| With No Other Procedures | With 1 or More Additional Procedures |
Principal Procedure | Median Charge | Average Commercial Insurance Payment | Average Medicare Insurance Payment* | Median Charge | Average Commercial Insurance Payment | Average Medicare Insurance Payment* |
Lesion Removal Colonoscopy by Snare Technique 45385) | $5,298 | $3,020 | $1,907 | NR | NR | NR |
Cataract Surgery with Intraocular Lens - Stage 1 66984) | $11,870 | $6,766 | $4,273 | NR | NR | NR |
Colonoscopy and Biopsy 45380) | $5,673 | $3,234 | $2,042 | NR | NR | NR |
Upper GI Endoscopy with Biopsy 43239) | $5,295 | $3,018 | $1,906 | $6,637 | $3,783 | $2,389 |
Diagnostic Colonoscopy 45378) | $3,388 | $1,931 | $1,220 | NR | NR | NR |
Injection into Lumbar or Sacral Area, Single Level 64483) | NR | NR | NR | NR | NR | NR |
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105) | $4,182 | $2,383 | $1,505 | NR | NR | NR |
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323) | NR | NR | NR | NR | NR | NR |
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121) | $3,504 | $1,997 | $1,261 | NR | NR | NR |
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493) | NR | NR | NR | NR | NR | NR |
Total Knee Arthroscopy 27447) | $32,968 | $18,792 | $11,868 | $32,532 | $18,543 | $11,712 |
Carpal Tunnel Surgery 64721) | $5,744 | $3,274 | $2,068 | NR | NR | NR |
Uppr GI Endoscopy- Diagnostic 43235) | $4,965 | $2,830 | $1,787 | $6,897 | $3,931 | $2,483 |
TOTAL HIP ARTHROPLASTY 27130) | $35,550 | $20,264 | $12,798 | $35,434 | $20,197 | $12,756 |
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635) | NR | NR | NR | NR | NR | NR |
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881) | $9,861 | $5,621 | $3,550 | NR | NR | NR |
Left Heart Artery/Ventricle Angiography 93458) | NR | NR | NR | NR | NR | NR |
Drain/Inject Major Joint or Bursa 20610) | NR | NR | NR | NR | NR | NR |
Unlisted Dental Surgery Procedure 41899) | $8,222 | $4,687 | $2,960 | NR | NR | NR |
Esophageal Endoscopy with Dilation 43249) | $5,169 | $2,946 | $1,861 | $14,816 | $8,445 | $5,334 |
Cystourethroscopy with Lithotripsy and Stent 52356) | NR | NR | NR | NR | NR | NR |
Arthroscopic Rotator Cuff Repair 29827) | $20,267 | $11,552 | $7,296 | $21,149 | $12,055 | $7,614 |
Laparoscopic Cholecystectomy 47562) | $15,320 | $8,732 | $5,515 | NR | NR | NR |
Hysteroscopy with Biopsy 58558) | NR | NR | NR | NR | NR | NR |
Cataract Surgery- Complex 66982) | $12,292 | $7,007 | $4,425 | NR | NR | NR |
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321) | NR | NR | NR | NR | NR | NR |
Laparoscopic Hernia Repair - Initial 49650) | $16,014 | $9,128 | $5,765 | NR | NR | NR |
Uppr GI Endoscopy with Guide Wire 43248) | $5,138 | $2,929 | $1,850 | $5,392 | $3,073 | $1,941 |
After Cataract Laser Surgery 66821) | NR | NR | NR | NR | NR | NR |
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490) | NR | NR | NR | NR | NR | NR |
ABD Paracentesis w/Imaging 49083) | NR | NR | NR | NR | NR | NR |
Incision of Finger Tendon Sheath 26055) | $7,085 | $4,038 | $2,551 | NR | NR | NR |
Laparoscopy, Removal of Tubes & Ovaries 58571) | NR | NR | NR | NR | NR | NR |
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384) | NR | NR | NR | NR | NR | NR |
Creation of Eardrum Opening 69436) | $6,744 | $3,844 | $2,428 | NR | NR | NR |
Laparoscopic Appendectomy 44970) | $27,021 | $15,402 | $9,728 | $28,261 | $16,109 | $10,174 |
Laparoscopy - Removal of Adnexal Structures 58661) | NR | NR | NR | NR | NR | NR |
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680) | $10,034 | $5,719 | $3,612 | $34,110 | $19,443 | $12,280 |
Mastectomy, Partial 19301) | $14,670 | $8,362 | $5,281 | $29,060 | $16,564 | $10,462 |
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083) | NR | NR | NR | NR | NR | NR |
Cystourethroscopy with Stent 52332) | NR | NR | NR | NR | NR | NR |
Unlisted Cystourethoscopy 52000) | NR | NR | NR | NR | NR | NR |
Coronary Artery Angio S&I 93454) | NR | NR | NR | NR | NR | NR |
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563) | $17,883 | $10,194 | $6,438 | NR | NR | NR |
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505) | NR | NR | NR | NR | NR | NR |
Wrist Endoscopy/Surgery 29848) | NR | NR | NR | NR | NR | NR |
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880) | $9,795 | $5,583 | $3,526 | $22,839 | $13,018 | $8,222 |
FNA BX W/US GDN 1ST LES 10005) | NR | NR | NR | NR | NR | NR |
Removal of Tonsils And Adenoids - < Age 12 42820) | $8,012 | $4,567 | $2,884 | NR | NR | NR |
Angioplasty - peripheral segment of the dialysis circuit 36902) | NR | NR | NR | NR | NR | NR |
Destruction by neurolytic agent w imaging, cervical or thoracic 64633) | NR | NR | NR | NR | NR | NR |
Removal of Tonsils 42826) | $9,783 | $5,576 | $3,522 | NR | NR | NR |
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888) | $21,047 | $11,997 | $7,577 | NR | NR | NR |
RECONSTRUCT SHOULDER JOINT 23472) | $41,849 | $23,854 | $15,065 | $40,020 | $22,811 | $14,407 |
Decompression of Ulnar Nerve at Elbow 64718) | NR | NR | NR | NR | NR | NR |
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585) | $10,747 | $6,126 | $3,869 | $17,405 | $9,921 | $6,266 |
Repair of Nasal Septum 30520) | $12,985 | $7,401 | $4,675 | $13,708 | $7,814 | $4,935 |
Low Back Disk Surgery 63030) | NR | NR | NR | NR | NR | NR |
Right and Left Heart Artery/Ventricle Angiography 93460) | NR | NR | NR | NR | NR | NR |
Fragmenting of Kidney Stone 50590) | $8,322 | $4,743 | $2,996 | NR | NR | NR |
REDUCTION OF LARGE BREAST 19318) | NR | NR | NR | NR | NR | NR |
Biopsy breast w/stereotactic image; 1 lesion 19081) | NR | NR | NR | NR | NR | NR |
DX BONE MARROW BX & ASPIR 38222) | NR | NR | NR | NR | NR | NR |
Debridement Skin/Tissue 11042) | $10,239 | $5,836 | $3,686 | $12,873 | $7,338 | $4,634 |
TX ATRIAL FIB PULM VEIN ISOL 93656) | NR | NR | NR | NR | NR | NR |
INSERT ANT SEGMENT DRAIN INT 0191T) | NR | NR | NR | NR | NR | NR |
Mohs Micrographic Tissue Removal 17311) | NR | NR | NR | NR | NR | NR |
Repair of wrist joints 25447) | NR | NR | NR | NR | NR | NR |
ESOPHAGUS MOTILITY STUDY 91010) | NR | NR | NR | NR | NR | NR |
REMOVAL OF SPINAL LAMINA 63047) | NR | NR | NR | NR | NR | NR |
REMOVAL OF TURBINATE BONES 30140) | NR | NR | NR | $14,284 | $8,142 | $5,142 |
Repair of upper eyelid with excessive skin 15823) | NR | NR | NR | NR | NR | NR |
Upper GI Endoscopy w Removal of Foreign Body 43247) | NR | NR | NR | NR | NR | NR |
Injection of chemical agent into muscles near face/neck 64615) | NR | NR | NR | NR | NR | NR |
Hysteroscopy with Ablation 58563) | NR | NR | NR | NR | NR | NR |