The table of average charges for outpatient cases shows the average charges for the most common outpatient services, procedures and surgeries. As is the case for all data on this site, these are averages to provide a general idea of expected charges based on the Fiscal Year ended June 30, 2022. Actual charges will vary.
Service Title | CPT Code | Avg. Charge |
Basic Metabolic Panel |
80048 |
$200 |
Blood Gas Analysis, including 02 saturation |
82805 |
$150 |
Complete Blood Count, automated |
85027 |
$60 |
Complete Blood Count, with differential WBC, automated |
85025 |
$80 |
Comprehensive Metabolic Panel |
80053 |
$300 |
Creatine Kinase (CK), (CPK), Total |
82550 |
$90 |
Lipid Panel |
80061 |
$130 |
Partial Thromboplastin Time |
85730 |
$110 |
Prothrombin Time |
85610 |
$90 |
Thyroid Stimulating Hormone |
84443 |
$130 |
Troponin, Quantitative |
84484 |
$190 |
Urinalysis, with microscopy |
81000 or 81001 |
$80 |
Urinalysis, without microscopy |
81002 or 81003 |
$60 |
Service Title | CPT Code | Avg. Charge |
Cardiac Catheterization, Left Heart, percutaneous |
93452 |
NA |
Echocardiography, Transthoracic, complete, without Doppler |
93307 |
$1,700 |
Electrocardiogram, routine, with interpretation and report |
93000 |
$420 |
Inhalation Treatment, pressurized or nonpressurized |
94640 |
$190 |
Physical Therapy, Evaluation |
97161-97163 |
$350 |
Physical Therapy, Gait Training |
97116 |
$170 |
Physical Therapy, Therapeutic Exercise |
97110 |
$180 |
Service Title | CPT Code | Avg. Charge |
CT Scan, Abdomen, with contrast |
74160 |
$3,500 |
CT Scan, Head or Brain, without contrast |
70450 |
$2,800 |
CT Scan, Pelvis, with contrast |
72193 |
$3,500 |
Mammography, Screening, Bilateral |
77067 |
$510 |
MRI, Brain, without contrast, followed by contrast |
70553 |
$7,500 |
Ultrasound, Abdomen, Complete |
76700 |
$1,300 |
Ultrasound, OB, 14 weeks or more, transabdominal |
76805 |
$1,300 |
X-Ray, Chest, two views |
71046 |
$350 |
X-Ray, Lower Back, minimum four views |
72110 |
$660 |
Service Title | CPT Code | Avg. Charge |
Arthroscopy, Knee, with meniscectomy (medial or lateral) |
29881 |
NA |
Arthroscopy, Shoulder, with partial acromioplasty |
29826 |
NA |
Carpal Tunnel Surgery |
64721 |
NA |
Cataract Removal with Insertion of Intraocular Lens, 1 Stage |
66984 |
NA |
Colonoscopy, diagnostic |
45378 |
NA |
Colonoscopy, with biopsy |
45380 |
NA |
Colonoscopy, with lesion removal, by snare technique |
45385 |
NA |
Discission, secondary membranous cataract, laser surgery |
66821 |
NA |
Endoscopy, Upper GI, diagnostic |
43235 |
NA |
Endoscopy, Upper GI, with biopsy |
43239 |
NA |
Excision, Breast Lesion, without preoperative radiological marker |
19120 |
NA |
Hernia Repair, Inguinal, 5 years and older |
49505 |
NA |
Injection, Anesthetic or Steroid, transforaminal epidural, lumbar |
64483 |
NA |
Injection, Diagnostic or Therapeutic substance, epidural, lumbar |
62322-62323 |
NA |
Laparoscopic Cholecystectomy |
47562 |
NA |
Tonsillectomy with Adenoidectomy, less than 12 years old |
42820 |
NA |
Tympanostomy (insert ventilating tube, general anesthesia) |
69436 |
NA |