Hospital New Orleans-Metairie, LA

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

ProcedureCash price List priceInsurers payvs LouisianaOff 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

ProcedureCash price List priceInsurers payvs LouisianaOff 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

ProcedureCash price List priceInsurers payvs LouisianaOff 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

ProcedureCash price List priceInsurers payvs LouisianaOff 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