Procedures & surgery prices at Baystate Noble Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $2,188 $2,188 2.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,124 $1,124 1.0×
Abltj 1/> lvr tum prq rf (47382) $6,928.65 $6,928.65 1.0×
Amputation Finger/Thumb (26951) $4,186.35 $4,186.35 1.1×
Anoscopy diagnostic (46600) $353.42 $353.42 2.2×
Anoscopy W/Rmvl Foreign Body (46608) $1,267 $1,267 1.1×
Application cast elbow finger short arm (29075) $364 $364 1.1×
Application cast shoulder hand long arm (29065) $474.03 $474.03 1.4×
Application Finger Splint Dynamic (29131) $360 $360 5.1×
Application finger splint static (29130) $278 $278 1.7×
Application long arm splint shoulder hand (29105) $376.65 $376.65 1.9×
Application of cylinder cast (thigh to ankle) (29365) $463 $463 1.4×
Application of long leg cast (29345) $612 $612 1.8×
Application short arm splint forearm-hand static (29125) $270 $270 1.7×
Apply Hand/Wrist Cast (29085) $446 $446 2.3×
Apply long leg splint (29505) $307 $307 1.6×
Apply short leg cast (29405) $497 $497 1.5×
Apply short leg splint (29515) $307 $307 1.6×
Arterial puncture (36600) $244 $244 1.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $575.68 $575.68 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $565 $565 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,287.90 $1,287.90 3.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $494.05 $494.05 1.3×
Aspirate pleura w/ imaging (32555) $2,260 $2,260 3.0×
Aspirate/Inj Ganglion Cyst (20612) $395 $395 1.1×
Aspiration bladder insert suprapubic catheter (51102) $2,411.10 $2,411.10 1.0×
Aspiration bladder needle (51100) $388 $388 1.3×
Avulsion nail plate partial/complete simple 1 (11730) $362 $362 1.5×
Biopsy bone trocar/needle deep (20225) $2,218 $2,218 1.1×
Biopsy Bone Trocar/Needle Superficial (20220) $1,924.13 $1,924.13 1.0×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $936.90 $936.90 0.8×
Biopsy muscle percutaneous needle (20206) $1,995.30 $1,995.30 1.0×
Biopsy pleura percutaneous needle (32400) $1,391.85 $1,391.85 0.7×
Biopsy Salivary Gland,Needle (42400) $1,107 $1,107 1.3×
Biopsy soft tissue neck/thorax (21550) $2,360 $2,360 1.2×
Bladder Irrigation Simple (51700) $474 $474 1.6×
Blepharotomy drain absc eyelid (67700) $626 $626 1.6×
Blood patch (62273) $1,377 $1,377 1.6×
Blood transfusion service (36430) $2,245 $2,245 4.2×
Blood/Lymph System Procedure (38999) $1,047.85 $1,047.85 2.0×
Bone marrow aspiration only (38220) $1,100.25 $1,100.25 0.6×
Bone Marrow Biopsy (38221) $1,924.13 $1,924.13 1.0×
Bronchosc dx w/w/o fluor&wash (31622) $1,614.60 $1,614.60 0.8×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $2,047.91 $2,047.91 1.0×
Bx abdl/retroperitoneal mass prq needle (49180) $2,306 $2,306 1.2×
Bx breast 1st lesion strtctc (19081) $5,157 $5,157 2.6×
Bx breast 1st lesion us imag (19083) $4,996.81 $4,996.81 2.5×
Bx/exc lymph node needle superficial (38505) $2,892.11 $2,892.11 1.5×
Catheter Aspiration Nasotracheal Spx (31720) $388 $388 1.5×
Change of cystostomy tube simple (51705) $577.26 $577.26 1.9×
Chemical cautery tissue (17250) $505 $505 2.1×
Cholecystostomy,Percutaneous, Complete (47490) $2,080.35 $2,080.35 0.5×
Cisternal/Lateral C1-C2 Puncture W/Injection (61055) $1,173.25 $1,173.25 3.2×
Close Rx Prox/Mid Fing Shft Fx (26720) $415 $415 1.4×
Closed Rx Acetabular Fx,Manipulatn (27222) $1,026 $1,026 3.5×
Closed Rx Gr Tuberosity Hum Fx (23620) $724.95 $724.95 2.5×
Closed Rx Humer Epicondylr Fx,Manip (24565) $812.70 $812.70 0.4×
Closed Rx Humeral Supracondylar Fx (24530) $1,362.15 $1,362.15 4.6×
Closed Rx Radial Shaft Fx (25500) $696.60 $696.60 2.4×
Closed Rx Radial Shaft Fx W/Dislocation (25520) $2,106 $2,106 1.1×
Closed Rx Tibia Shaft Fx (27750) $1,024 $1,024 3.5×
Closed Rx Tibial Plateau Fx (27530) $702 $702 2.4×
Closed Treat Vert Body Fract (22310) $553 $553 1.9×
Closed treat wrist dislocation (25660) $536 $536 1.8×
Closed Treatment Coccygeal Fracture (27200) $1,062 $1,062 3.6×
Closed treatment of calcaneal fracture; without manipulation (28400) $745.20 $745.20 2.5×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $910 $910 3.1×
Closed treatment of fracture of orbit, except blowout; without manipulation (21400) $978 $978 1.5×
Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) $1,186.65 $1,186.65 0.6×
Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) $1,913 $1,913 1.0×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) $525 $525 1.8×
Closed treatment of patellar fracture, without manipulation (27520) $947.70 $947.70 3.2×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $961.20 $961.20 3.3×
Closed treatment of talus fracture; without manipulation (28430) $552 $552 1.9×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $648 $648 2.2×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $1,744.20 $1,744.20 0.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $843.75 $843.75 2.9×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $993 $993 3.4×
Closed Treatment Sternum Fracture (21820) $829 $829 2.8×
Closed Treatment Ulnar Styloid Fracture (25650) $414 $414 1.4×
Closed tx ankle dislocation w/o anesthesia (27840) $813 $813 2.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,744.20 $1,744.20 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,036.80 $1,036.80 3.5×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,268 $1,268 4.3×
Closed tx carpal scaphoid fracture w/manj (25624) $1,845.45 $1,845.45 1.0×
Closed tx femoral fracture prox head w manip (27268) $3,425 $3,425 1.8×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,123 $1,123 3.8×
Closed tx knee dislocation w/o anesthesia (27550) $585 $585 2.0×
Closed tx lunate dislocation w/manipulation (25690) $1,289.25 $1,289.25 0.7×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $861 $861 1.3×
Closed tx metatarsal fracture w/o manipulation (28470) $396 $396 1.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,494.45 $1,494.45 0.8×
Closed tx nasal fracture w/o stabilization (21315) $2,057 $2,057 1.1×
Closed tx patellar dislocation w/o anesthesia (27560) $729 $729 2.5×
Closed tx radial head/neck fx w/manipulation (24655) $1,281.15 $1,281.15 0.7×
Closed tx radial head/neck fx w/o manipulation (24650) $918 $918 3.1×
Closed tx radial shaft fracture w/manipulation (25505) $990.90 $990.90 0.5×
Closed tx radial&ulnar shaft fractures w/manj (25565) $1,752.30 $1,752.30 0.9×
Closed Tx Scapular Fracture W/O Manipulation (23570) $360 $360 1.2×
Closed tx talotarsal joint dislc w/o anes (28570) $762 $762 2.6×
Closed Tx Talus Fracture W/Manipulation (28435) $1,900.58 $1,900.58 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $559 $559 1.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,107 $1,107 0.6×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $673 $673 2.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $517 $517 1.7×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $548 $548 1.9×
Clsd tx clavicular fracture w/o manipulation (23500) $724.95 $724.95 2.5×
Clsd tx pelvic ring fx w/o manipulation (27197) $880 $880 3.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $810.86 $810.86 2.7×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $780 $780 2.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,084.05 $1,084.05 0.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $428 $428 1.4×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $861.30 $861.30 0.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $284.87 $284.87 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $1,744.20 $1,744.20 5.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $785.70 $785.70 2.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $560.25 $560.25 1.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $386.10 $386.10 1.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,281.15 $1,281.15 4.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,962.75 $1,962.75 1.0×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $962.55 $962.55 0.5×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) $559 $559 1.9×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $566 $566 1.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,606.50 $1,606.50 0.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $453 $453 1.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $554.85 $554.85 1.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $602.10 $602.10 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $576.45 $576.45 1.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,900.58 $1,900.58 1.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) $2,050.65 $2,050.65 6.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $658 $658 2.2×
Cltx humeral condylar fx medial/lat w/o mnpj (24576) $626 $626 2.1×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,242 $1,242 0.6×
Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) $1,900.58 $1,900.58 1.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,278.45 $1,278.45 0.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $575 $575 1.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $892.35 $892.35 3.0×
Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) $2,037.15 $2,037.15 0.5×
Cltx Medial Malleolus Fx W/O Manipulation (27760) $1,340.55 $1,340.55 4.5×
Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) $1,744.20 $1,744.20 0.9×
Cltx metacarpal fx w/manipulation each bone (26605) $751 $751 2.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $428 $428 1.4×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $549 $549 1.9×
Cltx metatarsophlngl jt dislc w/o anes (28630) $626 $626 2.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $926.10 $926.10 3.1×
Cltx post ankle fx w/mnpj (27768) $1,744.20 $1,744.20 0.9×
Cltx post hip arthrp dislc w/o anes (27265) $674.70 $674.70 2.3×
Cltx prox fibula/shft fx w/manj (27781) $1,514.70 $1,514.70 0.8×
Cltx prox fibula/shft fx w/o manj (27780) $802 $802 2.7×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,510.65 $1,510.65 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $495 $495 1.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,900.58 $1,900.58 1.0×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $1,900.58 $1,900.58 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,900.58 $1,900.58 1.0×
Cltx sprcndylr/trnscndylr fem fx w/manj (27503) $945 $945 0.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $744 $744 2.5×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $498 $498 1.7×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,939.95 $1,939.95 1.0×
Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) $638 $638 2.2×
Cltx trimalleolar ankle fx w/o manipulation (27816) $993 $993 3.4×
Collect Blood From Catheter Venous Nos (36592) $257 $257 1.6×
Colpocentesis (57020)
unusually low: confirm this is the full procedure
$2,519.10 $2,519.10 0.4×
Colporrhaphy Suture Injury Vagina (57200) $1,962.90 $1,962.90 0.5×
Colpotomy; with exploration (57000) $4,122 $4,122 1.1×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $2,220.75 $2,220.75 8.7×
Control Nasal Hemorrhage Anterior Complex (30903) $764 $764 4.8×
Control Nasal Hemorrhage Anterior Simple (30901) $399 $399 2.5×
Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical… (42972) $2,342.25 $2,342.25 0.6×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $120 $120 1.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $543 $543 3.4×
Cysto Bladder W/Ureteral Catheterization (52005) $2,169.50 $2,169.50 0.9×
Cysto calibration dilat urtl strix/stenosis (52281) $3,539.43 $3,539.43 1.4×
Cysto W/Simple Removal Stone & Stent (52310) $1,255.20 $1,255.20 0.5×
Cystostomy Cystotomy W/Drainage (51040) $3,423 $3,423 1.4×
Cystourethroscopy (52000) $1,221 $1,221 1.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $949 $949 1.9×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,543.40 $2,543.40 0.7×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $873 $873 1.0×
Debride nail 1-5 (11720) $126 $126 1.8×
Declot vascular device (36593) $487.35 $487.35 1.2×
Destruction Benign Lesions Up To 14 (17110) $243 $243 1.0×
Destruction premalignant lesion 1st (17000) $272 $272 1.1×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $2,025 $2,025 2.4×
Diagnostic sigmoidoscopy (45330) $1,347.30 $1,347.30 1.2×
Dilate Urethra Stricture (53620) $1,244 $1,244 1.5×
Drain Ext Ear Absc/Blood,Complic (69005) $2,616 $2,616 1.3×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $704.70 $704.70 0.8×
Drain/inj small joint/bursa w/us (20604) $954 $954 2.6×
Drainage abscess/hematoma nasal int approach (30000) $431 $431 1.5×
Drainage Abscess/Hematoma Nasal Septum (30020) $618 $618 1.0×
Drainage external auditory canal abscess (69020) $1,236 $1,236 1.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $440.10 $440.10 0.5×
Drainage Finger Abscess Complicated (26011) $911.25 $911.25 0.5×
Drainage Finger Abscess Simple (26010) $633.15 $633.15 2.6×
Drainage Mouth Roof Lesion (42000) $480 $480 1.7×
Drainage of gum lesion (41800) $1,156.95 $1,156.95 7.3×
Drainage of hematoma/fluid (10140) $1,998 $1,998 1.0×
Drainage of scrotal wall abscess (55100) $3,309 $3,309 1.7×
Draw blood off venous device (36591) $230.17 $230.17 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $887 $887 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $596 $596 2.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $302 $302 1.3×
Dx bone marrow bx & aspir (38222) $3,040.20 $3,040.20 0.9×
Dx Laryngoscopy Excl Nb (31525) $1,853.55 $1,853.55 0.9×
Egd flexible foreign body removal (43247) $1,597 $1,597 1.5×
Egd place gastrostomy tube (43246) $2,314 $2,314 1.0×
Endometrial Biopsy (58100) $668 $668 2.8×
Esophagoscopy flex balloon dilat <30 mm diam (43220) $2,252.79 $2,252.79 1.0×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,129 $1,129 1.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $2,315 $2,315 1.0×
Evacuation of subungual hematoma (11740) $253.80 $253.80 1.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $835.56 $835.56 1.0×
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) $1,333.80 $1,333.80 0.7×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $827.55 $827.55 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $823.50 $823.50 1.0×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $835.56 $835.56 1.0×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $564 $564 1.2×
Excision Multiple External Papillae/Tags Anus (46230) $4,162 $4,162 1.3×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $848 $848 1.0×
Excision of thrombosed hemorrhoid, external (46320) $1,044.90 $1,044.90 0.7×
Expl penetrating wound spx abdomen/flank/back (20102) $1,760.40 $1,760.40 0.7×
Explo/Drain Breast Abscess (19020) $1,924.13 $1,924.13 1.0×
Exploration penetrating wound spx extremity (20103) $1,161 $1,161 0.6×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,087.60 $1,087.60 1.3×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,303.20 $1,303.20 1.5×
Fine needle aspiration without imaging guidance (10021) $728 $728 1.5×
Fit/Insert Intravag Support Device (57160) $457.65 $457.65 1.9×
Fluid pressure muscle (20950) $444.15 $444.15 0.5×
Foreskin manipulation (54450) $509 $509 1.7×
Gastric Intubation/Aspiration, Therapeutic (43753) $427 $427 1.7×
Graft Composite W/Primary Closure Donor Area (15760) $1,985.85 $1,985.85 0.8×
Guide Cathet Fluid Drainage (10030) $835.56 $835.56 1.0×
I&D Abscess Peritonsillar (42700) $1,510.65 $1,510.65 5.3×
I&d abscess simple (10060) $593.59 $593.59 2.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,694 $3,694 1.1×
I&d epididymis tstis&/scrotal space (54700) $1,755 $1,755 0.7×
I&d pilonidal cyst simple (10080) $823.50 $823.50 1.0×
I&D Upper Arm/Elbow Bursa (23931) $1,831.95 $1,831.95 0.9×
I&d vulva/perineal abscess (56405) $778 $778 2.1×
Image Cath Fluid Colxn Visc (49405) $4,129.65 $4,129.65 2.1×
Image Cath Fluid Peri/Retro (49406) $3,730 $3,730 1.9×
Incise external hemorrhoid (46083) $615.60 $615.60 2.1×
Incision & drainage abscess complicated/multiple (10061) $651 $651 1.3×
Incision & drainage pilonidal cyst complicated (10081) $1,098.90 $1,098.90 1.3×
Incision & removal foreign body subq tiss compl (10121) $2,530 $2,530 1.3×
Incision & removal foreign body subq tiss simple (10120) $733.05 $733.05 1.5×
Incision and drainage of bartholin's gland abscess (56420) $857.25 $857.25 3.5×
Incision and drainage perianal abscess superficial (46050) $1,744.20 $1,744.20 1.6×
Incision and drainage, complex, postoperative wound infection (10180) $2,926.80 $2,926.80 0.8×
Incision of eyelid fold (67715) $1,306.80 $1,306.80 0.5×
Incision of rectal abscess (46040) $1,813 $1,813 1.3×
Incisional biopsy skin single lesion (11106) $726.94 $726.94 0.8×
Initial tx 1st degree burn local tx (16000) $306 $306 1.3×
Inj paravert f jnt c/t 1 lev (64490) $2,498.85 $2,498.85 2.4×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,289.25 $1,289.25 1.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $3,307.50 $3,307.50 3.1×
Inject Nerv Blck,Axillary Nerv (64417) $1,116.45 $1,116.45 1.1×
Inject Nerv Blck,Intercostal,One (64420) $1,355 $1,355 1.6×
Inject Nerv Blck,Paravert Sympath (64520) $1,810.35 $1,810.35 1.7×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $1,108.35 $1,108.35 1.3×
Injection aa&/strd trigeminal nerve each branch (64400) $1,099.75 $1,099.75 3.0×
Injection anesthetic agent femoral nerve single (64447) $1,116.45 $1,116.45 1.3×
Injection for identification of sentinel node (38792) $1,551.15 $1,551.15 3.2×
Injection into skin lesions (11900) $226.80 $226.80 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $561.60 $561.60 1.5×
Ins endovas vena cava filtr (37191) $10,414 $10,414 1.6×
Insert and remove bone pin (20650) $3,528.90 $3,528.90 0.9×
Insert Bladder Cath Complex (51703) $432 $432 2.8×
Insert cath pleura w/ image (32557) $2,553.44 $2,553.44 1.4×
Insert Drug Implant Device (11981) $356.40 $356.40 2.2×
Insert non-tunnel cv cath (36556) $2,080.35 $2,080.35 0.5×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $2,312.55 $2,312.55 0.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,882 $1,882 1.0×
Insert Temp Bladder Cath (51702) $339 $339 2.1×
Insert,Non-Indwelling Bladder Catheter (51701) $272 $272 1.7×
Insertion indwelling tunneled pleural catheter (32550) $788.40 $788.40 0.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,245.40 $3,245.40 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure
$2,785.05 $2,785.05 0.3×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $2,620 $2,620 1.6×
Intraoral i&d tongue/floor lingual (41000) $1,301 $1,301 2.0×
Intraoral I&D Tongue/Floor Sublngl Supfc (41005) $571 $571 2.0×
Intraoral i&d tongue/floor submndblr space (41008) $1,945.35 $1,945.35 0.5×
Intro Gastrointestinal Tube (44500) $476.55 $476.55 0.4×
Intubation endotracheal emergency procedure (31500) $540 $540 1.9×
Irrigation of corpora cavernosa for priapism (54220) $1,688.85 $1,688.85 5.6×
Laryngoscopy diagnostic (31505) $382 $382 1.6×
Laryngoscopy Direct Aspiration (31515) $1,123 $1,123 2.4×
Laryngoscopy flexible diagnostic (31575) $650 $650 2.7×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $689 $689 1.5×
Laryngoscopy W/Foreign Body Removal (31530) $2,586 $2,586 1.2×
Lithotripsy (50590) $10,602 $10,602 2.5×
Liver Biopsy (47000) $2,529 $2,529 1.3×
Manometric stds thru tube/ndwellg urtrl cath (50396) $1,544.70 $1,544.70 1.8×
Myelography Lumbar Injection (62305) $3,511 $3,511 3.7×
Myelography Lumbar Injection (62304) $3,952.80 $3,952.80 4.2×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $3,106 $3,106 3.3×
Myelography via lumbar injection rs&i thoracic (62303) $3,514 $3,514 3.7×
N Block Inj Ilio-Ing/Hypogi (64425) $1,116.45 $1,116.45 1.3×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $692 $692 1.3×
Needle biopsy of pancreas (48102) $1,924.13 $1,924.13 1.0×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $577 $577 1.4×
Njx aa&/strd sciatic nerve (64445) $1,036.80 $1,036.80 1.2×
Njx anes stellate ganglion crv sympathetic (64510) $1,300 $1,300 1.2×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $347.10 $347.10 1.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $3,903 $3,903 3.7×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,999 $1,999 2.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,999 $1,999 2.4×
Ob pe sflt-1/plgf ia srm/pls (0524U) $175 $175 1.4×
Occipital Nerve Block (64405) $521.10 $521.10 1.4×
Open tx phalangeal shaft fracture prox/middle ea (26735) $2,408.40 $2,408.40 0.6×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $3,422 $3,422 2.1×
Perc Radiofreq Ablate Renal Tumor (50592) $7,909 $7,909 1.1×
Percut Drain/Inject Renal Cyst (50390) $2,242 $2,242 2.6×
Peritoneal Lavage (49084) $2,366 $2,366 2.2×
Perq dev breast 1st us imag (19285) $3,982 $3,982 4.7×
Perq device breast 1st imag (19281) $4,499 $4,499 2.3×
Perq replacement gtube not req revj gstrst trc (43762) $495 $495 1.7×
Perq Vertebral Augmentation (22513) $6,258.60 $6,258.60 0.7×
Picc line placement (36569) $1,898 $1,898 1.0×
Placement of needle for intraosseous infusion (36680) $473.88 $473.88 0.9×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $843.75 $843.75 0.8×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) $2,754 $2,754 0.8×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $4,268.70 $4,268.70 1.1×
Punch biopsy skin single lesion (11104) $503.55 $503.55 1.0×
Puncture Aspiration Cyst Breast (19000) $1,149.26 $1,149.26 1.4×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $637 $637 1.3×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,141 $1,141 1.3×
Removal foreign body foot subcutaneous (28190) $996.30 $996.30 1.2×
Removal foreign body intranasal (30300) $271.35 $271.35 1.7×
Removal foreign body pharynx (42809) $346.95 $346.95 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $168 $168 2.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $218 $218 3.1×
Removal implant deep (20680) $3,398.86 $3,398.86 1.0×
Removal Implant Superficial Separate Procedure (20670) $1,786.05 $1,786.05 0.9×
Removal Implantable Contraceptive Capsules (11976) $835.56 $835.56 1.0×
Removal of embedded foreign body, eyelid (67938) $533 $533 1.4×
Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) $4,200 $4,200 2.9×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $334.80 $334.80 0.6×
Removal of iud (58301) $441.45 $441.45 1.2×
Removal of nail bed (11750) $631 $631 1.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $353 $353 1.5×
Removal/bivalving full arm/full leg cast (29705) $407 $407 1.2×
Removal/bivalving gauntlet boot/body cast (29700) $407 $407 1.2×
Remv Ext Canal Foreign Body (69200) $380.70 $380.70 2.4×
Remv F.B.,Eye,Superf Conjunc (65205) $294 $294 1.8×
Renal Biopsy Percutaneous (50200) $1,924.13 $1,924.13 1.0×
Repair achilles tendon (27650) $5,825.25 $5,825.25 0.7×
Repair Blood Vessel Direct Upper Extremity (35206) $4,435 $4,435 1.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,008.45 $1,008.45 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,011.53 $1,011.53 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $476.14 $476.14 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,586.25 $1,586.25 3.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,956 $1,956 4.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,449.90 $1,449.90 3.0×
Repair complex trunk 1.1-2.5 cm (13100) $968 $968 1.1×
Repair complex trunk 2.6-7.5 cm (13101) $1,113 $1,113 1.3×
Repair extensor tendon finger w/o graft each (26418) $4,186.35 $4,186.35 2.2×
Repair forearm tendon/muscle (25260) $6,412 $6,412 1.6×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $945 $945 1.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $605 $605 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $664 $664 1.4×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $1,101 $1,101 2.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $751 $751 1.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $827 $827 1.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $935 $935 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $505 $505 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $683 $683 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $742 $742 0.8×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $1,514.70 $1,514.70 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $909 $909 1.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $474.47 $474.47 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $676 $676 1.4×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $912 $912 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $844 $844 1.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $3,645 $3,645 1.5×
Repair Mouth Laceration (40831) $926 $926 1.4×
Repair of eye wound (65270) $1,621.35 $1,621.35 0.6×
Repair of nail bed (11760) $710.10 $710.10 0.8×
Repair of nasal septum (30520) $3,444 $3,444 0.9×
Repair tongue laceration (41252) $1,141 $1,141 4.0×
Repair Tongue Laceration (41250) $690 $690 1.3×
Repeat control of nosebleed (30906) $460 $460 1.6×
Replace duodenostomy/jejunostomy tube perq (49451) $2,104 $2,104 1.9×
Replace gastrostomy/cecostomy tube percutaneous (49450) $2,104 $2,104 1.9×
Revision of nose (30430)
unusually low: confirm this is the full procedure
$3,308.85 $3,308.85 0.5×
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Facility (30400) $4,696.65 $4,696.65 0.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $262 $262 1.6×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) $506 $506 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,882 $1,882 2.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,882 $1,882 1.0×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,901 $1,901 1.0×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $1,048.80 $1,048.80 1.2×
Rpr Lip Full Thickness Vermilion Only (40650) $1,050 $1,050 1.6×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,759.11 $1,759.11 0.9×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,512 $1,512 2.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $354 $354 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $474.47 $474.47 1.0×
Sigmoidoscopy w/fb removal (45332) $1,400.23 $1,400.23 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $723 $723 1.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $442.17 $442.17 1.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $509 $509 2.1×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $790 $790 1.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $640 $640 2.7×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $666 $666 2.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $322 $322 1.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $846 $846 3.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $559 $559 2.3×
Skin Tissue Procedure (17999) $347 $347 1.4×
Slitting of prepuce (54001) $2,037.15 $2,037.15 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $394 $394 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $660 $660 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $733 $733 1.5×
Spinal puncture lumbar diagnostic (62270) $1,289 $1,289 1.5×
Strapping ankle (29540) $280 $280 1.4×
Strapping elbow or wrist (29260) $340 $340 4.8×
Strapping hand/finger (29280) $306 $306 4.3×
Strapping knee (29530) $280 $280 1.8×
Strapping shoulder (29240) $337.09 $337.09 2.1×
Strapping toes (29550) $219 $219 3.1×
Strapping unna boot (29580) $351 $351 1.8×
Tangential biopsy skin single lesion (11102) $382 $382 0.8×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516)
unusually low: confirm this is the full procedure
$2,533.95 $2,533.95 0.5×
Ther Apheresis,Plasma Pheresis (36514) $3,759 $3,759 2.0×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $1,500 $1,500 1.8×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,190 $1,190 1.6×
Throat Surgery Procedure (42999) $644 $644 2.3×
Thyroid biopsy (60100) $1,731.85 $1,731.85 2.0×
Tongue and mouth surg unlisted (41599) $1,438 $1,438 5.1×
Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach (57720) $2,913.30 $2,913.30 0.8×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,313 $1,313 2.0×
Tracheostomy emergency cricothyroid membrane (31605) $1,539 $1,539 5.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,390.50 $1,390.50 0.7×
Tracheotomy tube change (31502) $382 $382 1.3×
Treat clavicle dislocation (23540) $466 $466 1.6×
Treat clavicle fracture (23505) $1,649.70 $1,649.70 0.9×
Treat elbow dislocation (24615) $7,119.90 $7,119.90 0.8×
Treat humerus fracture (24500) $1,096.20 $1,096.20 3.7×
Treat humerus fracture (23600) $747 $747 2.5×
Treat knee fracture (27532) $1,582.20 $1,582.20 0.4×
Treat Metatarsal Fracture (28475) $458 $458 1.5×
Treat shoulder blade fx (23575) $1,275.75 $1,275.75 0.7×
Treat Thumb Dislocation (26641) $484 $484 1.6×
Treat Thumb Fx/Disloc,Manip (26645) $1,067.85 $1,067.85 0.6×
Treat Vaginal Bleeding (57180) $598 $598 2.5×
Treat wrist bone fracture (25622) $747 $747 2.5×
Treat Wrist Bone Fracture (25630) $411 $411 1.4×
Treatment closed elbow dislocation w/o anes (24600) $1,368.90 $1,368.90 4.6×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $434 $434 1.5×
Trim skin lesion (11055) $459 $459 1.9×
Tube thoracostomy includes water seal (32551) $1,831.95 $1,831.95 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $3,775.88 $3,775.88 1.0×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,900.58 $1,900.58 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $825 $825 0.9×
Tx superficial wound dehiscence w/packing (12021) $629.10 $629.10 1.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $801.90 $801.90 0.4×
Unlisted procedure dentoalveolar structures (41899) $206.55 $206.55 0.7×
Unlisted procedure humerus/elbow (24999) $264.60 $264.60 0.9×
Unlisted procedure nervous system (64999) $1,098.90 $1,098.90 3.0×
Unlisted procedure rectum (45999) $2,100 $2,100 1.9×
Us urine capacity measure (51798) $118 $118 1.7×
Vaginal delivery only (59409) $3,435.60 $3,435.60 0.9×
Vasc Embolize/Occlude Bleed (37244) $13,463.55 $13,463.55 1.0×
Venipuncture (36415) $21 $21 2.2×
Ventricular Puncture Previous Burr Hole W/O Njx (61020) $1,057.27 $1,057.27 1.0×
Vw factor type 2n eval plsm (0284U) $417 $417 24.1×
Wedge excision skin nail fold (11765) $488.70 $488.70 1.0×