Procedures & surgery prices at Athol Hospital

Athol, MA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $777 $777 0.7×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $549.50 $549.50 0.5×
Acne surgery (10040) $225 $225 0.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,030.50 $2,030.50 0.5×
Amputate metacarpal bone (26910) $4,880 $4,880 1.2×
Amputation Finger/Thumb (26951) $2,692 $2,692 0.7×
Amputation metatarsal with toe single (28810) $8,096 $8,096 2.1×
Amputation toe metatarsophalangeal joint (28820) $8,096 $8,096 2.1×
Anoplasty, plastic operation for stricture; adult Facility (46700) $1,578 $1,578 0.5×
Anoscopy diagnostic (46600) $107 $107 0.7×
Anoscopy w/control bleeding (46614) $1,379 $1,379 1.0×
Anoscopy W/Rmvl Foreign Body (46608) $1,379 $1,379 1.2×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $323 $323 1.7×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $491 $491 2.5×
Application cast elbow finger short arm (29075) $316 $316 0.9×
Application cast shoulder hand long arm (29065) $279.50 $279.50 0.8×
Application Finger Splint Dynamic (29131) $146.50 $146.50 2.1×
Application finger splint static (29130) $208 $208 1.3×
Application long arm splint shoulder hand (29105) $311 $311 1.6×
Application of cylinder cast (thigh to ankle) (29365) $228.50 $228.50 0.7×
Application of long leg cast (29345) $373 $373 1.1×
Application of rigid total contact leg cast (29445) $467 $467 1.4×
Application Patellar Tendon Bearing Cast (29435) $315 $315 0.9×
Application Short Arm Splint Dynamic (29126) $138.50 $138.50 0.9×
Application short arm splint forearm-hand static (29125) $221 $221 1.4×
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure
$1,213 $1,213 0.1×
Apply Hand/Wrist Cast (29085) $280.50 $280.50 1.4×
Apply long leg splint (29505) $259 $259 1.3×
Apply short leg cast (29405) $273.50 $273.50 0.8×
Apply short leg cast (29425) $395.50 $395.50 1.2×
Apply short leg splint (29515) $259 $259 1.3×
Arterial puncture (36600) $57 $57 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $371 $371 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,087 $1,087 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $365 $365 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $384.50 $384.50 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $319 $319 0.9×
Arthrotomy ankle w/expl drainage/removal fb (27610) $1,999 $1,999 0.5×
Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) $1,148.50 $1,148.50 0.3×
Aspirate pleura w/ imaging (32555) $296 $296 0.4×
Aspirate/Inj Ganglion Cyst (20612) $189 $189 0.5×
Avulsion nail plate partial/complete simple 1 (11730) $294 $294 1.2×
Biopsy Bone Trocar/Needle Superficial (20220) $987 $987 0.5×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $519.50 $519.50 0.5×
Biopsy Vaginal Mucosa Simple (57100) $428.50 $428.50 0.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $424.50 $424.50 0.4×
Bladder instillation anticarcinogenic agent (51720) $711 $711 0.9×
Bladder Irrigation Simple (51700) $167 $167 0.6×
Blepharotomy drain absc eyelid (67700) $350 $350 0.9×
Blood patch (62273) $889 $889 1.1×
Blood transfusion service (36430) $948.50 $948.50 1.8×
Bone Marrow Biopsy (38221) $357 $357 0.2×
Bronchosc dx w/w/o fluor&wash (31622) $2,784 $2,784 1.3×
Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) $945 $945 2.0×
Bx abdl/retroperitoneal mass prq needle (49180) $407 $407 0.2×
Bx breast 1st lesion us imag (19083) $2,737 $2,737 1.4×
Bx breast needle core w/o imaging guidance spx (19100) $2,138 $2,138 1.1×
Bx/exc lymph node needle superficial (38505) $904 $904 0.5×
Casting/strapping procedure (29799) $360 $360 1.8×
Change of cystostomy tube simple (51705) $303 $303 1.0×
Chemical cautery tissue (17250) $186 $186 0.8×
Chemodenerv 1 extrem 5/> mus (64644) $781.50 $781.50 0.9×
Chemodenerv Eccrine Glands (64650) $247.50 $247.50 0.7×
Chemodenerv musc migraine (64615) $389.50 $389.50 1.1×
Chemodenerv Musc Neck Dyston (64616) $370.50 $370.50 1.0×
Chemodenervation of one extremity; 1-4 muscle(s) (64642) $975.50 $975.50 1.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $255 $255 0.7×
Close Rx Prox/Mid Fing Shft Fx (26720) $450 $450 1.5×
Closed Rx Gr Tuberosity Hum Fx (23620) $370 $370 1.3×
Closed Rx Humeral Supracondylar Fx (24530) $929.50 $929.50 3.1×
Closed Rx Radial Shaft Fx (25500) $746 $746 2.5×
Closed Rx Radial Shaft Fx W/Dislocation (25520) $3,099 $3,099 1.6×
Closed Rx Tibia Shaft Fx (27750) $856 $856 2.9×
Closed Rx Tibial Plateau Fx (27530) $1,062.50 $1,062.50 3.6×
Closed Treatment Coccygeal Fracture (27200) $269 $269 0.9×
Closed treatment of calcaneal fracture; without manipulation (28400) $626 $626 2.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,390 $1,390 4.7×
Closed treatment of fracture of orbit, except blowout; without manipulation (21400) $997 $997 1.5×
Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) $2,920.50 $2,920.50 1.5×
Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) $2,184 $2,184 1.1×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) $666.50 $666.50 2.3×
Closed treatment of patellar fracture, without manipulation (27520) $520 $520 1.8×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $603.50 $603.50 2.0×
Closed treatment of talus fracture; without manipulation (28430) $416 $416 1.4×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $538 $538 1.8×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $1,472 $1,472 0.8×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $468 $468 1.6×
Closed Treatment Sesamoid Fracture (28530) $176.50 $176.50 0.6×
Closed Treatment Ulnar Styloid Fracture (25650) $590 $590 2.0×
Closed tx ankle dislocation w/o anesthesia (27840) $1,181 $1,181 4.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,459.50 $1,459.50 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,053 $1,053 3.6×
Closed tx carpal scaphoid fracture w/manj (25624) $1,240.50 $1,240.50 0.6×
Closed tx femoral fracture prox head w/o manj (27267) $3,596.50 $3,596.50 0.9×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $808 $808 2.7×
Closed tx knee dislocation w/anesthesia (27552) $2,074 $2,074 1.1×
Closed tx knee dislocation w/o anesthesia (27550) $682.50 $682.50 2.3×
Closed tx metatarsal fracture w/o manipulation (28470) $452.50 $452.50 1.5×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,444 $1,444 0.7×
Closed tx nasal fracture w/o stabilization (21315) $1,492 $1,492 0.8×
Closed tx patellar dislocation w/anesthesia (27562) $733.50 $733.50 2.5×
Closed tx patellar dislocation w/o anesthesia (27560) $1,155 $1,155 3.9×
Closed tx radial head/neck fx w/manipulation (24655) $681 $681 0.4×
Closed tx radial head/neck fx w/o manipulation (24650) $514 $514 1.7×
Closed tx radial shaft fracture w/manipulation (25505) $1,074.50 $1,074.50 0.6×
Closed tx radial&ulnar shaft fractures w/manj (25565) $960.50 $960.50 0.5×
Closed Tx Scapular Fracture W/O Manipulation (23570) $376 $376 1.3×
Closed tx septal&nose fx (21337) $5,347 $5,347 1.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $376.50 $376.50 1.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,429 $1,429 0.7×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $912 $912 3.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $612.50 $612.50 2.1×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $489 $489 1.7×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,207.50 $1,207.50 4.1×
Clsd tx clavicular fracture w/o manipulation (23500) $540 $540 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,367 $2,367 1.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $997.50 $997.50 3.4×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,879 $2,879 1.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $709 $709 0.4×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $472.50 $472.50 1.6×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $781 $781 0.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $686 $686 2.3×
Cltx dstl fibular fx lat malls w/manj (27788) $1,380.50 $1,380.50 4.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $393 $393 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $268 $268 0.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $302.50 $302.50 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $691 $691 2.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,793 $1,793 0.9×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $3,220 $3,220 1.7×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) $918 $918 3.1×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $788 $788 2.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,565 $2,565 1.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $436 $436 1.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $247 $247 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $751 $751 2.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $291 $291 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,379 $1,379 0.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) $1,065 $1,065 3.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $342.50 $342.50 1.2×
Cltx humeral condylar fx medial/lat w/o mnpj (24576) $1,219 $1,219 4.1×
Cltx humeral condylar fx medial/lateral w/manj (24577) $2,265 $2,265 1.2×
Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) $1,679.50 $1,679.50 0.9×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $828 $828 0.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $574 $574 1.9×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,478.50 $1,478.50 4.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $426.50 $426.50 1.4×
Cltx Medial Malleolus Fx W/O Manipulation (27760) $1,734 $1,734 5.9×
Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) $1,479 $1,479 0.8×
Cltx metacarpal fx w/manipulation each bone (26605) $857.50 $857.50 2.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $550 $550 1.9×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $951.50 $951.50 3.2×
Cltx metatarsophlngl jt dislc w/o anes (28630) $516.50 $516.50 1.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $943 $943 3.2×
Cltx post hip arthrp dislc req anes (27266) $1,926.50 $1,926.50 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $455.50 $455.50 1.5×
Cltx prox fibula/shft fx w/manj (27781) $1,282 $1,282 0.7×
Cltx prox fibula/shft fx w/o manj (27780) $631 $631 2.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,269 $2,269 1.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $603.50 $603.50 2.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,878.50 $2,878.50 1.5×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $1,615.50 $1,615.50 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $887.50 $887.50 0.5×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,764 $1,764 0.9×
Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) $714 $714 2.4×
Cltx trimalleolar ankle fx w/o manipulation (27816) $767 $767 2.6×
Collect Blood From Catheter Venous Nos (36592) $140 $140 0.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $315.50 $315.50 0.9×
Colposcopy cervix upper/adjacent vagina (57452) $239.50 $239.50 1.0×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $304.50 $304.50 0.8×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,622.50 $1,622.50 0.4×
Colposcopy entire vagina w/cervix if present (57420) $248 $248 0.7×
Colposcopy vulva (56820) $235.50 $235.50 1.0×
Colposcopy vulva w/biopsy (56821) $330 $330 0.9×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $286 $286 0.8×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $764 $764 0.7×
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Facility (57265)
likely a partial charge, not the full procedure
$1,142 $1,142 0.2×
Complex Uroflowmetry (51741) $153 $153 0.6×
Conization of cervix (57522) $471.50 $471.50 0.1×
Control Nasal Hemorrhage Anterior Complex (30903) $468 $468 2.9×
Control Nasal Hemorrhage Anterior Simple (30901) $468 $468 2.9×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $3,204 $3,204 0.8×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $96 $96 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $653 $653 4.1×
Cystometrogram w/vp (51728) $729 $729 0.9×
Cystometrogram W/Vp&Up (51729) $767 $767 0.9×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $1,356 $1,356 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $548 $548 1.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,359 $2,359 0.7×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $1,418.50 $1,418.50 1.7×
Debride nail 1-5 (11720) $80.50 $80.50 1.1×
Debride nail 6 or more (11721) $82.50 $82.50 1.2×
Debride tissue/muscle (11043) $775.50 $775.50 0.9×
Debridement Mastoidectomy Cavity Simple (69220) $260.50 $260.50 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $334 $334 0.7×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,213 $1,213 0.6×
Declot vascular device (36593) $201.50 $201.50 0.5×
Destruction Benign Lesions 15/> (17111) $256.50 $256.50 1.1×
Destruction Benign Lesions Up To 14 (17110) $353 $353 1.5×
Destruction Lesions Vulva Simple (56501) $1,122 $1,122 0.5×
Destruction premalignant lesion 1st (17000) $225 $225 0.9×
Dilate urethra stricture (53600) $305 $305 1.0×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $924 $924 0.9×
Dilation of female urethra including suppository and/or instillation; initial (53660) $232 $232 1.5×
Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) $153.50 $153.50 1.0×
Drain Ext Ear Absc/Blood,Complic (69005) $2,754 $2,754 1.4×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $321.50 $321.50 0.4×
Drainage Abscess/Hematoma Nasal Septum (30020) $711 $711 1.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,042.50 $1,042.50 1.2×
Drainage Finger Abscess Complicated (26011) $2,779 $2,779 1.4×
Drainage Finger Abscess Simple (26010) $681.50 $681.50 2.8×
Drainage Mouth Roof Lesion (42000) $294.50 $294.50 1.0×
Drainage of gum lesion (41800) $252.50 $252.50 1.6×
Drainage of hematoma/fluid (10140) $720.50 $720.50 0.4×
Drainage of hydrocele (55000) $760 $760 0.9×
Drainage of scrotal wall abscess (55100) $1,014.50 $1,014.50 0.5×
Draw blood off venous device (36591) $135.50 $135.50 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $473 $473 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $477.50 $477.50 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $292 $292 1.2×
Dx bone marrow bx & aspir (38222) $697 $697 0.2×
Dx gastr intub w/asp spec (43754) $328 $328 1.3×
Dx Laryngoscopy Excl Nb (31525) $2,430 $2,430 1.1×
Egd flexible foreign body removal (43247) $748 $748 0.7×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $372 $372 2.4×
Endometrial Biopsy (58100) $201 $201 0.8×
Endoscopy of bowel pouch (44385) $2,415 $2,415 2.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $995 $995 0.9×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,022 $1,022 0.4×
Esophagotomy, cervical approach, with removal of foreign body Facility (43020) $1,848 $1,848 1.0×
Evacuation of subungual hematoma (11740) $153 $153 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $521.50 $521.50 0.6×
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) $865 $865 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,004.50 $1,004.50 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $1,021 $1,021 0.5×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $761 $761 0.9×
Exc back les sc < 3 cm (21930) $970.50 $970.50 0.5×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $425.50 $425.50 0.1×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $458 $458 0.5×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $465 $465 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $484.50 $484.50 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,736 $1,736 0.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,067.50 $1,067.50 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,009 $1,009 0.5×
Exc tumor soft tissue forearm &/wrist subq <3cm (25075) $821 $821 0.4×
Excision external ear; complete amputation Facility (69120)
unusually low: confirm this is the full procedure
$2,439 $2,439 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $485.50 $485.50 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $537 $537 1.1×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $529 $529 0.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $589.50 $589.50 0.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $429 $429 0.5×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $370 $370 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $502 $502 0.6×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $1,044 $1,044 0.5×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $473.50 $473.50 0.6×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $482.50 $482.50 0.6×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $1,379 $1,379 0.7×
Excision of pilonidal cyst or sinus; simple (11770) $475 $475 0.1×
Excision of single external papilla or tag, anus (46220) $706 $706 0.5×
Excision of thrombosed hemorrhoid, external (46320) $320 $320 0.2×
Excision soft tissue lesion, external auditory canal (69145) $1,342 $1,342 0.4×
Excision tumor soft tissue thigh/knee subq <3cm (27327) $950 $950 0.5×
Expl penetrating wound spx abdomen/flank/back (20102) $2,282 $2,282 0.9×
Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) $1,281.50 $1,281.50 0.7×
Explo/Drain Breast Abscess (19020) $786.50 $786.50 0.4×
Exploration of knee joint (27310) $2,507 $2,507 0.6×
Exploration penetrating wound spx extremity (20103) $1,318 $1,318 0.7×
Exploration Penetrating Wound Spx Neck (20100) $1,741.50 $1,741.50 2.7×
Explore/treat hand joint (26070) $1,130 $1,130 0.6×
Fasciectomy Plantar Fascia Partial Spx (28060) $798 $798 0.2×
Fetal non-stress test (59025) $95 $95 0.4×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $770 $770 0.9×
Fine needle aspiration without imaging guidance (10021) $286 $286 0.6×
Fit/Insert Intravag Support Device (57160) $214 $214 0.9×
Foreskin manipulation (54450) $803 $803 2.7×
Gastric Intubation/Aspiration, Therapeutic (43753) $853 $853 3.3×
Guide Cathet Fluid Drainage (10030) $568 $568 0.7×
Hysteroscopy biopsy (58558) $2,770 $2,770 0.7×
Hysteroscopy, diagnostic (separate procedure) (58555) $1,615.50 $1,615.50 0.4×
Hysteroscopy, surgical; with removal of impacted foreign body (58562) $1,653.50 $1,653.50 0.4×
I&D Abscess Peritonsillar (42700) $945.50 $945.50 3.3×
I&d abscess simple (10060) $426 $426 1.8×
I&D Below Fascia Foot 1 Bursal Space (28002) $2,832 $2,832 1.5×
I&d epididymis tstis&/scrotal space (54700) $2,005.50 $2,005.50 0.8×
I&d pilonidal cyst simple (10080) $304.50 $304.50 0.4×
I&d submucosal abscess rectum (45005) $322.50 $322.50 0.2×
I&D Upper Arm/Elbow Bursa (23931) $849.50 $849.50 0.4×
I&d vulva/perineal abscess (56405) $401 $401 1.1×
Incise external hemorrhoid (46083) $479.50 $479.50 1.6×
Incision & drainage abscess complicated/multiple (10061) $517.50 $517.50 1.1×
Incision & drainage pilonidal cyst complicated (10081) $1,123 $1,123 1.3×
Incision & removal foreign body subq tiss compl (10121) $1,111 $1,111 0.6×
Incision & removal foreign body subq tiss simple (10120) $459 $459 0.9×
Incision and drainage of bartholin's gland abscess (56420) $442 $442 1.8×
Incision and drainage perianal abscess superficial (46050) $354 $354 0.3×
Incision and drainage, complex, postoperative wound infection (10180) $450 $450 0.1×
Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) $1,676 $1,676 0.5×
Incision of eardrum (69420) $603.50 $603.50 2.1×
Incision of eyelid fold (67715) $2,206 $2,206 0.8×
Incision of rectal abscess (46045) $2,326 $2,326 0.7×
Incision of rectal abscess (46040) $1,069 $1,069 0.7×
Incisional biopsy skin single lesion (11106) $438.50 $438.50 0.5×
Initial tx 1st degree burn local tx (16000) $423 $423 1.8×
Inj Dupuytren Cord W/Enzyme (20527) $869 $869 2.4×
Inj tendon sheath/ligament (20550) $193.50 $193.50 0.5×
Inj therapeutic carpal tunnel (20526) $154 $154 0.4×
Inject Nerv Blck,Intercostal,One (64420) $1,751 $1,751 2.1×
Inject Tendon Origin/Insert (20551) $204.50 $204.50 0.6×
Injection aa&/strd genicular nrv branches w/img (64454) $191 $191 0.2×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $596 $596 0.7×
Injection aa&/strd trigeminal nerve each branch (64400) $354.50 $354.50 1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505) $779 $779 2.1×
Injection anesthetic agent femoral nerve single (64447) $684 $684 0.8×
Injection into skin lesions (11900) $185 $185 0.8×
Injection peyronie disease (54200) $453 $453 1.5×
Injection single/mlt trigger point 1/2 muscles (20552) $303 $303 0.8×
Injection single/mlt trigger point 3/> muscles (20553) $161 $161 0.4×
Injection, anesthetic agent; paracervical (uterine) nerve (64435) $419 $419 0.5×
Insert Bladder Cath Complex (51703) $322 $322 2.1×
Insert Drug Implant Device (11981) $243 $243 1.5×
Insert non-tunnel cv cath (36556) $464 $464 0.1×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $473 $473 0.1×
Insert Temp Bladder Cath (51702) $150 $150 0.9×
Insert Tunneled Cv Cath With Pump (36563) $5,282.50 $5,282.50 0.8×
Insert,Non-Indwelling Bladder Catheter (51701) $189 $189 1.2×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure
$2,174 $2,174 0.2×
Insj picc rs&i 5 yr+ (36573) $1,641 $1,641 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,225 $1,225 0.3×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure
$1,043 $1,043 0.1×
Intraoral i&d tongue/floor lingual (41000) $593 $593 0.9×
Intubation endotracheal emergency procedure (31500) $855 $855 3.0×
Irrigation of corpora cavernosa for priapism (54220) $590.50 $590.50 2.0×
Laparoscopy tubal block (58671)
unusually low: confirm this is the full procedure
$3,232 $3,232 0.4×
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure
$3,431 $3,431 0.5×
Laryngoscopy diagnostic (31505) $180 $180 0.8×
Laryngoscopy flexible diagnostic (31575) $307.50 $307.50 1.3×
Late closure of wound (13160) $2,983.50 $2,983.50 0.7×
Ligation of hemorrhoid(s) (46221) $606 $606 0.5×
Liver Biopsy (47000) $314 $314 0.2×
Manipulat Palm Cord Post Inj (26341) $195 $195 0.7×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,241 $1,241 0.6×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $853 $853 1.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $756 $756 1.8×
Njx aa&/strd sciatic nerve (64445) $1,087 $1,087 1.3×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $349 $349 1.2×
Occipital Nerve Block (64405) $261.50 $261.50 0.7×
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532)
unusually low: confirm this is the full procedure
$2,649.50 $2,649.50 0.3×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure
$2,792.50 $2,792.50 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $1,274 $1,274 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure
$3,678 $3,678 0.4×
Partial hymenectomy or revision (56700) $271 $271 0.1×
Perq dev breast 1st us imag (19285) $425 $425 0.5×
Perq device breast 1st imag (19281) $425 $425 0.2×
Perq replacement gtube not req revj gstrst trc (43762) $385.50 $385.50 1.3×
Perq skel fixj distal radial fx/epiphysl sep (25606) $2,733.50 $2,733.50 0.7×
Picc line placement (36569) $776 $776 0.4×
Placement of needle for intraosseous infusion (36680) $310.50 $310.50 0.6×
Post Tibial Neurostimulation,Perc Needle Electrode (64566) $236 $236 0.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $842.50 $842.50 0.8×
Punch biopsy skin single lesion (11104) $426 $426 0.9×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $437 $437 0.9×
Release of big toe (28240) $956 $956 0.2×
Removal Foreign Body Deep Thigh/Knee (27372) $1,883 $1,883 0.5×
Removal Foreign Body Foot Complicated (28193) $1,200 $1,200 0.6×
Removal foreign body foot subcutaneous (28190) $1,077 $1,077 1.3×
Removal foreign body intranasal (30300) $374 $374 2.3×
Removal foreign body muscle/tendon sheath simple (20520) $1,095 $1,095 0.6×
Removal foreign body pharynx (42809) $388 $388 0.7×
Removal foreign body upper arm/elbow deep (24201) $1,044.50 $1,044.50 0.3×
Removal foreign body, intranasal; by lateral rhinotomy Facility (30320) $1,200 $1,200 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $75 $75 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $176 $176 2.5×
Removal Implantable Contraceptive Capsules (11976) $445.50 $445.50 0.5×
Removal of arm foreign body (24200) $881.50 $881.50 0.4×
Removal of embedded foreign body, eyelid (67938) $473.50 $473.50 1.2×
Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) $2,055 $2,055 1.4×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $244 $244 0.5×
Removal of iud (58301) $290 $290 0.8×
Removal of nail bed (11750) $526.50 $526.50 1.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $259 $259 1.1×
Removal subcutaneous cardiac rhythm monitor (33286) $1,505.50 $1,505.50 1.8×
Removal/bivalving full arm/full leg cast (29705) $578.50 $578.50 1.7×
Removal/bivalving gauntlet boot/body cast (29700) $206.50 $206.50 0.6×
Remove drug implant device (11982) $279 $279 0.5×
Remove ext hem groups 2+ (46250) $1,761 $1,761 0.5×
Remove foreign body from eye (65235) $1,556.50 $1,556.50 0.6×
Remove/Insert Drug Implant (11983) $388 $388 0.7×
Remv Ext Canal Foreign Body (69200) $297 $297 1.9×
Remv F.B.,Eye,Superf Conjunc (65205) $427 $427 2.7×
Repair achilles tendon (27650)
unusually low: confirm this is the full procedure
$2,653.50 $2,653.50 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $940.50 $940.50 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,683 $1,683 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,156.50 $1,156.50 2.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,555.50 $1,555.50 3.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $941.50 $941.50 1.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $955.50 $955.50 2.0×
Repair complex trunk 1.1-2.5 cm (13100) $785.50 $785.50 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $879 $879 1.0×
Repair extensor tendon finger w/o graft each (26418) $3,283.50 $3,283.50 1.7×
Repair eyelid wound (67930) $1,880.50 $1,880.50 0.7×
Repair hand tendon (26410) $2,201 $2,201 1.1×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,596.50 $1,596.50 3.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $745.50 $745.50 1.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $785.50 $785.50 1.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $580 $580 1.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $962 $962 2.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $795 $795 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $719.50 $719.50 1.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $782 $782 1.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $876 $876 1.0×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $1,242 $1,242 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $944.50 $944.50 1.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $783 $783 1.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $733 $733 1.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $944.50 $944.50 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $842 $842 1.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $863.50 $863.50 0.3×
Repair Mouth Laceration (40831) $1,027 $1,027 1.6×
Repair of nail bed (11760) $535.50 $535.50 0.6×
Repair Profundus Tendon,Primary (26370) $2,439 $2,439 0.6×
Repair tongue laceration (41252) $1,265 $1,265 4.5×
Repair Tongue Laceration (41250) $627.50 $627.50 1.2×
Replace gastrostomy/cecostomy tube percutaneous (49450) $1,316.50 $1,316.50 1.2×
Reposition gastric feeding tube thru duodenum (43761) $376 $376 1.3×
Revision of leg vein (37780) $722.50 $722.50 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $463 $463 2.9×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) $539 $539 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $984 $984 1.3×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $886 $886 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $1,298.50 $1,298.50 2.0×
Shave skin lesion 0.5 cm/< (11300) $200.50 $200.50 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $238.50 $238.50 1.0×
Sigmoidoscopy w/biopsy (45331) $1,751 $1,751 1.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $713 $713 1.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $580 $580 2.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $660.50 $660.50 2.7×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $821.50 $821.50 1.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $738.50 $738.50 3.1×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $879 $879 3.7×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $944.50 $944.50 3.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $462 $462 1.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $917 $917 3.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $447 $447 1.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $491 $491 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $579 $579 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $736.50 $736.50 1.5×
Spinal puncture lumbar diagnostic (62270) $562.50 $562.50 0.7×
Spinal Puncture Therapeutic (62272) $959.50 $959.50 1.1×
Strapping ankle (29540) $180 $180 0.9×
Strapping elbow or wrist (29260) $133 $133 1.9×
Strapping hand/finger (29280) $140 $140 2.0×
Strapping Hip (29520) $154.50 $154.50 1.0×
Strapping knee (29530) $174 $174 1.1×
Strapping shoulder (29240) $171 $171 1.1×
Strapping thorax (29200) $169 $169 0.9×
Strapping toes (29550) $124.50 $124.50 1.8×
Strapping unna boot (29580) $245 $245 1.3×
Tangential biopsy skin single lesion (11102) $426 $426 0.9×
Tenotomy Percutaneous Toe Single Tendon (28010) $364 $364 0.2×
Thoracentesis needle/cath pleura w/o imaging (32554) $560 $560 0.7×
Thrombolytic Therapy Stroke (37195) $242 $242 0.6×
Thrombolytic Venous Therapy (37212) $2,324.50 $2,324.50 0.6×
Tongue and mouth surg unlisted (41599) $330 $330 1.2×
Tracheostomy emergency cricothyroid membrane (31605) $1,016 $1,016 3.6×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,096 $1,096 0.6×
Tracheotomy tube change (31502) $563 $563 2.0×
Treat clavicle dislocation (23540) $1,077.50 $1,077.50 3.6×
Treat clavicle fracture (23505) $1,238 $1,238 0.6×
Treat humerus fracture (24500) $696 $696 2.4×
Treat humerus fracture (23600) $516 $516 1.7×
Treat knee fracture (27532) $4,163 $4,163 1.1×
Treat Metatarsal Fracture (28475) $703 $703 2.4×
Treat shoulder blade fx (23575) $1,340.50 $1,340.50 0.7×
Treat Thigh Fracture (27246) $605.50 $605.50 2.0×
Treat Thumb Dislocation (26641) $1,239 $1,239 4.2×
Treat Thumb Fx/Disloc,Manip (26645) $1,364.50 $1,364.50 0.7×
Treat wrist bone fracture (25622) $875.50 $875.50 3.0×
Treat Wrist Bone Fracture (25630) $510.50 $510.50 1.7×
Treatment closed elbow dislocation req anes (24605) $1,755 $1,755 0.9×
Treatment closed elbow dislocation w/o anes (24600) $1,062.50 $1,062.50 3.6×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $686 $686 2.3×
Trim skin lesion (11055) $275 $275 1.1×
Trim skin lesions 2 to 4 (11056) $297 $297 1.2×
Trim skin lesions over 4 (11057) $177 $177 0.7×
Trimming Of Nondystrophic Nails, Any Number (11719) $48 $48 0.7×
Tube thoracostomy includes water seal (32551) $862 $862 0.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,390.50 $1,390.50 0.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $830.50 $830.50 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,175.50 $1,175.50 0.6×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure
$1,822.50 $1,822.50 0.1×
Unlisted procedure rectum (45999) $655 $655 0.6×
Unlisted procedure, hands or fingers (26989) $209 $209 0.7×
Us urine capacity measure (51798) $177.50 $177.50 2.5×
Vaginal delivery only (59409) $1,182 $1,182 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,287 $1,287 0.5×
Venipuncture (36415) $47 $47 5.0×
Venipuncture cutdown under age 1 yr (36420) $362 $362 2.3×
Venipuncture, cutdown; age 1 or over (36425) $217 $217 0.4×
Wedge excision skin nail fold (11765) $213.50 $213.50 0.4×
Windowing of cast (29730) $226 $226 1.2×