As is the case with many healthcare costs, charges for medical services tend to
vary from region to region. In this field, enter the location where you will be
receiving or have received medical care. You can indicate the location by zip code
or by entering a city and state. All of the following are examples of valid entries
in this field:
- 13203
- Syracuse, NY
- Syracuse, New York
We will use this information to give you results that are specific to your provider’s
geozip. A geozip is a geographic area that is usually defined by the first three
digits of a zip code. For example, the geozip for zip code 13202 is 132. Because
our cost estimates are based on geozips, you will generally get the same results
for zip codes that begin with the same first three digits.
In this field, enter a word or phrase related to the medical procedure for which
you would like to estimate your costs. Every procedure has a Current Procedural Terminology
(CPT) Code associated with it. If you know the code for your procedure, you may
enter that instead of a word or phrase.
You may also enter a condition such as “diabetes.” When you enter a condition, the system will show you a list of conditions that match your search.
All of the following are examples of valid
entries in this field:
- 99215
- Mammogram
- Well Child Office Visit
- Diabetes
- Infertility
To help us customize your search results, it is helpful to know whether you are
insured (under either a group or individual plan) or uninsured. Please note that
you do not need to answer this question in order to receive a cost estimate from
the tool.
In this field, enter a Current Procedural Terminology (CPT) Code. Every procedure
has a CPT Code associated with it. If you do not know the code for your procedure,
you may be able to find it by referring to your Explanation of Benefits (EOB) form
or by consulting your provider.
All of the following are examples of valid entries in this field:
- 99215
- 20816
- 80061
- 93000
- 59510
The directory below contains many common procedures. When you click on a category
in the directory, the page will expand to show sub-categories. A small blue arrow
next to a category means that there are sub-categories for that category.
This directory will lead you to a new
page that contains a list of the common procedures in that sub-category.
There is no single “right way” to browse this directory. It is intended to be flexible. For example, several
procedures appear under more than one category heading (e.g., ultrasound) in order to make it easier to find the
procedure of interest to you.
There are thousands of medical procedures that have a code number for billing. The
directory does not refer to all medical procedures but to those procedures that
are billed more frequently. However, if you cannot find a reference to your procedure
in the directory, you can try searching for it by entering a CPT code in the search
box above.