| 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* |
Cataract Surgery with Intraocular Lens - Stage 1 66984) | NR | NR | NR | NR | NR | NR |
Colonoscopy and Biopsy 45380) | $7,698 | $4,465 | $1,078 | $12,115 | $7,027 | $1,696 |
Lesion Removal Colonoscopy by Snare Technique 45385) | $7,914 | $4,590 | $1,108 | $10,612 | $6,155 | $1,486 |
Upper GI Endoscopy with Biopsy 43239) | $7,336 | $4,255 | $1,027 | $10,234 | $5,936 | $1,433 |
Diagnostic Colonoscopy 45378) | $6,308 | $3,659 | $883 | $10,732 | $6,225 | $1,503 |
Injection into Lumbar or Sacral Area, Single Level 64483) | NR | NR | NR | NR | NR | NR |
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323) | NR | NR | NR | NR | NR | NR |
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493) | NR | NR | NR | $7,678 | $4,453 | $1,075 |
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121) | $6,393 | $3,708 | $895 | NR | NR | NR |
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105) | $6,380 | $3,701 | $893 | $7,445 | $4,318 | $1,042 |
Carpal Tunnel Surgery 64721) | $10,632 | $6,166 | $1,488 | $13,522 | $7,843 | $1,893 |
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635) | NR | NR | NR | NR | NR | NR |
Uppr GI Endoscopy- Diagnostic 43235) | $6,043 | $3,505 | $846 | $8,580 | $4,977 | $1,201 |
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881) | $16,713 | $9,694 | $2,340 | $56,016 | $32,490 | $7,842 |
Drain/Inject Major Joint or Bursa 20610) | NR | NR | NR | NR | NR | NR |
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321) | NR | NR | NR | NR | NR | NR |
Creation of Eardrum Opening 69436) | $7,770 | $4,506 | $1,088 | $7,646 | $4,435 | $1,071 |
Left Heart Artery/Ventricle Angiography 93458) | $17,416 | $10,101 | $2,438 | $18,827 | $10,919 | $2,636 |
Unlisted Dental Surgery Procedure 41899) | $12,006 | $6,963 | $1,681 | NR | NR | NR |
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490) | NR | NR | NR | NR | NR | NR |
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384) | $8,565 | $4,968 | $1,199 | NR | NR | NR |
Laparoscopic Cholecystectomy 47562) | $27,150 | $15,747 | $3,801 | $28,967 | $16,801 | $4,055 |
Esophageal Endoscopy with Dilation 43249) | $7,877 | $4,569 | $1,103 | $9,403 | $5,454 | $1,316 |
Total Knee Arthroscopy 27447) | $53,070 | $30,781 | $7,430 | $52,956 | $30,715 | $7,414 |
After Cataract Laser Surgery 66821) | NR | NR | NR | NR | NR | NR |
Arthroscopic Rotator Cuff Repair 29827) | NR | NR | NR | $52,128 | $30,234 | $7,298 |
Cataract Surgery- Complex 66982) | NR | NR | NR | NR | NR | NR |
Cystourethroscopy with Lithotripsy and Stent 52356) | $21,601 | $12,529 | $3,024 | $27,468 | $15,931 | $3,846 |
Hysteroscopy with Biopsy 58558) | $18,507 | $10,734 | $2,591 | $20,871 | $12,105 | $2,922 |
Removal of Tonsils And Adenoids - < Age 12 42820) | $11,740 | $6,809 | $1,644 | $13,636 | $7,909 | $1,909 |
Uppr GI Endoscopy with Guide Wire 43248) | $6,791 | $3,939 | $951 | $8,316 | $4,824 | $1,164 |
Laparoscopic Hernia Repair - Initial 49650) | $30,860 | $17,899 | $4,320 | $36,581 | $21,217 | $5,121 |
Incision of Finger Tendon Sheath 26055) | $10,016 | $5,810 | $1,402 | $13,498 | $7,829 | $1,890 |
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680) | $13,496 | $7,828 | $1,890 | $17,420 | $10,104 | $2,439 |
Destruction by neurolytic agent w imaging, cervical or thoracic 64633) | NR | NR | NR | NR | NR | NR |
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083) | NR | NR | NR | NR | NR | NR |
Laparoscopy - Removal of Adnexal Structures 58661) | $24,448 | $14,180 | $3,423 | $32,417 | $18,802 | $4,538 |
Laparoscopy, Removal of Tubes & Ovaries 58571) | $38,050 | $22,069 | $5,327 | $56,743 | $32,911 | $7,944 |
ABD Paracentesis w/Imaging 49083) | NR | NR | NR | NR | NR | NR |
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505) | $29,229 | $16,953 | $4,092 | $39,457 | $22,885 | $5,524 |
Mastectomy, Partial 19301) | $16,048 | $9,308 | $2,247 | $24,279 | $14,082 | $3,399 |
Cystourethroscopy with Stent 52332) | $11,899 | $6,901 | $1,666 | $13,945 | $8,088 | $1,952 |
Laparoscopic Appendectomy 44970) | $30,582 | $17,737 | $4,281 | $33,710 | $19,552 | $4,719 |
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563) | $27,039 | $15,683 | $3,785 | $33,233 | $19,275 | $4,653 |
Unlisted Cystourethoscopy 52000) | $6,124 | $3,552 | $857 | $7,676 | $4,452 | $1,075 |
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880) | $15,434 | $8,952 | $2,161 | $16,777 | $9,730 | $2,349 |
Angioplasty - peripheral segment of the dialysis circuit 36902) | NR | NR | NR | NR | NR | NR |
Coronary Artery Angio S&I 93454) | $17,650 | $10,237 | $2,471 | $20,914 | $12,130 | $2,928 |
Wrist Endoscopy/Surgery 29848) | NR | NR | NR | NR | NR | NR |
Removal of Tonsils 42826) | $13,280 | $7,703 | $1,859 | $23,124 | $13,412 | $3,237 |
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585) | $14,992 | $8,695 | $2,099 | $24,828 | $14,400 | $3,476 |
Fragmenting of Kidney Stone 50590) | $17,447 | $10,119 | $2,443 | $21,194 | $12,292 | $2,967 |
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888) | $28,312 | $16,421 | $3,964 | $47,802 | $27,725 | $6,692 |
Low Back Disk Surgery 63030) | $31,290 | $18,148 | $4,381 | $42,188 | $24,469 | $5,906 |
Debridement Skin/Tissue 11042) | $35,720 | $20,718 | $5,001 | NR | NR | NR |
Biopsy breast w/stereotactic image; 1 lesion 19081) | NR | NR | NR | $18,163 | $10,534 | $2,543 |
Repair of Nasal Septum 30520) | $15,484 | $8,981 | $2,168 | $19,373 | $11,236 | $2,712 |
Right and Left Heart Artery/Ventricle Angiography 93460) | $20,526 | $11,905 | $2,874 | $22,721 | $13,178 | $3,181 |
Decompression of Ulnar Nerve at Elbow 64718) | $21,379 | $12,400 | $2,993 | $19,718 | $11,437 | $2,761 |
SHOULDER ARTHROSCOPY/SURGERY 29823) | NR | NR | NR | $30,224 | $17,530 | $4,231 |
Removal of Adenoids 42830) | $9,269 | $5,376 | $1,298 | $10,622 | $6,161 | $1,487 |
Hysteroscopy with Ablation 58563) | $21,124 | $12,252 | $2,957 | $27,389 | $15,886 | $3,834 |
DX BONE MARROW BX & ASPIR 38222) | NR | NR | NR | NR | NR | NR |
Implant Neuroelectrodes 63650) | NR | NR | NR | NR | NR | NR |
Repair of wrist joints 25447) | NR | NR | NR | $23,989 | $13,914 | $3,358 |
Repair of upper eyelid with excessive skin 15823) | NR | NR | NR | NR | NR | NR |
ESOPHAGUS MOTILITY STUDY 91010) | NR | NR | NR | NR | NR | NR |
Laparoscopy- Excision of Lesions of Ovary or Pelvic Area 58662) | $24,352 | $14,124 | $3,409 | $30,672 | $17,790 | $4,294 |
Upper GI Endoscopy w Removal of Foreign Body 43247) | $7,687 | $4,459 | $1,076 | $10,044 | $5,825 | $1,406 |
Repair of Hammertoe 28285) | $13,866 | $8,042 | $1,941 | $13,290 | $7,708 | $1,861 |
REMOVAL OF SPINAL LAMINA 63047) | $30,287 | $17,566 | $4,240 | $37,957 | $22,015 | $5,314 |
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125) | $15,709 | $9,111 | $2,199 | $18,077 | $10,484 | $2,531 |
OPEN TX OF DISTAL RADIAL FX W INT FIX 3+ FRAG 25609) | $45,310 | $26,280 | $6,343 | $43,783 | $25,394 | $6,130 |
REMOVAL OF TURBINATE BONES 30140) | $12,828 | $7,440 | $1,796 | $14,060 | $8,155 | $1,968 |
REDUCTION OF LARGE BREAST 19318) | $36,368 | $21,094 | $5,092 | $38,089 | $22,092 | $5,332 |