken bone in forefoot or midfoot $564.50 $1,129.00 $731.25–$1,001.42 — 50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat $1,437.50 $2,875.00 $2,550.13 8% above 50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat $1,437.50 $2,875.00 $390.00–$2,550.13 8% above 50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to regulate heart beat $1,437.50 $2,875.00 $2,550.13 — 50%
Cervical biopsy CPT 57500 Biopsy of cervix or removal of growth $160.50 $321.00 $271.25–$1,600.15 82% below 50%
Cervical biopsy CPT 57500 Biopsy of cervix or removal of growth $902.00 $1,804.00 $271.25–$1,600.15 1% below 50%
Cervical biopsy inpatient CPT 57500 Biopsy of cervix or removal of growth $902.00 $1,804.00 $271.25–$1,600.15 — 50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin using clamp or device $205.50 $411.00 $355.00–$7,520.87 61% below 50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin using clamp or device $4,239.50 $8,479.00 $355.00–$7,520.87 695% above 50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Removal of foreskin using clamp or device $4,239.50 $8,479.00 $355.00–$7,520.87 — 50%
Circumcision, surgical, older than a newborn CPT 54160 Removal of foreskin (28 days or younger) $3,826.50 $7,653.00 $521.25–$6,788.21 80% above 50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation $326.50 $653.00 $579.21–$1,132.50 34% below 50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation $564.50 $1,129.00 $1,001.42–$1,132.50 14% above 50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation $564.50 $1,129.00 $1,001.42–$1,132.50 — 50%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare $1,502.00 $3,004.00 $918.75–$2,664.55 44% below 50%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare $1,801.00 $3,602.00 $918.75–$3,194.97 33% below 50%
Colonoscopy with polyp removal inpatient CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare $1,801.00 $3,602.00 $918.75–$3,194.97 — 50%
Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope $1,689.00 $3,378.00 $723.75–$2,996.29 18% below 50%
Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope $1,801.00 $3,602.00 $723.75–$3,194.97 12% below 50%
Colonoscopy with tissue sample inpatient CPT 45380 Biopsy of large bowel using a flexible endoscope $1,801.00 $3,602.00 $723.75–$3,194.97 — 50%
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope $1,502.00 $3,004.00 $668.75–$2,664.55 18% below 50%
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope $1,801.00 $3,602.00 $668.75–$3,194.97 2% below 50%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic exam of large bowel using a flexible endoscope $1,801.00 $3,602.00 $668.75–$3,194.97 — 50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Biopsy of cervix using an endoscope with loop electrode $346.50 $693.00 $582.50–$5,960.64 88% below 50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Biopsy of cervix using an endoscope with loop electrode $3,360.00 $6,720.00 $582.50–$5,960.64 16% above 50%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Biopsy of cervix using an endoscope with loop electrode $3,360.00 $6,720.00 $582.50–$5,960.64 — 50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy and scraping of cervix using an endoscope $289.50 $579.00 $486.25–$821.36 71% below 50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy and scraping of cervix using an endoscope $463.00 $926.00 $486.25–$821.36 53% below 50%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Biopsy and scraping of cervix using an endoscope $463.00 $926.00 $486.25–$821.36 — 50%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and scraping of uterus $461.00 $922.00 $820.00–$1,628.53 79% below 50%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and scraping of uterus $918.00 $1,836.00 $820.00–$1,628.53 58% below 50%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation and scraping of uterus $918.00 $1,836.00 $820.00–$1,628.53 — 50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of precancer skin growth, 1 growth $108.50 $217.00 $191.25–$365.44 53% below 50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of precancer skin growth, 1 growth $206.00 $412.00 $191.25–$365.44 10% below 50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction of precancer skin growth, 1 growth $206.00 $412.00 $191.25–$365.44 — 50%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia $764.50 $1,529.00 $465.00–$1,356.22 27% below 50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing $47.50 $95.00 $50.00 48% below 50%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax $69.00 $138.00 $120.00–$231.51 66% below 50%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax $130.50 $261.00 $120.00–$231.51 35% below 50%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal of impacted ear wax $130.50 $261.00 $120.00–$231.51 — 50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of lining of uterus $187.00 $374.00 $232.50–$821.36 65% below 50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of lining of uterus $463.00 $926.00 $232.50–$821.36 13% below 50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of lining of uterus $463.00 $926.00 $232.50–$821.36 — 50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope $132.00 $264.00 $201.25–$1,997.52 92% below 50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope $1,126.00 $2,252.00 $201.25–$1,997.52 31% below 50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope $1,126.00 $2,252.00 $201.25–$1,997.52 — 50%
Hemorrhoid banding (rubber band ligation) CPT 46221 Removal of external hemorrhoids by rubber banding $398.00 $796.00 $690.00–$2,050.74 75% below 50%
Hemorrhoid banding (rubber band ligation) CPT 46221 Removal of external hemorrhoids by rubber banding $1,156.00 $2,312.00 $690.00–$2,050.74 28% below 50%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Removal of external hemorrhoids by rubber banding $1,156.00 $2,312.00 $690.00–$2,050.74 — 50%
IUD insertion (the device itself billed separately) CPT 58300 Insertion of IUD for pregnancy prevention $107.00 $214.00 $186.25–$517.12 84% below 50%
IUD insertion (the device itself billed separately) CPT 58300 Insertion of IUD for pregnancy prevention $291.50 $583.00 $186.25–$517.12 56% below 50%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insertion of IUD for pregnancy prevention $291.50 $583.00 $186.25–$517.12 — 50%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess $198.50 $397.00 $358.75–$725.57 50% below 50%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess $409.00 $818.00 $358.75–$725.57 4% above 50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess $409.00 $818.00 $358.75–$725.57 — 50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament $87.50 $175.00 $141.25–$877.24 76% below 50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament $494.50 $989.00 $141.25–$877.24 36% above 50%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection into tendon or ligament $494.50 $989.00 $141.25–$877.24 — 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint $96.50 $193.00 $165.00–$1,169.07 76% below 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint $659.00 $1,318.00 $165.00–$1,169.07 67% above 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of fluid from large joint $659.00 $1,318.00 $165.00–$1,169.07 — 50%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of drug delivery implant into tissue $170.00 $340.00 $232.50–$427.53 46% below 50%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of drug delivery implant into tissue $241.00 $482.00 $232.50–$427.53 23% below 50%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion of drug delivery implant into tissue $241.00 $482.00 $232.50–$427.53 — 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint $78.00 $156.00 $135.00–$1,169.07 78% below 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint $659.00 $1,318.00 $135.00–$1,169.07 83% above 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration and/or injection of fluid from medium joint $659.00 $1,318.00 $135.00–$1,169.07 — 50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint $74.50 $149.00 $130.00–$1,169.07 81% below 50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint $659.00 $1,318.00 $130.00–$1,169.07 71% above 50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration and/or injection of fluid from small joint $659.00 $1,318.00 $130.00–$1,169.07 — 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less $316.00 $632.00 $545.00–$1,150.44 57% below 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less $648.50 $1,297.00 $545.00–$1,150.44 12% below 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less $648.50 $1,297.00 $545.00–$1,150.44 — 50%
Miscarriage treatment with D&C, first trimester CPT 59820 Treatment of miscarriage during first trimester $4,984.50 $9,969.00 $1,345.00–$8,842.50 24% above 50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less $165.00 $330.00 $291.25–$1,381.95 76% below 50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less $779.00 $1,558.00 $291.25–$1,381.95 15% above 50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less $779.00 $1,558.00 $291.25–$1,381.95 — 50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less $215.50 $431.00 $367.50–$1,381.95 80% below 50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less $779.00 $1,558.00 $367.50–$1,381.95 26% below 50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less $779.00 $1,558.00 $367.50–$1,381.95 — 50%
Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail $106.50 $213.00 $196.25–$855.07 70% below 50%
Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail $482.00 $964.00 $196.25–$855.07 36% above 50%
Nail removal (partial or complete), one nail inpatient CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail $482.00 $964.00 $196.25–$855.07 — 50%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $820.50 $1,641.00 $193.75–$1,617.00 at median 50%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $911.50 $1,823.00 $193.75–$1,617.00 11% above 50%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $911.50 $1,823.00 $193.75–$1,617.00 — 50%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance $154.50 $309.00 $388.75–$607.60 88% below 50%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance $342.50 $685.00 $388.75–$607.60 73% below 50%
Paracentesis with imaging guidance inpatient CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance $342.50 $685.00 $388.75–$607.60 — 50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail $360.50 $721.00 $363.75–$1,944.30 60% below 50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail $1,096.00 $2,192.00 $363.75–$1,944.30 23% above 50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent removal fingernail or toenail $1,096.00 $2,192.00 $363.75–$1,944.30 — 50%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple $215.50 $431.00 $367.50–$741.53 64% below 50%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple $418.00 $836.00 $367.50–$741.53 29% below 50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple $418.00 $836.00 $367.50–$741.53 — 50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $539.50 $1,079.00 $670.00–$2,789.62 68% below 50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK $1,572.50 $3,145.00 $667.50–$2,789.62 17% below 50%
Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast $129.50 $259.00 $220.00–$800.07 70% below 50%
Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast $451.00 $902.00 $220.00–$800.07 4% above 50%
Short arm cast (elbow to hand) inpatient CPT 29075 Application of elbow to finger cast $451.00 $902.00 $220.00–$800.07 — 50%
Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint $82.00 $164.00 $141.25–$579.21 69% below 50%
Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint $326.50 $653.00 $141.25–$579.21 23% above 50%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of nonmoveable forearm to hand splint $326.50 $653.00 $141.25–$579.21 — 50%
Short leg cast (below the knee) CPT 29405 Application of short leg cast $124.50 $249.00 $211.25–$800.07 71% below 50%
Short leg cast (below the knee) CPT 29405 Application of short leg cast $451.00 $902.00 $211.25–$800.07 4% above 50%
Short leg cast (below the knee) inpatient CPT 29405 Application of short leg cast $451.00 $902.00 $211.25–$800.07 — 50%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot $104.00 $208.00 $177.50–$579.21 62% below 50%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot $326.50 $653.00 $177.50–$579.21 19% above 50%
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint from calf to foot $326.50 $653.00 $177.50–$579.21 — 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less $94.00 $188.00 $162.50–$495.83 78% below 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less $279.50 $559.00 $162.50–$495.83 35% below 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less $279.50 $559.00 $162.50–$495.83 — 50%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth $372.00 $744.00 $175.00–$659.93 9% below 50%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth $550.00 $1,100.00 $175.00–$975.70 35% above 50%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy, first skin growth $550.00 $1,100.00 $175.00–$975.70 — 50%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags $151.00 $302.00 $262.50–$365.44 57% below 50%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags $206.00 $412.00 $262.50–$365.44 41% below 50%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tag, 1-15 skin tags $206.00 $412.00 $262.50–$365.44 — 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $165.50 $331.00 $223.75–$2,046.31 79% below 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $1,153.50 $2,307.00 $223.75–$2,046.31 48% above 50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $1,153.50 $2,307.00 $223.75–$2,046.31 — 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm $124.00 $248.00 $216.25–$495.83 81% below 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm $279.50 $559.00 $216.25–$495.83 58% below 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm $279.50 $559.00 $216.25–$495.83 — 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less $117.50 $235.00 $203.75–$495.83 75% below 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less $279.50 $559.00 $203.75–$495.83 40% below 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less $279.50 $559.00 $203.75–$495.83 — 50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth $372.00 $744.00 $140.00–$659.93 6% above 50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth $513.50 $1,027.00 $140.00–$910.95 46% above 50%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Biopsy of related skin growth, first growth $513.50 $1,027.00 $140.00–$910.95 — 50%
Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance $783.00 $1,566.00 $402.50–$2,587.38 69% below 50%
Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance $1,458.50 $2,917.00 $402.50–$2,587.38 43% below 50%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspiration of fluid from chest cavity using imaging guidance $1,458.50 $2,917.00 $402.50–$2,587.38 — 50%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles $80.00 $160.00 $138.75–$1,169.07 77% below 50%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles $659.00 $1,318.00 $138.75–$1,169.07 87% above 50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection of trigger points, 1-2 muscles $659.00 $1,318.00 $138.75–$1,169.07 — 50%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope $1,523.00 $3,046.00 $498.75–$2,701.80 5% below 50%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare $2,477.00 $4,954.00 $707.50–$4,394.20 16% below 50%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare $3,163.00 $6,326.00 $707.50–$5,611.16 7% above 50%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare $2,477.00 $4,954.00 $707.50–$4,394.20 — 50%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope $1,365.50 $2,731.00 $442.50–$2,422.40 4% below 50%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope $1,639.50 $3,279.00 $442.50–$2,908.47 15% above 50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope $1,639.50 $3,279.00 $442.50–$2,908.47 — 50%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct $470.00 $940.00 $818.75–$7,520.87 81% below 50%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct $4,239.50 $8,479.00 $818.75–$7,520.87 70% above 50%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of sperm duct $4,239.50 $8,479.00 $818.75–$7,520.87 — 50%
Wart removal, up to 14 warts CPT 17110 Destruction of skin growth, 1-14 growths $142.50 $285.00 $238.75–$365.44 42% below 50%
Wart removal, up to 14 warts CPT 17110 Destruction of skin growth, 1-14 growths $206.00 $412.00 $238.75–$365.44 16% below 50%
Wart removal, up to 14 warts inpatient CPT 17110 Destruction of skin growth, 1-14 growths $206.00 $412.00 $238.75–$365.44 — 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less $129.00 $258.00 $218.75–$1,212.53 74% below 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less $683.50 $1,367.00 $218.75–$1,212.53 36% above 50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue, 20.0 sq cm or less $683.50 $1,367.00 $218.75–$1,212.53 — 50%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs AlaskaOff list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products $271.50 $543.00 $481.64 76% below 50%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products $271.50 $543.00 $481.64 76% below 50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion of blood or blood products $271.50 $543.00 $481.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production $120.00 $240.00 $212.88 70% below 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production $441.00 $882.00 $782.33 11% above 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation treatment for airway obstruction or sputum production $441.00 $882.00 $782.33 — 50%
Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein, 1 hour or less $528.00 $1,056.00 $936.67 41% below 50%
Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein, 1 hour or less $975.00 $1,950.00 $1,729.65 10% above 50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Administration of chemotherapy into vein, 1 hour or less $975.00 $1,950.00 $1,729.65 — 50%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 New patient complete exam of visual system $150.00 $300.00 $346.25 52% below 50%
Comprehensive eye exam, returning patient CPT 92014 Established patient complete exam of visual system $114.00 $228.00 $278.75 72% below 50%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive hearing and speech recognition test $187.50 $375.00 $332.63 64% below 50%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes $2,068.50 $4,137.00 $3,669.52 29% above 50%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes $2,068.50 $4,137.00 $785.00 29% above 50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes $2,068.50 $4,137.00 $3,669.52 — 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing $244.00 $488.00 $432.86 31% below 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional $139.00 $278.00 $80.00 33% below 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional $260.00 $520.00 $461.24 24% above 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit for problem that may not require health care professional $260.00 $520.00 $461.24 — 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making $253.00 $506.00 $153.75 33% below 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making $328.50 $657.00 $582.76 12% below 50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making $328.50 $657.00 $582.76 — 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making $340.50 $681.00 $230.00 37% below 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making $579.00 $1,158.00 $1,027.15 7% above 50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making $579.00 $1,158.00 $1,027.15 — 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making $522.50 $1,045.00 $422.50 38% below 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making $1,088.50 $2,177.00 $1,931.00 29% above 50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making $1,088.50 $2,177.00 $1,931.00 — 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making $993.50 $1,987.00 $613.75 35% below 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making $1,627.00 $3,254.00 $2,886.30 6% above 50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making $1,627.00 $3,254.00 $2,886.30 — 50%
Eye exam, returning patient, intermediate CPT 92012 Established patient problem focused exam of visual system $149.00 $298.00 $183.75 38% below 50%
Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy with patient, 50 minutes $179.50 $359.00 $318.43 46% below 50%
Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy without patient, 50 minutes $179.50 $359.00 $318.43 30% below 50%
Group psychotherapy session CPT 90853 Group psychotherapy $87.50 $175.00 $155.23 32% below 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes $323.00 $646.00 $573.00 50% below 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes $342.50 $685.00 $607.60 47% below 50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion into a vein for hydration, 31-60 minutes $342.50 $685.00 $607.60 — 50%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $269.50 $539.00 $478.09 55% below 50%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $421.00 $842.00 $746.85 29% below 50%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $269.50 $539.00 $478.09 — 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $130.50 $261.00 $231.51 at median 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $130.50 $261.00 $231.51 at median 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle $130.50 $261.00 $231.51 — 50%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation $385.00 $770.00 $442.50 16% below 50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction, 7-8 studies $531.00 $1,062.00 $941.99 65% below 50%
Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes $75.50 $151.00 $133.94 56% below 50%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $158.50 $317.00 $281.18 51% below 50%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $241.50 $483.00 $428.42 55% below 50%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more $349.50 $699.00 $620.01 49% below 50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more $150.00 $300.00 $266.10 40% below 50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes $36.00 $72.00 $63.86 53% below 50%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy, typically 30 minutes $116.50 $233.00 $206.67 72% below 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $77.00 $154.00 $136.60 57% below 50%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventive medicine evaluation (18-39 years) $421.00 $842.00 $351.25 9% above 50%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventive medicine evaluation (40-64 years) $510.00 $1,020.00 $426.25 12% above 50%
Preventive checkup, new patient aged 65 or older CPT 99387 Initial new patient preventive medicine evaluation (65 years or older) $547.50 $1,095.00 $458.75 17% above 50%
Preventive checkup, returning patient aged 18–39 CPT 99395 Established patient periodic preventive medicine examination (18-39 years) $382.00 $764.00 $318.75 6% above 50%
Preventive checkup, returning patient aged 40–64 CPT 99396 Established patient periodic preventive medicine examination (40-64 years) $416.50 $833.00 $347.50 2% below 50%
Preventive checkup, returning patient aged 65 or older CPT 99397 Established patient periodic preventive medicine examination (65 year old or older) $438.50 $877.00 $366.25 9% above 50%
Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services $430.50 $861.00 $495.00 26% below 50%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Evaluation of psychological test, first hour $307.00 $614.00 $385.00–$544.62 16% below 50%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes $81.50 $163.00 $144.58 42% below 50%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes $123.00 $246.00 $218.20–$295.00 31% below 50%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour $345.00 $690.00 $290.05–$441.25 15% above 50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intermediate counseling, 3-10 minutes $42.00 $84.00 $43.75 28% below 50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more $349.50 $699.00 $620.01 34% below 50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more $158.50 $317.00 $281.18 28% below 50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $241.50 $483.00 $428.42 25% below 50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more $150.00 $300.00 $266.10 2% below 50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more $166.50 $333.00 $342.50 61% below 50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more $364.00 $728.00 $551.25 38% below 50%
Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression $193.50 $387.00 $343.27 69% below 50%
Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder $103.50 $207.00 $183.61 77% below 50%
Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume $290.50 $581.00 $515.35 17% below 50%
Spirometry (breathing test) inpatient CPT 94010 Test to measure expiratory airflow and volume $290.50 $581.00 $515.35 — 50%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities $50.00 $100.00 $88.70 70% below 50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem $215.50 $431.00 $382.30 5% below 50%
Visual field test, extended CPT 92083 Exam of visual field with extended testing $97.50 $195.00 $97.50 75% below 50%

Vaccines

ProcedureCash price List priceInsurers payvs AlaskaOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use $670.60 $1,341.20 $1,189.64 195% above 50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella vaccine $81.50 $163.00 $144.58 68% below 50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent $195.50 $391.00 $346.82 58% below 50%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hepatitis A and hepatitis B vaccine $142.50 $285.00 $252.80 3% below 50%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine adult dosage $45.50 $91.00 $80.72 66% below 50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine, adult dosage (3 dose schedule) $111.00 $222.00 $196.91 8% below 50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps, and rubella vaccine $50.00 $99.99 $88.69 75% below 50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal vaccine, serogroups A, C, W, Y, diphtheria toxoid carrier vaccine $125.00 $250.00 $221.75 48% below 50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use $87.50 $175.00 $155.23 87% below 50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use $575.00 $1,150.00 $1,020.05 2% below 50%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use $336.00 $672.00 $596.06 17% below 50%
Rabies vaccine, one dose CPT 90675 Rabies vaccine for injection into muscle $488.50 $977.00 $866.60 34% below 50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingles vaccine for injection into muscle $84.00 $168.00 $149.02 66% below 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) $39.50 $79.00 $70.07 79% below 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine $130.50 $261.00 $231.51 62% above 50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine $76.00 $152.00 $134.82 53% above 50%

Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbNSRHNOMEAK&type=CDMWithoutLabel&fileType=CSV