Health Costs

List of Procedures

Below is a list of procedures with average cost information on CompareMaine. When looking up costs under CompareMaine, 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 Costs page for more information.

Diagnostic Procedures -- Colonoscopies
CPT Code Procedure
45380 Colonoscopy with biopsy for noncancerous growth
45378 Colonoscopy without biopsy for encounter for preventative health services
Integrative Medicine -- Nutrition Services
CPT Code Procedure
97804 Medical nutrition therapy in a group (30 minutes)
97803 Medical nutrition therapy, all individual visits after the first visit (15 minutes)
97802 Medical nutrition therapy, first appointment (15 minutes)
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
86003 Blood test for antibody to allergic substance (IgE)
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
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
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
83550 Iron binding capacity
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 -- Swab Test
CPT Code Procedure
87077 Bacterial culture for aerobic isolates
87070 Bacterial culture swab, other than urine, blood or stool
87491 Chlamydia test
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)
87591 Gonorrhea test (Neisseria gonorrhoeae bacteria)
87624 Infectious agent detection of HPV, high risk types
87400 Influenza test (virus A or B)
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
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
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
96150 Health and behavior assessment for 15 minute session
Mental and Behavioral Health Services -- Health and behavior intervention
CPT Code Procedure
96152 Health and behavior intervention for one person for 15 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
90840 Psychotherapy for crisis, each additional 30 minutes
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
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
82746 Blood test for folic acid level
88142 Pap test (Pap smear)
81025 Pregnancy test, urine
Obstetric/Gynecological Procedures -- Ultrasounds
CPT Code Procedure
76830 Transvaginal ultrasound
76816 Ultrasound re-evaluation of pregnant uterus, per fetus
Office Visits -- Adult Preventative 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
99201 New patient office visit (10 minutes)
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)
Office Visits -- Pediatric or Adolescent Preventative Care Office Visit (or Wellness Office Visit)
CPT Code Procedure
99384 New patient preventative care visit for adolescent ages 12 to 17
99383 New patient preventative care visit for child ages 5 to 11
99381 New patient preventative care visit for child under age 1
99382 New patient preventative 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 -- 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)
Physical and Occupational Therapy -- Occupational Therapy
CPT Code Procedure
97762 Evaluation of orthotic or prosthetic use
97003 Occupational therapy 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
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
97001 Physical therapy evaluation
97002 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
97150 Therapeutic procedures in a group setting
97116 Walking training to 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
71250 CT scan of chest
71260 CT scan of chest, with contrast
70486 CT scan of face
70450 CT scan of head or brain
72192 CT scan of pelvis
72193 CT scan of pelvis, with contrast
Radiology and Imaging -- Mammograms
CPT Code Procedure
77056 Analog mammogram, Diagnostic both breasts
77055 Analog mammogram, Diagnostic single breast
77057 Analog mammogram, Screening both breasts
G0206 Digital diagnostic mammogram of one breast
G0204 Digital diagnostic mammogram of both breasts
G0202 Digital screening mammogram of both breasts
Radiology and Imaging -- MRI (Magnetic Resonance Imaging) Scans
CPT Code Procedure
73221 MRI scan of arm joint
77059 MRI scan of both breasts, 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
72195 MRI scan of pelvis
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
78451 Heart vessel study using drugs or exercise, single study
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)
76856 Ultrasound of pelvis
76642 Ultrasound of single breast
Radiology and Imaging -- X-Rays
CPT Code Procedure
73610 X-ray of ankle, minimum of 3 views
71020 X-ray of chest, 2 views, front and side
72082 X-ray of entire spine
73620 X-ray of foot, 2 views
73630 X-ray of foot, minimum of 3 views
73120 X-ray of hand, 2 views
73562 X-ray of knee, 3 views
72100 X-ray of lower and sacral spine, 2 or 3 views
73030 X-ray of shoulder, minimum of 2 views
73110 X-ray of wrist, minimum of 3 views
Surgical Procedures -- Common Surgeries and Procedures
CPT Code Procedure
64721 Carpal tunnel release surgery
47562 Gallbladder removal
17000 Remove skin growth (premalignant/precancerous)
17110 Remove up to 14 skin growths (benign/noncancerous)
Surgical Procedures -- Joint Surgery
CPT Code Procedure
27130 Hip replacement
27447 Knee replacement
29881 Surgical arthroscopy of knee
29826 Surgical arthroscopy of shoulder