Medical Procedure Cost Lookup
Search over 200 common CPT codes to understand what medical procedures should cost. Compare Medicare rates against typical hospital charges.
Showing 227 procedures
| CPT Code | Procedure | Category | Medicare Rate | Fair Price | Typical Billed Range |
|---|---|---|---|---|---|
| 99202 | Office visit, new patient, straightforward | E&M | $74.57 | $111.86 | |
| 99203 | Office visit, new patient, low complexity | E&M | $112.40 | $168.60 | |
| 99204 | Office visit, new patient, moderate complexity | E&M | $167.53 | $251.30 | |
| 99205 | Office visit, new patient, high complexity | E&M | $211.78 | $317.67 | |
| 99211 | Office visit, established patient, minimal | E&M | $28.14 | $42.21 | |
| 99212 | Office visit, established patient, straightforward | E&M | $72.10 | $108.15 | |
| 99213 | Office visit, established patient, low complexity | E&M | $109.02 | $163.53 | |
| 99214 | Office visit, established patient, moderate complexity | E&M | $152.78 | $229.17 | |
| 99215 | Office visit, established patient, high complexity | E&M | $205.16 | $307.74 | |
| 99221 | Initial hospital inpatient care, straightforward/low | E&M | $151.23 | $226.85 | |
| 99222 | Initial hospital inpatient care, moderate complexity | E&M | $199.45 | $299.18 | |
| 99223 | Initial hospital inpatient care, high complexity | E&M | $286.71 | $430.07 | |
| 99231 | Subsequent hospital care, straightforward/low | E&M | $80.52 | $120.78 | |
| 99232 | Subsequent hospital care, moderate complexity | E&M | $113.67 | $170.51 | |
| 99233 | Subsequent hospital care, high complexity | E&M | $163.84 | $245.76 | |
| 99238 | Hospital discharge day management, 30 min or less | E&M | $97.43 | $146.15 | |
| 99239 | Hospital discharge day management, more than 30 min | E&M | $143.12 | $214.68 | |
| 99281 | Emergency department visit, self-limited/minor | E&M | $29.63 | $44.45 | |
| 99282 | Emergency department visit, low to moderate severity | E&M | $54.81 | $82.22 | |
| 99283 | Emergency department visit, moderate severity | E&M | $93.45 | $140.18 | |
| 99284 | Emergency department visit, high severity | E&M | $168.27 | $252.41 | |
| 99285 | Emergency department visit, life-threatening severity | E&M | $247.91 | $371.87 | |
| 99241 | Office consultation, straightforward | E&M | $82.16 | $123.24 | |
| 99242 | Office consultation, low complexity | E&M | $120.47 | $180.71 | |
| 99243 | Office consultation, moderate complexity | E&M | $169.81 | $254.72 | |
| 99244 | Office consultation, moderate to high complexity | E&M | $237.26 | $355.89 | |
| 99245 | Office consultation, high complexity | E&M | $294.38 | $441.57 | |
| 99291 | Critical care, first 30-74 minutes | E&M | $312.45 | $468.68 | |
| 99292 | Critical care, each additional 30 minutes | E&M | $156.23 | $234.35 | |
| 99385 | Preventive visit, new patient, 18-39 years | E&M | $172.34 | $258.51 | |
| 99386 | Preventive visit, new patient, 40-64 years | E&M | $198.76 | $298.14 | |
| 99395 | Preventive visit, established patient, 18-39 years | E&M | $148.92 | $223.38 | |
| 99396 | Preventive visit, established patient, 40-64 years | E&M | $163.47 | $245.21 | |
| 99397 | Preventive visit, established patient, 65+ years | E&M | $178.63 | $267.95 | |
| 99441 | Telephone E&M service, 5-10 minutes | E&M | $46.32 | $69.48 | |
| 99442 | Telephone E&M service, 11-20 minutes | E&M | $80.15 | $120.23 | |
| 99443 | Telephone E&M service, 21-30 minutes | E&M | $113.89 | $170.84 | |
| 99354 | Prolonged service, outpatient, first hour | E&M | $126.74 | $190.11 | |
| 10060 | Incision and drainage of abscess, simple | Surgery | $165.42 | $248.13 | |
| 10061 | Incision and drainage of abscess, complicated | Surgery | $297.83 | $446.75 | |
| 10120 | Removal of foreign body, subcutaneous, simple | Surgery | $145.67 | $218.51 | |
| 11042 | Debridement of skin, subcutaneous tissue, 20 sq cm | Surgery | $119.84 | $179.76 | |
| 11102 | Tangential biopsy of skin, single lesion | Surgery | $112.38 | $168.57 | |
| 11104 | Punch biopsy of skin, single lesion | Surgery | $107.92 | $161.88 | |
| 11200 | Removal of skin tags, up to 15 | Surgery | $127.54 | $191.31 | |
| 11721 | Debridement of nails, 6 or more | Surgery | $56.78 | $85.17 | |
| 12001 | Simple repair of superficial wound, 2.5 cm or less | Surgery | $153.26 | $229.89 | |
| 12002 | Simple repair of superficial wound, 2.6-7.5 cm | Surgery | $172.41 | $258.62 | |
| 12011 | Simple repair of face wound, 2.5 cm or less | Surgery | $167.83 | $251.75 | |
| 17000 | Destruction of premalignant lesion, first | Surgery | $87.62 | $131.43 | |
| 17003 | Destruction of premalignant lesion, 2-14, each | Surgery | $17.84 | $26.76 | |
| 17110 | Destruction of benign lesions, up to 14 | Surgery | $102.63 | $153.95 | |
| 19301 | Mastectomy, partial | Surgery | $841.53 | $1,262.30 | |
| 19303 | Mastectomy, simple, complete | Surgery | $1,124.67 | $1,687.01 | |
| 20610 | Arthrocentesis of major joint or bursa | Surgery | $109.56 | $164.34 | |
| 20611 | Arthrocentesis of major joint with ultrasound guidance | Surgery | $148.73 | $223.10 | |
| 25600 | Closed treatment of distal radial fracture | Surgery | $398.67 | $598.01 | |
| 27447 | Total knee replacement arthroplasty | Surgery | $1,576.82 | $2,365.23 | |
| 27130 | Total hip replacement arthroplasty | Surgery | $1,498.35 | $2,247.53 | |
| 27245 | Surgical treatment of intertrochanteric femoral fracture | Surgery | $1,132.54 | $1,698.81 | |
| 28285 | Correction of hammertoe | Surgery | $487.23 | $730.85 | |
| 29881 | Knee arthroscopy with meniscectomy | Surgery | $694.18 | $1,041.27 | |
| 29826 | Shoulder arthroscopy with decompression | Surgery | $623.45 | $935.18 | |
| 29827 | Shoulder arthroscopy with rotator cuff repair | Surgery | $987.63 | $1,481.45 | |
| 43239 | Upper GI endoscopy with biopsy | Surgery | $387.42 | $581.13 | |
| 43249 | Upper GI endoscopy with balloon dilation | Surgery | $412.56 | $618.84 | |
| 44388 | Colonoscopy with biopsy | Surgery | $456.23 | $684.35 | |
| 45378 | Diagnostic colonoscopy | Surgery | $397.81 | $596.72 | |
| 45380 | Colonoscopy with biopsy, single or multiple | Surgery | $468.92 | $703.38 | |
| 45385 | Colonoscopy with removal of polyp by snare | Surgery | $512.46 | $768.69 | |
| 47562 | Laparoscopic cholecystectomy | Surgery | $876.34 | $1,314.51 | |
| 47563 | Laparoscopic cholecystectomy with cholangiography | Surgery | $978.56 | $1,467.84 | |
| 49505 | Repair of inguinal hernia, initial | Surgery | $647.89 | $971.84 | |
| 49650 | Laparoscopic repair of inguinal hernia | Surgery | $756.23 | $1,134.35 | |
| 52000 | Cystourethroscopy | Surgery | $267.45 | $401.18 | |
| 55700 | Biopsy of prostate, needle | Surgery | $198.34 | $297.51 | |
| 58100 | Endometrial biopsy | Surgery | $148.92 | $223.38 | |
| 58558 | Hysteroscopy with biopsy and polypectomy | Surgery | $478.63 | $717.95 | |
| 58661 | Laparoscopy with removal of adnexal structures | Surgery | $812.47 | $1,218.71 | |
| 59400 | Routine obstetric care, vaginal delivery | Surgery | $2,187.45 | $3,281.18 | |
| 59510 | Routine obstetric care, cesarean delivery | Surgery | $2,456.78 | $3,685.17 | |
| 62322 | Lumbar epidural injection | Surgery | $234.56 | $351.84 | |
| 63047 | Lumbar laminectomy, single segment | Surgery | $1,287.34 | $1,931.01 | |
| 64483 | Transforaminal epidural injection, lumbar | Surgery | $287.45 | $431.18 | |
| 66984 | Cataract surgery with intraocular lens insertion | Surgery | $782.56 | $1,173.84 | |
| 67028 | Intravitreal injection | Surgery | $153.42 | $230.13 | |
| 69210 | Removal of impacted cerumen, unilateral | Surgery | $47.23 | $70.85 | |
| 70450 | CT head/brain without contrast | Radiology | $129.87 | $194.81 | |
| 70486 | CT sinuses without contrast | Radiology | $142.34 | $213.51 | |
| 70553 | MRI brain without and with contrast | Radiology | $378.92 | $568.38 | |
| 71045 | Chest X-ray, single view | Radiology | $30.52 | $45.78 | |
| 71046 | Chest X-ray, 2 views | Radiology | $38.47 | $57.71 | |
| 71250 | CT chest without contrast | Radiology | $164.23 | $246.35 | |
| 71260 | CT chest with contrast | Radiology | $218.56 | $327.84 | |
| 72070 | X-ray of thoracic spine, 2 views | Radiology | $37.84 | $56.76 | |
| 72100 | X-ray of lumbosacral spine, 2-3 views | Radiology | $44.23 | $66.35 | |
| 72110 | X-ray of lumbosacral spine, minimum 4 views | Radiology | $52.67 | $79.01 | |
| 72148 | MRI lumbar spine without contrast | Radiology | $260.84 | $391.26 | |
| 72141 | MRI cervical spine without contrast | Radiology | $257.43 | $386.15 | |
| 72156 | MRI lumbar spine without and with contrast | Radiology | $378.56 | $567.84 | |
| 73030 | X-ray of shoulder, minimum 2 views | Radiology | $33.45 | $50.18 | |
| 73060 | X-ray of humerus, minimum 2 views | Radiology | $31.87 | $47.81 | |
| 73110 | X-ray of wrist, minimum 3 views | Radiology | $33.12 | $49.68 | |
| 73221 | MRI of upper extremity joint without contrast | Radiology | $256.78 | $385.17 | |
| 73502 | X-ray of hip, 2-3 views | Radiology | $34.56 | $51.84 | |
| 73560 | X-ray of knee, 1-2 views | Radiology | $29.34 | $44.01 | |
| 73562 | X-ray of knee, 3 views | Radiology | $35.67 | $53.51 | |
| 73610 | X-ray of ankle, minimum 3 views | Radiology | $33.78 | $50.67 | |
| 73630 | X-ray of foot, minimum 3 views | Radiology | $33.45 | $50.18 | |
| 73721 | MRI of lower extremity joint without contrast | Radiology | $259.56 | $389.34 | |
| 74018 | X-ray of abdomen, single view | Radiology | $30.12 | $45.18 | |
| 74150 | CT abdomen without contrast | Radiology | $174.56 | $261.84 | |
| 74177 | CT abdomen and pelvis with contrast | Radiology | $306.42 | $459.63 | |
| 74178 | CT abdomen and pelvis without and with contrast | Radiology | $365.78 | $548.67 | |
| 76700 | Ultrasound of abdomen, complete | Radiology | $118.45 | $177.68 | |
| 76770 | Ultrasound of retroperitoneum, complete | Radiology | $119.23 | $178.85 | |
| 76805 | Obstetric ultrasound, detailed | Radiology | $148.67 | $223.01 | |
| 76830 | Transvaginal ultrasound | Radiology | $124.56 | $186.84 | |
| 76856 | Ultrasound of pelvis, complete | Radiology | $112.34 | $168.51 | |
| 76882 | Ultrasound of extremity, limited | Radiology | $67.89 | $101.84 | |
| 77065 | Diagnostic mammography, unilateral | Radiology | $98.45 | $147.68 | |
| 77066 | Diagnostic mammography, bilateral | Radiology | $123.78 | $185.67 | |
| 77067 | Screening mammography, bilateral | Radiology | $108.92 | $163.38 | |
| 77080 | DEXA bone density study, axial | Radiology | $55.34 | $83.01 | |
| 93000 | Electrocardiogram (ECG/EKG), 12-lead, with interpretation | Medicine | $25.87 | $38.81 | |
| 93005 | Electrocardiogram (ECG/EKG), tracing only | Medicine | $10.12 | $15.18 | |
| 93010 | Electrocardiogram (ECG/EKG), interpretation only | Medicine | $13.45 | $20.18 | |
| 93306 | Echocardiography, complete, with Doppler | Medicine | $287.34 | $431.01 | |
| 93798 | Cardiac rehabilitation, per session | Medicine | $49.23 | $73.85 | |
| 90834 | Psychotherapy, 45 minutes | Medicine | $108.67 | $163.01 | |
| 90837 | Psychotherapy, 60 minutes | Medicine | $145.23 | $217.85 | |
| 90847 | Family psychotherapy with patient present | Medicine | $127.89 | $191.84 | |
| 90791 | Psychiatric diagnostic evaluation | Medicine | $182.56 | $273.84 | |
| 90832 | Psychotherapy, 30 minutes | Medicine | $75.34 | $113.01 | |
| 90846 | Family psychotherapy without patient present | Medicine | $117.45 | $176.18 | |
| 92012 | Eye exam, established patient, intermediate | Medicine | $78.56 | $117.84 | |
| 92014 | Eye exam, established patient, comprehensive | Medicine | $112.78 | $169.17 | |
| 92507 | Speech therapy treatment | Medicine | $65.43 | $98.15 | |
| 93880 | Duplex scan of carotid arteries, bilateral | Medicine | $168.45 | $252.68 | |
| 93922 | Non-invasive vascular study of upper or lower extremity arteries | Medicine | $76.34 | $114.51 | |
| 93970 | Duplex scan of extremity veins, complete bilateral | Medicine | $192.45 | $288.68 | |
| 94010 | Spirometry | Medicine | $36.78 | $55.17 | |
| 94060 | Bronchospasm evaluation with spirometry | Medicine | $58.23 | $87.35 | |
| 94640 | Nebulizer treatment, inhalation | Medicine | $21.45 | $32.18 | |
| 94760 | Pulse oximetry, single measurement | Medicine | $7.23 | $10.85 | |
| 95004 | Allergy skin tests, percutaneous | Medicine | $5.12 | $7.68 | |
| 95165 | Allergy immunotherapy, preparation and provision of antigens | Medicine | $20.34 | $30.51 | |
| 95819 | Electroencephalogram (EEG), with sleep | Medicine | $243.56 | $365.34 | |
| 96372 | Therapeutic injection, subcutaneous or intramuscular | Medicine | $38.45 | $57.68 | |
| 96374 | Therapeutic IV push, single substance | Medicine | $68.92 | $103.38 | |
| 96375 | Therapeutic IV push, each additional substance | Medicine | $28.56 | $42.84 | |
| 96413 | Chemotherapy IV infusion, up to 1 hour | Medicine | $186.45 | $279.68 | |
| 97110 | Therapeutic exercises, each 15 minutes | Medicine | $40.82 | $61.23 | |
| 97112 | Neuromuscular reeducation, each 15 minutes | Medicine | $42.56 | $63.84 | |
| 97116 | Gait training therapy, each 15 minutes | Medicine | $38.67 | $58.01 | |
| 97140 | Manual therapy techniques, each 15 minutes | Medicine | $39.78 | $59.67 | |
| 97161 | Physical therapy evaluation, low complexity | Medicine | $105.23 | $157.85 | |
| 97162 | Physical therapy evaluation, moderate complexity | Medicine | $115.67 | $173.51 | |
| 97163 | Physical therapy evaluation, high complexity | Medicine | $126.45 | $189.68 | |
| 97530 | Therapeutic activities, each 15 minutes | Medicine | $42.34 | $63.51 | |
| 97542 | Wheelchair management training, each 15 minutes | Medicine | $36.89 | $55.34 | |
| 36415 | Venipuncture for blood collection | Medicine | $3.56 | $5.34 | |
| 36416 | Capillary blood collection (finger/heel stick) | Medicine | $4.23 | $6.35 | |
| 90471 | Immunization administration, first vaccine | Medicine | $30.56 | $45.84 | |
| 90472 | Immunization administration, each additional vaccine | Medicine | $15.34 | $23.01 | |
| 90715 | Tdap vaccine | Medicine | $42.78 | $64.17 | |
| 90662 | Influenza vaccine, high-dose | Medicine | $67.45 | $101.18 | |
| 96110 | Developmental screening, with interpretation | Medicine | $13.78 | $20.67 | |
| 96127 | Brief emotional/behavioral assessment | Medicine | $6.56 | $9.84 | |
| 99406 | Smoking cessation counseling, 3-10 minutes | Medicine | $19.45 | $29.18 | |
| 99407 | Smoking cessation counseling, over 10 minutes | Medicine | $35.67 | $53.51 | |
| 80048 | Basic metabolic panel | Laboratory | $11.47 | $17.21 | |
| 80050 | General health panel | Laboratory | $27.56 | $41.34 | |
| 80053 | Comprehensive metabolic panel | Laboratory | $14.49 | $21.74 | |
| 80061 | Lipid panel | Laboratory | $18.34 | $27.51 | |
| 80069 | Renal function panel | Laboratory | $12.34 | $18.51 | |
| 80076 | Hepatic function panel | Laboratory | $11.89 | $17.84 | |
| 81001 | Urinalysis with microscopy, automated | Laboratory | $4.28 | $6.42 | |
| 81002 | Urinalysis without microscopy | Laboratory | $3.23 | $4.85 | |
| 81003 | Urinalysis, automated without microscopy | Laboratory | $2.87 | $4.31 | |
| 82306 | Vitamin D, 25-hydroxy | Laboratory | $31.12 | $46.68 | |
| 82570 | Creatinine, urine | Laboratory | $7.56 | $11.34 | |
| 82607 | Vitamin B-12 | Laboratory | $18.78 | $28.17 | |
| 82728 | Ferritin | Laboratory | $15.56 | $23.34 | |
| 82947 | Glucose, blood | Laboratory | $5.12 | $7.68 | |
| 83036 | Hemoglobin A1c | Laboratory | $13.45 | $20.18 | |
| 83540 | Iron, serum | Laboratory | $8.23 | $12.35 | |
| 84153 | PSA (prostate-specific antigen) | Laboratory | $25.23 | $37.85 | |
| 84443 | TSH (thyroid stimulating hormone) | Laboratory | $22.67 | $34.01 | |
| 84439 | Free thyroxine (T4) | Laboratory | $14.23 | $21.35 | |
| 85025 | Complete blood count (CBC) with differential | Laboratory | $10.59 | $15.89 | |
| 85027 | Complete blood count (CBC) without differential | Laboratory | $7.89 | $11.84 | |
| 85610 | Prothrombin time (PT) | Laboratory | $5.67 | $8.51 | |
| 85730 | Partial thromboplastin time (PTT) | Laboratory | $7.45 | $11.18 | |
| 86235 | Nuclear antigen antibody (ANA) | Laboratory | $16.78 | $25.17 | |
| 86580 | Tuberculosis skin test (PPD) | Laboratory | $10.23 | $15.35 | |
| 86803 | Hepatitis C antibody test | Laboratory | $17.56 | $26.34 | |
| 87070 | Bacterial culture, any source except blood | Laboratory | $10.34 | $15.51 | |
| 87086 | Urine culture, bacterial, quantitative | Laboratory | $10.78 | $16.17 | |
| 87491 | Chlamydia detection, nucleic acid | Laboratory | $35.67 | $53.51 | |
| 87591 | Gonorrhea detection, nucleic acid | Laboratory | $35.67 | $53.51 | |
| 87804 | Influenza rapid test | Laboratory | $16.45 | $24.68 | |
| 87880 | Strep test, rapid | Laboratory | $16.23 | $24.35 | |
| 88305 | Surgical pathology, gross and microscopic exam | Pathology | $77.34 | $116.01 | |
| 88112 | Cytopathology, cell enhancement technique | Pathology | $28.56 | $42.84 | |
| 88142 | Cytopathology, thin-layer Pap smear | Pathology | $26.34 | $39.51 | |
| 88175 | Cytopathology, cervical/vaginal, automated thin layer | Pathology | $32.45 | $48.68 | |
| 88302 | Surgical pathology, gross and microscopic, level II | Pathology | $41.23 | $61.85 | |
| 88304 | Surgical pathology, gross and microscopic, level III | Pathology | $49.87 | $74.81 | |
| 88307 | Surgical pathology, gross and microscopic, level V | Pathology | $178.56 | $267.84 | |
| 88312 | Special stain, group I for microorganisms | Pathology | $68.92 | $103.38 | |
| 88342 | Immunohistochemistry, per specimen, initial antibody | Pathology | $83.45 | $125.18 | |
| 88360 | Morphometric analysis, tumor immunohistochemistry | Pathology | $104.67 | $157.01 | |
| 00100 | Anesthesia for procedures on salivary glands | Anesthesia | $162.34 | $243.51 | |
| 00140 | Anesthesia for procedures on eye | Anesthesia | $145.67 | $218.51 | |
| 00300 | Anesthesia for procedures on upper back and spine | Anesthesia | $178.45 | $267.68 | |
| 00400 | Anesthesia for procedures on integumentary system, extremities | Anesthesia | $143.23 | $214.85 | |
| 00520 | Anesthesia for closed chest procedures | Anesthesia | $212.56 | $318.84 | |
| 00630 | Anesthesia for procedures on lumbar spine | Anesthesia | $198.34 | $297.51 | |
| 00740 | Anesthesia for upper GI endoscopy procedures | Anesthesia | $156.78 | $235.17 | |
| 00810 | Anesthesia for lower GI endoscopy procedures | Anesthesia | $156.78 | $235.17 | |
| 00902 | Anesthesia for procedures on abdominal wall | Anesthesia | $167.45 | $251.18 | |
| 01402 | Anesthesia for open knee procedures | Anesthesia | $189.67 | $284.51 | |
| 01480 | Anesthesia for open procedures on lower leg bones | Anesthesia | $178.34 | $267.51 | |
| 01961 | Anesthesia for cesarean delivery | Anesthesia | $234.56 | $351.84 | |
| 01967 | Anesthesia for neuraxial labor analgesia (epidural) | Anesthesia | $267.89 | $401.84 | |
| 01996 | Daily hospital management of epidural/subarachnoid | Anesthesia | $87.34 | $131.01 | |
Office visit, new patient, straightforward
Medicare Rate
$74.57
Fair Price
$111.86
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Office visit, new patient, low complexity
Medicare Rate
$112.40
Fair Price
$168.60
Typical Billed Range
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Office visit, new patient, moderate complexity
Medicare Rate
$167.53
Fair Price
$251.30
Typical Billed Range
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Office visit, new patient, high complexity
Medicare Rate
$211.78
Fair Price
$317.67
Typical Billed Range
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Office visit, established patient, minimal
Medicare Rate
$28.14
Fair Price
$42.21
Typical Billed Range
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Office visit, established patient, straightforward
Medicare Rate
$72.10
Fair Price
$108.15
Typical Billed Range
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Office visit, established patient, low complexity
Medicare Rate
$109.02
Fair Price
$163.53
Typical Billed Range
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Office visit, established patient, moderate complexity
Medicare Rate
$152.78
Fair Price
$229.17
Typical Billed Range
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Office visit, established patient, high complexity
Medicare Rate
$205.16
Fair Price
$307.74
Typical Billed Range
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Initial hospital inpatient care, straightforward/low
Medicare Rate
$151.23
Fair Price
$226.85
Typical Billed Range
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Initial hospital inpatient care, moderate complexity
Medicare Rate
$199.45
Fair Price
$299.18
Typical Billed Range
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Initial hospital inpatient care, high complexity
Medicare Rate
$286.71
Fair Price
$430.07
Typical Billed Range
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Subsequent hospital care, straightforward/low
Medicare Rate
$80.52
Fair Price
$120.78
Typical Billed Range
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Subsequent hospital care, moderate complexity
Medicare Rate
$113.67
Fair Price
$170.51
Typical Billed Range
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Subsequent hospital care, high complexity
Medicare Rate
$163.84
Fair Price
$245.76
Typical Billed Range
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Hospital discharge day management, 30 min or less
Medicare Rate
$97.43
Fair Price
$146.15
Typical Billed Range
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Hospital discharge day management, more than 30 min
Medicare Rate
$143.12
Fair Price
$214.68
Typical Billed Range
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Emergency department visit, self-limited/minor
Medicare Rate
$29.63
Fair Price
$44.45
Typical Billed Range
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Emergency department visit, low to moderate severity
Medicare Rate
$54.81
Fair Price
$82.22
Typical Billed Range
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Emergency department visit, moderate severity
Medicare Rate
$93.45
Fair Price
$140.18
Typical Billed Range
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Emergency department visit, high severity
Medicare Rate
$168.27
Fair Price
$252.41
Typical Billed Range
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Emergency department visit, life-threatening severity
Medicare Rate
$247.91
Fair Price
$371.87
Typical Billed Range
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Office consultation, straightforward
Medicare Rate
$82.16
Fair Price
$123.24
Typical Billed Range
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Office consultation, low complexity
Medicare Rate
$120.47
Fair Price
$180.71
Typical Billed Range
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Office consultation, moderate complexity
Medicare Rate
$169.81
Fair Price
$254.72
Typical Billed Range
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Office consultation, moderate to high complexity
Medicare Rate
$237.26
Fair Price
$355.89
Typical Billed Range
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Office consultation, high complexity
Medicare Rate
$294.38
Fair Price
$441.57
Typical Billed Range
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Critical care, first 30-74 minutes
Medicare Rate
$312.45
Fair Price
$468.68
Typical Billed Range
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Critical care, each additional 30 minutes
Medicare Rate
$156.23
Fair Price
$234.35
Typical Billed Range
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Preventive visit, new patient, 18-39 years
Medicare Rate
$172.34
Fair Price
$258.51
Typical Billed Range
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Preventive visit, new patient, 40-64 years
Medicare Rate
$198.76
Fair Price
$298.14
Typical Billed Range
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Preventive visit, established patient, 18-39 years
Medicare Rate
$148.92
Fair Price
$223.38
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Preventive visit, established patient, 40-64 years
Medicare Rate
$163.47
Fair Price
$245.21
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Preventive visit, established patient, 65+ years
Medicare Rate
$178.63
Fair Price
$267.95
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Telephone E&M service, 5-10 minutes
Medicare Rate
$46.32
Fair Price
$69.48
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Telephone E&M service, 11-20 minutes
Medicare Rate
$80.15
Fair Price
$120.23
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Telephone E&M service, 21-30 minutes
Medicare Rate
$113.89
Fair Price
$170.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Prolonged service, outpatient, first hour
Medicare Rate
$126.74
Fair Price
$190.11
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Incision and drainage of abscess, simple
Medicare Rate
$165.42
Fair Price
$248.13
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Incision and drainage of abscess, complicated
Medicare Rate
$297.83
Fair Price
$446.75
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Removal of foreign body, subcutaneous, simple
Medicare Rate
$145.67
Fair Price
$218.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Debridement of skin, subcutaneous tissue, 20 sq cm
Medicare Rate
$119.84
Fair Price
$179.76
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Tangential biopsy of skin, single lesion
Medicare Rate
$112.38
Fair Price
$168.57
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Punch biopsy of skin, single lesion
Medicare Rate
$107.92
Fair Price
$161.88
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Removal of skin tags, up to 15
Medicare Rate
$127.54
Fair Price
$191.31
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Debridement of nails, 6 or more
Medicare Rate
$56.78
Fair Price
$85.17
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Simple repair of superficial wound, 2.5 cm or less
Medicare Rate
$153.26
Fair Price
$229.89
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Simple repair of superficial wound, 2.6-7.5 cm
Medicare Rate
$172.41
Fair Price
$258.62
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Simple repair of face wound, 2.5 cm or less
Medicare Rate
$167.83
Fair Price
$251.75
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Destruction of premalignant lesion, first
Medicare Rate
$87.62
Fair Price
$131.43
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Destruction of premalignant lesion, 2-14, each
Medicare Rate
$17.84
Fair Price
$26.76
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Destruction of benign lesions, up to 14
Medicare Rate
$102.63
Fair Price
$153.95
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Mastectomy, partial
Medicare Rate
$841.53
Fair Price
$1,262.30
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Mastectomy, simple, complete
Medicare Rate
$1,124.67
Fair Price
$1,687.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Arthrocentesis of major joint or bursa
Medicare Rate
$109.56
Fair Price
$164.34
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Arthrocentesis of major joint with ultrasound guidance
Medicare Rate
$148.73
Fair Price
$223.10
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Closed treatment of distal radial fracture
Medicare Rate
$398.67
Fair Price
$598.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Total knee replacement arthroplasty
Medicare Rate
$1,576.82
Fair Price
$2,365.23
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Total hip replacement arthroplasty
Medicare Rate
$1,498.35
Fair Price
$2,247.53
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Surgical treatment of intertrochanteric femoral fracture
Medicare Rate
$1,132.54
Fair Price
$1,698.81
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Correction of hammertoe
Medicare Rate
$487.23
Fair Price
$730.85
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Knee arthroscopy with meniscectomy
Medicare Rate
$694.18
Fair Price
$1,041.27
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Shoulder arthroscopy with decompression
Medicare Rate
$623.45
Fair Price
$935.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Shoulder arthroscopy with rotator cuff repair
Medicare Rate
$987.63
Fair Price
$1,481.45
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Upper GI endoscopy with biopsy
Medicare Rate
$387.42
Fair Price
$581.13
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Upper GI endoscopy with balloon dilation
Medicare Rate
$412.56
Fair Price
$618.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Colonoscopy with biopsy
Medicare Rate
$456.23
Fair Price
$684.35
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Diagnostic colonoscopy
Medicare Rate
$397.81
Fair Price
$596.72
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Colonoscopy with biopsy, single or multiple
Medicare Rate
$468.92
Fair Price
$703.38
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Colonoscopy with removal of polyp by snare
Medicare Rate
$512.46
Fair Price
$768.69
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Laparoscopic cholecystectomy
Medicare Rate
$876.34
Fair Price
$1,314.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Laparoscopic cholecystectomy with cholangiography
Medicare Rate
$978.56
Fair Price
$1,467.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Repair of inguinal hernia, initial
Medicare Rate
$647.89
Fair Price
$971.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Laparoscopic repair of inguinal hernia
Medicare Rate
$756.23
Fair Price
$1,134.35
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Cystourethroscopy
Medicare Rate
$267.45
Fair Price
$401.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Biopsy of prostate, needle
Medicare Rate
$198.34
Fair Price
$297.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Endometrial biopsy
Medicare Rate
$148.92
Fair Price
$223.38
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Hysteroscopy with biopsy and polypectomy
Medicare Rate
$478.63
Fair Price
$717.95
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Laparoscopy with removal of adnexal structures
Medicare Rate
$812.47
Fair Price
$1,218.71
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Routine obstetric care, vaginal delivery
Medicare Rate
$2,187.45
Fair Price
$3,281.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Routine obstetric care, cesarean delivery
Medicare Rate
$2,456.78
Fair Price
$3,685.17
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Lumbar epidural injection
Medicare Rate
$234.56
Fair Price
$351.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Lumbar laminectomy, single segment
Medicare Rate
$1,287.34
Fair Price
$1,931.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Transforaminal epidural injection, lumbar
Medicare Rate
$287.45
Fair Price
$431.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Cataract surgery with intraocular lens insertion
Medicare Rate
$782.56
Fair Price
$1,173.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Intravitreal injection
Medicare Rate
$153.42
Fair Price
$230.13
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Removal of impacted cerumen, unilateral
Medicare Rate
$47.23
Fair Price
$70.85
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
CT head/brain without contrast
Medicare Rate
$129.87
Fair Price
$194.81
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
CT sinuses without contrast
Medicare Rate
$142.34
Fair Price
$213.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
MRI brain without and with contrast
Medicare Rate
$378.92
Fair Price
$568.38
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Chest X-ray, single view
Medicare Rate
$30.52
Fair Price
$45.78
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Chest X-ray, 2 views
Medicare Rate
$38.47
Fair Price
$57.71
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
CT chest without contrast
Medicare Rate
$164.23
Fair Price
$246.35
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
CT chest with contrast
Medicare Rate
$218.56
Fair Price
$327.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
X-ray of thoracic spine, 2 views
Medicare Rate
$37.84
Fair Price
$56.76
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
X-ray of lumbosacral spine, 2-3 views
Medicare Rate
$44.23
Fair Price
$66.35
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
X-ray of lumbosacral spine, minimum 4 views
Medicare Rate
$52.67
Fair Price
$79.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
MRI lumbar spine without contrast
Medicare Rate
$260.84
Fair Price
$391.26
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
MRI cervical spine without contrast
Medicare Rate
$257.43
Fair Price
$386.15
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
MRI lumbar spine without and with contrast
Medicare Rate
$378.56
Fair Price
$567.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
X-ray of shoulder, minimum 2 views
Medicare Rate
$33.45
Fair Price
$50.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
X-ray of humerus, minimum 2 views
Medicare Rate
$31.87
Fair Price
$47.81
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
X-ray of wrist, minimum 3 views
Medicare Rate
$33.12
Fair Price
$49.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
MRI of upper extremity joint without contrast
Medicare Rate
$256.78
Fair Price
$385.17
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
X-ray of hip, 2-3 views
Medicare Rate
$34.56
Fair Price
$51.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
X-ray of knee, 1-2 views
Medicare Rate
$29.34
Fair Price
$44.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
X-ray of knee, 3 views
Medicare Rate
$35.67
Fair Price
$53.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
X-ray of ankle, minimum 3 views
Medicare Rate
$33.78
Fair Price
$50.67
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
X-ray of foot, minimum 3 views
Medicare Rate
$33.45
Fair Price
$50.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
MRI of lower extremity joint without contrast
Medicare Rate
$259.56
Fair Price
$389.34
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
X-ray of abdomen, single view
Medicare Rate
$30.12
Fair Price
$45.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
CT abdomen without contrast
Medicare Rate
$174.56
Fair Price
$261.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
CT abdomen and pelvis with contrast
Medicare Rate
$306.42
Fair Price
$459.63
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
CT abdomen and pelvis without and with contrast
Medicare Rate
$365.78
Fair Price
$548.67
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Ultrasound of abdomen, complete
Medicare Rate
$118.45
Fair Price
$177.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Ultrasound of retroperitoneum, complete
Medicare Rate
$119.23
Fair Price
$178.85
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Obstetric ultrasound, detailed
Medicare Rate
$148.67
Fair Price
$223.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Transvaginal ultrasound
Medicare Rate
$124.56
Fair Price
$186.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Ultrasound of pelvis, complete
Medicare Rate
$112.34
Fair Price
$168.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Ultrasound of extremity, limited
Medicare Rate
$67.89
Fair Price
$101.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Diagnostic mammography, unilateral
Medicare Rate
$98.45
Fair Price
$147.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Diagnostic mammography, bilateral
Medicare Rate
$123.78
Fair Price
$185.67
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Screening mammography, bilateral
Medicare Rate
$108.92
Fair Price
$163.38
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
DEXA bone density study, axial
Medicare Rate
$55.34
Fair Price
$83.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Electrocardiogram (ECG/EKG), 12-lead, with interpretation
Medicare Rate
$25.87
Fair Price
$38.81
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Electrocardiogram (ECG/EKG), tracing only
Medicare Rate
$10.12
Fair Price
$15.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Electrocardiogram (ECG/EKG), interpretation only
Medicare Rate
$13.45
Fair Price
$20.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Echocardiography, complete, with Doppler
Medicare Rate
$287.34
Fair Price
$431.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Cardiac rehabilitation, per session
Medicare Rate
$49.23
Fair Price
$73.85
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Psychotherapy, 45 minutes
Medicare Rate
$108.67
Fair Price
$163.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Psychotherapy, 60 minutes
Medicare Rate
$145.23
Fair Price
$217.85
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Family psychotherapy with patient present
Medicare Rate
$127.89
Fair Price
$191.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Psychiatric diagnostic evaluation
Medicare Rate
$182.56
Fair Price
$273.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Psychotherapy, 30 minutes
Medicare Rate
$75.34
Fair Price
$113.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Family psychotherapy without patient present
Medicare Rate
$117.45
Fair Price
$176.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Eye exam, established patient, intermediate
Medicare Rate
$78.56
Fair Price
$117.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Eye exam, established patient, comprehensive
Medicare Rate
$112.78
Fair Price
$169.17
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Speech therapy treatment
Medicare Rate
$65.43
Fair Price
$98.15
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Duplex scan of carotid arteries, bilateral
Medicare Rate
$168.45
Fair Price
$252.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Non-invasive vascular study of upper or lower extremity arteries
Medicare Rate
$76.34
Fair Price
$114.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Duplex scan of extremity veins, complete bilateral
Medicare Rate
$192.45
Fair Price
$288.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Spirometry
Medicare Rate
$36.78
Fair Price
$55.17
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Bronchospasm evaluation with spirometry
Medicare Rate
$58.23
Fair Price
$87.35
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Nebulizer treatment, inhalation
Medicare Rate
$21.45
Fair Price
$32.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Pulse oximetry, single measurement
Medicare Rate
$7.23
Fair Price
$10.85
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Allergy skin tests, percutaneous
Medicare Rate
$5.12
Fair Price
$7.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Allergy immunotherapy, preparation and provision of antigens
Medicare Rate
$20.34
Fair Price
$30.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Electroencephalogram (EEG), with sleep
Medicare Rate
$243.56
Fair Price
$365.34
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Therapeutic injection, subcutaneous or intramuscular
Medicare Rate
$38.45
Fair Price
$57.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Therapeutic IV push, single substance
Medicare Rate
$68.92
Fair Price
$103.38
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Therapeutic IV push, each additional substance
Medicare Rate
$28.56
Fair Price
$42.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Chemotherapy IV infusion, up to 1 hour
Medicare Rate
$186.45
Fair Price
$279.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Therapeutic exercises, each 15 minutes
Medicare Rate
$40.82
Fair Price
$61.23
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Neuromuscular reeducation, each 15 minutes
Medicare Rate
$42.56
Fair Price
$63.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Gait training therapy, each 15 minutes
Medicare Rate
$38.67
Fair Price
$58.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Manual therapy techniques, each 15 minutes
Medicare Rate
$39.78
Fair Price
$59.67
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Physical therapy evaluation, low complexity
Medicare Rate
$105.23
Fair Price
$157.85
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Physical therapy evaluation, moderate complexity
Medicare Rate
$115.67
Fair Price
$173.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Physical therapy evaluation, high complexity
Medicare Rate
$126.45
Fair Price
$189.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Therapeutic activities, each 15 minutes
Medicare Rate
$42.34
Fair Price
$63.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Wheelchair management training, each 15 minutes
Medicare Rate
$36.89
Fair Price
$55.34
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Venipuncture for blood collection
Medicare Rate
$3.56
Fair Price
$5.34
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Capillary blood collection (finger/heel stick)
Medicare Rate
$4.23
Fair Price
$6.35
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Immunization administration, first vaccine
Medicare Rate
$30.56
Fair Price
$45.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Immunization administration, each additional vaccine
Medicare Rate
$15.34
Fair Price
$23.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Tdap vaccine
Medicare Rate
$42.78
Fair Price
$64.17
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Influenza vaccine, high-dose
Medicare Rate
$67.45
Fair Price
$101.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Developmental screening, with interpretation
Medicare Rate
$13.78
Fair Price
$20.67
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Brief emotional/behavioral assessment
Medicare Rate
$6.56
Fair Price
$9.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Smoking cessation counseling, 3-10 minutes
Medicare Rate
$19.45
Fair Price
$29.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Smoking cessation counseling, over 10 minutes
Medicare Rate
$35.67
Fair Price
$53.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Basic metabolic panel
Medicare Rate
$11.47
Fair Price
$17.21
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
General health panel
Medicare Rate
$27.56
Fair Price
$41.34
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Comprehensive metabolic panel
Medicare Rate
$14.49
Fair Price
$21.74
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Lipid panel
Medicare Rate
$18.34
Fair Price
$27.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Renal function panel
Medicare Rate
$12.34
Fair Price
$18.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Hepatic function panel
Medicare Rate
$11.89
Fair Price
$17.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Urinalysis with microscopy, automated
Medicare Rate
$4.28
Fair Price
$6.42
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Urinalysis without microscopy
Medicare Rate
$3.23
Fair Price
$4.85
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Urinalysis, automated without microscopy
Medicare Rate
$2.87
Fair Price
$4.31
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Vitamin D, 25-hydroxy
Medicare Rate
$31.12
Fair Price
$46.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Creatinine, urine
Medicare Rate
$7.56
Fair Price
$11.34
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Vitamin B-12
Medicare Rate
$18.78
Fair Price
$28.17
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Ferritin
Medicare Rate
$15.56
Fair Price
$23.34
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Glucose, blood
Medicare Rate
$5.12
Fair Price
$7.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Hemoglobin A1c
Medicare Rate
$13.45
Fair Price
$20.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Iron, serum
Medicare Rate
$8.23
Fair Price
$12.35
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
PSA (prostate-specific antigen)
Medicare Rate
$25.23
Fair Price
$37.85
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
TSH (thyroid stimulating hormone)
Medicare Rate
$22.67
Fair Price
$34.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Free thyroxine (T4)
Medicare Rate
$14.23
Fair Price
$21.35
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Complete blood count (CBC) with differential
Medicare Rate
$10.59
Fair Price
$15.89
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Complete blood count (CBC) without differential
Medicare Rate
$7.89
Fair Price
$11.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Prothrombin time (PT)
Medicare Rate
$5.67
Fair Price
$8.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Partial thromboplastin time (PTT)
Medicare Rate
$7.45
Fair Price
$11.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Nuclear antigen antibody (ANA)
Medicare Rate
$16.78
Fair Price
$25.17
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Tuberculosis skin test (PPD)
Medicare Rate
$10.23
Fair Price
$15.35
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Hepatitis C antibody test
Medicare Rate
$17.56
Fair Price
$26.34
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Bacterial culture, any source except blood
Medicare Rate
$10.34
Fair Price
$15.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Urine culture, bacterial, quantitative
Medicare Rate
$10.78
Fair Price
$16.17
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Chlamydia detection, nucleic acid
Medicare Rate
$35.67
Fair Price
$53.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Gonorrhea detection, nucleic acid
Medicare Rate
$35.67
Fair Price
$53.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Influenza rapid test
Medicare Rate
$16.45
Fair Price
$24.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Strep test, rapid
Medicare Rate
$16.23
Fair Price
$24.35
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Surgical pathology, gross and microscopic exam
Medicare Rate
$77.34
Fair Price
$116.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Cytopathology, cell enhancement technique
Medicare Rate
$28.56
Fair Price
$42.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Cytopathology, thin-layer Pap smear
Medicare Rate
$26.34
Fair Price
$39.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Cytopathology, cervical/vaginal, automated thin layer
Medicare Rate
$32.45
Fair Price
$48.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Surgical pathology, gross and microscopic, level II
Medicare Rate
$41.23
Fair Price
$61.85
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Surgical pathology, gross and microscopic, level III
Medicare Rate
$49.87
Fair Price
$74.81
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Surgical pathology, gross and microscopic, level V
Medicare Rate
$178.56
Fair Price
$267.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Special stain, group I for microorganisms
Medicare Rate
$68.92
Fair Price
$103.38
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Immunohistochemistry, per specimen, initial antibody
Medicare Rate
$83.45
Fair Price
$125.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Morphometric analysis, tumor immunohistochemistry
Medicare Rate
$104.67
Fair Price
$157.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for procedures on salivary glands
Medicare Rate
$162.34
Fair Price
$243.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for procedures on eye
Medicare Rate
$145.67
Fair Price
$218.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for procedures on upper back and spine
Medicare Rate
$178.45
Fair Price
$267.68
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for procedures on integumentary system, extremities
Medicare Rate
$143.23
Fair Price
$214.85
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for closed chest procedures
Medicare Rate
$212.56
Fair Price
$318.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for procedures on lumbar spine
Medicare Rate
$198.34
Fair Price
$297.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for upper GI endoscopy procedures
Medicare Rate
$156.78
Fair Price
$235.17
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for lower GI endoscopy procedures
Medicare Rate
$156.78
Fair Price
$235.17
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for procedures on abdominal wall
Medicare Rate
$167.45
Fair Price
$251.18
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for open knee procedures
Medicare Rate
$189.67
Fair Price
$284.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for open procedures on lower leg bones
Medicare Rate
$178.34
Fair Price
$267.51
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for cesarean delivery
Medicare Rate
$234.56
Fair Price
$351.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Anesthesia for neuraxial labor analgesia (epidural)
Medicare Rate
$267.89
Fair Price
$401.84
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
Daily hospital management of epidural/subarachnoid
Medicare Rate
$87.34
Fair Price
$131.01
Typical Billed Range
Bar shows Medicare rate relative to typical billed maximum
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These are estimated Medicare rates based on public CMS Physician Fee Schedule data and may vary by geographic location. This is for educational purposes only and is not a guarantee of pricing. Consult your provider for actual costs.
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