Omega Hospital
Omega Hospital in Metairie, LA publishes cash prices for 228 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 above the Louisiana median for 169 of 207 procedures and below it for 38. Click a procedure to compare it with other hospitals nearby.
2525 Severn Ave. Metairie, LA 70002 Collected Sep 29, 2026 Source price file
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Omega Hospital in Metairie, LA:
- Mar 26, 2026 Corrective action plan requested
- Jun 16, 2026 Corrective action plan requested
Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | $3,199.82 | $5,485.41 | $5,485.41–$9,142.35 | 2366% above | 42% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL | $321.04 | $550.35 | $550.35–$917.25 | 67% above | 42% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RADEX ESOPHAGUS | $655.85 | $1,124.31 | $1,124.31–$1,873.85 | 156% above | 42% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE &/JOINT IMAGING WHOLE BODY | $382.50 | $655.71 | $655.71–$1,092.85 | 38% below | 42% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 27% below | 42% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $318.20 | $545.49 | $545.49–$909.15 | 22% below | 42% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM | $5,033.23 | $8,628.39 | $8,628.39–$14,380.65 | 5892% above | 42% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST MATERIAL | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 29% below | 42% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST MATERIAL | $638.58 | $1,094.70 | $1,094.70–$1,824.50 | 25% below | 42% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST MATERIAL | $623.95 | $1,069.62 | $1,069.62–$1,782.70 | 6% below | 42% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST MATERIAL | $592.11 | $1,015.05 | $1,015.05–$1,691.75 | 10% below | 42% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONTRAST MATERIAL | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 13% below | 42% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 27% below | 42% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST MATERIAL | $638.58 | $1,094.70 | $1,094.70–$1,824.50 | 20% below | 42% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST MATERIAL | $638.58 | $1,094.70 | $1,094.70–$1,824.50 | 19% below | 42% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST MATERIAL | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 20% below | 42% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY | $368.50 | $631.71 | $631.71–$1,052.85 | — | 42% |
| Chest X-ray, 2 views CPT 71046 RADIOLOGIC EXAM CHEST 2 VIEWS | $592.11 | $1,015.05 | $1,015.05–$1,691.75 | 333% above | 42% |
| Chest X-ray, single view CPT 71045 RADIOLOGIC EXAM CHEST SINGLE VIEW | $592.11 | $1,015.05 | $1,015.05–$1,691.75 | 383% above | 42% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | $655.85 | $1,124.31 | $1,124.31–$1,873.85 | 121% above | 42% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL | $3,066.16 | $5,256.27 | $5,256.27–$8,760.45 | 1645% above | 42% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL | $3,066.16 | $5,256.27 | $5,256.27–$8,760.45 | 3802% above | 42% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION | $368.50 | $631.71 | $631.71–$1,052.85 | 39% above | 42% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST MATERIAL | $638.58 | $1,094.70 | $1,094.70–$1,824.50 | 18% below | 42% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/CONTRAST MATERIAL | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 27% below | 42% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY | $368.50 | $631.71 | $631.71–$1,052.85 | — | 42% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY | $368.50 | $631.71 | $631.71–$1,052.85 | — | 42% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D | $519.73 | $890.97 | $890.97–$1,484.95 | 31% below | 42% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT | $259.47 | $444.81 | $444.81–$741.35 | 77% above | 42% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $813.21 | $1,394.07 | $1,394.07–$2,323.45 | 30% below | 42% |
| Knee X-ray, 3 views CPT 73562 RADIOLOGIC EXAMINATION KNEE 3 VIEWS | $3,072.27 | $5,266.74 | $5,266.74–$8,777.90 | 2147% above | 42% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL REAL TIME W/IMAGE LIMITED | $655.85 | $1,124.31 | $1,124.31–$1,873.85 | 120% above | 42% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $725.85 | $1,244.31 | $1,244.31–$2,073.85 | 33% below | 42% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $860.56 | $1,475.25 | $1,475.25–$2,458.75 | 36% below | 42% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST MATERIAL | $725.85 | $1,244.31 | $1,244.31–$2,073.85 | 33% below | 42% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O & W/CONTRAST MATERIAL | $860.56 | $1,475.25 | $1,475.25–$2,458.75 | 36% below | 42% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 39% below | 42% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $860.56 | $1,475.25 | $1,475.25–$2,458.75 | 40% below | 42% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 45% below | 42% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL | $860.56 | $1,475.25 | $1,475.25–$2,458.75 | 38% below | 42% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 42% below | 42% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL | $860.56 | $1,475.25 | $1,475.25–$2,458.75 | 48% below | 42% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 44% below | 42% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/CONTRAST MATERIAL | $860.56 | $1,475.25 | $1,475.25–$2,458.75 | 33% below | 42% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST MATERIAL | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 39% below | 42% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 36% below | 42% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL SPECT MULTIPLE STUDIES | $944.84 | $1,619.73 | $1,619.73–$2,699.55 | 33% below | 42% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $1,034.16 | $1,772.85 | $1,772.85–$2,954.75 | 51% below | 42% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 289% above | 42% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE | $691.90 | $1,186.11 | $1,186.11–$1,976.85 | 140% above | 42% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $3,066.16 | $5,256.27 | $5,256.27–$8,760.45 | 1009% above | 42% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT | $3,066.16 | $5,256.27 | $5,256.27–$8,760.45 | 1050% above | 42% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS LIMITED 1/> FETUSES | $10,998.84 | $18,855.15 | $18,855.15–$31,425.25 | 7522% above | 42% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $1,382.29 | $2,369.64 | $2,369.64–$3,949.40 | 946% above | 42% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $813.21 | $1,394.07 | $1,394.07–$2,323.45 | 39% below | 42% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG | $519.73 | $890.97 | $890.97–$1,484.95 | 20% below | 42% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG | $672.12 | $1,152.21 | $1,152.21–$1,920.35 | 176% above | 42% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $3,066.16 | $5,256.27 | $5,256.27–$8,760.45 | 1410% above | 42% |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG | $10,998.84 | $18,855.15 | $18,855.15–$31,425.25 | 6041% above | 42% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $655.85 | $1,124.31 | $1,124.31–$1,873.85 | 95% above | 42% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM | $9,149.47 | $15,684.81 | $15,684.81–$26,141.35 | 3085% above | 42% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB | $860.56 | $1,475.25 | $1,475.25–$2,458.75 | 215% above | 42% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY | $3,066.16 | $5,256.27 | $5,256.27–$8,760.45 | 810% above | 42% |
| Wrist X-ray, complete, 3 or more views CPT 73110 RADEX WRIST COMPLETE MINIMUM 3 VIEWS | $2,553.64 | $4,377.66 | $4,377.66–$7,296.10 | 2153% above | 42% |
| X-ray of the ankle, 2 views CPT 73600 RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | $3,199.82 | $5,485.41 | $5,485.41–$9,142.35 | 2794% above | 42% |
| X-ray of the finger(s), 2 or more views CPT 73140 RADEX FINGR MINIMUM 2 VIEWS | $2,648.57 | $4,540.41 | $4,540.41–$7,567.35 | 2539% above | 42% |
| X-ray of the foot, 2 views CPT 73620 RADIOLOGIC EXAMINATION FOOT 2 VIEWS | $3,301.94 | $5,660.46 | $5,660.46–$9,434.10 | 2928% above | 42% |
| X-ray of the foot, complete, 3 or more views CPT 73630 RADEX FOOT COMPLETE MINIMUM 3 VIEWS | $3,301.94 | $5,660.46 | $5,660.46–$9,434.10 | 2580% above | 42% |
| X-ray of the hand, 3 or more views CPT 73130 RADEX HAND MINIMUM 3 VIEWS | $2,553.64 | $4,377.66 | $4,377.66–$7,296.10 | 1913% above | 42% |
| X-ray of the knee, 1 or 2 views CPT 73560 RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS | $2,845.66 | $4,878.27 | $4,878.27–$8,130.45 | 2481% above | 42% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 RADEX SPINE LUMBOSACRAL 2/3 VIEWS | $5,705.54 | $9,780.93 | $9,780.93–$16,301.55 | 3453% above | 42% |
| X-ray of the lower back, 4 or more views CPT 72110 RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $5,965.10 | $10,225.89 | $10,225.89–$17,043.15 | 2490% above | 42% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 RADEX SPINE THORACIC 2 VIEWS | $5,302.97 | $9,090.81 | $9,090.81–$15,151.35 | 2881% above | 42% |
| X-ray of the nasal bones, 3 or more views CPT 70160 RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS | $1,029.81 | $1,765.38 | $1,765.38–$2,942.30 | 721% above | 42% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RADEX SPINE CERVICAL 2 OR 3 VIEWS | $1,382.29 | $2,369.64 | $2,369.64–$3,949.40 | 862% above | 42% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS | $5,965.10 | $10,225.89 | $10,225.89–$17,043.15 | 3574% above | 42% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 RADEX SACRUM & COCCYX MINIMUM 2 VIEWS | $1,382.29 | $2,369.64 | $2,369.64–$3,949.40 | 878% above | 42% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | $672.12 | $1,152.21 | $1,152.21–$1,920.35 | 762% above | 42% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS BLOOD VENIPUNCTURE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 270498% above | 42% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $259.37 | $444.63 | $444.63–$741.05 | 450% above | 42% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 ADENOIDECTOMY PRIMARY <AGE 12 | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 641% above | 42% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $28,061.60 | $48,105.60 | $48,105.60–$80,176.00 | — | 42% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDEC RPTD APPENDIX ABSC/PRITONITIS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $8,251.13 | $14,144.79 | $14,144.79–$23,574.65 | 391% above | 42% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR | $19,058.24 | $32,671.26 | $32,671.26–$54,452.10 | 189% above | 42% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NASAL/SINUS NDSC SURG W/DILAT MAXILLARY SINUS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1056% above | 42% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 13790% above | 42% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TX METATARSAL FRACTURE W/O MANIPULATION | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 11378% above | 42% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 703% above | 42% |
| Bunion correction with removal of part of the big toe joint CPT 28292 CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 764% above | 42% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $664.11 | $1,138.47 | $1,138.47–$1,897.45 | 16% above | 42% |
| Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | $30,206.05 | $51,781.80 | $51,781.80–$86,303.00 | 1600% above | 42% |
| Cataract surgery with lens implant CPT 66984 CATARACT REMOVAL INSERTION OF LENS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1246% above | 42% |
| Cervical biopsy CPT 57500 BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 3954% above | 42% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION AGE >28 DAYS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1349% above | 42% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2128% above | 42% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2719% above | 42% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 12252% above | 42% |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 3172% above | 42% |
| Colonoscopy with polyp removal CPT 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2221% above | 42% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2362% above | 42% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2343% above | 42% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1627% above | 42% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 7343% above | 42% |
| Complex cataract surgery with lens implant CPT 66982 XCAPSULAR CATARACT RMVL INSJ LENS PROSTH 1 STG | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTO W/INSERT URETERAL STENT | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2030% above | 42% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 4050% above | 42% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION & CURETTAGE DX&/THER NONOBSTETRIC | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1479% above | 42% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION PREMALIGNANT LESION 1ST | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 22872% above | 42% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPANOSTOMY GENERAL ANESTHESIA | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2125% above | 42% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 5864% above | 42% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 35210% above | 42% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 15700% above | 42% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY | $11,774.93 | $20,185.59 | $20,185.59–$33,642.65 | 80% above | 42% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 601% above | 42% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 242% above | 42% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 3192% above | 42% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 INTRAVITREAL NJX PHARMACOLOGIC AGT SPX | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 8792% above | 42% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2818% above | 42% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 4680% above | 42% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY SURG CHOLECYSTECTOMY | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1157% above | 42% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | $16,062.64 | $27,535.95 | $27,535.95–$45,893.25 | 839% above | 42% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1492% above | 42% |
| Hammertoe correction surgery CPT 28285 CORRECTION HAMMERTOE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 703% above | 42% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 3701% above | 42% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2563% above | 42% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY | $14,208.62 | $24,357.63 | $24,357.63–$40,596.05 | — | 42% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 15142% above | 42% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ENDOMETRIAL ABLATION | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 927% above | 42% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1751% above | 42% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION INTRAUTERINE DEVICE IUD | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 19173% above | 42% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 11455% above | 42% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 929% above | 42% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 15459% above | 42% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 8553% above | 42% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT | $28,462.28 | $48,792.48 | $48,792.48–$81,320.80 | 23417% above | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $33,946.10 | $58,193.31 | $58,193.31–$96,988.85 | 13042% above | 42% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 9053% above | 42% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE OPEN PATELLAR TENDON REPAIR POSSIBLE ALLOGRAFT SURGERY AS INDICATED | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 478% above | 42% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL | $30,206.05 | $51,781.80 | $51,781.80–$86,303.00 | 682% above | 42% |
| Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 764% above | 42% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 651% above | 42% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPIC APPENDECTOMY | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1434% above | 42% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPS SURG ESOPG/GSTR FUNDOPLASTY | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 409% above | 42% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/< | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 390% above | 42% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 383% above | 42% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAPS SURG RPR RECURRENT INGUINAL HERNIA | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 306% above | 42% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 POST-CATARACT LASER SURGERY | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 4556% above | 42% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 6971% above | 42% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 3192% above | 42% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2670% above | 42% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR | $16,176.62 | $27,731.34 | $27,731.34–$46,218.90 | 330% above | 42% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETECTOMY & FORAMOTOMY 1 SEGMENT LUMBAR | $16,176.62 | $27,731.34 | $27,731.34–$46,218.90 | — | 42% |
| Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 528% above | 42% |
| Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY SIMPLE COMPLETE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 303% above | 42% |
| Miscarriage treatment with D&C, first trimester CPT 59820 TX MISSED ABORTION FIRST TRIMESTER SURGICAL | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1749% above | 42% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 7956% above | 42% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 4943% above | 42% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 6518% above | 42% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 13520% above | 42% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NRV | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 8553% above | 42% |
| Pacemaker implant (dual chamber) CPT 33208 INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 95% above | 42% |
| Partial knee replacement (one compartment) CPT 27446 ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 8553% above | 42% |
| Prostate biopsy CPT 55700 PROSTATE NEEDLE BIOPSY ANY APPROACH | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2804% above | 42% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2094% above | 42% |
| Removal of a breast lump, open surgery CPT 19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1976% above | 42% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 8505% above | 42% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 294% above | 42% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 3657% above | 42% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 4126% above | 42% |
| Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 641% above | 42% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY XTRCORP SHOCK WAVE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 597% above | 42% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST ELBOW FINGER SHORT ARM | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 12749% above | 42% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 18252% above | 42% |
| Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 10389% above | 42% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT CALF FOOT | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 16050% above | 42% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 ARTHROSCOPY SHOULDER DISTAL CLAVICULECTOMY | $19,058.24 | $32,671.26 | $32,671.26–$54,452.10 | 519% above | 42% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE | $19,058.24 | $32,671.26 | $32,671.26–$54,452.10 | 784% above | 42% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 11281% above | 42% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/< | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 4749% above | 42% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 16100% above | 42% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 4420% above | 42% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 11281% above | 42% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 11281% above | 42% |
| TURP (transurethral resection of the prostate) CPT 52601 TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 TONSILLECTOMY & ADENOIDECTOMY AGE 12/> | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 641% above | 42% |
| Tonsil and adenoid removal, child under 12 CPT 42820 TONSILLECTOMY & ADENOIDECTOMY <AGE 12 | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 713% above | 42% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 641% above | 42% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 TONSILLECTOMY PRIMARY/SECONDARY <AGE 12 | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 315% above | 42% |
| Total hip replacement CPT 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 92% above | 42% |
| Total knee replacement CPT 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 144% above | 42% |
| Total shoulder replacement CPT 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | $30,206.05 | $51,781.80 | $51,781.80–$86,303.00 | — | 42% |
| Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY TOTAL/COMPLETE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
| Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1380% above | 42% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 15530% above | 42% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY FULGURATION OVIDUCTS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 306% above | 42% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2610% above | 42% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2609% above | 42% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 4293% above | 42% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2163% above | 42% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2908% above | 42% |
| Upper endoscopy (EGD), diagnostic CPT 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 2587% above | 42% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1242% above | 42% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTO W/URETEROSCOPY W/LITHOTRIPSY | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 911% above | 42% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 1394% above | 42% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS UP TO 14 | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | 15153% above | 42% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< | $17,059.58 | $29,244.99 | $29,244.99–$48,741.65 | 4272% above | 42% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP | $22,351.37 | $38,316.63 | $38,316.63–$63,861.05 | — | 42% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Louisiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/BLOOD COMPONENTS | $427.07 | $732.12 | $732.12–$1,220.20 | 10% below | 42% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $73.90 | $126.69 | $126.69–$211.15 | 23% below | 42% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY | $368.50 | $631.71 | $631.71–$1,052.85 | 10% above | 42% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R | $415.70 | $712.62 | $712.62–$1,187.70 | 377% above | 42% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB | $60.45 | $103.62 | $103.62–$172.70 | 1% above | 42% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY | $62.30 | $106.80 | $106.80–$178.00 | 61% below | 42% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY | $62.30 | $106.80 | $106.80–$178.00 | 74% below | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $321.46 | $551.07 | $551.07–$918.45 | 76% above | 42% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $664.11 | $1,138.47 | $1,138.47–$1,897.45 | 1154% above | 42% |
| Spirometry (breathing test) CPT 94010 SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ | $415.70 | $712.62 | $712.62–$1,187.70 | 164% above | 42% |
| Spirometry before and after a bronchodilator CPT 94060 BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN | $368.50 | $631.71 | $631.71–$1,052.85 | 13% above | 42% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $415.70 | $712.62 | $712.62–$1,187.70 | 289% above | 42% |
| Visual field test, extended both sides CPT 92083 VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM | $259.37 | $444.63 | $444.63–$741.05 | — | 42% |
Source file: https://www.omegahospital.com/s/470901008_Omega-Hospital_standardcharges_3.csv