Procedures & surgery prices at Connecticut Children's Medical Center

Hartford, CT · every code in this section with a posted price and a Medicare benchmark.

646 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
$357–$1,639.20 $595–$2,732 varies
Ablation 1/> liver tumor perq cryoablation (47383) $7,695 $12,825 0.6×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
range across 2 matching MRF lines
$2,991–$4,992 $4,985–$8,320 varies
Adding Walker Previously Applied Cast (29440) $500.40 $834 2.6×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $7,185.60 $11,976 0.8×
Amniocentesis diagnostic (59000) $2,399.40 $3,999 2.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $7,355.40 $12,259 1.9×
Amputate Metacarpal Bone (26910) $3,660.60 $6,101 0.9×
Anal/Urinary Muscle Study (51784) $400.20 $667 2.6×
Anoscopy diagnostic (46600) $158.40 $264 1.0×
Anoscopy W/Rmvl Foreign Body (46608) $1,974.60 $3,291 1.8×
Apheresis Platelets (36513) $891.60 $1,486 1.7×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $444 $740 1.3×
Application cast elbow finger short arm (29075) $658.80 $1,098 2.0×
Application Cast Finger (29086) $196.80 $328 1.0×
Application Cast Shoulder Spica (29055) $500.40 $834 1.5×
Application Finger Splint Dynamic (29131) $278.40 $464 3.9×
Application finger splint static (29130) $156 $260 1.0×
Application Hip Spica Cast 1 Leg (29305) $313.80 $523 0.9×
Application long arm splint shoulder hand (29105) $376.20 $627 1.9×
Application Long Leg Cast Walker/Ambulatory Type (29355) $658.80 $1,098 2.0×
Application Long Leg Splint (29505) $376.20 $627 1.9×
Application of cylinder cast (thigh to ankle) (29365) $436.80 $728 1.3×
Application of long leg cast (29345) $658.80 $1,098 2.0×
Application Patellar Tendon Bearing Cast (29435) $500.40 $834 1.5×
Application short arm splint forearm-hand static (29125) $291.60 $486 1.8×
Application short leg splint calf foot (29515) $376.20 $627 1.9×
Apply hand/wrist cast (29085) $376.20 $627 1.9×
Apply long arm cast (29065) $658.80 $1,098 2.0×
Apply Short Leg Cast (29405) $658.80 $1,098 2.0×
Apply short leg cast (29425) $658.80 $1,098 2.0×
Apply shoulder cast,plastr velpeau (29058) $278.40 $464 0.8×
Arterial puncture (36600) $35.40 $59 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines
$523.80–$660.60 $873–$1,101 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,510.20 $2,517 1.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$539.40–$680.40 $899–$1,134 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $462.60 $771 1.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $680.40 $1,134 1.8×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,416.20 $4,027 1.3×
Aspirate pleura w/ imaging (32555)
range across 5 matching MRF lines
$921.60–$1,458 $1,536–$2,430 varies
Aspirate Pleura W/O Imaging (32554) $1,372.80 $2,288 1.8×
Aspirate/Inj Ganglion Cyst (20612) $677.40 $1,129 1.8×
Aspiration & Injection Treatment Bone Cyst (20615) $1,593 $2,655 1.9×
Aspiration and/or injection thyroid cyst (60300) $757.20 $1,262 0.9×
Aspiration bladder insert suprapubic catheter (51102) $4,012.20 $6,687 1.6×
Aspiration Bladder Needle (51100) $610.80 $1,018 2.0×
Avulsion nail plate partial/complete simple 1 (11730) $470.40 $784 2.0×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $4,557 $7,595 0.6×
Biopsy Abdominal Mass (49180)
range across 3 matching MRF lines
$1,094.40–$1,646.40 $1,824–$2,744 varies
Biopsy bone trocar/needle deep (20225) $3,749.40 $6,249 1.9×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines
$893.40–$1,195.80 $1,489–$1,993 varies
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines
$854.40–$3,749.40 $1,424–$6,249 varies
Biopsy of liver, needle; percutaneous (47000) $3,749.40 $6,249 1.9×
Biopsy of rectum (45100) $2,758.80 $4,598 0.8×
Biopsy Pleura Percutaneous Needle (32400) $3,749.40 $6,249 1.9×
Biopsy Salivary Gland Needle (42400) $534.60 $891 0.6×
Biopsy soft tissue neck/thorax (21550) $3,222.60 $5,371 1.6×
Biopsy Spinal Cord Percutaneous Needle (62269)
range across 2 matching MRF lines
$967.20–$1,293.60 $1,612–$2,156 varies
Bladder Scan (51798) $165 $275 2.3×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $3,204.60 $5,341 1.7×
Blepharotomy drainage abscess eyelid (67700) $740.40 $1,234 1.9×
Blood Transfusion Service (36430)
range across 7 matching MRF lines
$575.40–$983.40 $959–$1,639 varies
Blood/Lymph System Procedure (38999)
range across 2 matching MRF lines
$579.60–$1,042.80 $966–$1,738 varies
Bone Marrow Biopsy (38221) $3,749.40 $6,249 1.9×
Bone Marrow; Aspiration Only (38220) $3,749.40 $6,249 1.9×
Catheter aspiration nasotracheal spx (31720) $153.60 $256 0.6×
Change Cystostomy Tube Complicated (51710) $1,602.60 $2,671 1.9×
Change Cystostomy Tube Simple (51705) $423.60 $706 1.4×
Change of Windpipe Airway (31502) $496.20 $827 1.7×
Chemical Cautery Tissue (17250) $177.60 $296 0.7×
Chemical Pleurodesis (32560) $868.20 $1,447 1.2×
Chemodenerv 1 extrem 5/> mus (64644) $1,582.20 $2,637 1.9×
Chemodenerv 1 extremity 1-4 (64642) $1,765.20 $2,942 2.1×
Chemodenerv Musc Migraine (64615) $290.40 $484 0.8×
Chemodenerv musc neck dyston (64616) $677.40 $1,129 1.8×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $680.40 $1,134 1.8×
Chemodenerv trunk musc 1-5 (64646) $1,582.20 $2,637 1.9×
Chest tube placement (32551)
range across 2 matching MRF lines
$609.60–$910.80 $1,016–$1,518 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $1,414.80 $2,358 0.3×
Chorionic Villus Sampling (59015) $2,090.40 $3,484 1.9×
Circumcision 28 days or older (54161) $2,288.40 $3,814 0.9×
Circumcision Neonate (54160) $2,288.40 $3,814 2.7×
Circumcision w/clamp/oth dev w/block (54150) $2,425.80 $4,043 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $3,754.20 $6,257 1.9×
Clear outer ear canal (69200) $291.60 $486 1.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $323.40 $539 1.1×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $597.60 $996 2.0×
Closed Treatment Sternum Fracture (21820) $462.60 $771 1.6×
Closed Treatment Ulnar Styloid Fracture (25650) $516.60 $861 1.7×
Closed tx ankle dislocation w/o anesthesia (27840) $597.60 $996 2.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $3,754.20 $6,257 1.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $597.60 $996 2.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $462.60 $771 1.6×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $462.60 $771 1.6×
Closed tx carpal scaphoid fracture w/manj (25624) $462.60 $771 0.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $462.60 $771 1.6×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $462.60 $771 1.6×
Closed tx knee dislocation w/o anesthesia (27550) $597.60 $996 2.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $3,843 $6,405 2.0×
Closed tx mandibular fracture w/manipulation (21451) $1,629.60 $2,716 0.9×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $484.80 $808 0.7×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $8,089.80 $13,483 1.1×
Closed tx metatarsal fracture w/o manipulation (28470) $462.60 $771 1.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,754.20 $6,257 1.9×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,629.60 $2,716 0.4×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $6,115.20 $10,192 1.5×
Closed tx patellar dislocation w/anesthesia (27562) $597.60 $996 2.0×
Closed tx patellar dislocation w/o anesthesia (27560) $597.60 $996 2.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $462.60 $771 1.6×
Closed tx radial head/neck fx w/manipulation (24655) $3,754.20 $6,257 1.9×
Closed tx radial head/neck fx w/o manipulation (24650) $597.60 $996 2.0×
Closed tx radial shaft fracture w/manipulation (25505) $3,754.20 $6,257 1.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $597.60 $996 2.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $3,754.20 $6,257 1.9×
Closed Tx Talus Fracture W/Manipulation (28435) $462.60 $771 0.2×
Closed tx talus fracture w/o manipulation (28430) $462.60 $771 1.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $597.60 $996 2.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $3,754.20 $6,257 1.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $462.60 $771 1.6×
Closed tx ulnar shaft fracture w/o manipulation (25530) $462.60 $771 1.6×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $496.20 $827 1.7×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,629.60 $2,716 2.5×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $462.60 $771 0.2×
Clsd tx clavicular fracture w/o manipulation (23500) $462.60 $771 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,754.20 $6,257 1.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $3,754.20 $6,257 1.9×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $597.60 $996 2.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $462.60 $771 0.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $462.60 $771 1.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $597.60 $996 2.0×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $555 $925 1.9×
Cltx dstl fibular fx lat malls w/manj (27788) $597.60 $996 2.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $597.60 $996 2.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $597.60 $996 2.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $1,027.20 $1,712 3.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $597.60 $996 2.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,754.20 $6,257 1.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $462.60 $771 0.2×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $462.60 $771 1.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $462.60 $771 0.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $597.60 $996 2.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $462.60 $771 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $597.60 $996 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $219.60 $366 0.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,754.20 $6,257 1.9×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $597.60 $996 2.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $462.60 $771 1.6×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $288 $480 1.0×
Cltx humeral condylar fx medial/lateral w/manj (24577) $3,754.20 $6,257 1.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $3,754.20 $6,257 1.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $164.40 $274 0.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $597.60 $996 2.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $658.80 $1,098 2.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $597.60 $996 2.0×
Cltx Med Ankle Fx W/Mnpj (27762) $462.60 $771 0.2×
Cltx Medial Ankle Fx (27760) $462.60 $771 1.6×
Cltx metacarpal fx w/manipulation each bone (26605) $597.60 $996 2.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $597.60 $996 2.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $597.60 $996 2.0×
Cltx prox fibula/shft fx w/manj (27781) $462.60 $771 0.2×
Cltx prox fibula/shft fx w/o manj (27780) $462.60 $771 1.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,754.20 $6,257 1.9×
Cltx prox tibfib jt dislc req anes (27831) $4,876.20 $8,127 1.2×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $462.60 $771 1.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $597.60 $996 2.0×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,154.40 $1,924 0.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $462.60 $771 0.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $3,754.20 $6,257 1.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $462.60 $771 1.6×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $462.60 $771 1.6×
Cltx tibial fx proximal w/o manipulation (27530) $462.60 $771 1.6×
Cltx tibial shaft fx w/o manipulation (27750) $597.60 $996 2.0×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $462.60 $771 1.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,754.20 $6,257 1.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $597.60 $996 2.0×
Collect Blood From Catheter Venous Nos (36592) $85.20 $142 0.5×
Collection of venous blood by venipuncture (36415) $6.18 $10.30 0.7×
Colpocentesis (57020)
likely a partial charge, not the full procedure
$957 $1,595 0.2×
Colporrhaphy (57200) $4,779.60 $7,966 1.2×
Colposcopy entire vagina w/cervix if present (57420) $621 $1,035 1.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,974.80 $4,958 2.1×
Complex Cystometrogram (51726) $681.60 $1,136 2.3×
Complex drainage wound (10180) $3,112.20 $5,187 0.9×
Control Nasal Hemorrhage Anterior Complex (30903) $291.60 $486 1.8×
Control Nasal Hemorrhage Anterior Simple (30901) $344.40 $574 2.2×
Conversion ext bil drg cath (47535) $4,195.20 $6,992 1.0×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $3,969 $6,615 1.7×
Convert Nephrostomy Catheter (50434) $2,611.20 $4,352 1.0×
Cordocentesis (59012) $730.20 $1,217 2.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,438 $5,730 1.7×
Csf shunt reprogram (62252) $726.60 $1,211 2.0×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $573 $955 2.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $344.40 $574 2.2×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $344.40 $574 1.2×
Curettage postpartum (59160) $4,233.60 $7,056 1.1×
Cystometrogram W/Up (51727) $1,657.20 $2,762 2.0×
Cystometrogram W/Vp (51728) $1,838.40 $3,064 2.2×
Cystometrogram W/Vp&Up (51729) $1,657.20 $2,762 2.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $431.40 $719 0.9×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $678.60 $1,131 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $707.40 $1,179 0.8×
Debride nail 1-5 (11720) $170.40 $284 2.4×
Debride nail 6 or more (11721) $170.40 $284 2.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,903.80 $3,173 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $864 $1,440 1.8×
Declot vascular device (36593)
range across 2 matching MRF lines
$417.60–$437.40 $696–$729 varies
Destruct B9 Lesion 1-14 (17110) $457.80 $763 1.9×
Diagnostic sigmoidoscopy (45330) $2,263.80 $3,773 2.0×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $2,699.40 $4,499 1.9×
Dilation & curettage dx&/ther nonobstetric (58120) $4,233.60 $7,056 1.1×
Drain Cerebro Spinal Fluid (62272) $1,510.20 $2,517 1.8×
Drain Spinal Cord Cyst (62268) $1,869 $3,115 1.8×
Drain/inj small joint/bursa w/us (20604) $462.60 $771 1.3×
Drainage external auditory canal abscess (69020) $290.40 $484 0.3×
Drainage external ear abscess/hematoma cmplx (69005) $3,112.20 $5,187 1.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,593 $2,655 1.9×
Drainage Finger Abscess Complicated (26011) $3,112.20 $5,187 1.6×
Drainage of finger abscess simple (26010) $470.40 $784 2.0×
Drainage of gum lesion (41800) $291.60 $486 1.8×
Drainage of hematoma/fluid (10140) $3,749.40 $6,249 1.9×
Drainage of mouth lesion (41017) $4,131 $6,885 1.0×
Drainage of perirenal or renal abscess, open Facility (50020) $1,096.80 $1,828 0.4×
Drainage of rectal abscess (45005) $3,278.40 $5,464 2.3×
Draw Blood Off Venous Device (36591) $85.20 $142 0.5×
Dressing Change Under Anesthesia (15852) $1,272 $2,120 1.4×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,104.60 $1,841 1.7×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,593 $2,655 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $431.40 $719 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $284.40 $474 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $470.40 $784 2.0×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $594 $990 0.6×
Dx Bone Marrow Bx & Aspir (38222) $3,749.40 $6,249 1.1×
Dx Bronchoscope/Lavage (31624) $1,244.40 $2,074 0.6×
Dx Bronchoscope/Wash (31622) $3,472.20 $5,787 1.6×
Dx Laryngoscopy Excl Nb (31525) $4,158 $6,930 1.9×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,432.80 $2,388 1.7×
Egd Flexible Foreign Body Removal (43247) $1,236.60 $2,061 1.1×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $4,504.80 $7,508 2.0×
Egd place gastrostomy tube (43246) $4,504.80 $7,508 2.0×
Egd Varices Ligation (43244) $4,504.80 $7,508 2.0×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $852 $1,420 2.3×
Electro-Uroflowmetry First (51741) $400.20 $667 1.5×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,841.40 $3,069 0.8×
Epidural Blood Patch (62273) $703.20 $1,172 0.8×
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
unusually low: confirm this is the full procedure
$3,286.80 $5,478 0.5×
Ercp Dx Collection Specimen Brushing/Washing (43260) $3,527.40 $5,879 0.8×
Ercp ea duct/ampulla dilate (43277) $3,527.40 $5,879 0.8×
Ercp remove calculi/debris biliary/pancreas duct (43264) $7,627.20 $12,712 1.7×
Ercp remove forgn body duct (43275) $7,627.20 $12,712 3.3×
Ercp Stent Exchange W/Dilate (43276) $11,938.80 $19,898 1.6×
Ercp W/Biopsy Single/Multiple (43261) $3,360 $5,600 0.7×
Ercp,Sphincterotomy (43262) $7,627.20 $12,712 1.7×
Escharotomy; initial incision (16035) $20.34 $33.90 0.0×
Esophagoscopy Flex Transoral Injection Varices (43204) $4,504.80 $7,508 2.0×
Esophagoscopy Flexible Guide Wire Dilation (43226) $4,504.80 $7,508 2.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $4,504.80 $7,508 2.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $4,504.80 $7,508 2.0×
Evacuation of subungual hematoma (11740) $291.60 $486 1.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,042.20 $1,737 1.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,907.40 $3,179 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,042.20 $1,737 1.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,042.20 $1,737 1.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,907.40 $3,179 2.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,907.40 $3,179 1.0×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,907.40 $3,179 1.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,907.40 $3,179 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,907.40 $3,179 2.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,907.40 $3,179 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,907.40 $3,179 2.2×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $3,723 $6,205 1.9×
Exc Skin Benig >4 Cm Remaindr Body (11426) $4,844.40 $8,074 1.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,723 $6,205 1.9×
Exc Skin Benig >4cm Face,Facial (11446) $4,844.40 $8,074 1.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,078.80 $1,798 0.8×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,042.20 $1,737 2.1×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,042.20 $1,737 1.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,723 $6,205 1.9×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 2 matching MRF lines
$892.20–$4,195.20 $1,487–$6,992 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $4,714.20 $7,857 1.9×
Exchange Transfusion (36455)
range across 5 matching MRF lines
$575.40–$983.40 $959–$1,639 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $119.40 $199 0.1×
Excision gum each quadrant (41820) $5,508 $9,180 1.4×
Excision of hydrocele; unilateral (55040) $4,437.60 $7,396 1.0×
Excision of pilonidal cyst or sinus; simple (11770) $6,872.40 $11,454 2.0×
Expl penetrating wound spx abdomen/flank/back (20102) $4,210.20 $7,017 1.7×
Exploration penetrating wound spx chest (20101) $4,210.20 $7,017 1.7×
Exploration penetrating wound spx extremity (20103) $807 $1,345 0.4×
Exploration Penetrating Wound Spx Neck (20100) $807 $1,345 1.2×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $730.20 $1,217 2.0×
Fetal non-stress test (59025) $483 $805 2.0×
Fetal Shunt Placement W/Ultrasound Guidance (59076) $730.20 $1,217 2.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $793.80 $1,323 0.9×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $793.80 $1,323 0.9×
Fine needle aspiration without imaging guidance (10021) $864 $1,440 1.8×
Fluoro exam of g/colon tube (49465) $646.20 $1,077 2.3×
Fna Bx W/Fluor Gdn 1St Les (10007) $793.80 $1,323 0.9×
Fna bx w/us gdn 1st les (10005) $793.80 $1,323 0.9×
Foreskin manipulation (54450) $638.40 $1,064 2.1×
Guide Cathet Fluid Drainage (10030) $264.60 $441 0.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,078.80 $1,798 1.0×
I&d abscess peritonsillar (42700) $496.20 $827 1.7×
I&d abscess simple (10060) $470.40 $784 2.0×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines
$3,034.20–$5,122.80 $5,057–$8,538 varies
I&d perianal abscess superficial (46050) $1,974.60 $3,291 1.8×
I&d pilonidal cyst complicated (10081) $1,593 $2,655 1.9×
I&d pilonidal cyst simple (10080) $1,593 $2,655 1.9×
I&d shoulder deep abscess/hematoma (23030) $4,841.40 $8,069 1.4×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $2,313 $3,855 2.1×
Image Cath Fluid Colxn Visc (49405) $2,977.20 $4,962 1.5×
Image Cath Fluid Peri/Retro (49406) $2,876.40 $4,794 1.5×
Image Cath Fluid Trns/Vgnl (49407) $3,757.20 $6,262 1.9×
Impression & Preparation Oral Surgical Splint (21085) $1,279.20 $2,132 4.5×
Incise external hemorrhoid (46083) $1,078.80 $1,798 3.6×
Incision & drainage abscess complicated/multiple (10061) $864 $1,440 1.8×
Incision & removal foreign body subq tiss compl (10121) $3,749.40 $6,249 1.9×
Incision & removal foreign body subq tiss simple (10120) $864 $1,440 1.8×
Incision and drainage of bartholin's gland abscess (56420) $536.40 $894 2.2×
Incision and drainage of vulva or perineal abscess (56405) $957 $1,595 2.6×
Incision of lingual frenum (frenotomy) (41010) $2,616 $4,360 1.4×
Incisional biopsy skin single lesion (11106) $418.80 $698 0.5×
Initial Tx 1st Degree Burn Local Tx (16000) $187.20 $312 0.8×
Inj W/Fluor Eval Cv Device (36598) $531 $885 2.1×
Inject Intravitreal Pharmcologic (67028) $828 $1,380 2.1×
Injection 1 tendon sheath/ligament aponeurosis (20550) $545.40 $909 1.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,085 $3,475 2.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,582.20 $2,637 1.9×
Injection Anes Agent Sphenopalatine Ganglion (64505) $816.60 $1,361 2.2×
Injection Into Brain Canal (61055) $299.40 $499 0.8×
Injection single tendon origin/insertion (20551) $545.40 $909 1.5×
Injection single/mlt trigger point 1/2 muscles (20552) $545.40 $909 1.5×
Injection single/mlt trigger point 3/> muscles (20553) $545.40 $909 1.5×
Injection Sinus Tract Therapeutic Separate Proc (20500) $399.60 $666 0.2×
Injection, anesthetic agent; brachial plexus, single (64415) $2,085 $3,475 2.0×
Injection, anesthetic agent; femoral nerve, single (64447) $1,276.20 $2,127 1.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,510.20 $2,517 1.8×
Injection, Intralesional; More Than 7 Lesions (11901) $477 $795 2.0×
Injection, intralesional; up to and including 7 lesions (11900) $457.80 $763 1.9×
Ins cath ren art 1st bilat (36252) $6,679.80 $11,133 1.8×
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines
$1,798.80–$5,990.40 $2,998–$9,984 varies
Ins cath ren art 2nd+ bilat (36254) $1,938 $3,230 0.5×
Ins endovas vena cava filtr (37191)
range across 2 matching MRF lines
$5,182.80–$6,540 $8,638–$10,900 varies
Insert Bladder Cath Complex (51703) $20.34 $33.90 0.1×
Insert cath pleura w/ image (32557) $2,165.40 $3,609 1.1×
Insert cath pleura w/o image (32556) $927 $1,545 0.4×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $2,604 $4,340 1.8×
Insert Drug Implant Device (11981) $323.40 $539 2.0×
Insert Gastrostomy Tube Percutaneous (49440) $3,969 $6,615 1.7×
Insert non-tunnel cv cath (36556) $2,733 $4,555 0.7×
Insert pessary/other device (57160) $276 $460 1.1×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,703.40 $2,839 0.9×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$291.60–$1,770.60 $486–$2,951 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines
$627.60–$4,753.80 $1,046–$7,923 varies
Insert tunneled cv cath (36563) $4,112.40 $6,854 0.6×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
range across 3 matching MRF lines
$980.40–$4,458.60 $1,634–$7,431 varies
Insert,Non-Indwelling Bladder Catheter (51701) $172.80 $288 1.1×
Insertion indwelling tunneled pleural catheter (32550) $5,054.40 $8,424 1.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,133.60 $3,556 1.1×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $861.60 $1,436 0.2×
Insj Picc Rs&I <5 Yr (36572) $2,133.60 $3,556 2.8×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $6,930.60 $11,551 1.8×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $3,429 $5,715 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,733 $4,555 1.4×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $4,112.40 $6,854 1.1×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $4,112.40 $6,854 0.6×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560)
range across 2 matching MRF lines
$591.60–$621.60 $986–$1,036 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines
$1,036.20–$3,333.60 $1,727–$5,556 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $13,789.80 $22,983 1.4×
Interdental fixation (21110) $1,665 $2,775 0.9×
Interdental Wiring Other Than Fracture (21497) $3,313.20 $5,522 1.8×
Intraoral i&d tongue/floor sublngl supfc (41005) $573 $955 2.0×
Intraoral i&d tongue/floor submndblr space (41008) $2,000.40 $3,334 0.5×
Intro Gastrointestinal Tube (44500) $2,067.60 $3,446 1.9×
Intubation endotracheal emergency procedure (31500) $468.60 $781 1.7×
Irrigation of corpora cavernosa for priapism (54220) $611.40 $1,019 2.0×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $3,722.40 $6,204 0.8×
Laryngoscopy flexible diagnostic (31575) $436.20 $727 1.8×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $3,722.40 $6,204 1.7×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $3,722.40 $6,204 1.7×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,044.60 $1,741 2.2×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $347.40 $579 1.5×
Laryngoscopy W/Foreign Body Removal (31530) $1,224.60 $2,041 0.6×
Late closure of wound (13160) $4,210.20 $7,017 1.0×
Lip Surgery Procedure (40799) $526.80 $878 1.9×
Lyse chest fibrin init day (32561) $1,441.20 $2,402 1.9×
Lyse Chest Fibrin Subq Day (32562) $1,441.20 $2,402 1.9×
Lysis of labial adhesions (56441) $2,413.80 $4,023 0.6×
Manipulation knee joint under general anesthesia (27570) $3,988.20 $6,647 2.1×
Manometric stds thru tube/ndwellg urtrl cath (50396) $364.20 $607 0.4×
Mech remov tunneled cv cath (36595) $3,587.40 $5,979 0.9×
Multifetal Pregnancy Reduction (59866) $730.20 $1,217 2.0×
N block inj intercost sng (64420) $1,582.20 $2,637 1.9×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines
$382.20–$436.20 $637–$727 varies
Nasal surgery procedure (30999) $558.60 $931 2.0×
Nasal/Orogastric W/Tube Plmt (43752) $918 $1,530 1.7×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,882 $6,470 1.8×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $681.60 $1,136 2.3×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines
$835.80–$1,119 $1,393–$1,865 varies
Needle Biopsy Pancreas (48102) $1,449.60 $2,416 0.7×
Needle insertion w/o injection 1 or 2 muscles (20560) $57.60 $96 1.7×
Needle insertion w/o injection 3 or more muscles (20561) $57.60 $96 1.7×
Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) $290.40 $484 1.9×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $290.40 $484 1.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $912 $1,520 2.2×
Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) $837.60 $1,396 2.0×
Nfct ds fungal pathogen id DNA 15 fungal targets (0140U) $290.40 $484 1.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $677.40 $1,129 1.8×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines
$402–$6,415.20 $670–$10,692 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)
range across 2 matching MRF lines
$3,229.80–$8,095.20 $5,383–$13,492 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $333 $555 0.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,510.20 $2,517 1.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,404.60 $2,341 1.7×
Njx Sclrsnt 1 Incmptnt Vein (36470) $864 $1,440 1.8×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $304.80 $508 0.6×
Obstructive material removal from gi tube (49460) $559.80 $933 0.5×
Occipital Nerve Block (64405) $209.40 $349 0.6×
Open treatment metatarsal fracture each (28485)
unusually low: confirm this is the full procedure
$3,153 $5,255 0.4×
Open tx ulnar fx proximal end (24685) $6,223.20 $10,372 0.7×
Open/Perq Place Stent 1St (37236) $29,224.20 $48,707 2.1×
Open/Perq Place Stent Same (37238) $12,108.60 $20,181 0.9×
Partial Excision Distal Phalanx Finger (26236) $2,718.60 $4,531 1.4×
Partial removal of toe (28160) $2,718.60 $4,531 0.7×
Partical Excision Bone Phalanx Toe (28124) $2,718.60 $4,531 0.7×
Pelvic examination under anesthesia (other than local) (57410) $2,131.20 $3,552 0.5×
Perc Cryo Ablate Renal Tum (50593) $7,695 $12,825 0.6×
Perc Rf Ablate Renal Tumor (50592) $7,695 $12,825 1.1×
Percut Ablate Liver Rf (47382)
likely a partial charge, not the full procedure
$992.40 $1,654 0.1×
Percut Cath Occlusn Non Cns Lesn (61626)
likely a partial charge, not the full procedure
$2,179.20 $3,632 0.2×
Percut Drain/Inject Renal Cyst (50390) $1,512.60 $2,521 1.8×
Pericardiocentesis W/Imaging (33016) $4,240.80 $7,068 2.2×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure
$5,185.20 $8,642 0.2×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $7,695 $12,825 1.1×
Photopheresis extracorporeal (36522) $8,596.80 $14,328 1.6×
Place Cath Subclavian Art (36225) $2,579.40 $4,299 0.7×
Place Cath Vertebral Art (36226) $9,397.20 $15,662 1.4×
Place Duod/Jej Tube Perc (49441) $3,969 $6,615 1.7×
Placement of needle for intraosseous infusion (36680) $490.80 $818 0.9×
Plmt Bile Duct Stent Prq Existing Access (47538) $6,748.80 $11,248 0.9×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $6,748.80 $11,248 0.9×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $6,748.80 $11,248 0.9×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $4,011.60 $6,686 1.6×
Plmt Nephroureteral Catheter (50433) $3,735.60 $6,226 0.9×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $4,873.20 $8,122 1.2×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $4,873.20 $8,122 1.2×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $4,873.20 $8,122 1.2×
Prepare face/oral prosthesis (21089) $133.20 $222 0.5×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $5,952.60 $9,921 1.8×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $610.80 $1,018 0.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)
range across 2 matching MRF lines
$985.80–$4,195.20 $1,643–$6,992 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,195.20 $6,992 1.0×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure
$2,026.20 $3,377 0.2×
Punch biopsy skin single lesion (11104) $418.80 $698 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$241.20–$248.40 $402–$414 varies
Puncture Aspiration Cyst Breast (19000) $757.20 $1,262 0.9×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,510.20 $2,517 1.8×
Push Transfusion Blood 2 Yr/Under (36440)
range across 2 matching MRF lines
$891.60–$1,050 $1,486–$1,750 varies
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,565.20 $5,942 0.8×
Reduction of rectal prolapse (45900) $1,270.20 $2,117 1.1×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,966.20 $3,277 1.8×
Removal Embedded Foreign Body Eyelid (67938) $743.40 $1,239 2.0×
Removal Foreign Body Deep Thigh/Knee (27372) $4,319.40 $7,199 1.2×
Removal Foreign Body Foot Complicated (28193) $2,479.20 $4,132 1.3×
Removal foreign body foot deep (28192) $3,272.40 $5,454 1.7×
Removal Foreign Body Foot Subcutaneous (28190) $1,593 $2,655 1.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,042.20 $1,737 0.5×
Removal Foreign Body Pelvis/Hip Deep (27087) $5,052.60 $8,421 1.3×
Removal foreign body upper arm/elbow deep (24201) $3,723 $6,205 1.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $156 $260 2.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $156 $260 2.2×
Removal impacted vag fb spx w/anes oth/thn local (57415) $4,189.20 $6,982 1.1×
Removal Implant Superficial Separate Procedure (20670) $1,260.60 $2,101 0.6×
Removal of foreign body from pharynx (42809) $918 $1,530 1.7×
Removal of nail bed (11750) $864 $1,440 1.8×
Removal or bivalving full arm or full leg cast (29705) $658.80 $1,098 2.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $284.40 $474 1.2×
Removal Sutures/Staples Requiring Anesthesia (15851) $4,171.80 $6,953 1.7×
Removal, under anesthesia, of external fixation system (20694) $3,730.80 $6,218 1.9×
Removal/bivalving gauntlet boot/body cast (29700) $278.40 $464 0.8×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $2,880.60 $4,801 1.1×
Remove Brain Cavity Fluid (61020) $1,688.40 $2,814 1.6×
Remove cranial cavity fluid (61000) $1,818 $3,030 2.1×
Remove foreign body from eye (65205) $366 $610 2.3×
Remove Int Dwell Ureteral Stent Transurethral (50386) $960 $1,600 0.4×
Remove Intrauterine Device (58301) $536.40 $894 1.5×
Remove intrvas foreign body (37197) $6,930.60 $11,551 1.8×
Remove Nasal Foreign Body (30300) $291.60 $486 1.8×
Remove Shoulder Foreign Body (23330) $1,907.40 $3,179 1.0×
Remove/Insert Drug Implant (11983) $1,057.20 $1,762 2.0×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines
$2,883.60–$3,749.40 $4,806–$6,249 varies
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580)
unusually low: confirm this is the full procedure
$3,178.20 $5,297 0.5×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines
$3,567–$4,149.60 $5,945–$6,916 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,357.20 $2,262 1.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,183.80 $1,973 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $864 $1,440 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,357.20 $2,262 2.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,357.20 $2,262 2.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,357.20 $2,262 2.8×
Repair complex trunk 2.6-7.5 cm (13101) $1,183.80 $1,973 1.3×
Repair extensor tendon finger w/o graft each (26418) $3,877.80 $6,463 2.0×
Repair Finger/Hand Tendon (26350) $6,219.60 $10,366 1.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $864 $1,440 1.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $864 $1,440 1.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $864 $1,440 1.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $444 $740 0.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $444 $740 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $864 $1,440 1.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $864 $1,440 1.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $444 $740 0.5×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,183.80 $1,973 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $864 $1,440 1.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $864 $1,440 1.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $864 $1,440 1.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $444 $740 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $864 $1,440 1.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,183.80 $1,973 0.5×
Repair Laceration Palate </2 Cm (42180) $1,279.20 $2,132 2.0×
Repair of nail bed (11760) $1,357.20 $2,262 1.5×
Repair tongue laceration (41252) $1,629.60 $2,716 5.7×
Repair tongue laceration (41250) $291.60 $486 0.5×
Replace duodenostomy/jejunostomy tube perq (49451) $588.60 $981 0.5×
Replace G-J Tube Perc (49452) $2,067.60 $3,446 1.9×
Replace g/c tube perc (49450) $2,067.60 $3,446 1.9×
Reposition Gastrostomy Tube (43761) $234.60 $391 0.8×
Reposition Venous Catheter (36597) $1,528.20 $2,547 0.8×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $3,165.60 $5,276 1.7×
Rmvl embedded fb vestibule mouth comp (40805) $1,629.60 $2,716 2.5×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $2,067.60 $3,446 1.9×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $4,177.80 $6,963 2.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $918 $1,530 1.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $291.60 $486 1.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $366 $610 0.7×
Rmvl fecal impaction/fb spx under anes (45915) $2,212.20 $3,687 1.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $4,844.40 $8,074 1.4×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,907.40 $3,179 0.5×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,042.20 $1,737 0.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,200 $2,000 0.6×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,703.40 $2,839 2.3×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $500.40 $834 1.5×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines
$555.60–$565.20 $926–$942 varies
Rplc gtube revj gstrst trc (43763) $555.60 $926 1.9×
Rplcmt cath ctr vad subq port/pmp (36578) $3,429 $5,715 0.9×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,518 $2,530 0.8×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $1,806 $3,010 0.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines
$1,813.20–$1,905 $3,022–$3,175 varies
Rplcmt compl tun ctr vad w/subq pmp (36583) $4,112.40 $6,854 0.6×
Rplcmt compl tun ctr vad w/subq port (36582) $4,112.40 $6,854 1.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines
$883.80–$927.60 $1,473–$1,546 varies
Rplcmt/irrigation ventricular catheter (62225) $199.20 $332 0.0×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)
range across 2 matching MRF lines
$811.80–$853.20 $1,353–$1,422 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $470.40 $784 2.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $444 $740 0.5×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $484.80 $808 1.7×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $5,601.60 $9,336 2.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,629.60 $2,716 2.5×
Rpr Lip Full Thickness Vermilion Only (40650) $1,279.20 $2,132 2.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,629.60 $2,716 0.9×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 2 matching MRF lines
$407.40–$1,703.40 $679–$2,839 varies
Sclerotx Fluid Collection (49185) $1,563.60 $2,606 0.8×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,974.80 $4,958 2.1×
Sigmoidoscopy & Polypectomy (45333) $2,263.80 $3,773 2.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,263.80 $3,773 2.0×
Simple Cystometrogram (51725) $681.60 $1,136 2.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $444 $740 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $470.40 $784 2.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $470.40 $784 2.0×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $444 $740 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $470.40 $784 2.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $444 $740 1.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $470.40 $784 2.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $444 $740 1.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $470.40 $784 2.0×
Skin Tissue Procedure (17999) $587.40 $979 2.4×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $10,760.40 $17,934 1.6×
Slctv cath carotid/innom art angio xtrcranl art (36222) $5,493 $9,155 1.5×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $9,397.20 $15,662 1.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $470.40 $784 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $444 $740 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $444 $740 0.9×
Spinal puncture lumbar diagnostic (62270) $1,510.20 $2,517 1.8×
Strapping ankle (29540) $276.60 $461 1.4×
Strapping elbow or wrist (29260) $276.60 $461 3.9×
Strapping hand/finger (29280) $276.60 $461 3.9×
Strapping Hip (29520) $276.60 $461 1.7×
Strapping knee (29530) $275.40 $459 1.7×
Strapping shoulder (29240) $275.40 $459 1.7×
Strapping thorax (29200) $276.60 $461 1.4×
Strapping toes (29550) $276.60 $461 3.9×
Strapping Unna Boot (29580) $278.40 $464 1.4×
Tangential biopsy skin single lesion (11102) $418.80 $698 0.9×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $8,596.80 $14,328 1.6×
Ther Apheresis,Red Blood Cells (36512) $3,204.60 $5,341 1.7×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,625.40 $2,709 1.9×
Therapeutic Apheresis White Blood Cells (36511) $3,204.60 $5,341 1.7×
Therapeutic plasma exchange (36514) $3,204.60 $5,341 1.7×
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure
$2,766.60 $4,611 0.4×
Thrombolytic Therapy Stroke (37195) $244.80 $408 0.6×
Thyroid biopsy (60100)
range across 2 matching MRF lines
$1,225.20–$1,593 $2,042–$2,655 varies
Tooth extraction (41899) $496.20 $827 1.7×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,279.20 $2,132 2.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,629.60 $2,716 5.7×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,629.60 $2,716 0.9×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $611.40 $1,019 1.7×
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure
$846 $1,410 0.1×
Treat Dental Ridge Fracture (21440) $6,115.20 $10,192 1.5×
Treat humerus fracture (24500) $462.60 $771 1.6×
Treat Humerus Fracture (24505) $3,754.20 $6,257 1.9×
Treat knee fracture (27532) $7,355.40 $12,259 1.9×
Treat Knuckle Dislocation (26700) $597.60 $996 2.0×
Treat Metatarsal Fracture (28475) $462.60 $771 1.6×
Treat Thumb Dislocation (26641) $597.60 $996 2.0×
Treat Thumb Fracture (26645) $462.60 $771 0.2×
Treat toe dislocation (28630) $597.60 $996 2.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $3,754.20 $6,257 1.9×
Treatment closed elbow dislocation w/o anes (24600) $597.60 $996 2.0×
Trimming Nondystrophic Nails Any Number (11719) $170.40 $284 2.4×
Tx Gastro Intub W/Asp (43753) $417.60 $696 1.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $444 $740 0.5×
Tx superficial wound dehiscence w/packing (12021) $444 $740 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $462.60 $771 0.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $462.60 $771 1.6×
Umbilical cord occlud w/us (59072) $730.20 $1,217 2.0×
Unlisted fetal invasive px w/ultrasound (59897) $483 $805 2.0×
Unlisted Procedure Casting/Strapping (29799) $278.40 $464 1.4×
Unlisted procedure colon (45399) $2,090.40 $3,484 1.9×
Unlisted procedure humerus/elbow (24999) $553.20 $922 1.9×
Unlisted Procedure Leg/Ankle (27899) $462.60 $771 1.6×
Unlisted procedure lungs and pleura (32999) $868.20 $1,447 1.2×
Unlisted Procedure Muscskeletal System General (20999) $539.40 $899 1.8×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines
$679.80–$1,384.20 $1,133–$2,307 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $516.60 $861 1.8×
Unlisted Procedure Rectum (45999) $1,974.60 $3,291 1.8×
Unlisted procedure stomach (43999) $2,073.60 $3,456 1.9×
Unlisted Procedure Vascular Surgery (37799) $2,435.40 $4,059 3.2×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,098 $1,830 1.0×
Unlisted Procedure, Urinary System (53899) $565.20 $942 1.9×
Unlisted Px Salivary Glands/Ducts (42699) $475.20 $792 1.7×
Urinary Reflex Study (51792) $165 $275 2.3×
Urine Flow Measurement (51736) $313.80 $523 2.0×
Vaginal delivery only (59409) $6,405 $10,675 1.7×
Vasc embolize/occlude artery (37242) $13,542.60 $22,571 0.6×
Vasc Embolize/Occlude Bleed (37244) $13,542.60 $22,571 1.0×
Vasc Embolize/Occlude Organ (37243) $12,898.20 $21,497 0.9×
Vasc embolize/occlude venous (37241) $29,224.20 $48,707 2.1×
Ventilating tube removal requiring general anesthesia (69424) $3,174 $5,290 0.8×
Wedge excision skin nail fold (11765) $431.40 $719 0.9×
Wedging of cast (29740) $278.40 $464 0.8×
Windowing of cast (29730) $278.40 $464 1.4×

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.