St. Luke's Cornwall
St. Luke's Cornwall in Newburgh, NY publishes cash prices for 319 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 225 of 316 procedures and above it for 89. By typical cash price it ranks #38 of 115 New York hospitals and #1 of 5 hospitals in the Kiryas Joel, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.
70 Dubois Street, Newburgh, NY 12550 Collected Oct 20, 2026 Source price file Check a bill from this hospital (845) 458-4900
Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 330264 · CMS hospital register NPI 1003923434
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
St. Luke's Cornwall is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
New York law (Public Health Law §2807-k(9-a), as amended in October 2024): uninsured patients with income below 200% of the federal poverty level owe nothing for emergency and medically necessary hospital care; up to 400% they pay on a sliding scale of at most 10% or 20% of what Medicaid would pay. Emergency care is covered for New York residents, other care for people living in the hospital's service area; immigration status does not count. Ask for the Uniform Hospital Financial Assistance form. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W O W DYE | $218.95 | $4,118.00 | $175.16–$3,858.61 | 83% below | 95% |
| Abdominal X-ray, 2 views CPT 74019 HC X RAY EXAM ABDOMEN 2 VIEWS | $130.50 | $1,365.00 | $15.15–$1,092.00 | 49% below | 90% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE S COMPLETE XR EACH | $108.63 | $684.00 | $12.63–$547.20 | 46% below | 84% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR L XTREMITY ART 2 LEVELS | $166.08 | $2,113.00 | $72.72–$1,690.40 | 48% below | 92% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY W O DYE | $130.50 | $2,139.00 | $104.40–$2,044.28 | 82% below | 94% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC CONTRAST X RAY ESOPHAGUS | $218.95 | $1,256.00 | $20.20–$1,004.80 | 36% below | 83% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING WHOLE BODY | $499.03 | $3,105.00 | $60.60–$3,206.93 | 49% below | 84% |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNIL INCLUD AXILLA COMPLETE | $130.50 | $1,263.00 | $32.79–$907.08 | 60% below | 90% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNIL INCLUD AXILLA LIMITED | $108.63 | $1,263.00 | $26.93–$795.69 | 57% below | 91% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD PELV W O W DYE | $435.49 | $7,184.00 | $179.25–$5,388.00 | 75% below | 94% |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY HEAD | $218.95 | $3,581.00 | $175.16–$5,304.55 | 82% below | 94% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK | $218.95 | $3,581.00 | $175.16–$5,328.61 | 82% below | 94% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST | $218.95 | $3,581.00 | $141.40–$4,460.24 | 83% below | 94% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W 3D IMAGE | $435.49 | $7,184.00 | $127.57–$2,990.53 | 67% below | 94% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W O DYE W CA TEST | $108.63 | $1,771.00 | $86.90–$737.02 | 49% below | 94% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD PELVIS W O CONTRAST | $297.84 | $4,863.00 | $69.38–$3,647.25 | 74% below | 94% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELV W CONTRAST | $435.49 | $7,184.00 | $109.01–$5,388.00 | 72% below | 94% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD PELV 1 REGNS | $435.49 | $8,262.00 | $138.11–$6,196.50 | 79% below | 95% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W DYE | $218.95 | $3,581.00 | $171.70–$2,846.06 | 81% below | 94% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W O DYE | $130.50 | $2,139.00 | $104.40–$2,098.16 | 84% below | 94% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W O DYE | $130.50 | $2,139.00 | $104.40–$2,123.66 | 84% below | 94% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD BRAIN W O DYE | $130.50 | $2,139.00 | $104.40–$1,747.32 | 84% below | 94% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD BRAIN W DYE | $218.95 | $3,581.00 | $146.45–$2,864.80 | 78% below | 94% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD BRAIN W O W DYE | $218.95 | $4,118.00 | $175.16–$3,294.40 | 79% below | 95% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W DYE | $218.95 | $3,581.00 | $171.70–$2,685.75 | 79% below | 94% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC EXTRACRANIAL BILAT STUDY | $297.84 | $3,827.00 | $109.08–$3,061.60 | — | 92% |
| Chest CT scan without and with contrast CPT 71270 HC CT THORAX W O W DYE | $218.95 | $4,118.00 | $175.16–$3,358.34 | 83% below | 95% |
| Chest X-ray, 2 views CPT 71046 HC X RAY EXAM CHEST 2 VIEWS | $108.63 | $919.00 | $15.15–$735.20 | 46% below | 88% |
| Chest X-ray, single view CPT 71045 HC X RAY EXAM CHEST 1 VIEW | $108.63 | $766.00 | $10.10–$612.80 | 45% below | 86% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC X RAY EXAM OF COLLAR BONE | $108.63 | $595.00 | $10.10–$476.00 | 46% below | 82% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US EXAM ABDO BACK WALL COMP | $130.50 | $401.00 | $60.60–$1,441.94 | 69% below | 67% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL | $130.50 | $427.00 | $54.50–$587.12 | 53% below | 69% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DUAL ENERGY X RAY ABSORPTIOMETRY DXA | $108.63 | — | $41.20–$371.07 | 25% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa bone density appendiculr | $108.63 | — | $41.20–$371.07 | 25% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US DETAILED SNGL FETUS | $297.84 | $3,473.00 | $72.72–$2,187.99 | 47% below | 91% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT LUNG CANCER SCREENING | $130.50 | $2,139.00 | $104.40–$2,189.01 | 85% below | 94% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W DYE | $218.95 | $3,581.00 | $171.70–$2,685.75 | 83% below | 94% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC LOWER EXTREMITY ARTERY COMPLETE BILAT STUDY | $297.84 | $3,340.00 | $109.08–$2,672.00 | — | 91% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX SCAN EXT VEINS COMPLETE BILATERAL STUDY | $297.84 | $3,740.00 | $109.08–$2,992.00 | — | 92% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W DOPPLER COMPLETE WITH CONTRAST | $682.08 | $3,674.00 | $208.57–$4,310.75 | 38% below | 81% |
| Elbow X-ray, 2 views CPT 73070 HC X RAY EXAM OF ELBOW 2 VIEWS | $108.63 | $588.00 | $10.10–$470.40 | 46% below | 82% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC X RAY EXAM OF ELBOW COMPLETE MIN 3 VIEWS | $108.63 | $729.00 | $12.63–$583.20 | 46% below | 85% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT EAR FOSSA W O DYE | $130.50 | $2,139.00 | $104.40–$2,540.81 | 82% below | 94% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC X RAY EXAM OF FACIAL BONES COMPLETE MIN 3 VIEWS | $130.50 | $1,256.00 | $25.25–$1,004.80 | 52% below | 90% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X RAY EXAM OF FOREARM 2 VIEWS | $108.63 | $595.00 | $10.10–$476.00 | 46% below | 82% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING | $499.03 | $3,846.00 | $104.78–$3,426.36 | 52% below | 87% |
| Hand X-ray, 2 views CPT 73120 HC X RAY EXAM OF HAND 2 VIEWS | $130.50 | $340.00 | $10.10–$351.05 | 37% below | 62% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X RAY EXAM OF HEEL MIN 2 VIEWS | $108.63 | $526.00 | $10.10–$420.80 | 43% below | 79% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATT RESP EFFT | $269.53 | $2,493.00 | $106.00–$6,346.00 | 31% below | 89% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6 YRS CPAP 4 PARM | $1,071.95 | $15,363.00 | $587.03–$12,290.40 | 50% below | 93% |
| Knee X-ray, 3 views CPT 73562 HC X RAY EXAM OF KNEE 3 VIEWS | $108.63 | $808.00 | $15.15–$646.40 | 47% below | 87% |
| Knee X-ray, complete, 4 or more views CPT 73564 X ray exam knee 4 or more | $130.50 | — | $20.20–$351.05 | 53% below | — |
| Knee X-ray, complete, 4 or more views CPT 73564 RADIOLOGIC EXAMINATION KNEE COMPLETE | $130.50 | — | $20.20–$351.05 | 53% below | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY W O DYE | $130.50 | $2,139.00 | $104.40–$2,047.80 | 82% below | 94% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ECHO OF ABDOMEN | $130.50 | $1,871.00 | $40.40–$1,496.80 | 66% below | 93% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US XTR NON VASC LMTD | $130.50 | $214.00 | $9.97–$389.49 | 52% below | 39% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LW DOSE LNG CA SCR C | $130.50 | $2,139.00 | $35.18–$1,604.25 | 70% below | 94% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X RAY EXAM OF LOWER LEG 2 VIEWS | $108.63 | $595.00 | $10.10–$476.00 | 46% below | 82% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR ANGIOGRAPHY HEAD W O DYE | $297.84 | $4,863.00 | $238.27–$5,094.08 | 76% below | 94% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W O DYE | $297.84 | $4,863.00 | $238.27–$4,514.29 | 75% below | 94% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT LWR EXTR W O W DYE | $435.49 | $7,184.00 | $348.39–$8,987.20 | 79% below | 94% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W O DYE | $297.84 | $4,863.00 | $235.97–$4,161.81 | 73% below | 94% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W O W DYE | $435.49 | $7,184.00 | $348.39–$9,025.52 | 74% below | 94% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W O DYE | $297.84 | $4,863.00 | $235.97–$4,718.31 | 74% below | 94% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN STEM W O W DYE | $435.49 | $7,184.00 | $348.39–$9,212.65 | 75% below | 94% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W O DYE | $297.84 | $4,863.00 | $225.70–$4,600.83 | 77% below | 94% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W O W DYE | $435.49 | $7,184.00 | $348.39–$9,212.65 | 75% below | 94% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI CHEST SPINE W O DYE | $297.84 | $4,863.00 | $225.09–$4,600.83 | 77% below | 94% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI NECK SPINE W O W DYE | $435.49 | $7,184.00 | $348.39–$9,212.65 | 74% below | 94% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI NECK SPINE W O DYE | $297.84 | $4,863.00 | $224.48–$4,201.10 | 77% below | 94% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W O W DYE | $435.49 | $7,184.00 | $348.39–$9,025.52 | 73% below | 94% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W O DYE | $297.84 | $4,863.00 | $238.27–$4,665.12 | 72% below | 94% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPR EXTREM W O DYE | $297.84 | $4,863.00 | $238.27–$4,428.09 | 77% below | 94% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC X RAY EXAM NECK SPINE 4 5VWS | $130.50 | $1,107.00 | $20.20–$885.60 | 54% below | 88% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W DYE | $218.95 | $4,118.00 | $171.70–$3,294.40 | 78% below | 95% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W O DYE | $130.50 | $2,139.00 | $104.40–$2,027.12 | 84% below | 94% |
| Neck soft tissue X-ray CPT 70360 HC X RAY EXAM OF NECK SOFT TISSUE | $108.63 | $761.00 | $10.10–$608.80 | 46% below | 86% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULT | $1,616.09 | $5,709.00 | $241.13–$4,858.43 | 40% below | 72% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 Cptr ophth dx img post segmt | $73.64 | — | $35.74–$465.40 | 5% above | — |
| OCT scan of the retina (optical coherence tomography) CPT 92134 Cptrz oph dx img pst sgm rta | $73.64 | — | $35.74–$465.40 | 5% above | — |
| OCT scan of the retina (optical coherence tomography) CPT 92134 COMPUTERIZED OPHTHALMIC DIAGNOSTIC IMAG | $73.64 | — | $35.74–$465.40 | 5% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W CT SKULL THIGH | $1,784.98 | $5,026.00 | $682.76–$16,298.96 | 55% below | 64% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W O DYE | $130.50 | $2,139.00 | $104.40–$2,189.01 | 84% below | 94% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC LIMITED | $130.50 | $1,122.00 | $40.40–$764.52 | 57% below | 88% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US EXAM PELVIC COMPLETE | $130.50 | $1,871.00 | $55.55–$1,441.94 | 67% below | 93% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US 14 WKS SNGL FETUS | $130.50 | $1,871.00 | $55.55–$1,178.73 | 65% below | 93% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US 14 WKS SINGLE FETUS | $130.50 | $1,871.00 | $55.55–$1,178.73 | 63% below | 93% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US LIMITED FETUS S | $130.50 | $1,263.00 | $25.25–$795.69 | 55% below | 90% |
| Rib X-ray, one side, 2 views CPT 71100 HC X RAY EXAM RIBS UNI 2 VIEWS | $108.63 | $610.00 | $15.15–$488.00 | 48% below | 82% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC X RAY EXAM UNILAT RIBS CHEST MIN 3 VIEWS | $130.50 | $499.00 | $17.68–$399.20 | 50% below | 74% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X RAY EXAM OF SHOULDER COMPLETE MIN 2 VIEWS | $108.63 | $595.00 | $15.15–$476.00 | 48% below | 82% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X RAY EXAM OF SINUSES COMPLETE MIN 3 VIEWS | $108.63 | $1,256.00 | $20.20–$1,004.80 | 48% below | 91% |
| Skull X-ray, fewer than 4 views CPT 70250 HC X RAY EXAM OF SKULL 4 VIEWS | $130.50 | $684.00 | $15.15–$547.20 | 43% below | 81% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6 YRS 4 PARAM | $1,071.95 | $13,441.00 | $587.03–$10,752.80 | 49% below | 92% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS TTE COMPLETE 2D W WO M MODE CONT ECG | $682.08 | $2,323.00 | $143.42–$4,310.75 | 41% below | 71% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC CINE VID X RAY THROAT ESOPH | $218.95 | $1,653.00 | $20.20–$1,322.40 | 40% below | 87% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X RAY EXAM OF FEMUR 2 VWS | $108.63 | $781.00 | $9.88–$624.80 | 45% below | 86% |
| Toe X-ray, 2 or more views CPT 73660 HC X RAY EXAM OF TOE S MIN 2 VIEWS | $108.63 | $431.00 | $7.58–$344.80 | 35% below | 75% |
| Transvaginal pelvic ultrasound CPT 76830 HC TRANSVAGINAL US NON OB | $130.50 | $1,871.00 | $60.60–$1,178.73 | 66% below | 93% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL US OBSTETRIC | $130.50 | $1,871.00 | $60.60–$1,178.73 | 55% below | 93% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOM COMPLETE | $130.50 | $2,044.00 | $60.60–$1,635.20 | 72% below | 94% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US EXAM SCROTUM | $130.50 | $1,871.00 | $30.30–$1,178.73 | 65% below | 93% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF HEAD AND NECK | $130.50 | $1,871.00 | $30.30–$1,178.73 | 64% below | 93% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X RAY UPPER GI DELAY W O KUB | $218.95 | $558.00 | $30.30–$5,826.00 | 48% below | 61% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC X RAY EXAM OF HUMERUS | $108.63 | $684.00 | $10.10–$547.20 | 46% below | 84% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC EXTREMITY STUDY | $130.50 | $2,553.00 | $93.93–$2,042.40 | 64% below | 95% |
| Wrist X-ray, 2 views CPT 73100 HC X RAY EXAM OF WRIST 2 VIEWS | $108.63 | $253.00 | $10.10–$292.21 | 44% below | 57% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X RAY EXAM OF WRIST COMPLETE MIN 3 VIEWS | $108.63 | $595.00 | $12.63–$476.00 | 46% below | 82% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X RAY EXAM HIP UNI 2 3 VIEWS | $108.63 | $959.00 | $12.59–$767.20 | 53% below | 89% |
| X-ray of the abdomen, 1 view CPT 74018 HC X RAY EXAM ABDOMEN 1 VIEW | $108.63 | $959.00 | $10.10–$767.20 | 48% below | 89% |
| X-ray of the ankle, 2 views CPT 73600 HC RAD EXAM ANK AP LAT VIEWS | $108.63 | $595.00 | $10.10–$476.00 | 44% below | 82% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X RAY EXAM OF FINGER S MIN 2 VIEWS | $108.63 | $431.00 | $7.58–$344.80 | 40% below | 75% |
| X-ray of the foot, 2 views CPT 73620 HC X RAY EXAM OF FOOT 2 VIEWS | $108.63 | $595.00 | $10.10–$476.00 | 45% below | 82% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X RAY EXAM OF FOOT COMPLETE MIN 3 VIEWS | $108.63 | $511.00 | $12.63–$408.80 | 46% below | 79% |
| X-ray of the hand, 3 or more views CPT 73130 HC X RAY EXAM OF HAND MIN 3 VIEWS | $108.63 | $536.00 | $12.63–$428.80 | 48% below | 80% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X RAY EXAM OF KNEE 1 OR 2 VIEWS | $108.63 | $707.00 | $10.10–$565.60 | 47% below | 85% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X RAY EXAM L S SPINE 2 3 VWS | $130.50 | $1,040.00 | $15.15–$832.00 | 53% below | 87% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X RAY EXAM L 2 SPINE 4 VWS | $130.50 | $1,176.00 | $30.30–$940.80 | 57% below | 89% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X RAY EXAM THORAC SPINE 2VIEWS | $130.50 | $913.00 | $15.15–$730.40 | 41% below | 86% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X RAY EXAM OF NASAL BONES COMPLETE MIN 3 VIEWS | $108.63 | $959.00 | $15.15–$767.20 | 46% below | 89% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC X RAY EXAM NECK SPINE 2 3 VW | $108.63 | $1,022.00 | $15.15–$817.60 | 49% below | 89% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X RAY EXAM OF PELVIS 1 OR 2 VIEWS | $130.50 | $622.00 | $12.63–$497.60 | 43% below | 79% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X RAY EXAM SACRUM TAILBONE | $108.63 | $610.00 | $15.15–$488.00 | 46% below | 82% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE EXAM BY PATHOLOGIST LEVEL IV | $65.05 | $1,428.00 | $42.12–$1,142.40 | 57% below | 95% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO | $166.08 | $199.00 | $2.39–$1,049.63 | 9% above | 17% |
| Rh blood typing CPT 86901 HC BLOOD TYPING RH D | $46.62 | $176.00 | $2.39–$294.64 | 15% below | 74% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 CPT 42830 | $4,138.63 | — | $859.88–$26,156.14 | 8% above | — |
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 Removal of adenoids | $4,138.63 | — | $859.88–$26,156.14 | 8% above | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 CPT 22551 | $16,026.32 | — | $1,500.00–$101,286.34 | 5% above | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd ant ntrbdy cervical | $16,026.32 | — | $1,500.00–$101,286.34 | 5% above | — |
| Appendectomy, open surgery CPT 44950 CPT 44950 | $8,081.17 | — | $1,500.00–$51,072.99 | 9% above | — |
| Appendectomy, open surgery CPT 44950 Appendectomy | $8,081.17 | — | $1,500.00–$51,072.99 | 9% above | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrs aid acl rpr agmntj | $9,057.82 | — | $1,500.00–$57,245.42 | 7% above | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy surgery | $9,057.82 | — | $1,500.00–$57,245.42 | 7% above | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 CPT 29888 | $9,057.82 | — | $1,500.00–$57,245.42 | 7% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Sho arthrs srg rt8tr cuf rpr | $9,057.82 | — | $1,500.00–$57,245.42 | 7% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 CPT 29827 | $9,057.82 | — | $1,500.00–$57,245.42 | 7% above | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 Nsl sins ndsc surg max sins | $8,809.71 | — | $620.63–$55,677.37 | 8% above | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 CPT 31295 | $8,809.71 | — | $620.63–$55,677.37 | 8% above | — |
| Botox injections for chronic migraine CPT 64615 Chemodenerv musc migraine | $383.16 | — | $317.08–$7,276.00 | 12% below | — |
| Botox injections for chronic migraine CPT 64615 CPT 64615 | $383.16 | — | $317.08–$7,276.00 | 12% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 CPT 19081 | $2,061.66 | — | $625.86–$13,029.69 | 33% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx breast 1st lesion strtctc | $2,061.66 | — | $625.86–$13,029.69 | 33% below | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CPT 27786 | $307.91 | — | $298.67–$7,276.00 | 42% below | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment of ankle fracture | $307.91 | — | $298.67–$7,276.00 | 42% below | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat metatarsal fracture | $307.91 | — | $298.67–$7,276.00 | 32% below | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CPT 28470 | $307.91 | — | $298.67–$7,276.00 | 32% below | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Cltx metatarsal fx wo mnp ea | $307.91 | — | $298.67–$7,276.00 | 32% below | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CPT 28296 | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Cor hlx vlgs dstl mtar osteo | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 CPT 28292 | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 Cor hlx vlgs rsc prx phlx bs | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Cardiac catheterization with coronary angiogram CPT 93458 HC L HRT ARTERY VENTRICLE ANGIO | $4,046.85 | $16,830.00 | $1,324.69–$29,071.00 | 34% below | 76% |
| Cardiac catheterization with coronary angiogram CPT 93458 L hrt artery ventricle angio | $4,046.85 | — | $1,324.69–$29,071.00 | 34% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext | $825.05 | — | $364.10–$29,071.00 | 20% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXT | $825.05 | $5,786.00 | $364.10–$29,071.00 | 20% below | 86% |
| Carpal tunnel release, open surgery CPT 64721 CPT 64721 | $2,437.56 | — | $1,500.00–$15,405.38 | 5% above | — |
| Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery | $2,437.56 | — | $1,500.00–$15,405.38 | 5% above | — |
| Cataract surgery with lens implant CPT 66984 CPT 66984 | $2,880.82 | — | $1,395.35–$18,206.78 | 7% above | — |
| Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w o ecp | $2,880.82 | — | $1,395.35–$18,206.78 | 7% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 Compre ep eval abltj atr fib | $32,627.47 | — | $678.45–$206,205.61 | 12% above | — |
| Cervical biopsy CPT 57500 Biopsy of cervix | $1,149.73 | — | $298.18–$7,276.00 | 23% below | — |
| Cervical biopsy CPT 57500 CPT 57500 | $1,149.73 | — | $298.18–$7,276.00 | 23% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older | $2,609.39 | — | $647.61–$16,491.34 | 28% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CPT 54161 | $2,609.39 | — | $647.61–$16,491.34 | 28% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W REGIONL BLOCK | $2,609.39 | $547.00 | $344.61–$16,491.34 | 8% above | -377% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w regionl block | $2,609.39 | — | $344.61–$16,491.34 | 8% above | — |
| Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION OTHR NEWBORN | $870.42 | $572.00 | $429.00–$7,276.00 | 32% below | -52% |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision neonate | $870.42 | — | $429.00–$7,276.00 | 32% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLSD FX DISTALRADIAL ULNA COLLES SMITH | $307.91 | $906.00 | $298.67–$7,276.00 | 45% below | 66% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat fracture radius ulna | $307.91 | — | $298.67–$7,276.00 | 45% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx dst rdl fx ephys sep wo | $307.91 | — | $298.67–$7,276.00 | 45% below | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy w endoscope us | $1,493.75 | — | $529.76–$9,638.00 | 3% above | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 CPT 45391 | $1,493.75 | — | $529.76–$9,638.00 | 3% above | — |
| Colonoscopy with polyp removal CPT 45385 CPT 45385 | $1,493.75 | — | $529.76–$9,638.00 | 22% below | — |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy w lesion removal | $1,493.75 | — | $529.76–$9,638.00 | 22% below | — |
| Colonoscopy with tissue sample CPT 45380 CPT 45380 | $1,493.75 | — | $529.76–$9,638.00 | 7% above | — |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy | $1,493.75 | — | $529.76–$9,638.00 | 7% above | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy | $1,160.85 | — | $529.76–$9,638.00 | 40% below | — |
| Colonoscopy, diagnostic CPT 45378 CPT 45378 | $1,160.85 | — | $529.76–$9,638.00 | 40% below | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx of cervix w scope leep | $4,040.85 | — | $631.00–$25,538.17 | 7% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 CPT 57460 | $4,040.85 | — | $631.00–$25,538.17 | 7% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 CPT 57454 | $380.39 | — | $368.98–$7,276.00 | 43% below | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx curett of cervix w scope | $380.39 | — | $368.98–$7,276.00 | 43% below | — |
| Complex cataract surgery with lens implant CPT 66982 Xcapsl ctrc rmvl cplx wo ecp | $2,880.82 | — | $1,500.00–$18,206.78 | 7% above | — |
| Complex cataract surgery with lens implant CPT 66982 CPT 66982 | $2,880.82 | — | $1,500.00–$18,206.78 | 7% above | — |
| Coronary stent placement, one artery CPT 92928 Prq card stent w angio 1 vsl | $14,410.43 | — | $1,500.00–$91,073.92 | 3% above | — |
| Coronary stent placement, one artery CPT 92928 HC PRQ CARD STENT W ANGIO 1 VSL | $14,410.43 | $58,492.00 | $1,500.00–$91,073.92 | 3% above | 75% |
| Cystoscopy with ureteral stent placement CPT 52332 CPT 52332 | $4,400.18 | — | $605.64–$27,809.14 | at median | — |
| Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment | $4,400.18 | — | $605.64–$27,809.14 | at median | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CPT 52000 | $870.42 | — | $311.38–$7,276.00 | 40% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy | $870.42 | — | $311.38–$7,276.00 | 40% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy | $870.42 | — | $311.38–$7,276.00 | 40% below | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 CPT 58120 | $4,040.85 | — | $926.57–$25,538.17 | 7% above | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and curettage | $4,040.85 | — | $926.57–$25,538.17 | 7% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct premalg lesion | $250.45 | — | $218.09–$7,276.00 | 14% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 CPT 17000 | $250.45 | — | $218.09–$7,276.00 | 14% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Create eardrum opening | $1,936.82 | — | $638.35–$12,240.70 | 10% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CPT 69436 | $1,936.82 | — | $638.35–$12,240.70 | 10% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create eardrum opening | $673.24 | — | $91.69–$7,276.00 | 38% below | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CPT 69433 | $673.24 | — | $91.69–$7,276.00 | 38% below | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni | $73.64 | — | $62.93–$7,276.00 | 39% below | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX | $73.64 | $336.00 | $62.93–$7,276.00 | 39% below | 78% |
| Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni | $73.64 | — | $71.43–$7,276.00 | 43% below | — |
| Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED EAR WAX UNI | $73.64 | $397.00 | $71.43–$7,276.00 | 43% below | 81% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterus lining | $252.37 | — | $244.80–$7,276.00 | 45% below | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 CPT 58100 | $252.37 | — | $244.80–$7,276.00 | 45% below | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 CPT 31255 | $8,809.71 | — | $1,263.54–$55,677.37 | 8% above | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nsl sins ndsc w tot ethmdct | $8,809.71 | — | $1,263.54–$55,677.37 | 8% above | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 CPT 31276 | $8,809.71 | — | $261.24–$55,677.37 | 8% above | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nsl sins ndsc frnt tiss rmvl | $8,809.71 | — | $261.24–$55,677.37 | 8% above | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 CPT 31256 | $4,654.03 | — | $711.50–$29,413.47 | 7% above | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Exploration maxillary sinus | $4,654.03 | — | $711.50–$29,413.47 | 7% above | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 CPT 31267 | $8,809.71 | — | $261.24–$55,677.37 | 8% above | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy maxillary sinus | $8,809.71 | — | $261.24–$55,677.37 | 8% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CPT 62321 | $881.14 | — | $379.43–$7,276.00 | 37% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv thrc | $881.14 | — | $379.43–$7,276.00 | 37% below | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 CPT 67028 | $412.32 | — | $134.32–$7,276.00 | 43% below | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection eye drug | $412.32 | — | $134.32–$7,276.00 | 43% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l s 1 lev | $1,104.07 | — | $356.44–$7,276.00 | 45% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 CPT 64493 | $1,104.07 | — | $356.44–$7,276.00 | 45% below | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 CPT 49593 | $8,081.17 | — | $1,500.00–$51,072.99 | 9% above | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3 10 rdc | $8,081.17 | — | $1,500.00–$51,072.99 | 9% above | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 CPT 49595 | $8,081.17 | — | $1,500.00–$51,072.99 | 9% above | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st 10 rdc | $8,081.17 | — | $1,500.00–$51,072.99 | 9% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st 3 cm rdc | $4,469.36 | — | $1,361.56–$28,246.36 | 7% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 CPT 49591 | $4,469.36 | — | $1,361.56–$28,246.36 | 7% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy | $1,160.85 | — | $224.66–$7,336.57 | 42% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 CPT 45330 | $1,160.85 | — | $224.66–$7,336.57 | 42% below | — |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Gallbladder removal, laparoscopic CPT 47562 CPT 47562 | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 CPT 47563 | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy graph | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Hammertoe correction surgery CPT 28285 Repair of hammertoe | $4,084.39 | — | $1,116.06–$25,813.34 | 6% above | — |
| Hammertoe correction surgery CPT 28285 CPT 28285 | $4,084.39 | — | $1,116.06–$25,813.34 | 6% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid s | $1,160.85 | — | $746.25–$7,336.57 | 2% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 CPT 46221 | $1,160.85 | — | $746.25–$7,336.57 | 2% above | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 CPT 46255 | $3,464.81 | — | $1,421.24–$21,897.60 | 5% below | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Remove int ext hem 1 group | $3,464.81 | — | $1,421.24–$21,897.60 | 5% below | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 CPT 27132 | $16,026.32 | — | $1,500.00–$101,286.34 | 6% below | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Total hip arthroplasty | $16,026.32 | — | $1,500.00–$101,286.34 | 6% below | — |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation | $6,244.48 | — | $964.32–$39,465.11 | 7% above | — |
| Hysteroscopy with endometrial ablation CPT 58563 CPT 58563 | $6,244.48 | — | $964.32–$39,465.11 | 7% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy | $4,040.85 | — | $909.86–$25,538.17 | 6% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 CPT 58558 | $4,040.85 | — | $909.86–$25,538.17 | 6% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAINAGE OF SKIN ABSCESS SIMPLE SINGLE | $250.45 | $1,091.00 | $220.37–$7,276.00 | 38% below | 77% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I d abscess simple single | $250.45 | — | $220.37–$7,276.00 | 38% below | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i hern init reduc 5 yr | $4,469.36 | — | $1,500.00–$28,246.36 | 7% above | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 CPT 49505 | $4,469.36 | — | $1,500.00–$28,246.36 | 7% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath ligament | $383.16 | — | $152.67–$7,276.00 | 22% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 CPT 20550 | $383.16 | — | $152.67–$7,276.00 | 22% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Njx 1 tendon sheath ligament | $383.16 | — | $152.67–$7,276.00 | 22% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN INJECT MAJOR JOINT BURSA | $383.16 | $1,565.00 | $178.33–$7,276.00 | 24% below | 76% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain inj joint bursa w o us | $383.16 | — | $178.33–$7,276.00 | 24% below | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion drug dlvr implant | $166.08 | — | $161.10–$7,276.00 | 41% below | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 CPT 11981 | $166.08 | — | $161.10–$7,276.00 | 41% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain inj joint bursa w o us | $383.16 | — | $143.42–$7,276.00 | 16% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN INJECT INTERMED JOINT BURSA | $383.16 | $1,530.00 | $143.42–$7,276.00 | 16% below | 75% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain inj joint bursa w o us | $383.16 | — | $139.58–$7,276.00 | 15% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 CPT 20600 | $383.16 | — | $139.58–$7,276.00 | 15% below | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy surgery | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 CPT 29882 | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthrs kne srg mnisc rpr m l | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 CPT 29881 | $4,084.39 | — | $1,248.46–$25,813.34 | 6% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 Arthrs kne srg mnisectmy m l | $4,084.39 | — | $1,248.46–$25,813.34 | 6% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy surgery | $4,084.39 | — | $1,248.46–$25,813.34 | 6% above | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy surgery | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 CPT 29880 | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs kne srg mnisectmy m l | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 CPT 29877 | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthrs knee surg dbrdmt shvg | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy surgery | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 Lap place gastr adj device | $13,269.05 | — | $1,500.00–$83,860.40 | 8% above | — |
| Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 CPT 43770 | $13,269.05 | — | $1,500.00–$83,860.40 | 8% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 CPT 44970 | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 CPT 43280 | $13,269.05 | — | $1,500.00–$83,860.40 | 8% above | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy fundoplasty | $13,269.05 | — | $1,500.00–$83,860.40 | 8% above | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 CPT 58570 | $13,269.05 | — | $1,500.00–$83,860.40 | 8% above | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Tlh uterus 250 g or less | $13,269.05 | — | $1,500.00–$83,860.40 | 8% above | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w t o 250 g or less | $13,269.05 | — | $1,500.00–$83,860.40 | 31% above | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 CPT 58571 | $13,269.05 | — | $1,500.00–$83,860.40 | 31% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 CPT 49650 | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 CPT 49651 | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 CPT 43774 | $4,812.72 | — | $1,500.00–$30,416.39 | 7% above | — |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Lap rmvl gastr adj all parts | $4,812.72 | — | $1,500.00–$30,416.39 | 7% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 CPT 58661 | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 CPT 66821 | $686.55 | — | $665.95–$7,276.00 | 45% below | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 After cataract laser surgery | $686.55 | — | $665.95–$7,276.00 | 45% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INTMD RPR S A T EXT 2 5 CM | $507.45 | $1,269.00 | $477.46–$7,276.00 | 14% below | 60% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s a t ext 2 5 cm | $507.45 | — | $477.46–$7,276.00 | 14% below | — |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W VENTRCLGRPHY | $4,046.85 | $16,450.00 | $1,324.69–$29,071.00 | 41% below | 75% |
| Left heart catheterization, diagnostic one side CPT 93452 Left hrt cath w ventrclgrphy | $4,046.85 | — | $1,324.69–$29,071.00 | 41% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr sac | $881.14 | — | $379.43–$7,276.00 | 41% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 CPT 62323 | $881.14 | — | $379.43–$7,276.00 | 41% below | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 CPT 62322 | $1,104.07 | — | $304.18–$7,276.00 | 24% below | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx interlaminar lmbr sac | $1,104.07 | — | $304.18–$7,276.00 | 24% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa strd tfrm epi l s 1 | $1,104.07 | — | $379.43–$7,276.00 | 29% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 CPT 64483 | $1,104.07 | — | $379.43–$7,276.00 | 29% below | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Low back disk surgery | $9,057.82 | — | $1,500.00–$57,245.42 | 7% above | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 CPT 63030 | $9,057.82 | — | $1,500.00–$57,245.42 | 7% above | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 Lamot dcmprn nrv rt 1 lmbr | $9,057.82 | — | $1,500.00–$57,245.42 | 7% above | — |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 Arthrd cmbn 1ntrspc lumbar | $33,870.96 | — | $1,500.00–$214,064.47 | 56% above | — |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 CPT 22633 | $33,870.96 | — | $1,500.00–$214,064.47 | 56% above | — |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 CPT 22630 | $33,870.96 | — | $1,500.00–$214,064.47 | 56% above | — |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 Arthrd pst tq 1ntrspc lum | $33,870.96 | — | $1,500.00–$214,064.47 | 56% above | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam facetec foramot lumbar | $9,057.82 | — | $1,500.00–$57,245.42 | 7% above | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 CPT 63047 | $9,057.82 | — | $1,500.00–$57,245.42 | 7% above | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 CPT 22612 | $21,887.18 | — | $1,500.00–$138,326.98 | 1% above | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 Arthrd pst tq 1ntrspc lumbar | $21,887.18 | — | $1,500.00–$138,326.98 | 1% above | — |
| Lumpectomy (partial mastectomy) CPT 19301 CPT 19301 | $4,887.57 | — | $1,500.00–$30,889.44 | 8% above | — |
| Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy | $4,887.57 | — | $1,500.00–$30,889.44 | 8% above | — |
| Mastectomy (total removal of the breast) CPT 19303 CPT 19303 | $8,288.81 | — | $1,500.00–$52,385.28 | 8% above | — |
| Mastectomy (total removal of the breast) CPT 19303 Mast simple complete | $8,288.81 | — | $1,500.00–$52,385.28 | 8% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CPT 59820 | $4,040.85 | — | $520.38–$25,538.17 | 1% below | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage | $4,040.85 | — | $520.38–$25,538.17 | 1% below | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 CPT 17311 | $922.57 | — | $846.58–$7,276.00 | 25% below | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Mohs 1 stage h n hf g | $922.57 | — | $846.58–$7,276.00 | 25% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 CPT 11400 | $883.95 | — | $338.98–$7,276.00 | 18% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc tr ext b9 marg 0 5 cm | $883.95 | — | $338.98–$7,276.00 | 18% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 CPT 11440 | $883.95 | — | $429.77–$7,276.00 | 16% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc face mm b9 marg 0 5 cm | $883.95 | — | $429.77–$7,276.00 | 16% below | — |
| Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate | $250.45 | — | $62.84–$7,276.00 | 25% below | — |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE PARTIAL COMPLETE SIMPLE SINGLE | $250.45 | $511.00 | $62.84–$7,276.00 | 25% below | 51% |
| Occipital nerve block (injection for headaches) CPT 64405 Njx aa strd gr ocpl nrv | $383.16 | — | $209.70–$7,276.00 | 19% below | — |
| Occipital nerve block (injection for headaches) CPT 64405 CPT 64405 | $383.16 | — | $209.70–$7,276.00 | 19% below | — |
| Pacemaker implant (dual chamber) CPT 33208 Insrt heart pm atrial vent | $13,047.06 | — | $1,500.00–$82,457.42 | 5% above | — |
| Pacemaker implant (dual chamber) CPT 33208 HC CARD INSERT PACEMAKER AT VENT | $13,047.06 | $56,984.00 | $1,500.00–$82,457.42 | 5% above | 77% |
| Paracentesis with imaging guidance CPT 49083 Abd paracentesis w imaging | $1,132.18 | — | $409.78–$7,276.00 | 21% below | — |
| Paracentesis with imaging guidance CPT 49083 HC TREATMENT ROOM ABD PARACENTESIS W IMAGING | $1,132.18 | $2,808.00 | $409.78–$7,276.00 | 21% below | 60% |
| Partial knee replacement (one compartment) CPT 27446 Revision of knee joint | $16,026.32 | — | $1,500.00–$101,286.34 | 5% above | — |
| Partial knee replacement (one compartment) CPT 27446 CPT 27446 | $16,026.32 | — | $1,500.00–$101,286.34 | 5% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed | $507.45 | — | $400.79–$7,276.00 | 31% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision nail nail matrix | $507.45 | — | $400.79–$7,276.00 | 31% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 CPT 11750 | $507.45 | — | $400.79–$7,276.00 | 31% below | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 CPT 55866 | $13,269.05 | — | $1,500.00–$83,860.40 | 8% above | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps surg prst8ect rpbic rad | $13,269.05 | — | $1,500.00–$83,860.40 | 8% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 CPT 64635 | $2,437.56 | — | $380.89–$15,405.38 | 29% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb sac facet jnt | $2,437.56 | — | $380.89–$15,405.38 | 29% below | — |
| Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion | $4,887.57 | — | $1,156.31–$30,889.44 | 8% above | — |
| Removal of a breast lump, open surgery CPT 19120 CPT 19120 | $4,887.57 | — | $1,156.31–$30,889.44 | 8% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Inc rmvl fb subq tiss smpl | $507.45 | — | $220.37–$7,276.00 | 21% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $507.45 | $1,604.00 | $220.37–$7,276.00 | 21% below | 68% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 CPT 60220 | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial removal of thyroid | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind | $1,160.85 | — | $717.65–$7,336.57 | 25% below | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn hi risk ind | $1,160.85 | — | $716.12–$7,336.57 | 8% above | — |
| Septoplasty to straighten the nasal septum CPT 30520 CPT 30520 | $4,138.63 | — | $1,500.00–$26,156.14 | 7% above | — |
| Septoplasty to straighten the nasal septum CPT 30520 Repair of nasal septum | $4,138.63 | — | $1,500.00–$26,156.14 | 7% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 CPT 50590 | $4,400.18 | — | $989.51–$27,809.14 | 19% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone | $4,400.18 | — | $989.51–$27,809.14 | 19% below | — |
| Short arm cast (elbow to hand) CPT 29075 Appl cst elbw fngr short arm | $349.14 | — | $198.42–$7,276.00 | 18% below | — |
| Short arm cast (elbow to hand) CPT 29075 CPT 29075 | $349.14 | — | $198.42–$7,276.00 | 18% below | — |
| Short arm cast (elbow to hand) CPT 29075 Application of forearm cast | $349.14 | — | $198.42–$7,276.00 | 18% below | — |
| Short arm splint (forearm and hand) CPT 29125 HC APPLICATION SHORT ARM SPLINT FOREARM HAND STATIC | $166.08 | $767.00 | $145.18–$7,276.00 | 21% below | 78% |
| Short arm splint (forearm and hand) CPT 29125 Apply forearm splint | $166.08 | — | $145.18–$7,276.00 | 21% below | — |
| Short leg cast (below the knee) CPT 29405 Appl short leg cast | $349.14 | — | $198.42–$7,276.00 | 29% below | — |
| Short leg cast (below the knee) CPT 29405 CPT 29405 | $349.14 | — | $198.42–$7,276.00 | 29% below | — |
| Short leg cast (below the knee) CPT 29405 Apply short leg cast | $349.14 | — | $198.42–$7,276.00 | 29% below | — |
| Short leg splint (calf to foot) CPT 29515 Application lower leg splint | $202.85 | — | $145.18–$7,276.00 | 29% below | — |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION LOWER LEG SPLINT | $202.85 | $660.00 | $145.18–$7,276.00 | 29% below | 69% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 CPT 29824 | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Sho arthrs srg dstl claviclc | $4,084.39 | — | $1,500.00–$25,813.34 | 6% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s n ax gen trnk 2 5cm | $250.45 | — | $175.87–$7,276.00 | 34% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIMPLE RPR S N AX GEN TRNK 2 5CM | $250.45 | $912.00 | $175.87–$7,276.00 | 34% below | 73% |
| Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion | $507.45 | — | $119.00–$7,276.00 | 26% below | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $507.45 | $238.00 | $119.00–$7,276.00 | 26% below | -113% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 CPT 11600 | $883.95 | — | $431.10–$7,276.00 | 3% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc tr ext mal marg 0 5 cm | $883.95 | — | $431.10–$7,276.00 | 3% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Rmvl skin tags up to inc 15 | $250.45 | — | $220.37–$7,276.00 | 31% below | — |
| Skin tag removal, up to 15 tags CPT 11200 CPT 11200 | $250.45 | — | $220.37–$7,276.00 | 31% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr | $881.14 | — | $254.20–$7,276.00 | 26% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL FLUID TAP DIAGNOSTIC | $881.14 | $2,277.00 | $254.20–$7,276.00 | 26% below | 61% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIMPLE RPR S N AX GEN TRNK2 6 7 5CM | $250.45 | $912.00 | $230.92–$7,276.00 | 37% below | 73% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s n ax gen trnk2 6 7 5cm | $250.45 | — | $230.92–$7,276.00 | 37% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE SIMPLE RPR F E E N L M 2 5 CM | $250.45 | $912.00 | $219.25–$7,276.00 | 34% below | 73% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr f e e n l m 2 5 cm | $250.45 | — | $219.25–$7,276.00 | 34% below | — |
| TURP (transurethral resection of the prostate) CPT 52601 CPT 52601 | $6,693.04 | — | $1,500.00–$42,300.01 | 11% above | — |
| TURP (transurethral resection of the prostate) CPT 52601 Prostatectomy turp | $6,693.04 | — | $1,500.00–$42,300.01 | 11% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les | $507.45 | — | $145.84–$7,276.00 | 2% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BX SKIN SINGLE LES | $507.45 | $4,700.00 | $145.84–$7,276.00 | 2% above | 89% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w imaging | $783.05 | — | $412.76–$7,276.00 | 39% below | — |
| Thoracentesis with imaging guidance CPT 32555 HC ASPIRATE PLEURA W IMAGING | $783.05 | $1,962.00 | $412.76–$7,276.00 | 39% below | 60% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 Remove tonsils and adenoids | $4,138.63 | — | $1,217.85–$26,156.14 | 8% above | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 CPT 42821 | $4,138.63 | — | $1,217.85–$26,156.14 | 8% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 CPT 42820 | $7,389.63 | — | $1,167.75–$46,702.46 | 6% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Remove tonsils and adenoids | $7,389.63 | — | $1,167.75–$46,702.46 | 6% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 CPT 42826 | $4,138.63 | — | $1,028.36–$26,156.14 | 8% above | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils | $4,138.63 | — | $1,028.36–$26,156.14 | 8% above | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Removal of tonsils | $7,389.63 | — | $1,082.86–$46,702.46 | 6% above | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 CPT 42825 | $7,389.63 | — | $1,082.86–$46,702.46 | 6% above | — |
| Total hip replacement CPT 27130 CPT 27130 | $16,026.32 | — | $1,500.00–$101,286.34 | 5% above | — |
| Total hip replacement CPT 27130 Total hip arthroplasty | $16,026.32 | — | $1,500.00–$101,286.34 | 5% above | — |
| Total knee replacement CPT 27447 Total knee arthroplasty | $16,026.32 | — | $1,500.00–$101,286.34 | 5% above | — |
| Total knee replacement CPT 27447 CPT 27447 | $16,026.32 | — | $1,500.00–$101,286.34 | 5% above | — |
| Total shoulder replacement CPT 23472 CPT 23472 | $21,887.18 | — | $1,500.00–$138,326.98 | 1% above | — |
| Total shoulder replacement CPT 23472 Reconstruct shoulder joint | $21,887.18 | — | $1,500.00–$138,326.98 | 1% above | — |
| Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Total thyroid removal (thyroidectomy) CPT 60240 CPT 60240 | $7,546.53 | — | $1,500.00–$47,694.07 | 9% above | — |
| Trigger finger release surgery CPT 26055 CPT 26055 | $2,007.23 | — | $866.41–$12,685.69 | 23% below | — |
| Trigger finger release surgery CPT 26055 Incise finger tendon sheath | $2,007.23 | — | $866.41–$12,685.69 | 23% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1 2 muscl | $383.16 | — | $108.68–$7,276.00 | 9% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT 1 2 MUSCL | $383.16 | $161.00 | $108.68–$7,276.00 | 9% below | -138% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 CPT 58670 | $7,546.53 | — | $1,474.10–$47,694.07 | 9% above | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy tubal cautery | $7,546.53 | — | $1,474.10–$47,694.07 | 9% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 CPT 19083 | $2,061.66 | — | $587.96–$13,029.69 | 29% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion us imag | $2,061.66 | — | $587.96–$13,029.69 | 29% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 CPT 43249 | $2,395.34 | — | $594.52–$15,138.55 | 2% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation 30 mm | $2,395.34 | — | $594.52–$15,138.55 | 2% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single multiple | $1,132.18 | — | $535.52–$9,638.00 | 32% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 CPT 43239 | $1,132.18 | — | $535.52–$9,638.00 | 32% below | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 CPT 43236 | $1,132.18 | — | $535.52–$9,638.00 | 16% below | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr gi scope w submuc inj | $1,132.18 | — | $535.52–$9,638.00 | 16% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 CPT 43251 | $2,395.34 | — | $551.48–$15,138.55 | 3% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare | $2,395.34 | — | $551.48–$15,138.55 | 3% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 CPT 43248 | $1,132.18 | — | $551.48–$9,638.00 | 9% below | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd guide wire insertion | $1,132.18 | — | $551.48–$9,638.00 | 9% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash | $1,132.18 | — | $477.25–$9,638.00 | 31% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 CPT 43235 | $1,132.18 | — | $477.25–$9,638.00 | 31% below | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Egd w transmural drain cyst | $7,578.20 | — | $668.91–$47,894.22 | 8% above | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 CPT 43240 | $7,578.20 | — | $668.91–$47,894.22 | 8% above | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero w lithotripsy | $6,693.04 | — | $1,500.00–$42,300.01 | 11% above | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CPT 52353 | $6,693.04 | — | $1,500.00–$42,300.01 | 11% above | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CPT 52356 | $6,693.04 | — | $1,500.00–$42,300.01 | 11% above | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto uretero w lithotripsy | $6,693.04 | — | $1,500.00–$42,300.01 | 11% above | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 CPT 55250 | $2,609.39 | — | $890.27–$16,491.34 | 36% below | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct s | $2,609.39 | — | $890.27–$16,491.34 | 36% below | — |
| Vein ablation, radiofrequency, first vein CPT 36475 CPT 36475 | $3,941.43 | — | $1,073.12–$24,909.84 | 13% below | — |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous rf 1st vein | $3,941.43 | — | $1,073.12–$24,909.84 | 13% below | — |
| Wart removal, up to 14 warts CPT 17110 Destruction b9 les up to 14 | $250.45 | — | $220.37–$7,276.00 | 28% below | — |
| Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1 14 | $250.45 | — | $220.37–$7,276.00 | 28% below | — |
| Wart removal, up to 14 warts CPT 17110 CPT 17110 | $250.45 | — | $220.37–$7,276.00 | 28% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM | $507.45 | $6,017.00 | $238.12–$7,276.00 | 40% below | 92% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Dbrdmt subq tis 1st 20sqcm | $507.45 | — | $238.12–$7,276.00 | 40% below | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx dst rd xartc fx epi sep | $9,057.82 | — | $1,500.00–$57,245.42 | 7% above | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 CPT 25607 | $9,057.82 | — | $1,500.00–$57,245.42 | 7% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE | $550.71 | $1,300.00 | $8.08–$7,276.00 | 25% below | 58% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion bld bld compnt | $550.71 | — | $8.08–$7,276.00 | 25% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT | $273.35 | $513.00 | $3.03–$1,727.57 | 22% above | 47% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION 1 HR | $412.32 | $1,589.00 | $35.35–$2,605.86 | 33% below | 74% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 Compre oph exam new pt 1 | $166.19 | — | $30.30–$1,050.32 | 28% below | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 OPHTHALMOLOGICAL SERVICES MEDICAL EXAMI | $166.19 | — | $30.30–$1,050.32 | 28% below | — |
| Comprehensive eye exam, returning patient CPT 92014 OPHTHALMOLOGICAL SERVICES MEDICAL EXAMI | $166.19 | — | $30.30–$1,050.32 | 15% below | — |
| Comprehensive eye exam, returning patient CPT 92014 Compre oph exam est pt 1 | $166.19 | — | $30.30–$1,050.32 | 15% below | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE AUDIOMETRY THRESHOLD EVALU | $160.62 | — | $25.25–$1,015.12 | 13% below | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive hearing test | $160.62 | — | $25.25–$1,015.12 | 13% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC TRAUMA ALERT W PRE NOT W CRITICAL CARE | $1,031.12 | $8,777.00 | $606.00–$6,516.68 | 40% below | 88% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY | $269.53 | $1,744.00 | $35.35–$3,580.90 | 61% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING | $73.64 | $670.00 | $7.58–$536.00 | 49% below | 89% |
| Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive therapy | $1,071.95 | — | $263.32–$6,774.72 | 24% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPT VISIT LVL 1 | $105.26 | $3,693.00 | $46.65–$3,789.00 | 58% below | 97% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPT VISIT LVL 2 | $191.67 | $3,764.00 | $153.34–$3,789.00 | 43% below | 95% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPT VISIT LVL 3 | $340.75 | $3,903.00 | $250.00–$3,789.00 | 39% below | 91% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPT VISIT LVL 4 | $520.86 | $4,664.00 | $250.00–$3,789.00 | 38% below | 89% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC TRAUMA ALERT NO PRE NOT E M LVL 5 | $743.39 | $7,278.00 | $250.00–$4,698.22 | 37% below | 90% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST TRACING ONLY | $269.53 | $1,967.00 | $30.30–$1,703.43 | 51% below | 86% |
| Eye exam, returning patient, intermediate CPT 92012 Intrm oph exam est patient | $166.19 | — | $30.30–$1,050.32 | 28% below | — |
| Eye exam, returning patient, intermediate CPT 92012 OPHTHALMOLOGICAL SERVICES MEDICAL EXAMI | $166.19 | — | $30.30–$1,050.32 | 28% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 Family psytx w pt 50 min | $221.56 | — | $77.87–$1,400.26 | 21% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family psytx w o pt 50 min | $221.56 | — | $77.87–$1,400.26 | 16% below | — |
| Group psychotherapy session CPT 90853 Group psychotherapy | $126.81 | — | $40.23–$801.44 | at median | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init | $265.51 | — | $35.35–$5,240.00 | 28% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION INIT | $265.51 | $1,250.00 | $35.35–$5,240.00 | 28% below | 79% |
| IV infusion of a medicine, first hour CPT 96365 HC THER PROPH DIAG IV INF INIT | $265.51 | $1,250.00 | $35.35–$3,000.00 | 37% below | 79% |
| IV push of a medicine, first drug CPT 96374 HC THER PROPH DIAG INJ IV PUSH | $265.51 | $1,311.00 | $139.20–$3,000.00 | 4% above | 80% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER PROPH DIAG INJ SC IM | $89.88 | $321.00 | $13.36–$3,000.00 | 19% below | 72% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych diagnostic evaluation | $221.56 | — | $129.78–$1,400.26 | 13% below | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES 7 8 STUDIES | $465.81 | — | $58.74–$2,943.92 | 2% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv cndj test 7 8 studies | $465.81 | — | $58.74–$2,943.92 | 2% above | — |
| Psychiatric evaluation with medical services CPT 90792 Psych diag eval w med srvcs | $221.56 | — | $129.78–$1,400.26 | 26% below | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psycl tst eval phys qhp 1st | $269.53 | — | $103.82–$1,703.43 | 22% below | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx crisis initial 60 min | $221.56 | — | $103.82–$1,400.26 | 17% below | — |
| Psychotherapy session, 30 minutes CPT 90832 Psytx w pt 30 minutes | $221.56 | — | $77.87–$1,400.26 | 12% above | — |
| Psychotherapy session, 45 minutes CPT 90834 Psytx w pt 45 minutes | $221.56 | — | $103.82–$1,400.26 | 15% below | — |
| Psychotherapy session, 60 minutes CPT 90837 Psytx w pt 60 minutes | $221.56 | — | $103.82–$1,400.26 | 26% below | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav chng smoking 3 10 min | $46.77 | — | $35.17–$295.59 | at median | — |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST | $269.53 | $794.00 | $15.15–$1,703.43 | 21% above | 66% |
| Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODILATION RESPONSE SPIROMETRY PRE POST ADMIN | $465.81 | $1,589.00 | $25.25–$2,943.92 | 20% above | 71% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Tcranial magn stim tx plan | $269.53 | — | $215.62–$1,703.43 | 27% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $166.08 | — | $10.10–$7,702.00 | 22% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY | $166.08 | $251.00 | $10.10–$7,702.00 | 22% below | 34% |
| Visual field test, extended CPT 92083 Extended visual field xm | $166.08 | — | $8.08–$1,049.63 | 51% below | — |
| Visual field test, extended one side CPT 92083 VISUAL FIELD EXAMINATION UNILATERAL OR | $166.08 | — | $8.08–$1,049.63 | 51% below | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 Rabies vaccine im | $383.26 | — | $153.56–$540.40 | 19% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN IMMUNIZATION ID SQ IM 1 VACCINE | $89.88 | $362.00 | $14.78–$568.04 | 7% above | 75% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 Periodontal scaling root | $807.00 | — | $335.86–$5,240.00 | 48% below | — |
| Porcelain crown CDT D2740 Crown porcelain ceramic | $807.00 | — | $645.60–$5,100.24 | 25% below | — |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 Impact tooth remov comp bony | $807.00 | — | $309.35–$7,702.00 | 13% below | — |
| Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 End thxpy molar tooth | $807.00 | — | $467.60–$5,100.24 | 57% below | — |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 Dental prophylaxis adult | $166.19 | — | $132.95–$1,050.32 | 9% above | — |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extraction erupted tooth exr | $807.00 | — | $207.20–$5,826.00 | 57% below | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.montefioreslc.org/141340054_st-lukes-cornwall-hospital_standardcharges.csv