Evaluation and Management
| CPT | Charge Description | Charge Price |
|---|---|---|
| 099284 | Emergency Department Visit High Severity | $4,849 |
| 099283 | Emergency Department Visit Moderate Severity | $2,291 |
| 099285 | Emergency Department Visit Life-Threatening | $8,330 |
| 099282 | Emergency Department Visit Low Severity | $1,034 |
| 099281 | Emergency Department Visit Minor Problem | $651 |
| 099291 | Care of Critically Ill or Critically Injured Patient | $8,736 |
| 099292 | CRIT CARE EACH ADD 30MIN | $8,736 |
| 099212 | OP VISIT LEVEL 2 EST | $558 |
| 099214 | OP VISIT LEVEL 4 EST | $912 |
| 099465 | DEL RESUS PPV CHEST COMP | $2,181 |
Surgery
| CPT | Charge Description | Average Charge per Account |
|---|---|---|
| 043239 | Direct Camera Viewing of the Esophagus, Stomach, and Duodenum with Tissue Samples Taken for Analysis | $14,142 |
| 027447 | TOTAL KNEE ARTHROPLASTY | $152,236 |
| 064447 | NJX AA&/STRD FEMORAL NRV IMG | $149,563 |
| 045380 | Direct Camera Viewing of the Anus, Rectum, Colon, and Distal Small Bowel with Tissue Samples Taken for Analysis | $14,910 |
| 045385 | Direct Camera Viewing of the Anus, Rectum, Colon, and Distal Small Bowel with Removal of Lesion | $17,606 |
| 027130 | TOTAL HIP ARTHROPLASTY | $153,821 |
| 012001 | Repair Cut in Skin of Scalp, Neck, Armpit, Genitalia, Trunk or Arms/Legs, 2.5cm or Less | $5,404 |
| 012002 | Repair Cut in Skin of Scalp, Neck, Armpit, Genitalia, Trunk, or Arms/Legs, 2.6cm to 7.5cm | $7,196 |
| 020985 | CPTR-ASST DIR MS PX | $156,148 |
| 010060 | Drainage of Pus from Skin | $6,634 |
Anesthesia
| CPT | Charge Description | Charge Price |
|---|---|---|
| 92968 | ANESTHESIA ADDITIONAL/15 MIN | $643 |
| 14280 | MAJOR ANESTHESIA 1ST 15MIN | $2,206 |
| 14282 | MINOR ANESTHESIA 1ST 15 MIN | $809 |
| 592342 | EPIDURAL LABOR | $5,504 |
| 592337 | ANESTHESIA OB MAJOR 1.0 -1.5 | $4,383 |
| 592338 | ANESTHESIA OB MAJOR 1.5-2 HRS | $3,272 |
| 592336 | ANESTHESIA OB MAJOR TO 1 HOUR | $5,492 |
| 592340 | ANESTHESIA OB MINOR 1 HOUR | $1,780 |
Radiology
| CPT | Charge Description | Charge Price |
|---|---|---|
| 071045 | One Picture of Chest | $980 |
| 070450 | Pictures of Head and Brain without Dye | $4,665 |
| 074177 | Picture of Abdomen and Pelvis with Dye | $10,796 |
| 071046 | Two Pictures of Chest | $1,122 |
| 071275 | CTA CHEST | $3,163 |
| 076000 | XR FLUOROSCOPY 0-60 MIN | $572 |
| 074176 | Picture of Abdomen and Pelvis without Dye | $9,598 |
| 077067 | Breast Cancer Screening | $1,029 |
| 077063 | 3D (Three Dimensional) Breast Cancer Screening | $107 |
| 076705 | US ABDOMEN LTD | $1,534 |
Pathology and Lab
| CPT | Charge Description | Charge Price |
|---|---|---|
| 085027 | Blood Test on White and Red Blood Cells and Platelets | $37 |
| 080053 | Blood Test on Glucose, Calcium, Proteins, Electrolytes, Kidney, and Liver | $300 |
| 083735 | Blood Test on Magnesium Levels | $484 |
| 080048 | Blood Test on Calcium Levels | $249 |
| 084484 | TROPONIN QUANT | $423 |
| 084100 | PHOSPHORUS BLD | $189 |
| 083690 | Blood Test on Pancreas | $43 |
| 083880 | PRO-BNP QT | $692 |
| 085610 | Blood Test on Blood Clotting | $186 |
| 081001 | Urine Test | $224 |
Medicine
| CPT | Charge Description | Charge Price |
|---|---|---|
| 097530 | Therapy Activity with Physical Therapy for 15 minutes | $463 |
| 093005 | Electrocardiogram - Electrical Heart Function Test | $1,437 |
| 096374 | Single Drug Administration | $580 |
| 090774 | IVP SINGLE/INITIAL DRUG | $527 |
| 094640 | Breathing Treatment for Airway Obstruction | $491 |
| 097535 | Self Care Management Training | $471 |
| 097116 | Walking Training with Physical Therapy for 15 minutes | $496 |
| 096361 | Fluids Given in Vein Each Additional Hour | $394 |
| 090761 | IV HYDRAT EA ADD HR | $472 |
| 096375 | Additional Drug Administration of New Drug | $554 |
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