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

Bayside Community Hospital

200 Hospital Drive, Anahuac, TX 77514 · CCN 451320

Source: the hospital's standard-charges file dated 2026-08-06 (original file, json, 17 MB), checked by us on 2026-10-06. 174 of 300 common services found in it.

Got a bill from Bayside Community Hospital?

Upload or photograph it. We compare every line with the prices the hospital published, with federal coding rules and with the rate your own insurer and plan negotiated. The check is free. We are opening it to a small group first: use your invite or join the list.

Get early access

Evaluation & Management

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Family Psychotherapy, Including Patient, 50 Min	CPT 90847	$114.00	$46.00 – $74.00 – $111.00 3 insurers	$171.00
Family Psychotherapy, Not Including Patient, 50 Min	CPT 90846	$110.00	$44.00 – $72.00 – $99.00 3 insurers	$153.00
Group Psychotherapy	CPT 90853	$28.00	$11.00 – $22.00 – $42.00 3 insurers	$65.00
Initial New Patient Preventive Medicine Evaluation (18-39 Years)	CPT 99385	$80.00	$32.00 – $74.00 – $157.00 3 insurers	$241.00
Initial New Patient Preventive Medicine Evaluation (40-64 Years)	CPT 99386	$231.00	$92.00 – $133.00 – $150.00 3 insurers	$231.00
New Patient Office Or Other Outpatient Visit, Typically 30 Min	CPT 99203	$164.00	$66.00 – $118.00 – $209.00 3 insurers	$322.00
New Patient Office Or Other Outpatient Visit, Typically 45 Min	CPT 99204	$234.00	$94.00 – $134.50 – $152.00 3 insurers	$234.00
New Patient Office Or Other Outpatient Visit, Typically 60 Min	CPT 99205	$269.00	$108.00 – $219.50 – $429.00 3 insurers	$660.00
Patient Office Consultation, Typically 40 Min	CPT 99243	$215.00	$86.00 – $124.00 – $140.00 3 insurers	$215.00
Patient Office Consultation, Typically 60 Min	CPT 99244	$276.00	$110.00 – $158.50 – $179.00 3 insurers	$276.00
Psychotherapy, 30 Min	CPT 90832	$69.00	$28.00 – $45.00 – $72.00 3 insurers	$110.00
Psychotherapy, 45 Min	CPT 90834	$143.00	$57.00 – $82.50 – $93.00 3 insurers	$143.00
Psychotherapy, 60 Min	CPT 90837	$136.00	$54.00 – $88.00 – $133.00 3 insurers	$204.00

Laboratory & Pathology

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Automated Urinalysis Test	CPT 81002	$19.00	$8.00 – $11.00 – $12.00 3 insurers	$19.00
Automated Urinalysis Test	CPT 81003	$18.00	$7.00 – $10.50 – $12.00 3 insurers	$18.00
Basic Metabolic Panel	CPT 80048	$48.00	$19.00 – $71.00 – $181.00 3 insurers	$278.00
Blood Test, Clotting Time	CPT 85610	$27.00	$11.00 – $18.00 – $62.00 3 insurers	$95.00
Blood Test, Comprehensive Group of Blood Chemicals	CPT 80053	$60.00	$24.00 – $214.00 – $1,006.00 3 insurers	$1,548.00
Blood Test, Lipids (Cholesterol and Triglycerides)	CPT 80061	$78.00	$31.00 – $60.00 – $122.00 3 insurers	$187.00
Blood Test, Thyroid Stimulating Hormone (Tsh)	CPT 84443	$65.00	$26.00 – $88.00 – $127.00 3 insurers	$195.00
Coagulation Assessment Blood Test	CPT 85730	$41.00	$16.00 – $43.00 – $96.00 3 insurers	$147.00
Complete Blood Cell Count, With Differential White Blood Cells, Automated	CPT 85025	$40.00	$16.00 – $73.50 – $201.00 3 insurers	$309.00
Kidney Function Panel Test	CPT 80069	$304.00	$122.00 – $175.00 – $198.00 3 insurers	$304.00
Liver Function Blood Test Panel	CPT 80076	$52.00	$21.00 – $66.50 – $161.00 3 insurers	$248.00
Manual Urinalysis Test With Examination Using Microscope	CPT 81000	$24.00	$10.00 – $21.50 – $44.00 3 insurers	$68.00
Manual Urinalysis Test With Examination Using Microscope	CPT 81001	$27.00	$11.00 – $16.00 – $18.00 3 insurers	$27.00
Obstetric Blood Test Panel	CPT 80055	$95.00	$38.00 – $55.00 – $62.00 3 insurers	$95.00
Psa (Prostate Specific Antigen)	CPT 84153	$75.00	$30.00 – $106.00 – $194.00 3 insurers	$298.00
Psa (Prostate Specific Antigen)	CPT 84154	$38.00	$15.00 – $39.00 – $86.00 3 insurers	$133.00

Medicine & Surgery

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Biopsy of Large Bowel Using An Endoscope	CPT 45380	$476.00	$190.00 – $592.50 – $2,015.00 3 insurers	$3,100.00
Biopsy of Prostate Gland	CPT 55700	$223.00	$89.00 – $128.50 – $145.00 3 insurers	$223.00
Biopsy of The Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope	CPT 43239	$406.00	$162.00 – $708.50 – $1,631.00 3 insurers	$2,509.00
Diagnostic Examination of Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope	CPT 43235	$319.00	$128.00 – $487.50 – $1,249.00 3 insurers	$1,921.00
Diagnostic Examination of Large Bowel Using An Endoscope	CPT 45378	$399.00	$160.00 – $264.50 – $1,823.00 3 insurers	$2,805.00
Electrocardiogram, Routine, With Interpretation and Report	CPT 93000	$17.00	$7.00 – $47.00 – $107.00 3 insurers	$164.00
Injections of Anesthetic and/Or Steroid Drug Into Lower Or Sacral Spine Nerve Root Using Imaging Guidance	CPT 64483	$228.00	$91.00 – $131.00 – $148.00 3 insurers	$228.00
Insertion of Catheter Into Left Heart For Diagnosis	CPT 93452	$885.00	$354.00 – $509.00 – $575.00 3 insurers	$885.00
Removal of 1 Or More Breast Growth, Open Procedure	CPT 19120	$504.00	$202.00 – $971.00 – $3,066.00 3 insurers	$4,717.00
Removal of Cataract With Insertion of Lens	CPT 66984	$686.00	$274.00 – $394.50 – $446.00 3 insurers	$686.00
Removal of Gallbladder Using An Endoscope	CPT 47562	$686.00	$274.00 – $571.50 – $4,921.00 3 insurers	$7,571.00
Removal of One Knee Cartilage Using An Endoscope	CPT 29881	$564.00	$226.00 – $324.50 – $367.00 3 insurers	$564.00
Removal of Polyps Or Growths of Large Bowel Using An Endoscope	CPT 45385	$538.00	$215.00 – $589.50 – $1,739.00 3 insurers	$2,676.00
Removal of Recurring Cataract In Lens Capsule Using Laser	CPT 66821	$347.00	$139.00 – $200.00 – $226.00 3 insurers	$347.00
Removal of Tonsils and Adenoid Glands Patient Younger Than Age 12	CPT 42820	$297.00	$119.00 – $197.00 – $1,123.00 3 insurers	$1,727.00
Repair of Groin Hernia Patient Age 5 Years Or Older	CPT 49505	$541.00	$216.00 – $2,210.00 – $3,279.00 3 insurers	$5,044.00
Routine Obstetric Care For Cesarean Delivery, Including Pre- and Post-Delivery Care	CPT 59510	$2,459.00	$984.00 – $1,414.00 – $1,598.00 3 insurers	$2,459.00
Routine Obstetric Care For Vaginal Delivery After Prior Cesarean Delivery Including Pre- and Post-Delivery Care	CPT 59610	$2,331.00	$932.00 – $1,340.50 – $1,515.00 3 insurers	$2,331.00
Routine Obstetric Care For Vaginal Delivery, Including Pre- and Post-Delivery Care	CPT 59400	$2,224.00	$890.00 – $1,279.00 – $1,446.00 3 insurers	$2,224.00
Shaving of Shoulder Bone Using An Endoscope	CPT 29826	$187.00	$75.00 – $108.00 – $122.00 3 insurers	$187.00
Sleep Study	CPT 95810	$620.00	$248.00 – $356.50 – $403.00 3 insurers	$620.00
Surgical Removal of Prostate and Surrounding Lymph Nodes Using An Endoscope	CPT 55866	$1,832.00	$733.00 – $1,053.50 – $1,191.00 3 insurers	$1,832.00
Ultrasound Examination of Lower Large Bowel Using An Endoscope	CPT 45391	$311.00	$124.00 – $179.00 – $202.00 3 insurers	$311.00

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	$149.00	$60.00 – $185.00 – $443.00 3 insurers	$682.00
Ct Scan, Head Or Brain, Without Contrast	CPT 70450	$126.00	$50.00 – $402.50 – $1,611.00 3 insurers	$2,478.00
Ct Scan of Abdomen and Pelvis With Contrast	CPT 74177	$328.00	$131.00 – $1,136.00 – $3,608.00 3 insurers	$5,551.00
Ct Scan, Pelvis, With Contrast	CPT 72193	$238.00	$95.00 – $565.50 – $1,708.00 3 insurers	$2,627.00
Mri Scan of Brain Before and After Contrast	CPT 70553	$399.00	$160.00 – $1,138.50 – $3,279.00 3 insurers	$5,045.00
Mri Scan of Leg Joint	CPT 73721	$258.00	$103.00 – $1,678.00 – $2,181.00 3 insurers	$3,356.00
Mri Scan of Lower Spinal Canal	CPT 72148	$247.00	$99.00 – $747.00 – $2,166.00 3 insurers	$3,332.00
Ultrasound of Abdomen	CPT 76700	$143.00	$57.00 – $291.00 – $795.00 3 insurers	$1,223.00
Ultrasound Pelvis Through Vagina	CPT 76830	$128.00	$51.00 – $260.00 – $710.00 3 insurers	$1,092.00
X-Ray, Lower Back, Minimum Four Views	CPT 72110	$51.00	$20.00 – $92.00 – $567.00 3 insurers	$873.00

Outpatient/professional (volume)

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
3d Radiographic Procedure	CPT 76376	$29.00	$12.00 – $17.00 – $19.00 3 insurers	$29.00
Advance Care Planning, First 30 Minutes	CPT 99497	$93.00	$37.00 – $53.50 – $60.00 3 insurers	$93.00
Annual Wellness Visit, Includes A Personalized Prevention Plan of Service (Pps), Subsequent Visit	HCPCS G0439	$117.00	$47.00 – $125.00 – $282.00 3 insurers	$434.00
Aspiration and/Or Injection of Fluid From Large Joint	CPT 20610	$62.00	$25.00 – $91.50 – $438.00 3 insurers	$674.00
Calculation of Radiation Therapy Dose	CPT 77300	$68.00	$27.00 – $39.00 – $44.00 3 insurers	$68.00
Cell Examination of Specimen, Selective Cellular Enhancement Technique	CPT 88112	$64.00	$26.00 – $56.50 – $116.00 3 insurers	$178.00
Colorectal Cancer Screening; Colonoscopy On Individual At High Risk	HCPCS G0105	$399.00	$160.00 – $348.50 – $1,523.00 3 insurers	$2,343.00
Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For High Risk	HCPCS G0121	$399.00	$160.00 – $366.50 – $1,667.00 3 insurers	$2,565.00
Complete Ultrasound Scan Behind Abdominal Cavity	CPT 76770	$135.00	$54.00 – $252.50 – $677.00 3 insurers	$1,042.00
Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (Remote Or Nearby), Per Patient, (Attention Directed Exclusively To One Patient) Each 15 Minutes (List In Addition To Primary Procedure)	HCPCS G0453	$34.00	$14.00 – $19.50 – $22.00 3 insurers	$34.00
Critical Care, Each Additional 30 Minutes	CPT 99292	$128.00	$51.00 – $186.50 – $471.00 3 insurers	$725.00
Critical Care, First 30-74 Minutes	CPT 99291	$284.00	$114.00 – $681.00 – $1,912.00 3 insurers	$2,942.00
Ct Guidance For Insertion of Radiation Therapy Fields	CPT 77014	$125.00	$50.00 – $72.00 – $81.00 3 insurers	$125.00
Ct Scan of Abdomen and Pelvis Before and After Contrast	CPT 74178	$382.00	$153.00 – $858.50 – $3,697.00 3 insurers	$5,688.00
Ct Scan of Abdomen and Pelvis Without Contrast	CPT 74176	$221.00	$88.00 – $907.00 – $2,726.00 3 insurers	$4,194.00
Ct Scan of Blood Vessels of Abdomen and Pelvis With Contrast	CPT 74174	$547.00	$219.00 – $315.00 – $356.00 3 insurers	$547.00
Ct Scan of Blood Vessels of Chest With Contrast	CPT 71275	$378.00	$151.00 – $765.00 – $2,087.00 3 insurers	$3,211.00
Ct Scan of Blood Vessels of Head With Contrast	CPT 70496	$450.00	$180.00 – $746.50 – $1,950.00 3 insurers	$3,000.00
Ct Scan of Blood Vessels of Neck With Contrast	CPT 70498	$467.00	$187.00 – $773.00 – $2,019.00 3 insurers	$3,106.00
Ct Scan of Chest With Contrast	CPT 71260	$242.00	$97.00 – $920.00 – $3,580.00 3 insurers	$5,507.00
Ct Scan of Chest Without Contrast	CPT 71250	$193.00	$77.00 – $767.00 – $1,889.00 3 insurers	$2,906.00
Ct Scan of Face Without Contrast	CPT 70486	$209.00	$84.00 – $409.50 – $1,511.00 3 insurers	$2,324.00
Ct Scan of Leg Without Contrast	CPT 73700	$193.00	$77.00 – $915.00 – $1,487.00 3 insurers	$2,287.00
Ct Scan of Lower Spine Without Contrast	CPT 72131	$193.00	$77.00 – $500.50 – $1,719.00 3 insurers	$2,645.00
Ct Scan of Upper Spine Without Contrast	CPT 72125	$198.00	$79.00 – $481.50 – $1,950.00 3 insurers	$3,000.00
Design and Construction of Complex Radiation Treatment Device	CPT 77334	$152.00	$61.00 – $87.50 – $99.00 3 insurers	$152.00
Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint	CPT 64635	$439.00	$176.00 – $252.50 – $285.00 3 insurers	$439.00
Destruction of Precancer Skin Growth, 2-14 Growths	CPT 17003	$10.00	$4.00 – $27.50 – $59.00 3 insurers	$90.00
Diagnostic Exam of Bladder and Urethra Using An Endoscope	CPT 52000	$207.00	$83.00 – $180.50 – $367.00 3 insurers	$565.00
Dxa Bone Density Measurement of Hip, Pelvis, Spine	CPT 77080	$49.00	$20.00 – $28.50 – $32.00 3 insurers	$49.00
Electrocardiogram (Ecg) 1 To 3 Leads With Review By Physician Only	CPT 93042	$8.00	$3.00 – $9.00 – $21.00 3 insurers	$32.00
Emergency Department Visit With High Level of Medical Decision Making	CPT 99285	$182.00	$73.00 – $942.50 – $1,386.00 3 insurers	$2,133.00
Emergency Department Visit With Low Level of Medical Decision Making	CPT 99283	$65.00	$26.00 – $352.50 – $659.00 3 insurers	$1,014.00
Emergency Department Visit With Moderate Level of Medical Decision Making	CPT 99284	$124.00	$50.00 – $595.50 – $1,171.00 3 insurers	$1,801.00
Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More	CPT 99215	$193.00	$77.00 – $125.00 – $189.00 3 insurers	$291.00
Established Patient Office Or Other Outpatient Visit With Low Level Od Decision Making, If Using Time, 20 Minutes Or More	CPT 99213	$102.00	$41.00 – $72.50 – $128.00 3 insurers	$197.00
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More	CPT 99214	$111.00	$44.00 – $80.00 – $140.00 3 insurers	$216.00
Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More	CPT 99212	$80.00	$32.00 – $62.50 – $119.00 3 insurers	$183.00
Evaluation of Fine Needle Aspirate With Interpretation and Report	CPT 88173	$149.00	$60.00 – $86.00 – $97.00 3 insurers	$149.00
Evaluation of Single, Dual, Multiple Lead Or Leadless Pacemaker System, Remote Up To 90 Days	CPT 93294	$36.00	$14.00 – $20.50 – $23.00 3 insurers	$36.00
Exercise Or Drug-Induced Heart Stress Test With Electrocardiogram (Ecg) With Review By Physician	CPT 93018	$15.00	$6.00 – $9.00 – $10.00 3 insurers	$15.00
Exercise Or Drug-Induced Heart Stress Test With Electrocardiogram (Ecg) With Supervision By Physician	CPT 93016	$23.00	$9.00 – $13.50 – $15.00 3 insurers	$23.00
Hemodialysis Procedure With Physician Evaluation	CPT 90935	$77.00	$31.00 – $44.50 – $50.00 3 insurers	$77.00
Imaging For Evaluation of Swallowing Function	CPT 74230	$94.00	$38.00 – $54.00 – $61.00 3 insurers	$94.00
Immunologic Analysis Technique On Serum (Immunofixation)	CPT 86334	$20.00	$8.00 – $71.50 – $212.00 3 insurers	$326.00
Initial Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, 50 Minutes Or More	CPT 99306	$175.00	$70.00 – $101.00 – $114.00 3 insurers	$175.00
Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, At Least 35 Minutes	CPT 99305	$138.00	$55.00 – $83.00 – $99.00 3 insurers	$152.00
Injection of Anesthetic Agent and/Or Steroid Into Thigh Nerve (Femoral Nerve)	CPT 64447	$123.00	$49.00 – $177.00 – $446.00 3 insurers	$686.00
Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level	CPT 64493	$179.00	$72.00 – $103.00 – $116.00 3 insurers	$179.00
Insertion of Artery Tube For Blood Sampling Or Infusion Through Skin	CPT 36620	$55.00	$22.00 – $52.00 – $1,063.00 3 insurers	$1,636.00
Insertion of Non-Tunneled Central Venous Tube For Infusion (5 Years Or Older)	CPT 36556	$241.00	$96.00 – $875.50 – $1,392.00 3 insurers	$2,142.00
Insertion of Tube In Left Lower Heart Chamber and Coronary Artery For Diagnosis With Review By Radiologist	CPT 93458	$1,082.00	$433.00 – $622.00 – $703.00 3 insurers	$1,082.00
Limited Ultrasound Scan of Abdomen	CPT 76705	$110.00	$44.00 – $234.00 – $644.00 3 insurers	$991.00
Low Dose Ct Scan of Chest For Lung Cancer Screening	CPT 71271	$415.00	$166.00 – $239.00 – $270.00 3 insurers	$415.00
Microscopic Genetic Analysis of Tumor, Manual	CPT 88360	$132.00	$53.00 – $76.00 – $86.00 3 insurers	$132.00
Mri Scan of Abdomen Before and After Contrast	CPT 74183	$524.00	$210.00 – $1,129.50 – $3,116.00 3 insurers	$4,794.00
Mri Scan of Brain Without Contrast	CPT 70551	$248.00	$99.00 – $717.50 – $2,070.00 3 insurers	$3,185.00
Mri Scan of Upper Spinal Canal Without Contrast	CPT 72141	$247.00	$99.00 – $810.50 – $2,373.00 3 insurers	$3,651.00
Nuclear Medicine Studies of Heart Muscle At Rest and With Stress and Spect	CPT 78452	$485.00	$194.00 – $279.00 – $315.00 3 insurers	$485.00
Nuclear Medicine Study From Skull Base To Mid-Thigh With Ct Scan	CPT 78815	$130.00	$52.00 – $75.00 – $85.00 3 insurers	$130.00
Nursing Facility Discharge Management, More Than 30 Minutes	CPT 99316	$110.00	$44.00 – $63.50 – $72.00 3 insurers	$110.00
Pathology Examination of Tissue Using A Microscope, Intermediate Complexity	CPT 88305	$72.00	$29.00 – $84.00 – $196.00 3 insurers	$302.00
Pathology Examination of Tissue Using A Microscope, Moderately High Complexity	CPT 88307	$289.00	$116.00 – $196.50 – $333.00 3 insurers	$513.00
Pathology Examination of Tissue Using A Microscope, Moderately Low Complexity	CPT 88304	$43.00	$17.00 – $68.00 – $176.00 3 insurers	$271.00
Preparation of Tissue For Examination By Removing Any Calcium Present	CPT 88311	$21.00	$8.00 – $12.50 – $14.00 3 insurers	$21.00
Protein Measurement, Serum	CPT 84165	$20.00	$8.00 – $76.50 – $330.00 3 insurers	$508.00
Psychiatric Diagnostic Evaluation With Medical Services	CPT 90792	$152.00	$61.00 – $99.00 – $149.00 3 insurers	$229.00
Radiation Treatment Management, 5 Treatment Sessions	CPT 77427	$194.00	$78.00 – $111.50 – $126.00 3 insurers	$194.00
Removal of Fingernails Or Toenails, 6 Or More Nails	CPT 11721	$46.00	$18.00 – $26.50 – $30.00 3 insurers	$46.00
Removal of Skin and Tissue, 20.0 Sq Cm Or Less	CPT 11042	$118.00	$47.00 – $295.50 – $1,441.00 3 insurers	$2,217.00
Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less	CPT 11045	$44.00	$18.00 – $25.50 – $29.00 3 insurers	$44.00
Replacement of Knee Joint, Both Sides of Knee	CPT 27447	$1,427.00	$571.00 – $821.00 – $928.00 3 insurers	$1,427.00
Replacement of Thigh Bone and Hip Joint With Prosthesis	CPT 27130	$1,427.00	$571.00 – $821.00 – $928.00 3 insurers	$1,427.00
Routine Electrocardiogram (Ecg) Using At Least 12 Leads With Interpretation and Report Only	CPT 93010	$9.00	$4.00 – $23.00 – $51.00 3 insurers	$79.00
Special Stained Specimen Slides To Examine Tissue Including Interpretation and Report	CPT 88313	$66.00	$26.00 – $70.00 – $157.00 3 insurers	$242.00
Special Stained Specimen Slides To Identify Organisms Including Interpretation and Report	CPT 88312	$95.00	$38.00 – $89.00 – $128.00 3 insurers	$197.00
Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, At Least 45 Minutes	CPT 99310	$141.00	$56.00 – $81.50 – $92.00 3 insurers	$141.00
Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, At Least 30 Minutes	CPT 99309	$94.00	$38.00 – $54.00 – $61.00 3 insurers	$94.00
Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More	CPT 99308	$72.00	$29.00 – $47.00 – $63.00 3 insurers	$97.00
Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, At Least 10 Minutes	CPT 99307	$46.00	$18.00 – $26.50 – $30.00 3 insurers	$46.00
Test To Determine Lung Volumes Using Sensors	CPT 94726	$53.00	$21.00 – $30.50 – $34.00 3 insurers	$53.00
Test To Examine How Well The Lungs Exchange Gases	CPT 94729	$54.00	$22.00 – $31.00 – $35.00 3 insurers	$54.00
Test To Measure Expiratory Airflow and Volume Changes Before and After Medication Administration	CPT 94060	$61.00	$24.00 – $246.00 – $443.00 3 insurers	$682.00
Ultrasonic Guidance For Blood Vessel Access	CPT 76937	$37.00	$15.00 – $88.00 – $247.00 3 insurers	$380.00
Ultrasonic Guidance For Needle Placement	CPT 76942	$75.00	$30.00 – $256.50 – $755.00 3 insurers	$1,161.00
Ultrasound of Both Sides of Head and Neck Blood Flow	CPT 93880	$191.00	$76.00 – $345.50 – $922.00 3 insurers	$1,418.00
Ultrasound of Heart Blood Flow, Valves and Chambers	CPT 93320	$55.00	$22.00 – $32.00 – $36.00 3 insurers	$55.00
Ultrasound of Heart Blood Flow, Valves and Chambers, Follow-Up	CPT 93321	$31.00	$12.00 – $18.00 – $20.00 3 insurers	$31.00
Ultrasound of Heart, Follow-Up	CPT 93308	$123.00	$49.00 – $71.00 – $80.00 3 insurers	$123.00
Ultrasound of Heart With Color-Depicted Blood Flow, Rate and Valve Function	CPT 93325	$26.00	$10.00 – $154.00 – $473.00 3 insurers	$727.00
Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function	CPT 93306	$230.00	$92.00 – $132.50 – $150.00 3 insurers	$230.00
Ultrasound of Heart With Probe In Esophagus, With Report	CPT 93312	$336.00	$134.00 – $193.00 – $218.00 3 insurers	$336.00
Ultrasound Scan of Head and Neck Soft Tissue	CPT 76536	$123.00	$49.00 – $220.00 – $585.00 3 insurers	$900.00
Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers	CPT 93970	$188.00	$75.00 – $383.50 – $1,048.00 3 insurers	$1,613.00
Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers	CPT 93971	$114.00	$46.00 – $249.50 – $691.00 3 insurers	$1,063.00
Visit Complexity Inherent To Evaluation and Management Associated With Medical Care Services That Serve As The Continuing Focal Point For All Needed Health Care Services and/Or With Medical Care Services That Are Part of Ongoing Care Related To A Patient'S	HCPCS G2211	$36.00	$14.00 – $20.50 – $23.00 3 insurers	$36.00
X-Ray of Abdomen, 1 View	CPT 74018	$411.00	$164.00 – $236.50 – $267.00 3 insurers	$411.00
X-Ray of Ankle, Minimum of 3 Views	CPT 73610	$34.00	$14.00 – $189.00 – $320.00 3 insurers	$492.00
X-Ray of Chest, 1 View	CPT 71045	$386.00	$154.00 – $237.50 – $291.00 3 insurers	$447.00
X-Ray of Chest, 2 Views	CPT 71046	$422.00	$169.00 – $258.50 – $315.00 3 insurers	$485.00
X-Ray of Foot, Minimum of 3 Views	CPT 73630	$32.00	$13.00 – $182.00 – $296.00 3 insurers	$456.00
X-Ray of Hand, Minimum of 3 Views	CPT 73130	$34.00	$14.00 – $121.00 – $293.00 3 insurers	$451.00
X-Ray of Hip, 2-3 Views	CPT 73502	$457.00	$183.00 – $325.50 – $575.00 3 insurers	$884.00
X-Ray of Knee, 1-2 Views	CPT 73560	$31.00	$12.00 – $110.50 – $267.00 3 insurers	$410.00
X-Ray of Knee, 3 Views	CPT 73562	$38.00	$15.00 – $123.00 – $294.00 3 insurers	$453.00
X-Ray of Knee, 4 Or More Views	CPT 73564	$44.00	$18.00 – $161.50 – $389.00 3 insurers	$598.00
X-Ray of Lower and Sacral Spine, 2-3 Views	CPT 72100	$37.00	$15.00 – $85.00 – $358.00 3 insurers	$550.00
X-Ray of Lower Leg, 2 Views	CPT 73590	$28.00	$11.00 – $120.50 – $296.00 3 insurers	$456.00
X-Ray of Pelvis, 1-2 Views	CPT 72170	$30.00	$12.00 – $85.00 – $304.00 3 insurers	$468.00
X-Ray of Shoulder, Minimum of 2 Views	CPT 73030	$32.00	$13.00 – $187.00 – $309.00 3 insurers	$476.00
X-Ray of Thigh Bone, Minimum 2 Views	CPT 73552	$484.00	$194.00 – $278.50 – $315.00 3 insurers	$484.00
X-Ray of Wrist, Minimum of 3 Views	CPT 73110	$39.00	$16.00 – $125.50 – $304.00 3 insurers	$468.00