Procedures & surgery prices at Citizens Medical Center

Victoria, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $1,366.50–$1,366.68 $2,733–$2,733.36 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,097.50 $2,195 1.2×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $9,397 $18,794 0.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,266.50 $4,533 1.1×
Anoscopy diagnostic (46600) $35.50 $71 0.3×
Application cast elbow finger short arm (29075) $321 $642 1.1×
Application finger splint static (29130) $77 $154 0.6×
Application long arm splint shoulder hand (29105) $187 $374 1.1×
Application Long Leg Splint (29505) $187 $374 1.1×
Application of long leg cast (29345) $321 $642 1.1×
Application of rigid total contact leg cast (29445) $211.50 $423 0.8×
Application Short Arm Splint Dynamic (29126) $154 $308 1.2×
Application short arm splint forearm-hand static (29125) $152.50 $305 1.1×
Application short leg splint calf foot (29515) $187 $374 1.1×
Apply long arm cast (29065) $321 $642 1.1×
Apply Multlay Comprs Lwr Leg (29581) $171.50 $343 1.1×
Apply Short Leg Cast (29405) $321 $642 1.1×
Apply short leg cast (29425) $321 $642 1.1×
Arterial puncture (36600) $177 $354 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $366 $732 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $366 $732 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $365.50 $731 1.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $394 $788 1.3×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $880.50–$945 $1,761–$1,890 varies
Aspirate Pleura W/O Imaging (32554) $880.50 $1,761 1.4×
Aspiration and/or injection thyroid cyst (60300) $870.50 $1,741 1.2×
Aspiration bladder insert suprapubic catheter (51102) $2,474 $4,948 1.2×
Aspiration bladder trocar/intracatheter (51101) $1,269.50 $2,539 1.5×
Avulsion nail plate partial/complete simple 1 (11730) $244.50 $489 1.2×
Biopsy Abdominal Mass (49180) $1,413.50 $2,827 0.9×
Biopsy bone trocar/needle deep (20225) $2,488.50 $4,977 1.5×
Biopsy Bone Trocar/Needle Superficial (20220) $1,829 $3,658 1.1×
Biopsy muscle percutaneous needle (20206) $1,828.50 $3,657 1.1×
Biopsy of liver, needle; percutaneous (47000) $1,413.50 $2,827 0.9×
Biopsy of rectum (45100) $1,413.50 $2,827 0.5×
Biopsy Pleura Percutaneous Needle (32400) $2,001.50 $4,003 1.2×
Biopsy Salivary Gland Needle (42400) $1,065.50 $2,131 1.5×
Biopsy soft tissue neck/thorax (21550) $1,579.50 $3,159 1.0×
Bladder instillation anticarcinogenic agent (51720) $328 $656 0.5×
Bladder Irrigation (51700) $328 $656 1.3×
Bladder Scan (51798) $77 $154 1.3×
Blepharotomy drainage abscess eyelid (67700) $378 $756 1.2×
Blood Transfusion Service (36430) $665 $1,330 1.5×
Bone Marrow Biopsy (38221) $1,829 $3,658 1.1×
Bone Marrow; Aspiration Only (38220) $2,297.50 $4,595 1.4×
Bx breast 1st lesion mr imag (19085) $1,875 $3,750 1.1×
Bx breast 1st lesion strtctc (19081) $1,875 $3,750 1.1×
Bx breast 1st lesion us imag (19083) $1,875 $3,750 1.1×
Cerclage cervix pregnancy vaginal (59320) $2,326 $4,652 0.7×
Cessj Therapy Cath Removal (37214) $1,518.50 $3,037 0.5×
Change Cystostomy Tube Simple (51705) $328.50 $657 1.3×
Change of Windpipe Airway (31502) $284.50 $569 1.2×
Chemical Cautery Tissue (17250) $196 $392 1.0×
Chest tube placement (32551) $2,278 $4,556 1.4×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,395 $10,790 1.5×
Cl Tx Tib Shft Fx W Manip (27752) $1,893 $3,786 1.2×
Clear outer ear canal (69200) $152.50 $305 1.1×
Closed Rx Spontaneous Hip Disloc (27256) $301.50 $603 1.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $301.50 $603 1.2×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,893 $3,786 1.2×
Closed tx ankle dislocation w/o anesthesia (27840) $301.50 $603 1.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,893 $3,786 1.2×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $301.50 $603 1.2×
Closed tx knee dislocation w/o anesthesia (27550) $301.50 $603 1.2×
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,747.50 $5,495 1.7×
Closed tx metatarsal fracture w/o manipulation (28470) $301.50 $603 1.2×
Closed tx patellar dislocation w/anesthesia (27562) $301.50 $603 1.2×
Closed tx patellar dislocation w/o anesthesia (27560) $301.50 $603 1.2×
Closed tx radial head/neck fx w/manipulation (24655) $1,893 $3,786 1.2×
Closed tx radial head/neck fx w/o manipulation (24650) $301.50 $603 1.2×
Closed tx radial shaft fracture w/manipulation (25505) $1,893 $3,786 1.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $301.50 $603 1.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,893 $3,786 1.2×
Closed tx radial&ulnar shaft fractures w/o man (25560) $301.50 $603 1.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $301.50 $603 1.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,337.50 $4,675 1.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $301.50 $603 1.2×
Closed tx ulnar shaft fracture w/o manipulation (25530) $301.50 $603 1.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $301.50 $603 1.2×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,893 $3,786 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $301.50 $603 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,893 $3,786 1.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $301.50 $603 1.2×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,893 $3,786 1.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,893 $3,786 1.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,893 $3,786 1.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $301 $602 1.2×
Cltx dstl fibular fx lat malls w/manj (27788) $301.50 $603 1.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $301.50 $603 1.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $301.50 $603 1.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $301.50 $603 1.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $301.50 $603 1.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,893 $3,786 1.2×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,950 $3,900 1.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,893 $3,786 1.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $301.50 $603 1.2×
Cltx fx grt toe phlx/phlg w/o manj (28490) $301.50 $603 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $301.50 $603 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $301.50 $603 1.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,893 $3,786 1.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $301.50 $603 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $301.50 $603 1.2×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $321 $642 1.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $301.50 $603 1.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $321 $642 1.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $301.50 $603 1.2×
Cltx Med Ankle Fx W/Mnpj (27762) $2,425 $4,850 1.5×
Cltx Medial Ankle Fx (27760) $301.50 $603 1.2×
Cltx metacarpal fx w/manipulation each bone (26605) $301.50 $603 1.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $301.50 $603 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $301.50 $603 1.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $301.50 $603 1.2×
Cltx post hip arthrp dislc w/o anes (27265) $301.50 $603 1.2×
Cltx prox fibula/shft fx w/o manj (27780) $301.50 $603 1.2×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,893.50 $3,787 1.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $301.50 $603 1.2×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,893 $3,786 1.2×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,893 $3,786 1.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,893 $3,786 1.2×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $301.50 $603 1.2×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,893 $3,786 1.2×
Cltx tibial shaft fx w/o manipulation (27750) $301.50 $603 1.2×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $301.50 $603 1.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,893 $3,786 1.2×
Cltx trimalleolar ankle fx w/o manipulation (27816) $301.50 $603 1.2×
Collect Blood From Catheter Venous Nos (36592) $142 $284 1.1×
Colposcopy of vulva (56820) $75 $150 0.4×
Control Nasal Hemorrhage Anterior Complex (30903) $152.50 $305 1.1×
Control Nasal Hemorrhage Anterior Simple (30901) $152.50 $305 1.1×
Conversion ext bil drg cath (47535) $5,000 $10,000 1.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,413.50 $2,827 0.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $152.50 $305 1.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $284.50 $569 1.2×
Cysto calibration dilat urtl strix/stenosis (52281) $2,474 $4,948 1.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,238.50 $6,477 1.1×
Debride nail 1-5 (11720) $70.50 $141 1.2×
Debride nail 6 or more (11721) $70.50 $141 1.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,110 $2,220 0.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $446.50 $893 1.1×
Declot vascular device (36593) $383.50 $767 1.2×
Destroy cerv/thor facet jnt (64633) $1,847 $3,694 0.9×
Destroy lumb/sac facet jnt (64635) $1,847 $3,694 0.9×
Destruct B9 Lesion 1-14 (17110) $244.50 $489 1.2×
Destruction neurolytic agt genicular nerve w/img (64624) $2,401 $4,802 1.2×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $193.50 $387 1.5×
Dilate Urethra Stricture (53620) $777.50 $1,555 1.1×
Dilate Urethra Stricture (53600) $328 $656 1.3×
Drainage Abscess/Hematoma Nasal Septum (30020) $760 $1,520 1.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $852 $1,704 1.2×
Drainage Finger Abscess Complicated (26011) $1,917 $3,834 1.2×
Drainage Mouth Roof Lesion (42000) $284.50 $569 1.2×
Drainage of finger abscess simple (26010) $244.50 $489 1.2×
Drainage of gum lesion (41800) $152.50 $305 1.1×
Drainage of hematoma/fluid (10140) $1,917 $3,834 1.2×
Drainage of scrotal wall abscess (55100) $1,919.50 $3,839 1.2×
Draw Blood Off Venous Device (36591) $142 $284 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $446.50 $893 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $244.50 $489 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $244.50 $489 1.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,090.50 $2,181 1.2×
Dx Bone Marrow Bx & Aspir (38222) $4,057 $8,114 1.4×
Dx Bronchoscope/Wash (31622) $1,998 $3,996 1.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $873 $1,746 1.2×
Egd Flexible Foreign Body Removal (43247) $1,097.50 $2,195 1.2×
Egd guide wire insertion (43248) $1,097.50 $2,195 1.2×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $5,818.50 $11,637 1.0×
Epidural Blood Patch (62273) $1,019 $2,038 1.4×
Evacuation of subungual hematoma (11740) $152.50 $305 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,062.50 $2,125 1.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,062.50 $2,125 1.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,402.50 $2,805 1.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 2 matching MRF lines		 $4,342–$5,000 $8,684–$10,000 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,911 $5,822 1.4×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,175 $4,350 1.1×
Excision nasal polyp(s) simple (30110) $1,884.50 $3,769 1.2×
Exploration penetrating wound spx chest (20101) $2,880 $5,760 1.4×
Fetal Contraction Stress Test (59020) $358.50 $717 1.8×
Fetal non-stress test (59025) $176 $352 0.9×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $870.50 $1,741 1.2×
Fluoro exam of g/colon tube (49465) $325.50 $651 1.4×
Fna Bx W/Fluor Gdn 1St Les (10007) $750 $1,500 1.1×
Fna bx w/us gdn 1st les (10005) $1,005.50 $2,011 1.4×
Foreskin manipulation (54450) $328.50 $657 1.3×
Guide Cathet Fluid Drainage (10030) $1,040 $2,080 1.5×
I&d abscess peritonsillar (42700) $284.50 $569 1.2×
I&d abscess simple (10060) $244.50 $489 1.2×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,238.50 $6,477 1.1×
I&d perianal abscess superficial (46050) $1,067 $2,134 1.1×
I&d pilonidal cyst complicated (10081) $852 $1,704 1.2×
I&d pilonidal cyst simple (10080) $852 $1,704 1.2×
Image Cath Fluid Colxn Visc (49405) $1,917 $3,834 1.2×
Image Cath Fluid Peri/Retro (49406) $1,917 $3,834 1.2×
Incise external hemorrhoid (46083) $328.50 $657 1.3×
Incision & drainage abscess complicated/multiple (10061) $446.50 $893 1.1×
Incision & drainage leg/ankle infected bursa (27604) $3,823 $7,646 1.2×
Incision & removal foreign body subq tiss compl (10121) $1,917 $3,834 1.2×
Incision & removal foreign body subq tiss simple (10120) $446.50 $893 1.1×
Incision and drainage of bartholin's gland abscess (56420) $232 $464 1.1×
Incision and drainage of vulva or perineal abscess (56405) $378.50 $757 1.2×
Incision of rectal abscess (46040) $1,402.50 $2,805 1.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,916 $3,832 1.2×
Initial Tx 1st Degree Burn Local Tx (16000) $244.50 $489 1.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $902.50 $1,805 1.0×
Inj W/Fluor Eval Cv Device (36598) $262 $524 1.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $902.50 $1,805 1.0×
Injection 1 tendon sheath/ligament aponeurosis (20550) $472.50 $945 1.5×
Injection aa&/strd genicular nrv branches w/img (64454) $873 $1,746 1.2×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $873 $1,746 1.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $776 $1,552 1.1×
Injection single tendon origin/insertion (20551) $420 $840 1.4×
Injection single/mlt trigger point 1/2 muscles (20552) $366 $732 1.2×
Injection single/mlt trigger point 3/> muscles (20553) $297 $594 1.0×
Injection therapeutic carpal tunnel (20526) $218 $436 0.7×
Injection, anesthetic agent; brachial plexus, single (64415) $1,134 $2,268 1.3×
Injection, anesthetic agent; femoral nerve, single (64447) $873 $1,746 1.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $873 $1,746 1.2×
Ins cath ren art 1st bilat (36252) $4,240 $8,480 1.3×
Ins cath ren art 1st unilat (36251) $2,341 $4,682 0.7×
Ins cath ren art 2nd+ bilat (36254) $4,240 $8,480 1.3×
Ins cath ren art 2nd+ unilat (36253) $3,879 $7,758 0.7×
Ins endovas vena cava filtr (37191) $7,662.42 $15,324.84 1.4×
Ins Vag Brachytx Device (57156) $2,005 $4,010 6.5×
Insert 1 Electrode Pm-Defib (33216) $9,843 $19,686 1.2×
Insert Bladder Cath Complex (51703) $193.50 $387 1.5×
Insert cath pleura w/ image (32557) $2,202 $4,404 1.4×
Insert cervical dilator (59200) $303.50 $607 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $2,891.50 $5,783 1.5×
Insert Heart Pm Atrial (33206) $13,134 $26,268 1.3×
Insert Heart Pm Ventricular (33207) $13,134 $26,268 1.3×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $4,240–$4,242 $8,480–$8,484 varies
Insert Pacing Lead & Connect (33224) $14,552 $29,104 1.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $880.50 $1,761 0.6×
Insert Temp Bladder Cath (51702) $152.50 $305 1.1×
Insert tun ip cath perc (49418) $5,669 $11,338 1.6×
Insert tunneled cv cath (36561) $3,870 $7,740 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $152.50 $305 1.1×
Insertion indwelling tunneled pleural catheter (32550) $4,342.50 $8,685 1.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,278 $4,556 1.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $9,843 $19,686 1.2×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $6,170 $12,340 1.2×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,278 $4,556 0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,278 $4,556 1.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $4,240–$4,757.50 $8,480–$9,515 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $27,172.59 $54,345.18 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $9,843 $19,686 1.2×
Insrt heart pm atrial & vent (33208) $13,134 $26,268 1.3×
Insrt Pulse Gen W/Dual Leads (33230) $19,496.78 $38,993.56 0.9×
Insrt Pulse Gen W/Mult Leads (33231) $27,172.50 $54,345 0.9×
Insrt Pulse Gen W/Singl Lead (33240) $19,496.78 $38,993.56 0.9×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,000 $2,000 0.7×
Intro cath dialysis circuit (36901) $2,310 $4,620 1.5×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $8,678 $17,356 0.7×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $6,918.50 $13,837 1.2×
Intro Gastrointestinal Tube (44500) $1,097.50 $2,195 1.2×
Intubation endotracheal emergency procedure (31500) $284.50 $569 1.2×
Irrigation of corpora cavernosa for priapism (54220) $328.50 $657 1.3×
Laryngoscopy flexible diagnostic (31575) $275 $550 1.4×
Late closure of wound (13160) $2,425 $4,850 0.7×
Maternity Care Procedure (59899) $155 $310 0.8×
Myelography Lumbar Injection (62305) $962 $1,924 1.2×
Myelography Lumbar Injection (62304) $962 $1,924 1.2×
Myelography via lumbar injection rs&i cervical (62302) $962 $1,924 1.2×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $962 $1,924 1.2×
N Block Inj Celiac Pelus (64530) $1,518 $3,036 1.7×
N Block Inj Ilio-Ing/Hypogi (64425) $902.50 $1,805 1.3×
Nasal/Orogastric W/Tube Plmt (43752) $673.14 $1,346.28 1.5×
Needle Biopsy Lymph Nodes (38505) $2,488.68 $4,977.36 1.5×
Needle Biopsy Pancreas (48102) $1,413.50 $2,827 0.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $17.50 $35 0.6×
Needle insertion w/o injection 3 or more muscles (20561) $17.50 $35 0.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $366 $732 1.2×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,454 $8,908 1.2×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,454 $8,908 1.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $902.50 $1,805 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $902.50 $1,805 1.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,148.50 $2,297 1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $873 $1,746 1.2×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $414.50 $829 0.6×
Obstructive material removal from gi tube (49460) $1,097.50 $2,195 1.2×
Occipital Nerve Block (64405) $218 $436 0.7×
Open Tx Distal Phalangeal Fracture Each (26765) $3,823 $7,646 1.2×
Open/Perq Place Stent 1St (37236) $13,837 $27,674 1.2×
Penile Injection (54235) $328.50 $657 1.3×
Perc Rf Ablate Renal Tumor (50592) $7,080 $14,160 1.2×
Percut Ablate Liver Rf (47382) $6,110.50 $12,221 1.0×
Percut Drain/Inject Renal Cyst (50390) $852 $1,704 1.2×
Pericardiocentesis W/Imaging (33016) $1,450 $2,900 0.9×
Perq dev breast 1st mr guide (19287) $2,025 $4,050 2.8×
Perq dev breast 1st strtctc (19283) $2,025 $4,050 2.8×
Perq dev breast 1st us imag (19285) $2,025 $4,050 2.8×
Perq device breast 1st imag (19281) $2,025 $4,050 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,062 $2,124 1.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $16,075 $32,150 1.4×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,146 $8,292 0.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $10,225 $20,450 1.4×
Perq Vertebral Augmentation (22513) $10,225 $20,450 1.4×
Place Cath Thoracic Aorta (36221) $2,341 $4,682 0.7×
Place Duod/Jej Tube Perc (49441) $2,175 $4,350 1.1×
Placement of needle for intraosseous infusion (36680) $508 $1,016 1.1×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,463.50 $2,927 0.7×
Plmt Nephroureteral Catheter (50433) $4,215 $8,430 1.2×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $5,475 $10,950 1.5×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $5,475 $10,950 1.5×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $5,475 $10,950 1.5×
Prim art mech thrombectomy (37184) $18,415.17 $36,830.34 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,342.50 $8,685 1.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534)
range across 2 matching MRF lines		 $5,000–$5,395.50 $10,000–$10,791 varies
Pseudoaneurysm Injection Trt (36002) $964 $1,928 1.5×
Punch biopsy skin single lesion (11104) $244 $488 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160) $446.50 $893 1.1×
Puncture Aspiration Cyst Breast (19000) $335 $670 0.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,401 $4,802 1.2×
Relocation Pocket Pacemaker (33222) $2,100 $4,200 1.0×
Rem Endovas Vena Cava Filter (37193) $4,461.48 $8,922.96 1.4×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,097.50 $2,195 1.2×
Removal Embedded Foreign Body Eyelid (67938) $238.50 $477 0.7×
Removal foreign body foot deep (28192) $1,917 $3,834 1.2×
Removal Foreign Body Foot Subcutaneous (28190) $852 $1,704 1.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,917 $3,834 1.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $77 $154 1.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $77 $154 1.3×
Removal Implant Superficial Separate Procedure (20670) $1,917 $3,834 1.2×
Removal of foreign body from pharynx (42809) $508 $1,016 1.1×
Removal of nail bed (11750) $446.50 $893 1.1×
Removal of tunneled intraperitoneal catheter (49422) $5,093.50 $10,187 1.6×
Removal or bivalving full arm or full leg cast (29705) $412.50 $825 1.5×
Removal ppm generator only (33233) $9,843 $19,686 1.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $305 $610 1.5×
Removal subcutaneous cardiac rhythm monitor (33286) $769.50 $1,539 1.1×
Remove Elctrd Transvenously (33244) $4,161 $8,322 1.1×
Remove foreign body from eye (65205) $152.50 $305 1.1×
Remove Int Dwell Ureteral Stent Transurethral (50386) $2,474 $4,948 1.2×
Remove Intrauterine Device (58301) $378.50 $757 1.2×
Remove intrvas foreign body (37197) $3,879 $7,758 1.2×
Remove Nasal Foreign Body (30300) $152.50 $305 1.1×
Remove Pulse Generator (33241) $4,161 $8,322 1.1×
Remove renal tube w/fluoro (50389) $777 $1,554 1.1×
Remove Shoulder Foreign Body (23330) $852 $1,704 0.5×
Remove&replace pm gen singl (33227) $9,843 $19,686 1.2×
Remv&replc cvd gen dual lead (33263) $19,496.78 $38,993.56 0.9×
Remv&replc cvd gen mult lead (33264) $27,172.59 $54,345.18 0.9×
Remv&replc cvd gen sing lead (33262) $19,496.78 $38,993.56 0.9×
Remv&replc pm gen dual lead (33228) $13,134 $26,268 1.3×
Remv&replc pm gen mult leads (33229) $15,670 $31,340 0.8×
Renal Biopsy Perq (50200) $1,413.50 $2,827 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $694.50 $1,389 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $694.50 $1,389 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $446.50 $893 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $694.50 $1,389 1.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $694.50 $1,389 1.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $694.50 $1,389 1.7×
Repair complex trunk 2.6-7.5 cm (13101) $694.50 $1,389 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $446.50 $893 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $446.50 $893 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $446.50 $893 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $446.50 $893 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $694.50 $1,389 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $446.50 $893 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $446.50 $893 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $694.50 $1,389 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $446.50 $893 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $446.50 $893 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $446.50 $893 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $694.50 $1,389 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $446.50 $893 1.1×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,266.50 $4,533 1.1×
Repair of nail bed (11760) $694.50 $1,389 0.9×
Repair tongue laceration (41250) $152.50 $305 0.3×
Replace duodenostomy/jejunostomy tube perq (49451) $1,097.50 $2,195 1.2×
Replace G-J Tube Perc (49452) $1,097.50 $2,195 1.2×
Replace g/c tube perc (49450) $1,098 $2,196 1.2×
Reposition L Ventric Lead (33226) $3,511.50 $7,023 1.1×
Reposition Pacing-Defib Lead (33215) $3,511.50 $7,023 1.1×
Reposition Venous Catheter (36597) $1,132.50 $2,265 0.7×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $8,576.25 $17,152.50 1.5×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $18,415 $36,830 1.0×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $18,415 $36,830 1.0×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $17,395.19 $34,790.37 1.5×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $8,576.50 $17,153 1.5×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $17,395 $34,790 1.5×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $17,395 $34,790 1.5×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $18,415 $36,830 1.0×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $18,415 $36,830 1.0×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $18,415 $36,830 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,097.50 $2,195 1.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $565.50 $1,131 1.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $182.50 $365 1.4×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $508 $1,016 1.1×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,238.50 $6,477 1.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,917 $3,834 1.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $880.50 $1,761 0.6×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $880.50 $1,761 1.4×
Rplc Gtube No Revj Trc (43762) $328.50 $657 1.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,870.50 $7,741 1.2×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $969.50 $1,939 0.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $244.50 $489 1.2×
Sclerotx Fluid Collection (49185) $852 $1,704 0.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $446.50 $893 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $244.50 $489 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $244.50 $489 1.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $244.50 $489 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $244.50 $489 1.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $244.50 $489 1.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $244.50 $489 1.2×
Skin Full Grft Face/Genit/Hf (15240) $2,266 $4,532 1.1×
Skin sub graft face/nk/hf/g (15275) $2,266.50 $4,533 3.1×
Skin sub graft trnk/arm/leg (15271) $2,266.50 $4,533 3.1×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $3,438 $6,876 0.6×
Slctv cath carotid/innom art angio xtrcranl art (36222) $3,870.50 $7,741 1.2×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $3,879 $7,758 0.7×
Slitting of prepuce (54001) $2,474 $4,948 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $244.50 $489 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $446.50 $893 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $446.50 $893 1.1×
Spinal puncture lumbar diagnostic (62270) $873 $1,746 1.2×
Strapping ankle (29540) $187 $374 1.1×
Strapping Unna Boot (29580) $171.50 $343 1.1×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,085 $2,170 1.5×
Thrmbc/Nfs Dialysis Circuit (36906) $13,609 $27,218 0.7×
Thromblytic art/ven therapy (37213) $1,518.50 $3,037 0.5×
Thrombolytic Art Therapy (37211) $4,450 $8,900 0.8×
Thrombolytic Therapy Stroke (37195) $432.50 $865 1.3×
Thrombolytic Venous Therapy (37212) $2,579.50 $5,159 0.8×
Thyroid biopsy (60100) $852 $1,704 1.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $284.50 $569 1.2×
Treat humerus fracture (24500) $301.50 $603 1.2×
Treat Humerus Fracture (24505) $1,893 $3,786 1.2×
Treat humerus fracture (23600) $301.50 $603 1.2×
Treat Knuckle Dislocation (26700) $301.50 $603 1.2×
Treat Thumb Dislocation (26641) $352.50 $705 1.4×
Treat toe dislocation (28630) $301.50 $603 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,893 $3,786 1.2×
Treatment closed elbow dislocation w/o anes (24600) $301.50 $603 1.2×
Treatment of penis lesion (54115) $4,050 $8,100 1.4×
Trluml Balo Angiop 1St Art (37246) $4,612 $9,224 0.8×
Trluml Balo Angiop 1St Vein (37248) $4,612 $9,224 0.8×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,893 $3,786 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $694.50 $1,389 0.9×
Unlisted procedure nervous system (64999) $365.50 $731 1.2×
Unlisted Procedure Tongue Floor Mouth (41599) $284.50 $569 1.2×
Unlisted Procedure Trachea Bronchi (31899) $1,417 $2,834 7.1×
Unlisted Procedure Vascular Surgery (37799) $253 $506 0.4×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,381 $2,762 1.5×
Upgrade of pacemaker system (33214) $13,134 $26,268 1.3×
Vaginal delivery only (59409) $3,488.50 $6,977 1.1×
Vasc embolize/occlude artery (37242) $13,837 $27,674 0.8×
Vasc Embolize/Occlude Bleed (37244) $13,837 $27,674 1.2×
Vasc Embolize/Occlude Organ (37243) $13,837 $27,674 1.2×
Venous Cutdown >1 Y/O (36425) $308.50 $617 0.7×
Venous Mech Thrombectomy (37187) $9,368 $18,736 0.8×
Wedge excision skin nail fold (11765) $446.50 $893 1.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.