Procedures & surgery prices at Advocate Good Samaritan Hospital

Downers Grove, IL · every code in this section with a posted price and a Medicare benchmark.

551 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,445 $2,890 1.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $750 $1,500 0.8×
Ablate Pulm Tumor Perq Crybl (32994)
likely a partial charge, not the full procedure
$3,365 $6,730 0.3×
Ablation 1/> liver tumor perq cryoablation (47383)
likely a partial charge, not the full procedure
$2,875 $5,750 0.3×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure
$4,285 $8,570 0.2×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $7,130 $14,260 0.9×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $3,550 $7,100 2.0×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,950 $3,900 0.9×
Amniocentesis diagnostic (59000) $500 $1,000 0.5×
Amniocentesis therapeutic (59001) $650 $1,300 2.0×
Anal/Urinary Muscle Study (51784) $560 $1,120 4.1×
Anoscopy diagnostic (46600) $145 $290 1.0×
Apheresis Platelets (36513) $2,195 $4,390 4.6×
Application cast elbow finger short arm (29075) $307.50 $615 1.0×
Application Finger Splint Dynamic (29131) $135 $270 2.1×
Application finger splint static (29130) $160 $320 1.1×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$360–$370 $720–$740 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$360–$370 $720–$740 varies
Application of long leg cast (29345) $540 $1,080 1.8×
Application Short Arm Splint Dynamic (29126) $265 $530 1.9×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$287.50–$300 $575–$600 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$305–$370 $610–$740 varies
Apply Short Leg Cast (29405) $420 $840 1.4×
Arterial puncture (36600) $125 $250 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $262.50 $525 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $650 $1,300 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$287.50–$750 $575–$1,500 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $930 $1,860 2.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $207.50 $415 0.6×
Aspirate pleura w/ imaging (32555) $1,415 $2,830 2.1×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$1,750–$2,630 $3,500–$5,260 varies
Aspirate/Inj Ganglion Cyst (20612) $297.50 $595 0.9×
Aspiration and/or injection thyroid cyst (60300) $950 $1,900 1.3×
Aspiration bladder insert suprapubic catheter (51102) $1,260 $2,520 0.6×
Avulsion nail plate partial/complete simple 1 (11730) $477.50 $955 2.2×
Biopsy Abdominal Mass (49180) $1,990 $3,980 1.1×
Biopsy bone trocar/needle deep (20225) $1,710 $3,420 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $810 $1,620 0.5×
Biopsy muscle percutaneous needle (20206) $1,665 $3,330 0.9×
Biopsy of liver, needle; percutaneous (47000) $1,760 $3,520 1.0×
Biopsy ovary uni/bi separate procedure (58900) $3,200 $6,400 0.9×
Biopsy Pleura Percutaneous Needle (32400) $1,220 $2,440 0.7×
Biopsy Salivary Gland Needle (42400) $735 $1,470 1.0×
Biopsy soft tissue neck/thorax (21550) $1,975 $3,950 1.1×
Biopsy Testis Needle Separate Procedure (54500) $3,805 $7,610 1.2×
Bladder instillation anticarcinogenic agent (51720) $387.50 $775 0.5×
Bladder Irrigation (51700) $550 $1,100 2.1×
Bladder Scan (51798) $135 $270 2.1×
Blepharotomy drainage abscess eyelid (67700) $287.50 $575 0.8×
Blood Transfusion Service (36430) $1,005 $2,010 2.1×
Bone Marrow Biopsy (38221) $1,250 $2,500 0.7×
Bone Marrow; Aspiration Only (38220) $1,430 $2,860 0.8×
Bronchoscopy Clear Airways (31645) $2,310 $4,620 1.2×
Bronchoscopy W/Removal Foreign Body (31635) $1,920 $3,840 1.0×
Bx breast 1st lesion mr imag (19085) $2,420 $4,840 1.4×
Bx breast 1st lesion strtctc (19081) $2,420 $4,840 1.4×
Bx breast 1st lesion us imag (19083) $2,420 $4,840 1.4×
Bx breast needle core w/o imaging guidance spx (19100) $1,820 $3,640 1.0×
Canthotomy Separate Procedure (67715) $2,280 $4,560 0.9×
Cessj Therapy Cath Removal (37214) $3,820 $7,640 1.1×
Change Cystostomy Tube Simple (51705) $475 $950 1.8×
Change ureter stent percut (50382) $2,920 $5,840 1.3×
Chemical Cautery Tissue (17250) $272.50 $545 1.3×
Chemical Pleurodesis (32560) $1,210 $2,420 1.8×
Chest tube placement (32551)
range across 2 matching MRF lines
$1,790–$3,580 $3,580–$7,160 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,055 $4,110 0.9×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,870 $7,740 1.0×
Circumcision w/clamp/oth dev w/block (54150) $120 $240 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $1,790 $3,580 1.0×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$190–$275 $380–$550 varies
Closed Rx Spontaneous Hip Disloc (27256)
range across 2 matching MRF lines
$270–$540 $540–$1,080 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $270 $540 1.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,790 $3,580 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $270 $540 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,790 $3,580 1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $270 $540 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $270 $540 1.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,790 $3,580 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,735 $3,470 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $270 $540 1.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $270 $540 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $1,790 $3,580 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,790 $3,580 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,790 $3,580 1.0×
Closed tx radial&ulnar shaft fractures w/o man (25560) $270 $540 1.0×
Closed Tx Talus Fracture W/Manipulation (28435) $1,790 $3,580 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines
$265–$530 $530–$1,060 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $275 $550 1.1×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $580 $1,160 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $270 $540 1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,790 $3,580 1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,790 $3,580 1.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $270 $540 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $270 $540 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $270 $540 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$1,790–$3,580 $3,580–$7,160 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,790 $3,580 1.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,535 $3,070 0.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines
$1,790–$4,600 $3,580–$9,200 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $270 $540 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $270 $540 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $270 $540 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,790 $3,580 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $270 $540 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,790 $3,580 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $270 $540 1.0×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,040 $4,080 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $270 $540 1.0×
Cltx Med Ankle Fx W/Mnpj (27762) $1,790 $3,580 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $270 $540 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $270 $540 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $270 $540 1.0×
Cltx prox fibula/shft fx w/manj (27781) $1,790 $3,580 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,785 $3,570 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $270 $540 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,790 $3,580 1.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,790 $3,580 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,790 $3,580 1.0×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $270 $540 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,790 $3,580 1.0×
Collect Blood From Catheter Venous Nos (36592) $192.50 $385 1.4×
Collection of venous blood by venipuncture (36415) $22.50 $45 2.4×
Colporrhaphy (57200) $3,105 $6,210 0.9×
Complex drainage wound (10180) $3,035 $6,070 1.0×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines
$150–$300 $300–$600 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$150–$300 $300–$600 varies
Control oropharyngeal hemorrhage simple (42960) $322.50 $645 0.6×
Conversion ext bil drg cath (47535) $5,080 $10,160 1.3×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,130 $4,260 1.0×
Convert Nephrostomy Catheter (50434) $2,110 $4,220 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 3 matching MRF lines
$2,060–$2,465 $4,120–$4,930 varies
Csf shunt reprogram (62252) $337.50 $675 1.0×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $392.50 $785 1.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$150–$300 $300–$600 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $275 $550 1.1×
Cysto Bladder W/Ureteral Catheterization (52005) $2,295 $4,590 1.0×
Cysto calibration dilat urtl strix/stenosis (52281) $2,295 $4,590 1.0×
Cysto W/Simple Removal Stone & Stent (52310) $2,125 $4,250 0.9×
Cystourethroscopy (52000) $1,080 $2,160 1.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $480 $960 1.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,160 $2,320 1.5×
Debride nail 1-5 (11720) $117.50 $235 1.9×
Debride nail 6 or more (11721) $85 $170 1.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,030 $4,060 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $665 $1,330 1.5×
Declot vascular device (36593) $472.50 $945 1.3×
Destroy lumb/sac facet jnt (64635) $2,840 $5,680 1.4×
Dilat Xst Trc New Access Rcs (50437) $1,670 $3,340 0.4×
Dilate Urethra Stricture (53600) $380 $760 1.4×
Drain Cerebro Spinal Fluid (62272) $700 $1,400 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $800 $1,600 1.1×
Drainage Finger Abscess Complicated (26011) $1,790 $3,580 1.0×
Drainage of eye (65800) $2,360 $4,720 1.0×
Drainage of finger abscess simple (26010) $240 $480 1.1×
Drainage of gum lesion (41800) $150 $300 1.1×
Drainage of hematoma/fluid (10140) $1,780 $3,560 1.0×
Drainage of scrotal wall abscess (55100) $1,800 $3,600 1.0×
Draw Blood Off Venous Device (36591) $205 $410 1.4×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $800 $1,600 1.4×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $800 $1,600 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $515 $1,030 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $442.50 $885 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $337.50 $675 1.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,135 $2,270 1.2×
Dx Bone Marrow Bx & Aspir (38222) $1,740 $3,480 0.6×
Dx Bronchoscope/Lavage (31624) $2,095 $4,190 1.1×
Dx Bronchoscope/Wash (31622) $2,095 $4,190 1.1×
Dx Laryngoscopy Excl Nb (31525) $1,920 $3,840 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $755 $1,510 1.0×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $14,385 $28,770 1.2×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines
$4,340–$5,570 $8,680–$11,140 varies
Endoven ther chem adhes 1st (36482) $4,150 $8,300 0.7×
Epidural Blood Patch (62273) $830 $1,660 1.1×
Episiotomy or vaginal repair (59300) $3,105 $6,210 0.9×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $6,990 $13,980 1.1×
Ercp Dx Collection Specimen Brushing/Washing (43260) $3,420 $6,840 0.8×
Ercp remove calculi/debris biliary/pancreas duct (43264) $3,420 $6,840 0.8×
Ercp W/Biopsy Single/Multiple (43261) $4,450 $8,900 1.1×
Ercp w/pressure measurement sphincter of oddi (43263) $4,450 $8,900 2.2×
Ercp,Sphincterotomy (43262) $4,450 $8,900 1.1×
Escharotomy; initial incision (16035) $445 $890 1.0×
Esophagoscopy Flexible Guide Wire Dilation (43226) $2,370 $4,740 1.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,040 $2,080 1.1×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,370 $4,740 1.2×
Evacuation of subungual hematoma (11740) $145 $290 1.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,790 $3,580 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,555 $5,110 0.7×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines
$1,080–$1,780 $2,160–$3,560 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,375 $4,750 1.2×
Explo/Drain Breast Abscess (19020) $1,875 $3,750 1.1×
External cephalic version (59412) $1,725 $3,450 0.5×
Fetal Contraction Stress Test (59020) $452.50 $905 2.1×
Fetal non-stress test (59025) $450 $900 2.1×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,050 $2,100 1.4×
Fine needle aspiration without imaging guidance (10021) $372.50 $745 0.9×
Fluid Pressure Muscle (20950) $1,300 $2,600 1.7×
Fluoro exam of g/colon tube (49465) $430 $860 1.7×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,070 $2,140 1.4×
Fna bx w/us gdn 1st les (10005) $1,130 $2,260 1.5×
Foreskin manipulation (54450) $340 $680 1.3×
Guide Cathet Fluid Drainage (10030) $765 $1,530 1.0×
Hem heprn nduc trmbctpna srm (0275U) $310 $620 16.9×
I&d abscess peritonsillar (42700) $275 $550 1.1×
I&d abscess simple (10060) $480 $960 2.2×
I&d perianal abscess superficial (46050) $1,020 $2,040 1.0×
I&d pilonidal cyst complicated (10081) $800 $1,600 1.1×
I&d pilonidal cyst simple (10080) $570 $1,140 0.8×
Icd Pocket Revision (33223) $2,780 $5,560 1.3×
Image Cath Fluid Colxn Visc (49405) $1,975 $3,950 1.1×
Image Cath Fluid Peri/Retro (49406) $2,205 $4,410 1.2×
Image Cath Fluid Trns/Vgnl (49407) $2,345 $4,690 1.3×
Incise external hemorrhoid (46083) $470 $940 1.8×
Incision & drainage abscess complicated/multiple (10061) $605 $1,210 1.4×
Incision & drainage leg/ankle abscess/hematoma (27603) $3,035 $6,070 1.0×
Incision & removal foreign body subq tiss compl (10121) $1,735 $3,470 1.0×
Incision & removal foreign body subq tiss simple (10120) $465 $930 1.1×
Incision and drainage of bartholin's gland abscess (56420) $472.50 $945 2.2×
Incision and drainage of vulva or perineal abscess (56405) $362.50 $725 1.1×
Incision of rectal abscess (46040) $1,330 $2,660 1.0×
Incisional biopsy skin single lesion (11106) $382.50 $765 0.5×
Initial Tx 1st Degree Burn Local Tx (16000) $295 $590 1.4×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $775 $1,550 0.8×
Inj W/Fluor Eval Cv Device (36598) $325 $650 1.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,360 $2,720 1.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $412.50 $825 1.3×
Injection for identification of sentinel node (38792) $447.50 $895 1.0×
Injection Into Brain Canal (61055) $477.50 $955 1.5×
Injection into disk lesion (62292) $2,775 $5,550 1.3×
Injection into spinal artery (62294) $1,135 $2,270 1.2×
Injection single tendon origin/insertion (20551) $412.50 $825 1.3×
Injection single/mlt trigger point 1/2 muscles (20552) $500 $1,000 1.5×
Injection single/mlt trigger point 3/> muscles (20553) $625 $1,250 1.9×
Injection, anesthetic agent; femoral nerve, single (64447) $2,060 $4,120 2.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,100 $2,200 1.5×
Ins cath ren art 1st bilat (36252) $4,215 $8,430 1.2×
Ins cath ren art 1st unilat (36251) $3,770 $7,540 1.1×
Ins cath ren art 2nd+ bilat (36254) $5,200 $10,400 1.5×
Ins cath ren art 2nd+ unilat (36253) $3,630 $7,260 0.6×
Ins endovas vena cava filtr (37191) $6,260 $12,520 1.0×
Ins Vag Brachytx Device (57156) $615 $1,230 1.9×
Ins/Rep Subq Defibrillator (33270) $34,045 $68,090 1.0×
Insert 1 Electrode Pm-Defib (33216) $10,095 $20,190 1.1×
Insert and remove bone pin (20650) $3,630 $7,260 1.0×
Insert Bladder Cath Complex (51703) $260 $520 1.9×
Insert cath pleura w/ image (32557) $1,545 $3,090 0.9×
Insert cath pleura w/o image (32556) $3,490 $6,980 1.7×
Insert Gastrostomy Tube Percutaneous (49440) $2,685 $5,370 1.3×
Insert Heart Pm Atrial (33206) $10,685 $21,370 1.0×
Insert Heart Pm Ventricular (33207) $8,155 $16,310 0.7×
Insert non-tunnel cv cath (36556) $1,580 $3,160 0.5×
Insert Pacing Lead & Connect (33224) $8,845 $17,690 0.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,320 $2,640 0.8×
Insert pulse gen dual leads (33213) $9,090 $18,180 0.8×
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure
$6,245 $12,490 0.3×
Insert Pulse Gen Sngl Lead (33212)
unusually low: confirm this is the full procedure
$4,150 $8,300 0.5×
Insert Temp Bladder Cath (51702) $245 $490 1.7×
Insert tun ip cath perc (49418) $4,060 $8,120 1.1×
Insert tunneled cv cath (36561) $5,520 $11,040 1.6×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $6,960 $13,920 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $220 $440 1.5×
Insertion indwelling tunneled pleural catheter (32550) $4,685 $9,370 1.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,910 $3,820 1.1×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $10,635 $21,270 1.2×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $4,570 $9,140 1.2×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $3,370 $6,740 0.6×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $7,795 $15,590 0.9×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,470 $2,940 0.4×
Insj Picc Rs&I <5 Yr (36572) $1,320 $2,640 2.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,020 $6,040 0.9×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $4,185 $8,370 1.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,470 $2,940 0.9×
Insj Subq Impltbl Dfb Elctrd (33271) $7,740 $15,480 0.9×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $4,185 $8,370 1.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,670 $7,340 1.1×
Insj/Rplcmt Defib W/Lead(S) (33249) $34,430 $68,860 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,245 $10,490 0.6×
Insrt heart pm atrial & vent (33208) $13,075 $26,150 1.2×
Insrt Pulse Gen W/Dual Leads (33230) $30,175 $60,350 1.3×
Insrt Pulse Gen W/Mult Leads (33231) $20,645 $41,290 0.6×
Insrt Pulse Gen W/Singl Lead (33240) $12,875 $25,750 0.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $800 $1,600 1.8×
Intro cath dialysis circuit (36901) $1,295 $2,590 0.8×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $19,335 $38,670 1.6×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $9,470 $18,940 1.6×
Intro Gastrointestinal Tube (44500) $1,245 $2,490 1.3×
Intubation endotracheal emergency procedure (31500) $565 $1,130 2.2×
Irrigation of corpora cavernosa for priapism (54220) $455 $910 1.7×
Kidney endoscopy (50553) $6,180 $12,360 1.1×
Klhl11 antb serum/csf cell binding assay qual (0432U) $62.50 $125 1.7×
Laryngoscopy diagnostic (31505) $215 $430 1.0×
Laryngoscopy flexible diagnostic (31575) $215 $430 1.0×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $485 $970 1.2×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $215 $430 1.0×
Lyse chest fibrin init day (32561) $1,070 $2,140 1.6×
Lyse Chest Fibrin Subq Day (32562) $1,210 $2,420 1.8×
Manometric stds thru tube/ndwellg urtrl cath (50396) $980 $1,960 1.3×
Maternity Care Procedure (59899) $380 $760 1.8×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,635 $3,270 1.0×
Mech remov tunneled cv cath (36595) $3,150 $6,300 0.9×
Myelography Lumbar Injection (62305) $970 $1,940 1.2×
Myelography Lumbar Injection (62304) $875 $1,750 1.0×
Myelography via lumbar injection rs&i cervical (62302) $875 $1,750 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $875 $1,750 1.0×
Nasal Endoscopy Dx (31231) $215 $430 1.0×
Nasal/Orogastric W/Tube Plmt (43752) $400 $800 0.8×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,920 $3,840 1.0×
Needle Biopsy Lymph Nodes (38505) $1,230 $2,460 0.7×
Needle Biopsy Pancreas (48102) $2,190 $4,380 1.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $785 $1,570 1.9×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $2,460 $4,920 1.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$435–$825 $870–$1,650 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,855 $5,710 0.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,075 $6,150 0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines
$1,355–$1,820 $2,710–$3,640 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,145 $2,290 1.5×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $895 $1,790 1.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,145 $2,290 1.5×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $1,920 $3,840 0.9×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,080 $2,160 1.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,800 $3,600 2.4×
Njx Sclrsnt 1 Incmptnt Vein (36470) $550 $1,100 1.3×
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines
$442.50–$565 $885–$1,130 varies
Obstructive material removal from gi tube (49460) $1,240 $2,480 1.3×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$545–$815 $1,090–$1,630 varies
Onc Hl Neo Gen Seq Alys Alg (0364U) $3,055 $6,110 1.5×
Open treatment metacarpophalangeal dislocation (26715) $3,630 $7,260 1.0×
Open Tx Distal Phalangeal Fracture Each (26765) $3,630 $7,260 1.0×
Open/Perq Place Stent 1St (37236) $11,270 $22,540 0.9×
Open/Perq Place Stent Same (37238) $15,115 $30,230 1.2×
Perc Cryo Ablate Renal Tum (50593)
range across 2 matching MRF lines
$5,065–$7,650 $10,130–$15,300 varies
Perc Rf Ablate Renal Tumor (50592)
range across 2 matching MRF lines
$3,320–$6,380 $6,640–$12,760 varies
Percut Ablate Liver Rf (47382) $7,440 $14,880 1.1×
Percut Cath Occlusn Non Cns Lesn (61626) $10,270 $20,540 0.8×
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines
$750–$1,120 $1,500–$2,240 varies
Percut Mech Thrombectomy, Venous, Repeat (37188) $4,685 $9,370 1.4×
Pericardiocentesis W/Imaging (33016) $1,980 $3,960 1.2×
Peritoneal Lavage (49084) $1,985 $3,970 2.0×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure
$3,425 $6,850 0.2×
Perq av fistula creation uxtr sep access sites (36837) $20,905 $41,810 1.1×
Perq av fistula creation uxtr single access (36836) $17,920 $35,840 0.9×
Perq Cervicothoracic Inject (22510) $8,245 $16,490 2.4×
Perq dev breast 1st mr guide (19287) $955 $1,910 1.3×
Perq dev breast 1st us imag (19285) $1,250 $2,500 1.6×
Perq device breast 1st imag (19281) $1,070 $2,140 0.6×
Perq dilation xst trc endourologic px w/img (50436) $2,110 $4,220 0.6×
Perq Lumbosacral Injection (22511) $3,895 $7,790 1.1×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $6,530 $13,060 0.6×
Perq p-art revsc 1 nm nt uni (33900) $12,320 $24,640 1.0×
Perq p-art revsc st 1st abnor connj unilateral (33902) $19,905 $39,810 1.0×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $24,880 $49,760 2.0×
Perq p-art revsc st 1st nml native connj bi (33901) $15,400 $30,800 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,170 $2,340 1.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $10,730 $21,460 0.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,070 $8,140 0.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $8,280 $16,560 1.1×
Perq Vertebral Augmentation (22513) $6,545 $13,090 0.8×
Phleb Veins - Extrem 20+ (37766) $4,355 $8,710 1.3×
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines
$4,600–$5,840 $9,200–$11,680 varies
Place Cath Thoracic Aorta (36221) $3,770 $7,540 1.1×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines
$6,085–$7,900 $12,170–$15,800 varies
Place Duod/Jej Tube Perc (49441) $2,130 $4,260 1.0×
Place Rt Device/Marker Pros (55876) $1,895 $3,790 1.3×
Placement of needle for intraosseous infusion (36680) $350 $700 0.7×
Plmt Bile Duct Stent Prq Existing Access (47538) $4,255 $8,510 0.7×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $4,255 $8,510 0.7×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $6,705 $13,410 1.0×
Plmt expandable cath brst following prtl mast (19296) $11,285 $22,570 1.3×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines
$2,565–$3,850 $5,130–$7,700 varies
Plmt Nephroureteral Catheter (50433) $3,095 $6,190 0.8×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $4,510 $9,020 1.2×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,515 $7,030 0.9×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $4,510 $9,020 1.2×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure
$6,340 $12,680 0.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,100 $2,200 1.1×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $695 $1,390 0.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,615 $7,230 0.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,615 $7,230 0.9×
Pseudoaneurysm Injection Trt (36002) $460 $920 0.7×
Punch biopsy skin single lesion (11104) $212.50 $425 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $402.50 $805 0.9×
Puncture Aspiration Cyst Breast (19000) $905 $1,810 1.2×
Puncture shunt tube/reservoir aspiration/inj px (61070) $900 $1,800 1.2×
Rbc DNA gntyp 12 bld grp gen (0282U) $575 $1,150 0.8×
Redo Endovas Vena Cava Filtr (37192) $4,380 $8,760 1.3×
Relocation Pocket Pacemaker (33222) $3,065 $6,130 1.4×
Rem Endovas Vena Cava Filter (37193) $4,545 $9,090 1.3×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $865 $1,730 0.9×
Removal Embedded Foreign Body Eyelid (67938) $447.50 $895 1.3×
Removal Foreign Body Foot Subcutaneous (28190) $800 $1,600 1.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $940 $1,880 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$125–$150 $250–$300 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$125–$150 $250–$300 varies
Removal of foreign body from pharynx (42809) $347.50 $695 0.7×
Removal of nail bed (11750) $700 $1,400 1.6×
Removal of tunneled intraperitoneal catheter (49422) $3,950 $7,900 1.2×
Removal or bivalving full arm or full leg cast (29705) $390 $780 1.3×
Removal Pacemaker Electrode (33235) $5,305 $10,610 1.3×
Removal ppm generator only (33233) $5,300 $10,600 0.6×
Removal subcutaneous cardiac rhythm monitor (33286) $1,205 $2,410 1.6×
Removal Sutures/Staples Requiring Anesthesia (15851) $125 $250 0.1×
Removal/bivalving gauntlet boot/body cast (29700) $225 $450 0.8×
Remove brain canal fluid (61050) $390 $780 1.2×
Remove Elctrd Transvenously (33244) $4,320 $8,640 1.1×
Remove foreign body from eye (65205) $187.50 $375 1.3×
Remove Intrauterine Device (58301) $400 $800 1.2×
Remove intrvas foreign body (37197) $3,770 $7,540 1.1×
Remove lung catheter (32552) $645 $1,290 1.0×
Remove Nasal Foreign Body (30300) $267.50 $535 1.9×
Remove Pulse Generator (33241) $3,675 $7,350 0.9×
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines
$1,155–$1,440 $2,310–$2,880 varies
Remove ureter stent percut (50384) $2,920 $5,840 1.3×
Remove&replace pm gen singl (33227) $10,020 $20,040 1.1×
Remv&replc cvd gen dual lead (33263) $25,165 $50,330 1.1×
Remv&replc cvd gen mult lead (33264) $25,300 $50,600 0.8×
Remv&replc cvd gen sing lead (33262) $24,620 $49,240 1.0×
Remv&replc pm gen dual lead (33228) $13,520 $27,040 1.2×
Remv&replc pm gen mult leads (33229) $11,235 $22,470 0.5×
Renal Biopsy Perq (50200) $1,505 $3,010 0.9×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) $6,180 $12,360 0.6×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) $1,260 $2,520 0.3×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $6,180 $12,360 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $820 $1,640 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $945 $1,890 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $820 $1,640 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $945 $1,890 2.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $820 $1,640 1.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $945 $1,890 2.2×
Repair complex trunk 2.6-7.5 cm (13101) $820 $1,640 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $620 $1,240 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $675 $1,350 1.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $705 $1,410 1.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $740 $1,480 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $620 $1,240 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $675 $1,350 1.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $740 $1,480 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $800 $1,600 1.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $620 $1,240 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $675 $1,350 1.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $865 $1,730 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $740 $1,480 1.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $925 $1,850 0.4×
Repair lead pace-defib dual (33220) $4,080 $8,160 1.0×
Repair Lead Pace-Defib One (33218) $4,080 $8,160 1.0×
Repair of nail bed (11760) $625 $1,250 0.8×
Repair tongue laceration (41252) $275 $550 1.1×
Repair tongue laceration (41250) $350 $700 0.7×
Replace duodenostomy/jejunostomy tube perq (49451) $1,195 $2,390 1.2×
Replace G-J Tube Perc (49452) $1,240 $2,480 1.3×
Replace g/c tube perc (49450) $1,395 $2,790 1.4×
Repos Previously Implanted Subq Implantable Dfb (33273) $4,080 $8,160 1.0×
Reposition Gastrostomy Tube (43761) $1,095 $2,190 4.1×
Reposition L Ventric Lead (33226) $3,770 $7,540 1.1×
Reposition Pacing-Defib Lead (33215) $3,390 $6,780 1.0×
Reposition Venous Catheter (36597) $1,390 $2,780 0.8×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,915 $5,830 1.3×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,735 $3,470 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $615 $1,230 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $417.50 $835 0.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $265 $530 1.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $385 $770 0.8×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,035 $6,070 1.0×
Rmvl of subq implantable defibrillator electrode (33272) $4,080 $8,160 1.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,675 $7,350 0.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,600 $3,200 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,370 $2,740 2.0×
Rplc Gtube No Revj Trc (43762) $675 $1,350 2.5×
Rplc gtube revj gstrst trc (43763) $675 $1,350 2.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,470 $2,940 0.9×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $4,185 $8,370 1.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,140 $2,280 0.7×
Rplcmt compl tun ctr vad w/subq port (36582) $3,995 $7,990 1.2×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,505 $7,010 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $495 $990 2.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $580 $1,160 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $580 $1,160 1.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,735 $3,470 1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,480 $2,960 2.2×
Sclerotx Fluid Collection (49185) $785 $1,570 0.4×
Shoulder joint surgery (23101) $4,320 $8,640 1.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $535 $1,070 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $410 $820 1.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $452.50 $905 2.1×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $575 $1,150 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $472.50 $945 2.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $410 $820 1.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $620 $1,240 2.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $495 $990 2.3×
Skin sub graft face/nk/hf/g (15275) $1,800 $3,600 2.3×
Skin sub graft trnk/arm/leg (15271) $1,800 $3,600 2.3×
Skin sub grft t/arm/lg child (15273) $3,150 $6,300 1.4×
Skin Tissue Procedure (17999) $287.50 $575 1.3×
Skn sub grft f/n/hf/g child (15277) $2,700 $5,400 1.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines
$5,090–$7,900 $10,180–$15,800 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines
$4,600–$5,910 $9,200–$11,820 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines
$6,260–$7,900 $12,520–$15,800 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $452.50 $905 2.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $535 $1,070 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $575 $1,150 1.3×
Spinal puncture lumbar diagnostic (62270) $1,215 $2,430 1.6×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,785 $7,570 1.1×
Tangential biopsy skin single lesion (11102) $212.50 $425 0.5×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $49,155 $98,310 1.6×
Tcat Insj/Rpl Perm Ldls Pm (33274) $17,845 $35,690 0.9×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $4,250 $8,500 0.9×
Ther Apheresis,Red Blood Cells (36512) $2,195 $4,390 1.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $755 $1,510 1.0×
Therapeutic Apheresis White Blood Cells (36511) $2,195 $4,390 1.3×
Therapeutic plasma exchange (36514) $2,195 $4,390 1.3×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $6,810 $13,620 1.1×
Thrmbc/Nfs Dialysis Circuit (36906) $18,105 $36,210 0.9×
Thromblytic art/ven therapy (37213) $4,390 $8,780 1.3×
Thrombolytic Art Therapy (37211) $6,345 $12,690 1.1×
Thrombolytic Therapy Stroke (37195) $410 $820 1.2×
Thrombolytic Venous Therapy (37212) $4,685 $9,370 1.4×
Thyroid biopsy (60100) $995 $1,990 1.3×
Tooth extraction (41899) $275 $550 1.1×
Tracheostomy Emergency Cricothyroid Membrane (31605) $307.50 $615 1.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,735 $3,470 1.0×
Transcatheter biopsy (37200) $3,215 $6,430 0.5×
Treat Hip Socket Fracture (27222) $1,535 $3,070 5.8×
Treat humerus fracture (24500) $270 $540 1.0×
Treat Humerus Fracture (24505) $1,790 $3,580 1.0×
Treat Knuckle Dislocation (26700) $270 $540 1.0×
Treat Thumb Dislocation (26641) $270 $540 1.0×
Treat toe dislocation (28630) $270 $540 1.0×
Treatment closed elbow dislocation w/o anes (24600) $270 $540 1.0×
Trim skin lesion (11055) $257.50 $515 1.2×
Trim skin lesions 2 to 4 (11056) $257.50 $515 1.2×
Trimming Nondystrophic Nails Any Number (11719) $105 $210 1.7×
Trluml Balo Angiop 1St Art (37246) $8,135 $16,270 1.3×
Trluml Balo Angiop 1St Vein (37248) $7,530 $15,060 1.2×
Tx Gastro Intub W/Asp (43753) $340 $680 1.5×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,765 $5,530 0.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $765 $1,530 1.0×
Tx superficial wound dehiscence w/packing (12021) $840 $1,680 1.9×
Unlisted Cardiac Surgery (33999) $5,715 $11,430 8.5×
Unlisted procedure nervous system (64999) $452.50 $905 1.4×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $280 $560 1.1×
Unlisted procedure spine (22899) $2,790 $5,580 10.6×
Unlisted Procedure Vascular Surgery (37799)
range across 3 matching MRF lines
$775–$4,750 $1,550–$9,500 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 2 matching MRF lines
$1,120–$1,950 $2,240–$3,900 varies
Unlisted Procedure, Urinary System (53899) $980 $1,960 3.7×
Upgrade of pacemaker system (33214) $7,850 $15,700 0.7×
Urethrorrhaphy sutr urethral wound/inj penile (53505) $6,360 $12,720 1.1×
Vaginal delivery only (59409) $2,140 $4,280 0.6×
Vasc embolize/occlude artery (37242) $11,780 $23,560 0.6×
Vasc Embolize/Occlude Bleed (37244) $16,375 $32,750 1.3×
Vasc Embolize/Occlude Organ (37243) $12,385 $24,770 1.0×
Vasc embolize/occlude venous (37241) $11,955 $23,910 1.0×
Venous Mech Thrombectomy (37187) $14,180 $28,360 1.1×
Wedge excision skin nail fold (11765) $485 $970 1.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.