Health Costs

List of Procedures

Below is a list of procedures with average payment information on CompareMaine. When looking up payments, you may not see every facility. This may be because:

  1. The facility may not provide the procedure, and/or
  2. There are too few tests or services offered there and we want to protect patient confidentiality.

Please read the Calculating Payments page for more information.

Cardiology Procedures -- Devices
CPT Code Procedure
93296 Remote evaluations of pacemaker systems or implantable defibrillator systems for up to 90 days, with technician review, support, and distribution of results
Cardiology Procedures -- Electrocardiograms
CPT Code Procedure
93005 Electrocardiogram (ECG or EKG)
93270 Electrocardiogram (ECG or EKG) monitoring
93000 Electrocardiogram (ECG or EKG), with interpretation and report
93798 Healthcare professional supervision during outpatient cardiac rehab with continuous ECG monitoring per session
93010 Routine electrocardiogram (ECG or EKG) using at least 12 leads, interpretation and report only
Cardiology Procedures -- Imaging
CPT Code Procedure
93454 Insertion of catheter for imaging of heart blood vessels or grafts
93306 Ultrasound of heart (Echocardiogram)
93971 Ultrasound of veins in arm or leg
Cardiology Procedures -- Stent Placement
CPT Code Procedure
92928 Catheter insertion of stents in major coronary artery or branch, accessed through the skin
Cardiology Procedures -- Stress Test
CPT Code Procedure
93017 Cardiovascular stress test
Diagnostic Procedures -- Colonoscopies
CPT Code Procedure
45380 Colonoscopy with biopsy for noncancerous growth
45378 Colonoscopy without biopsy for encounter for preventive health services
Diagnostic Procedures -- Endoscopies
CPT Code Procedure
52000 Bladder and bladder canal (urethra) endoscopy
43239 Upper gastrointestinal (GI) endoscopy with biopsy
43235 Upper gastrointestinal (GI) endoscopy without biopsy
Diagnostic Procedures -- Sleep Test
CPT Code Procedure
95810 Sleep monitoring
95811 Sleep monitoring, with continued respiratory assistance
Emergency Department Visits -- Emergency Department Visits
CPT Code Procedure
99282 Emergency department visit, low complexity (visit only, does not include other services received, such as diagnostic labs or imaging)
99283 Emergency department visit, moderate severity (visit only, does not include other services received, such as diagnostic labs or imaging - represents 28.2% of Emergency Department claims in the APCD)
99284 Emergency department visit, problem of high severity (visit only, does not include other services received, such as diagnostic labs or imaging - represents 37.4% of Emergency Department claims in the APCD)
99285 Emergency department visit, problem with significant threat to life or function (visit only, does not include other services received, such as diagnostic labs or imaging)
99281 Emergency department visit, very minor (visit only, does not include other services received, such as diagnostic labs or imaging)
Integrative Medicine -- Osteopathic Manipulative Treatment
CPT Code Procedure
98925 Manipulation of bones and muscles (osteopathic manipulative treatment), 1 to 2 areas of the body
98926 Manipulation of bones and muscles (osteopathic manipulative treatment), 3 to 4 areas of the body
98927 Manipulation of bones and muscles (osteopathic manipulative treatment), 5 to 6 areas of the body
98928 Manipulation of bones and muscles (osteopathic manipulative treatment), 7 to 8 areas of the body
98929 Manipulation of bones and muscles (osteopathic manipulative treatment), 9 to 10 areas of the body
Laboratory Services -- Blood Test
CPT Code Procedure
82105 Alpha-fetoprotein (AFP) level, serum
86618 Analysis for Lyme disease bacteria (blood test)
82565 Blood creatinine level
80074 Blood test for acute hepatitis panel
82040 Blood test for albumin (protein) level
82150 Blood test for amylase (enzyme) level
86695 Blood test for antibody to Herpes simplex virus, type 1
86696 Blood test for antibody to Herpes simplex virus, type 2
86703 Blood test for antibody to HIV-1 and HIV-2 virus
86787 Blood test for antibody to varicella-zoster virus (chicken pox)
82947 Blood test for blood glucose (sugar) level
83036 Blood test for blood glucose control (hemoglobin A1C)
86140 Blood test for C-reactive protein (to detect infection or inflammation)
86141 Blood test for C-reactive protein (to detect infection or inflammation), high sensitivity
82310 Blood test for calcium level
82550 Blood test for cardiac enzyme (creatine kinase) level
82435 Blood test for chloride level
82465 Blood test for cholesterol levels
85610 Blood test for clotting time
85730 Blood test for coagulation assessment
85025 Blood test for complete blood cell count (red cells, white cells, platelets), automated test (complete blood count)
85027 Blood test for complete blood cell count (red cells, white cells, platelets), automated test (hemoglobin)
82533 Blood test for cortisol hormone level
82627 Blood test for DHEA-S (dehydroepiandrosterone) level
80051 Blood test for electrolyte levels (sodium potassium, chloride, carbon dioxide)
82728 Blood test for ferritin level
82977 Blood test for glutamyltransferase (liver enzyme) level
84703 Blood test for gonadotropin (reproductive hormone)
86706 Blood test for Hepatitis B surface antibody level
87340 Blood test for Hepatitis B surface antigen
86803 Blood test for hepatitis C antibody level
82785 Blood test for IgE (immune system protein) level
83525 Blood test for insulin level
83540 Blood test for iron level
80069 Blood test for kidney functioning
83615 Blood test for lactate dehydrogenase (enzyme) level
83721 Blood test for LDL cholesterol level
83690 Blood test for lipase (fat enzyme) level
80061 Blood test for lipids (cholesterol and triglycerides)
80076 Blood test for liver functioning
83735 Blood test for magnesium level
83970 Blood test for parathormone (parathyroid hormone) level
84075 Blood test for phosphatase (enzyme) level
84100 Blood test for phosphate level
84146 Blood test for prolactin (milk producing hormone) level
84153 Blood test for PSA (prostate specific antigen) level
85651 Blood test for red blood cell sedimentation rate (to detect inflammation)
86901 Blood test for Rh (D) antigen
86430 Blood test for rheumatoid factor
84165 Blood test for serum (protein) level
84450 Blood test for SGOT (liver enzyme) level
84460 Blood test for SGPT (liver enzyme) level
84295 Blood test for sodium level
84481 Blood test for T3 (thyroid hormone) level, free
84480 Blood test for T3 (thyroid hormone) level, total or assay
84402 Blood test for testosterone level, free
84403 Blood test for testosterone level, total or assay
85652 Blood test for the rate of sedimentation of red blood cells
86800 Blood test for thyroglobulin (thyroid protein) antibody level
84439 Blood test for thyroxine (thyroid chemical) level, free
84436 Blood test for thyroxine (thyroid chemical) level, total or assay
84155 Blood test for total protein level
84478 Blood test for triglycerides level
84443 Blood test for TSH (thyroid stimulating hormone) level
86480 Blood test for tuberculosis
84520 Blood test for urea nitrogen level (to assess kidney functioning)
84550 Blood test for uric acid level
82607 Blood test for vitamin B-12 (cyanocobalamin) level
82378 Blood test to check for a protein associated with certain kinds of cancers (carcinoembryonic antigen protein or CEA level)
86900 Blood test to determine blood type (ABO)
84479 Blood test to evaluate thyroid hormone
86038 Blood test to screen for autoimmune disorder
80048 Blood test, basic group of blood chemicals
80053 Comprehensive metabolic panel
86769 Coronavirus (COVID-19) antibody level
87389 Detection test for HIV-1 and HIV-2
82784 Gammaglobulin (immune system protein) measurement
80050 General health panel
85018 Hemoglobin measurement
86704 Hepatitis B core antibody measurement
83550 Iron binding capacity
83655 Lead level
83880 Natriuretic peptide (heart and blood vessel protein) level
80055 Obstetric blood panel
86850 Screening test for red blood cell antibodies
80307 Testing for presence of drug
84484 Troponin (protein) analysis
82306 Vitamin D-3 level
Laboratory Services -- Fecal Test
CPT Code Procedure
87045 Stool test for bacterial culture
82270 Stool test for blood (to screen for colon tumors)
87177 Stool test for parasites
Laboratory Services -- Surgical Pathology
CPT Code Procedure
88342 Initial procedure for single antibody stain on a slide to examine tissue
Laboratory Services -- Swab Test
CPT Code Procedure
87077 Bacterial culture for aerobic isolates
87070 Bacterial culture swab, other than urine, blood or stool
87491 Chlamydia test
87804 Detection test for influenza virus
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)
87591 Gonorrhea test (Neisseria gonorrhoeae bacteria)
87624 Infectious agent detection of HPV, high risk types
87635 Lab test to detect coronavirus (COVID-19)
87205 Special stain for microorganism
87880 Strep test (Streptococcus, group A)
87081 Test for disease-causing (pathogenic) organisms, not limited to a specific condition
Laboratory Services -- Urine Test
CPT Code Procedure
82570 Creatinine level to test for kidney function or muscle injury
81001 Manual urinalysis test with examination using microscope
81003 Urinalysis test (automated) for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents
81002 Urinalysis, manual test
82043 Urine microalbumin (protein) level
87088 Urine test for bacterial culture
87086 Urine test for bacterial culture: quantitative colony count
84156 Urine test for total protein level
Mental and Behavioral Health Services -- Diagnostic Evaluation
CPT Code Procedure
90791 Psychiatric diagnostic evaluation
90792 Psychiatric diagnostic evaluation with medical services
Mental and Behavioral Health Services -- Health and Behavior Assessment
CPT Code Procedure
96156 Health behavior assessment
Mental and Behavioral Health Services -- Health and Behavior Intervention
CPT Code Procedure
96158 Health behavior intervention for one person for 30 minute session
Mental and Behavioral Health Services -- Procedures
CPT Code Procedure
90870 Shock treatment and monitoring
Mental and Behavioral Health Services -- Therapy
CPT Code Procedure
90847 Family psychotherapy with patient
90846 Family psychotherapy without patient
90853 Group psychotherapy
90839 Psychotherapy for crisis, the first 60 minutes
90834 Psychotherapy with patient, or with patient and family member, lasting 45 minutes
90837 Psychotherapy with patient, or with patient and family member, lasting 60 minutes
90836 Psychotherapy with patient, or with patient and family member, with evaluation and case management, lasting 45 minutes
90832 Psychotherapy, 30 minutes with patient and/or family member
Obstetric/Gynecological Procedures -- Delivery
CPT Code Procedure
59510 C-section (Cesarean delivery)
59400 Vaginal delivery
Obstetric/Gynecological Procedures -- Laboratory Services
CPT Code Procedure
58100 Biopsy of uterine lining
82746 Blood test for folic acid level
57454 Cervical biopsy (Colposcopy)
88142 Pap test (Pap smear)
81025 Pregnancy test, urine
Obstetric/Gynecological Procedures -- Ultrasounds
CPT Code Procedure
76805 Abdominal ultrasound of pregnant uterus, greater than or equal to 14 weeks, single or first fetus
76801 Abdominal ultrasound of pregnant uterus, less than 14 weeks, single or first fetus
76830 Transvaginal ultrasound
76819 Ultrasound of fetus
76815 Ultrasound of pregnant uterus, 1 or more fetus
76816 Ultrasound re-evaluation of pregnant uterus, per fetus
76817 Vaginal ultrasound of pregnant uterus
Office Visits -- Adult Preventive Care Office Visit (or Wellness Office Visit)
CPT Code Procedure
99385 New patient preventive care visit for adult, ages 18 to 39
99386 New patient preventive care visit for adult, ages 40 to 64
99395 Preventive care visit for adult, ages 18 to 39
99396 Preventive care visit for adult, ages 40 to 64
Office Visits -- Office or Outpatient Visit
CPT Code Procedure
99202 New patient office visit (20 minutes)
99203 New patient office visit (30 minutes)
99204 New patient office visit (45 minutes)
99205 New patient office visit (60 minutes)
99212 Office visit for an established patient (10 minutes)
99213 Office visit for an established patient (15 minutes)
99214 Office visit for an established patient (25 minutes)
99215 Office visit for an established patient (40 minutes)
99211 Office visit for an established patient (5 minutes)
99442 Physician phone call to established patient (11 to 20 minutes of medical discussion)
99443 Physician phone call to established patient (21 to 30 minutes of medical discussion)
99441 Physician phone call to established patient (5 to 10 minutes of medical discussion)
Office Visits -- Pediatric or Adolescent Preventive Care Office Visit (or Wellness Office Visit)
CPT Code Procedure
96110 Developmental screening
99384 New patient preventive care visit for adolescent ages 12 to 17
99383 New patient preventive care visit for child ages 5 to 11
99381 New patient preventive care visit for child under age 1
99382 New patient preventive care visit for child, ages 1 to 4
99394 Preventive care visit for adolescent, ages 12 to 17
99391 Preventive care visit for child under age 1
99392 Preventive care visit for child, ages 1 to 4
99393 Preventive care visit for child, ages 5 to 11
Office Visits -- Specialist Consultation
CPT Code Procedure
99241 Patient office consultation (15 minutes)
99242 Patient office consultation (30 minutes)
99243 Patient office consultation (45 minutes)
99244 Patient office consultation (60 minutes)
99245 Patient office consultation (80 minutes)
Office Visits -- Speech Therapy
CPT Code Procedure
92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder
Office Visits -- Wound Management
CPT Code Procedure
97606 Negative or vacuum pressure wound therapy (total wound(s) surface area greater than 50 square centimeters)
97605 Negative or vacuum pressure wound therapy (total wound(s) surface area less than or equal to 50 square centimeters)
97597 Remove tissue from wounds (debridement, open wound 20 square centimeters or less)
97602 Remove tissue from wounds (non-selective debridement without anesthesia)
Outpatient Surgical Procedures -- Common Surgeries and Procedures
CPT Code Procedure
20610 Aspiration and/or injection of large joint or joint capsule
55700 Biopsy of prostate gland
64721 Carpal tunnel release surgery
45385 Colonoscopy with removal of polyps or growths using an endoscope
47562 Gallbladder removal
62323 Injection of a substance into spinal canal of lower back or sacrum using imaging guidance
64483 Injection of an anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance
17000 Removal of skin growth (premalignant/precancerous)
17110 Removal of up to 14 skin growths (benign/noncancerous)
49505 Repair of groin hernia patient age 5 years or older
12001 Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms, and/or legs
11102 Tangential biopsy of single skin lesion
Outpatient Surgical Procedures -- Joint Surgery
CPT Code Procedure
27130 Hip replacement
27447 Knee replacement
29881 Surgical arthroscopy of knee
29826 Surgical arthroscopy of shoulder
Physical and Occupational Therapy -- Occupational Therapy
CPT Code Procedure
97763 Evaluation of orthotic or prosthetic use, each 15 minutes
97167 Occupational therapy evaluation, high complexity
97165 Occupational therapy evaluation, low complexity
97166 Occupational therapy evaluation, moderate complexity
97168 Occupational therapy re-evaluation
97760 Orthotic management of arm or leg and/or trunk
97750 Physical performance test or measurement with report
97535 Self-care or home management training
97533 Technique to help with sensory processing
97150 Therapeutic procedures in a group setting
Physical and Occupational Therapy -- Physical Therapy
CPT Code Procedure
97016 Application of blood vessel compression or decompression device to 1 or more areas
97032 Application of electrical stimulation to 1 or more areas
97014 Application of electrical stimulation to 1 or more areas, when physical therapist is not there
97010 Application of hot or cold packs to 1 or more areas
97018 Application of hot wax bath to 1 or more areas
97012 Application of mechanical traction to 1 or more areas
97033 Application of medication through skin using electrical current
97035 Application of ultrasound to 1 or more areas
97022 Application of whirlpool therapy to 1 or more areas
97140 Manual (physical) therapy techniques to 1 or more regions
97163 Physical therapy evaluation, high complexity
97161 Physical therapy evaluation, low complexity
97162 Physical therapy evaluation, moderate complexity
97164 Physical therapy re-evaluation
97530 Therapeutic activities to improve function, with one-on-one contact between patient and provider
97110 Therapeutic exercise to develop strength, endurance, range of motion, and flexibility
97124 Therapeutic massage to 1 or more areas
97112 Therapeutic procedure to re-educate brain-to-nerve-to-muscle function
97116 Walking training to 1 or more areas
97113 Water pool therapy for 1 or more areas
Radiology and Imaging -- CT (Computed Tomography) Scans
CPT Code Procedure
74150 CT scan of abdomen
74178 CT scan of abdomen and pelvis, with and without contrast
74177 CT scan of abdomen and pelvis, with contrast
74176 CT scan of abdomen and pelvis, without contrast
74170 CT scan of abdomen, with and without contrast
74160 CT scan of abdomen, with contrast
70496 CT scan of blood vessel of head, with contrast
71275 CT scan of blood vessels in chest, with contrast
71250 CT scan of chest
71260 CT scan of chest, with contrast
70486 CT scan of face
70450 CT scan of head or brain
70491 CT scan of neck, with contrast
72192 CT scan of pelvis
72193 CT scan of pelvis, with contrast
Radiology and Imaging -- Mammograms
CPT Code Procedure
77066 Diagnostic mammogram, including computer-aided detection, both breasts
77065 Diagnostic mammogram, including computer-aided detection, single breast
77067 Screening mammogram, including computer-aided detection, both breasts
Radiology and Imaging -- MRI (Magnetic Resonance Imaging) Scans
CPT Code Procedure
74183 MRI scan of abdomen, with and without contrast
73221 MRI scan of arm joint
77049 MRI scan of both breasts, without and with contrast
70551 MRI scan of brain
70553 MRI scan of brain, with and without contrast
73721 MRI scan of leg joint
72148 MRI scan of lower spinal canal
72158 MRI scan of lower spinal canal, before and after contrast
72195 MRI scan of pelvis
72197 MRI scan of pelvis, with and without contrast
72141 MRI scan of upper spinal canal
Radiology and Imaging -- Other Imaging Procedures
CPT Code Procedure
78306 Bone and joint imaging, whole body
77080 Bone density test of spine or hips using dedicated X-ray machine
78452 Nuclear medicine study of heart vessels using drugs or exercise, multiple studies
78815 Nuclear medicine study with PET and concurrent CT imaging, skull base to mid-thigh
Radiology and Imaging -- Ultrasounds
CPT Code Procedure
76700 Ultrasound of abdomen (complete)
76705 Ultrasound of abdomen (limited area)
76536 Ultrasound of head and neck
76856 Ultrasound of pelvis
76770 Ultrasound of retroperitoneal organs, behind the abdomen (complete)
76642 Ultrasound of single breast
51798 Ultrasound to measure bladder capacity after urinating
Radiology and Imaging -- X-Rays
CPT Code Procedure
74018 X-ray of abdomen, 1 view
73600 X-ray of ankle, 2 views
73610 X-ray of ankle, minimum of 3 views
71045 X-ray of chest, 1 view
71046 X-ray of chest, 2 views
72082 X-ray of entire spine
73140 X-ray of fingers, minimum of 2 views
73620 X-ray of foot, 2 views
73630 X-ray of foot, minimum of 3 views
73120 X-ray of hand, 2 views
73130 X-ray of hand, minimum of 3 views
73502 X-ray of hip with pelvis, 2 or 3 views
73560 X-ray of knee, 1 or 2 views
73562 X-ray of knee, 3 views
73564 X-ray of knee, 4 or more views
72100 X-ray of lower and sacral spine, 2 or 3 views
72110 X-ray of lower back, minimum of 4 views
73590 X-ray of lower leg, 2 views
72070 X-ray of middle spine, 2 views
72170 X-ray of pelvis, 1 or 2 views
73030 X-ray of shoulder, minimum of 2 views
72040 X-ray of spine of neck, 2 or 3 views
73110 X-ray of wrist, minimum of 3 views