Actual costs may vary based on individual circumstances. |
Evaluation & Management Services (CPT Codes 99201-99499) |
2018 CPT Code |
Average Charge |
Emergency Room Visit, Level 2 (low to moderate severity) |
99282 |
$1,045.00 |
Emergency Room Visit, Level 3 (moderate severity) |
99283 |
$1,670.00 |
Emergency Room Visit, Level 4 (high severity without significant threat) |
99284 |
$2,254.00 |
Emergency Room Visit, Level 4 (high severity with significant threat) |
99285 |
|
Outpatient Visit, established patient, 15 minutes |
99213 |
$496.00 |
Laboratory & Pathology Services (CPT Codes 80047-89398) |
2018 CPT Code |
Average Charge |
Basic Metabolic Panel |
80048 |
$66.00 |
Blood Gas Analysis, including 02 saturation |
82805 |
|
Complete Blood Count, automated |
85027 |
$79.00 |
Complete Blood Count, with differential WBC, automated |
85025 |
$87.00 |
Comprehensive Metabolic Panel |
80053 |
$82.00 |
Creatine Kinase (CK), (CPK), Total |
82550 |
$249.00 |
Lipid Panel |
80061 |
$142.00 |
Partial Thromboplastin Time |
85730 |
$187.00 |
Prothrombin Time |
85610 |
$79.00 |
Thyroid Stimulating Hormone |
84443 |
$198.00 |
Troponin, Quantitative |
84484 |
$150.00 |
Urinalysis, without microscopy |
81002 or 81003 |
|
Urinalysis, with microscopy |
81000 or 81001 |
|
Radiology Services (CPT Codes 70010-79999) |
2018 CPT Code |
Average Charge |
CT Scan, Abdomen, with contrast |
74160 |
|
CT Scan, Head or Brain, without contrast |
70450 |
$2,065.00 |
CT Scan, Pelvis, with contrast |
72193 |
$3,115.00 |
Mammography, Screening, Bilateral |
77067 |
|
MRI, Brain, without contrast, followed by contrast |
70553 |
$1,313.00 |
Ultrasound, Abdomen, Complete |
76700 |
$1,223.00 |
Ultrasound, OB, 14 weeks or more, transabdominal |
76805 |
$936.00 |
X-Ray, Lower Back, minimum four views |
72110 |
$553.00 |
X-Ray, Chest, two views |
71046 |
$443.00 |
Medicine Services (CPT Codes 90281-99607) |
2018 CPT Code |
Average Charge |
Cardiac Catheterization, Left Heart, percutaneous |
93452 |
|
Echocardiography, Transthoracic, complete, without Doppler |
93307 |
|
Electrocardiogram, routine, with interpretation and report |
93000 |
|
Inhalation Treatment, pressurized or nonpressurized |
94640 |
$285.00 |
Physical Therapy, Evaluation |
97161-97163 |
|
Physical Therapy, Gait Training |
97116 |
$172.00 |
Physical Therapy, Therapeutic Exercise |
97110 |
$172.00 |
Surgery Services (CPT Codes 10021-69990) |
2018 CPT Code |
Average Charge |
Arthroscopy, Knee, with meniscectomy (medial or lateral) |
29881 |
|
Arthroscopy, Shoulder, with partial acromioplasty |
29826 |
|
Carpal Tunnel Surgery |
64721 |
|
Cataract Removal with Insertion of Intraocular Lens, 1 Stage |
66984 |
|
Colonoscopy, diagnostic |
45378 |
|
Colonoscopy, with biopsy |
45380 |
|
Colonoscopy, with lesion removal, by snare technique |
45385 |
|
Discission, secondary membranous cataract, laser surgery |
66821 |
|
Endoscopy, Upper GI, with biopsy |
43239 |
|
Endoscopy, Upper GI, diagnostic |
43235 |
|
Excision, Breast Lesion, without preoperative radiological marker |
19120 |
|
Hernia Repair, Inguinal, 5 years and older |
49505 |
|
Injection, Diagnostic or Therapeutic substance, epidural, lumbar |
62322-62323 |
|
Injection, Anesthetic or Steroid, transforaminal epidural, lumbar |
64483 |
$3,415.00 |
Laparoscopic Cholecystectomy |
47562 |
|
Tympanostomy (insert ventilating tube, general anesthesia) |
69436 |
|
Tonsillectomy with Adenoidectomy, less than 12 years old |
42820 |
|