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

Tirr Memorial Hermann

1333 Moursund Ave, Houston, TX 77030 · CCN 453025

Source: the hospital's standard-charges file dated 2026-04-01 (original file, csv_tall, 7 MB), checked by us on 2026-10-06. 246 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	$281.92	— 0 insurers	$881.00
Family Psychotherapy, Not Including Patient, 50 Min	CPT 90846	$258.40	— 0 insurers	$807.50
Group Psychotherapy	CPT 90853	$228.40	— 0 insurers	$857.25
New Patient Office Or Other Outpatient Visit, Typically 30 Min	CPT 99203	$22.56	— 0 insurers	$150.00
New Patient Office Or Other Outpatient Visit, Typically 45 Min	CPT 99204	$21.12	— 0 insurers	$437.50
New Patient Office Or Other Outpatient Visit, Typically 60 Min	CPT 99205	$54.40	— 0 insurers	$176.50
Patient Office Consultation, Typically 40 Min	CPT 99243	$89.36	— 0 insurers	$279.25
Patient Office Consultation, Typically 60 Min	CPT 99244	$162.32	— 0 insurers	$507.25
Psychotherapy, 30 Min	CPT 90832	$192.08	— 0 insurers	$600.25
Psychotherapy, 45 Min	CPT 90834	$250.00	— 0 insurers	$781.25
Psychotherapy, 60 Min	CPT 90837	$274.08	— 0 insurers	$856.50

Laboratory & Pathology

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Automated Urinalysis Test	CPT 81002	$114.08	— 0 insurers	$356.50
Automated Urinalysis Test	CPT 81003	$67.36	— 0 insurers	$210.50
Basic Metabolic Panel	CPT 80048	$183.28	— 0 insurers	$572.75
Blood Test, Clotting Time	CPT 85610	$28.16	— 0 insurers	$92.50
Blood Test, Comprehensive Group of Blood Chemicals	CPT 80053	$251.36	— 0 insurers	$785.50
Blood Test, Lipids (Cholesterol and Triglycerides)	CPT 80061	$254.72	— 0 insurers	$835.75
Blood Test, Thyroid Stimulating Hormone (Tsh)	CPT 84443	$45.28	— 0 insurers	$148.50
Coagulation Assessment Blood Test	CPT 85730	$21.60	— 0 insurers	$71.00
Complete Blood Cell Count, With Differential White Blood Cells, Automated	CPT 85025	$91.36	— 0 insurers	$285.50
Complete Blood Count, Automated	CPT 85027	$43.20	— 0 insurers	$135.00
Kidney Function Panel Test	CPT 80069	$52.40	— 0 insurers	$172.00
Liver Function Blood Test Panel	CPT 80076	$112.40	— 0 insurers	$351.25
Manual Urinalysis Test With Examination Using Microscope	CPT 81001	$121.44	— 0 insurers	$379.50
Psa (Prostate Specific Antigen)	CPT 84153	$47.84	— 0 insurers	$189.75
Psa (Prostate Specific Antigen)	CPT 84154	$40.64	— 0 insurers	$127.00

Medicine & Surgery

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Biopsy of Large Bowel Using An Endoscope	CPT 45380	$1,468.16	— 0 insurers	$4,588.00
Biopsy of Prostate Gland	CPT 55700	$1,994.00	— 0 insurers	$6,231.25
Biopsy of The Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope	CPT 43239	$1,468.16	— 0 insurers	$4,588.00
Cardiac Valve and Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	MS-DRG 216	not published	— 0 insurers	—
Cervical Spinal Fusion Without Cc Or Mcc	MS-DRG 473	not published	— 0 insurers	—
Diagnostic Examination of Esophagus, Stomach, and/Or Upper Small Bowel Using An Endoscope	CPT 43235	$1,055.68	— 0 insurers	$3,299.00
Diagnostic Examination of Large Bowel Using An Endoscope	CPT 45378	$1,468.16	— 0 insurers	$4,588.00
Injection of Substance Into Spinal Canal of Lower Back Or Sacrum Using Imaging Guidance	CPT 62322	$1,287.84	— 0 insurers	$4,024.50
Injection of Substance Into Spinal Canal of Lower Back Or Sacrum Using Imaging Guidance	CPT 62323	$2,710.40	— 0 insurers	$8,470.00
Injections of Anesthetic and/Or Steroid Drug Into Lower Or Sacral Spine Nerve Root Using Imaging Guidance	CPT 64483	$737.92	— 0 insurers	$2,306.00
Insertion of Catheter Into Left Heart For Diagnosis	CPT 93452	$2,988.40	— 0 insurers	$9,338.75
Major Joint Replacement Or Reattachment of Lower Extremity Without Mcc	MS-DRG 470	not published	— 0 insurers	—
Removal of Polyps Or Growths of Large Bowel Using An Endoscope	CPT 45385	$1,468.16	— 0 insurers	$4,588.00
Sleep Study	CPT 95810	$1,106.80	— 0 insurers	$4,910.50
Spinal Fusion Except Cervical Without Mcc	MS-DRG 460	not published	— 0 insurers	—
Ultrasound Examination of Lower Large Bowel Using An Endoscope	CPT 45391	$1,061.52	— 0 insurers	$3,317.25
Uterine and Adnexa Procedures For Non-Malignancy Without Cc Or Mcc	MS-DRG 743	not published	— 0 insurers	—

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	$917.76	— 0 insurers	$2,868.00
Ct Scan, Head Or Brain, Without Contrast	CPT 70450	$1,026.88	— 0 insurers	$3,209.00
Ct Scan of Abdomen and Pelvis With Contrast	CPT 74177	$3,033.20	— 0 insurers	$9,478.75
Ct Scan, Pelvis, With Contrast	CPT 72193	$1,986.72	— 0 insurers	$6,208.50
Mammography of Both Breasts	CPT 77066	$153.20	— 0 insurers	$478.75
Mammography of One Breast	CPT 77065	$145.92	— 0 insurers	$456.00
Mammography, Screening, Bilateral	CPT 77067	$144.16	— 0 insurers	$450.50
Mri Scan of Brain Before and After Contrast	CPT 70553	$2,093.20	— 0 insurers	$6,541.25
Mri Scan of Leg Joint	CPT 73721	$1,610.16	— 0 insurers	$7,547.63
Mri Scan of Lower Spinal Canal	CPT 72148	$1,515.12	— 0 insurers	$4,734.75
Ultrasound of Abdomen	CPT 76700	$1,177.60	— 0 insurers	$3,680.00
Ultrasound Pelvis Through Vagina	CPT 76830	$757.04	— 0 insurers	$2,365.75
X-Ray, Lower Back, Minimum Four Views	CPT 72110	$744.48	— 0 insurers	$2,326.50

Inpatient (volume)

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
Acute Myocardial Infarction, Discharged Alive With Cc	MS-DRG 281	not published	— 0 insurers	—
Acute Myocardial Infarction, Discharged Alive With Mcc	MS-DRG 280	not published	— 0 insurers	—
Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	MS-DRG 897	not published	— 0 insurers	—
Bronchitis and Asthma With Cc/Mcc	MS-DRG 202	not published	— 0 insurers	—
Cardiac Arrhythmia and Conduction Disorders With Cc	MS-DRG 309	not published	— 0 insurers	—
Cardiac Arrhythmia and Conduction Disorders With Mcc	MS-DRG 308	not published	— 0 insurers	—
Cardiac Arrhythmia and Conduction Disorders Without Cc/Mcc	MS-DRG 310	not published	— 0 insurers	—
Cellulitis With Mcc	MS-DRG 602	not published	— 0 insurers	—
Cellulitis Without Mcc	MS-DRG 603	not published	— 0 insurers	—
Chest Pain	MS-DRG 313	not published	— 0 insurers	—
Chronic Obstructive Pulmonary Disease With Cc	MS-DRG 191	not published	— 0 insurers	—
Chronic Obstructive Pulmonary Disease With Mcc	MS-DRG 190	not published	— 0 insurers	—
Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc	MS-DRG 286	not published	— 0 insurers	—
Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc	MS-DRG 287	not published	— 0 insurers	—
Cirrhosis and Alcoholic Hepatitis With Mcc	MS-DRG 432	not published	— 0 insurers	—
Combined Anterior and Posterior Spinal Fusion With Cc	MS-DRG 454	not published	— 0 insurers	—
Craniotomy and Endovascular Intracranial Procedures With Mcc	MS-DRG 025	not published	— 0 insurers	—
Degenerative Nervous System Disorders Without Mcc	MS-DRG 057	not published	— 0 insurers	—
Diabetes With Cc	MS-DRG 638	not published	— 0 insurers	—
Diabetes With Mcc	MS-DRG 637	not published	— 0 insurers	—
Endovascular Cardiac Valve Replacement and Supplement Procedures With Mcc	MS-DRG 266	not published	— 0 insurers	—
Endovascular Cardiac Valve Replacement and Supplement Procedures Without Mcc	MS-DRG 267	not published	— 0 insurers	—
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders With Mcc	MS-DRG 391	not published	— 0 insurers	—
Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders Without Mcc	MS-DRG 392	not published	— 0 insurers	—
Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc	MS-DRG 981	not published	— 0 insurers	—
Fractures of Hip and Pelvis Without Mcc	MS-DRG 536	not published	— 0 insurers	—
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh Without Mcc	MS-DRG 563	not published	— 0 insurers	—
Gastrointestinal Hemorrhage With Cc	MS-DRG 378	not published	— 0 insurers	—
Gastrointestinal Hemorrhage With Mcc	MS-DRG 377	not published	— 0 insurers	—
Gastrointestinal Obstruction With Cc	MS-DRG 389	not published	— 0 insurers	—
Gastrointestinal Obstruction With Mcc	MS-DRG 388	not published	— 0 insurers	—
Gastrointestinal Obstruction Without Cc/Mcc	MS-DRG 390	not published	— 0 insurers	—
Heart Failure and Shock With Mcc	MS-DRG 291	not published	— 0 insurers	—
Hip and Femur Procedures Except Major Joint With Cc	MS-DRG 481	not published	— 0 insurers	—
Hip and Femur Procedures Except Major Joint With Mcc	MS-DRG 480	not published	— 0 insurers	—
Hip Replacement With Principal Diagnosis of Hip Fracture Without Mcc	MS-DRG 522	not published	— 0 insurers	—
Hypertension Without Mcc	MS-DRG 305	not published	— 0 insurers	—
Infectious and Parasitic Diseases With O.R. Procedures With Cc	MS-DRG 854	not published	— 0 insurers	—
Infectious and Parasitic Diseases With O.R. Procedures With Mcc	MS-DRG 853	not published	— 0 insurers	—
Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours	MS-DRG 065	not published	— 0 insurers	—
Intracranial Hemorrhage Or Cerebral Infarction With Mcc	MS-DRG 064	not published	— 0 insurers	—
Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc	MS-DRG 066	not published	— 0 insurers	—
Kidney and Ureter Procedures For Non-Neoplasm With Cc	MS-DRG 660	not published	— 0 insurers	—
Kidney and Urinary Tract Infections With Mcc	MS-DRG 689	not published	— 0 insurers	—
Kidney and Urinary Tract Infections Without Mcc	MS-DRG 690	not published	— 0 insurers	—
Laparoscopic Cholecystectomy Without C.D.E. With Cc	MS-DRG 418	not published	— 0 insurers	—
Major Gastrointestinal Disorders and Peritoneal Infections With Cc	MS-DRG 372	not published	— 0 insurers	—
Major Small and Large Bowel Procedures With Cc	MS-DRG 330	not published	— 0 insurers	—
Major Small and Large Bowel Procedures With Mcc	MS-DRG 329	not published	— 0 insurers	—
Major Small and Large Bowel Procedures Without Cc/Mcc	MS-DRG 331	not published	— 0 insurers	—
Medical Back Problems Without Mcc	MS-DRG 552	not published	— 0 insurers	—
Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes With Mcc	MS-DRG 640	not published	— 0 insurers	—
Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes Without Mcc	MS-DRG 641	not published	— 0 insurers	—
Organic Disturbances and Intellectual Disability	MS-DRG 884	not published	— 0 insurers	—
Other Cerebrovascular Disorders With Cc	MS-DRG 071	not published	— 0 insurers	—
Other Cerebrovascular Disorders With Mcc	MS-DRG 070	not published	— 0 insurers	—
Other Circulatory System Diagnoses With Mcc	MS-DRG 314	not published	— 0 insurers	—
Other Digestive System Diagnoses With Cc	MS-DRG 394	not published	— 0 insurers	—
Other Digestive System Diagnoses With Mcc	MS-DRG 393	not published	— 0 insurers	—
Other Disorders of Nervous System With Cc	MS-DRG 092	not published	— 0 insurers	—
Other Kidney and Urinary Tract Diagnoses With Cc	MS-DRG 699	not published	— 0 insurers	—
Other Kidney and Urinary Tract Diagnoses With Mcc	MS-DRG 698	not published	— 0 insurers	—
Other Vascular Procedures With Mcc	MS-DRG 252	not published	— 0 insurers	—
Percutaneous and Other Intracardiac Procedures Without Mcc	MS-DRG 274	not published	— 0 insurers	—
Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/	MS-DRG 321	not published	— 0 insurers	—
Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc	MS-DRG 322	not published	— 0 insurers	—
Peripheral Vascular Disorders With Cc	MS-DRG 300	not published	— 0 insurers	—
Permanent Cardiac Pacemaker Implant With Cc	MS-DRG 243	not published	— 0 insurers	—
Poisoning and Toxic Effects of Drugs With Mcc	MS-DRG 917	not published	— 0 insurers	—
Psychoses	MS-DRG 885	not published	— 0 insurers	—
Pulmonary Edema and Respiratory Failure	MS-DRG 189	not published	— 0 insurers	—
Pulmonary Embolism With Mcc Or Acute Cor Pulmonale	MS-DRG 175	not published	— 0 insurers	—
Pulmonary Embolism Without Mcc	MS-DRG 176	not published	— 0 insurers	—
Red Blood Cell Disorders With Mcc	MS-DRG 811	not published	— 0 insurers	—
Red Blood Cell Disorders Without Mcc	MS-DRG 812	not published	— 0 insurers	—
Renal Failure With Cc	MS-DRG 683	not published	— 0 insurers	—
Renal Failure With Mcc	MS-DRG 682	not published	— 0 insurers	—
Respiratory Infections and Inflammations With Cc	MS-DRG 178	not published	— 0 insurers	—
Respiratory Infections and Inflammations With Mcc	MS-DRG 177	not published	— 0 insurers	—
Respiratory System Diagnosis With Ventilator Support <=96 Hours	MS-DRG 208	not published	— 0 insurers	—
Revision of Hip Or Knee Replacement With Cc	MS-DRG 467	not published	— 0 insurers	—
Seizures With Mcc	MS-DRG 100	not published	— 0 insurers	—
Seizures Without Mcc	MS-DRG 101	not published	— 0 insurers	—
Septicemia Or Severe Sepsis With Mv >96 Hours	MS-DRG 870	not published	— 0 insurers	—
Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc	MS-DRG 871	not published	— 0 insurers	—
Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc	MS-DRG 872	not published	— 0 insurers	—
Signs and Symptoms Without Mcc	MS-DRG 948	not published	— 0 insurers	—
Simple Pneumonia and Pleurisy With Cc	MS-DRG 194	not published	— 0 insurers	—
Simple Pneumonia and Pleurisy With Mcc	MS-DRG 193	not published	— 0 insurers	—
Syncope and Collapse	MS-DRG 312	not published	— 0 insurers	—
Transient Ischemia Without Thrombolytic	MS-DRG 069	not published	— 0 insurers	—

Outpatient/professional (volume)

Service	Code	Cash price	Insurers pay (min – median – max)	Gross charge
3d Radiographic Procedure	CPT 76376	$448.48	— 0 insurers	$1,401.50
Aspiration and/Or Injection of Fluid From Large Joint	CPT 20610	$932.00	— 0 insurers	$2,912.50
Calculation of Radiation Therapy Dose	CPT 77300	$731.04	— 0 insurers	$2,284.50
Cell Examination of Specimen, Selective Cellular Enhancement Technique	CPT 88112	$136.96	— 0 insurers	$428.00
Colorectal Cancer Screening; Colonoscopy On Individual At High Risk	HCPCS G0105	$564.88	— 0 insurers	$1,765.25
Colorectal Cancer Screening; Colonoscopy On Individual Not Meeting Criteria For High Risk	HCPCS G0121	$644.24	— 0 insurers	$2,013.25
Complete Ultrasound Scan Behind Abdominal Cavity	CPT 76770	$738.32	— 0 insurers	$2,307.25
Critical Care, Each Additional 30 Minutes	CPT 99292	$335.20	— 0 insurers	$1,047.50
Critical Care, First 30-74 Minutes	CPT 99291	$2,591.28	— 0 insurers	$8,097.75
Ct Guidance For Insertion of Radiation Therapy Fields	CPT 77014	$961.68	— 0 insurers	$3,034.00
Ct Scan of Abdomen and Pelvis Before and After Contrast	CPT 74178	$3,788.24	— 0 insurers	$11,838.25
Ct Scan of Abdomen and Pelvis Without Contrast	CPT 74176	$2,688.48	— 0 insurers	$8,401.50
Ct Scan of Blood Vessels of Abdomen and Pelvis With Contrast	CPT 74174	$3,633.92	— 0 insurers	$11,356.00
Ct Scan of Blood Vessels of Chest With Contrast	CPT 71275	$1,476.56	— 0 insurers	$4,614.25
Ct Scan of Blood Vessels of Head With Contrast	CPT 70496	$1,128.40	— 0 insurers	$3,526.25
Ct Scan of Blood Vessels of Neck With Contrast	CPT 70498	$1,265.92	— 0 insurers	$3,956.00
Ct Scan of Chest With Contrast	CPT 71260	$1,513.44	— 0 insurers	$4,729.50
Ct Scan of Chest Without Contrast	CPT 71250	$1,251.84	— 0 insurers	$3,912.00
Ct Scan of Face Without Contrast	CPT 70486	$1,308.48	— 0 insurers	$4,089.00
Ct Scan of Leg Without Contrast	CPT 73700	$1,508.16	— 0 insurers	$7,069.50
Ct Scan of Lower Spine Without Contrast	CPT 72131	$1,577.92	— 0 insurers	$4,931.00
Ct Scan of Upper Spine Without Contrast	CPT 72125	$1,260.72	— 0 insurers	$3,939.75
Design and Construction of Complex Radiation Treatment Device	CPT 77334	$1,438.40	— 0 insurers	$4,495.00
Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint	CPT 64635	$1,444.88	— 0 insurers	$4,515.25
Destruction of Precancer Skin Growth, 2-14 Growths	CPT 17003	$43.52	— 0 insurers	$136.00
Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (List Separately In Addition To 77065 Or 77066)	HCPCS G0279	$32.00	— 0 insurers	$100.00
Diagnostic Exam of Bladder and Urethra Using An Endoscope	CPT 52000	$512.56	— 0 insurers	$1,601.75
Dxa Bone Density Measurement of Hip, Pelvis, Spine	CPT 77080	$311.28	— 0 insurers	$972.75
Emergency Department Visit With High Level of Medical Decision Making	CPT 99285	$1,695.20	— 0 insurers	$5,297.50
Emergency Department Visit With Low Level of Medical Decision Making	CPT 99283	$791.92	— 0 insurers	$2,474.75
Emergency Department Visit With Moderate Level of Medical Decision Making	CPT 99284	$1,309.76	— 0 insurers	$4,093.00
Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More	CPT 99215	$148.80	— 0 insurers	$465.00
Established Patient Office Or Other Outpatient Visit With Low Level Od Decision Making, If Using Time, 20 Minutes Or More	CPT 99213	$110.08	— 0 insurers	$344.00
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More	CPT 99214	$129.20	— 0 insurers	$403.75
Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More	CPT 99212	$41.60	— 0 insurers	$130.00
Evaluation of Fine Needle Aspirate With Interpretation and Report	CPT 88173	$190.56	— 0 insurers	$595.50
Evaluation of Single, Dual, Multiple Lead Or Leadless Pacemaker System, Remote Up To 90 Days	CPT 93294	$177.12	— 0 insurers	$553.50
Hemodialysis Procedure With Physician Evaluation	CPT 90935	$829.60	— 0 insurers	$2,592.50
Imaging For Evaluation of Swallowing Function	CPT 74230	$482.56	— 0 insurers	$1,508.00
Immunologic Analysis Technique On Serum (Immunofixation)	CPT 86334	$52.80	— 0 insurers	$165.00
Injection of Anesthetic Agent and/Or Steroid Into Thigh Nerve (Femoral Nerve)	CPT 64447	$1,957.28	— 0 insurers	$6,116.50
Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level	CPT 64493	$2,400.48	— 0 insurers	$8,983.75
Insertion of Artery Tube For Blood Sampling Or Infusion Through Skin	CPT 36620	$209.76	— 0 insurers	$655.50
Insertion of Non-Tunneled Central Venous Tube For Infusion (5 Years Or Older)	CPT 36556	$2,502.56	— 0 insurers	$7,820.50
Insertion of Tube In Left Lower Heart Chamber and Coronary Artery For Diagnosis With Review By Radiologist	CPT 93458	$4,075.52	— 0 insurers	$12,736.00
Limited Ultrasound Scan of 1 Breast	CPT 76642	$715.28	— 0 insurers	$3,352.88
Limited Ultrasound Scan of Abdomen	CPT 76705	$824.48	— 0 insurers	$2,576.50
Low Dose Ct Scan of Chest For Lung Cancer Screening	CPT 71271	$1,425.36	— 0 insurers	$4,454.25
Microscopic Genetic Analysis of Tumor, Manual	CPT 88360	$91.36	— 0 insurers	$1,437.75
Mri Scan of Abdomen Before and After Contrast	CPT 74183	$2,069.84	— 0 insurers	$6,468.25
Mri Scan of Brain Without Contrast	CPT 70551	$1,312.32	— 0 insurers	$4,101.00
Mri Scan of Upper Spinal Canal Without Contrast	CPT 72141	$1,715.60	— 0 insurers	$5,361.25
Nuclear Medicine Studies of Heart Muscle At Rest and With Stress and Spect	CPT 78452	$4,005.76	— 0 insurers	$12,518.00
Nuclear Medicine Study From Skull Base To Mid-Thigh With Ct Scan	CPT 78815	$4,119.92	— 0 insurers	$12,874.75
Pathology Examination of Tissue Using A Microscope, Intermediate Complexity	CPT 88305	$308.16	— 0 insurers	$963.00
Pathology Examination of Tissue Using A Microscope, Moderately High Complexity	CPT 88307	$360.64	— 0 insurers	$1,127.00
Pathology Examination of Tissue Using A Microscope, Moderately Low Complexity	CPT 88304	$259.20	— 0 insurers	$810.00
Preparation of Tissue For Examination By Removing Any Calcium Present	CPT 88311	$73.60	— 0 insurers	$230.00
Protein Measurement, Serum	CPT 84165	$141.44	— 0 insurers	$442.00
Removal of Fingernails Or Toenails, 6 Or More Nails	CPT 11721	$182.16	— 0 insurers	$569.25
Removal of Skin and Tissue, 20.0 Sq Cm Or Less	CPT 11042	$1,025.76	— 0 insurers	$3,205.50
Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less	CPT 11045	$786.08	— 0 insurers	$2,456.50
Screening 3d Breast Mammography	CPT 77063	$32.00	— 0 insurers	$100.00
Special Stained Specimen Slides To Examine Tissue, Each Additional Procedure	CPT 88341	$121.92	— 0 insurers	$381.00
Special Stained Specimen Slides To Examine Tissue Including Interpretation and Report	CPT 88313	$140.24	— 0 insurers	$438.25
Special Stained Specimen Slides To Examine Tissue, Initial Procedure	CPT 88342	$203.68	— 0 insurers	$636.50
Special Stained Specimen Slides To Identify Organisms Including Interpretation and Report	CPT 88312	$136.88	— 0 insurers	$427.75
Test To Determine Lung Volumes Using Sensors	CPT 94726	$474.72	— 0 insurers	$1,483.50
Test To Examine How Well The Lungs Exchange Gases	CPT 94729	$350.40	— 0 insurers	$1,095.00
Test To Measure Expiratory Airflow and Volume Changes Before and After Medication Administration	CPT 94060	$539.12	— 0 insurers	$1,684.75
Ultrasonic Guidance For Blood Vessel Access	CPT 76937	$645.28	— 0 insurers	$2,016.50
Ultrasonic Guidance For Needle Placement	CPT 76942	$904.16	— 0 insurers	$2,825.50
Ultrasound of Both Sides of Head and Neck Blood Flow	CPT 93880	$1,139.84	— 0 insurers	$3,562.00
Ultrasound of Heart Blood Flow, Valves and Chambers	CPT 93320	$855.20	— 0 insurers	$2,672.50
Ultrasound of Heart Blood Flow, Valves and Chambers, Follow-Up	CPT 93321	$472.88	— 0 insurers	$1,477.75
Ultrasound of Heart, Follow-Up	CPT 93308	$373.44	— 0 insurers	$1,167.00
Ultrasound of Heart With Color-Depicted Blood Flow, Rate and Valve Function	CPT 93325	$290.96	— 0 insurers	$909.25
Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function	CPT 93306	$1,776.32	— 0 insurers	$5,551.00
Ultrasound of Heart With Probe In Esophagus, With Report	CPT 93312	$2,184.80	— 0 insurers	$6,827.50
Ultrasound Scan of Head and Neck Soft Tissue	CPT 76536	$706.08	— 0 insurers	$2,206.50
Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers	CPT 93970	$1,222.72	— 0 insurers	$3,821.00
Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers	CPT 93971	$1,034.16	— 0 insurers	$3,231.75
Use of A Drug To Induce Depression of Consciousness By Physician Performing A Procedure (5 Years Or Older), Initial 15 Minutes	CPT 99152	$352.72	— 0 insurers	$1,102.25
X-Ray of Abdomen, 1 View	CPT 74018	$332.00	— 0 insurers	$1,037.50
X-Ray of Ankle, Minimum of 3 Views	CPT 73610	$398.80	— 0 insurers	$1,869.38
X-Ray of Chest, 1 View	CPT 71045	$323.92	— 0 insurers	$1,012.25
X-Ray of Chest, 2 Views	CPT 71046	$389.28	— 0 insurers	$1,216.50
X-Ray of Foot, Minimum of 3 Views	CPT 73630	$389.76	— 0 insurers	$1,827.00
X-Ray of Hand, Minimum of 3 Views	CPT 73130	$396.16	— 0 insurers	$1,857.00
X-Ray of Hip, 2-3 Views	CPT 73502	$367.68	— 0 insurers	$1,723.50
X-Ray of Knee, 1-2 Views	CPT 73560	$294.56	— 0 insurers	$1,380.75
X-Ray of Knee, 3 Views	CPT 73562	$420.64	— 0 insurers	$1,971.75
X-Ray of Knee, 4 Or More Views	CPT 73564	$527.36	— 0 insurers	$2,472.00
X-Ray of Lower and Sacral Spine, 2-3 Views	CPT 72100	$443.92	— 0 insurers	$1,387.25
X-Ray of Lower Leg, 2 Views	CPT 73590	$417.12	— 0 insurers	$1,955.25
X-Ray of Pelvis, 1-2 Views	CPT 72170	$301.84	— 0 insurers	$943.25
X-Ray of Shoulder, Minimum of 2 Views	CPT 73030	$439.20	— 0 insurers	$2,058.75
X-Ray of Thigh Bone, Minimum 2 Views	CPT 73552	$470.64	— 0 insurers	$2,206.13
X-Ray of Wrist, Minimum of 3 Views	CPT 73110	$385.04	— 0 insurers	$1,804.88