CPT Code Lookup

Every medical bill charge is tied to a CPT code — a 5-digit number that tells insurers and patients what was done. Hospitals routinely charge 5–20x the Medicare rate for the same code.

Search 234+ codes below. Each page shows the Medicare allowable, typical charge range, and the specific overcharge patterns to look for before you pay.

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Lab

33 codes

CPT 80048

$11 Medicare

Basic metabolic panel

Typical: $40–$200 (18.2x markup)

CPT 80053

$14 Medicare

Comprehensive metabolic panel

Typical: $50–$300 (21.4x markup)

CPT 80061

$16 Medicare

Lipid panel

Typical: $50–$250 (15.6x markup)

CPT 82040

$6 Medicare

Albumin, serum

Typical: $15–$75 (12.5x markup)

CPT 82247

$6 Medicare

Bilirubin, total

Typical: $15–$75 (12.5x markup)

CPT 82310

$6 Medicare

Calcium, total

Typical: $15–$80 (13.3x markup)

CPT 82374

$5 Medicare

CO2/Bicarbonate

Typical: $15–$70 (14x markup)

CPT 82435

$5 Medicare

Chloride (Cl)

Typical: $15–$70 (14x markup)

CPT 82465

$5 Medicare

Cholesterol, total

Typical: $15–$75 (15x markup)

CPT 82565

$6 Medicare

Creatinine, blood

Typical: $15–$80 (13.3x markup)

CPT 82947

$5 Medicare

Glucose blood

Typical: $15–$80 (16x markup)

CPT 83036

$12 Medicare

Hemoglobin A1C

Typical: $40–$200 (16.7x markup)

CPT 83718

$7 Medicare

HDL cholesterol

Typical: $20–$85 (12.1x markup)

CPT 83721

$8 Medicare

LDL cholesterol, direct

Typical: $20–$90 (11.3x markup)

CPT 84075

$6 Medicare

Alkaline phosphatase (ALP)

Typical: $15–$75 (12.5x markup)

CPT 84132

$5 Medicare

Potassium (K)

Typical: $15–$80 (16x markup)

CPT 84155

$6 Medicare

Total protein, serum

Typical: $15–$75 (12.5x markup)

CPT 84295

$5 Medicare

Sodium (Na)

Typical: $15–$80 (16x markup)

CPT 84443

$20 Medicare

TSH (thyroid)

Typical: $60–$300 (15x markup)

CPT 84450

$6 Medicare

AST (SGOT)

Typical: $15–$80 (13.3x markup)

CPT 84460

$6 Medicare

ALT (SGPT)

Typical: $15–$80 (13.3x markup)

CPT 84478

$6 Medicare

Triglycerides

Typical: $15–$80 (13.3x markup)

CPT 84520

$5 Medicare

BUN (Blood Urea Nitrogen)

Typical: $15–$70 (14x markup)

CPT 85004

$4 Medicare

Blood count, automated

Typical: $15–$60 (15x markup)

CPT 85007

$4 Medicare

Blood smear, manual differential

Typical: $15–$60 (15x markup)

CPT 85014

$4 Medicare

Hematocrit

Typical: $10–$50 (12.5x markup)

CPT 85018

$4 Medicare

Hemoglobin

Typical: $10–$50 (12.5x markup)

CPT 85025

$8 Medicare

CBC with differential

Typical: $30–$150 (18.8x markup)

CPT 85027

$6 Medicare

CBC automated

Typical: $25–$100 (16.7x markup)

CPT 85048

$4 Medicare

WBC (leukocyte) count

Typical: $15–$60 (15x markup)

CPT 85049

$4 Medicare

Platelet count, automated

Typical: $15–$60 (15x markup)

CPT 86900

$7 Medicare

Blood typing ABO

Typical: $20–$80 (11.4x markup)

CPT 86901

$5 Medicare

Blood typing Rh(D)

Typical: $15–$60 (12x markup)

Orthopedics

21 codes

CPT 20680

$465 Medicare

Hardware removal, deep (plates/screws)

Typical: $1000–$6000 (12.9x markup)

CPT 22551

$1623 Medicare

Anterior cervical discectomy/fusion, single

Typical: $3000–$18000 (11.1x markup)

CPT 22612

$1876 Medicare

Lumbar spinal fusion, posterior

Typical: $4000–$25000 (13.3x markup)

CPT 23412

$1145 Medicare

Rotator cuff repair

Typical: $2500–$12000 (10.5x markup)

CPT 23472

$1780 Medicare

Total shoulder replacement

Typical: $3500–$15000 (8.4x markup)

CPT 25600

$305 Medicare

Closed treatment, distal radius fracture

Typical: $600–$3500 (11.5x markup)

CPT 25607

$875 Medicare

Open treatment, distal radius fracture w/fixation

Typical: $2000–$10000 (11.4x markup)

CPT 27130

$1810 Medicare

Total hip replacement

Typical: $3000–$12000 (6.6x markup)

CPT 27236

$1342 Medicare

Open treatment, femoral fracture (hip pinning)

Typical: $3000–$15000 (11.2x markup)

CPT 27244

$1425 Medicare

Open treatment, intertrochanteric hip fracture

Typical: $3000–$16000 (11.2x markup)

CPT 27447

$1862 Medicare

Total knee replacement

Typical: $3000–$12000 (6.4x markup)

CPT 27786

$685 Medicare

Open treatment, distal fibula fracture w/fixation

Typical: $1500–$8000 (11.7x markup)

CPT 28470

$195 Medicare

Closed treatment, metatarsal fracture

Typical: $400–$2500 (12.8x markup)

CPT 29826

$712 Medicare

Shoulder arthroscopy w/acromioplasty

Typical: $1500–$8500 (11.9x markup)

CPT 29870

$378 Medicare

Knee arthroscopy, diagnostic

Typical: $800–$4500 (11.9x markup)

CPT 29876

$595 Medicare

Knee arthroscopy w/chondroplasty

Typical: $1200–$7000 (11.8x markup)

CPT 29880

$765 Medicare

Knee arthroscopy w/meniscectomy, both compartments

Typical: $1800–$9000 (11.8x markup)

CPT 29881

$687 Medicare

Knee arthroscopy w/meniscectomy

Typical: $1500–$8000 (11.6x markup)

CPT 29882

$829 Medicare

Knee arthroscopy w/meniscus repair

Typical: $2000–$10000 (12.1x markup)

CPT 63030

$1085 Medicare

Lumbar laminotomy/discectomy, single

Typical: $2000–$12000 (11.1x markup)

CPT 64721

$415 Medicare

Carpal tunnel release

Typical: $800–$5000 (12x markup)

Neurology

18 codes

CPT 62270

$130 Medicare

Lumbar puncture (spinal tap)

Typical: $300–$2000 (15.4x markup)

CPT 95816

$203 Medicare

EEG, awake and asleep

Typical: $400–$2000 (9.9x markup)

CPT 95819

$244 Medicare

EEG, awake and asleep with activation

Typical: $500–$2500 (10.2x markup)

CPT 95822

$214 Medicare

EEG, sleep only

Typical: $450–$2200 (10.3x markup)

CPT 95860

$68 Medicare

EMG, 1 extremity (limited)

Typical: $150–$700 (10.3x markup)

CPT 95861

$109 Medicare

EMG, 2 extremities

Typical: $250–$1100 (10.1x markup)

CPT 95863

$150 Medicare

EMG, 3 extremities

Typical: $350–$1500 (10x markup)

CPT 95864

$186 Medicare

EMG, 4 extremities

Typical: $400–$1800 (9.7x markup)

CPT 95885

$48 Medicare

EMG, limited (needle only, per extremity)

Typical: $100–$500 (10.4x markup)

CPT 95886

$80 Medicare

EMG, complete (needle, per extremity)

Typical: $180–$800 (10x markup)

CPT 95907

$48 Medicare

Nerve conduction studies, 1-2 studies

Typical: $100–$500 (10.4x markup)

CPT 95908

$80 Medicare

Nerve conduction studies, 3-4 studies

Typical: $180–$800 (10x markup)

CPT 95909

$107 Medicare

Nerve conduction studies, 5-6 studies

Typical: $250–$1100 (10.3x markup)

CPT 95910

$133 Medicare

Nerve conduction studies, 7-8 studies

Typical: $300–$1400 (10.5x markup)

CPT 95911

$159 Medicare

Nerve conduction studies, 9-10 studies

Typical: $350–$1600 (10.1x markup)

CPT 95912

$185 Medicare

Nerve conduction studies, 11-12 studies

Typical: $400–$1800 (9.7x markup)

CPT 95913

$211 Medicare

Nerve conduction studies, 13+ studies

Typical: $450–$2000 (9.5x markup)

CPT 95957

$121 Medicare

EEG brain mapping (QEEG)

Typical: $250–$1500 (12.4x markup)

Radiology

15 codes

CPT 70450

$176 Medicare

CT head/brain

Typical: $400–$2000 (11.4x markup)

CPT 70551

$349 Medicare

MRI brain without contrast

Typical: $700–$3500 (10x markup)

CPT 70553

$521 Medicare

MRI brain w/wo contrast

Typical: $1000–$5000 (9.6x markup)

CPT 71045

$22 Medicare

Chest X-ray, 1 view

Typical: $80–$350 (15.9x markup)

CPT 71046

$32 Medicare

Chest X-ray, 2 views

Typical: $100–$500 (15.6x markup)

CPT 72141

$362 Medicare

MRI cervical spine w/o contrast

Typical: $700–$3500 (9.7x markup)

CPT 72148

$362 Medicare

MRI lumbar spine w/o contrast

Typical: $700–$3500 (9.7x markup)

CPT 73030

$26 Medicare

X-ray shoulder, complete

Typical: $60–$280 (10.8x markup)

CPT 73610

$24 Medicare

X-ray ankle, complete

Typical: $60–$250 (10.4x markup)

CPT 73630

$25 Medicare

X-ray foot, complete

Typical: $60–$250 (10x markup)

CPT 73721

$417 Medicare

MRI knee

Typical: $800–$4000 (9.6x markup)

CPT 74177

$264 Medicare

CT abdomen/pelvis w/contrast

Typical: $600–$3000 (11.4x markup)

CPT 74178

$302 Medicare

CT abdomen/pelvis w/wo contrast

Typical: $700–$3500 (11.6x markup)

CPT 76817

$128 Medicare

Transvaginal ultrasound

Typical: $250–$1200 (9.4x markup)

CPT 76856

$102 Medicare

Pelvic ultrasound, complete

Typical: $200–$1000 (9.8x markup)

Ophthalmology

14 codes

CPT 65855

$349 Medicare

Laser trabeculoplasty (glaucoma)

Typical: $600–$3000 (8.6x markup)

CPT 66982

$1290 Medicare

Complex cataract removal w/IOL

Typical: $2500–$10000 (7.8x markup)

CPT 66984

$1073 Medicare

Cataract removal w/IOL insert

Typical: $2000–$8000 (7.5x markup)

CPT 67028

$68 Medicare

Intravitreal injection (e.g., Avastin/Eylea)

Typical: $150–$800 (11.8x markup)

CPT 67210

$427 Medicare

Retinal laser photocoagulation

Typical: $800–$3500 (8.2x markup)

CPT 76519

$72 Medicare

Ophthalmic ultrasound, diagnostic

Typical: $120–$500 (6.9x markup)

CPT 92002

$102 Medicare

Intermediate eye exam, new patient

Typical: $140–$450 (4.4x markup)

CPT 92004

$158 Medicare

Comprehensive eye exam, new patient

Typical: $200–$700 (4.4x markup)

CPT 92012

$72 Medicare

Intermediate eye exam, established

Typical: $100–$350 (4.9x markup)

CPT 92014

$108 Medicare

Comprehensive eye exam, established

Typical: $150–$500 (4.6x markup)

CPT 92083

$53 Medicare

Visual field exam (Humphrey)

Typical: $80–$300 (5.7x markup)

CPT 92134

$37 Medicare

OCT retinal scan

Typical: $50–$300 (8.1x markup)

CPT 92136

$49 Medicare

Ophthalmic biometry (IOL calculation)

Typical: $80–$350 (7.1x markup)

CPT 92250

$35 Medicare

Fundus photography

Typical: $50–$250 (7.1x markup)

Preventive

14 codes

CPT 99381

$87 Medicare

Preventive visit, new patient, infant (<1yr)

Typical: $150–$400 (4.6x markup)

CPT 99382

$97 Medicare

Preventive visit, new patient, age 1-4

Typical: $160–$450 (4.6x markup)

CPT 99383

$97 Medicare

Preventive visit, new patient, age 5-11

Typical: $160–$450 (4.6x markup)

CPT 99384

$108 Medicare

Preventive visit, new patient, age 12-17

Typical: $180–$500 (4.6x markup)

CPT 99385

$112 Medicare

Preventive visit, new patient, age 18-39

Typical: $180–$500 (4.5x markup)

CPT 99386

$130 Medicare

Preventive visit, new patient, age 40-64

Typical: $200–$600 (4.6x markup)

CPT 99387

$142 Medicare

Preventive visit, new patient, age 65+

Typical: $220–$650 (4.6x markup)

CPT 99391

$75 Medicare

Preventive visit, established, infant (<1yr)

Typical: $130–$350 (4.7x markup)

CPT 99392

$85 Medicare

Preventive visit, established, age 1-4

Typical: $140–$400 (4.7x markup)

CPT 99393

$85 Medicare

Preventive visit, established, age 5-11

Typical: $140–$400 (4.7x markup)

CPT 99394

$93 Medicare

Preventive visit, established, age 12-17

Typical: $150–$450 (4.8x markup)

CPT 99395

$97 Medicare

Preventive visit, established, age 18-39

Typical: $160–$450 (4.6x markup)

CPT 99396

$110 Medicare

Preventive visit, established, age 40-64

Typical: $180–$550 (5x markup)

CPT 99397

$119 Medicare

Preventive visit, established, age 65+

Typical: $190–$600 (5x markup)

Dermatology

12 codes

CPT 11102

$77 Medicare

Tangential biopsy, skin, single

Typical: $150–$600 (7.8x markup)

CPT 11103

$44 Medicare

Tangential biopsy, skin, each add'l

Typical: $80–$350 (8x markup)

CPT 11104

$90 Medicare

Punch biopsy, skin, single

Typical: $180–$700 (7.8x markup)

CPT 11105

$53 Medicare

Punch biopsy, skin, each add'l

Typical: $100–$400 (7.5x markup)

CPT 11300

$74 Medicare

Shave removal, lesion 0.5cm or less

Typical: $120–$500 (6.8x markup)

CPT 11301

$86 Medicare

Shave removal, lesion 0.6-1.0cm

Typical: $140–$550 (6.4x markup)

CPT 11305

$73 Medicare

Shave removal, scalp/trunk 0.5cm or less

Typical: $120–$500 (6.8x markup)

CPT 17000

$58 Medicare

Destruction, premalignant lesion, 1st

Typical: $100–$400 (6.9x markup)

CPT 17003

$12 Medicare

Destruction, premalignant lesion, 2-14 each

Typical: $30–$120 (10x markup)

CPT 17110

$62 Medicare

Destruction, benign lesions, up to 14

Typical: $100–$450 (7.3x markup)

CPT 96910

$53 Medicare

Photochemotherapy (PUVA)

Typical: $80–$350 (6.6x markup)

CPT 96920

$189 Medicare

Laser treatment, skin, 1st 250 sq cm

Typical: $300–$1500 (7.9x markup)

Gastroenterology

12 codes

CPT 43235

$302 Medicare

EGD, diagnostic

Typical: $600–$3500 (11.6x markup)

CPT 43239

$363 Medicare

EGD with biopsy

Typical: $700–$4000 (11x markup)

CPT 43247

$410 Medicare

EGD with foreign body removal

Typical: $800–$4500 (11x markup)

CPT 43249

$445 Medicare

EGD with balloon dilation

Typical: $900–$5000 (11.2x markup)

CPT 44388

$378 Medicare

Colonoscopy through stoma

Typical: $750–$4000 (10.6x markup)

CPT 45378

$398 Medicare

Colonoscopy, diagnostic

Typical: $800–$4000 (10.1x markup)

CPT 45380

$518 Medicare

Colonoscopy with biopsy

Typical: $1000–$5000 (9.7x markup)

CPT 45384

$555 Medicare

Colonoscopy with polyp removal (hot biopsy)

Typical: $1100–$5500 (9.9x markup)

CPT 45385

$614 Medicare

Colonoscopy with polyp removal (snare)

Typical: $1200–$6000 (9.8x markup)

CPT 74263

$244 Medicare

CT colonography (virtual colonoscopy)

Typical: $500–$2500 (10.2x markup)

CPT 91034

$167 Medicare

Esophageal reflux test (pH/impedance)

Typical: $350–$1800 (10.8x markup)

CPT 91035

$186 Medicare

Esophageal motility study

Typical: $400–$2000 (10.8x markup)

Physical Therapy

11 codes

CPT 97010

$4 Medicare

Hot/cold pack application

Typical: $15–$60 (15x markup)

CPT 97014

$14 Medicare

Electrical stimulation, attended

Typical: $30–$120 (8.6x markup)

CPT 97035

$14 Medicare

Ultrasound therapy, 15 min

Typical: $30–$120 (8.6x markup)

CPT 97110

$33 Medicare

Therapeutic exercises, 15 min

Typical: $50–$200 (6.1x markup)

CPT 97112

$35 Medicare

Neuromuscular re-education, 15 min

Typical: $55–$220 (6.3x markup)

CPT 97116

$30 Medicare

Gait training, 15 min

Typical: $45–$180 (6x markup)

CPT 97140

$32 Medicare

Manual therapy, 15 min

Typical: $50–$200 (6.3x markup)

CPT 97161

$78 Medicare

PT eval, low complexity

Typical: $120–$400 (5.1x markup)

CPT 97162

$78 Medicare

PT eval, moderate complexity

Typical: $120–$450 (5.8x markup)

CPT 97163

$78 Medicare

PT eval, high complexity

Typical: $130–$500 (6.4x markup)

CPT 97530

$35 Medicare

Therapeutic activities, 15 min

Typical: $55–$220 (6.3x markup)

Office Visit

10 codes

CPT 99201

$45 Medicare

New patient, minimal

Typical: $75–$200 (4.4x markup)

CPT 99202

$75 Medicare

New patient, low

Typical: $100–$300 (4x markup)

CPT 99203

$109 Medicare

New patient, moderate

Typical: $150–$450 (4.1x markup)

CPT 99204

$167 Medicare

New patient, moderate-high

Typical: $220–$600 (3.6x markup)

CPT 99205

$211 Medicare

New patient, high

Typical: $280–$800 (3.8x markup)

CPT 99211

$24 Medicare

Established, minimal

Typical: $40–$100 (4.2x markup)

CPT 99212

$55 Medicare

Established, low

Typical: $80–$200 (3.6x markup)

CPT 99213

$93 Medicare

Established, moderate

Typical: $130–$350 (3.8x markup)

CPT 99214

$134 Medicare

Established, moderate-high

Typical: $180–$500 (3.7x markup)

CPT 99215

$177 Medicare

Established, high

Typical: $240–$700 (4x markup)

Injection

9 codes

CPT 20600

$33 Medicare

Joint injection/aspiration, small

Typical: $60–$250 (7.6x markup)

CPT 20605

$45 Medicare

Joint injection/aspiration, intermediate

Typical: $80–$350 (7.8x markup)

CPT 20610

$61 Medicare

Joint injection/aspiration, major

Typical: $100–$500 (8.2x markup)

CPT 64483

$217 Medicare

Epidural injection, lumbar/sacral

Typical: $400–$2000 (9.2x markup)

CPT 90471

$23 Medicare

Immunization admin, 1st vaccine

Typical: $30–$100 (4.3x markup)

CPT 90472

$12 Medicare

Immunization admin, each add'l

Typical: $20–$60 (5x markup)

CPT 96372

$22 Medicare

Therapeutic injection, SC/IM

Typical: $50–$200 (9.1x markup)

CPT 96374

$54 Medicare

IV push, single substance

Typical: $100–$400 (7.4x markup)

CPT 96375

$27 Medicare

IV push, each additional

Typical: $50–$200 (7.4x markup)

OB/GYN

9 codes

CPT 58100

$110 Medicare

Endometrial biopsy

Typical: $200–$900 (8.2x markup)

CPT 58300

$108 Medicare

IUD insertion

Typical: $200–$900 (8.3x markup)

CPT 58301

$79 Medicare

IUD removal

Typical: $150–$600 (7.6x markup)

CPT 59025

$47 Medicare

Fetal non-stress test

Typical: $100–$500 (10.6x markup)

CPT 59400

$2284 Medicare

Routine obstetric care, vaginal delivery

Typical: $4000–$15000 (6.6x markup)

CPT 59510

$2560 Medicare

Routine obstetric care, cesarean delivery

Typical: $5000–$20000 (7.8x markup)

CPT 76801

$109 Medicare

OB ultrasound, 1st trimester, single

Typical: $200–$1000 (9.2x markup)

CPT 76805

$126 Medicare

OB ultrasound, complete

Typical: $250–$1200 (9.5x markup)

CPT 76815

$69 Medicare

OB ultrasound, limited

Typical: $150–$700 (10.1x markup)

Pulmonary

8 codes

CPT 31231

$143 Medicare

Diagnostic nasal endoscopy

Typical: $250–$1200 (8.4x markup)

CPT 94010

$27 Medicare

Spirometry

Typical: $60–$300 (11.1x markup)

CPT 94060

$41 Medicare

Bronchodilator response spirometry

Typical: $80–$400 (9.8x markup)

CPT 94375

$17 Medicare

Respiratory flow-volume loop

Typical: $40–$200 (11.8x markup)

CPT 94726

$39 Medicare

Plethysmography (lung volumes)

Typical: $80–$400 (10.3x markup)

CPT 94729

$22 Medicare

DLCO (diffusing capacity)

Typical: $50–$250 (11.4x markup)

CPT 95810

$485 Medicare

Polysomnography (sleep study)

Typical: $900–$4500 (9.3x markup)

CPT 95811

$565 Medicare

Polysomnography (sleep study) w/CPAP

Typical: $1000–$5000 (8.8x markup)

Cardiology

8 codes

CPT 93000

$17 Medicare

ECG with interpretation

Typical: $50–$200 (11.8x markup)

CPT 93005

$9 Medicare

ECG tracing only

Typical: $25–$80 (8.9x markup)

CPT 93010

$8 Medicare

ECG interpretation only

Typical: $20–$60 (7.5x markup)

CPT 93015

$119 Medicare

Treadmill stress test

Typical: $200–$700 (5.9x markup)

CPT 93017

$58 Medicare

Stress test, tracing only

Typical: $100–$350 (6x markup)

CPT 93306

$443 Medicare

Echo, complete w/Doppler

Typical: $700–$2500 (5.6x markup)

CPT 93307

$319 Medicare

Echo, complete

Typical: $500–$1800 (5.6x markup)

CPT 93308

$183 Medicare

Echo, follow-up

Typical: $300–$1000 (5.5x markup)

Hospital

8 codes

CPT 99221

$115 Medicare

Initial hospital care, low

Typical: $200–$700 (6.1x markup)

CPT 99222

$168 Medicare

Initial hospital care, moderate

Typical: $280–$1000 (6x markup)

CPT 99223

$226 Medicare

Initial hospital care, high

Typical: $380–$1400 (6.2x markup)

CPT 99231

$52 Medicare

Subsequent hospital care, low

Typical: $90–$350 (6.7x markup)

CPT 99232

$78 Medicare

Subsequent hospital care, moderate

Typical: $130–$500 (6.4x markup)

CPT 99233

$107 Medicare

Subsequent hospital care, high

Typical: $180–$700 (6.5x markup)

CPT 99238

$76 Medicare

Hospital discharge, 30 min

Typical: $130–$500 (6.6x markup)

CPT 99239

$109 Medicare

Hospital discharge, >30 min

Typical: $180–$700 (6.4x markup)

Emergency

7 codes

CPT 99281

$45 Medicare

ED visit, minor

Typical: $80–$200 (4.4x markup)

CPT 99282

$87 Medicare

ED visit, low

Typical: $150–$400 (4.6x markup)

CPT 99283

$142 Medicare

ED visit, moderate

Typical: $250–$700 (4.9x markup)

CPT 99284

$232 Medicare

ED visit, moderate-high

Typical: $400–$1200 (5.2x markup)

CPT 99285

$316 Medicare

ED visit, high complexity

Typical: $500–$1800 (5.7x markup)

CPT 99291

$445 Medicare

Critical care, first 30-74 min

Typical: $800–$2500 (5.6x markup)

CPT 99292

$225 Medicare

Critical care, add'l 30 min

Typical: $400–$1200 (5.3x markup)

Urology

6 codes

CPT 50590

$1185 Medicare

Lithotripsy (shock wave, kidney stone)

Typical: $2000–$10000 (8.4x markup)

CPT 51798

$14 Medicare

Bladder residual measurement by ultrasound

Typical: $40–$200 (14.3x markup)

CPT 52000

$225 Medicare

Cystourethroscopy

Typical: $400–$2000 (8.9x markup)

CPT 52353

$780 Medicare

Cystourethroscopy w/laser lithotripsy

Typical: $1500–$7000 (9x markup)

CPT 55700

$179 Medicare

Prostate biopsy

Typical: $350–$1800 (10.1x markup)

CPT 76770

$97 Medicare

Ultrasound, retroperitoneal/renal

Typical: $200–$900 (9.3x markup)

Behavioral Health

6 codes

CPT 90791

$163 Medicare

Psych diagnostic eval

Typical: $250–$800 (4.9x markup)

CPT 90832

$69 Medicare

Psychotherapy 30 min

Typical: $100–$350 (5.1x markup)

CPT 90834

$100 Medicare

Psychotherapy 45 min

Typical: $150–$500 (5x markup)

CPT 90837

$134 Medicare

Psychotherapy 60 min

Typical: $200–$650 (4.9x markup)

CPT 90847

$101 Medicare

Family therapy w/patient

Typical: $150–$500 (5x markup)

CPT 96150

$29 Medicare

Health behavior assessment

Typical: $60–$200 (6.9x markup)

Pathology

4 codes

CPT 88304

$38 Medicare

Surgical pathology, level III

Typical: $80–$350 (9.2x markup)

CPT 88305

$75 Medicare

Surgical pathology, level IV

Typical: $150–$700 (9.3x markup)

CPT 88312

$57 Medicare

Special stain, Group I

Typical: $100–$400 (7x markup)

CPT 88342

$71 Medicare

Immunohistochemistry, per antibody

Typical: $120–$500 (7x markup)

Anesthesia

4 codes

CPT 00100

$645 Medicare

Anesthesia, intracranial

Typical: $1000–$4000 (6.2x markup)

CPT 00140

$280 Medicare

Anesthesia, eye

Typical: $500–$2000 (7.1x markup)

CPT 00400

$190 Medicare

Anesthesia, skin/tissue

Typical: $350–$1500 (7.9x markup)

CPT 00840

$712 Medicare

Anesthesia, peritoneal

Typical: $1200–$5000 (7x markup)

Infusion

3 codes

CPT 96365

$72 Medicare

IV infusion, initial, up to 1 hr

Typical: $150–$600 (8.3x markup)

CPT 96366

$21 Medicare

IV infusion, each additional hr

Typical: $50–$200 (9.5x markup)

CPT 96413

$145 Medicare

Chemo IV infusion, up to 1 hr

Typical: $300–$1200 (8.3x markup)

Procedure

2 codes

CPT 36415

$3 Medicare

Venipuncture (blood draw)

Typical: $10–$60 (20x markup)

CPT 36600

$12 Medicare

Arterial puncture

Typical: $40–$200 (16.7x markup)

Related guides

Disclaimer: Medicare rates reflect the 2025 CMS Physician Fee Schedule and are approximate. Typical charge ranges are based on public hospital chargemaster data and vary by region. CPT is a registered trademark of the American Medical Association.