Procedure cost lookup
Medicare benchmark rates for 13,392 CPT, HCPCS, and DRG codes. Compare facility vs. non-facility rates, ASC pricing, and regional variations.
5,862
Surgery
2,722
Other
1,574
Pathology/Lab
1,524
HCPCS Level II
1,045
Medicine/E&M
13,392 results
Most searched procedures
The procedures patients search for most, with Medicare benchmark pricing
Dbrdmt subq tis 1st 20sqcm/< CPT 11042
Partial mastectomy CPT 19301
Total hip arthroplasty CPT 27130
Total knee arthroplasty CPT 27447
Knee arthroscopy/surgery CPT 29881
Egd biopsy single/multiple CPT 43239
Laparoscopic cholecystectomy CPT 47562
Prp i/hern init reduc >5 yr CPT 49505
Laparoscopy remove adnexa CPT 58661
Xcapsl ctrc rmvl w/o ecp CPT 66984
Destruct premalg lesion CPT 17000
Coll venous bld venipuncture CPT 36415
Mri brain stem w/o & w/dye CPT 70553
X-ray exam chest 2 views CPT 71046
Mri neck spine w/o dye CPT 72141
Mri lumbar spine w/o dye CPT 72148
Mri jnt of lwr extre w/o dye CPT 73721
Ct abd & pelvis w/contrast CPT 74177
Ob us >= 14 wks sngl fetus CPT 76805
Comprehen metabolic panel CPT 80053
Complete cbc w/auto diff wbc CPT 85025
Psytx w pt 60 minutes CPT 90837
Emergency dept visit low mdm CPT 99283
Emergency dept visit mod mdm CPT 99284
Emergency dept visit hi mdm CPT 99285
Cesarean delivery CPT 59510
Electrocardiogram complete CPT 93000
Office o/p est low 20 min CPT 99213
Office o/p est mod 30 min CPT 99214
Office o/p est hi 40 min CPT 99215
Surgery
5,862 procedures
10005 Fna bx w/us gdn 1st les 10007 Fna bx w/fluor gdn 1st les 10009 Fna bx w/ct gdn 1st les 10011 Fna bx w/mr gdn 1st les 10021 Fna bx w/o img gdn 1st les 10030 Img gid flu coll drg sft tis 10060 I&d abscess simple/single 10061 I&d abscess comp/multiple 10080 I&d pilonidal cyst simple 10081 I&d pilonidal cyst comp 10120 Inc&rmvl fb subq tiss smpl 10121 Inc&rmvl fb subq tiss comp 10140 I&d hmtma seroma/fluid collj 10160 Pnxr aspir absc hmtma bulla 10180 I&d complex po wound infctj 11000 Dbrdmt ecz/infected skin<10% 11010 Debride skin at fx site 11011 Debride skin musc at fx site 11012 Deb skin bone at fx site 11042 Dbrdmt subq tis 1st 20sqcm/< 11043 Dbrdmt musc&/fsca 1st 20/< 11044 Dbrdmt bone 1st 20 sq cm/< 11057 Parng/cutg b9 hyprkr les >4 11102 Tangntl bx skin single les 11104 Punch bx skin single lesion + 5,837 more in Surgery
Other
2,722 procedures
0101T Esw muscskel sys nos 0102T Esw phy anes lat hmrl epcndl 0200T Perq sacral augmt unilat inj 0201T Perq sacral augmt bilat inj 0213T Njx paravert w/us cer/thor 0216T Njx paravert w/us lumb/sac 0238T Trluml perip athrc iliac art 0253T Insert aqueous drain device 0263T Im b1 mrw cel ther cmpl 0264T Im b1 mrw cel ther xcl hrvst 0265T Im b1 mrw cel ther hrvst onl 0274T Perq lamot/lam crv/thrc 0308T Insj ocular telescope prosth 0335T Insj sinus tarsi implant 0338T Trnscth renal symp denrv unl 0339T Trnscth renal symp denrv bil 0342T Thxp apheresis w/hdl delip 0402T Colgn crs-link crn&pachymtry 0408T Insj/rplc cardiac modulj sys 0409T Insj/rplc car modulj pls gn 0410T Insj/rplc car modulj atr elt 0411T Insj/rplc car modulj vnt elt 0412T Rmvl cardiac modulj pls gen 0413T Rmvl car modulj tranvns elt 0414T Rmvl & rpl car modulj pls gn + 2,697 more in Other
Pathology/Lab
1,574 procedures
86850 Rbc antibody screen 86880 Coombs test direct 86885 Coombs test indirect qual 86886 Coombs test indirect titer 86900 Blood typing serologic abo 86901 Blood typing serologic rh(d) 86902 Blood type antigen donor ea 86904 Blood typing patient serum 86905 Blood typing rbc antigens 86906 Bld typing serologic rh phnt 80047 Metabolic panel ionized ca 80048 Metabolic panel total ca 80051 Electrolyte panel 80053 Comprehen metabolic panel 80055 Obstetric panel 80061 Lipid panel 80069 Renal function panel 80074 Acute hepatitis panel 80076 Hepatic function panel 80081 Obstetric panel inc hiv tstg 80143 Drug assay acetaminophen 80145 Drug assay adalimumab 80150 Assay of amikacin 80151 Drug assay amiodarone 80155 Drug assay caffeine + 1,549 more in Pathology/Lab
HCPCS Level II
1,524 procedures
G0104 Ca screen;flexi sigmoidscope G0105 Colorectal scrn; hi risk ind G0121 Colon ca scrn not hi rsk ind G0186 Dstry eye lesn,fdr vssl tech G0260 Inj for sacroiliac jt anesth G0276 Pild/placebo control clin tr G0429 Dermal filler injection(s) A4216 Sterile water/saline, 10 ml A4217 Sterile water/saline, 500 ml A4239 Non-adju cgm supply allow A4255 Glucose monitor platforms A4257 Replace lensshield cartridge A4265 Paraffin A4271 Home lancing/test cartridges A4280 Brst prsths adhsv attchmnt A4310 Insert tray w/o bag/cath A4311 Catheter w/o bag 2-way latex A4312 Cath w/o bag 2-way silicone A4313 Catheter w/bag 3-way A4314 Cath w/drainage 2-way latex A4315 Cath w/drainage 2-way silcne A4316 Cath w/drainage 3-way A4320 Irrigation tray A4322 Irrigation syringe A4326 Male external catheter + 1,499 more in HCPCS Level II
Medicine/E&M
1,045 procedures
92920 Prq cardiac angioplast 1 art 92928 Prq card stent w/angio 1 vsl 93451 Right heart cath 93452 Left hrt cath w/ventrclgrphy 93453 R&l hrt cath w/ventriclgrphy 93454 Coronary artery angio s&i 93455 Coronary art/grft angio s&i 93456 R hrt coronary artery angio 93457 R hrt art/grft angio 93458 L hrt artery/ventricle angio 93459 L hrt art/grft angio 93460 R&l hrt art/ventricle angio 93461 R&l hrt art/ventricle angio 93985 Dup-scan hemo compl bi std 93986 Dup-scan hemo compl uni std 90371 Hep b ig im 90375 Rabies ig im/sc 90376 Rabies ig heat treated 90377 Rabies ig ht&sol human im/sc 90378 Rsv mab im 50mg 90471 Immunization admin 90473 Immune admin oral/nasal 90480 Admn sarscov2 vacc 1 dose 90611 Smallpox&monkeypox vac 0.5ml 90622 Vaccinia vrs vac 0.3 ml perq + 1,020 more in Medicine/E&M
Radiology
656 procedures
70010 Contrast x-ray of brain 70015 Contrast x-ray of brain 70030 X-ray eye for foreign body 70100 X-ray exam of jaw <4views 70110 X-ray exam of jaw 4/> views 70120 X-ray exam of mastoids 70130 X-ray exam of mastoids 70134 X-ray exam of middle ear 70140 X-ray exam of facial bones 70150 X-ray exam of facial bones 70160 X-ray exam of nasal bones 70170 X-ray exam of tear duct 70190 X-ray exam of eye sockets 70200 X-ray exam of eye sockets 70210 X-ray exam of sinuses 70220 X-ray exam of sinuses 70240 X-ray exam pituitary saddle 70250 X-ray exam of skull 70260 X-ray exam of skull 70300 X-ray exam of teeth 70310 X-ray exam of teeth 70320 Full mouth x-ray of teeth 70328 X-ray exam of jaw joint 70330 X-ray exam of jaw joints 70332 X-ray exam of jaw joint + 631 more in Radiology
Evaluation/Management
9 procedures
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