Procedures & surgery prices at CHI Health Good Samaritan

Kearney, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,264.53 $2,073 1.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $531.31 $871 0.6×
Ablation 1/> Liver Tumor Perq Cryoablation (47383)
unusually low: confirm this is the full procedure
$4,763.49 $7,809 0.4×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure
$7,963.55 $13,055 0.4×
Ablation renal tumor unilateral perq cryotherapy (50593) $7,005.24 $11,484 0.6×
Ablation ther 1+ pulm tumors perq cryoablation (32994)
unusually low: confirm this is the full procedure
$5,497.32 $9,012 0.5×
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) $4,350.52 $7,132 0.6×
Abltj 1/> lvr tum prq rf (47382) $3,772.24 $6,184 0.6×
Amniocentesis diagnostic (59000) $580.72 $952 0.6×
Amputation Finger/Thumb (26951) $1,507.92 $2,472 0.4×
Amputation of finger/thumb (26952) $2,246.63 $3,683 0.7×
Amputation toe interphalangeal joint (28825) $1,294.42 $2,122 0.4×
Anoscopy W/Rmvl Foreign Body (46608) $674.05 $1,105 0.7×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $258.64 $424 1.5×
Application cast elbow finger short arm (29075) $315.98 $518 1.1×
Application cast shoulder hand long arm (29065) $500.20 $820 1.7×
Application finger splint static (29130) $185.44 $304 1.3×
Application long arm splint shoulder hand (29105) $272.06 $446 1.6×
Application long leg splint thigh ankle/toes (29505) $420.29 $689 2.5×
Application of long leg cast (29345) $250.71 $411 0.9×
Application Of Rigid Total Contact Leg Cast (29445) $549.61 $901 1.9×
Application Short Arm Splint Dynamic (29126) $425.17 $697 3.1×
Application short arm splint forearm-hand static (29125) $246.44 $404 1.8×
Application short leg splint calf foot (29515) $274.50 $450 1.6×
Apply short leg cast (29405) $231.19 $379 0.8×
Arterial puncture (36600) $102.48 $168 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $309.88 $508 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $591.09 $969 0.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $476.41 $781 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $591.09 $969 1.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $247.66 $406 0.8×
Aspir/inj thyroid cyst (60300) $717.97 $1,177 1.0×
Aspirat/Injection Ganglion Cyst(S) (20612) $336.72 $552 1.1×
Aspiration Bladder Insert Suprapubic Catheter (51102) $1,690.92 $2,772 0.8×
Avulsion nail plate partial/complete simple 1 (11730) $337.33 $553 1.6×
Biliary Endoscopy Percut,Biopsy (47553) $5,638.84 $9,244 0.8×
Biliary Endoscopy Percut,Dil Strict (47555)
unusually low: confirm this is the full procedure
$2,454.03 $4,023 0.4×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure
$488 $800 0.0×
Biopsy bone trocar/needle deep (20225) $2,142.32 $3,512 1.2×
Biopsy Bone Trocar/Needle Superficial (20220) $2,057.53 $3,373 1.2×
Biopsy Breast Open Incisional (19101) $2,949.96 $4,836 0.7×
Biopsy muscle percutaneous needle (20206) $1,384.09 $2,269 0.8×
Biopsy of uterus lining (58100) $226.92 $372 1.1×
Biopsy Pancrea Percutaneous Needle (48102) $935.13 $1,533 0.5×
Biopsy pleura percutaneous needle (32400) $932.08 $1,528 0.5×
Biopsy Salivary Gland,Needle (42400) $870.47 $1,427 1.2×
Biopsy soft tissue neck/thorax (21550) $2,199.66 $3,606 1.3×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,531.71 $2,511 0.9×
Bladder Instillation Anticarcinogenic Agent (51720) $904.02 $1,482 1.2×
Bladder Irrigation Simple (51700) $233.63 $383 0.9×
Bladder Scan (51798) $204.96 $336 3.3×
Blood patch (62273) $880.84 $1,444 1.2×
Blood transfusion service (36430) $979.05 $1,605 2.1×
Blood/Lymph System Procedure (38999) $443.47 $727 1.0×
Bone marrow aspiration only (38220) $1,836.71 $3,011 1.1×
Bone Marrow Biopsy (38221) $1,044.93 $1,713 0.6×
Brain Shunt Tube/Reserv Injectn (61070) $464.82 $762 0.6×
Bronch ebus samplng 3/> node (31653) $2,945.69 $4,829 0.8×
Bronchosc dx w/w/o fluor&wash (31622) $478.85 $785 0.3×
Bronchoscopy W/Biopsy(S) (31625) $2,091.69 $3,429 1.1×
Bronchoscopy W/Removal Foreign Body (31635) $1,191.94 $1,954 0.6×
Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) $637.45 $1,045 0.3×
Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) $637.45 $1,045 1.6×
Bronchoscopy,Diagnostic W Lavage (31624) $478.85 $785 0.3×
Bx abdl/retroperitoneal mass prq needle (49180) $1,724.47 $2,827 1.0×
Bx breast 1st lesion mr imag (19085) $3,092.70 $5,070 1.8×
Bx breast 1st lesion strtctc (19081) $3,090.56 $5,066.50 1.8×
Bx breast 1st lesion us imag (19083) $2,100.23 $3,443 1.2×
Bx/exc lymph node needle superficial (38505) $1,703.73 $2,793 1.0×
Catheter Aspiration Nasotracheal Spx (31720) $263.52 $432 1.2×
Cessj Therapy Cath Removal (37214) $3,969.88 $6,508 1.2×
Change Cystostomy Tube Simple (51705) $364.78 $598 1.4×
Change g-tube to g-j perc (49446) $1,531.10 $2,510 0.8×
Change Ureter Stent, Percut (50382) $3,674.03 $6,023 1.7×
Chemical Cautery Tissue (17250) $240.95 $395 1.2×
Chest tube placement (32551) $920.18 $1,508.50 0.6×
Chg Collect Blood From Catheter Venous Nos (36592) $109.80 $180 0.8×
Cholecystostomy,Percutaneous, Complete (47490) $2,414.38 $3,958 0.6×
Close Rx Fingr Articular Fx,Manip (26742) $1,768.39 $2,899 1.1×
Closed Rx Acetabular Fx,Manipulatn (27222) $258.64 $424 1.0×
Closed Rx Humeral Supracondylar Fx (24530) $223.26 $366 0.9×
Closed Rx Med Malleolus Fx,Manip (27762) $1,083.97 $1,777 0.6×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $249.49 $409 0.1×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $1,815.97 $2,977 1.1×
Closed Rx Radial Shaft Fx (25500) $346.48 $568 1.4×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $1,789.74 $2,934 1.1×
Closed Rx Tibia Shaft Fx (27750) $306.83 $503 1.2×
Closed Rx Tibial Plateau Fx (27530) $304.39 $499 1.2×
Closed Rx Trimalleolar Fx (27816) $242.17 $397 0.9×
Closed treat wrist dislocation (25660) $221.43 $363 0.9×
Closed Treatment Coccygeal Fracture (27200) $231.19 $379 0.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $201.30 $330 0.8×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $304.39 $499 1.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $311.10 $510 1.2×
Closed Treatment Sternum Fracture (21820) $205.57 $337 0.8×
Closed Treatment Ulnar Styloid Fracture (25650) $277.55 $455 1.1×
Closed tx ankle dislocation w/o anesthesia (27840) $309.88 $508 1.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,423.74 $2,334 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $306.22 $502 1.2×
Closed tx calcaneal fracture w/o manipulation (28400) $300.12 $492 1.2×
Closed tx femoral fracture prox head w manip (27268) $1,884.90 $3,090 1.1×
Closed tx knee dislocation w/o anesthesia (27550) $502.03 $823 2.0×
Closed tx metatarsal fracture w/o manipulation (28470) $371.49 $609 1.5×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,083.97 $1,777 0.6×
Closed tx nasal fracture w/o stabilization (21315) $1,381.65 $2,265 0.9×
Closed tx patellar dislocation w/anesthesia (27562) $1,490.84 $2,444 5.8×
Closed tx patellar dislocation w/o anesthesia (27560) $342.82 $562 1.3×
Closed tx radial head/neck fx w/manipulation (24655) $1,875.14 $3,074 1.1×
Closed tx radial shaft fracture w/manipulation (25505) $1,546.35 $2,535 0.9×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $300.12 $492 1.2×
Closed Tx Talus Fracture W/Manipulation (28435) $2,167.33 $3,553 1.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $146.40 $240 0.6×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,914.18 $3,138 1.1×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $292.80 $480 1.2×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $780.80 $1,280 1.4×
Clsd tx clavicular fracture w/manipulation (23505) $776.53 $1,273 0.5×
Clsd tx pelvic ring fx w/o manipulation (27197) $580.11 $951 2.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,979.76 $3,245.50 1.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $541.68 $888 2.1×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,385.10 $3,910 1.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $369.05 $605 1.4×
Cltx dstl fibular fx lat malls w/manj (27788) $282.43 $463 1.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $222.04 $364 0.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $211.67 $347 0.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $202.52 $332 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $322.08 $528 1.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,162.66 $1,906 0.7×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $1,995.92 $3,272 1.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,083.97 $1,777 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $288.53 $473 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $286.09 $469 1.1×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,679.73 $4,393 1.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $309.27 $507 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $268.40 $440 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $319.03 $523 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $211.67 $347 0.8×
Cltx metacarpal fx w/manipulation each bone (26605) $523.99 $859 2.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $267.79 $439 1.0×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $438.59 $719 0.3×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $264.74 $434 1.0×
Cltx metatarsophlngl jt dislc w/o anes (28630) $300.12 $492 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $560.59 $919 2.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $336.72 $552 1.3×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,176.69 $1,929 0.7×
Cltx post hip arthrp dislc w/o anes (27265) $317.81 $521 1.2×
Cltx prox fibula/shft fx w/manj (27781) $1,020.53 $1,673 0.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,354.20 $2,220 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $385.52 $632 1.5×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $1,832.44 $3,004 1.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,286.89 $3,749 1.4×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $187.88 $308 0.7×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,611.62 $2,642 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,668.35 $2,735 1.0×
Complete replacement picc rs&i (36584) $2,156.96 $3,536 1.3×
Complex Cystometrogram (51726) $1,871.48 $3,068 7.2×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $449.57 $737 2.0×
Control Nasal Hemorrhage Anterior Complex (30903) $238.51 $391 1.7×
Control Nasal Hemorrhage Anterior Simple (30901) $273.89 $449 2.0×
Control Oropharyngeal Hemorrhage Simple (42960) $188.49 $309 0.3×
Conversion ext bil drg cath (47535) $2,935.32 $4,812 0.8×
Convert nephrostomy catheter (50434) $1,595.15 $2,615 0.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,963.59 $3,219 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $261.69 $429 1.9×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $243.39 $399 1.0×
Cysto/uretero w/lithotripsy (52356) $6,001.79 $9,839 1.1×
Cystoscopy,insert ureteral stent (52332) $3,242.15 $5,315 0.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $227.53 $373 0.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,294.42 $2,122 0.4×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $898.53 $1,473 1.2×
Debride nail 1-5 (11720) $134.20 $220 2.2×
Debride nail 6 or more (11721) $131.76 $216 2.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $807.64 $1,324 1.9×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $824.72 $1,352 1.1×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,140.70 $1,870 0.7×
Declot vascular device (36593) $469.70 $770 1.4×
Delivery placenta separate procedure (59414) $3,400.14 $5,574 1.0×
Destroy cerv/thor facet jnt (64633) $966.85 $1,585 0.5×
Destroy lumb/sac facet jnt (64635) $1,268.80 $2,080 0.6×
Destruction Benign Lesions Up To 14 (17110) $157.99 $259 0.8×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $1,370.67 $2,247 1.5×
Destruction neurolytic agt genicular nerve w/img (64624) $2,115.48 $3,468 1.0×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $875.96 $1,436 1.2×
Diagnostic sigmoidoscopy (45330) $732.61 $1,201 0.8×
Dilat rct strix spx under anes oth/thn local (45910) $2,875.54 $4,714 2.3×
Dilation of anal sphincter (45905) $2,048.38 $3,358 1.6×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $3,703.31 $6,071 2.0×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $877.79 $1,439 1.2×
Drain spinal cord cyst (62268) $2,050.21 $3,361 2.2×
Drain/inj small joint/bursa w/us (20604) $371.49 $609 1.2×
Drainage abscess/hematoma nasal int approach (30000) $228.75 $375 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $340.99 $559 0.5×
Drainage Finger Abscess Complicated (26011) $1,270.63 $2,083 0.7×
Drainage Finger Abscess Simple (26010) $334.89 $549 1.6×
Drainage mouth roof lesion (42000) $358.07 $587 1.5×
Drainage of eyelid abscess (67700) $370.27 $607 1.1×
Drainage of gum lesion (41800) $236.68 $388 1.7×
Drainage of hematoma/fluid (10140) $1,166.32 $1,912 0.7×
Drainage of scrotal wall abscess (55100) $1,462.78 $2,398 0.9×
Draw blood off venous device (36591) $133.59 $219 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $423.95 $695 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $299.51 $491 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $242.17 $397 1.2×
Dx bone marrow bx & aspir (38222) $444.69 $729 0.1×
Emblc/thrmbc femoral popliteal aorto-iliac art (34201) $5,699.23 $9,343 1.0×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $381.86 $626 2.9×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $3,120.76 $5,116 1.0×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $4,288.91 $7,031 1.3×
Endoven ther chem adhes 1st (36482) $4,521.32 $7,412 0.8×
Endovenous rf 1st vein (36475) $6,647.78 $10,898 2.0×
Ep Relocate Skin Pocket Implantable Defibrillator (33223) $1,240.74 $2,034 0.6×
Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) $3,180.54 $5,214 1.5×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $3,180.54 $5,214 1.5×
Evacuation of subungual hematoma (11740) $84.18 $138 0.6×
Exc frenum labial/buccal (40819) $2,035.57 $3,337 1.3×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $988.20 $1,620 1.3×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $1,076.04 $1,764 1.5×
Exc tr-ext b9+marg 0.5 cm or less (11400) $827.77 $1,357 1.1×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,935.32 $4,812 0.8×
Exchange nephrostomy cath (50435) $1,595.15 $2,615 0.7×
Exchng absc/cst drg cath rad gid spx (49423) $1,374.94 $2,254 0.7×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $566.69 $929 0.3×
Expl penetrating wound spx abdomen/flank/back (20102) $1,966.64 $3,224 0.9×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
likely a partial charge, not the full procedure
$258.64 $424 0.0×
Exploration penetrating wound spx extremity (20103) $845.46 $1,386 0.5×
Exploration Penetrating Wound Spx Neck (20100) $689.30 $1,130 1.2×
External Cephalic Version (59412) $1,833.05 $3,005 0.5×
Fetal Contraction Stress Test (59020) $342.21 $561 1.6×
Fetal non-stress test (59025) $257.42 $422 1.2×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $788.12 $1,292 1.1×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $788.12 $1,292 1.1×
Fine needle aspiration without imaging guidance (10021) $267.79 $439 0.6×
Fixation of shoulder (23700) $1,324.92 $2,172 0.8×
Fluoro exam of g/colon tube (49465) $264.13 $433 1.1×
Fna bx w/fluor gdn 1st les (10007) $788.12 $1,292 1.1×
Fna bx w/mr gdn 1st les (10011) $757.62 $1,242 1.0×
Gastric Intubation/Aspiration, Therapeutic (43753) $416.63 $683 1.9×
Guide Cathet Fluid Drainage (10030) $2,758.42 $4,522 3.8×
I&D Abscess Peritonsillar (42700) $317.81 $521 1.3×
I&d abscess simple (10060) $340.38 $558 1.6×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,682.17 $4,397 0.9×
I&d perianal abscess superficial (46050) $685.64 $1,124 0.7×
I&d pilonidal cyst simple (10080) $431.27 $707 0.6×
Image Cath Fluid Colxn Visc (49405) $2,967.04 $4,864 1.7×
Image Cath Fluid Peri/Retro (49406) $3,325.72 $5,452 1.9×
Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) $1,495.11 $2,451 0.9×
Incision & drainage abscess complicated/multiple (10061) $1,091.29 $1,789 2.6×
Incision & removal foreign body subq tiss compl (10121) $3,778.34 $6,194 2.2×
Incision & removal foreign body subq tiss simple (10120) $824.72 $1,352 2.0×
Incision and drainage of bartholin's gland abscess (56420) $166.53 $273 0.8×
Incision and drainage of vulva or perineal abscess (56405) $279.38 $458 0.9×
Incision of lingual frenum (41010) $1,087.02 $1,782 0.7×
Incision of rectal abscess (46040) $1,489.01 $2,441 1.2×
Incision thrombosed hemorrhoid external (46083) $179.34 $294 0.7×
Initial tx 1st degree burn local tx (16000) $86.62 $142 0.4×
Inj paravert f jnt c/t 1 lev (64490) $1,635.41 $2,681 1.8×
Inj tendon sheath/ligament (20550) $208.62 $342 0.7×
Inj,Anes Agent,Femoral Nerve,Single (64447) $1,750.70 $2,870 2.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,553.06 $2,546 1.7×
Inject Nerv Blck,Axillary Nerv (64417) $762.50 $1,250 0.8×
Inject Nerv Blck,Celiac Plexus (64530) $1,739.72 $2,852 1.9×
Inject Nerv Blck,Intercost,Multpl (64421) $986.37 $1,617 1.1×
Inject Nerv Blck,Intercostal,One (64420) $990.64 $1,624 1.4×
Inject Nerv Blck,Paravert Sympath (64520) $558.15 $915 0.6×
Inject Rx Celiac Plexus Nerve (64680) $4,216.93 $6,913 4.6×
Inject Sinus Tract Theraputic (20500) $622.81 $1,021 0.4×
Inject Tendon Origin/Insert (20551) $277.55 $455 0.9×
Injection aa&/strd genicular nrv branches w/img (64454) $716.14 $1,174 1.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $716.14 $1,174 1.0×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,325.53 $2,173 1.8×
Injection aa&/strd trigeminal nerve each branch (64400) $508.74 $834 1.6×
Injection anes other peripheral nerve/branch (64450) $661.85 $1,085 0.9×
Injection Anes Superior Hypogastric Plexus (64517) $1,471.32 $2,412 1.6×
Injection for identification of sentinel node (38792) $624.03 $1,023 1.5×
Injection Rx Extremity Pseudoaneurysm (36002) $384.91 $631 0.6×
Injection single/mlt trigger point 1/2 muscles (20552) $261.08 $428 0.8×
Injection single/mlt trigger point 3/> muscles (20553) $332.45 $545 1.0×
Injection treatment of nerve (64600) $2,444.88 $4,008 2.7×
Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) $807.03 $1,323 0.9×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $711.87 $1,167 2.2×
Ins cath ren art 1st bilat (36252) $4,139.46 $6,786 1.3×
Ins cath ren art 1st unilat (36251) $3,464.19 $5,679 1.1×
Ins cath ren art 2nd+ bilat (36254) $5,049.58 $8,278 1.5×
Ins cath ren art 2nd+ unilat (36253) $7,862.29 $12,889 1.4×
Ins endovas vena cava filtr (37191) $9,269.56 $15,196 1.6×
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) $9,556.87 $15,667 0.9×
Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) $16,695.70 $27,370 1.5×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $12,435.46 $20,386 1.1×
Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) $10,207.13 $16,733 0.9×
Ins Pm Pls Gen W/Exist Single Lead (33212) $10,308.39 $16,899 1.2×
Ins vag brachytx device (57156) $358.07 $587 1.1×
Insert 1 electrode pm-defib (33216) $5,709.60 $9,360 0.7×
Insert Bladder Cath Complex (51703) $237.29 $389 1.8×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $2,402.18 $3,938 1.9×
Insert cervical dilator (59200) $283.65 $465 0.9×
Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) $3,431.86 $5,626 1.7×
Insert Gastrostomy Tube Percutaneous (49440) $2,639.47 $4,327 1.3×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure
$2,011.78 $3,298 0.1×
Insert non-tunnel cv cath (36556) $2,045.33 $3,353 0.6×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $2,147.81 $3,521 0.7×
Insert pacing lead & connect (33224) $7,488.97 $12,277 0.7×
Insert picc cath (36569) $2,025.81 $3,321 1.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,122.40 $1,840 0.7×
Insert Temp Bladder Cath (51702) $181.17 $297 1.3×
Insert tun ip cath perc (49418) $4,767.76 $7,816 1.3×
Insert tunneled cv cath (36561) $5,475.36 $8,976 1.7×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure
$1,426.18 $2,338 0.2×
Insert,Non-Indwelling Bladder Catheter (51701) $163.48 $268 1.2×
Insertion indwelling tunneled pleural catheter (32550) $3,194.57 $5,237 0.9×
Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) $3,104.90 $5,090 0.8×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,440.61 $4,001 1.5×
Insertion picc w/rs&i < 5 yr (36572) $1,562.21 $2,561 2.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $6,365.35 $10,435 0.7×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $4,951.98 $8,118 0.9×
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low: confirm this is the full procedure
$4,068.09 $6,669 0.5×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,587.41 $5,881 1.1×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $4,046.74 $6,634 1.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,853.98 $6,318 1.2×
Insj/rplcmt defib w/lead(s) (33249) $21,052.93 $34,513 0.6×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,957.87 $9,767 0.7×
Insrt/redo spine n generator (63685) $23,746.69 $38,929 0.7×
Instlj ther agent renal pelvis&/ureter via tub (50391) $406.87 $667 1.6×
Intraoral i&d tongue/floor lingual (41000) $1,044.93 $1,713 1.9×
Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) $1,019.31 $1,671 0.6×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $10,920.22 $17,902 0.9×
Intro cath dialysis circuit w/trluml balo angiop (36902) $7,280.35 $11,935 1.2×
Intubation endotracheal emergency procedure (31500) $615.18 $1,008.50 2.5×
Irrigate corpora cavernosa for priapism (54220) $201.30 $330 0.8×
Laparoscopy appendectomy (44970) $4,360.89 $7,149 0.7×
Laps abltj renal mass lesion w/intraop us (50542)
unusually low: confirm this is the full procedure
$5,294.19 $8,679 0.5×
Laps abltj uterine fibroids w/intraop us gdn (58674) $9,208.56 $15,096 0.8×
Laryngoscopy Flexible Diagnostic (31575) $342.82 $562 1.7×
Liver Biopsy (47000) $1,865.38 $3,058 1.1×
Lyse Chest Fibrin Init Day (32561) $1,332.85 $2,185 2.0×
Lysis of labial adhesions (56441) $4,273.66 $7,006 1.3×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,555.50 $2,550 1.0×
Mech remov pericath obstr cv dev via ven access (36595) $459.94 $754 0.1×
Myelography Lumbar Injection (62305) $864.37 $1,417 1.1×
Myelography Lumbar Injection (62304) $1,196.21 $1,961 1.5×
Myelography Via Lumbar Injection Rs&I Cervical (62302) $967.46 $1,586 1.2×
Myelography via lumbar injection rs&i thoracic (62303) $852.78 $1,398 1.0×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $762.50 $1,250 3.7×
Nasal surgery procedure (30999) $395.28 $648 1.6×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $343.43 $563 0.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $190.32 $312 0.5×
Njx anes stellate ganglion crv sympathetic (64510) $1,220 $2,000 1.3×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,212.26 $5,266 0.9×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,681.56 $4,396 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,808.04 $2,964 2.0×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,557.33 $2,553 2.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $1,557.33 $2,553 2.1×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $844.24 $1,384 0.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) $807.03 $1,323 0.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,848.30 $3,030 2.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $807.03 $1,323 0.9×
Njx noncmpnd sclerosant multiple incmptnt veins (36466) $1,662.86 $2,726 0.8×
Njx noncmpnd sclerosant single incmptnt vein (36465) $1,662.86 $2,726 0.8×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $658.19 $1,079 0.9×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $877.79 $1,439 1.2×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $204.96 $336 0.5×
Obstructive material removal from gi tube (49460) $660.02 $1,082 0.7×
Open treatment talus fracture (28445) $5,324.69 $8,729 0.7×
Open tx interphalangeal joint dislocation (26785) $2,443.66 $4,006 0.7×
Open/Perq Place Stent Same (37238) $10,944.62 $17,942 0.9×
Open/Perq Placement Intravascular Stent Initial (37236) $9,744.14 $15,974 0.8×
Partial Excision Distal Phalanx Finger (26236) $2,280.18 $3,738 1.4×
Perc Radiofreq Ablate Renal Tumor (50592) $5,602.24 $9,184 0.9×
Percut Cath Occlusn Non Cns Lesn (61626) $12,150.59 $19,919 1.0×
Percut Drain/Inject Renal Cyst (50390) $699.06 $1,146 1.0×
Percut Mech Thrombectomy, Venous (37187) $9,154.88 $15,008 0.8×
Percut Mech Thrombectomy, Venous, Repeat (37188) $7,049.16 $11,556 2.1×
Percutaneous diskectomy (62287) $5,243.56 $8,596 2.6×
Pericardiocentesis W/Imaging (33016) $491.05 $805 0.3×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure
$2,734.02 $4,482 0.1×
Perq av fistula creation uxtr single access (36836) $17,992.56 $29,496 0.9×
Perq dev breast 1st mr guide (19287) $1,133.99 $1,859 1.5×
Perq dev breast 1st strtctc (19283) $1,442.04 $2,364 2.0×
Perq dev breast 1st us imag (19285) $1,420.08 $2,328 1.9×
Perq device breast 1st imag (19281) $1,237.08 $2,028 0.7×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $1,709.22 $2,802 1.0×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $514.23 $843 0.3×
Perq replacement gtube not req revj gstrst trc (43762) $436.15 $715 1.7×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,466.44 $2,404 2.0×
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) $13,687.18 $22,438 0.7×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $10,920.22 $17,902 0.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,280.35 $11,935 1.2×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $8,276.48 $13,568 1.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $9,095.10 $14,910 1.2×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $3,146.99 $5,159 0.9×
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $3,146.99 $5,159 0.9×
Phleb Veins - Extrem 20+ (37766) $2,411.33 $3,953 0.7×
Place Cath Subclavian Art (36225) $4,204.12 $6,892 1.3×
Place Cath Thoracic Aorta (36221) $4,204.12 $6,892 1.3×
Place Cath Vertebral Art (36226) $5,605.90 $9,190 1.0×
Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) $938.79 $1,539 0.7×
Placement of needle for intraosseous infusion (36680) $539.85 $885 1.2×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $5,970.07 $9,787 0.9×
Plmt Bile Duct Stent Prq Existing Access (47538) $6,885.07 $11,287 1.1×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $6,885.07 $11,287 1.1×
Plmt bile duct stent prq new access w/sep cath (47540) $6,885.07 $11,287 1.1×
Plmt nephrostomy cath prq new access rs&i (50432) $2,923.73 $4,793 1.3×
Plmt nephroureteral cath prq new access rs&i (50433) $3,378.18 $5,538 0.9×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $3,095.14 $5,074 0.8×
Plmt urtrl stent prq pre-existing nfros tract (50693) $3,095.14 $5,074 0.8×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $2,940.81 $4,821 0.8×
Preputial Stretching (54450) $175.68 $288 0.7×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure
$4,662.23 $7,643 0.2×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $433.10 $710 0.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $2,730.97 $4,477 0.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,638.65 $5,965 1.0×
Punch biopsy skin single lesion (11104) $384.30 $630 0.9×
Puncture Aspiration (10160) $342.82 $562 0.8×
Puncture Aspiration Cyst Breast (19000) $466.04 $764 0.6×
Pvb thoracic cont infusion (64463) $734.44 $1,204 1.0×
Pvb thoracic single inj site (64461) $734.44 $1,204 1.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,115.48 $3,468 1.0×
Relocation of skin pocket for pacemaker (33222) $4,338.93 $7,113 2.0×
Rem endovas vena cava filter (37193) $7,693.93 $12,613 2.3×
Removal biliary drg cath (47537) $645.99 $1,059 0.7×
Removal fb intranasal (30300) $217.77 $357 1.6×
Removal foreign body foot subcutaneous (28190) $752.13 $1,233 1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,063.84 $1,744 0.6×
Removal foreign body pharynx (42809) $460.55 $755 1.0×
Removal foreign body upper arm/elbow deep (24201) $2,562.61 $4,201 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $70.15 $115 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $73.20 $120 1.2×
Removal of indwelling tunneled pleural catheter with cuff (32552) $552.05 $905 0.8×
Removal of intrauterine device (iud) (58301) $231.19 $379 0.7×
Removal of nail bed (11750) $342.21 $561 0.8×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $217.77 $357 1.0×
Removal ppm generator only (33233) $8,627.23 $14,143 1.0×
Removal subq cardiac rhythm monitor (33286) $940.01 $1,541 1.3×
Removal Tunneled Intraperitoneal Catheter (49422) $5,533.31 $9,071 1.7×
Removal/bivalving full arm/full leg cast (29705) $166.53 $273 0.6×
Remove Brain Cavity Fluid (61020) $1,226.71 $2,011 1.3×
Remove Eyelid Foreign Body (67938) $394.67 $647 1.2×
Remove intrvas foreign body (37197) $3,353.78 $5,498 1.0×
Remove renal tube w/fluoro (50389) $574.62 $942 0.8×
Remove Ureter Stent, Percut (50384) $1,103.49 $1,809 0.5×
Remove&replace pm gen singl (33227) $7,598.16 $12,456 0.9×
Remv Ext Canal Foreign Body (69200) $175.07 $287 1.3×
Remv F.B.,Eye,Superf Conjunc (65205) $292.80 $480 2.1×
Remv&replc cvd gen dual lead (33263) $30,032.74 $49,234 1.3×
Remv&replc cvd gen mult lead (33264) $16,518.19 $27,079 0.5×
Remv&replc cvd gen sing lead (33262) $14,415.52 $23,632 0.6×
Remv&replc pm gen dual lead (33228) $8,633.94 $14,154 0.8×
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure
$5,957.26 $9,766 0.3×
Renal biopsy (50200) $1,824.51 $2,991 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $597.80 $980 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $649.65 $1,065 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $359.90 $590 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $781.41 $1,281 1.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $580.11 $951 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $610 $1,000 1.4×
Repair extensor tendon finger w/o graft each (26418) $1,403 $2,300 0.8×
Repair finger/hand tendon (26350) $3,065.25 $5,025 0.9×
Repair forearm tendon/muscle (25270) $2,954.23 $4,843 0.9×
Repair forearm tendon/muscle (25260) $3,160.41 $5,181 0.9×
Repair hand tendon (26410) $1,834.88 $3,008 1.1×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $936.35 $1,535 2.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $591.70 $970 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $813.13 $1,333 1.9×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $993.69 $1,629 2.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $879.01 $1,441 2.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $903.41 $1,481 2.1×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,068.11 $1,751 2.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $595.36 $976 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $463.60 $760 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $501.42 $822 1.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $519.72 $852 0.7×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $814.35 $1,335 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,146.19 $1,879 2.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $660.63 $1,083 1.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $980.88 $1,608 2.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,776.32 $2,912 2.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,032.73 $1,693 2.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,837.93 $3,013 0.9×
Repair Laceration Palate </2 Cm (42180) $638.67 $1,047 1.1×
Repair of nail bed (11760) $180.56 $296 0.2×
Repair Tongue Laceration (41250) $166.53 $273 0.4×
Replace duod/jej tube perc (49451) $527.65 $865 0.6×
Replace g/c tube perc (49450) $686.25 $1,125 0.7×
Replacement gastro-jejunostomy tube percutaneous (49452) $1,583.56 $2,596 1.7×
Reposition gastrostomy tube (43761) $461.16 $756 1.8×
Reposition pacing-defib lead (33215) $1,373.72 $2,252 0.4×
Reprgrmg Programmable Cerebrospinal Shunt (62252) $204.96 $336 0.6×
Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) $5,793.78 $9,498 1.8×
Revision of tips (37183) $10,434.66 $17,106 1.8×
Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) $2,392.42 $3,922 1.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $410.53 $673 0.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $427 $700 3.1×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $1,737.89 $2,849 0.4×
Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) $1,861.72 $3,052 0.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,421.09 $3,969 1.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,729.35 $2,835 2.7×
Rplc gtube revj gstrst trc (43763) $436.15 $715 1.7×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,791.57 $2,937 1.1×
Rplcmt compl tun ctr vad w/subq port (36582) $4,623.80 $7,580 1.4×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,211.04 $5,264 1.0×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,344.44 $2,204 0.8×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $707.60 $1,160 0.9×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $500.20 $820 2.0×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $706.38 $1,158 2.9×
Rpr Lip Full Thickness Vermilion Only (40650) $904.63 $1,483 1.6×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $952.21 $1,561 1.5×
Rpsg previously placed cvc under fluor gdnce (36597) $1,107.15 $1,815 0.7×
Sclerotx Fluid Collection (49185) $1,182.18 $1,938 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $450.18 $738 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $338.55 $555 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $365.39 $599 1.8×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $470.31 $771 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $382.47 $627 1.8×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $419.68 $688 2.0×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $531.31 $871 2.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $317.20 $520 1.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $437.98 $718 2.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $367.83 $603 1.8×
Skin sub graft face/nk/hf/g (15275) $692.35 $1,135 0.9×
Skin sub graft trnk/arm/leg (15271) $795.44 $1,304 1.0×
Skin Tissue Procedure (17999) $118.95 $195 0.6×
Skn sub grft f/n/hf/g child (15277) $1,853.79 $3,039 0.9×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $4,204.12 $6,892 0.7×
Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) $4,204.12 $6,892 1.3×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $6,673.40 $10,940 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $348.92 $572 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $390.40 $640 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $412.36 $676 1.0×
Spinal puncture lumbar diagnostic (62270) $832.65 $1,365 1.1×
Spinal Puncture Therapeutic (62272) $533.75 $875 0.7×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $2,847.48 $4,668 0.9×
Strapping hand/finger (29280) $193.37 $317 3.2×
Strapping Hip (29520) $166.53 $273 1.2×
Strapping knee (29530) $150.67 $247 1.1×
Strapping shoulder (29240) $334.89 $549 2.4×
Strapping thorax (29200) $131.76 $216 0.8×
Strapping toes (29550) $74.42 $122 1.2×
Strapping unna boot (29580) $539.85 $885 3.2×
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) $34,209.41 $56,081 1.1×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $4,243.77 $6,957 0.9×
Ther Apheresis,Plasma Pheresis (36514) $1,826.95 $2,995 1.1×
Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) $716.14 $1,174 1.0×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge, not the full procedure
$3,672.81 $6,021 0.3×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,033.95 $1,695 1.6×
Thoracentesis needle/cath pleura w/o imaging (32554) $402.60 $660 0.6×
Throat Surgery Procedure (42999) $159.82 $262 0.6×
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) $3,969.88 $6,508 1.2×
Thrombolytic Art Therapy (37211) $4,049.18 $6,638 0.7×
Thrombolytic Therapy, Stroke (37195) $1,042.49 $1,709 3.0×
Thrombolytic Venous Therapy (37212) $4,049.18 $6,638 1.2×
Thyroid biopsy (60100) $963.80 $1,580 1.3×
Tongue and mouth surg unlisted (41599) $161.65 $265 0.7×
Trach Tube Change (31502) $269.62 $442 1.1×
Tracheostomy emergency cricothyroid membrane (31605) $1,415.20 $2,320 5.8×
Tracheostomy planned (31600) $2,806.61 $4,601 0.8×
Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) $7,487.14 $12,274 1.0×
Treat finger dislocation (26775) $332.45 $545 1.1×
Treat Fracture Radius & Ulna (25560) $195.81 $321 0.8×
Treat humerus fracture (24500) $177.51 $291 0.7×
Treat humerus fracture (23600) $300.12 $492 1.2×
Treat Metatarsal Fracture (28475) $371.49 $609 1.5×
Treat pleurodesis w/agent (32560) $710.04 $1,164 1.1×
Treat wrist bone fracture (25622) $221.43 $363 0.9×
Treatment closed elbow dislocation req anes (24605) $2,570.54 $4,214 1.5×
Treatment closed elbow dislocation w/o anes (24600) $533.14 $874 2.1×
Trim skin lesion (11055) $141.52 $232 0.7×
Trim skin lesions 2 to 4 (11056) $158.60 $260 0.8×
Trim skin lesions over 4 (11057) $287.92 $472 1.4×
Trimming Of Nondystrophic Nails, Any Number (11719) $143.96 $236 2.3×
Trlml balo angiop open/perq img s&i 1st art (37246) $8,237.44 $13,504 1.4×
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $7,920.85 $12,985 1.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $441.64 $724 0.6×
Unlisted procedure anus (46999) $1,592.10 $2,610 1.6×
Unlisted Procedure Biliary Tract (47999) $2,411.33 $3,953 2.6×
Unlisted Procedure Casting/Strapping (29799) $214.72 $352 1.3×
Unlisted Procedure Dentoalveolar Structures (41899) $329.40 $540 1.3×
Unlisted Procedure Endocrine System (60699) $3,615.47 $5,927 0.6×
Unlisted Procedure External Ear (69399) $187.88 $308 0.8×
Unlisted procedure femur or knee (27599) $150.67 $247 0.6×
Unlisted procedure leg/ankle (27899) $473.36 $776 1.8×
Unlisted Procedure Lungs & Pleura (32999) $1,110.20 $1,820 1.7×
Unlisted Procedure Nervous System (64999) $792.39 $1,299 2.5×
Unlisted procedure pelvis/hip joint (27299) $430.66 $706 1.7×
Unlisted procedure shoulder (23929) $150.67 $247 0.6×
Unlisted Procedure Small Intestine (44799) $2,292.38 $3,758 2.4×
Unlisted procedure spine (22899) $3,536.17 $5,797 13.8×
Unlisted Procedure Vascular Surgery (37799) $454.45 $745 0.7×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,847.08 $3,028 2.0×
Unlisted procedure, hands or fingers (26989) $184.83 $303 0.7×
Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) $7,632.93 $12,513 0.7×
Urology Surgery Procedure (53899) $254.98 $418 1.0×
Vaginal delivery only (59409) $1,530.49 $2,509 0.5×
Vasc embolize/occlude artery (37242) $13,886.65 $22,765 0.7×
Vasc Embolize/Occlude Bleed (37244) $12,313.46 $20,186 1.0×
Vasc embolize/occlude organ (37243) $9,475.74 $15,534 0.8×
Vasc embolize/occlude venous (37241) $7,937.32 $13,012 0.7×
Venipuncture (36415) $20.74 $34 2.2×
Ventricular puncture previous burr hole w/inj (61026) $1,393.24 $2,284 1.9×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $1,540.25 $2,525 2.0×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) $3,874.72 $6,352 0.7×