Evaluation and Management
| CPT | Charge Description | Charge Price |
|---|---|---|
| 99284 | Emergency Department Visit High Severity | $4,489 |
| 99283 | Emergency Department Visit Moderate Severity | $2,121 |
| 099285a | Emergency Department Visit Life-Threatening | $7,713 |
| 99282 | Emergency Department Visit Low Severity | $957 |
| 99281 | Emergency Department Visit Minor Problem | $603 |
| 099291 | Care of Critically Ill or Critically Injured Patient | $8,089 |
| 099292 | CRIT CARE EACH ADD 30MIN | $8,089 |
| 99212 | OP VISIT LEVEL 2 EST | $521 |
Surgery
| CPT | Charge Description | Average Charge per Account |
|---|---|---|
| 43239 | Direct Camera Viewing of the Esophagus, Stomach, and Duodenum with Tissue Samples Taken for Analysis | $14,931 |
| 45385 | Direct Camera Viewing of the Anus, Rectum, Colon, and Distal Small Bowel with Removal of Lesion | $16,390 |
| 45380 | Direct Camera Viewing of the Anus, Rectum, Colon, and Distal Small Bowel with Tissue Samples Taken for Analysis | $14,335 |
| 27447 | TOTAL KNEE ARTHROPLASTY | $137,040 |
| 12001 | Repair Cut in Skin of Scalp, Neck, Armpit, Genitalia, Trunk or Arms/Legs, 2.5cm or Less | $5,261 |
| 27130 | TOTAL HIP ARTHROPLASTY | $142,352 |
| 12002 | Repair Cut in Skin of Scalp, Neck, Armpit, Genitalia, Trunk, or Arms/Legs, 2.6cm to 7.5cm | $6,364 |
| 10060 | Drainage of Pus from Skin | $6,772 |
| 12011 | Repair Cut in Skin of Face, Ears, Eyelids, Nose, Lips or Mucous Membranes, 2.5cm or Less | $8,698 |
| 64447 | Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed | $133,793 |
Anesthesia
| CPT | Charge Description | Charge Price |
|---|---|---|
| 92968 | ANESTHESIA ADDITIONAL/15 MIN | $596 |
| 14280 | MAJOR ANESTHESIA 1ST 15MIN | $2,042 |
| 14282 | MINOR ANESTHESIA 1ST 15 MIN | $749 |
| 592342 | EPIDURAL LABOR | $5,096 |
| 592337 | ANESTHESIA OB MAJOR 1.0 -1.5 | $4,059 |
| 592338 | ANESTHESIA OB MAJOR 1.5-2 HRS | $4,085 |
| 592336 | ANESTHESIA OB MAJOR TO 1 HOUR | $3,030 |
| 592340 | ANESTHESIA OB MINOR 1 HOUR | $1,648 |
Radiology
| CPT | Charge Description | Charge Price |
|---|---|---|
| 071045 | One Picture of Chest | $908 |
| 70450 | Pictures of Head and Brain without Dye | $4,319 |
| 74177 | Picture of Abdomen and Pelvis with Dye | $9,997 |
| 71046 | Two Pictures of Chest | $1,039 |
| 77067 | Breast Cancer Screening | $953 |
| 77063 | 3D (Three Dimensional) Breast Cancer Screening | $99 |
| 76000 | XR FLUOROSCOPY 0-60 MIN | $530 |
| 71275 | Computed Tomographic Angiography Chest | $2,929 |
| 74176 | Picture of Abdomen and Pelvis without Dye | $8,887 |
| 74018 | One Picture of Abdomen | $1,095 |
Pathology and Lab
| CPT | Charge Description | Charge Price |
|---|---|---|
| 85027 | Blood Test on White and Red Blood Cells and Platelets | $34 |
| 80053 | Blood Test on Glucose, Calcium, Proteins, Electrolytes, Kidney, and Liver | $278 |
| 083735 | Blood Test on Magnesium Levels | $449 |
| 80048 | Blood Test on Calcium Levels | $231 |
| 84484 | TROPONIN QUANT | $391 |
| 84100 | PHOSPHORUS BLD | $175 |
| 83690 | Blood Test on Pancreas | $40 |
| 83880 | Blood Test on Natriuretic peptide | $641 |
| 84443 | Blood Test on Thyroid Levels | $278 |
| 85610 | Blood Test on Blood Clotting | $173 |
Medicine
| CPT | Charge Description | Charge Price |
|---|---|---|
| 97530 | Therapy Activity with Physical Therapy for 15 minutes | $433 |
| 93005 | Electrocardiogram - Electrical Heart Function Test | $1,331 |
| 96374 | Single Drug Administration | $493 |
| 97535 | Self Care Management Training | $440 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes | $450 |
| 96361 | Fluids Given in Vein Each Additional Hour | $369 |
| 96375 | Therapeutic, prophylactic, or diagnostic injection | $518 |
| 097110 | Therapeutic Exercises | $430 |
| 093306 | Echocardiography, transthoracic, real-time with image documentation (2D) | $3,479 |
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