| Appendectomy for a ruptured appendix with abscess or peritonitis
CPT 44960
APPENDECTOMY-OPEN RUPTURED W ABSCESS |
$2,207.25 |
$2,943.00 |
$1,184.26–$3,093.15 |
— |
25% |
| Appendectomy, open surgery
CPT 44950
APPENDECTOMY-OPEN |
$1,620.75 |
$2,161.00 |
$869.59–$3,093.15 |
4% below |
25% |
| Appendectomy, open surgery
CPT 44950
APPENDECTOMY OPEN |
$3,591.00 |
$4,788.00 |
$1,926.69–$3,830.40 |
114% above |
25% |
| Cardiac catheterization with coronary angiogram
CPT 93458
LT HT CATH/RETRO |
$6,243.00 |
$8,324.00 |
$2,500.00–$8,687.74 |
33% above |
25% |
| Cardioversion, elective (restoring heart rhythm)
CPT 92960
CL CARDIOVERSION ELECTIVE |
$520.50 |
$694.00 |
$279.27–$1,042.65 |
9% below |
25% |
| Carpal tunnel release, open surgery
CPT 64721
NEUROPLASTY |
$1,032.00 |
$1,376.00 |
$553.70–$3,283.97 |
42% below |
25% |
| Circumcision by surgical excision, older than 28 days (children and adults)
CPT 54161
CIRCUMCISION; NOT NEWBORN |
$483.00 |
$644.00 |
$259.15–$3,748.83 |
69% below |
25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting
CPT 25600
FRACTURE-CLOSED DISTAL RADIAL WO MANIPUL |
$724.50 |
$966.00 |
$220.14–$772.80 |
300% above |
25% |
| Colonoscopy with polyp removal
CPT 45385
COLON/W BIOPSY BY SNARE TECHNIQUE |
$1,266.75 |
$1,689.00 |
$468.30–$1,854.25 |
32% above |
25% |
| Colonoscopy with tissue sample
CPT 45380
COLONOSCOPY W/BIOPSY |
$639.00 |
$852.00 |
$342.84–$1,854.25 |
30% below |
25% |
| Colposcopy with LEEP (loop electrosurgical excision)
CPT 57460
BIOPSY OF CERVIX W/SCOPE LE |
$225.00 |
$300.00 |
$120.72–$2,775.48 |
83% below |
25% |
| D&C (dilation and curettage), not related to pregnancy
CPT 58120
DILATION AND CURETTAGE |
$537.00 |
$716.00 |
$288.12–$3,223.46 |
62% below |
25% |
| Earwax removal with instruments, one ear
CPT 69210
EAR LAVAGE |
$37.50 |
$50.00 |
$20.12–$116.34 |
41% below |
25% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
CPT 58100
ENDOMETRIAL BIOPSY |
$300.00 |
$400.00 |
$160.96–$320.00 |
112% above |
25% |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
CPT 45330
DIAGNOSTIC SIGMOIDOSCOPY |
$156.75 |
$209.00 |
$84.10–$1,433.77 |
66% below |
25% |
| Gallbladder removal, laparoscopic
CPT 47562
LAPAROSCOPIC CHOLECYSTECTOMY |
$4,324.50 |
$5,766.00 |
$2,320.24–$8,162.33 |
143% above |
25% |
| Gallbladder removal, open surgery through a larger incision
CPT 47600
CHOLECYSTECTOMY OPEN |
$2,692.50 |
$3,590.00 |
$1,444.62–$8,300.68 |
92% above |
25% |
| Gallbladder removal, open surgery through a larger incision
CPT 47600
CHOLECYSTECTOMY - OPEN |
$7,224.00 |
$9,632.00 |
$2,500.00–$9,632.00 |
414% above |
25% |
| Hemorrhoidectomy (internal and external), one area
CPT 46255
HEMORRHOIDECTOMY INT & EXT SINGLEGRP |
$870.75 |
$1,161.00 |
$467.19–$4,526.47 |
4% above |
25% |
| Hysterectomy through an abdominal incision (total)
CPT 58150
TOTAL ABDOMINAL HYSTERECTOMY ASSISTING |
$2,503.50 |
$3,338.00 |
$1,343.21–$3,338.00 |
— |
25% |
| Incision and drainage of a simple or single skin abscess
CPT 10060
INC & DRAIN OF ABSCESS |
$150.00 |
$200.00 |
$80.48–$375.41 |
22% below |
25% |
| Inguinal (groin) hernia repair, age 5 or older
CPT 49505
PRP I/HERN INIT REDUC>5 |
$1,301.25 |
$1,735.00 |
$698.16–$5,430.82 |
40% below |
25% |
| Injection into a tendon sheath or ligament (for example trigger finger)
CPT 20550
INJECTION LIGAMENT TENDON TRIGGER POINTS |
$477.75 |
$637.00 |
$256.33–$509.60 |
233% above |
25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
CPT 20610
JOINT INJECTION |
$54.75 |
$73.00 |
$29.38–$464.21 |
79% below |
25% |
| Laparoscopic appendectomy (appendix removal through small cuts)
CPT 44970
APPENDECTOMY LAPAROSCOPY |
$1,507.50 |
$2,010.00 |
$808.82–$8,162.33 |
3% above |
25% |
| Laparoscopic fundoplication (anti-reflux surgery)
CPT 43280
LAPAROSCOPY FUNDOPLASTY |
$2,738.25 |
$3,651.00 |
$1,469.16–$12,074.97 |
38% below |
25% |
| Laparoscopic hysterectomy (uterus 250 g or less)
CPT 58570
Laparoscopy, w/ total hysterectomy, uter |
$1,836.00 |
$2,448.00 |
$602.07–$1,468.80 |
— |
25% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
CPT 49650
LAP HERNIA REPAIR |
$4,324.50 |
$5,766.00 |
$2,320.24–$8,162.33 |
7% below |
25% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
CPT 49651
LAP HERNIA REPAIR RECURRENT INGUINAL |
$4,324.50 |
$5,766.00 |
$2,320.24–$8,162.33 |
— |
25% |
| Laparoscopic removal of fallopian tubes and/or ovaries
CPT 58661
LAP WITH REMOV OF ADNEXAL STRUCTURES |
$1,601.25 |
$2,135.00 |
$859.12–$8,162.33 |
71% below |
25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
CPT 12031
REPAIR INT LESS THAN 2.5CM |
$369.75 |
$493.00 |
$198.38–$718.61 |
17% above |
25% |
| Left heart catheterization, diagnostic
CPT 93452
LT HEART CATH |
$6,375.00 |
$8,500.00 |
$2,500.00–$8,687.74 |
98% above |
25% |
| Lumpectomy (partial mastectomy)
CPT 19301
PARTIAL MASTECTOMY |
$1,627.50 |
$2,170.00 |
$873.21–$3,684.92 |
54% below |
25% |
| Mastectomy (total removal of the breast)
CPT 19303
MASTECTOMY SIMPLE COMPLETE |
$2,524.50 |
$3,366.00 |
$1,354.48–$5,969.16 |
55% below |
25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
CPT 11400
EXCISION-LESION |
$112.50 |
$150.00 |
$60.36–$1,106.48 |
75% below |
25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
CPT 11440
EXC BENIGN LESION 0.5CM OR LESS |
$242.25 |
$323.00 |
$129.98–$1,106.48 |
28% below |
25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
CPT 11440
EXCIS BENIGN LESION-FACE <0.5 |
$459.75 |
$613.00 |
$246.67–$1,106.48 |
36% above |
25% |
| Pacemaker implant (dual chamber)
CPT 33208
PACER DUAL CHAMBER SYSTEM |
$13,378.50 |
$17,838.00 |
$2,500.00–$15,856.48 |
17% above |
25% |
| Permanent removal of a nail and nail root (partial or complete)
CPT 11750
EXCISION OF NAIL PARTIAL OR COMP |
$150.00 |
$200.00 |
$80.48–$786.48 |
42% below |
25% |
| Removal of a breast lump, open surgery
CPT 19120
EXCISION OF CYST |
$1,020.00 |
$1,360.00 |
$547.26–$3,684.92 |
5% below |
25% |
| Removal of a breast lump, open surgery
CPT 19120
EXCIS BREAST LESION (WO RADIOLOGY) |
$2,313.00 |
$3,084.00 |
$1,241.00–$3,684.92 |
115% above |
25% |
| Removal of one lobe of the thyroid (lobectomy) one side
CPT 60220
THYROID PARTIAL LOBECTOMY UNILATERAL |
$1,758.75 |
$2,345.00 |
$943.63–$7,671.21 |
69% below |
25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
CPT 12001
REPAIR SUPERFICIAL WOUND |
$251.25 |
$335.00 |
$134.80–$375.41 |
28% above |
25% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
CPT 11600
EXCIS MAL LESION-TRUNK EXTEM <0.5 |
$768.00 |
$1,024.00 |
$412.06–$1,106.48 |
67% above |
25% |
| Skin tag removal, up to 15 tags
CPT 11200
REMOVAL SKIN TAGS UP TO 15 |
$150.00 |
$200.00 |
$80.48–$312.48 |
9% above |
25% |
| Skin tag removal, up to 15 tags
CPT 11200
REMOVAL OF SKIN TAG UP TO 15 |
$174.00 |
$232.00 |
$93.36–$312.48 |
26% above |
25% |
| Spinal tap (lumbar puncture), diagnostic
CPT 62270
SPINAL FLUID TAP DIAGNOSIC |
$262.50 |
$350.00 |
$140.84–$1,089.07 |
47% below |
25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
CPT 12002
REPAIR-SIMPLE 2.6CM TO 7.5CM |
$187.50 |
$250.00 |
$100.60–$375.41 |
5% below |
25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
CPT 12011
SUTURE EXT EAR LACERATION |
$138.00 |
$184.00 |
$74.04–$375.41 |
30% below |
25% |
| Total thyroid removal (thyroidectomy)
CPT 60240
THYROID COMPLETE REMOVAL |
$2,300.25 |
$3,067.00 |
$1,234.16–$7,671.21 |
— |
25% |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
CPT 58670
LAPAROSCOPY TUBAL CAUTERY |
$886.50 |
$1,182.00 |
$475.64–$8,162.33 |
84% below |
25% |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
CPT 58670
LAP TUBAL CAUTERY |
$4,324.50 |
$5,766.00 |
$2,320.24–$8,162.33 |
21% below |
25% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
CPT 19083
US CORE BX BREAST ABRAHA |
$1,166.25 |
$1,555.00 |
$625.73–$1,244.00 |
2% above |
25% |
| Upper endoscopy (EGD) with polyp removal by snare
CPT 43251
OP UPPER GI REM TUMOR,LESION W/SNARE |
$519.00 |
$692.00 |
$278.46–$1,529.37 |
47% below |
25% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
CPT 43248
GASTROSCOPY W ESOPHAGEAL DILATION |
$804.00 |
$1,072.00 |
$468.30–$1,529.37 |
8% above |
25% |
| Vasectomy, one or both sides, including follow-up semen testing
CPT 55250
VASECTOMY |
$2,145.75 |
$2,861.00 |
$1,151.27–$4,427.19 |
154% above |
25% |
| Wart removal, up to 14 warts
CPT 17110
SURG FLAT WARTS 1-14 |
$82.50 |
$110.00 |
$44.26–$312.48 |
44% below |
25% |
| Wart removal, up to 14 warts
CPT 17110
DESTRUCTION OF BENIGN LESIONS |
$112.50 |
$150.00 |
$60.36–$312.48 |
23% below |
25% |
| Wound debridement, skin and tissue under it, first 20 sq cm
CPT 11042
DEBRIDMENT |
$112.50 |
$150.00 |
$60.36–$990.21 |
71% below |
25% |