Average Pricing of Common Procedures / Tests
Revised January 1st, 2021
Common Inpatient Medical/Surgical Cases
APR DRG Procedure/Case Description  Average Cost 
720 Septicemia & disseminated infections 15,586.76
403 Procedures For Obesity 14,047.30
137 Major Respiratory Infections & Inflammations 13,188.03
194 Heart Failure 14,063.30
45 Cva & Precerebral Occlusion W Infarct 15,884.11
463 Kidney & Urinary Tract Infections 11,907.84
383 Cellulitis & Other Skin Infections 12,167.56
301 Hip Joint Replacement 27,115.08
282 Disorders Of Pancreas Except Malignancy 7,902.58
244 Diverticulitis & Diverticulosis 7,429.16
Common Inpatient Obstetrics Cases
APR DRG Procedure/Case Description  Average Cost 
560 Vaginal delivery 6,382.34
540 Cesarean delivery 8,325.22
539 Cesarean section with sterilization 4,618.64
542 Vaginal delivery w complicating procedures exc sterilization &/or d&c 5,529.85
566 Other antepartum diagnoses 5,802.57
561 Postpartum & post abortion diagnoses w/o procedure 4,596.43
541 Vaginal delivery w sterilization &/or d&c 8,323.47
548 Postpartum and post abortion diagnosis without o.r. procedure 5,535.17
850 Procedure w diag of rehab, aftercare or oth contact w health service 7,392.08
284 Disorders of gallbladder & biliary tract 6,634.96
* Obstetrics procedure pricing estimates only relate to the charges for Mother's,
       newborn charges will be separate.
Common Inpatient Pediatrics Cases
APR DRG Procedure/Case Description  Average Cost 
233 Appendectomy with complex principal diagnosis 14,286.44
139 Other pneumonia 9,473.77
383 Cellulitis & other skin infections 3,360.54
463 Kidney & urinary tract infections 12,554.94
723 Viral illness 6,893.16
249 Other gastroenteritis, nausea & vomiting 8,235.01
640 Neonate birthwt >2499g, normal newborn or neonate w other prob 7,043.08
721 Post-operative, post-traumatic, other device infections 8,491.55
141 Asthma 5,007.32
663 Other anemia & disorders of blood & blood-forming organs 3,633.26
Common Outpatient Surgery Cases
CPT Code Procedure/Case Description  Average Cost 
66984 Cataract surg w/iol 1 stage 5,016.34
58558 Hysteroscopy biopsy 3,756.34
47562 Laparoscopic cholecystectomy 6,852.24
19301 Partial mastectomy 9,489.27
G0277 Hbot, full body chamber, 30m 611.49
66170 Glaucoma surgery 4,259.75
67311 Revise eye muscle 4,098.87
67108 Repair detached retina 9,343.59
29881 Knee arthroscopy/surgery 5,185.28
29827 Arthroscop rotator cuff repr 13,161.65
Common Laboratory Testing
CPT Code Procedure/Case Description  Average Cost 
87635 Rapid COVID-19 Testing 100.00
85610 Prothrombin Time 19.16
82306 Calcifediol (25-OH Vitamin D-3) 35.92
81001 Urinalysis auto with scope 21.55
83721 Lipoprotein direct meas. LDL cholest. 35.92
86901 Rh(D) blood typing 9.58
86900 ABO blood typing 9.58
83540 Iron 14.37
83735 Magnesium 14.37
87086 Bacterial culture, urine 47.89
83036 Hemoglobin A1C 47.89
82784 Immunoglobulin 35.92
80053 Comprehensive Metabolic Panel 35.92
80307 Drugs of abuse screen, urine 114.94
85025 CBC with auto diff, plt 23.95
80061 Lipid Panel  45.60
Common Imaging Testing
CPT Code Procedure/Case Description  Average Cost 
71045 HC DECUBITUS CHEST/ABDOMEN 65.24
93306 HC ECHO COMPLETE 442.23
71046 HC CHEST-2 VW 78.93
93975 HC ABDOMINAL/PELVIC ORGAN DOPPLER 994.98
76700 HC ABDOMINAL SONOGRAM-COMPLET 363.38
93970 HC VENOUS DOPPLER 726.55
74018 HC ABDOMEN-1 VW 63.19
93971 HC VENOUS DUPLEX, LTD OR UNILA 442.33
76856 HC PELVIC SONOGRAM-COMPLETE 331.66
76830 HC ECHOGRAPHY, TRANSVAGINAL 394.95