SelfPayRates
Hospital Youngstown-Warren, OH

Surgery Center at Southwoods, LLC

Surgery Center at Southwoods, LLC in Youngstown, OH publishes cash prices for 250 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 135 of 245 procedures and above it for 110. Click a procedure to compare it with other hospitals nearby.

250 DEBARTOLO PL, STE 1200, YOUNGSTOWN, OH 44512 Collected Sep 28, 2026 Source price file

Scans and imaging

ProcedureCash price List priceInsurers payvs OhioOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 """"ANKLE BRACHIAL INDEX"""" $424.34 $848.68 $101.88–$576.77 12% below 50%
CT scan of the face and sinuses, no contrast dye both sides CPT 70486 """"CT TMJ BI WO CON"""" $2,122.78 $4,245.55 $98.26–$2,049.87 — 50%
CT scan of the face and sinuses, no contrast dye one side CPT 70486 """"CT TMJ RT WO CON"""" $2,122.78 $4,245.55 $98.26–$2,049.87 142% above 50%
CT scan of the face and sinuses, no contrast dye one side CPT 70486 """"CT TMJ LT WO CON"""" $2,122.78 $4,245.55 $98.26–$2,049.87 142% above 50%
CT scan of the head with contrast CPT 70460 """"CT HEAD/BRAIN W CON"""" $811.19 $1,622.37 $164.49–$1,575.12 19% below 50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 """"CAROTID DUPLEX SCAN UNI/LIMIT"""" $944.30 $1,888.60 $223.34–$1,717.02 30% above 50%
Diagnostic mammogram, both breasts CPT 77066 """"MM DIAG MAMMO BL/CAD"""" $461.83 $923.65 $143.09–$896.75 92% above 50%
Diagnostic mammogram, one breast one side CPT 77065 """"MM DIAGN MAMMO UNILAT/CAD"""" $363.49 $726.97 $113.66–$705.80 10% above 50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 """"US ARTERIAL DUPLEX LE BI"""" $717.19 $1,434.38 $225.74–$717.19 — 50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 """"DUPLEX LE ART/BPG BILAT"""" $717.19 $1,434.38 $223.34–$974.82 — 50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 """"US VENOUS DOPPLER LE BI"""" $424.34 $848.68 $225.74–$669.00 — 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 """"ECHOCARDIOGRAPHY W/O DOPPLER"""" $1,928.27 $3,856.53 $506.62–$4,851.95 14% above 50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 "Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)" $1,627.26 $3,254.52 $204.28–$1,760.00 138% above 50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 "Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist" $3,088.81 $6,177.61 $812.43–$3,088.81 14% below 50%
Knee X-ray, 3 views CPT 73562 """"XR KNEE 3V"""" $392.83 $785.65 $82.33–$408.54 15% above 50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 """"LDCT LUNG CA SCREEN"""" $1,521.86 $3,043.71 $98.26–$2,955.06 475% above 50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 """"MR FOOT LT WO CON"""" $3,282.23 $6,564.46 $223.34–$6,373.26 126% above 50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 """"MRI LE JNT LT WO CONTR"""" $3,282.23 $6,564.46 $223.34–$6,373.26 126% above 50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 """"MRI LE JNT RT WO CONTR"""" $3,282.23 $6,564.46 $223.34–$6,373.26 126% above 50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 """"MR FOOT RT WO CON"""" $3,282.23 $6,564.46 $223.34–$6,373.26 126% above 50%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 """"MR FOOR BI WO/W CON"""" $3,282.23 $6,564.46 $329.98–$6,373.26 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 """"MR EXTREMITY LOW JT W W/O CON"""" $3,282.23 $6,564.46 $329.98–$6,373.26 43% above 50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 """"MR FOOT LT WO/W CON"""" $3,282.23 $6,564.46 $329.98–$6,373.26 43% above 50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 """"MR FOOT RT WO/W CON"""" $3,282.23 $6,564.46 $329.98–$6,373.26 43% above 50%
MRI of the abdomen without contrast CPT 74181 """"MR KIDNEY WO CON"""" $3,282.23 $6,564.46 $223.34–$6,373.26 101% above 50%
MRI of the abdomen, without and then with contrast dye CPT 74183 """"MR KIDNEY WO/W CON"""" $3,282.23 $6,564.46 $329.98–$6,373.26 60% above 50%
MRI of the lower back, without and then with contrast dye CPT 72158 """"MR LUMBAR SPINE"""" $3,282.23 $6,564.46 $329.98–$6,373.26 55% above 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 """"MR HAND LT WO CON"""" $3,282.23 $6,564.46 $223.34–$6,373.26 160% above 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 """"MR HAND RT WO CON"""" $3,282.23 $6,564.46 $223.34–$6,373.26 160% above 50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 """"PET W CT SKULL-THIGH"""" $5,851.61 $11,703.22 $1,347.71–$11,362.35 21% above 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 """"FETAL AGE <14 W SNGL / 1ST GES"""" $717.19 $1,434.38 $98.26–$1,392.60 43% above 50%
Sleep study in a lab (polysomnography) CPT 95810 "Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist" $3,088.81 $6,177.61 $812.43–$3,088.81 10% below 50%
Transvaginal ultrasound during pregnancy CPT 76817 """"US OB TRANSVAGINAL"""" $717.19 $1,434.38 $98.91–$745.88 50% above 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 """"FL SMALL BOWEL FOLLOW THROUGH"""" $766.64 $1,533.27 $161.96–$1,486.50 34% above 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 """"DUPLEX EXT VEINS UNIL/LIMIT"""" $424.34 $848.68 $98.26–$823.96 42% below 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 """"US VENOUS DOPPLER UE RT"""" $424.34 $848.68 $98.91–$424.34 42% below 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 """"US VENOUS DOPPLER LE LT"""" $424.34 $848.68 $98.91–$424.34 42% below 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 """"US VENOUS DOPPLER LE RT"""" $424.34 $848.68 $98.91–$424.34 42% below 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 """"US VENOUS DOPPLER UE LT"""" $424.34 $848.68 $98.91–$424.34 42% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 """"XR HIP UNI W/PELVIS 2-3/V"""" $392.83 $785.65 $82.33–$408.54 24% above 50%
X-ray of the ankle, 2 views CPT 73600 """"XR ANKLE LIMITED"""" $392.83 $785.65 $82.33–$408.54 53% above 50%
X-ray of the finger(s), 2 or more views CPT 73140 """"XR FINGERS"""" $392.83 $785.65 $82.33–$408.54 68% above 50%
X-ray of the foot, 2 views CPT 73620 """"XR FOOT BL 2V"""" $392.83 $785.65 $82.33–$408.54 72% above 50%
X-ray of the foot, complete, 3 or more views CPT 73630 """"XR FOOT 3 V"""" $392.83 $785.65 $82.33–$408.54 26% above 50%
X-ray of the knee, 1 or 2 views CPT 73560 """"XR KNEE LIMITED"""" $392.83 $785.65 $82.33–$408.54 47% above 50%

Lab tests

ProcedureCash price List priceInsurers payvs OhioOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 """"ALANINE AMINO ALT SGPT"""" $28.26 $56.51 $5.30–$54.86 2% above 50%
AST (aspartate aminotransferase) enzyme test CPT 84450 """"TRANSFERASE AST SGOT"""" $26.63 $53.25 $5.18–$27.69 6% above 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 """"ANA-ANTINUCLEAR ANTIBODIES"""" $49.45 $98.89 $12.09–$96.01 8% below 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 """"B-TYPE NATRIURETIC PEPTIDE"""" $179.85 $359.69 $39.26–$349.21 26% above 50%
Basic metabolic panel (blood test) CPT 80048 """"BASIC METABOLIC PANEL"""" $37.49 $74.98 $8.46–$72.80 37% below 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 """"TISSUE EX BY PATHOLOGIST LVL 4"""" $97.80 $195.60 $49.30–$146.11 46% below 50%
Blood culture for bacteria CPT 87040 """"BLOOD CULTURE FOR BACTERIA"""" $47.27 $94.54 $10.32–$91.79 49% below 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 """"ROUTINE VENIPUNCTURE"""" $22.28 $44.56 $9.34–$23.17 51% above 50%
Blood glucose (sugar) test CPT 82947 """"GLUCOSE"""" $22.82 $45.64 $3.93–$46.42 9% above 50%
Blood lead test CPT 83655 "Lead" $52.16 $104.32 $12.11–$54.25 30% above 50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 """"PREGNANCY QUALITATIVE"""" $37.49 $74.98 $7.52–$72.80 24% below 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 """"BLOOD TYPING ABO"""" $26.63 $53.25 $2.99–$344.64 45% below 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 """"C-REACTIVE PROTEIN"""" $26.08 $52.16 $5.18–$50.64 40% below 50%
CA 19-9 blood test (tumor marker) CPT 86301 """"CA 19-9"""" $64.66 $129.32 $20.81–$125.55 4% below 50%
CA-125 blood test (ovarian cancer marker) CPT 86304 """"CA 125"""" $68.46 $136.92 $20.81–$132.93 27% below 50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 """"LIPID PANEL"""" $61.94 $123.88 $13.39–$120.27 19% above 50%
Complete blood count (CBC) with differential CPT 85025 """"CBC WITH DIFF"""" $38.04 $76.07 $7.77–$73.85 8% above 50%
Complete blood count (CBC), no differential CPT 85027 """"AUTOMATED HEMOGRAM"""" $32.06 $64.12 $6.47–$62.25 1% below 50%
Comprehensive metabolic panel (blood test) CPT 80053 """"COMP METABOLIC PANEL"""" $49.45 $98.89 $10.56–$96.01 18% below 50%
D-dimer blood test (blood clot marker) CPT 85379 """"FIBRIN DEGRA PRO D-DIMER QUANT"""" $42.93 $85.85 $10.18–$83.35 38% below 50%
Estradiol blood test CPT 82670 """"ESTRADOL"""" $97.26 $194.52 $27.94–$188.85 6% below 50%
FSH (follicle-stimulating hormone) test CPT 83001 """"GONADOTROPIN FSH"""" $75.53 $151.05 $18.58–$146.65 11% below 50%
Ferritin blood test (iron stores) CPT 82728 """"FERRITIN"""" $65.75 $131.49 $13.63–$127.66 13% below 50%
Folate (folic acid) blood test CPT 82746 """"BLOOD FOLIC ACID SERUM"""" $59.23 $118.45 $14.70–$115.00 10% below 50%
Free T3 thyroid hormone test CPT 84481 """"FREE ASSAY FT-3"""" $90.74 $181.48 $16.94–$176.19 33% above 50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 """"ASSAY FREE THYROXINE"""" $40.21 $80.41 $9.02–$78.07 at median 50%
Free testosterone test CPT 84402 """"TESTOSTERONE FREE"""" $101.61 $203.21 $25.47–$105.67 8% above 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 """"NEISSERIA AMPLIF NA PROBE"""" $160.29 $320.57 $35.09–$311.23 72% above 50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 """"IADNA HPV HIGH RISK"""" $126.05 $252.10 $35.09–$244.76 12% above 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 """"GLYCATED HEMOGLOB TEST HBA1C"""" $45.64 $91.28 $9.71–$88.62 4% above 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 """"HEPATITIS B SURFACE ANTIBODY"""" $50.53 $101.06 $10.74–$98.12 5% above 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 """"HEPATITIS B SURFACE ANTIGEN"""" $44.56 $89.11 $10.33–$86.51 3% below 50%
Hepatitis C antibody blood test (screening) CPT 86803 """"HEPATITIS C ANTIBODY"""" $64.11 $128.22 $14.27–$124.49 1% above 50%
High-sensitivity CRP (hs-CRP) test CPT 86141 """"C-REACTIVE PROT HIGH SENSIT"""" $55.97 $111.93 $12.95–$108.67 6% below 50%
Homocysteine blood test CPT 83090 """"Homocysteine Level Blood"""" $63.57 $127.14 $17.92–$123.44 19% below 50%
Iron blood test (serum iron) CPT 83540 """"IRON"""" $32.06 $64.12 $6.47–$62.25 6% below 50%
Iron-binding capacity (TIBC) test CPT 83550 """"IRON BINDING CAPACITY"""" $42.38 $84.76 $8.74–$82.29 9% above 50%
Kidney function blood test panel CPT 80069 "Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)" $36.57 $73.13 $8.68–$38.03 41% below 50%
Lipase blood test (pancreas enzyme) CPT 83690 """"LIPASE"""" $34.78 $69.55 $6.89–$67.52 32% below 50%
Liver function blood test panel CPT 80076 """"HEPATIC FUNCTION PANEL"""" $31.52 $63.03 $8.17–$61.19 44% below 50%
Magnesium blood test CPT 83735 """"MAGNESIUM"""" $29.89 $59.77 $6.70–$58.03 6% below 50%
Mono test (heterophile antibody, Monospot) CPT 86308 "Heterophile antibodies; screening" $29.89 $59.77 $5.18–$31.08 42% below 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 """"PSA TOTAL"""" $86.93 $173.86 $18.39–$168.80 13% above 50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 """"CP CERV/VAG ATL MANUAL SCRN"""" $110.30 $220.60 $20.26–$214.17 23% above 50%
Parathyroid hormone (PTH) blood test CPT 83970 """"ASSAY OF PARATHORMONE"""" $176.59 $353.17 $41.28–$342.88 28% above 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 """"PARTIAL THROMBOPLASTIN TIME"""" $30.97 $61.94 $6.01–$60.14 11% below 50%
Prothrombin time (PT/INR) clotting test CPT 85610 """"PROTHROMBIN TIME"""" $22.82 $45.64 $4.29–$23.73 2% below 50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 """"DRUG TES PRSMV DIR OPT OBS"""" $65.20 $130.40 $12.60–$126.60 13% above 50%
Rapid flu test (influenza antigen) CPT 87804 "Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza" $67.92 $135.84 $16.55–$70.64 3% above 50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 """"STREP A ASSAY W/OPTIC"""" $54.34 $108.67 $16.53–$56.51 5% below 50%
Rheumatoid factor (RF) test CPT 86431 """"QUAN RHEUM FACTOR"""" $25.54 $51.08 $5.67–$49.59 18% below 50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 """"SEDIMENT RATE ERYTHROCYTE AUTO"""" $14.13 $28.25 $2.70–$14.69 57% below 50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 "Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)" $15.76 $31.52 $4.38–$16.39 38% below 50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 "Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations" $79.33 $158.65 $15.92–$82.50 57% above 50%
Testosterone blood test, total (not free testosterone) CPT 84403 """"ASSAY TOTAL TESTOSTERONE"""" $102.69 $205.38 $25.81–$199.40 18% above 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 """"MICROSOMAL ANTIBODY"""" $78.24 $156.48 $14.55–$151.92 33% above 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 """"TSH"""" $77.70 $155.40 $16.80–$80.81 13% above 50%
Uric acid blood test CPT 84550 """"ASSAY BLOOD URIC ACID"""" $23.91 $47.81 $4.52–$46.42 30% below 50%
Urinalysis with microscope exam, automated CPT 81001 """"AUTOM URINE DIP W MICRO"""" $15.76 $31.52 $3.17–$30.60 40% below 50%
Urinalysis without microscope exam, automated CPT 81003 "Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy" $30.97 $61.94 $2.25–$32.21 36% above 50%
Urine pregnancy test, read by color change CPT 81025 """"URINE PREGNANCY"""" $31.52 $63.03 $8.61–$32.78 31% below 50%
Vitamin B12 (cobalamin) blood test CPT 82607 """"CYANOCOBALAMIN VIT B-12"""" $69.01 $138.01 $15.08–$133.99 4% below 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 """"ASSAY OF VITAMIN D"""" $141.81 $283.62 $29.60–$275.36 80% above 50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 """"GONADOT CHORIONIC HCG QUANT"""" $69.01 $138.01 $15.05–$133.99 2% above 50%

Surgery and procedures

ProcedureCash price List priceInsurers payvs OhioOff list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 "Adenoidectomy, primary; younger than age 12" $3,964.88 $7,929.75 $1,974.14–$8,644.42 14% above 50%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 "Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2" $11,824.07 $23,648.13 $2,573.58–$34,297.22 78% below 50%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 "Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction" $23,725.04 $47,450.07 $1,770.00–$32,247.62 19% above 50%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 "Arthroscopy, shoulder, surgical; with rotator cuff repair" $8,649.70 $17,299.39 $2,249.08–$19,040.54 74% below 50%
Botox injections for chronic migraine both sides CPT 64615 "Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)" $381.96 $763.92 $290.40–$1,100.00 — 50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 """"BX BREAST 1ST LESION STRTCTC"""" $1,343.10 $2,686.20 $1,043.18–$4,318.65 66% below 50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 "Closed treatment of distal fibular fracture (lateral malleolus); without manipulation" $950.82 $1,901.64 $233.37–$1,100.00 153% above 50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 "Closed treatment of metatarsal fracture; without manipulation, each" $733.49 $1,466.98 $233.37–$1,100.00 102% above 50%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 "Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method" $3,916.72 $7,833.44 $1,770.00–$8,649.18 10% above 50%
Bunion correction with removal of part of the big toe joint CPT 28292 "Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method" $3,355.34 $6,710.68 $1,534.00–$8,649.18 118% above 50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 """"CARDIOVERSION EXTERNAL"""" $2,640.02 $5,280.04 $161.54–$5,126.25 28% above 50%
Carpal tunnel release, open surgery CPT 64721 "Neuroplasty and/or transposition; median nerve at carpal tunnel" $2,743.25 $5,486.49 $1,300.00–$5,475.15 64% below 50%
Cataract surgery with lens implant CPT 66984 "Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation" $6,718.10 $13,436.19 $2,087.00–$9,131.39 102% above 50%
Cervical biopsy CPT 57500 "Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure)" $5,266.72 $10,533.44 $804.55–$7,158.65 188% above 50%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 "Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age" $4,138.37 $8,276.74 $1,534.00–$5,624.97 32% below 50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 "Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation" $950.82 $1,901.64 $233.37–$1,100.00 132% above 50%
Colonoscopy with polyp removal CPT 45385 """"COLONOSCOPY W LESION RML"""" $1,722.89 $3,445.77 $1,089.45–$3,345.41 50% below 50%
Colonoscopy with tissue sample CPT 45380 """"COLONOSCOPY BX BRUSH WASH"""" $1,722.89 $3,445.77 $1,089.45–$3,345.41 48% below 50%
Colonoscopy, diagnostic CPT 45378 """"COLONOSCOPY DIAGNOSTIC"""" $1,722.89 $3,445.77 $842.40–$3,345.41 37% below 50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 "Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix" $4,009.91 $8,019.81 $1,418.00–$8,475.67 3% above 50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 "Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage" $3,768.93 $7,537.85 $288.30–$3,768.93 314% above 50%
Complex cataract surgery with lens implant CPT 66982 "Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device $6,188.22 $12,376.44 $2,087.00–$8,411.17 133% above 50%
Cystoscopy with ureteral stent placement CPT 52332 "Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)" $6,397.19 $12,794.37 $1,534.00–$9,193.46 2% above 50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 """"CYSTOSCOPY"""" $2,588.95 $5,177.89 $616.73–$5,027.08 30% above 50%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 "Tympanostomy (requiring insertion of ventilating tube), general anesthesia" $3,440.45 $6,880.89 $1,467.92–$4,350.41 11% below 50%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 "Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia" $978.53 $1,957.06 $510.25–$1,512.20 41% above 50%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 "Removal impacted cerumen using irrigation/lavage, unilateral" $138.54 $277.07 $55.81–$1,100.00 10% below 50%
Earwax removal with instruments, one ear one side CPT 69210 "Removal impacted cerumen requiring instrumentation, unilateral" $146.16 $292.31 $55.81–$1,100.00 6% below 50%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 "Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)" $2,205.00 $4,410.00 $1,712.62–$18,451.10 68% below 50%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 "Nasal/sinus endoscopy, surgical, with maxillary antrostomy" $4,533.84 $9,067.67 $1,770.00–$9,828.07 9% below 50%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 "Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus" $3,328.47 $6,656.93 $1,770.00–$18,451.10 84% below 50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 "Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy $1,597.38 $3,194.75 $667.82–$1,979.19 28% below 50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 "Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level" $1,374.61 $2,749.22 $836.78–$2,479.92 35% below 50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 "Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible" $14,082.22 $28,164.44 $1,673.00–$18,151.62 59% below 50%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 "Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible" $19,491.35 $38,982.70 $1,673.00–$19,491.35 42% below 50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 "Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible" $6,482.37 $12,964.73 $1,673.00–$10,038.91 68% below 50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 """"SIGMOIDOSCOPY DIAGNOSTIC"""" $997.55 $1,995.09 $774.79–$2,429.09 61% below 50%
Gallbladder removal, laparoscopic CPT 47562 "Laparoscopy, surgical; cholecystectomy" $15,231.65 $30,463.30 $5,390.83–$20,703.21 13% below 50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 "Laparoscopy, surgical; cholecystectomy with cholangiography" $9,122.91 $18,245.82 $5,390.83–$15,551.40 48% below 50%
Hammertoe correction surgery CPT 28285 "Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)" $5,200.47 $10,400.94 $1,770.00–$8,649.18 46% below 50%
Hemorrhoid banding (rubber band ligation) CPT 46221 """"LIGATION HEMORRHOIDS"""" $1,108.39 $2,216.77 $842.40–$2,429.09 45% below 50%
Hemorrhoidectomy (internal and external), one area CPT 46255 "Hemorrhoidectomy, internal and external, single column/group" $4,785.13 $9,570.25 $1,770.00–$7,311.04 56% below 50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 """"INJ FOR HYSTEROSALPGRPHY"""" $491.71 $983.42 $85.04–$954.78 29% above 50%
Hysteroscopy with endometrial ablation CPT 58563 "Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)" $6,215.47 $12,430.94 $2,249.08–$13,157.96 53% below 50%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 "Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C" $4,640.44 $9,280.87 $1,770.00–$8,475.67 51% below 50%
IUD insertion (the device itself billed separately) CPT 58300 "Insertion of intrauterine device (IUD)" $3,371.89 $6,743.77 $187.60–$3,371.89 897% above 50%
Incision and drainage of a simple or single skin abscess CPT 10060 "Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single" $586.25 $1,172.50 $189.82–$1,100.00 55% above 50%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 "Repair initial inguinal hernia, age 5 years or older; reducible" $7,710.57 $15,421.14 $1,673.00–$10,038.91 27% below 50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 """"INJ TRIGGER PT TENDON SHEATH"""" $454.77 $909.53 $272.75–$883.04 34% above 50%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 "Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)" $12,724.08 $25,448.16 $1,770.00–$17,294.86 224% above 50%
Knee arthroscopy with meniscus trim CPT 29881 "Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed" $7,361.91 $14,723.82 $1,974.14–$10,006.48 at median 50%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 "Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed" $6,679.72 $13,359.44 $1,974.14–$9,079.23 23% below 50%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 "Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)" $7,983.09 $15,966.18 $1,974.14–$10,850.80 117% above 50%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 "Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)" $33,538.35 $67,076.70 $1,954.08–$45,586.10 1% below 50%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 "Laparoscopy, surgical, appendectomy" $13,008.88 $26,017.76 $1,770.00–$17,681.97 25% below 50%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 "Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less" $15,136.48 $30,272.96 $2,573.58–$27,751.52 52% below 50%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 "Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)" $17,405.75 $34,811.50 $6,105.00–$27,751.52 54% below 50%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 "Laparoscopy, surgical; repair initial inguinal hernia" $14,790.42 $29,580.84 $1,974.14–$20,103.48 56% below 50%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 "Laparoscopy, surgical; repair recurrent inguinal hernia" $15,547.47 $31,094.93 $3,059.74–$21,132.48 145% above 50%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 "Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)" $9,475.01 $18,950.01 $2,249.08–$15,551.40 58% below 50%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 "Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)" $25,778.70 $51,557.40 $1,954.08–$35,039.01 45% below 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less" $2,043.08 $4,086.15 $384.59–$2,043.08 278% above 50%
Lower-back epidural injection, with imaging guidance CPT 62323 """"INJ INTERLAM LMBR/SAC W/IMAGIN"""" $1,597.38 $3,194.75 $639.87–$3,101.70 22% below 50%
Lower-back epidural injection, without imaging guidance CPT 62322 """"INJ INTERLAMINAR LMBR/SAC"""" $1,374.61 $2,749.22 $822.61–$2,669.15 16% below 50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 "Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level" $1,374.61 $2,749.22 $836.78–$2,479.92 27% below 50%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 "Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar" $13,600.86 $27,201.72 $6,105.00–$19,040.54 54% below 50%
Lumbar laminectomy (spinal decompression), one level both sides CPT 63047 "Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar" $16,785.66 $33,571.32 $3,938.00–$22,815.46 — 50%
Lumbar spinal fusion (posterior), one level CPT 22612 "Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)" $20,452.98 $40,905.95 $2,573.58–$49,019.12 27% below 50%
Lumpectomy (partial mastectomy) CPT 19301 "Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)" $6,518.62 $13,037.23 $1,770.00–$10,205.98 59% below 50%
Mastectomy (total removal of the breast) CPT 19303 "Mastectomy, simple, complete" $13,713.42 $27,426.84 $1,974.14–$18,639.60 59% below 50%
Miscarriage treatment with D&C, first trimester CPT 59820 "Treatment of missed abortion, completed surgically; first trimester" $3,468.94 $6,937.87 $1,906.00–$9,076.41 51% below 50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less" $2,642.74 $5,285.47 $669.95–$2,642.74 93% above 50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less" $2,642.74 $5,285.47 $669.95–$2,642.74 93% above 50%
Nail removal (partial or complete), one nail CPT 11730 "Avulsion of nail plate, partial or complete, simple; single" $379.79 $759.57 $189.82–$1,100.00 19% above 50%
Occipital nerve block (injection for headaches) CPT 64405 "Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve" $1,586.78 $3,173.56 $290.40–$1,586.78 59% above 50%
Paracentesis with imaging guidance CPT 49083 """"CT DRAIN PARACENTESIS"""" $1,347.45 $2,694.89 $866.29–$2,616.40 22% below 50%
Partial knee replacement (one compartment) CPT 27446 "Arthroplasty, knee, condyle and plateau; medial OR lateral compartment" $24,188.74 $48,377.47 $2,249.08–$34,297.22 328% above 50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 "Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal" $2,791.12 $5,582.23 $384.59–$2,791.12 258% above 50%
Prostate biopsy CPT 55700 """"BIOPSY PROSTATE ANY APPROACH"""" $3,566.39 $7,132.77 $1,824.00–$6,925.02 145% above 50%
Prostate removal (prostatectomy), laparoscopic CPT 55866 "Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed" $14,177.50 $28,354.99 $2,249.08–$27,751.52 76% below 50%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 "Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint" $4,057.01 $8,114.02 $1,418.00–$5,514.38 29% above 50%
Removal of a breast lump, open surgery CPT 19120 "Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions" $3,431.69 $6,863.37 $1,770.00–$10,205.98 13% below 50%
Removal of a foreign object under the skin, simple CPT 10120 "Incision and removal of foreign body, subcutaneous tissues; simple" $653.63 $1,307.25 $384.59–$1,139.80 1% above 50%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 "Total thyroid lobectomy, unilateral; with or without isthmusectomy" $15,267.47 $30,534.93 $1,300.00–$16,950.76 33% below 50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 """"SCRN COLONOSCOP NOT HIGH RISK"""" $1,896.21 $3,792.41 $842.40–$3,681.95 27% below 50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 """"SCREENING COLONOSCOPY"""" $1,896.21 $3,792.41 $842.40–$3,681.95 27% below 50%
Septoplasty to straighten the nasal septum CPT 30520 "Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft" $4,979.77 $9,959.53 $1,673.00–$9,296.06 72% below 50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 """"LITHOT EXTRACORP SHOCK WAV"""" $4,749.75 $9,499.49 $3,186.78–$9,222.81 52% below 50%
Short arm cast (elbow to hand) CPT 29075 """"APLLY SHORT ARM CAST"""" $454.77 $909.53 $245.39–$883.04 57% above 50%
Short arm splint (forearm and hand) CPT 29125 """"APPLY SHORT ARM SPLINT STATIC"""" $454.77 $909.53 $119.10–$883.04 57% above 50%
Short leg cast (below the knee) CPT 29405 """"APPLY SH LEG CAST"""" $454.77 $909.53 $245.39–$883.04 27% above 50%
Short leg splint (calf to foot) CPT 29515 """"APPLY SHORT LEG SPLINT"""" $454.77 $909.53 $145.79–$883.04 50% above 50%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 "Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)" $8,282.65 $16,565.30 $2,249.08–$11,257.97 53% below 50%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 "Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)" $6,139.80 $12,279.60 $1,770.00–$8,345.36 79% below 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 """"SREP S/N/A/G/TR/E; 2.5CM/<"""" $849.76 $1,699.52 $183.59–$1,650.02 158% above 50%
Skin tag removal, up to 15 tags CPT 11200 """"REMOVAL OF SKIN TAGS <W/15"""" $243.41 $486.82 $183.59–$530.03 17% below 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 "Spinal puncture, lumbar, diagnostic" $794.34 $1,588.68 $667.82–$1,979.19 24% 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 superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm" $950.82 $1,901.64 $189.82–$988.85 170% above 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less" $849.76 $1,699.52 $189.82–$883.75 168% above 50%
TURP (transurethral resection of the prostate) CPT 52601 "Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)" $7,474.64 $14,949.27 $1,673.00–$15,033.66 59% below 50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 "Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion" $273.84 $547.67 $253.02–$1,139.80 9% below 50%
Tonsil and adenoid removal, age 12 or older CPT 42821 "Tonsillectomy and adenoidectomy; age 12 or over" $6,423.78 $12,847.55 $1,906.00–$9,296.06 72% above 50%
Tonsil and adenoid removal, child under 12 CPT 42820 "Tonsillectomy and adenoidectomy; younger than age 12" $5,069.94 $10,139.88 $1,500.00–$16,598.32 24% below 50%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 "Tonsillectomy, primary or secondary; age 12 or over" $4,413.85 $8,827.69 $1,673.00–$9,296.06 61% below 50%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 "Tonsillectomy, primary or secondary; younger than age 12" $3,994.57 $7,989.13 $1,673.00–$16,598.32 36% below 50%
Total hip replacement CPT 27130 "Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft" $28,107.78 $56,215.56 $8,451.78–$38,204.75 39% below 50%
Total knee replacement CPT 27447 "Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)" $25,511.12 $51,022.23 $2,181.00–$35,997.74 46% below 50%
Total shoulder replacement CPT 23472 "Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))" $35,428.95 $70,857.89 $2,249.08–$49,019.12 39% below 50%
Total thyroid removal (thyroidectomy) CPT 60240 "Thyroidectomy, total or complete" $13,098.98 $26,197.95 $2,593.00–$16,950.76 56% below 50%
Trigger finger release surgery CPT 26055 "Tendon sheath incision (eg, for trigger finger)" $2,850.09 $5,700.17 $1,300.00–$4,508.56 3% below 50%
Trigger point injections, 1 or 2 muscles CPT 20552 """"TRIGGER POINT 1-2 MUSC GRPS"""" $454.77 $909.53 $272.75–$883.04 38% below 50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 """"US BX BREAST PERC W IMAGE"""" $868.78 $1,737.56 $674.78–$4,318.65 73% below 50%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 """"ESOPHAGUS ENDO DILATION5402"""" $1,656.06 $3,312.11 $1,286.26–$5,055.45 55% below 50%
Upper endoscopy (EGD) with biopsy CPT 43239 """"ENDO UPR GI-BX &/OR SPECIMEN"""" $1,656.06 $3,312.11 $866.29–$3,215.64 41% below 50%
Upper endoscopy (EGD) with injection into the lining CPT 43236 """"UP GAST ENDO W/ESOP W/DIR SUBM"""" $1,656.06 $3,312.11 $866.29–$3,215.64 41% below 50%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 """"ENDO UP GI-REMVL POLYPOID LSNS"""" $1,656.06 $3,312.11 $1,286.26–$5,055.45 49% below 50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 """"UP GI ENDO/GUIDEWIRE"""" $1,656.06 $3,312.11 $866.29–$4,010.53 41% below 50%
Upper endoscopy (EGD), diagnostic CPT 43235 """"ENDO UPR GI ESOPH/STOMACH/ETC"""" $1,656.06 $3,312.11 $866.29–$3,215.64 36% below 50%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)" $5,926.43 $11,852.86 $1,974.14–$13,550.14 50% below 50%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)" $9,948.20 $19,896.39 $1,974.14–$13,550.14 35% below 50%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 "Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)" $3,341.23 $6,682.46 $1,300.00–$5,861.13 — 50%
Wart removal, up to 14 warts CPT 17110 """"Wart Removal 14 or Less"""" $1,545.00 $3,090.00 $183.59–$3,000.00 471% above 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 "Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less" $2,447.21 $4,894.41 $384.59–$2,447.21 214% above 50%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 "Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation" $17,920.88 $35,841.76 $2,249.08–$24,358.48 114% above 50%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs OhioOff list
Blood transfusion (giving blood or blood components) CPT 36430 """"BLOOD TRANSFUSION SERVICE"""" $619.94 $1,239.87 $417.38–$1,236.99 47% below 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 "Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device" $224.94 $449.87 $207.17–$613.98 26% above 50%
Chemotherapy IV infusion, first hour CPT 96413 "Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug" $769.90 $1,539.79 $312.49–$926.12 3% above 50%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 "Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)" $272.75 $545.50 $121.73–$360.79 3% below 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 """"ELECTROCARDIOGRAM TRACING"""" $141.81 $283.62 $6.12–$275.36 23% below 50%
Exercise stress test, tracing only, the hospital charge CPT 93017 """"TREADMILL STRESS"""" $1,031.23 $2,062.46 $200.00–$1,254.00 16% above 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 "Intravenous infusion, hydration; initial, 31 minutes to 1 hour" $227.11 $454.22 $201.23–$596.39 46% below 50%
IV infusion of a medicine, first hour CPT 96365 "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour" $462.92 $925.83 $201.23–$596.39 7% above 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 """"THER/PROPH/DIAG INJ SC IM"""" $73.89 $147.78 $68.12–$201.88 49% below 50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 "Nerve conduction studies; 7-8 studies" $1,804.39 $3,608.77 $353.04–$1,876.56 31% above 50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 "Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes" $13.59 $27.17 $10.32–$112.14 79% below 50%
Occupational therapy evaluation, low complexity CPT 97165 """"OT EVAL LOW COMPLEX 30 MIN"""" $226.57 $453.14 $76.12–$439.94 13% below 50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 "Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements fro $376.53 $753.05 $286.16–$408.09 27% above 50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 "Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures an $254.28 $508.55 $193.25–$408.09 4% below 50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 "Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements fr $293.40 $586.79 $222.98–$410.13 6% above 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 """"MANUAL THERAPY"""" $45.64 $91.28 $21.54–$88.62 57% below 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 """"THERAPEUTIC EXERCISES"""" $91.28 $182.56 $69.37–$193.00 18% below 50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 "Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes" $41.30 $82.59 $35.45–$105.04 4% below 50%
Spirometry (breathing test) CPT 94010 "Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation" $247.22 $494.43 $204.28–$605.42 15% below 50%
Spirometry before and after a bronchodilator CPT 94060 "Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration" $506.38 $1,012.76 $353.04–$1,046.27 10% below 50%
Therapeutic activities (functional training), 15 minutes CPT 97530 """"THERAPEUTIC ACTIVITIES"""" $58.14 $116.28 $44.19–$193.00 53% below 50%

Vaccines

ProcedureCash price List priceInsurers payvs OhioOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 """"FLUAD FLU VAC/0.5 ML"""" $236.94 $473.87 $98.16–$246.41 216% above 50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 "Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use" $58.71 $117.42 $54.25–$112.72 62% below 50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 "Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use" $48.41 $96.82 $44.73–$147.24 56% below 50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 "Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use" $342.45 $684.90 $260.26–$356.15 8% above 50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 "Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use" $662.76 $1,325.51 $312.90–$689.27 at median 50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 """"TETANUS/DIPHTH/TOX ADLT 0.5ML"""" $165.74 $331.47 $133.47–$200.21 39% below 50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 """"PNEUMOCOCCAL 23 (PNEUMOVAX) 25"""" $415.17 $830.33 $133.47–$431.77 53% above 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 "Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use" $115.88 $231.75 $38.75–$120.51 30% above 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 "Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use" $145.57 $291.13 $39.48–$151.39 32% above 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 """"IMMUNIZATION ADMIN 1 VACCINE"""" $148.33 $296.66 $68.12–$201.88 270% above 50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 "Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)" $44.56 $89.11 $33.86–$66.01 28% above 50%

Source file: https://www.southwoodshealth.com/wp-content/uploads/2026/04/421562638_surgery-center-at-southwoods_standardcharges.csv