Procedures & surgery prices at Avera St. Mary's Hospital
Pierre, SD · every code in this section with a posted price and a Medicare benchmark.
331 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$1,724.40–$3,636.90 | $1,916–$4,041 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $928.80 | $1,032 | 1.0× |
| Acne surgery (10040) | $198.90 | $221 | 1.0× |
| Anal/Urinary Muscle Study (51784) | $545.40 | $606 | 4.1× |
| Application finger splint static (29130) | $369.90 | $411 | 2.7× |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$164.70–$401.40 | $183–$446 | varies |
| Application Long Leg Splint (29505) | $203.40 | $226 | 1.2× |
| Application of cylinder cast (thigh to ankle) (29365) | $257.40 | $286 | 0.9× |
| Application of rigid total contact leg cast (29445) | $657 | $730 | 2.3× |
| Application Short Arm Splint Dynamic (29126) | $122.40 | $136 | 0.9× |
| Application short arm splint forearm-hand static (29125) range across 5 matching MRF lines |
$126.90–$601.20 | $141–$668 | varies |
| Application short leg splint calf foot (29515) | $401.40 | $446 | 2.4× |
| Apply long arm cast (29065) | $257.40 | $286 | 0.9× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$162–$560.70 | $180–$623 | varies |
| Apply Short Leg Cast (29405) | $277.20 | $308 | 1.0× |
| Apply short leg cast (29425) | $276.30 | $307 | 1.0× |
| Arterial puncture (36600) | $171 | $190 | 1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$297–$703.80 | $330–$782 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 4 matching MRF lines |
$785.70–$1,178.10 | $873–$1,309 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 10 matching MRF lines |
$312.30–$1,052.10 | $347–$1,169 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$294.30–$441 | $327–$490 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$294.30–$468 | $327–$520 | varies |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$1,366.20–$3,149.10 | $1,518–$3,499 | varies |
| Aspirate Pleura W/O Imaging (32554) | $622.80 | $692 | 1.0× |
| Aspirate/Inj Ganglion Cyst (20612) | $293.40 | $326 | 0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$198.90–$340.20 | $221–$378 | varies |
| Biopsy Abdominal Mass (49180) | $2,950.20 | $3,278 | 1.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $3,279.60 | $3,644 | 1.9× |
| Biopsy external ear (69100) | $243 | $270 | 1.0× |
| Biopsy muscle percutaneous needle (20206) | $1,722.60 | $1,914 | 1.0× |
| Biopsy of lip (40490) | $243.90 | $271 | 1.0× |
| Biopsy of liver, needle; percutaneous (47000) | $3,279.60 | $3,644 | 1.9× |
| Biopsy Oropharynx (42800) | $1,447.20 | $1,608 | 0.9× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $905.40 | $1,006 | 1.0× |
| Biopsy, vestibule of mouth (40808) | $521.10 | $579 | 0.9× |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$676.80–$708.30 | $752–$787 | varies |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$245.70–$672.30 | $273–$747 | varies |
| Bladder Scan (51798) range across 3 matching MRF lines |
$128.70–$214.20 | $143–$238 | varies |
| Blood Transfusion Service (36430) | $405.90 | $451 | 0.9× |
| Bx breast 1st lesion strtctc (19081) | $7,179.30 | $7,977 | 4.3× |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$1,519.20–$3,690.90 | $1,688–$4,101 | varies |
| Canthotomy Separate Procedure (67715) | $2,286.90 | $2,541 | 0.9× |
| Change Cystostomy Tube Complicated (51710) | $641.70 | $713 | 0.9× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$245.70–$603.90 | $273–$671 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$188.10–$721.80 | $209–$802 | varies |
| Chemodenerv Musc Migraine (64615) | $282.60 | $314 | 0.9× |
| Chest tube placement (32551) | $1,727.10 | $1,919 | 1.1× |
| Circumcision 28 days or older (54161) | $1,922.40 | $2,136 | 0.9× |
| Clear outer ear canal (69200) range across 5 matching MRF lines |
$232.20–$347.40 | $258–$386 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $774 | $860 | 3.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $659.70 | $733 | 2.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$705.60–$774 | $784–$860 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $693 | $770 | 2.7× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $677.70 | $753 | 2.7× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $774 | $860 | 0.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $1,503.90 | $1,671 | 6.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$503.10–$639 | $559–$710 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,427.40 | $1,586 | 0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $693 | $770 | 2.7× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$685.80–$693 | $762–$770 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$535.50–$693 | $595–$770 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $485.10 | $539 | 1.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,593 | $1,770 | 1.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $737.10 | $819 | 2.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $659.70 | $733 | 2.6× |
| Closed tx talus fracture w/o manipulation (28430) | $693 | $770 | 2.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 4 matching MRF lines |
$437.40–$693 | $486–$770 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,593 | $1,770 | 1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $693 | $770 | 2.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $227.70 | $253 | 0.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 4 matching MRF lines |
$633.60–$774 | $704–$860 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $774 | $860 | 3.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$612–$693 | $680–$770 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$1,520.10–$1,593 | $1,689–$1,770 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,193.40 | $1,326 | 4.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $237.60 | $264 | 0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $609.30 | $677 | 2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$233.10–$680.40 | $259–$756 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $639 | $710 | 2.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $774 | $860 | 3.1× |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$594.90–$693 | $661–$770 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 2 matching MRF lines |
$837.90–$922.50 | $931–$1,025 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,516.50 | $1,685 | 0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $659.70 | $733 | 2.6× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $693 | $770 | 2.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $659.70 | $733 | 2.6× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $1,516.50 | $1,685 | 0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $639 | $710 | 2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $693 | $770 | 2.7× |
| Cltx Medial Ankle Fx (27760) | $693 | $770 | 2.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$431.10–$639 | $479–$710 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$548.10–$714.60 | $609–$794 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $714.60 | $794 | 2.8× |
| Cltx post hip arthrp dislc w/o anes (27265) | $693 | $770 | 2.7× |
| Cltx prox fibula/shft fx w/o manj (27780) | $774 | $860 | 3.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $693 | $770 | 2.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$737.10–$810.90 | $819–$901 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 4 matching MRF lines |
$940.50–$1,035 | $1,045–$1,150 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $693 | $770 | 2.7× |
| Collect Blood From Catheter Venous Nos (36592) | $207.90 | $231 | 1.5× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$51.30–$67.50 | $57–$75 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $424.80 | $472 | 1.4× |
| Colposcopy Cervix Endocervical Curettage (57456) | $354.60 | $394 | 1.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $356.40 | $396 | 1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 6 matching MRF lines |
$198–$377.10 | $220–$419 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 6 matching MRF lines |
$168.30–$566.10 | $187–$629 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $5,871.60 | $6,524 | 3.5× |
| Create Eardrum Opening (69433) | $521.10 | $579 | 0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$122.40–$348.30 | $136–$387 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $599.40 | $666 | 2.5× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,017.80 | $2,242 | 0.9× |
| Cysto w/complex removal stone & stent (52315) | $2,017.80 | $2,242 | 0.9× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $3,423.60 | $3,804 | 1.0× |
| Cysto w/removal of lesions small (52224) | $3,296.70 | $3,663 | 0.9× |
| Cysto W/Simple Removal Stone & Stent (52310) | $2,017.80 | $2,242 | 0.9× |
| Cystometrogram W/Vp (51728) | $644.40 | $716 | 0.9× |
| Cystometrogram W/Vp&Up (51729) | $975.60 | $1,084 | 1.4× |
| Cystourethroscopy (52000) | $676.80 | $752 | 1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $2,022.30 | $2,247 | 0.9× |
| Cystourethroscopy with biopsy (52204) | $2,017.80 | $2,242 | 0.9× |
| Debride nail 1-5 (11720) | $59.40 | $66 | 1.0× |
| Debride nail 6 or more (11721) | $67.50 | $75 | 1.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $4,739.40 | $5,266 | 2.8× |
| Debridement Mastoidectomy Cavity Simple (69220) range across 3 matching MRF lines |
$324–$486 | $360–$540 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$395.10–$3,411 | $439–$3,790 | varies |
| Declot vascular device (36593) | $551.70 | $613 | 1.6× |
| Destroy cerv/thor facet jnt (64633) | $1,962 | $2,180 | 1.0× |
| Destroy lumb/sac facet jnt (64635) | $4,404.60 | $4,894 | 2.2× |
| Destruct B9 Lesion 1-14 (17110) | $198.90 | $221 | 1.0× |
| Destruction Benign Lesions 15/> (17111) | $207 | $230 | 1.0× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $377.10 | $419 | 1.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $211.50 | $235 | 1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $257.40 | $286 | 1.3× |
| Destruction Premalignant Lesion 15/> (17004) | $408.60 | $454 | 1.0× |
| Destruction premalignant lesion 1st (17000) | $198.90 | $221 | 1.0× |
| Dilation Salivary Duct (42650) | $1,443.60 | $1,604 | 0.9× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$328.50–$492.30 | $365–$547 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $697.50 | $775 | 1.0× |
| Drainage of finger abscess simple (26010) | $2,631.60 | $2,924 | 12.8× |
| Drainage of gum lesion (41800) | $727.20 | $808 | 5.3× |
| Drainage of hematoma/fluid (10140) | $1,530 | $1,700 | 0.9× |
| Draw Blood Off Venous Device (36591) | $192.60 | $214 | 1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $1,327.50 | $1,475 | 3.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$302.40–$582.30 | $336–$647 | varies |
| Electro-Uroflowmetry First (51741) | $270.90 | $301 | 1.2× |
| Endometrial Biopsy (58100) | $288.90 | $321 | 1.4× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$654.30–$909.90 | $727–$1,011 | varies |
| Evacuation of subungual hematoma (11740) | $126.90 | $141 | 0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $664.20 | $738 | 0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,533.60 | $1,704 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $731.70 | $813 | 1.0× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,533.60 | $1,704 | 0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $698.40 | $776 | 1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $666 | $740 | 0.9× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $666 | $740 | 0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,531.80 | $1,702 | 0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $698.40 | $776 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,533.60 | $1,704 | 0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $699.30 | $777 | 1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,530.90 | $1,701 | 0.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,519.20 | $1,688 | 0.9× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,606.50 | $1,785 | 1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,606.50 | $1,785 | 1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $395.10 | $439 | 1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $699.30 | $777 | 1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,533.60 | $1,704 | 0.9× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $2,704.50 | $3,005 | 0.9× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $697.50 | $775 | 1.0× |
| Excision External Ear Partial Simple Repair (69110) | $2,834.10 | $3,149 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $698.40 | $776 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $698.40 | $776 | 1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $415.80 | $462 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $697.50 | $775 | 1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,608.30 | $1,787 | 1.0× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $2,976.30 | $3,307 | 1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $666 | $740 | 0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,609.20 | $1,788 | 1.0× |
| Excision nasal polyp(s) simple (30110) | $1,470.60 | $1,634 | 0.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $2,704.50 | $3,005 | 0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $2,840.40 | $3,156 | 1.0× |
| Excision/destruction lesion pharynx any method (42808) | $3,211.20 | $3,568 | 0.9× |
| External cephalic version (59412) | $3,293.10 | $3,659 | 1.0× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$210.60–$490.50 | $234–$545 | varies |
| Fine needle aspiration without imaging guidance (10021) | $395.10 | $439 | 1.0× |
| Fluoro exam of g/colon tube (49465) | $507.60 | $564 | 2.1× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$697.50–$4,418.10 | $775–$4,909 | varies |
| Fusion of foot bones (28740) | $6,672.60 | $7,414 | 0.9× |
| Guide Cathet Fluid Drainage (10030) | $4,434.30 | $4,927 | 6.1× |
| I&d abscess peritonsillar (42700) | $727.20 | $808 | 3.0× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$198.90–$2,088.90 | $221–$2,321 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $2,821.50 | $3,135 | 1.0× |
| I&d perianal abscess superficial (46050) | $862.20 | $958 | 0.9× |
| I&d pilonidal cyst complicated (10081) | $697.50 | $775 | 1.0× |
| I&d pilonidal cyst simple (10080) | $664.20 | $738 | 0.9× |
| Image Cath Fluid Colxn Visc (49405) | $5,197.50 | $5,775 | 3.1× |
| Image Cath Fluid Peri/Retro (49406) | $5,985 | $6,650 | 3.5× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$396.90–$1,989 | $441–$2,210 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$415.80–$458.10 | $462–$509 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $429.30 | $477 | 1.4× |
| Incision Drainage Lacrimal Sac (68420) | $2,205 | $2,450 | 0.9× |
| Incision of eardrum (69420) | $303.30 | $337 | 1.3× |
| Incision of Foot Tendon (28234) | $1,521 | $1,690 | 0.9× |
| Incision of rectal abscess (46040) | $1,533.60 | $1,704 | 1.3× |
| Incisional biopsy eyelid skin & lid margin (67810) | $332.10 | $369 | 1.0× |
| Incisional biopsy skin single lesion (11106) | $680.40 | $756 | 0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $582.30 | $647 | 2.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$1,186.20–$1,779.30 | $1,318–$1,977 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $922.50 | $1,025 | 1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 3 matching MRF lines |
$987.30–$1,480.50 | $1,097–$1,645 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$294.30–$453.60 | $327–$504 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $909.90 | $1,011 | 1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $4,862.70 | $5,403 | 5.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $685.80 | $762 | 1.0× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $887.40 | $986 | 1.0× |
| Injection for identification of sentinel node (38792) | $438.30 | $487 | 1.1× |
| Injection single tendon origin/insertion (20551) | $282.60 | $314 | 0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$282.60–$653.40 | $314–$726 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $282.60 | $314 | 0.9× |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$293.40–$680.40 | $326–$756 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $903.60 | $1,004 | 1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$840.60–$1,260.90 | $934–$1,401 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $909.90 | $1,011 | 1.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) | $198.90 | $221 | 1.0× |
| Injection, intralesional; up to and including 7 lesions (11900) | $198.90 | $221 | 1.0× |
| Insert Bladder Cath Complex (51703) | $399.60 | $444 | 3.0× |
| Insert cath pleura w/o image (32556) | $1,795.50 | $1,995 | 0.9× |
| Insert Drug Implant Device (11981) | $236.70 | $263 | 1.7× |
| Insert non-tunnel cv cath (36556) | $3,158.10 | $3,509 | 1.0× |
| Insert pessary/other device (57160) | $267.30 | $297 | 1.3× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$201.60–$296.10 | $224–$329 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$205.20–$230.40 | $228–$256 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $3,109.50 | $3,455 | 1.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $677.70 | $753 | 1.6× |
| Intubation endotracheal emergency procedure (31500) | $1,020.60 | $1,134 | 4.2× |
| Labyrinthotomy Transcanal (69801) | $1,427.40 | $1,586 | 0.9× |
| Laryngoscopy flexible diagnostic (31575) | $336.60 | $374 | 1.7× |
| Myelography Lumbar Injection (62304) | $4,647.60 | $5,164 | 5.8× |
| Myelography via lumbar injection rs&i cervical (62302) | $4,426.20 | $4,918 | 5.5× |
| N block inj intercost sng (64420) | $862.20 | $958 | 1.2× |
| N Block Inj Plantar Digit (64455) range across 3 matching MRF lines |
$322.20–$483.30 | $358–$537 | varies |
| Nasal Endoscopy Dx (31231) | $511.20 | $568 | 2.5× |
| Nasal/Orogastric W/Tube Plmt (43752) | $986.40 | $1,096 | 2.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 3 matching MRF lines |
$1,674–$2,511 | $1,860–$2,790 | varies |
| Needle Biopsy Lymph Nodes (38505) | $2,113.20 | $2,348 | 1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $36.90 | $41 | 1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $36.90 | $41 | 1.2× |
| Neuroeltrd Stim Post Tibial (64566) | $291.60 | $324 | 0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $783 | $870 | 1.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $349.20 | $388 | 1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $3,427.20 | $3,808 | 0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$1,239.30–$1,858.50 | $1,377–$2,065 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$649.80–$740.70 | $722–$823 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,810.80 | $2,012 | 2.5× |
| Occipital Nerve Block (64405) | $621.90 | $691 | 2.0× |
| Perq dev breast 1st us imag (19285) | $11,640.60 | $12,934 | 16.1× |
| Perq device breast 1st imag (19281) | $3,056.40 | $3,396 | 1.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) range across 3 matching MRF lines |
$3,379.50–$3,548.70 | $3,755–$3,943 | varies |
| Placement of needle for intraosseous infusion (36680) | $411.30 | $457 | 0.9× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$395.10–$434.70 | $439–$483 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$395.10–$2,950.20 | $439–$3,278 | varies |
| Puncture Aspiration Cyst Breast (19000) | $982.80 | $1,092 | 1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 4 matching MRF lines |
$666–$697.50 | $740–$775 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $590.40 | $656 | 0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 5 matching MRF lines |
$77.40–$130.50 | $86–$145 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$96.30–$144 | $107–$160 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$431.10–$1,016.10 | $479–$1,129 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $200.70 | $223 | 1.0× |
| Remove foreign body from eye (65205) | $315 | $350 | 2.3× |
| Remove Intrauterine Device (58301) | $304.20 | $338 | 1.0× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$127.80–$197.10 | $142–$219 | varies |
| Remove tissue expander (11971) | $2,815.20 | $3,128 | 0.9× |
| Remove/Insert Drug Implant (11983) | $441.90 | $491 | 1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $680.40 | $756 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $541.80 | $602 | 1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $881.10 | $979 | 2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $629.10 | $699 | 1.5× |
| Repair complex trunk 2.6-7.5 cm (13101) | $680.40 | $756 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$380.70–$711.90 | $423–$791 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$432.90–$711.90 | $481–$791 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $711.90 | $791 | 1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$415.80–$711.90 | $462–$791 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$427.50–$711.90 | $475–$791 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$415.80–$711.90 | $462–$791 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$447.30–$711.90 | $497–$791 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$459–$711.90 | $510–$791 | varies |
| Repair of nail bed (11760) | $747.90 | $831 | 1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $684 | $760 | 1.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,515.60 | $1,684 | 0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $594.90 | $661 | 0.9× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$725.40–$820.80 | $806–$912 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $451.80 | $502 | 2.2× |
| Shave skin lesion 0.5 cm/< (11300) | $396 | $440 | 1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $190.80 | $212 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $190.80 | $212 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $190.80 | $212 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $201.60 | $224 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $198.90 | $221 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $415.80 | $462 | 1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $190.80 | $212 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $415.80 | $462 | 1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $207.90 | $231 | 1.0× |
| Simple Cystometrogram (51725) | $253.80 | $282 | 1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$249.30–$451.80 | $277–$502 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$311.40–$451.80 | $346–$502 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $451.80 | $502 | 2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$224.10–$451.80 | $249–$502 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $451.80 | $502 | 2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $451.80 | $502 | 2.2× |
| Skin sub graft face/nk/hf/g (15275) | $1,902.60 | $2,114 | 2.5× |
| Slitting of prepuce (54001) | $2,022.30 | $2,247 | 0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$258.30–$451.80 | $287–$502 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $451.80 | $502 | 1.1× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$1,386.90–$1,503.90 | $1,541–$1,671 | varies |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$282.60–$560.70 | $314–$623 | varies |
| Tangential biopsy skin single lesion (11102) | $374.40 | $416 | 0.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $1,520.10 | $1,689 | 0.9× |
| Thrombolytic Therapy Stroke (37195) | $3,101.40 | $3,446 | 9.2× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$631.80–$693 | $702–$770 | varies |
| Treat humerus fracture (23600) range across 4 matching MRF lines |
$635.40–$693 | $706–$770 | varies |
| Treat Knuckle Dislocation (26700) | $639 | $710 | 2.5× |
| Treat Metatarsal Fracture (28475) | $228.60 | $254 | 0.9× |
| Treatment closed elbow dislocation w/o anes (24600) | $693 | $770 | 2.7× |
| Trim skin lesion (11055) | $198.90 | $221 | 1.0× |
| Trim skin lesions 2 to 4 (11056) | $198.90 | $221 | 1.0× |
| Trim skin lesions over 4 (11057) | $198 | $220 | 1.0× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) | $3,295.80 | $3,662 | 0.9× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $1,593 | $1,770 | 1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $737.10 | $819 | 1.0× |
| Unlisted procedure nervous system (64999) | $297.90 | $331 | 0.9× |
| Urine Flow Measurement (51736) | $127.80 | $142 | 0.9× |
| Wedge excision skin nail fold (11765) | $453.60 | $504 | 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.