Procedures & surgery prices at Advocate Trinity Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,360 $2,720 1.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,035 $2,070 1.1×
Ablation 1/> liver tumor perq cryoablation (47383)
unusually low: confirm this is the full procedure
$4,365 $8,730 0.4×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure
$7,220 $14,440 0.4×
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $3,550 $7,100 2.0×
Amniocentesis diagnostic (59000) $500 $1,000 0.5×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $442.50 $885 1.3×
Anoscopy W/Rmvl Foreign Body (46608) $1,185 $2,370 1.2×
Application cast elbow finger short arm (29075) $307.50 $615 1.0×
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 rigid total contact leg cast (29445) $535 $1,070 1.8×
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 Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines
$225–$290 $450–$580 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines
$420–$635 $840–$1,270 varies
Arterial puncture (36600) $125 $250 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $407.50 $815 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $775 $1,550 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $450 $900 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$790–$1,160 $1,580–$2,320 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $300 $600 0.9×
Aspirate pleura w/ imaging (32555) $1,330 $2,660 2.0×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$760–$945 $1,520–$1,890 varies
Aspiration and/or injection thyroid cyst (60300) $805 $1,610 1.1×
Aspiration bladder insert suprapubic catheter (51102) $1,260 $2,520 0.6×
Aspiration Bladder Needle (51100) $282.50 $565 1.1×
Av Fistula Revision Open (36832) $3,755 $7,510 0.6×
Avulsion nail plate partial/complete simple 1 (11730) $322.50 $645 1.5×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure
$4,425 $8,850 0.4×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure
$2,820 $5,640 0.4×
Biopsy Abdominal Mass (49180) $1,240 $2,480 0.7×
Biopsy bone open superficial (20240) $2,800 $5,600 0.9×
Biopsy bone trocar/needle deep (20225) $1,655 $3,310 0.9×
Biopsy Bone Trocar/Needle Superficial (20220) $1,000 $2,000 0.6×
Biopsy muscle percutaneous needle (20206) $1,240 $2,480 0.7×
Biopsy of liver, needle; percutaneous (47000) $1,020 $2,040 0.6×
Biopsy Pleura Percutaneous Needle (32400) $1,240 $2,480 0.7×
Biopsy Salivary Gland Needle (42400) $740 $1,480 1.0×
Biopsy soft tissue back/flank deep (21925) $1,220 $2,440 0.7×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,240 $2,480 0.7×
Bladder Irrigation (51700) $495 $990 1.8×
Bladder Scan (51798) $135 $270 2.1×
Blood Transfusion Service (36430) $1,005 $2,010 2.1×
Bone Marrow Biopsy (38221) $1,005 $2,010 0.6×
Bone Marrow; Aspiration Only (38220) $1,240 $2,480 0.7×
Bx breast 1st lesion mr imag (19085) $1,970 $3,940 1.1×
Bx breast 1st lesion strtctc (19081) $2,760 $5,520 1.6×
Bx breast 1st lesion us imag (19083) $1,805 $3,610 1.0×
Canthotomy Separate Procedure (67715) $2,280 $4,560 0.9×
Cessj Therapy Cath Removal (37214) $1,530 $3,060 0.5×
Change Cystostomy Tube Simple (51705) $325 $650 1.2×
Change ureter stent percut (50382)
range across 2 matching MRF lines
$1,590–$2,360 $3,180–$4,720 varies
Chemical Cautery Tissue (17250) $297.50 $595 1.4×
Chest tube placement (32551)
range across 2 matching MRF lines
$1,790–$3,580 $3,580–$7,160 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,255 $4,510 0.6×
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 treatment of posterior malleolus fracture; with manipulation (27768) $1,790 $3,580 1.0×
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 carpal scaphoid fracture w/manj (25624) $1,790 $3,580 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $270 $540 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $270 $540 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,790 $3,580 1.0×
Closed tx talotarsal joint dislc w/o anes (28570) $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 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 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 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 hip dislocation traumatic w/o anesthesia (27250) $270 $540 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 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 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 tarsal dislc oth/thn talotarsal w/o anes (28540) $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×
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) $2,820 $5,640 0.7×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,355 $2,710 0.7×
Convert Nephrostomy Catheter (50434) $1,605 $3,210 0.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,120 $4,240 1.2×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $3,935 $7,870 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) $150 $300 1.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $275 $550 1.1×
Cysto calibration dilat urtl strix/stenosis (52281) $2,295 $4,590 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,160 $2,320 1.5×
Debride nail 1-5 (11720) $90 $180 1.4×
Debride nail 6 or more (11721) $105 $210 1.7×
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×
Decompression of leg (27892) $3,885 $7,770 1.1×
Destr W Neurolytic; Celiac Plexus (64680) $2,505 $5,010 2.6×
Destroy cerv/thor facet jnt (64633) $2,190 $4,380 1.0×
Destroy lumb/sac facet jnt (64635) $2,300 $4,600 1.1×
Destruction by neurolytic agent, intercostal nerve (64620) $1,850 $3,700 2.0×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $2,775 $5,550 1.3×
Destruction neurolytic agt genicular nerve w/img (64624) $3,125 $6,250 1.5×
Dilat Xst Trc New Access Rcs (50437) $3,600 $7,200 1.0×
Dilate Urethra Stricture (53620) $740 $1,480 1.0×
Dilation and catheterization of salivary duct, with or without injection (42660) $790 $1,580 1.4×
Drain/inj small joint/bursa w/us (20604) $300 $600 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 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 scrotal wall abscess (55100) $1,800 $3,600 1.0×
Drainage of scrotum (54700) $2,135 $4,270 1.0×
Draw Blood Off Venous Device (36591) $205 $410 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) $1,245 $2,490 1.3×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,200 $2,400 1.3×
Dx Bone Marrow Bx & Aspir (38222) $1,740 $3,480 0.6×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,485 $2,970 2.0×
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) $497.50 $995 1.5×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $497.50 $995 1.5×
Endometrial Biopsy (58100) $302.50 $605 1.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $4,325 $8,650 1.3×
Epidural Blood Patch (62273) $820 $1,640 1.1×
Evacuation of subungual hematoma (11740) $145 $290 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,820 $5,640 0.7×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines
$1,605–$1,990 $3,210–$3,980 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,650 $3,300 0.8×
Explo/Drain Breast Abscess (19020) $2,090 $4,180 1.2×
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) $1,930 $3,860 2.5×
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) $1,360 $2,720 1.8×
Fna bx w/us gdn 1st les (10005) $2,050 $4,100 2.7×
Foreskin manipulation (54450) $340 $680 1.3×
Guide Cathet Fluid Drainage (10030) $430 $860 0.6×
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×
Image Cath Fluid Colxn Visc (49405) $1,255 $2,510 0.7×
Image Cath Fluid Peri/Retro (49406) $1,170 $2,340 0.7×
Image Cath Fluid Trns/Vgnl (49407) $1,545 $3,090 0.9×
Implant Neuroelectrodes (64561) $5,600 $11,200 0.8×
Incise external hemorrhoid (46083) $470 $940 1.8×
Incision & drainage abscess complicated/multiple (10061) $605 $1,210 1.4×
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×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,790 $3,580 1.0×
Incisional biopsy skin single lesion (11106) $365 $730 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)
range across 3 matching MRF lines
$1,245–$1,540 $2,490–$3,080 varies
Inj W/Fluor Eval Cv Device (36598) $317.50 $635 1.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $735 $1,470 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $412.50 $825 1.3×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,610 $3,220 1.7×
Injection aa&/strd genicular nrv branches w/img (64454) $1,135 $2,270 1.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $810 $1,620 0.9×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,135 $2,270 1.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,890 $3,780 2.5×
Injection Anes Agent Sphenopalatine Ganglion (64505) $367.50 $735 1.1×
Injection Anes Superior Hypogastric Plexus (64517) $685 $1,370 0.7×
Injection anesthetic agent suprascapular nerve (64418) $895 $1,790 1.2×
Injection for identification of sentinel node (38792) $335 $670 0.8×
Injection Into Brain Canal (61055) $477.50 $955 1.5×
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; brachial plexus, single (64415) $2,160 $4,320 2.3×
Injection, anesthetic agent; femoral nerve, single (64447) $1,870 $3,740 2.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $735 $1,470 1.0×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $780 $1,560 0.8×
Ins cath ren art 1st bilat (36252) $4,790 $9,580 1.4×
Ins cath ren art 1st unilat (36251) $3,830 $7,660 1.1×
Ins cath ren art 2nd+ bilat (36254) $4,790 $9,580 1.4×
Ins cath ren art 2nd+ unilat (36253) $3,830 $7,660 0.6×
Ins endovas vena cava filtr (37191) $4,870 $9,740 0.8×
Ins/Rep Subq Defibrillator (33270) $29,215 $58,430 0.9×
Insert 1 Electrode Pm-Defib (33216) $6,915 $13,830 0.8×
Insert Bladder Cath Complex (51703) $260 $520 1.9×
Insert cath pleura w/ image (32557) $1,765 $3,530 1.0×
Insert cath pleura w/o image (32556) $1,415 $2,830 0.7×
Insert Gastrostomy Tube Percutaneous (49440) $1,355 $2,710 0.7×
Insert Heart Pm Atrial (33206) $9,280 $18,560 0.8×
Insert Heart Pm Ventricular (33207) $9,280 $18,560 0.8×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure
$4,340 $8,680 0.2×
Insert non-tunnel cv cath (36556) $1,590 $3,180 0.5×
Insert pulse gen dual leads (33213) $9,280 $18,560 0.8×
Insert pulse gen mult leads (33221) $16,580 $33,160 0.8×
Insert Pulse Gen Sngl Lead (33212) $6,895 $13,790 0.8×
Insert Temp Bladder Cath (51702) $245 $490 1.7×
Insert tun ip cath perc (49418) $2,765 $5,530 0.7×
Insert tunneled cv cath (36561) $4,490 $8,980 1.3×
Insert,Non-Indwelling Bladder Catheter (51701) $220 $440 1.5×
Insertion indwelling tunneled pleural catheter (32550) $3,900 $7,800 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,820 $3,640 1.1×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $10,635 $21,270 1.2×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $6,915 $13,830 0.8×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,295 $6,590 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,470 $2,940 0.9×
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) $29,180 $58,360 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $6,895 $13,790 0.8×
Insrt heart pm atrial & vent (33208) $10,020 $20,040 0.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $800 $1,600 1.8×
Intro cath dialysis circuit (36901) $1,110 $2,220 0.7×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $7,965 $15,930 0.6×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $5,975 $11,950 1.0×
Intubation endotracheal emergency procedure (31500) $565 $1,130 2.2×
Irrigation of corpora cavernosa for priapism (54220) $282.50 $565 1.1×
Klhl11 antb serum/csf cell binding assay qual (0432U) $62.50 $125 1.7×
Laryngoscopy flexible diagnostic (31575) $215 $430 1.0×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $485 $970 1.2×
Ligation of a-v fistula (37607) $2,835 $5,670 0.8×
Lyse chest fibrin init day (32561) $570 $1,140 0.8×
Lyse Chest Fibrin Subq Day (32562) $570 $1,140 0.8×
Myelography Lumbar Injection (62305) $850 $1,700 1.0×
Myelography Lumbar Injection (62304) $745 $1,490 0.9×
Myelography via lumbar injection rs&i cervical (62302) $870 $1,740 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $765 $1,530 0.9×
N Block Inj Celiac Pelus (64530) $735 $1,470 0.8×
N Block Inj Ilio-Ing/Hypogi (64425) $570 $1,140 0.8×
N block inj intercost sng (64420) $670 $1,340 0.9×
N Block Lumbar/Thoracic (64520) $1,230 $2,460 1.3×
Nasal/Orogastric W/Tube Plmt (43752) $330 $660 0.7×
Needle Biopsy Lymph Nodes (38505) $1,240 $2,480 0.7×
Needle Biopsy Pancreas (48102) $1,240 $2,480 0.7×
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) $1,245 $2,490 1.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $365 $730 1.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,805 $3,610 0.5×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,380 $4,760 0.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines
$1,245–$1,820 $2,490–$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) $875 $1,750 1.2×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $670 $1,340 0.9×
Njx Sclrsnt 1 Incmptnt Vein (36470) $427.50 $855 1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines
$465–$580 $930–$1,160 varies
Njx Sclrsnt Spider Veins (36468) $302.50 $605 0.7×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$397.50–$580 $795–$1,160 varies
Onc Hl Neo Gen Seq Alys Alg (0364U) $3,055 $6,110 1.5×
Open/Perq Place Stent 1St (37236) $6,835 $13,670 0.6×
Open/Perq Place Stent Same (37238) $7,725 $15,450 0.6×
Perc Cryo Ablate Renal Tum (50593)
range across 2 matching MRF lines
$3,825–$7,650 $7,650–$15,300 varies
Perc Rf Ablate Renal Tumor (50592)
range across 2 matching MRF lines
$3,790–$6,380 $7,580–$12,760 varies
Percut Ablate Liver Rf (47382) $4,365 $8,730 0.7×
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) $3,365 $6,730 1.0×
Pericardiocentesis W/Imaging (33016) $2,955 $5,910 1.8×
Perq av fistula creation uxtr sep access sites (36837) $13,635 $27,270 0.7×
Perq av fistula creation uxtr single access (36836) $11,685 $23,370 0.6×
Perq Cervicothoracic Inject (22510) $8,245 $16,490 2.4×
Perq dev breast 1st mr guide (19287) $785 $1,570 1.0×
Perq dev breast 1st us imag (19285) $1,055 $2,110 1.4×
Perq device breast 1st imag (19281) $1,070 $2,140 0.6×
Perq dilation xst trc endourologic px w/img (50436) $2,135 $4,270 0.6×
Perq Lumbosacral Injection (22511) $3,390 $6,780 1.0×
Perq p-art revsc 1 nm nt uni (33900) $8,025 $16,050 0.6×
Perq p-art revsc st 1st abnor connj unilateral (33902) $12,985 $25,970 0.7×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $16,230 $32,460 1.3×
Perq p-art revsc st 1st nml native connj bi (33901) $10,030 $20,060 0.8×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $645 $1,290 0.8×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $10,610 $21,220 0.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,390 $8,780 0.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,220 $14,440 0.9×
Perq Vertebral Augmentation (22513) $8,310 $16,620 1.1×
Phleb Veins - Extrem 20+ (37766) $4,355 $8,710 1.3×
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines
$3,425–$4,720 $6,850–$9,440 varies
Place Cath Thoracic Aorta (36221) $2,510 $5,020 0.7×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines
$3,425–$5,920 $6,850–$11,840 varies
Placement of needle for intraosseous infusion (36680) $350 $700 0.7×
Plmt Bile Duct Stent Prq Existing Access (47538) $3,785 $7,570 0.6×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $3,690 $7,380 0.6×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $3,700 $7,400 0.6×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,515 $5,030 1.1×
Plmt Nephroureteral Catheter (50433) $2,615 $5,230 0.7×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $2,730 $5,460 0.7×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $2,730 $5,460 0.7×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $2,730 $5,460 0.7×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure
$8,840 $17,680 0.4×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $605 $1,210 0.8×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $2,380 $4,760 0.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,035 $6,070 0.8×
Pseudoaneurysm Injection Trt (36002) $570 $1,140 0.8×
Punch biopsy skin single lesion (11104) $205 $410 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $402.50 $805 0.9×
Puncture Aspiration Cyst Breast (19000) $930 $1,860 1.2×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,125 $6,250 1.5×
Rbc DNA gntyp 12 bld grp gen (0282U) $575 $1,150 0.8×
Rem Endovas Vena Cava Filter (37193) $4,415 $8,830 1.3×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $3,215 $6,430 3.3×
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 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) $2,355 $4,710 0.7×
Removal or bivalving full arm or full leg cast (29705) $390 $780 1.3×
Removal Pacemaker Electrode (33235) $2,705 $5,410 0.7×
Removal ppm generator only (33233) $6,915 $13,830 0.8×
Removal subcutaneous cardiac rhythm monitor (33286) $875 $1,750 1.2×
Removal Sutures/Staples Requiring Anesthesia (15851) $125 $250 0.1×
Remove Elctrd Transvenously (33244) $2,790 $5,580 0.7×
Remove foreign body from eye (65205) $187.50 $375 1.3×
Remove Intrauterine Device (58301) $245 $490 0.8×
Remove intrvas foreign body (37197) $2,510 $5,020 0.7×
Remove lung catheter (32552) $765 $1,530 1.1×
Remove Nasal Foreign Body (30300) $267.50 $535 1.9×
Remove Pulse Generator (33241) $3,425 $6,850 0.9×
Remove renal tube w/fluoro (50389) $1,070 $2,140 1.4×
Remove ureter stent percut (50384) $1,605 $3,210 0.7×
Remove&replace pm gen singl (33227) $6,915 $13,830 0.8×
Remv&replc cvd gen dual lead (33263) $20,560 $41,120 0.9×
Remv&replc cvd gen mult lead (33264) $29,215 $58,430 0.9×
Remv&replc cvd gen sing lead (33262) $20,560 $41,120 0.9×
Remv&replc pm gen dual lead (33228) $9,285 $18,570 0.8×
Remv&replc pm gen mult leads (33229) $16,580 $33,160 0.8×
Renal Biopsy Perq (50200) $1,645 $3,290 0.9×
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 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 12.6-20 cm (12045) $800 $1,600 1.0×
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 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) $940 $1,880 1.0×
Replace G-J Tube Perc (49452) $1,115 $2,230 1.1×
Replace g/c tube perc (49450) $940 $1,880 1.0×
Reposition Pacing-Defib Lead (33215) $3,295 $6,590 1.0×
Reposition Venous Catheter (36597) $1,470 $2,940 0.9×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $4,340 $8,680 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $417.50 $835 0.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $385 $770 0.8×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,540 $3,080 0.7×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,705 $5,410 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,335 $2,670 0.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,335 $2,670 2.0×
Rplc Gtube No Revj Trc (43762) $432.50 $865 1.6×
Rplc gtube revj gstrst trc (43763) $432.50 $865 1.6×
Rplcmt cath ctr vad subq port/pmp (36578) $2,725 $5,450 0.8×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $2,510 $5,020 0.7×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,415 $2,830 0.8×
Rplcmt compl tun ctr vad w/subq port (36582) $3,100 $6,200 0.9×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,100 $6,200 0.9×
Rpr blood vessel direct lower extremity (35226) $800 $1,600 1.1×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,470 $2,940 0.9×
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×
Sclerotx Fluid Collection (49185) $870 $1,740 0.5×
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 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 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×
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
$3,895–$7,030 $7,790–$14,060 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines
$3,165–$5,550 $6,330–$11,100 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines
$3,920–$7,710 $7,840–$15,420 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) $710 $1,420 0.9×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,785 $7,570 1.1×
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$155–$200 $310–$400 varies
Tangential biopsy skin single lesion (11102) $205 $410 0.5×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $31,325 $62,650 1.0×
Tcat Insj/Rpl Perm Ldls Pm (33274) $15,035 $30,070 0.7×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,485 $2,970 2.0×
Therapeutic plasma exchange (36514) $2,195 $4,390 1.3×
Thrmbc/Nfs Dialysis Circuit (36906) $12,070 $24,140 0.6×
Thromblytic art/ven therapy (37213) $1,795 $3,590 0.5×
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines
$4,635–$4,640 $9,270–$9,280 varies
Thrombolytic Therapy Stroke (37195) $410 $820 1.2×
Thrombolytic Venous Therapy (37212) $3,760 $7,520 1.1×
Thyroid biopsy (60100) $735 $1,470 1.0×
Tooth extraction (41899) $275 $550 1.1×
Tracheostomy Emergency Cricothyroid Membrane (31605) $307.50 $615 1.2×
Transcatheter biopsy (37200) $3,330 $6,660 0.6×
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) $192.50 $385 0.9×
Trim skin lesions 2 to 4 (11056) $165 $330 0.8×
Trim skin lesions over 4 (11057) $167.50 $335 0.8×
Trimming Nondystrophic Nails Any Number (11719) $90 $180 1.4×
Trluml Balo Angiop 1St Art (37246) $4,130 $8,260 0.7×
Trluml Balo Angiop 1St Vein (37248) $4,820 $9,640 0.8×
Tx Gastro Intub W/Asp (43753) $340 $680 1.5×
Tx open tendon flexor toe 1 tendon spx (28232) $2,175 $4,350 1.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $765 $1,530 1.0×
Unlisted procedure nervous system (64999) $452.50 $905 1.4×
Unlisted Procedure, Urinary System (53899) $277.50 $555 1.0×
Upgrade of pacemaker system (33214) $9,280 $18,560 0.8×
Vaginal delivery only (59409) $1,550 $3,100 0.4×
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure
$7,670 $15,340 0.4×
Vasc Embolize/Occlude Bleed (37244) $8,840 $17,680 0.7×
Vasc Embolize/Occlude Organ (37243) $8,840 $17,680 0.7×
Vasc embolize/occlude venous (37241) $7,670 $15,340 0.6×
Venous Mech Thrombectomy (37187) $8,870 $17,740 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.