Procedures & surgery prices at Banner North Colorado Medical Center
Greeley, CO · every code in this section with a posted price and a Medicare benchmark.
416 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) | $717.44 | $1,605 | 0.7× |
| Ablate Pulm Tumor Perq Crybl (32994) range across 3 matching MRF lines |
$6,411.32–$9,617.20 | $14,343–$21,515 | varies |
| Ablation 1/> liver tumor perq cryoablation (47383) | $6,411.32 | $14,343 | 0.6× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$5,731.43 | $12,822 | 0.3× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $4,119.11 | $9,215 | 0.5× |
| Amniocentesis diagnostic (59000) | $534.16 | $1,195 | 0.5× |
| Amniocentesis therapeutic (59001) | $699.11 | $1,564 | 2.2× |
| Amputation metatarsal with toe single (28810) | $2,656.40 | $6,559 | 0.8× |
| Amputation toe interphalangeal joint (28825) | $1,859.36 | $4,591 | 0.5× |
| Amputation toe metatarsophalangeal joint (28820) | $2,656.40 | $6,559 | 0.8× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $202.49 | $453 | 0.6× |
| Application Finger Splint Dynamic (29131) | $103.77 | $218 | 1.7× |
| Application finger splint static (29130) | $89.49 | $188 | 0.6× |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$89.49–$134.23 | $188–$282 | varies |
| Application of rigid total contact leg cast (29445) | $277.42 | $685 | 0.9× |
| Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
$109.96–$165.17 | $231–$347 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$87.58–$131.38 | $184–$276 | varies |
| Application short leg splint calf foot (29515) | $113 | $279 | 0.7× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$137.30–$206.15 | $339–$509 | varies |
| Arterial puncture (36600) | $96.02 | $227 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$275.80–$413.92 | $617–$926 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$466.67–$700 | $1,044–$1,566 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$341.06–$511.82 | $763–$1,145 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$490.36–$735.76 | $1,097–$1,646 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$268.20–$402.30 | $600–$900 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) range across 3 matching MRF lines |
$6,848.04–$10,272.06 | $15,320–$22,980 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$1,185.89–$1,779.06 | $2,653–$3,980 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $199.36 | $446 | 0.6× |
| Aspiration and/or injection thyroid cyst (60300) | $430.91 | $964 | 0.6× |
| Aspiration bladder insert suprapubic catheter (51102) | $1,680.72 | $3,760 | 0.8× |
| Aspiration Bladder Needle (51100) | $195.34 | $437 | 0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) | $104.49 | $258 | 0.5× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) | $3,612.21 | $8,081 | 0.5× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) unusually low: confirm this is the full procedure |
$4,335.90 | $9,700 | 0.4× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$2,865.27 | $6,410 | 0.4× |
| Biopsy Abdominal Mass (49180) | $1,053.13 | $2,356 | 0.6× |
| Biopsy bone open deep (20245) | $1,245.78 | $3,076 | 0.4× |
| Biopsy bone trocar/needle deep (20225) | $1,374.97 | $3,076 | 0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,119.74 | $2,505 | 0.6× |
| Biopsy muscle percutaneous needle (20206) | $1,053.13 | $2,356 | 0.6× |
| Biopsy of liver, needle; percutaneous (47000) | $1,053.13 | $2,356 | 0.6× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,053.13 | $2,356 | 0.6× |
| Biopsy Salivary Gland Needle (42400) | $752.75 | $1,684 | 1.0× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) range across 3 matching MRF lines |
$1,053.13–$1,579.70 | $2,356–$3,534 | varies |
| Biopsy Spinal Cord Percutaneous Needle (62269) | $1,053.13 | $2,356 | 0.6× |
| Bladder instillation anticarcinogenic agent (51720) | $388.40 | $959 | 0.5× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$144.39–$168.52 | $377 | varies |
| Bladder Scan (51798) | $60.34 | $135 | 1.0× |
| Blood Transfusion Service (36430) range across 6 matching MRF lines |
$254.21–$381.31 | $662–$993 | varies |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$538.64–$808.18 | $1,205–$1,808 | varies |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$515.39–$773.31 | $1,153–$1,730 | varies |
| Bx breast 1st lesion mr imag (19085) | $2,888.51 | $6,462 | 1.7× |
| Bx breast 1st lesion strtctc (19081) | $1,628.42 | $3,643 | 0.9× |
| Bx breast 1st lesion us imag (19083) | $1,053.13 | $2,356 | 0.6× |
| Bx breast needle core w/o imaging guidance spx (19100) | $421.52 | $943 | 0.2× |
| Cessj Therapy Cath Removal (37214) | $4,660.87 | $10,427 | 1.4× |
| Change Cystostomy Tube Simple (51705) | $160.03 | $358 | 0.6× |
| Change of Windpipe Airway (31502) | $230.21 | $515 | 0.9× |
| Change ureter stent percut (50382) range across 3 matching MRF lines |
$2,298.92–$3,448.60 | $5,143–$7,715 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$217.89–$240.49 | $538 | varies |
| Chemical Pleurodesis (32560) | $670.95 | $1,501 | 1.0× |
| Chemodenerv Eccrine Glands (64650) | $226.63 | $507 | 0.7× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $318.26 | $712 | 1.0× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $1,447.39 | $3,238 | 0.7× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,118.33 | $4,739 | 0.6× |
| Circumcision w/clamp/oth dev w/block (54150) | $198.63 | $492 | 0.1× |
| Collect Blood From Catheter Venous Nos (36592) | $75.74 | $187 | 0.5× |
| Collection of venous blood by venipuncture (36415) | $11 | $26 | 1.2× |
| Conversion ext bil drg cath (47535) | $2,433.92 | $5,445 | 0.6× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,144.32 | $2,560 | 0.6× |
| Convert Nephrostomy Catheter (50434) range across 3 matching MRF lines |
$1,766.99–$2,650.71 | $3,953–$5,930 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,194.38 | $2,672 | 0.7× |
| Cryosurgical Ablation Fibroadenoma, Each (19105) range across 3 matching MRF lines |
$3,893.37–$5,840.06 | $8,710–$13,065 | varies |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) | $3,735.58 | $8,357 | 0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $374.22 | $924 | 0.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $728.60 | $1,799 | 0.9× |
| Debride nail 1-5 (11720) | $57.11 | $141 | 0.9× |
| Debride nail 6 or more (11721) | $63.18 | $156 | 1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $954.18 | $2,356 | 0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$244.22–$269.54 | $603 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$147.42–$162.71 | $364 | varies |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$1,036.02–$2,218.10 | $2,705 | varies |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,359.33 | $3,041 | 1.5× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$1,303.45–$1,955.18 | $2,916–$4,374 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$1,303.45–$1,955.18 | $2,916–$4,374 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $670.95 | $1,501 | 0.7× |
| Destruction by neurolytic agent; pudendal nerve (64630) | $630.72 | $1,411 | 0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$1,303.45–$1,955.18 | $2,916–$4,374 | varies |
| Dilat Xst Trc New Access Rcs (50437) range across 3 matching MRF lines |
$2,169.29–$3,254.16 | $4,853–$7,280 | varies |
| Drain Cerebro Spinal Fluid (62272) | $466.67 | $1,044 | 0.6× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$348.66–$522.99 | $780–$1,170 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$954.18–$1,053.13 | $2,356 | varies |
| Draw Blood Off Venous Device (36591) | $78.98 | $195 | 0.6× |
| Dressing Change Under Anesthesia (15852) | $523.88 | $1,172 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $250.29 | $618 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $140.94 | $348 | 0.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$741.13–$1,111.69 | $1,658–$2,487 | varies |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) | $1,744.19 | $3,902 | 1.9× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $1,285.12 | $2,875 | 1.4× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$574.84–$862.26 | $1,286–$1,929 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $690.62 | $1,545 | 0.9× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $337.93 | $756 | 1.0× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $202.49 | $453 | 0.6× |
| Endometrial Biopsy (58100) | $155.11 | $347 | 0.7× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) range across 3 matching MRF lines |
$3,230.47–$4,845.93 | $7,227–$10,841 | varies |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) range across 3 matching MRF lines |
$2,458.95–$3,688.64 | $5,501–$8,252 | varies |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$420.15–$490.36 | $1,097 | varies |
| Evacuation of subungual hematoma (11740) | $64.80 | $160 | 0.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $2,118.33 | $4,739 | 0.6× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 3 matching MRF lines |
$1,291.83–$1,937.75 | $2,890–$4,335 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,168.90 | $2,615 | 0.6× |
| External cephalic version (59412) | $520.70 | $635 | 0.2× |
| Fetal Contraction Stress Test (59020) | $353.57 | $508 | 1.7× |
| Fetal non-stress test (59025) | $409.25 | $588 | 1.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $619.99 | $1,387 | 0.8× |
| Fluid Pressure Muscle (20950) | $481.81 | $1,258 | 0.6× |
| Fluoro exam of g/colon tube (49465) | $163.16 | $365 | 0.6× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $638.76 | $1,429 | 0.9× |
| Fna bx w/us gdn 1st les (10005) | $556.07 | $1,244 | 0.7× |
| Guide Cathet Fluid Drainage (10030) | $775.10 | $1,734 | 1.0× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$187.92–$207.41 | $464 | varies |
| Icd Pocket Revision (33223) | $2,770.51 | $6,198 | 1.3× |
| Image Cath Fluid Colxn Visc (49405) | $1,133.14 | $2,535 | 0.6× |
| Image Cath Fluid Peri/Retro (49406) | $1,675.80 | $3,749 | 1.0× |
| Image Cath Fluid Trns/Vgnl (49407) | $1,315.97 | $2,944 | 0.8× |
| Implant neuroelectrodes (63650) unusually low: confirm this is the full procedure |
$2,673.06 | $5,980 | 0.4× |
| Implant Neuroelectrodes (64561) range across 3 matching MRF lines |
$2,134.43–$3,201.86 | $4,775–$7,163 | varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$4,354.23 | $9,741 | 0.2× |
| Implant Spine Infusion Pump (62362) likely a partial charge, not the full procedure |
$3,449.95 | $7,718 | 0.2× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) unusually low: confirm this is the full procedure |
$3,499.12 | $7,828 | 0.4× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$317.92–$350.90 | $785 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $390.42 | $964 | 0.2× |
| Incision & removal foreign body subq tiss simple (10120) | $218.30 | $539 | 0.5× |
| Incisional biopsy skin single lesion (11106) | $213.44 | $527 | 0.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$871.20–$1,307.03 | $1,949–$2,924 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $162.26 | $363 | 0.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 3 matching MRF lines |
$985.64–$1,478.68 | $2,205–$3,308 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$206.07–$309.32 | $461–$692 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$602.11–$903.39 | $1,347–$2,021 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$656.64–$985.19 | $1,469–$2,204 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 6 matching MRF lines |
$686.72–$1,202.43 | $1,793–$2,690 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 3 matching MRF lines |
$269.99–$404.98 | $604–$906 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,036.59 | $2,319 | 1.1× |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$304.41–$456.83 | $681–$1,022 | varies |
| Injection for identification of sentinel node (38792) range across 3 matching MRF lines |
$271.33–$407.22 | $607–$911 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $237.36 | $531 | 0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) | $270.44 | $605 | 0.8× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $983.40 | $2,200 | 0.6× |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$210.09–$315.14 | $470–$705 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $598.53 | $1,339 | 0.6× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$645.92–$969.10 | $1,445–$2,168 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$466.67–$700 | $1,044–$1,566 | varies |
| Ins cath ren art 1st bilat (36252) | $2,734.30 | $6,117 | 0.8× |
| Ins cath ren art 1st unilat (36251) | $1,765.65 | $3,950 | 0.5× |
| Ins cath ren art 2nd+ bilat (36254) | $6,505.64 | $14,554 | 2.0× |
| Ins cath ren art 2nd+ unilat (36253) | $3,054.35 | $6,833 | 0.5× |
| Ins endovas vena cava filtr (37191) | $3,341.77 | $7,476 | 0.6× |
| Ins Vag Brachytx Device (57156) | $441.19 | $987 | 1.4× |
| Ins/Rep Subq Defibrillator (33270) | $26,045.80 | $58,268 | 0.8× |
| Insert 1 Electrode Pm-Defib (33216) | $4,401.61 | $9,847 | 0.5× |
| Insert Bladder Cath Complex (51703) | $176.56 | $395 | 1.3× |
| Insert cath pleura w/ image (32557) range across 3 matching MRF lines |
$864.05–$1,296.30 | $1,933–$2,900 | varies |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $1,141.19 | $2,553 | 0.9× |
| Insert cervical dilator (59200) | $376.38 | $459 | 1.2× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,144.32 | $2,560 | 0.6× |
| Insert Heart Pm Atrial (33206) | $7,955.26 | $17,797 | 0.7× |
| Insert Heart Pm Ventricular (33207) | $8,368.73 | $18,722 | 0.8× |
| Insert hepatic shunt (tips) (37182) unusually low: confirm this is the full procedure |
$6,038.08 | $13,508 | 0.3× |
| Insert non-tunnel cv cath (36556) | $1,414.31 | $3,164 | 0.4× |
| Insert Pacing Lead & Connect (33224) | $6,258 | $14,000 | 0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 3 matching MRF lines |
$782.86–$864.05 | $1,933 | varies |
| Insert pulse gen dual leads (33213) | $7,608.83 | $17,022 | 0.7× |
| Insert pulse gen mult leads (33221) unusually low: confirm this is the full procedure |
$7,939.61 | $17,762 | 0.4× |
| Insert Pulse Gen Sngl Lead (33212) | $7,246.76 | $16,212 | 0.8× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$87.32–$101.92 | $228 | varies |
| Insert tun ip cath perc (49418) | $2,899.24 | $6,486 | 0.8× |
| Insert tunneled cv cath (36561) | $2,995.79 | $6,702 | 0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$74.68–$87.17 | $195 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $2,102.69 | $4,704 | 0.6× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) | $7,622.24 | $17,052 | 0.6× |
| Insertion phrenic nerve stimulator system (33276) | $24,346.30 | $54,466 | 0.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$941.63–$1,039.28 | $2,325 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) unusually low: confirm this is the full procedure |
$3,446.37 | $7,710 | 0.4× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) likely a partial charge, not the full procedure |
$1,293.62 | $2,894 | 0.2× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $4,793.18 | $10,723 | 0.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,408.50 | $3,151 | 0.4× |
| Insj Picc Rs&I <5 Yr (36572) range across 2 matching MRF lines |
$918.54–$1,013.80 | $2,268 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$784.89–$866.29 | $1,938 | varies |
| Insj Subq Impltbl Dfb Elctrd (33271) | $5,677.79 | $12,702 | 0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,765.65 | $3,950 | 0.5× |
| Insj/Rplcmt Defib W/Lead(S) (33249) unusually low: confirm this is the full procedure |
$13,183.37 | $29,493 | 0.4× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$3,849.12 | $8,611 | 0.1× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) unusually low: confirm this is the full procedure |
$2,759.78 | $6,174 | 0.3× |
| Insrt heart pm atrial & vent (33208) | $9,345.43 | $20,907 | 0.8× |
| Insrt Pulse Gen W/Dual Leads (33230) | $25,546.94 | $57,152 | 1.1× |
| Insrt Pulse Gen W/Mult Leads (33231) | $26,824.47 | $60,010 | 0.8× |
| Insrt Pulse Gen W/Singl Lead (33240) | $13,372.01 | $29,915 | 0.6× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $1,186.34 | $2,654 | 0.8× |
| Intro cath dialysis circuit (36901) | $1,495.21 | $3,345 | 0.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $13,922.71 | $31,147 | 1.1× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $7,020.14 | $15,705 | 1.2× |
| Intro Gastrointestinal Tube (44500) | $614.62 | $1,375 | 0.6× |
| Intubation endotracheal emergency procedure (31500) | $176.58 | $545 | 0.7× |
| Laryngoscopy flexible diagnostic (31575) | $206.96 | $463 | 1.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $261.50 | $585 | 0.6× |
| Lyse chest fibrin init day (32561) | $678.99 | $1,519 | 1.0× |
| Lyse Chest Fibrin Subq Day (32562) | $607.03 | $1,358 | 0.9× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) range across 3 matching MRF lines |
$449.68–$674.52 | $1,006–$1,509 | varies |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,055.81 | $2,362 | 0.6× |
| Mech remov tunneled cv cath (36595) | $1,765.65 | $3,950 | 0.5× |
| Myelography Lumbar Injection (62305) | $1,400 | $3,132 | 1.7× |
| Myelography Lumbar Injection (62304) | $1,102.30 | $2,466 | 1.3× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,142.53 | $2,556 | 1.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,142.53 | $2,556 | 1.4× |
| N Block Inj Celiac Pelus (64530) | $598.53 | $1,339 | 0.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 3 matching MRF lines |
$466.67–$700 | $1,044–$1,566 | varies |
| N block inj intercost sng (64420) range across 6 matching MRF lines |
$399.85–$700 | $1,044–$1,566 | varies |
| N Block Inj Pudendal (64430) range across 3 matching MRF lines |
$797.90–$1,197.07 | $1,785–$2,678 | varies |
| N Block Lumbar/Thoracic (64520) | $890.87 | $1,993 | 1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) | $268.65 | $601 | 0.6× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$1,053.13–$1,579.70 | $2,356–$3,534 | varies |
| Needle Biopsy Pancreas (48102) | $1,053.13 | $2,356 | 0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $27.27 | $61 | 0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) | $45.59 | $102 | 1.5× |
| Neuro alys b-amyl 1-42&1-40 (0358U) | $339.12 | $785 | 1.3× |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) | $203.47 | $471 | 1.3× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) | $203.47 | $471 | 1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $540.43 | $1,251 | 1.3× |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) | $540.43 | $1,251 | 1.3× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $2,755.73 | $6,379 | 1.3× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 4 matching MRF lines |
$628.96–$1,041.51 | $1,553–$2,330 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 7 matching MRF lines |
$221.37–$387.55 | $578–$867 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $556.07 | $1,244 | 0.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $1,092.47 | $2,444 | 0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$980.27–$1,470.63 | $2,193–$3,290 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,123.31 | $2,513 | 1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $768.39 | $1,719 | 1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,172.48 | $2,623 | 1.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 3 matching MRF lines |
$699.56–$1,049.56 | $1,565–$2,348 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 3 matching MRF lines |
$1,636.02–$2,454.03 | $3,660–$5,490 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) range across 3 matching MRF lines |
$274.46–$411.69 | $614–$921 | varies |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 3 matching MRF lines |
$921.27–$1,382.12 | $2,061–$3,092 | varies |
| Nudt15 & tpmt gene analysis common variants (0169U) | $604.37 | $1,399 | 1.3× |
| Obstructive material removal from gi tube (49460) | $394.70 | $883 | 0.4× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$404.98–$607.47 | $906–$1,359 | varies |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) | $10,957.68 | $25,365 | 1.3× |
| Onc pncrs DNA&mrna seq 74 (0313U) | $4,665.60 | $10,800 | 1.3× |
| Open/Perq Place Stent 1St (37236) | $6,469.43 | $14,473 | 0.5× |
| Open/Perq Place Stent Same (37238) | $8,761.65 | $19,601 | 0.7× |
| Perc Cryo Ablate Renal Tum (50593) range across 3 matching MRF lines |
$6,411.32–$9,617.20 | $14,343–$21,515 | varies |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $1,118.84 | $2,503 | 0.8× |
| Perc Rf Ablate Renal Tumor (50592) range across 3 matching MRF lines |
$3,701.16–$5,551.74 | $8,280–$12,420 | varies |
| Percut Ablate Liver Rf (47382) | $4,752.50 | $10,632 | 0.7× |
| Percut Cath Occlusn Non Cns Lesn (61626) likely a partial charge, not the full procedure |
$2,203.26 | $4,929 | 0.2× |
| Percut Drain/Inject Renal Cyst (50390) range across 3 matching MRF lines |
$721.46–$1,082.19 | $1,614–$2,421 | varies |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $3,280.53 | $7,339 | 1.0× |
| Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$886.64–$1,034.81 | $2,315 | varies |
| Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$2,319.48 | $5,189 | 0.1× |
| Perq av fistula creation uxtr sep access sites (36837) unusually low: confirm this is the full procedure |
$7,860.50 | $17,585 | 0.4× |
| Perq Cervicothoracic Inject (22510) | $3,191.13 | $7,139 | 0.9× |
| Perq dev breast 1st mr guide (19287) | $2,803.14 | $6,271 | 3.7× |
| Perq dev breast 1st strtctc (19283) | $652.62 | $1,460 | 0.9× |
| Perq dev breast 1st us imag (19285) | $872.99 | $1,953 | 1.2× |
| Perq device breast 1st imag (19281) | $917.24 | $2,052 | 0.5× |
| Perq dilation xst trc endourologic px w/img (50436) range across 3 matching MRF lines |
$2,145.60–$3,218.40 | $4,800–$7,200 | varies |
| Perq Lumbosacral Injection (22511) | $3,066.42 | $6,860 | 0.9× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) range across 3 matching MRF lines |
$3,776.70–$5,665.28 | $8,449–$12,674 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $870.31 | $1,947 | 1.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $13,971.88 | $31,257 | 1.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $7,722.37 | $17,276 | 1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $4,347.08 | $9,725 | 0.6× |
| Perq Vertebral Augmentation (22513) | $4,565.21 | $10,213 | 0.6× |
| Phleb Veins - Extrem 20+ (37766) range across 3 matching MRF lines |
$2,812.97–$4,219.68 | $6,293–$9,440 | varies |
| Place Cath Subclavian Art (36225) range across 3 matching MRF lines |
$5,930.35–$8,895.75 | $13,267–$19,901 | varies |
| Place Cath Thoracic Aorta (36221) | $2,240.36 | $5,012 | 0.7× |
| Place Cath Vertebral Art (36226) range across 3 matching MRF lines |
$6,298.68–$9,448.24 | $14,091–$21,137 | varies |
| Place Duod/Jej Tube Perc (49441) | $1,187.68 | $2,657 | 0.6× |
| Place Rt Device/Marker Pros (55876) | $918.14 | $2,054 | 0.6× |
| Placement of needle for intraosseous infusion (36680) | $230.18 | $601 | 0.5× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $3,612.21 | $8,081 | 0.5× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $3,701.16 | $8,280 | 0.6× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $5,498.55 | $12,301 | 0.9× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $5,650.53 | $12,641 | 0.9× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 3 matching MRF lines |
$2,110.29–$3,165.65 | $4,721–$7,082 | varies |
| Plmt Nephroureteral Catheter (50433) range across 3 matching MRF lines |
$2,145.60–$3,218.40 | $4,800–$7,200 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 3 matching MRF lines |
$2,959.14–$4,438.71 | $6,620–$9,930 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 3 matching MRF lines |
$2,847.84–$4,271.98 | $6,371–$9,557 | varies |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 3 matching MRF lines |
$2,871.08–$4,306.84 | $6,423–$9,635 | varies |
| Prim art mech thrombectomy (37184) range across 3 matching MRF lines |
$5,743.95–$8,615.92 | $12,850–$19,275 | varies |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $516.28 | $1,155 | 0.7× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) unusually low: confirm this is the full procedure |
$2,605.12 | $5,828 | 0.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $2,118.33 | $4,739 | 0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $2,841.13 | $6,356 | 0.8× |
| Pseudoaneurysm Injection Trt (36002) | $403.64 | $903 | 0.6× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$174.56–$192.66 | $431 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$244.22–$269.54 | $603 | varies |
| Puncture Aspiration Cyst Breast (19000) | $430.91 | $964 | 0.6× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $603 | $1,349 | 0.8× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 3 matching MRF lines |
$871.20–$1,307.03 | $1,949–$2,924 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 3 matching MRF lines |
$1,673.12–$2,509.91 | $3,743–$5,615 | varies |
| Redo Endovas Vena Cava Filtr (37192) | $3,480.34 | $7,786 | 1.0× |
| Relocation Pocket Pacemaker (33222) | $2,671.72 | $5,977 | 1.2× |
| Rem Endovas Vena Cava Filter (37193) | $3,494.20 | $7,817 | 1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $704.02 | $1,575 | 0.7× |
| Removal of nail bed (11750) | $359.64 | $888 | 0.8× |
| Removal of tunneled intraperitoneal catheter (49422) | $2,007.92 | $4,492 | 0.6× |
| Removal Pacemaker Electrode (33235) | $3,144.20 | $7,034 | 0.8× |
| Removal ppm generator only (33233) likely a partial charge, not the full procedure |
$2,382.06 | $5,329 | 0.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $816.67 | $1,827 | 1.1× |
| Remove drug implant device (11982) | $277.59 | $621 | 0.6× |
| Remove Elctrd Transvenously (33244) | $3,175.49 | $7,104 | 0.8× |
| Remove Intrauterine Device (58301) | $211.80 | $553 | 0.7× |
| Remove intrvas foreign body (37197) | $3,675.68 | $8,223 | 1.1× |
| Remove lung catheter (32552) | $403.64 | $903 | 0.6× |
| Remove Pulse Generator (33241) | $2,483.08 | $5,555 | 0.6× |
| Remove renal tube w/fluoro (50389) range across 3 matching MRF lines |
$676.76–$1,015.14 | $1,514–$2,271 | varies |
| Remove ureter stent percut (50384) range across 3 matching MRF lines |
$1,773.25–$2,660.10 | $3,967–$5,951 | varies |
| Remove&replace pm gen singl (33227) | $4,848.16 | $10,846 | 0.6× |
| Remv&replc cvd gen dual lead (33263) | $14,852.92 | $33,228 | 0.6× |
| Remv&replc cvd gen mult lead (33264) unusually low: confirm this is the full procedure |
$15,475.14 | $34,620 | 0.5× |
| Remv&replc cvd gen sing lead (33262) unusually low: confirm this is the full procedure |
$9,764.72 | $21,845 | 0.4× |
| Remv&replc pm gen dual lead (33228) | $6,040.76 | $13,514 | 0.5× |
| Remv&replc pm gen mult leads (33229) unusually low: confirm this is the full procedure |
$8,975.31 | $20,079 | 0.4× |
| Renal Biopsy Perq (50200) range across 3 matching MRF lines |
$1,053.13–$1,579.70 | $2,356–$3,534 | varies |
| Repair Lead Pace-Defib One (33218) | $3,251.48 | $7,274 | 0.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $614.62 | $1,375 | 0.6× |
| Replace G-J Tube Perc (49452) | $680.33 | $1,522 | 0.7× |
| Replace g/c tube perc (49450) | $548.92 | $1,228 | 0.6× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $2,859.91 | $6,398 | 0.7× |
| Reposition Gastrostomy Tube (43761) | $797 | $1,783 | 3.0× |
| Reposition L Ventric Lead (33226) | $2,134.43 | $4,775 | 0.6× |
| Reposition Pacing-Defib Lead (33215) | $2,201.03 | $4,924 | 0.7× |
| Reposition Venous Catheter (36597) | $1,371.84 | $3,069 | 0.8× |
| Repositioning phrenic nrv stimulator transvns ld (33281) | $2,663.23 | $5,958 | 0.7× |
| Rev/rmv prph sac/gstr npg/r (64595) | $3,406.59 | $7,621 | 0.9× |
| Revise/Remove Neurostimulator Electrode Array, Peripheral Nerve, W Neurostimulator (64598) | $2,461.63 | $5,507 | 0.7× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) unusually low: confirm this is the full procedure |
$2,612.72 | $5,845 | 0.4× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $6,252.19 | $13,987 | 1.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $3,377.08 | $7,555 | 0.9× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $2,135.32 | $4,777 | 0.6× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 3 matching MRF lines |
$1,377.65–$2,066.48 | $3,082–$4,623 | varies |
| Rmvl of subq implantable defibrillator electrode (33272) | $2,859.91 | $6,398 | 0.7× |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) | $2,135.32 | $4,777 | 0.6× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) | $2,461.63 | $5,507 | 0.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $2,438.39 | $5,455 | 1.2× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) | $3,214.38 | $7,191 | 0.9× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $2,858.12 | $6,394 | 0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,082.19 | $2,421 | 0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $784.48 | $1,755 | 1.2× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) likely a partial charge, not the full procedure |
$4,668.02 | $10,443 | 0.1× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) | $7,621.80 | $17,051 | 0.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $865.84 | $1,937 | 0.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,324.01 | $2,962 | 0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $2,628.36 | $5,880 | 0.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $1,765.65 | $3,950 | 0.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) range across 2 matching MRF lines |
$575.91–$635.63 | $1,422 | varies |
| Sclerotx Fluid Collection (49185) | $1,374.97 | $3,076 | 0.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $121.50 | $300 | 0.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $461.30 | $1,139 | 2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $236.12 | $583 | 1.1× |
| Skin sub graft face/nk/hf/g (15275) | $391.23 | $966 | 0.5× |
| Skin sub graft trnk/arm/leg (15271) | $414.32 | $1,023 | 0.5× |
| Skin sub grft t/arm/lg child (15273) | $728.60 | $1,799 | 0.3× |
| Skin Tissue Procedure (17999) | $1,789.34 | $4,003 | 8.4× |
| Skn sub grft f/n/hf/g child (15277) | $782.46 | $1,932 | 0.4× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 3 matching MRF lines |
$7,711.20–$11,567.02 | $17,251–$25,877 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 3 matching MRF lines |
$5,337.18–$8,005.77 | $11,940–$17,910 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 3 matching MRF lines |
$8,450.53–$12,676.03 | $18,905–$28,358 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $130 | $321 | 0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $303.75 | $750 | 0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $370.98 | $916 | 0.9× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) | $2,492.47 | $5,576 | 0.9× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$424.04–$468.01 | $1,047 | varies |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) range across 3 matching MRF lines |
$2,305.63–$3,458.44 | $5,158–$7,737 | varies |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$135.27–$202.90 | $334–$501 | varies |
| Suprachoroidal space njx pharmacologic agent (67516) | $296.81 | $664 | 0.9× |
| Tangential biopsy skin single lesion (11102) | $121.50 | $300 | 0.3× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $24,213.03 | $75,430 | 0.8× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $11,635.86 | $26,031 | 0.6× |
| Tcat Rmvl Perm Ldls Pm (33275) | $18,243.41 | $40,813 | 5.5× |
| Thaw preserved stem cells (38208) range across 2 matching MRF lines |
$446.92–$508.11 | $1,107 | varies |
| Therapeutic plasma exchange (36514) | $1,650.72 | $4,560 | 1.0× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) unusually low: confirm this is the full procedure |
$5,617.90 | $12,568 | 0.4× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $19,067.23 | $42,656 | 1.0× |
| Thromblytic art/ven therapy (37213) | $5,624.15 | $12,582 | 1.7× |
| Thrombolytic Art Therapy (37211) | $9,512.61 | $21,281 | 1.6× |
| Thrombolytic Venous Therapy (37212) | $6,248.61 | $13,979 | 1.9× |
| Thyroid biopsy (60100) | $474.71 | $1,062 | 0.6× |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $3,541.83 | $7,243 | 0.6× |
| Transcatheter biopsy (37200) | $3,054.35 | $6,833 | 0.5× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) range across 3 matching MRF lines |
$1,044.64–$1,567.18 | $2,337–$3,506 | varies |
| Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) | $4,951.42 | $11,077 | 0.6× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) | $3,237.62 | $7,243 | 0.6× |
| Trim skin lesion (11055) | $121.50 | $300 | 0.6× |
| Trim skin lesions 2 to 4 (11056) | $130.41 | $322 | 0.6× |
| Trim skin lesions over 4 (11057) | $170.91 | $422 | 0.8× |
| Trimming Nondystrophic Nails Any Number (11719) | $64.40 | $159 | 1.0× |
| Trluml Balo Angiop 1St Art (37246) range across 2 matching MRF lines |
$7,065.28–$10,597.92 | $15,806–$23,709 | varies |
| Trluml Balo Angiop 1St Vein (37248) range across 2 matching MRF lines |
$5,183.41–$7,775.12 | $11,596–$17,394 | varies |
| Trnsplj Don-Drv Cll-Fr Dna (0118U) | $3,568.32 | $8,260 | 1.3× |
| Unlisted Cardiac Surgery (33999) | $2,201.03 | $4,924 | 3.3× |
| Unlisted procedure breast (19499) | $1,695.02 | $3,792 | 0.4× |
| Unlisted procedure foot or toes (28899) | $206.07 | $461 | 0.8× |
| Unlisted Procedure Muscskeletal System General (20999) range across 2 matching MRF lines |
$444.32–$3,893.37 | $994–$8,710 | varies |
| Unlisted procedure nervous system (64999) | $776.44 | $1,737 | 2.4× |
| Unlisted Procedure Trachea Bronchi (31899) | $1,041.06 | $2,329 | 4.9× |
| Unlisted Procedure Vascular Surgery (37799) range across 3 matching MRF lines |
$337.48–$4,686.80 | $755–$10,485 | varies |
| Upgrade of pacemaker system (33214) | $8,809.03 | $19,707 | 0.8× |
| Vasc embolize/occlude artery (37242) likely a partial charge, not the full procedure |
$5,802.95 | $12,982 | 0.3× |
| Vasc Embolize/Occlude Bleed (37244) | $6,726.90 | $15,049 | 0.6× |
| Vasc Embolize/Occlude Organ (37243) | $6,365.28 | $14,240 | 0.5× |
| Vasc embolize/occlude venous (37241) | $7,762.60 | $17,366 | 0.6× |
| Venous Mech Thrombectomy (37187) unusually low: confirm this is the full procedure |
$4,841.90 | $10,832 | 0.4× |
| Wash harvest stem cells (38209) range across 2 matching MRF lines |
$463.87–$527.39 | $1,149 | varies |
| Wound Prep F/N/Hf/G (15004) | $576.32 | $1,423 | 1.3× |
| Wound Prep Trk/Arm/Leg (15002) | $691.74 | $1,708 | 0.9× |
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.