▸ Procedures · PriceTransparency
All procedures
209 billing codes (CMS-mandated shoppables + top inpatient MS-DRGs). 209 have negotiated-rate data from at least one hospital so far. Click any procedure to see its national rate distribution.
office (9)
CPT 992021043 hosp.
Office visit, new patient, 15-29 min
$86 median
CPT 992031042 hosp.
Office visit, new patient, 30-44 minutes
$122 median
CPT 992041043 hosp.
Office visit, new patient, 45-59 min
$174 median
CPT 992051035 hosp.
Office visit, new patient, 60-74 min
$221 median
CPT 992111191 hosp.
Office visit, established patient, 5 min
$64 median
CPT 992121127 hosp.
Office visit, established patient, 10-19 min
$80 median
CPT 992131148 hosp.
Office visit, established patient, 20-29 minutes
$115 median
CPT 992141144 hosp.
Office visit, established patient, 30-39 minutes
$153 median
CPT 992151125 hosp.
Office visit, established patient, 40-54 min
$188 median
emergency (6)
inpatient (31)
MS-DRG 064930 hosp.
Intracranial hemorrhage/CVA w MCC
$20,184 median
MS-DRG 065935 hosp.
Intracranial hemorrhage/CVA w CC
$10,718 median
MS-DRG 066925 hosp.
Intracranial hemorrhage/CVA w/o CC/MCC
$7,626 median
MS-DRG 1771528 hosp.
Respiratory infections & inflammations w MCC
$15,436 median
MS-DRG 1901518 hosp.
COPD w MCC
$11,225 median
MS-DRG 1911501 hosp.
COPD w CC
$8,823 median
MS-DRG 1921478 hosp.
COPD w/o CC/MCC
$6,998 median
MS-DRG 1941527 hosp.
Simple pneumonia & pleurisy w CC
$8,479 median
MS-DRG 1951489 hosp.
Simple pneumonia & pleurisy w/o CC/MCC
$6,682 median
MS-DRG 2801499 hosp.
AMI discharged alive w MCC
$15,672 median
MS-DRG 2811474 hosp.
AMI discharged alive w CC
$9,668 median
MS-DRG 2821476 hosp.
AMI discharged alive w/o CC/MCC
$7,797 median
MS-DRG 2911538 hosp.
Heart failure & shock w MCC
$12,784 median
MS-DRG 2921499 hosp.
Heart failure & shock w CC
$8,945 median
MS-DRG 2931401 hosp.
Heart failure & shock w/o CC/MCC
$6,213 median
MS-DRG 3081503 hosp.
Cardiac arrhythmia w MCC
$12,090 median
MS-DRG 3091507 hosp.
Cardiac arrhythmia w CC
$7,771 median
MS-DRG 3101491 hosp.
Cardiac arrhythmia w/o CC/MCC
$6,204 median
MS-DRG 3781494 hosp.
GI hemorrhage w CC
$10,015 median
MS-DRG 3791445 hosp.
GI hemorrhage w/o CC/MCC
$6,842 median
MS-DRG 3921527 hosp.
Esophagitis/gastroenteritis w/o MCC
$8,044 median
MS-DRG 5331318 hosp.
Fractures of femur w/o MCC
$15,204 median
MS-DRG 6891520 hosp.
Kidney/UTI w MCC
$11,611 median
MS-DRG 6901528 hosp.
Kidney/UTI w/o MCC
$8,309 median
MS-DRG 8711533 hosp.
Septicemia or severe sepsis w MV 96+ hrs
$18,662 median
MS-DRG 8721526 hosp.
Septicemia or severe sepsis w/o MV 96+ hrs
$10,372 median
CPT 99221625 hosp.
Initial hospital care, low complexity
$93 median
CPT 99222615 hosp.
Initial hospital care, moderate complexity
$169 median
CPT 99223614 hosp.
Initial hospital care, high complexity
$225 median
CPT 99238604 hosp.
Hospital discharge, <30 min
$86 median
CPT 99239597 hosp.
Hospital discharge, >30 min
$121 median
imaging (64)
CPT 704501359 hosp.
CT head without contrast
$207 median
CPT 704601337 hosp.
CT head with contrast
$234 median
CPT 704701345 hosp.
CT head with and without contrast
$267 median
CPT 704911348 hosp.
CT neck with contrast
$274 median
CPT 705511337 hosp.
MRI brain without contrast
$404 median
CPT 705521265 hosp.
MRI brain with contrast
$478 median
CPT 705531334 hosp.
MRI brain with and without contrast
$589 median
CPT 710451362 hosp.
Chest X-ray single view
$95 median
CPT 710461356 hosp.
Chest X-ray 2 views
$98 median
CPT 710471237 hosp.
Chest X-ray 3 views
$96 median
CPT 712501360 hosp.
CT chest without contrast
$215 median
CPT 712601359 hosp.
CT chest with contrast
$281 median
CPT 712701336 hosp.
CT chest with and without contrast
$292 median
CPT 715501255 hosp.
MRI chest without contrast
$430 median
CPT 71551955 hosp.
MRI chest with contrast
$813 median
CPT 715521210 hosp.
MRI chest with and without contrast
$601 median
CPT 721001360 hosp.
Lumbosacral spine X-ray
$103 median
CPT 721251356 hosp.
CT cervical spine without contrast
$201 median
CPT 721281351 hosp.
CT thoracic spine without contrast
$199 median
CPT 721311350 hosp.
CT lumbar spine without contrast
$203 median
CPT 721411326 hosp.
MRI cervical spine without contrast
$397 median
CPT 721461327 hosp.
MRI thoracic spine without contrast
$373 median
CPT 721481332 hosp.
MRI lumbar spine without contrast
$377 median
CPT 721491225 hosp.
MRI lumbar spine with and without contrast
$454 median
CPT 721561321 hosp.
MRI cervical spine with and without contrast
$540 median
CPT 721581321 hosp.
MRI lumbar spine with contrast
$547 median
CPT 721921352 hosp.
CT pelvis without contrast
$200 median
CPT 721931344 hosp.
CT pelvis with contrast
$281 median
CPT 730301353 hosp.
Shoulder X-ray
$93 median
CPT 730601354 hosp.
Humerus X-ray
$89 median
CPT 731301355 hosp.
Hand X-ray 3 views
$93 median
CPT 732211314 hosp.
MRI upper extremity joint without contrast
$416 median
CPT 732231294 hosp.
MRI upper extremity joint with and without contrast
$611 median
CPT 73510171 hosp.
Hip X-ray 2 views
$76 median
CPT 735601360 hosp.
Knee X-ray 1-2 views
$93 median
CPT 736101350 hosp.
Ankle X-ray 3 views
$92 median
CPT 737211319 hosp.
MRI lower extremity joint without contrast
$468 median
CPT 737231297 hosp.
MRI lower extremity joint with and without contrast
$634 median
CPT 741501342 hosp.
CT abdomen without contrast
$188 median
CPT 741601347 hosp.
CT abdomen with contrast
$287 median
CPT 741701342 hosp.
CT abdomen with and without contrast
$334 median
CPT 741761356 hosp.
CT abdomen and pelvis without contrast
$364 median
CPT 741771351 hosp.
CT abdomen and pelvis with contrast
$549 median
CPT 741781345 hosp.
CT abdomen and pelvis with and without contrast
$575 median
CPT 741811309 hosp.
MRI abdomen without contrast
$390 median
CPT 741831313 hosp.
MRI abdomen with and without contrast
$567 median
CPT 767001362 hosp.
Abdominal ultrasound complete
$149 median
CPT 767051365 hosp.
Abdominal ultrasound limited
$146 median
CPT 767701346 hosp.
Retroperitoneal ultrasound complete
$144 median
CPT 768011283 hosp.
Obstetric ultrasound first trimester
$141 median
CPT 768051259 hosp.
Obstetric ultrasound after first trimester
$153 median
CPT 768111019 hosp.
Obstetric ultrasound with fetal anatomy
$236 median
CPT 768301331 hosp.
Transvaginal ultrasound
$148 median
CPT 768561355 hosp.
Pelvic ultrasound complete
$143 median
CPT 768701346 hosp.
Scrotal ultrasound
$131 median
CPT 770651174 hosp.
Diagnostic mammography unilateral
$149 median
CPT 770661178 hosp.
Diagnostic mammography bilateral
$190 median
CPT 770671205 hosp.
Screening mammography bilateral
$158 median
CPT 93000626 hosp.
EKG complete
$24 median
CPT 930051381 hosp.
EKG tracing only
$118 median
CPT 93010666 hosp.
EKG interpretation only
$18 median
CPT 933061323 hosp.
Transthoracic echocardiogram complete
$599 median
CPT 933071072 hosp.
Transthoracic echocardiogram
$247 median
CPT 933501076 hosp.
Stress echocardiogram
$507 median
preventive (7)
CPT 432351172 hosp.
Upper GI endoscopy diagnostic
$916 median
CPT 432391178 hosp.
Upper GI endoscopy with biopsy
$965 median
CPT 453301140 hosp.
Sigmoidoscopy diagnostic
$843 median
CPT 453311114 hosp.
Sigmoidoscopy with biopsy
$893 median
CPT 453781165 hosp.
Colonoscopy diagnostic
$878 median
CPT 453801147 hosp.
Colonoscopy with biopsy
$1,214 median
CPT 453851137 hosp.
Colonoscopy with polyp removal
$1,205 median
lab (17)
CPT 800481361 hosp.
Basic metabolic panel (BMP)
$32 median
CPT 80050951 hosp.
General health panel
$107 median
CPT 800511347 hosp.
Electrolyte panel
$24 median
CPT 800531374 hosp.
Comprehensive metabolic panel
$44 median
CPT 800611367 hosp.
Lipid panel
$38 median
CPT 800691331 hosp.
Renal function panel
$27 median
CPT 800761364 hosp.
Hepatic function panel
$27 median
CPT 810021178 hosp.
Urinalysis non-automated
$7 median
CPT 810031349 hosp.
Urinalysis automated
$14 median
CPT 829471363 hosp.
Glucose quantitative
$18 median
CPT 830361367 hosp.
Hemoglobin A1c
$27 median
CPT 844431359 hosp.
Thyroid stimulating hormone (TSH)
$47 median
CPT 850251363 hosp.
Complete blood count with automated differential
$27 median
CPT 850271343 hosp.
Complete blood count without differential
$22 median
CPT 870861284 hosp.
Urine culture bacterial
$23 median
CPT 870881105 hosp.
Urine culture identification
$22 median
CPT 883051322 hosp.
Tissue exam by pathologist level IV
$102 median
surgery (57)
CPT 23472847 hosp.
Total shoulder arthroplasty
$4,134 median
MS-DRG 246465 hosp.
PCI w drug-eluting stent w MCC
$27,662 median
MS-DRG 247517 hosp.
PCI w drug-eluting stent w/o MCC
$18,277 median
CPT 27125593 hosp.
Hip hemiarthroplasty
$1,252 median
CPT 27130872 hosp.
Total hip replacement
$4,335 median
CPT 27447901 hosp.
Total knee replacement
$4,167 median
CPT 27486718 hosp.
Knee revision arthroplasty single component
$1,674 median
CPT 27487722 hosp.
Knee revision arthroplasty all components
$2,001 median
CPT 29826870 hosp.
Shoulder arthroscopy with decompression
$327 median
CPT 29827892 hosp.
Shoulder arthroscopy with rotator cuff repair
$3,295 median
CPT 29881907 hosp.
Knee arthroscopy with meniscectomy
$2,047 median
CPT 29888870 hosp.
ACL reconstruction
$3,345 median
MS-DRG 3291458 hosp.
Major small/large bowel procedures w MCC
$43,037 median
MS-DRG 3301465 hosp.
Major small/large bowel procedures w CC
$23,214 median
MS-DRG 3311457 hosp.
Major small/large bowel procedures w/o CC/MCC
$16,422 median
CPT 33533545 hosp.
CABG single arterial graft
$1,875 median
CPT 33534518 hosp.
CABG 2 arterial grafts
$2,144 median
CPT 33535513 hosp.
CABG 3 arterial grafts
$2,272 median
CPT 33536510 hosp.
CABG 4+ arterial grafts
$2,446 median
MS-DRG 4181454 hosp.
Laparoscopic cholecystectomy w/o CDE w MCC
$16,485 median
MS-DRG 4191454 hosp.
Laparoscopic cholecystectomy w/o CDE w CC
$13,529 median
MS-DRG 4201358 hosp.
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC
$32,368 median
CPT 44950729 hosp.
Open appendectomy
$1,136 median
CPT 44970922 hosp.
Laparoscopic appendectomy
$1,562 median
MS-DRG 459638 hosp.
Spinal fusion (non-cervical) w MCC
$49,449 median
MS-DRG 460674 hosp.
Spinal fusion (non-cervical) w/o MCC
$33,568 median
MS-DRG 4691409 hosp.
Major joint replacement w MCC
$29,585 median
MS-DRG 4701452 hosp.
Major joint replacement w/o MCC
$18,905 median
CPT 47562943 hosp.
Laparoscopic cholecystectomy
$1,774 median
CPT 47563905 hosp.
Lap cholecystectomy with cholangiography
$1,877 median
MS-DRG 4801433 hosp.
Hip & femur procedures except major joint w MCC
$27,985 median
MS-DRG 4811452 hosp.
Hip & femur procedures except major joint w CC
$20,313 median
MS-DRG 4821437 hosp.
Hip & femur procedures except major joint w/o CC/MCC
$15,974 median
CPT 49560337 hosp.
Open umbilical hernia repair
$1,910 median
CPT 49585333 hosp.
Umbilical hernia repair age 5+
$1,316 median
CPT 49650915 hosp.
Lap inguinal hernia repair
$1,125 median
CPT 49652280 hosp.
Lap incisional hernia repair
$2,698 median
CPT 58150704 hosp.
Total abdominal hysterectomy
$975 median
CPT 58260782 hosp.
Vaginal hysterectomy
$1,814 median
CPT 58550752 hosp.
Lap-assisted vaginal hysterectomy
$1,477 median
CPT 58552820 hosp.
Lap-assisted vaginal hysterectomy >250g
$2,227 median
CPT 58661897 hosp.
Lap salpingo-oophorectomy
$2,032 median
MS-DRG 6191298 hosp.
OR procedure for obesity w MCC
$27,156 median
MS-DRG 6201321 hosp.
OR procedure for obesity w CC
$16,212 median
MS-DRG 6211330 hosp.
OR procedure for obesity w/o CC/MCC
$15,170 median
CPT 66982746 hosp.
Complex cataract surgery
$2,219 median
CPT 66984790 hosp.
Cataract surgery with lens implant
$2,187 median
CPT 67028728 hosp.
Intravitreal injection
$343 median
CPT 67042632 hosp.
Vitrectomy mechanical
$2,521 median
MS-DRG 7431426 hosp.
Uterine & adnexa procedures w CC/MCC
$12,281 median
MS-DRG 7441343 hosp.
Uterine & adnexa procedures w/o CC/MCC
$19,127 median
CPT 92920934 hosp.
PCI single major coronary artery
$5,675 median
CPT 92928913 hosp.
PCI with drug-eluting stent
$10,029 median
CPT 92937890 hosp.
PCI bypass graft
$10,873 median
CPT 93452933 hosp.
Left heart catheterization
$3,094 median
CPT 93455944 hosp.
Coronary angiography with cath
$3,133 median
CPT 93458990 hosp.
Coronary angiography with bypass cath
$3,114 median
maternity (11)
CPT 590251110 hosp.
Fetal non-stress test
$188 median
CPT 59400545 hosp.
Routine obstetric care including vaginal delivery
$2,294 median
CPT 59409967 hosp.
Vaginal delivery only
$2,215 median
CPT 59410587 hosp.
Vaginal delivery with postpartum
$1,062 median
CPT 59510530 hosp.
Routine obstetric care with C-section
$2,502 median
CPT 59514684 hosp.
C-section delivery only
$956 median
CPT 59515557 hosp.
C-section with postpartum
$1,266 median
MS-DRG 765201 hosp.
Cesarean section w CC/MCC
$90 median
MS-DRG 766207 hosp.
Cesarean section w/o CC/MCC
$90 median
MS-DRG 774225 hosp.
Vaginal delivery w complicating dx
$92 median
MS-DRG 775264 hosp.
Vaginal delivery w/o complicating dx
$935 median
behavioral (7)
MS-DRG 8851441 hosp.
Psychoses
$12,814 median
CPT 90791902 hosp.
Psychiatric diagnostic evaluation
$177 median
CPT 90792820 hosp.
Psychiatric eval with medical services
$173 median
CPT 90832926 hosp.
Psychotherapy 30 minutes
$149 median
CPT 90834918 hosp.
Psychotherapy 45 minutes
$161 median
CPT 90837914 hosp.
Psychotherapy 60 minutes
$190 median
CPT 90839710 hosp.
Crisis psychotherapy 60 minutes
$159 median