Procedures & surgery prices at Advocate Illinois Masonic Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,375 $2,750 1.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $900 $1,800 0.9×
Ablate Pulm Tumor Perq Crybl (32994) $7,490 $14,980 0.7×
Ablation 1/> liver tumor perq cryoablation (47383) $7,350 $14,700 0.6×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure
$5,480 $10,960 0.3×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $4,450 $8,900 0.6×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $3,550 $7,100 2.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,950 $3,900 0.9×
Amniocentesis diagnostic (59000) $500 $1,000 0.5×
Amniocentesis therapeutic (59001) $590 $1,180 1.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,630 $7,260 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,630 $7,260 1.0×
Anoscopy Ablation Lesion (46615) $3,845 $7,690 1.3×
Anoscopy Control Bleeding (46614) $1,560 $3,120 1.2×
Anoscopy diagnostic (46600) $145 $290 1.0×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $1,110 $2,220 0.9×
Anoscopy W/Rmvl Foreign Body (46608) $1,185 $2,370 1.2×
Anoscopy; with biopsy, single or multiple (46606) $1,110 $2,220 0.9×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,110 $2,220 0.9×
Apheresis Platelets (36513) $2,195 $4,390 4.6×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $535 $1,070 3.1×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines
$222.50–$280 $445–$560 varies
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) $360 $720 2.1×
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 hand/wrist cast (29085) $185 $370 1.1×
Apply long arm cast (29065) $362.50 $725 1.2×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines
$327.50–$405 $655–$810 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) $415 $830 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $460 $920 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$450–$452.50 $900–$905 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$450–$452.50 $900–$905 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $392.50 $785 1.2×
Aspirate pleura w/ imaging (32555) $1,400 $2,800 2.1×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$760–$945 $1,520–$1,890 varies
Aspirate/Inj Ganglion Cyst (20612) $452.50 $905 1.4×
Aspiration and/or injection thyroid cyst (60300) $410 $820 0.5×
Aspiration bladder trocar/intracatheter (51101) $1,180 $2,360 1.3×
Avulsion nail plate partial/complete simple 1 (11730) $295 $590 1.4×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $5,110 $10,220 0.7×
Biopsy Abdominal Mass (49180) $1,570 $3,140 0.9×
Biopsy bone trocar/needle deep (20225) $925 $1,850 0.5×
Biopsy Bone Trocar/Needle Superficial (20220) $780 $1,560 0.4×
Biopsy external ear (69100) $302.50 $605 1.2×
Biopsy muscle percutaneous needle (20206) $1,120 $2,240 0.6×
Biopsy of liver, needle; percutaneous (47000) $2,625 $5,250 1.5×
Biopsy of penis (54100) $2,190 $4,380 1.2×
Biopsy ovary uni/bi separate procedure (58900) $3,390 $6,780 1.0×
Biopsy Pleura Percutaneous Needle (32400) $1,330 $2,660 0.8×
Biopsy Salivary Gland Needle (42400) $885 $1,770 1.2×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,950 $3,900 1.1×
Biopsy soft tissue neck/thorax (21550) $1,940 $3,880 1.1×
Biopsy Vaginal Mucosa Simple (57100) $1,255 $2,510 1.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $540 $1,080 0.5×
Bladder instillation anticarcinogenic agent (51720) $387.50 $775 0.5×
Bladder Irrigation (51700) $485 $970 1.8×
Bladder Scan (51798) $135 $270 2.1×
Blood Transfusion Service (36430) $1,005 $2,010 2.1×
Bone Marrow Biopsy (38221) $1,200 $2,400 0.7×
Bone Marrow; Aspiration Only (38220) $1,200 $2,400 0.7×
Bronchoscopy Clear Airways (31645) $2,310 $4,620 1.2×
Bx breast 1st lesion mr imag (19085) $1,985 $3,970 1.1×
Bx breast 1st lesion strtctc (19081) $2,760 $5,520 1.6×
Bx breast 1st lesion us imag (19083) $1,760 $3,520 1.0×
Bx breast needle core w/o imaging guidance spx (19100) $1,250 $2,500 0.7×
Bx Cervix (57500) $915 $1,830 0.9×
Cessj Therapy Cath Removal (37214) $1,500 $3,000 0.4×
Change Cystostomy Tube Complicated (51710) $1,570 $3,140 2.1×
Change Cystostomy Tube Simple (51705) $497.50 $995 1.9×
Change ureter stent percut (50382)
range across 2 matching MRF lines
$2,920–$3,670 $5,840–$7,340 varies
Chemical Cautery Tissue (17250) $242.50 $485 1.1×
Chemical Pleurodesis (32560) $1,140 $2,280 1.7×
Chemodenerv 1 extrem 5/> mus (64644) $905 $1,810 1.2×
Chemodenerv 1 extremity 1-4 (64642) $740 $1,480 1.0×
Chemodenerv Musc Migraine (64615) $515 $1,030 1.6×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines
$495–$740 $990–$1,480 varies
Chemodenerv trunk musc 1-5 (64646) $765 $1,530 1.0×
Chemodenerv trunk musc 6/> (64647) $905 $1,810 1.2×
Chemodenervation of internal anal sphincter (46505) $1,560 $3,120 1.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $390 $780 1.2×
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) $1,360 $2,720 0.6×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,305 $4,610 0.6×
Chorionic Villus Sampling (59015)
range across 2 matching MRF lines
$290–$347.50 $580–$695 varies
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 treatment of ulnar shaft fracture; with manipulation (25535) $270 $540 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 carpal scaphoid fracture w/manj (25624) $1,790 $3,580 1.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $270 $540 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $270 $540 1.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,790 $3,580 1.0×
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
unusually low: confirm this is the full procedure
$2,895 $5,790 0.5×
Closed tx metatarsal fracture w/o manipulation (28470) $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 radial head/neck fx w/manipulation (24655) $1,790 $3,580 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $270 $540 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,790 $3,580 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $270 $540 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 talotarsal joint dislc w/o anes (28570) $270 $540 1.0×
Closed Tx Talus Fracture W/Manipulation (28435) $1,790 $3,580 1.0×
Closed tx talus fracture w/o manipulation (28430) $270 $540 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines
$265–$530 $530–$1,060 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,790 $3,580 1.0×
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 acromioclavicular dislc w/manipulation (23545) $265 $530 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $265 $530 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
$270–$540 $540–$1,080 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $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 fibular fx lat malls w/o manj (27786) $270 $540 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $270 $540 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $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 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) $1,790 $3,580 1.0×
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 w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,790 $3,580 1.0×
Cltx hip dislocation traumatic req anesthesia (27252) $1,790 $3,580 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $270 $540 1.0×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,790 $3,580 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 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 Medial Ankle Fx (27760) $270 $540 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $270 $540 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $270 $540 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $270 $540 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $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 Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $270 $540 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $270 $540 1.0×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,790 $3,580 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/WO Manj (24530) $270 $540 1.0×
Cltx tibial shaft fx w/o manipulation (27750) $270 $540 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×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $462.50 $925 1.4×
Colposcopy Cervix Endocervical Curettage (57456) $412.50 $825 1.3×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $412.50 $825 1.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $3,765 $7,530 1.1×
Colposcopy entire vagina w/cervix if present (57420) $407.50 $815 1.2×
Colposcopy of vulva (56820) $252.50 $505 1.2×
Colposcopy Vulva W/Biopsy (56821) $412.50 $825 1.3×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $407.50 $815 0.4×
Complex Cystometrogram (51726) $560 $1,120 2.1×
Complex drainage wound (10180) $3,035 $6,070 1.0×
Composite Skin Graft (15760) $2,195 $4,390 1.0×
Conization of cervix (57520) $3,820 $7,640 1.1×
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) $3,930 $7,860 1.0×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,140 $4,280 1.0×
Convert Nephrostomy Catheter (50434) $915 $1,830 0.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 3 matching MRF lines
$2,075–$2,080 $4,150–$4,160 varies
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/destruction of lesions (52214) $2,850 $5,700 0.8×
Cysto W/Simple Removal Stone & Stent (52310) $1,750 $3,500 0.8×
Cystometrogram W/Up (51727) $765 $1,530 1.0×
Cystometrogram W/Vp (51728) $755 $1,510 1.0×
Cystometrogram W/Vp&Up (51729) $785 $1,570 1.1×
Cystourethroscopy (52000) $1,080 $2,160 1.4×
Cystourethroscopy with biopsy (52204) $2,625 $5,250 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,160 $2,320 1.5×
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×
Delivery of placenta (59414) $1,680 $3,360 0.5×
Destr penis lesion(s) (54065) $2,530 $5,060 1.1×
Destr W Neurolytic; Celiac Plexus (64680) $1,215 $2,430 1.3×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines
$2,190–$2,720 $4,380–$5,440 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines
$2,300–$2,840 $4,600–$5,680 varies
Destruction by neurolytic agent, intercostal nerve (64620) $1,135 $2,270 1.2×
Destruction by neurolytic agent; pudendal nerve (64630) $1,135 $2,270 1.2×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,725 $3,450 1.3×
Destruction Lesions Vulva Simple (56501) $2,530 $5,060 1.1×
Destruction neurolytic agt genicular nerve w/img (64624) $3,390 $6,780 1.6×
Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) $555 $1,110 1.6×
Destruction of rectal tumor transanal approach (45190) $3,870 $7,740 1.3×
Diagnostic anoscopy (46601) $137.50 $275 0.3×
Dilat Xst Trc New Access Rcs (50437) $4,540 $9,080 1.2×
Dilate Urethra Stricture (53600) $380 $760 1.4×
Dilation and catheterization of salivary duct, with or without injection (42660) $790 $1,580 1.4×
Dilation Cervical Canal (57800) $3,105 $6,210 0.9×
Drain/inj small joint/bursa w/us (20604) $452.50 $905 1.4×
Drainage abscess parotid simple (42300) $1,175 $2,350 0.7×
Drainage Abscess/Hematoma Nasal Septum (30020) $580 $1,160 1.0×
Drainage external ear abscess/hematoma cmplx (69005) $2,030 $4,060 1.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $800 $1,600 1.1×
Drainage Finger Abscess Complicated (26011) $1,790 $3,580 1.0×
Drainage Mouth Roof Lesion (42000) $275 $550 1.1×
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 hydrocele (55000) $960 $1,920 1.3×
Drainage of rectal abscess (45005) $1,520 $3,040 1.2×
Drainage of scrotal wall abscess (55100) $1,800 $3,600 1.0×
Drainage of scrotum (54700) $3,890 $7,780 1.7×
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 Lesion Anus Extensive (46924) $3,305 $6,610 1.1×
Dstrj Lesion Anus Simple Chemical (46900) $520 $1,040 1.2×
Dstrj lesion anus simple cryosurgery (46916) $272.50 $545 1.3×
Dstrj lesion anus simple surg excision (46922) $3,300 $6,600 1.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $2,530 $5,060 1.1×
Dstrj Lesion Penis Simple Chemical (54050) $287.50 $575 0.7×
Dstrj Lesion Penis Simple Cryosurgery (54056) $272.50 $545 1.3×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $2,280 $4,560 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,030 $2,060 1.1×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,255 $2,510 1.3×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,200 $2,400 1.3×
Dx Bone Marrow Bx & Aspir (38222) $2,480 $4,960 0.8×
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) $1,715 $3,430 2.3×
Egd Flexible Foreign Body Removal (43247) $1,040 $2,080 1.1×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $497.50 $995 1.5×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $482.50 $965 1.5×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $452.50 $905 1.4×
Electro-Uroflowmetry First (51741) $312.50 $625 1.4×
Endocervical curettage (57505) $1,035 $2,070 1.0×
Endometrial Biopsy (58100) $297.50 $595 1.4×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,435 $6,870 1.0×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,555 $5,110 1.2×
Epidural Blood Patch (62273) $995 $1,990 1.3×
Episiotomy or vaginal repair (59300) $3,105 $6,210 0.9×
Ercp Dx Collection Specimen Brushing/Washing (43260) $3,300 $6,600 0.8×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,620 $3,240 0.8×
Evacuation of subungual hematoma (11740) $145 $290 1.0×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $950 $1,900 1.3×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $950 $1,900 1.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,725 $3,450 1.3×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,940 $5,880 0.8×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines
$990–$1,720 $1,980–$3,440 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,950 $3,900 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $875 $1,750 1.2×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $950 $1,900 1.3×
Excision Multiple External Papillae/Tags Anus (46230) $4,230 $8,460 1.4×
Excision of single external papilla or tag, anus (46220) $1,710 $3,420 1.3×
Expl penetrating wound spx abdomen/flank/back (20102) $2,195 $4,390 1.0×
Explo/Drain Breast Abscess (19020) $1,890 $3,780 1.1×
Exploration penetrating wound spx chest (20101) $2,195 $4,390 1.0×
Exploration penetrating wound spx extremity (20103) $3,385 $6,770 1.9×
External cephalic version (59412) $1,725 $3,450 0.5×
Fasciotomy, foot and/or toe (28008) $5,065 $10,130 1.4×
Fetal non-stress test (59025) $450 $900 2.1×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $795 $1,590 1.0×
Fine needle aspiration without imaging guidance (10021) $372.50 $745 0.9×
Fluid Pressure Muscle (20950) $262.50 $525 0.3×
Fluoro exam of g/colon tube (49465) $430 $860 1.7×
Fna Bx W/Fluor Gdn 1St Les (10007) $635 $1,270 0.8×
Fna bx w/us gdn 1st les (10005) $795 $1,590 1.0×
Foreskin manipulation (54450) $340 $680 1.3×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,950 $3,900 0.9×
Guide Cathet Fluid Drainage (10030) $850 $1,700 1.1×
Hem heprn nduc trmbctpna srm (0275U) $310 $620 16.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $770 $1,540 0.8×
I&d abscess peritonsillar (42700) $275 $550 1.1×
I&d abscess simple (10060) $480 $960 2.2×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,035 $6,070 1.0×
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×
I&d upper arm/elbow deep abscess/hematoma (23930) $3,035 $6,070 1.0×
Icd Pocket Revision (33223) $3,455 $6,910 1.6×
Image Cath Fluid Colxn Visc (49405) $1,985 $3,970 1.1×
Image Cath Fluid Peri/Retro (49406) $1,985 $3,970 1.1×
Image Cath Fluid Trns/Vgnl (49407) $1,985 $3,970 1.1×
Implant neuroelectrodes (63650) $5,965 $11,930 0.9×
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines
$9,395–$14,250 $18,790–$28,500 varies
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) $192.50 $385 0.2×
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)
range across 4 matching MRF lines
$1,030–$1,540 $2,060–$3,080 varies
Inj W/Fluor Eval Cv Device (36598) $287.50 $575 1.3×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,595 $3,190 1.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,030 $2,060 1.1×
Injection 1 tendon sheath/ligament aponeurosis (20550) $412.50 $825 1.3×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,440 $2,880 1.5×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines
$1,085–$1,630 $2,170–$3,260 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $825 $1,650 0.9×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,085 $2,170 1.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,455 $2,910 1.9×
Injection Anes Agent Sphenopalatine Ganglion (64505) $452.50 $905 1.4×
Injection Anes Superior Hypogastric Plexus (64517) $800 $1,600 0.8×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines
$815–$1,220 $1,630–$2,440 varies
Injection for identification of sentinel node (38792) $645 $1,290 1.5×
Injection of sclerosing solution, hemorrhoids (46500) $1,710 $3,420 1.7×
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 Sinus Tract Therapeutic Separate Proc (20500) $625 $1,250 0.4×
Injection therapeutic carpal tunnel (20526) $345 $690 1.0×
Injection, anesthetic agent; brachial plexus, single (64415) $1,305 $2,610 1.4×
Injection, anesthetic agent; femoral nerve, single (64447) $1,400 $2,800 1.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$775–$910 $1,550–$1,820 varies
Ins cath ren art 1st bilat (36252) $4,735 $9,470 1.4×
Ins cath ren art 1st unilat (36251) $3,790 $7,580 1.1×
Ins cath ren art 2nd+ bilat (36254) $6,890 $13,780 2.0×
Ins cath ren art 2nd+ unilat (36253) $5,510 $11,020 0.9×
Ins endovas vena cava filtr (37191) $4,620 $9,240 0.8×
Ins Vag Brachytx Device (57156) $615 $1,230 1.9×
Ins/Rep Subq Defibrillator (33270) $47,420 $94,840 1.4×
Insert 1 Electrode Pm-Defib (33216) $5,160 $10,320 0.6×
Insert and remove bone pin (20650) $3,630 $7,260 1.0×
Insert Bladder Cath Complex (51703) $320 $640 2.3×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines
$1,245–$1,860 $2,490–$3,720 varies
Insert cath pleura w/o image (32556) $2,845 $5,690 1.4×
Insert cervical dilator (59200) $382.50 $765 1.2×
Insert Drug Implant Device (11981) $177.50 $355 1.2×
Insert Gastrostomy Tube Percutaneous (49440) $2,125 $4,250 1.0×
Insert Heart Pm Atrial (33206) $16,665 $33,330 1.5×
Insert Heart Pm Ventricular (33207) $11,385 $22,770 1.0×
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure
$9,360 $18,720 0.5×
Insert non-tunnel cv cath (36556) $1,745 $3,490 0.5×
Insert Pacing Lead & Connect (33224) $15,115 $30,230 1.3×
Insert pulse gen dual leads (33213) $13,600 $27,200 1.2×
Insert pulse gen mult leads (33221) $13,600 $27,200 0.7×
Insert Pulse Gen Sngl Lead (33212) $10,945 $21,890 1.2×
Insert Temp Bladder Cath (51702) $245 $490 1.7×
Insert tun ip cath perc (49418) $3,475 $6,950 0.9×
Insert tunneled cv cath (36561) $5,560 $11,120 1.6×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $6,115 $12,230 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $220 $440 1.5×
Insertion indwelling tunneled pleural catheter (32550) $3,830 $7,660 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,070 $4,140 1.2×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $8,830 $17,660 1.0×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $4,335 $8,670 0.7×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $3,370 $6,740 0.6×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $8,740 $17,480 1.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,460 $2,920 0.4×
Insj Picc Rs&I <5 Yr (36572) $1,510 $3,020 2.2×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $4,210 $8,420 1.2×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $4,210 $8,420 1.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,425 $2,850 0.8×
Insj Subq Impltbl Dfb Elctrd (33271) $12,450 $24,900 1.4×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $4,210 $8,420 1.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,655 $7,310 1.1×
Insj/Rplcmt Defib W/Lead(S) (33249) $29,180 $58,360 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $6,550 $13,100 0.7×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $8,525 $17,050 1.0×
Insrt heart pm atrial & vent (33208) $9,840 $19,680 0.9×
Insrt Pulse Gen W/Dual Leads (33230) $36,280 $72,560 1.5×
Insrt Pulse Gen W/Mult Leads (33231) $36,280 $72,560 1.1×
Insrt Pulse Gen W/Singl Lead (33240) $36,280 $72,560 1.5×
Instlj ther agent renal pelvis&/ureter via tub (50391) $272.50 $545 1.0×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,770 $3,540 1.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $800 $1,600 1.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $865 $1,730 2.0×
Intro cath dialysis circuit (36901) $1,335 $2,670 0.8×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $17,400 $34,800 1.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $7,750 $15,500 1.3×
Intro Gastrointestinal Tube (44500) $1,120 $2,240 1.2×
Intubation endotracheal emergency procedure (31500) $565 $1,130 2.2×
Irrigation of corpora cavernosa for priapism (54220) $480 $960 1.8×
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 Indirect W/Removal Foreign Body (31511) $215 $430 1.0×
Lyse chest fibrin init day (32561) $1,095 $2,190 1.6×
Lyse Chest Fibrin Subq Day (32562) $1,210 $2,420 1.8×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,215 $2,430 0.7×
Mech remov tunneled cv cath (36595) $4,030 $8,060 1.2×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $2,195 $4,390 1.0×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $4,010 $8,020 1.1×
Myelography Lumbar Injection (62305) $980 $1,960 1.2×
Myelography Lumbar Injection (62304) $900 $1,800 1.1×
Myelography via lumbar injection rs&i cervical (62302) $900 $1,800 1.1×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $900 $1,800 1.1×
N Block Inj Celiac Pelus (64530) $1,255 $2,510 1.3×
N Block Inj Ilio-Ing/Hypogi (64425) $735 $1,470 1.0×
N block inj intercost sng (64420) $670 $1,340 0.9×
N Block Inj Pudendal (64430) $1,135 $2,270 1.2×
N Block Lumbar/Thoracic (64520) $790 $1,580 0.8×
Nasal Endoscopy Dx (31231) $215 $430 1.0×
Nasal/Orogastric W/Tube Plmt (43752) $420 $840 0.9×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,840 $7,680 2.0×
Needle Biopsy Lymph Nodes (38505) $1,180 $2,360 0.7×
Needle Biopsy Pancreas (48102) $1,800 $3,600 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $35 $70 1.1×
Needle insertion w/o injection 3 or more muscles (20561) $35 $70 1.1×
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 stellate ganglion crv sympathetic (64510) $800 $1,600 0.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $530 $1,060 1.6×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,640 $5,280 0.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,685 $5,370 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines
$1,490–$1,820 $2,980–$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 Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,300 $2,600 1.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,050 $2,100 1.4×
Njx Sclrsnt 1 Incmptnt Vein (36470) $392.50 $785 0.9×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$452.50–$560 $905–$1,120 varies
Onc Hl Neo Gen Seq Alys Alg (0364U) $3,055 $6,110 1.5×
Open Tx Distal Phalangeal Fracture Each (26765) $3,630 $7,260 1.0×
Open/Perq Place Stent 1St (37236) $13,285 $26,570 1.1×
Open/Perq Place Stent Same (37238) $13,900 $27,800 1.1×
Perc Cryo Ablate Renal Tum (50593)
range across 2 matching MRF lines
$7,805–$9,760 $15,610–$19,520 varies
Perc Rf Ablate Renal Tumor (50592) $7,490 $14,980 1.2×
Percut Ablate Liver Rf (47382) $7,350 $14,700 1.1×
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure
$5,870 $11,740 0.5×
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) $4,690 $9,380 1.4×
Pericardiocentesis W/Imaging (33016) $1,355 $2,710 0.8×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure
$4,880 $9,760 0.2×
Perq av fistula creation uxtr sep access sites (36837) $19,085 $38,170 1.0×
Perq av fistula creation uxtr single access (36836) $16,360 $32,720 0.8×
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 strtctc (19283) $1,340 $2,680 1.8×
Perq dev breast 1st us imag (19285) $1,180 $2,360 1.6×
Perq device breast 1st imag (19281) $1,070 $2,140 0.6×
Perq dilation xst trc endourologic px w/img (50436) $2,850 $5,700 0.8×
Perq Lumbosacral Injection (22511) $3,115 $6,230 0.9×
Perq p-art revsc 1 nm nt uni (33900) $11,235 $22,470 0.9×
Perq p-art revsc st 1st abnor connj unilateral (33902) $18,175 $36,350 0.9×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $22,720 $45,440 1.8×
Perq p-art revsc st 1st nml native connj bi (33901) $14,045 $28,090 1.1×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $885 $1,770 1.2×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $14,875 $29,750 1.2×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $6,890 $13,780 1.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $9,320 $18,640 1.2×
Perq Vertebral Augmentation (22513) $8,475 $16,950 1.1×
Phleb Veins - Extrem 20+ (37766) $4,355 $8,710 1.3×
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines
$4,580–$5,720 $9,160–$11,440 varies
Place Cath Thoracic Aorta (36221) $3,790 $7,580 1.1×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines
$7,270–$9,090 $14,540–$18,180 varies
Place Duod/Jej Tube Perc (49441) $2,380 $4,760 1.2×
Place Rt Device/Marker Pros (55876) $1,895 $3,790 1.3×
Placement of needle for intraosseous infusion (36680) $350 $700 0.7×
Placement of seton (46020) $3,035 $6,070 1.0×
Plmt Bile Duct Stent Prq Existing Access (47538) $6,740 $13,480 1.0×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $6,740 $13,480 1.0×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $6,740 $13,480 1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines
$2,515–$3,780 $5,030–$7,560 varies
Plmt Nephroureteral Catheter (50433) $2,615 $5,230 0.7×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $3,770 $7,540 1.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,770 $7,540 1.0×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $3,770 $7,540 1.0×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure
$5,550 $11,100 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) $1,040 $2,080 1.4×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,805 $3,610 1.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,350 $8,700 1.1×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,350 $8,700 1.1×
Pseudoaneurysm Injection Trt (36002) $417.50 $835 0.6×
Punch biopsy skin single lesion (11104) $192.50 $385 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $470 $940 1.1×
Puncture Aspiration Cyst Breast (19000) $640 $1,280 0.8×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,160 $2,320 1.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,070 $6,140 1.5×
Rbc DNA gntyp 12 bld grp gen (0282U) $575 $1,150 0.8×
Redo Endovas Vena Cava Filtr (37192) $4,190 $8,380 1.2×
Relocation Pocket Pacemaker (33222) $2,620 $5,240 1.2×
Rem Endovas Vena Cava Filter (37193) $4,295 $8,590 1.3×
Removal Anal Seton Other Marker (46030) $1,435 $2,870 1.1×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $790 $1,580 0.8×
Removal foreign body foot deep (28192) $1,790 $3,580 1.0×
Removal Foreign Body Foot Subcutaneous (28190) $800 $1,600 1.1×
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 Implant Deep (20680) $3,390 $6,780 1.1×
Removal implantable contraceptive capsules (11976) $875 $1,750 1.2×
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) $3,680 $7,360 1.1×
Removal or bivalving full arm or full leg cast (29705) $390 $780 1.3×
Removal Pacemaker Electrode (33235) $4,465 $8,930 1.1×
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure
$3,035 $6,070 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $267.50 $535 1.2×
Removal subcutaneous cardiac rhythm monitor (33286) $2,120 $4,240 2.8×
Removal Sutures/Staples Requiring Anesthesia (15851) $125 $250 0.1×
Removal sweat gland lesion (11450) $3,510 $7,020 1.1×
Removal/bivalving gauntlet boot/body cast (29700) $225 $450 0.8×
Remove drug implant device (11982) $495 $990 1.0×
Remove Elctrd Transvenously (33244) $4,110 $8,220 1.0×
Remove foreign body from eye (65205) $187.50 $375 1.3×
Remove Intrauterine Device (58301) $362.50 $725 1.1×
Remove intrvas foreign body (37197) $3,950 $7,900 1.2×
Remove lung catheter (32552) $500 $1,000 0.7×
Remove Nasal Foreign Body (30300) $267.50 $535 1.9×
Remove Pulse Generator (33241) $4,110 $8,220 1.0×
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines
$1,140–$1,730 $2,280–$3,460 varies
Remove ureter stent percut (50384)
range across 3 matching MRF lines
$1,210–$2,640 $2,420–$5,280 varies
Remove&replace pm gen singl (33227) $11,200 $22,400 1.3×
Remv&replc cvd gen dual lead (33263) $33,315 $66,630 1.4×
Remv&replc cvd gen mult lead (33264) $31,125 $62,250 0.9×
Remv&replc cvd gen sing lead (33262) $31,125 $62,250 1.3×
Remv&replc pm gen dual lead (33228) $15,150 $30,300 1.4×
Remv&replc pm gen mult leads (33229) $11,235 $22,470 0.5×
Renal Biopsy Perq (50200) $1,610 $3,220 0.9×
Repair Blood Vessel Direct Hand Finger (35207) $3,670 $7,340 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 Elbow Perc (24357) $2,170 $4,340 0.6×
Repair extensor tendon finger w/o graft each (26418) $1,790 $3,580 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 Laceration Palate </2 Cm (42180) $580 $1,160 1.0×
Repair lead pace-defib dual (33220) $4,110 $8,220 1.0×
Repair Lead Pace-Defib One (33218) $3,940 $7,880 1.0×
Repair of nail bed (11760) $625 $1,250 0.8×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,630 $7,260 1.0×
Repair tongue laceration (41252) $275 $550 1.1×
Repair tongue laceration (41250) $350 $700 0.7×
Replace duodenostomy/jejunostomy tube perq (49451) $965 $1,930 1.0×
Replace G-J Tube Perc (49452) $865 $1,730 0.9×
Replace g/c tube perc (49450) $1,120 $2,240 1.2×
Reposition Gastrostomy Tube (43761) $1,395 $2,790 5.2×
Reposition L Ventric Lead (33226) $4,205 $8,410 1.2×
Reposition Pacing-Defib Lead (33215) $3,790 $7,580 1.1×
Reposition Venous Catheter (36597) $1,380 $2,760 0.8×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $8,160 $16,320 1.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $4,525 $9,050 1.2×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines
$2,285–$2,860 $4,570–$5,720 varies
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 Upper Arm/Elbow Subcutaneous (24200) $1,790 $3,580 1.0×
Rmvl of subq implantable defibrillator electrode (33272) $4,565 $9,130 1.1×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,660 $7,320 0.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,435 $4,870 1.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,335 $2,670 2.0×
Rplc Gtube No Revj Trc (43762) $222.50 $445 0.8×
Rplc gtube revj gstrst trc (43763) $247.50 $495 0.9×
Rplcmt cath ctr vad subq port/pmp (36578) $4,190 $8,380 1.2×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,310 $2,620 0.8×
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) $1,665 $3,330 1.0×
Rplcmt compl tun ctr vad w/subq port (36582) $3,790 $7,580 1.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,155 $6,310 0.9×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,095 $2,190 0.6×
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) $1,335 $2,670 2.0×
Sclerotx Fluid Collection (49185) $1,060 $2,120 0.6×
Simple Cystometrogram (51725) $387.50 $775 1.4×
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 F/E/E/N/L/M >30.0 Cm (12018) $620 $1,240 2.9×
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 Full Grft Face/Genit/Hf (15240) $1,950 $3,900 0.9×
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×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines
$7,700–$9,630 $15,400–$19,260 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines
$3,890–$5,550 $7,780–$11,100 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines
$7,820–$9,780 $15,640–$19,560 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×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $4,440 $8,880 1.2×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,785 $7,570 1.1×
Strapping ankle (29540) $142.50 $285 0.8×
Strapping Hip (29520) $142.50 $285 1.0×
Strapping knee (29530) $142.50 $285 1.0×
Strapping shoulder (29240) $142.50 $285 1.0×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$207.50–$210 $415–$420 varies
Tangential biopsy skin single lesion (11102) $192.50 $385 0.4×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $32,200 $64,400 1.0×
Tcat Insj/Rpl Perm Ldls Pm (33274) $20,195 $40,390 1.0×
Tenotomy Adductor Hip Percutaneous Spx (27000) $2,070 $4,140 1.2×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $2,230 $4,460 1.3×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $2,170 $4,340 0.6×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $4,345 $8,690 1.2×
Tenotomy shoulder area single tendon (23405) $8,540 $17,080 1.1×
Ther Apheresis,Red Blood Cells (36512) $2,195 $4,390 1.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,140 $2,280 1.5×
Therapeutic plasma exchange (36514) $2,195 $4,390 1.3×
Thrmbc/Nfs Dialysis Circuit (36906) $22,550 $45,100 1.1×
Thromblytic art/ven therapy (37213) $2,360 $4,720 0.7×
Thrombolytic Art Therapy (37211) $4,370 $8,740 0.7×
Thrombolytic Therapy Stroke (37195) $410 $820 1.2×
Thrombolytic Venous Therapy (37212) $3,790 $7,580 1.1×
Thyroid biopsy (60100) $1,040 $2,080 1.4×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,950 $3,900 0.9×
Tooth extraction (41899) $275 $550 1.1×
Tprnl Plmt Biodegrdabl Matrl (55874) $6,615 $13,230 1.2×
Tracheobrnchsc Thru Est Trachs Inc (31615) $580 $1,160 1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $307.50 $615 1.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,735 $3,470 1.0×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $485 $970 1.5×
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure
$2,490 $4,980 0.4×
Treat Hip Socket Fracture (27222) $1,535 $3,070 5.8×
Treat Humerus Fracture (24505) $1,790 $3,580 1.0×
Treat humerus fracture (23600) $265 $530 1.0×
Treat knee fracture (27532) $3,630 $7,260 1.0×
Treat Knee Fracture(S) (27538) $270 $540 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) $182.50 $365 0.8×
Trim skin lesions 2 to 4 (11056) $205 $410 1.0×
Trluml Balo Angiop 1St Art (37246) $8,610 $17,220 1.4×
Trluml Balo Angiop 1St Vein (37248) $6,200 $12,400 1.0×
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 procedure lungs and pleura (32999) $900 $1,800 1.3×
Unlisted procedure nervous system (64999) $1,110 $2,220 3.4×
Unlisted procedure pelvis/hip joint (27299) $900 $1,800 3.4×
Unlisted Procedure Rectum (45999) $1,125 $2,250 1.1×
Unlisted procedure spine (22899) $282.50 $565 1.1×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines
$1,215–$1,485 $2,430–$2,970 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,125 $2,250 1.2×
Unlisted Px Salivary Glands/Ducts (42699) $1,100 $2,200 4.3×
Upgrade of pacemaker system (33214) $16,790 $33,580 1.5×
Urine Flow Measurement (51736) $267.50 $535 1.9×
Vaginal delivery only (59409) $1,370 $2,740 0.4×
Vasc embolize/occlude artery (37242) $15,280 $30,560 0.8×
Vasc Embolize/Occlude Bleed (37244) $13,900 $27,800 1.1×
Vasc Embolize/Occlude Organ (37243) $12,385 $24,770 1.0×
Vasc embolize/occlude venous (37241) $15,280 $30,560 1.2×
Vasectomy uni/bi spx w/postop semen exams (55250) $3,810 $7,620 1.7×
Venous Mech Thrombectomy (37187) $8,965 $17,930 0.7×
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.