Prices / Houston–Pasadena–The Woodlands, TX / Hospitals
Oakbend Medical Center
1705 Jackson St, Richmond, TX 77469 · CCN 450330
Source: the hospital's standard-charges file dated 2026-04-03 (original file, csv_tall, 13 MB), checked by us on 2026-10-06. 173 of 300 common services found in it.
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Evaluation & Management
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| New Patient Office Or Other Outpatient Visit, Typically 30 Min | CPT 99203 | $69.40 | $66.20 – $213.18 – $433.75 7 insurers | $347.00 |
| New Patient Office Or Other Outpatient Visit, Typically 45 Min | CPT 99204 | $89.80 | $111.65 – $279.24 – $561.25 7 insurers | $449.00 |
Laboratory & Pathology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Automated Urinalysis Test | CPT 81003 | $20.60 | $1.66 – $5.65 – $128.75 7 insurers | $103.00 |
| Basic Metabolic Panel | CPT 80048 | $80.20 | $6.16 – $26.93 – $501.25 7 insurers | $401.00 |
| Blood Test, Clotting Time | CPT 85610 | $28.40 | $2.85 – $12.50 – $177.50 7 insurers | $142.00 |
| Blood Test, Comprehensive Group of Blood Chemicals | CPT 80053 | $114.60 | $7.83 – $33.64 – $716.25 7 insurers | $573.00 |
| Blood Test, Lipids (Cholesterol and Triglycerides) | CPT 80061 | $69.20 | $9.72 – $34.93 – $432.50 7 insurers | $346.00 |
| Blood Test, Thyroid Stimulating Hormone (Tsh) | CPT 84443 | $36.60 | $12.33 – $53.48 – $228.75 7 insurers | $183.00 |
| Coagulation Assessment Blood Test | CPT 85730 | $28.40 | $4.50 – $19.10 – $177.50 7 insurers | $142.00 |
| Complete Blood Cell Count, With Differential White Blood Cells, Automated | CPT 85025 | $21.20 | $5.69 – $24.75 – $132.50 7 insurers | $106.00 |
| Complete Blood Count, Automated | CPT 85027 | $21.20 | $4.74 – $20.58 – $132.50 7 insurers | $106.00 |
| Liver Function Blood Test Panel | CPT 80076 | $86.00 | $5.93 – $26.00 – $537.50 7 insurers | $430.00 |
| Manual Urinalysis Test With Examination Using Microscope | CPT 81001 | $42.20 | $2.37 – $10.07 – $263.75 7 insurers | $211.00 |
| Psa (Prostate Specific Antigen) | CPT 84153 | $30.00 | $13.51 – $58.55 – $187.50 7 insurers | $150.00 |
Medicine & Surgery
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Cervical Spinal Fusion Without Cc Or Mcc | MS-DRG 473 | $16,054.61 | $8,517.31 – $18,527.44 – $31,788.14 9 insurers | $80,273.07 |
| Spinal Fusion Except Cervical Without Mcc | MS-DRG 460 | $9,884.92 | $7,250.00 – $24,753.01 – $45,456.72 9 insurers | $49,424.59 |
Radiology
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Abdominal Ultrasound of Pregnant Uterus (>= 14 Weeks 0 Days) Single Or First Fetus | CPT 76805 | $150.00 | $79.93 – $250.37 – $1,062.50 9 insurers | $850.00 |
| Ct Scan, Head Or Brain, Without Contrast | CPT 70450 | $450.00 | $97.29 – $433.95 – $1,905.00 9 insurers | $1,524.00 |
| Ct Scan of Abdomen and Pelvis With Contrast | CPT 74177 | $982.20 | $214.83 – $816.00 – $6,138.75 9 insurers | $4,911.00 |
| Ct Scan, Pelvis, With Contrast | CPT 72193 | $550.00 | $176.20 – $643.30 – $3,123.75 9 insurers | $2,499.00 |
| Mammography of Both Breasts | CPT 77066 | $115.00 | $104.02 – $185.98 – $718.75 9 insurers | $575.00 |
| Mammography of One Breast | CPT 77065 | $114.00 | $81.45 – $145.77 – $712.50 9 insurers | $570.00 |
| Mammography, Screening, Bilateral | CPT 77067 | $97.20 | $86.03 – $131.40 – $607.50 9 insurers | $486.00 |
| Mri Scan of Brain Before and After Contrast | CPT 70553 | $700.00 | $350.46 – $1,046.00 – $3,890.00 9 insurers | $3,112.00 |
| Mri Scan of Leg Joint | CPT 73721 | $500.00 | $197.46 – $802.81 – $2,478.25 9 insurers | $2,155.00 |
| Mri Scan of Lower Spinal Canal | CPT 72148 | $500.00 | $197.46 – $825.92 – $2,526.25 9 insurers | $2,021.00 |
| Ultrasound of Abdomen | CPT 76700 | $150.00 | $97.29 – $242.34 – $1,062.50 9 insurers | $850.00 |
| Ultrasound Pelvis Through Vagina | CPT 76830 | $150.00 | $75.96 – $120.01 – $1,062.50 9 insurers | $850.00 |
| X-Ray, Lower Back, Minimum Four Views | CPT 72110 | $139.00 | $97.29 – $172.85 – $868.75 9 insurers | $695.00 |
Inpatient (volume)
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Acute Myocardial Infarction, Discharged Alive With Cc | MS-DRG 281 | $8,226.02 | $4,797.70 – $7,987.98 – $19,643.00 9 insurers | $41,130.11 |
| Acute Myocardial Infarction, Discharged Alive With Mcc | MS-DRG 280 | $6,877.33 | $3,821.00 – $12,173.79 – $19,934.15 9 insurers | $34,386.64 |
| Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc | MS-DRG 897 | $2,349.93 | $4,158.87 – $6,699.72 – $10,970.56 9 insurers | $11,749.64 |
| Cardiac Arrhythmia and Conduction Disorders With Cc | MS-DRG 309 | $4,577.21 | $3,821.00 – $5,583.35 – $9,142.54 9 insurers | $22,886.04 |
| Cardiac Arrhythmia and Conduction Disorders With Mcc | MS-DRG 308 | $7,138.54 | $6,284.88 – $9,137.36 – $14,962.11 9 insurers | $35,692.70 |
| Cellulitis Without Mcc | MS-DRG 603 | $8,808.34 | $3,624.14 – $6,609.41 – $17,440.51 9 insurers | $44,041.70 |
| Chronic Obstructive Pulmonary Disease With Cc | MS-DRG 191 | $2,959.96 | $2,950.00 – $6,271.06 – $29,731.00 9 insurers | $14,799.78 |
| Chronic Obstructive Pulmonary Disease With Mcc | MS-DRG 190 | $5,423.88 | $5,782.19 – $8,406.52 – $29,731.00 9 insurers | $27,119.38 |
| Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc | MS-DRG 286 | $6,976.10 | $1,622.00 – $13,841.72 – $27,498.47 9 insurers | $34,880.50 |
| Cirrhosis and Alcoholic Hepatitis With Mcc | MS-DRG 432 | $11,528.42 | $9,667.00 – $14,937.00 – $24,458.82 9 insurers | $57,642.08 |
| Combined Anterior and Posterior Spinal Fusion With Cc | MS-DRG 454 | $13,665.43 | $7,250.00 – $41,043.17 – $68,327.16 9 insurers | $68,327.16 |
| Degenerative Nervous System Disorders Without Mcc | MS-DRG 057 | $9,644.68 | $34.20 – $12,290.66 – $26,560.00 8 insurers | $48,223.38 |
| Diabetes With Cc | MS-DRG 638 | $6,815.54 | $4,413.73 – $6,971.45 – $15,110.00 9 insurers | $34,077.68 |
| Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders With Mcc | MS-DRG 391 | $8,625.65 | $6,173.90 – $9,625.34 – $17,078.78 9 insurers | $43,128.24 |
| Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders Without Mcc | MS-DRG 392 | $5,241.71 | $3,567.00 – $5,916.52 – $10,378.58 9 insurers | $26,208.54 |
| Fractures of Hip and Pelvis Without Mcc | MS-DRG 536 | $7,696.77 | $4,215.67 – $6,129.01 – $15,239.61 9 insurers | $38,483.87 |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh Without Mcc | MS-DRG 563 | $3,587.72 | $3,963.21 – $6,787.00 – $11,128.38 9 insurers | $17,938.58 |
| Gastrointestinal Hemorrhage With Cc | MS-DRG 378 | $14,636.58 | $5,119.25 – $7,442.70 – $28,980.44 9 insurers | $73,182.92 |
| Gastrointestinal Hemorrhage With Mcc | MS-DRG 377 | $9,452.59 | $6,843.00 – $13,873.00 – $22,716.56 9 insurers | $47,262.95 |
| Gastrointestinal Obstruction With Cc | MS-DRG 389 | $6,953.82 | $4,122.76 – $5,993.93 – $13,768.57 9 insurers | $34,769.12 |
| Gastrointestinal Obstruction Without Cc/Mcc | MS-DRG 390 | $3,581.76 | $2,656.00 – $4,128.51 – $7,091.87 9 insurers | $17,908.78 |
| Heart Failure and Shock With Mcc | MS-DRG 291 | $7,087.13 | $6,701.44 – $9,742.98 – $29,731.00 9 insurers | $35,435.66 |
| Hip and Femur Procedures Except Major Joint With Cc | MS-DRG 481 | $19,536.79 | $10,933.29 – $16,292.91 – $38,682.85 9 insurers | $97,683.97 |
| Hip and Femur Procedures Except Major Joint With Mcc | MS-DRG 480 | $19,124.49 | $15,202.21 – $24,058.21 – $42,926.06 9 insurers | $95,622.43 |
| Hip Replacement With Principal Diagnosis of Hip Fracture Without Mcc | MS-DRG 522 | $14,526.46 | $11,054.39 – $16,473.38 – $45,856.09 9 insurers | $72,632.30 |
| Infectious and Parasitic Diseases With O.R. Procedures With Cc | MS-DRG 854 | $22,413.83 | $10,430.08 – $15,163.92 – $44,379.39 9 insurers | $112,069.16 |
| Infectious and Parasitic Diseases With O.R. Procedures With Mcc | MS-DRG 853 | $47,317.04 | $25,779.49 – $37,479.88 – $93,687.73 9 insurers | $236,585.18 |
| Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours | MS-DRG 065 | $10,789.49 | $5,273.77 – $7,667.34 – $21,363.20 9 insurers | $53,947.47 |
| Intracranial Hemorrhage Or Cerebral Infarction With Mcc | MS-DRG 064 | $5,769.78 | $1,511.00 – $13,371.02 – $24,990.70 9 insurers | $28,848.91 |
| Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc | MS-DRG 066 | $4,027.39 | $1,511.00 – $5,194.03 – $8,505.04 9 insurers | $20,136.95 |
| Kidney and Ureter Procedures For Non-Neoplasm With Cc | MS-DRG 660 | $8,409.55 | $6,852.30 – $10,030.61 – $16,650.90 9 insurers | $42,047.74 |
| Kidney and Urinary Tract Infections With Mcc | MS-DRG 689 | $7,818.64 | $6,056.77 – $9,025.86 – $15,480.90 9 insurers | $39,093.19 |
| Kidney and Urinary Tract Infections Without Mcc | MS-DRG 690 | $6,648.48 | $3,758.05 – $6,143.43 – $13,164.00 9 insurers | $33,242.42 |
| Laparoscopic Cholecystectomy Without C.D.E. With Cc | MS-DRG 418 | $10,008.52 | $6,044.00 – $12,837.84 – $21,021.51 9 insurers | $50,042.58 |
| Major Gastrointestinal Disorders and Peritoneal Infections With Cc | MS-DRG 372 | $10,450.28 | $2,316.00 – $7,748.54 – $27,408.82 9 insurers | $52,251.42 |
| Major Small and Large Bowel Procedures With Cc | MS-DRG 330 | $10,310.07 | $9,066.00 – $17,633.45 – $29,790.00 9 insurers | $51,550.35 |
| Major Small and Large Bowel Procedures With Mcc | MS-DRG 329 | $9,411.92 | $7,555.00 – $29,054.48 – $47,059.60 9 insurers | $47,059.60 |
| Major Small and Large Bowel Procedures Without Cc/Mcc | MS-DRG 331 | $4,636.28 | $3,022.00 – $10,637.61 – $20,913.40 9 insurers | $23,181.42 |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes With Mcc | MS-DRG 640 | $10,750.59 | $6,811.49 – $10,136.10 – $21,286.17 9 insurers | $53,752.95 |
| Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes Without Mcc | MS-DRG 641 | $7,133.57 | $2,994.74 – $5,905.89 – $14,124.47 9 insurers | $35,667.84 |
| Other Cerebrovascular Disorders With Cc | MS-DRG 071 | $10,797.39 | $5,355.72 – $7,981.15 – $21,378.83 9 insurers | $53,986.93 |
| Other Cerebrovascular Disorders With Mcc | MS-DRG 070 | $6,778.59 | $6,843.00 – $12,417.96 – $20,688.47 9 insurers | $33,892.97 |
| Other Circulatory System Diagnoses With Mcc | MS-DRG 314 | $6,017.74 | $3,821.00 – $13,180.55 – $25,912.78 9 insurers | $30,088.70 |
| Other Digestive System Diagnoses With Cc | MS-DRG 394 | $8,854.62 | $4,884.35 – $7,101.19 – $17,532.15 9 insurers | $44,273.10 |
| Other Digestive System Diagnoses With Mcc | MS-DRG 393 | $16,990.14 | $8,348.35 – $12,137.36 – $33,640.47 9 insurers | $84,950.68 |
| Other Disorders of Nervous System With Cc | MS-DRG 092 | $7,311.08 | $5,340.06 – $7,957.82 – $18,132.00 9 insurers | $36,555.41 |
| Other Kidney and Urinary Tract Diagnoses With Cc | MS-DRG 699 | $3,072.82 | $2,950.00 – $6,415.82 – $12,613.41 9 insurers | $15,364.12 |
| Other Vascular Procedures With Mcc | MS-DRG 252 | $11,749.91 | $11,958.70 – $23,344.39 – $43,349.10 9 insurers | $58,749.54 |
| Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/ | MS-DRG 321 | $15,645.25 | $5,001.73 – $20,648.61 – $51,982.67 9 insurers | $78,226.27 |
| Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc | MS-DRG 322 | $16,321.96 | $6,820.60 – $13,379.71 – $53,959.82 9 insurers | $81,609.82 |
| Peripheral Vascular Disorders With Cc | MS-DRG 300 | $4,835.55 | $3,984.00 – $7,846.22 – $13,265.82 9 insurers | $24,177.76 |
| Permanent Cardiac Pacemaker Implant With Cc | MS-DRG 243 | $9,757.14 | $8,004.25 – $16,171.76 – $26,480.69 9 insurers | $48,785.68 |
| Psychoses | MS-DRG 885 | $12,526.05 | $1,511.00 – $14,972.45 – $39,457.07 9 insurers | $62,630.26 |
| Pulmonary Edema and Respiratory Failure | MS-DRG 189 | $6,210.29 | $6,448.79 – $9,964.23 – $29,731.00 9 insurers | $31,051.47 |
| Pulmonary Embolism With Mcc Or Acute Cor Pulmonale | MS-DRG 175 | $7,382.29 | $6,717.00 – $10,424.48 – $17,069.73 9 insurers | $36,911.47 |
| Pulmonary Embolism Without Mcc | MS-DRG 176 | $3,336.46 | $4,202.10 – $6,510.47 – $10,003.74 9 insurers | $16,682.30 |
| Red Blood Cell Disorders With Mcc | MS-DRG 811 | $3,984.21 | $4,533.00 – $8,876.58 – $17,451.24 9 insurers | $19,921.07 |
| Red Blood Cell Disorders Without Mcc | MS-DRG 812 | $3,875.99 | $3,983.07 – $6,968.38 – $11,410.47 9 insurers | $19,379.94 |
| Renal Failure With Cc | MS-DRG 683 | $12,043.17 | $4,571.68 – $6,646.60 – $23,845.47 9 insurers | $60,215.84 |
| Renal Failure With Mcc | MS-DRG 682 | $11,068.52 | $6,100.00 – $11,239.56 – $21,915.68 9 insurers | $55,342.62 |
| Respiratory System Diagnosis With Ventilator Support <=96 Hours | MS-DRG 208 | $14,984.48 | $13,434.00 – $20,860.35 – $34,158.09 9 insurers | $74,922.39 |
| Revision of Hip Or Knee Replacement With Cc | MS-DRG 467 | $4,579.36 | $1,511.00 – $22,278.59 – $33,454.95 9 insurers | $22,896.79 |
| Seizures Without Mcc | MS-DRG 101 | $6,948.66 | $4,711.57 – $6,849.98 – $13,758.34 9 insurers | $34,743.28 |
| Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc | MS-DRG 871 | $11,332.84 | $10,139.85 – $14,741.96 – $29,731.00 9 insurers | $56,664.21 |
| Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc | MS-DRG 872 | $7,362.82 | $5,341.63 – $7,766.00 – $14,578.39 9 insurers | $36,814.11 |
| Simple Pneumonia and Pleurisy With Cc | MS-DRG 194 | $4,593.81 | $4,206.80 – $6,116.11 – $10,014.92 9 insurers | $22,969.05 |
| Simple Pneumonia and Pleurisy With Mcc | MS-DRG 193 | $8,835.67 | $6,861.17 – $9,975.21 – $29,731.00 9 insurers | $44,178.37 |
| Syncope and Collapse | MS-DRG 312 | $3,429.02 | $4,549.75 – $6,614.72 – $10,831.37 9 insurers | $17,145.10 |
Outpatient/professional (volume)
| Service | Code | Cash price | Insurers pay (min – median – max) | Gross charge |
|---|---|---|---|---|
| Cell Examination of Specimen, Selective Cellular Enhancement Technique | CPT 88112 | $17.60 | $25.53 – $52.80 – $110.00 8 insurers | $88.00 |
| Complete Ultrasound Scan Behind Abdominal Cavity | CPT 76770 | $150.00 | $97.29 – $242.34 – $1,147.50 9 insurers | $918.00 |
| Critical Care, Each Additional 30 Minutes | CPT 99292 | $41.04 | $96.40 – $133.36 – $840.00 8 insurers | $205.18 |
| Critical Care, First 30-74 Minutes | CPT 99291 | $851.80 | $405.00 – $2,044.32 – $5,323.75 8 insurers | $4,259.00 |
| Ct Scan of Abdomen and Pelvis Before and After Contrast | CPT 74178 | $1,063.80 | $214.83 – $816.00 – $6,648.75 9 insurers | $5,319.00 |
| Ct Scan of Abdomen and Pelvis Without Contrast | CPT 74176 | $668.80 | $197.46 – $653.31 – $4,180.00 9 insurers | $3,344.00 |
| Ct Scan of Blood Vessels of Abdomen and Pelvis With Contrast | CPT 74174 | $608.20 | $214.15 – $762.72 – $3,801.25 9 insurers | $3,041.00 |
| Ct Scan of Blood Vessels of Chest With Contrast | CPT 71275 | $450.00 | $176.20 – $690.65 – $2,743.75 9 insurers | $2,195.00 |
| Ct Scan of Blood Vessels of Head With Contrast | CPT 70496 | $210.00 | $176.20 – $690.65 – $2,425.00 9 insurers | $1,940.00 |
| Ct Scan of Blood Vessels of Neck With Contrast | CPT 70498 | $450.00 | $176.20 – $690.65 – $2,398.75 9 insurers | $1,919.00 |
| Ct Scan of Chest With Contrast | CPT 71260 | $450.00 | $176.20 – $643.30 – $2,925.00 9 insurers | $2,340.00 |
| Ct Scan of Chest Without Contrast | CPT 71250 | $450.00 | $97.29 – $433.95 – $1,905.00 9 insurers | $1,524.00 |
| Ct Scan of Face Without Contrast | CPT 70486 | $450.00 | $97.29 – $433.95 – $2,047.50 9 insurers | $1,638.00 |
| Ct Scan of Leg Without Contrast | CPT 73700 | $450.00 | $97.29 – $433.95 – $1,912.50 9 insurers | $1,530.00 |
| Ct Scan of Lower Spine Without Contrast | CPT 72131 | $450.00 | $97.29 – $433.95 – $2,047.50 9 insurers | $1,638.00 |
| Ct Scan of Upper Spine Without Contrast | CPT 72125 | $450.00 | $97.29 – $433.95 – $2,047.50 9 insurers | $1,638.00 |
| Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (List Separately In Addition To 77065 Or 77066) | HCPCS G0279 | $28.60 | $21.66 – $64.48 – $178.75 8 insurers | $143.00 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine | CPT 77080 | $130.00 | $27.46 – $118.15 – $686.25 9 insurers | $549.00 |
| Emergency Department Visit With High Level of Medical Decision Making | CPT 99285 | $918.05 | $405.00 – $1,587.05 – $5,278.79 9 insurers | $4,590.25 |
| Emergency Department Visit With Low Level of Medical Decision Making | CPT 99283 | $299.16 | $274.22 – $733.99 – $1,720.17 9 insurers | $1,495.80 |
| Emergency Department Visit With Moderate Level of Medical Decision Making | CPT 99284 | $568.20 | $405.00 – $840.00 – $3,267.15 8 insurers | $2,841.00 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More | CPT 99215 | $95.40 | $95.79 – $287.64 – $596.25 7 insurers | $477.00 |
| Established Patient Office Or Other Outpatient Visit With Low Level Od Decision Making, If Using Time, 20 Minutes Or More | CPT 99213 | $57.20 | $44.23 – $168.69 – $357.50 7 insurers | $286.00 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More | CPT 99214 | $63.20 | $67.72 – $197.50 – $395.00 7 insurers | $316.00 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More | CPT 99212 | $49.20 | $21.96 – $153.75 – $307.50 7 insurers | $246.00 |
| Hemodialysis Procedure With Physician Evaluation | CPT 90935 | $303.20 | $200.83 – $775.62 – $1,895.00 7 insurers | $1,516.00 |
| Imaging For Evaluation of Swallowing Function | CPT 74230 | $210.00 | $97.29 – $176.20 – $1,713.75 9 insurers | $1,371.00 |
| Immunologic Analysis Technique On Serum (Immunofixation) | CPT 86334 | $56.20 | $16.36 – $71.10 – $351.25 7 insurers | $281.00 |
| Insertion of Non-Tunneled Central Venous Tube For Infusion (5 Years Or Older) | CPT 36556 | $3,640.00 | $564.00 – $2,583.44 – $5,733.00 9 insurers | $4,570.00 |
| Insertion of Tube In Left Lower Heart Chamber and Coronary Artery For Diagnosis With Review By Radiologist | CPT 93458 | $4,011.60 | $3,256.70 – $4,011.60 – $23,066.70 8 insurers | $20,058.00 |
| Limited Ultrasound Scan of 1 Breast | CPT 76642 | $58.60 | $52.80 – $183.13 – $455.00 9 insurers | $293.00 |
| Limited Ultrasound Scan of Abdomen | CPT 76705 | $150.00 | $97.29 – $242.34 – $1,062.50 9 insurers | $850.00 |
| Low Dose Ct Scan of Chest For Lung Cancer Screening | CPT 71271 | $194.80 | $87.92 – $496.26 – $1,217.50 9 insurers | $974.00 |
| Mri Scan of Abdomen Before and After Contrast | CPT 74183 | $700.00 | $350.46 – $1,046.00 – $4,048.75 9 insurers | $3,239.00 |
| Mri Scan of Brain Without Contrast | CPT 70551 | $600.00 | $197.46 – $802.81 – $2,324.15 9 insurers | $2,021.00 |
| Mri Scan of Upper Spinal Canal Without Contrast | CPT 72141 | $500.00 | $197.46 – $825.92 – $2,526.25 9 insurers | $2,021.00 |
| Pathology Examination of Tissue Using A Microscope, Intermediate Complexity | CPT 88305 | $26.98 | $19.91 – $83.34 – $525.00 8 insurers | $420.00 |
| Pathology Examination of Tissue Using A Microscope, Moderately High Complexity | CPT 88307 | $77.82 | $121.34 – $360.08 – $486.36 8 insurers | $389.09 |
| Pathology Examination of Tissue Using A Microscope, Moderately Low Complexity | CPT 88304 | $27.20 | $18.97 – $55.76 – $385.00 8 insurers | $308.00 |
| Preparation of Tissue For Examination By Removing Any Calcium Present | CPT 88311 | $16.50 | $5.86 – $28.60 – $103.13 8 insurers | $82.50 |
| Protein Measurement, Serum | CPT 84165 | $36.60 | $7.83 – $34.17 – $228.75 7 insurers | $183.00 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less | CPT 11042 | $209.00 | $283.03 – $408.37 – $1,306.25 7 insurers | $1,045.00 |
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less | CPT 11045 | $25.93 | $21.65 – $132.89 – $314.48 7 insurers | $129.65 |
| Screening 3d Breast Mammography | CPT 77063 | $29.80 | $21.66 – $63.16 – $186.25 9 insurers | $149.00 |
| Special Stained Specimen Slides To Examine Tissue, Each Additional Procedure | CPT 88341 | $23.26 | $41.93 – $90.31 – $145.36 8 insurers | $116.29 |
| Special Stained Specimen Slides To Examine Tissue Including Interpretation and Report | CPT 88313 | $8.80 | $26.40 – $52.72 – $167.07 8 insurers | $44.00 |
| Special Stained Specimen Slides To Examine Tissue, Initial Procedure | CPT 88342 | $81.40 | $46.38 – $171.15 – $508.75 8 insurers | $407.00 |
| Special Stained Specimen Slides To Identify Organisms Including Interpretation and Report | CPT 88312 | $24.00 | $38.00 – $55.76 – $150.00 8 insurers | $120.00 |
| Test To Determine Lung Volumes Using Sensors | CPT 94726 | $63.00 | $101.39 – $330.75 – $29,731.00 8 insurers | $315.00 |
| Test To Examine How Well The Lungs Exchange Gases | CPT 94729 | $67.40 | $39.36 – $141.46 – $29,731.00 8 insurers | $337.00 |
| Test To Measure Expiratory Airflow and Volume Changes Before and After Medication Administration | CPT 94060 | $360.00 | $41.18 – $374.86 – $29,731.00 8 insurers | $647.00 |
| Ultrasonic Guidance For Blood Vessel Access | CPT 76937 | $89.80 | $14.65 – $55.20 – $561.25 8 insurers | $449.00 |
| Ultrasonic Guidance For Needle Placement | CPT 76942 | $184.60 | $23.79 – $440.85 – $1,153.75 8 insurers | $923.00 |
| Ultrasound of Both Sides of Head and Neck Blood Flow | CPT 93880 | $300.00 | $100.36 – $444.68 – $1,591.25 9 insurers | $1,273.00 |
| Ultrasound of Heart, Follow-Up | CPT 93308 | $265.60 | $69.25 – $239.69 – $1,660.00 8 insurers | $1,328.00 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function | CPT 93306 | $630.00 | $112.00 – $548.91 – $4,010.00 8 insurers | $3,208.00 |
| Ultrasound Scan of Head and Neck Soft Tissue | CPT 76536 | $150.00 | $97.29 – $239.59 – $1,262.50 9 insurers | $1,010.00 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers | CPT 93970 | $280.00 | $112.00 – $364.96 – $1,462.50 9 insurers | $1,170.00 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers | CPT 93971 | $250.00 | $85.42 – $221.02 – $1,073.75 9 insurers | $859.00 |
| Use of A Drug To Induce Depression of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes | CPT 99152 | $83.20 | $10.84 – $30.53 – $520.00 7 insurers | $416.00 |
| X-Ray of Abdomen, 1 View | CPT 74018 | $62.80 | $52.80 – $149.27 – $392.50 9 insurers | $314.00 |
| X-Ray of Ankle, Minimum of 3 Views | CPT 73610 | $74.80 | $52.80 – $112.12 – $467.50 9 insurers | $374.00 |
| X-Ray of Chest, 1 View | CPT 71045 | $51.40 | $52.80 – $143.79 – $321.25 9 insurers | $257.00 |
| X-Ray of Chest, 2 Views | CPT 71046 | $74.80 | $52.80 – $151.55 – $467.50 9 insurers | $374.00 |
| X-Ray of Foot, Minimum of 3 Views | CPT 73630 | $74.80 | $52.80 – $112.12 – $467.50 9 insurers | $374.00 |
| X-Ray of Hand, Minimum of 3 Views | CPT 73130 | $72.00 | $52.80 – $112.12 – $450.00 9 insurers | $360.00 |
| X-Ray of Hip, 2-3 Views | CPT 73502 | $74.80 | $52.80 – $148.35 – $467.50 9 insurers | $374.00 |
| X-Ray of Knee, 1-2 Views | CPT 73560 | $70.00 | $52.80 – $112.12 – $473.46 9 insurers | $378.77 |
| X-Ray of Knee, 3 Views | CPT 73562 | $77.00 | $52.80 – $112.12 – $492.85 9 insurers | $394.28 |
| X-Ray of Knee, 4 Or More Views | CPT 73564 | $94.80 | $97.29 – $172.85 – $592.50 9 insurers | $474.00 |
| X-Ray of Lower and Sacral Spine, 2-3 Views | CPT 72100 | $105.40 | $97.29 – $123.08 – $658.75 9 insurers | $527.00 |
| X-Ray of Lower Leg, 2 Views | CPT 73590 | $70.00 | $52.80 – $112.12 – $612.50 9 insurers | $490.00 |
| X-Ray of Pelvis, 1-2 Views | CPT 72170 | $62.80 | $97.29 – $123.08 – $392.50 9 insurers | $314.00 |
| X-Ray of Shoulder, Minimum of 2 Views | CPT 73030 | $87.60 | $52.80 – $112.12 – $554.10 9 insurers | $443.28 |
| X-Ray of Thigh Bone, Minimum 2 Views | CPT 73552 | $74.80 | $52.80 – $148.35 – $467.50 9 insurers | $374.00 |
| X-Ray of Wrist, Minimum of 3 Views | CPT 73110 | $74.80 | $52.80 – $112.12 – $467.50 9 insurers | $374.00 |