Prices / Houston–Pasadena–The Woodlands, TX / Hospitals

Sweeny Community Hospital

305 North Mckinney, Sweeny, TX 77480 · CCN 451311

Source: the hospital's standard-charges file dated 2026-09-08 (original file, csv_tall, 36 MB), checked by us on 2026-10-06. 168 of 300 common services found in it.

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Evaluation & Management

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Family Psychotherapy, Including Patient, 50 Min	CPT 90847	$187.20	$93.60 – $202.80 – $312.00 13 insurers	$312.00
Group Psychotherapy	CPT 90853	$155.10	$77.55 – $168.03 – $258.50 13 insurers	$258.50
Initial New Patient Preventive Medicine Evaluation (18-39 Years)	CPT 99385	$137.16	$68.58 – $143.08 – $228.60 12 insurers	$228.60
Initial New Patient Preventive Medicine Evaluation (40-64 Years)	CPT 99386	$137.16	$68.58 – $143.08 – $228.60 12 insurers	$228.60
New Patient Office Or Other Outpatient Visit, Typically 30 Min	CPT 99203	$100.08	$50.04 – $204.90 – $542.80 12 insurers	$542.80
New Patient Office Or Other Outpatient Visit, Typically 45 Min	CPT 99204	$134.10	$67.05 – $265.70 – $662.20 12 insurers	$662.20
New Patient Office Or Other Outpatient Visit, Typically 60 Min	CPT 99205	$135.30	$67.65 – $202.95 – $748.80 13 insurers	$748.80
Patient Office Consultation, Typically 40 Min	CPT 99243	$114.30	$73.25 – $190.50 – $190.50 8 insurers	$190.50
Patient Office Consultation, Typically 60 Min	CPT 99244	$130.98	$116.07 – $218.30 – $218.30 8 insurers	$218.30
Psychotherapy, 30 Min	CPT 90832	$118.62	$59.31 – $128.51 – $197.70 13 insurers	$197.70
Psychotherapy, 45 Min	CPT 90834	$185.40	$92.70 – $200.85 – $309.00 13 insurers	$309.00
Psychotherapy, 60 Min	CPT 90837	$173.04	$86.52 – $187.46 – $288.40 13 insurers	$288.40

Laboratory & Pathology

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Automated Urinalysis Test	CPT 81002	$7.98	$0.46 – $11.97 – $29.80 13 insurers	$29.80
Basic Metabolic Panel	CPT 80048	$122.94	$17.33 – $120.03 – $204.90 13 insurers	$204.90
Blood Test, Clotting Time	CPT 85610	$61.80	$4.42 – $60.34 – $103.00 13 insurers	$103.00
Blood Test, Comprehensive Group of Blood Chemicals	CPT 80053	$181.02	$31.86 – $176.74 – $301.70 13 insurers	$301.70
Blood Test, Lipids (Cholesterol and Triglycerides)	CPT 80061	$38.58	$8.61 – $57.87 – $159.60 13 insurers	$159.60
Blood Test, Thyroid Stimulating Hormone (Tsh)	CPT 84443	$92.04	$25.77 – $89.86 – $153.40 13 insurers	$153.40
Coagulation Assessment Blood Test	CPT 85730	$72.30	$7.24 – $71.17 – $121.50 13 insurers	$121.50
Complete Blood Cell Count, With Differential White Blood Cells, Automated	CPT 85025	$61.14	$7.92 – $59.69 – $101.90 13 insurers	$101.90
Complete Blood Count, Automated	CPT 85027	$8.64	$0.93 – $14.19 – $82.40 13 insurers	$82.40
Kidney Function Panel Test	CPT 80069	$151.38	$21.90 – $147.80 – $252.30 13 insurers	$252.30
Liver Function Blood Test Panel	CPT 80076	$126.66	$17.25 – $123.66 – $211.10 13 insurers	$211.10
Manual Urinalysis Test With Examination Using Microscope	CPT 81000	$45.06	$3.02 – $43.99 – $75.10 13 insurers	$75.10
Psa (Prostate Specific Antigen)	CPT 84153	$83.40	$25.56 – $116.35 – $232.70 13 insurers	$232.70
Psa (Prostate Specific Antigen)	CPT 84154	$51.90	$15.91 – $69.20 – $124.60 13 insurers	$124.60

Medicine & Surgery

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Biopsy of Large Bowel Using An Endoscope	CPT 45380	$832.44	$175.10 – $176.85 – $1,387.40 9 insurers	$1,387.40
Biopsy of The Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope	CPT 43239	$786.66	$121.89 – $123.11 – $1,311.10 9 insurers	$1,311.10
Diagnostic Examination of Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope	CPT 43235	$622.92	$109.03 – $110.12 – $1,038.20 9 insurers	$1,038.20
Diagnostic Examination of Large Bowel Using An Endoscope	CPT 45378	$655.68	$162.10 – $163.72 – $1,092.80 9 insurers	$1,092.80
Electrocardiogram, Routine, With Interpretation and Report	CPT 93000	$42.60	$21.30 – $44.44 – $71.00 12 insurers	$71.00
Removal of 1 Or More Breast Growth, Open Procedure	CPT 19120	$221.22	$110.61 – $230.44 – $425.00 13 insurers	$368.70
Removal of Gallbladder Using An Endoscope	CPT 47562	$1,702.56	$613.24 – $619.37 – $2,837.60 9 insurers	$2,837.60
Removal of Polyps Or Growths of Large Bowel Using An Endoscope	CPT 45385	$1,166.76	$220.38 – $222.58 – $1,944.60 9 insurers	$1,944.60
Repair of Groin Hernia Patient Age 5 Years Or Older	CPT 49505	$832.44	$493.41 – $498.34 – $1,387.40 9 insurers	$1,387.40

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	$491.28	$245.64 – $512.49 – $818.80 12 insurers	$818.80
Ct Scan, Head Or Brain, Without Contrast	CPT 70450	$992.46	$496.23 – $959.38 – $1,654.10 13 insurers	$1,654.10
Ct Scan of Abdomen and Pelvis With Contrast	CPT 74177	$1,756.92	$500.00 – $1,698.36 – $2,928.20 13 insurers	$2,928.20
Ct Scan, Pelvis, With Contrast	CPT 72193	$862.08	$431.04 – $833.34 – $1,436.80 13 insurers	$1,436.80
Mammography of Both Breasts	CPT 77066	$583.38	$291.69 – $608.56 – $972.30 12 insurers	$972.30
Mammography of One Breast	CPT 77065	$404.76	$202.38 – $422.23 – $674.60 12 insurers	$674.60
Mammography, Screening, Bilateral	CPT 77067	$369.54	$184.77 – $410.19 – $701.40 12 insurers	$701.40
Mri Scan of Brain Before and After Contrast	CPT 70553	$1,242.78	$621.39 – $1,489.49 – $2,864.40 13 insurers	$2,864.40
Mri Scan of Leg Joint	CPT 73721	$1,090.74	$545.37 – $1,054.38 – $1,817.90 13 insurers	$1,817.90
Mri Scan of Lower Spinal Canal	CPT 72148	$1,199.52	$599.76 – $1,159.54 – $1,999.20 13 insurers	$1,999.20
Ultrasound of Abdomen	CPT 76700	$672.36	$336.18 – $701.39 – $1,120.60 12 insurers	$1,120.60
Ultrasound Pelvis Through Vagina	CPT 76830	$632.82	$316.41 – $660.14 – $1,054.70 12 insurers	$1,054.70
X-Ray, Lower Back, Minimum Four Views	CPT 72110	$291.66	$145.83 – $304.25 – $486.10 12 insurers	$486.10

Inpatient (volume)

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Cellulitis Without Mcc	MS-DRG 603	$7,908.36	$4,125.00 – $11,467.12 – $26,893.00 13 insurers	$13,180.60
Chronic Obstructive Pulmonary Disease With Cc	MS-DRG 191	$6,902.19	$3,954.00 – $7,677.00 – $20,211.74 13 insurers	$11,503.65
Chronic Obstructive Pulmonary Disease With Mcc	MS-DRG 190	$11,355.30	$4,125.00 – $10,236.00 – $18,485.74 13 insurers	$18,925.49
Diabetes With Cc	MS-DRG 638	$5,491.51	$1,318.00 – $3,337.11 – $8,237.27 13 insurers	$9,152.52
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders With Mcc	MS-DRG 391	$6,574.61	$1,318.00 – $3,337.11 – $10,285.42 13 insurers	$10,957.69
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders Without Mcc	MS-DRG 392	$3,995.86	$2,636.00 – $5,118.00 – $7,368.00 13 insurers	$6,659.77
Fractures of Hip and Pelvis Without Mcc	MS-DRG 536	$2,936.62	$3,915.49 – $6,884.52 – $11,052.00 13 insurers	$4,894.36
Heart Failure and Shock With Mcc	MS-DRG 291	$19,639.48	$4,125.00 – $17,913.00 – $31,667.72 13 insurers	$32,732.47
Kidney and Urinary Tract Infections With Mcc	MS-DRG 689	$10,374.92	$4,125.00 – $15,504.00 – $36,006.22 13 insurers	$17,291.54
Kidney and Urinary Tract Infections Without Mcc	MS-DRG 690	$3,564.26	$2,636.00 – $5,118.00 – $11,775.67 13 insurers	$5,940.44
Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes Without Mcc	MS-DRG 641	$2,122.67	$2,636.00 – $4,125.00 – $7,500.40 13 insurers	$3,537.79
Organic Disturbances and Intellectual Disability	MS-DRG 884	$6,180.95	$4,125.00 – $9,500.00 – $21,515.64 13 insurers	$10,301.59
Other Kidney and Urinary Tract Diagnoses With Cc	MS-DRG 699	$7,798.20	$4,125.00 – $10,236.00 – $25,983.30 13 insurers	$12,997.00
Pulmonary Edema and Respiratory Failure	MS-DRG 189	$11,865.11	$4,125.00 – $10,236.00 – $19,294.57 13 insurers	$19,775.19
Red Blood Cell Disorders With Mcc	MS-DRG 811	$10,023.91	$4,125.00 – $14,534.66 – $34,117.71 13 insurers	$16,706.51
Red Blood Cell Disorders Without Mcc	MS-DRG 812	$12,691.58	$3,954.00 – $7,677.00 – $20,110.77 13 insurers	$21,152.63
Renal Failure With Cc	MS-DRG 683	$7,679.38	$2,636.00 – $5,118.00 – $11,519.07 13 insurers	$12,798.97
Renal Failure With Mcc	MS-DRG 682	$5,719.19	$2,636.00 – $5,118.00 – $9,392.94 13 insurers	$9,531.99
Respiratory Infections and Inflammations With Cc	MS-DRG 178	$20,634.86	$4,125.00 – $20,472.00 – $34,363.57 13 insurers	$34,391.43
Respiratory Infections and Inflammations With Mcc	MS-DRG 177	$8,400.23	$3,954.00 – $7,677.00 – $13,476.10 13 insurers	$14,000.38
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	MS-DRG 871	$14,083.02	$4,125.00 – $12,795.00 – $22,891.02 13 insurers	$23,471.69
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	MS-DRG 872	$5,053.31	$3,954.00 – $7,327.29 – $17,118.06 13 insurers	$8,422.18
Signs and Symptoms Without Mcc	MS-DRG 948	$12,653.36	$4,125.00 – $17,913.00 – $41,768.05 13 insurers	$21,088.94
Simple Pneumonia and Pleurisy With Cc	MS-DRG 194	$3,195.88	$2,636.00 – $4,634.03 – $10,833.95 13 insurers	$5,326.47
Simple Pneumonia and Pleurisy With Mcc	MS-DRG 193	$13,446.77	$4,125.00 – $10,236.00 – $21,436.66 13 insurers	$22,411.29

Outpatient/professional (volume)

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
3d Radiographic Procedure	CPT 76376	$448.02	$224.01 – $497.30 – $746.70 12 insurers	$746.70
Annual Wellness Visit, Includes A Personalized Prevention Plan of Service (Pps), Subsequent Visit	HCPCS G0439	$88.32	$44.16 – $92.14 – $147.20 12 insurers	$147.20
Aspiration and/Or Injection of Fluid From Large Joint	CPT 20610	$46.32	$23.16 – $148.84 – $425.00 13 insurers	$350.20
Cell Examination of Specimen, Selective Cellular Enhancement Technique	CPT 88112	$138.42	$69.21 – $149.96 – $230.70 13 insurers	$230.70
Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For High Risk	HCPCS G0121	$489.42	$162.36 – $163.98 – $815.70 9 insurers	$815.70
Complete Ultrasound Scan Behind Abdominal Cavity	CPT 76770	$411.54	$205.77 – $429.31 – $685.90 12 insurers	$685.90
Critical Care, Each Additional 30 Minutes	CPT 99292	$177.96	$88.98 – $185.38 – $425.00 13 insurers	$296.60
Critical Care, First 30-74 Minutes	CPT 99291	$1,279.86	$425.00 – $1,249.57 – $2,069.11 13 insurers	$2,133.10
Ct Scan of Abdomen and Pelvis Before and After Contrast	CPT 74178	$3,151.80	$500.00 – $3,046.74 – $5,253.00 13 insurers	$5,253.00
Ct Scan of Abdomen and Pelvis Without Contrast	CPT 74176	$1,588.26	$500.00 – $1,535.32 – $2,647.10 13 insurers	$2,647.10
Ct Scan of Blood Vessels of Abdomen and Pelvis With Contrast	CPT 74174	$3,938.88	$500.00 – $3,807.58 – $6,564.80 13 insurers	$6,564.80
Ct Scan of Blood Vessels of Chest With Contrast	CPT 71275	$1,578.36	$500.00 – $1,525.75 – $2,630.60 13 insurers	$2,630.60
Ct Scan of Blood Vessels of Head With Contrast	CPT 70496	$2,045.58	$500.00 – $1,977.39 – $3,409.30 13 insurers	$3,409.30
Ct Scan of Blood Vessels of Neck With Contrast	CPT 70498	$1,865.70	$500.00 – $1,803.51 – $3,109.50 13 insurers	$3,109.50
Ct Scan of Chest With Contrast	CPT 71260	$1,297.80	$500.00 – $1,254.54 – $2,163.00 13 insurers	$2,163.00
Ct Scan of Chest Without Contrast	CPT 71250	$957.90	$478.95 – $925.97 – $1,596.50 13 insurers	$1,596.50
Ct Scan of Face Without Contrast	CPT 70486	$946.14	$473.07 – $914.60 – $1,576.90 13 insurers	$1,576.90
Ct Scan of Leg Without Contrast	CPT 73700	$798.42	$399.21 – $1,289.25 – $2,387.50 13 insurers	$2,387.50
Ct Scan of Lower Spine Without Contrast	CPT 72131	$1,270.56	$500.00 – $1,228.21 – $2,117.60 13 insurers	$2,117.60
Ct Scan of Upper Spine Without Contrast	CPT 72125	$1,114.20	$500.00 – $1,077.06 – $1,857.00 13 insurers	$1,857.00
Destruction of Precancer Skin Growth, 2-14 Growths	CPT 17003	$77.22	$38.61 – $128.70 – $294.50 13 insurers	$294.50
Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (List Separately In Addition To 77065 Or 77066)	HCPCS G0279	$120.48	$60.24 – $130.52 – $200.80 13 insurers	$200.80
Dxa Bone Density Measurement of Hip, Pelvis, Spine	CPT 77080	$213.18	$106.59 – $222.38 – $355.30 12 insurers	$355.30
Emergency Department Visit With High Level of Medical Decision Making	CPT 99285	$1,156.86	$280.00 – $1,118.30 – $1,870.26 13 insurers	$1,928.10
Emergency Department Visit With Low Level of Medical Decision Making	CPT 99283	$463.50	$231.75 – $448.05 – $749.33 13 insurers	$772.50
Emergency Department Visit With Moderate Level of Medical Decision Making	CPT 99284	$740.94	$280.00 – $716.24 – $1,197.85 13 insurers	$1,234.90
Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More	CPT 99215	$111.24	$55.62 – $291.40 – $691.10 13 insurers	$691.10
Established Patient Office Or Other Outpatient Visit With Low Level Od Decision Making, If Using Time, 20 Minutes Or More	CPT 99213	$68.58	$34.29 – $102.87 – $508.80 13 insurers	$508.80
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More	CPT 99214	$100.08	$45.00 – $226.60 – $622.10 13 insurers	$622.10
Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More	CPT 99212	$52.50	$21.34 – $91.44 – $339.90 13 insurers	$339.90
Evaluation of Fine Needle Aspirate With Interpretation and Report	CPT 88173	$151.98	$75.99 – $164.65 – $253.30 13 insurers	$253.30
Hospital Discharge Day Management, 30 Minutes Or Less	CPT 99238	$141.48	$45.00 – $74.52 – $235.80 10 insurers	$235.80
Hospital Discharge Day Management, More Than 30 Minutes	CPT 99239	$192.78	$105.68 – $106.74 – $321.30 9 insurers	$321.30
Immunologic Analysis Technique On Serum (Immunofixation)	CPT 86334	$209.46	$77.99 – $204.50 – $349.10 13 insurers	$349.10
Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, At Least 75 Minutes	CPT 99223	$316.38	$154.92 – $156.47 – $527.30 9 insurers	$527.30
Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, At Least 55 Minutes	CPT 99222	$226.80	$100.00 – $116.87 – $378.00 10 insurers	$378.00
Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, At Least 40 Minutes	CPT 99221	$135.30	$58.00 – $74.13 – $225.50 10 insurers	$225.50
Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More	CPT 99306	$316.38	$162.23 – $163.85 – $527.30 9 insurers	$527.30
Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, At Least 35 Minutes	CPT 99305	$226.80	$118.98 – $120.17 – $378.00 9 insurers	$378.00
Insertion of Non-Tunneled Central Venous Tube For Infusion (5 Years Or Older)	CPT 36556	$224.28	$76.14 – $2,148.00 – $3,720.63 13 insurers	$3,835.70
Limited Ultrasound Scan of 1 Breast	CPT 76642	$295.38	$147.69 – $381.12 – $657.10 12 insurers	$657.10
Limited Ultrasound Scan of Abdomen	CPT 76705	$494.40	$247.20 – $515.74 – $824.00 12 insurers	$824.00
Low Dose Ct Scan of Chest For Lung Cancer Screening	CPT 71271	$268.20	$134.10 – $294.13 – $617.73 13 insurers	$447.00
Mri Scan of Abdomen Before and After Contrast	CPT 74183	$1,274.88	$637.44 – $1,232.38 – $2,124.80 13 insurers	$2,124.80
Mri Scan of Brain Without Contrast	CPT 70551	$885.54	$442.77 – $982.95 – $1,740.70 13 insurers	$1,740.70
Mri Scan of Upper Spinal Canal Without Contrast	CPT 72141	$1,199.52	$599.76 – $1,159.54 – $1,999.20 13 insurers	$1,999.20
Nursing Facility Discharge Management, More Than 30 Minutes	CPT 99316	$192.78	$116.73 – $117.90 – $321.30 9 insurers	$321.30
Pathology Examination of Tissue Using A Microscope, Intermediate Complexity	CPT 88305	$131.58	$65.79 – $197.29 – $394.40 13 insurers	$394.40
Pathology Examination of Tissue Using A Microscope, Moderately High Complexity	CPT 88307	$475.86	$237.93 – $515.52 – $793.10 13 insurers	$793.10
Pathology Examination of Tissue Using A Microscope, Moderately Low Complexity	CPT 88304	$221.82	$110.91 – $240.31 – $369.70 13 insurers	$369.70
Preparation of Tissue For Examination By Removing Any Calcium Present	CPT 88311	$90.18	$45.09 – $97.70 – $150.30 13 insurers	$150.30
Protein Measurement, Serum	CPT 84165	$53.76	$9.62 – $52.49 – $89.60 13 insurers	$89.60
Removal of Fingernails Or Toenails, 6 Or More Nails	CPT 11721	$151.38	$75.69 – $164.00 – $252.30 13 insurers	$252.30
Removal of Skin and Tissue, 20.0 Sq Cm Or Less	CPT 11042	$150.12	$54.92 – $643.97 – $1,110.30 13 insurers	$1,110.30
Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less	CPT 11045	$76.62	$21.63 – $836.36 – $1,442.00 13 insurers	$1,442.00
Routine Electrocardiogram (Ecg) Using At Least 12 Leads With Interpretation and Report Only	CPT 93010	$5.52	$8.30 – $8.38 – $9.20 9 insurers	$9.20
Screening 3d Breast Mammography	CPT 77063	$26.52	$13.26 – $27.67 – $44.20 12 insurers	$44.20
Special Stained Specimen Slides To Examine Tissue Including Interpretation and Report	CPT 88313	$87.72	$43.86 – $95.03 – $146.20 13 insurers	$146.20
Special Stained Specimen Slides To Examine Tissue, Initial Procedure	CPT 88342	$475.86	$237.93 – $515.52 – $793.10 13 insurers	$793.10
Special Stained Specimen Slides To Identify Organisms Including Interpretation and Report	CPT 88312	$108.12	$54.06 – $117.13 – $180.20 13 insurers	$180.20
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes	CPT 99232	$111.24	$45.00 – $70.25 – $185.40 10 insurers	$185.40
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 50 Minutes	CPT 99233	$127.26	$53.00 – $107.08 – $212.10 10 insurers	$212.10
Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, At Least 25 Minutes	CPT 99231	$53.76	$35.00 – $44.14 – $89.60 10 insurers	$89.60
Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, At Least 45 Minutes	CPT 99310	$143.34	$139.13 – $140.52 – $238.90 9 insurers	$238.90
Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, At Least 30 Minutes	CPT 99309	$127.26	$97.75 – $98.73 – $212.10 9 insurers	$212.10
Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More	CPT 99308	$111.24	$67.37 – $68.04 – $185.40 9 insurers	$185.40
Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, At Least 10 Minutes	CPT 99307	$53.76	$36.79 – $37.16 – $89.60 9 insurers	$89.60
Test To Determine Lung Volumes Using Sensors	CPT 94726	$280.20	$140.10 – $303.55 – $467.00 13 insurers	$467.00
Test To Examine How Well The Lungs Exchange Gases	CPT 94729	$118.80	$59.40 – $128.70 – $198.00 13 insurers	$198.00
Test To Measure Expiratory Airflow and Volume Changes Before and After Medication Administration	CPT 94060	$287.34	$143.67 – $432.56 – $868.20 13 insurers	$868.20
Ultrasonic Guidance For Blood Vessel Access	CPT 76937	$130.98	$65.49 – $144.78 – $246.10 12 insurers	$246.10
Ultrasonic Guidance For Needle Placement	CPT 76942	$237.30	$118.65 – $247.54 – $395.50 12 insurers	$395.50
Ultrasound of Both Sides of Head and Neck Blood Flow	CPT 93880	$688.44	$220.00 – $691.42 – $1,180.30 13 insurers	$1,180.30
Ultrasound of Heart, Follow-Up	CPT 93308	$771.24	$385.62 – $752.99 – $1,285.40 13 insurers	$1,285.40
Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function	CPT 93306	$1,031.40	$515.70 – $1,113.20 – $1,900.30 13 insurers	$1,900.30
Ultrasound Scan of Head and Neck Soft Tissue	CPT 76536	$448.02	$224.01 – $467.36 – $746.70 12 insurers	$746.70
Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers	CPT 93970	$625.98	$220.00 – $611.17 – $1,043.30 13 insurers	$1,043.30
Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers	CPT 93971	$435.86	$217.93 – $477.99 – $769.40 13 insurers	$769.40
Use of A Drug To Induce Depression of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes	CPT 99152	$616.14	$308.07 – $667.49 – $1,026.90 13 insurers	$1,026.90
X-Ray of Abdomen, 1 View	CPT 74018	$152.64	$76.32 – $159.23 – $254.40 12 insurers	$254.40
X-Ray of Ankle, Minimum of 3 Views	CPT 73610	$259.56	$129.78 – $270.77 – $432.60 12 insurers	$432.60
X-Ray of Chest, 1 View	CPT 71045	$156.96	$78.48 – $163.74 – $261.60 12 insurers	$261.60
X-Ray of Chest, 2 Views	CPT 71046	$178.56	$89.28 – $186.27 – $297.60 12 insurers	$297.60
X-Ray of Foot, Minimum of 3 Views	CPT 73630	$179.22	$89.61 – $186.96 – $298.70 12 insurers	$298.70
X-Ray of Hand, Minimum of 3 Views	CPT 73130	$249.66	$124.83 – $260.44 – $416.10 12 insurers	$416.10
X-Ray of Hip, 2-3 Views	CPT 73502	$161.28	$80.64 – $168.24 – $268.80 12 insurers	$268.80
X-Ray of Knee, 1-2 Views	CPT 73560	$156.96	$78.48 – $163.74 – $261.60 12 insurers	$261.60
X-Ray of Knee, 3 Views	CPT 73562	$229.86	$114.93 – $239.78 – $383.10 12 insurers	$383.10
X-Ray of Knee, 4 Or More Views	CPT 73564	$411.54	$205.77 – $429.31 – $685.90 12 insurers	$685.90
X-Ray of Lower and Sacral Spine, 2-3 Views	CPT 72100	$192.18	$96.09 – $200.48 – $320.30 12 insurers	$320.30
X-Ray of Lower Leg, 2 Views	CPT 73590	$208.86	$104.43 – $217.88 – $348.10 12 insurers	$348.10
X-Ray of Pelvis, 1-2 Views	CPT 72170	$157.56	$78.78 – $164.36 – $262.60 12 insurers	$262.60
X-Ray of Shoulder, Minimum of 2 Views	CPT 73030	$263.22	$131.61 – $274.58 – $438.70 12 insurers	$438.70
X-Ray of Thigh Bone, Minimum 2 Views	CPT 73552	$243.48	$121.74 – $253.99 – $405.80 12 insurers	$405.80
X-Ray of Wrist, Minimum of 3 Views	CPT 73110	$177.22	$88.61 – $191.89 – $319.30 12 insurers	$319.30