Procedures & surgery prices at Driscoll Children's Hospital Rio Grande Valley

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $241.47 $1,207.36 0.3×
Ablate inf turbinate submuc (30802) $1,428.90 $7,144.50 0.9×
Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) $1,453.10 $7,265.50 0.9×
Adding Walker Previously Applied Cast (29440) $93.28 $466.40 0.6×
Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) $2,354.22 $11,771.10 1.1×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,356.76 $16,783.80 0.9×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $2,556.84 $12,784.20 1.2×
Analyze infusn pump+reprogram (62368) $128.26 $641.30 0.4×
Analyze spine infus pump (62367) $96.14 $480.70 0.3×
Anoscopy diagnostic (46600) $116.38 $581.90 0.9×
Appl Interdental Fixation Device Non-Fx/Dislc (21110) $2,232.34 $11,161.70 1.4×
Application cast elbow finger short arm (29075) $124.96 $624.80 0.4×
Application Cast Finger (29086) $103.18 $515.90 0.6×
Application Cast Hand & Lower Forearm Gauntlet (29085) $113.52 $567.60 0.7×
Application cast shoulder hand long arm (29065) $113.52 $567.60 0.4×
Application Cast Shoulder Spica (29055) $222.64 $1,113.20 0.8×
Application Finger Splint Dynamic (29131) $35.42 $177.10 0.6×
Application finger splint static (29130) $56.72 $283.58 0.4×
Application Hip Spica Cast 1 Leg (29305) $93.28 $466.40 0.3×
Application long arm splint shoulder hand (29105) $124.96 $624.80 0.8×
Application Long Leg Cast Walker/Ambulatory Type (29355) $108.35 $541.75 0.4×
Application long leg splint thigh ankle/toes (29505) $102.74 $513.70 0.6×
Application of cylinder cast (thigh to ankle) (29365) $108.35 $541.75 0.4×
Application of hip spica cast; one and one-half spica or both legs (29325) $103.18 $515.90 0.4×
Application of long leg cast (29345) $121.55 $607.75 0.4×
Application of plaster velpeau cast to upper forearm and shoulder (29058) $93.28 $466.40 0.3×
Application Of Rigid Total Contact Leg Cast (29445) $93.28 $466.40 0.3×
Application Short Arm Splint Dynamic (29126) $98.23 $491.15 0.7×
Application short arm splint forearm-hand static (29125) $113.52 $567.60 0.8×
Application short leg splint calf foot (29515) $103.18 $515.90 0.6×
Application, cast; figure-of-eight (29049) $222.64 $1,113.20 0.8×
Apply long leg cast brace (29358) $103.18 $515.90 0.4×
Apply of clubfoot cast (29450) $124.96 $624.80 0.8×
Apply patella tendon bearing cast (29435) $93.28 $466.40 0.3×
Apply short leg cast (29405) $122.10 $610.50 0.4×
Apply short leg cast (29425) $119.24 $596.20 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $373.34 $1,866.70 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $317.15 $1,585.75 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $373.34 $1,866.70 1.2×
Aspirat/Injection Ganglion Cyst(S) (20612) $373.34 $1,866.70 1.2×
Biopsy external ear (69100) $396 $1,980 1.7×
Biopsy muscle percutaneous needle (20206) $174.27 $871.36 0.1×
Bl push transfuse 2 yr/< (36440) $143 $715 0.3×
Bladder Irrigation Simple (51700) $161.92 $809.60 0.6×
Bladder Scan (51798) $20.42 $102.12 0.3×
Blood patch (62273) $327.94 $1,639.68 0.5×
Blood transfusion service (36430) $406.56 $2,032.80 0.9×
Bone graft, any donor area; minor or small (eg, dowel or button) (20900)
unusually low: confirm this is the full procedure
$2,284.26 $11,421.30 0.3×
Bone marrow aspiration only (38220) $383.68 $1,918.40 0.2×
Bone Marrow Biopsy (38221) $347.16 $1,735.80 0.2×
Breast augmentation with implant (19325)
unusually low: confirm this is the full procedure
$2,930.40 $14,652 0.4×
Bx abdl/retroperitoneal mass prq needle (49180) $217.95 $1,089.76 0.1×
Bx anorectal wall anal approach (45100) $460.02 $2,300.10 0.2×
Catheter Aspiration Nasotracheal Spx (31720) $25.50 $127.50 0.1×
Change Cystostomy Tube Complicated (51710) $59.46 $297.28 0.1×
Change Cystostomy Tube Simple (51705) $59.46 $297.28 0.2×
Change g-tube to g-j perc (49446) $483.84 $2,419.20 0.3×
Chemical Cautery Tissue (17250) $185.90 $929.50 0.9×
Chg Collect Blood From Catheter Venous Nos (36592) $57.86 $289.30 0.4×
Chng urtrost tube/xtrnlly accessible stent ileal (50688) $183.68 $918.40 0.1×
Circumcision (54150) $555.45 $2,777.25 0.3×
Closed Rx Gr Tuberosity Hum Fx (23620) $223.08 $1,115.40 0.9×
Closed Rx Humeral Supracondylar Fx (24530) $257.62 $1,288.10 1.0×
Closed Rx Med Malleolus Fx (27760) $257.62 $1,288.10 1.0×
Closed Rx Radial Shaft Fx (25500) $257.62 $1,288.10 1.0×
Closed Rx Tibia Shaft Fx (27750) $245.41 $1,227.05 1.0×
Closed Rx Tibial Plateau Fx (27530) $257.62 $1,288.10 1.0×
Closed Rx Trimalleolar Fx (27816) $245.85 $1,229.25 1.0×
Closed Treatment Coccygeal Fracture (27200) $212.08 $1,060.40 0.9×
Closed treatment nasal fracture w/stabilization (21320) $1,739.32 $8,696.60 0.5×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $270.49 $1,352.45 1.1×
Closed treatment of talus fracture; without manipulation (28430) $234.85 $1,174.25 0.9×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $212.08 $1,060.40 0.9×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $212.08 $1,060.40 0.9×
Closed Treatment Sesamoid Fracture (28530) $212.08 $1,060.40 0.9×
Closed Treatment Ulnar Styloid Fracture (25650) $223.08 $1,115.40 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $212.08 $1,060.40 0.9×
Closed tx calcaneal fracture w/o manipulation (28400) $234.85 $1,174.25 0.9×
Closed tx femoral fracture prox head w/o manj (27267) $212.08 $1,060.40 0.1×
Closed tx metatarsal fracture w/o manipulation (28470) $257.62 $1,288.10 1.0×
Closed tx patellar fracture w/o manipulation (27520) $222.64 $1,113.20 0.9×
Closed tx radial head/neck fx w/o manipulation (24650) $257.62 $1,288.10 1.0×
Closed tx scapular fracture w/o manipulation (23570) $222.64 $1,113.20 0.9×
Closed tx talotarsal joint dislc w/o anes (28570) $212.08 $1,060.40 0.9×
Closed tx ulnar fracture prox end w/o manipulate (24670) $257.62 $1,288.10 1.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $257.62 $1,288.10 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $257.62 $1,288.10 1.0×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $212.08 $1,060.40 0.9×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $257.62 $1,288.10 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $257.62 $1,288.10 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $257.62 $1,288.10 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $257.62 $1,288.10 1.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $257.62 $1,288.10 1.0×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $212.08 $1,060.40 0.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $245.85 $1,229.25 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $257.62 $1,288.10 1.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $257.62 $1,288.10 1.0×
Cltx greater trochanteric fx w/o manj (27246) $212.08 $1,060.40 0.9×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $212.08 $1,060.40 0.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $212.08 $1,060.40 0.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $257.62 $1,288.10 1.0×
Cltx metatarsophlngl jt dislc w/o anes (28630) $212.08 $1,060.40 0.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $257.62 $1,288.10 1.0×
Cltx prox fibula/shft fx w/o manj (27780) $245.85 $1,229.25 1.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $222.64 $1,113.20 0.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $124.30 $621.50 0.4×
Colposcopy cervix upper/adjacent vagina (57452) $269.94 $1,349.70 1.3×
Complete replacement picc rs&i (36584) $1,603.80 $8,019 1.0×
Complex Cystometrogram (51726) $329.15 $1,645.77 1.3×
Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) $329.15 $1,645.77 0.5×
Complex Uroflowmetry (51741) $133.58 $667.92 0.6×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $175.62 $878.08 0.8×
Control Nasal Hemorrhage Anterior Simple (30901) $71.34 $356.72 0.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,249.50 $6,247.50 0.8×
Cystometrogram w/vp (51728) $329.15 $1,645.77 0.5×
Cystometrogram W/Vp&Up (51729) $379.50 $1,897.50 0.5×
Cystourethroscopy w/dil bladder general anesth (52260) $2,053.48 $10,267.40 1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $100.98 $504.90 0.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $879.34 $4,396.70 2.2×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,317.58 $6,587.90 1.8×
Declot vascular device (36593) $326.59 $1,632.95 1.0×
Destruction benign lesions 15 or more (17111) $133.32 $666.60 0.7×
Destruction Benign Lesions Up To 14 (17110) $187 $935 0.9×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) $544.28 $2,721.40 0.7×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) $1,919.72 $9,598.60 0.9×
Destruction of skin lesions (17106) $347.16 $1,735.80 0.9×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $336.90 $1,684.48 0.5×
Drain Ext Ear Absc/Blood,Complic (69005) $1,576.52 $7,882.60 1.0×
Draw blood off venous device (36591) $57.86 $289.30 0.4×
Dressing change under anesthesia (15852) $1,371.48 $6,857.40 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $207.24 $1,036.20 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $200.86 $1,004.30 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $201.96 $1,009.80 1.0×
Dx bone marrow bx & aspir (38222) $730.62 $3,653.10 0.3×
Egd place gastrostomy tube (43246) $563.58 $2,817.92 0.3×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $188.49 $942.43 1.5×
Ep Relocate Skin Pocket Implantable Defibrillator (33223) $914.76 $4,573.80 0.4×
Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) $1,060.62 $5,303.10 0.3×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,760.66 $8,803.30 0.8×
Esophagoscopy flex biopsy (43202) $520.20 $2,601 0.3×
Esophagoscopy flexible removal foreign body (43215) $502.66 $2,513.28 0.3×
Exc arm/elbow les sc 3 cm/> (24071) $2,157.54 $10,787.70 0.7×
Exc arm/elbow les sc < 3 cm (24075) $1,654.18 $8,270.90 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,590.16 $7,950.80 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $1,656.82 $8,284.10 1.0×
Exc face les sbq 2 cm/> (21012) $2,199.56 $10,997.80 1.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,001.88 $5,009.40 1.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,268.30 $6,341.50 0.8×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $1,259.94 $6,299.70 1.8×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $865.26 $4,326.30 2.1×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $1,231.34 $6,156.70 1.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,400.74 $7,003.70 2.0×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $1,609.52 $8,047.60 1.0×
Exc Skin Benig >4 Cm Face,Facial (11446) $1,684.54 $8,422.70 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,980.88 $9,904.40 0.7×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,811.48 $9,057.40 1.1×
Exc tr-ext b9+marg 0.5 cm or less (11400) $1,258.40 $6,292 1.8×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $2,315.72 $11,578.60 1.4×
Exchange nephrostomy cath (50435) $208.10 $1,040.48 0.1×
Exchng absc/cst drg cath rad gid spx (49423) $203.84 $1,019.20 0.1×
Excise Inferior Turbinate (30130) $1,918.62 $9,593.10 0.6×
Excise/repair mouth lesion (40812) $1,901.24 $9,506.20 1.2×
Excision external ear partial simple repair (69110) $2,378.42 $11,892.10 0.8×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $914.98 $4,574.90 1.3×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $1,208.24 $6,041.20 1.7×
Excision of lesion of tongue without closure (41110) $820.38 $4,101.90 0.2×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $1,402.28 $7,011.40 0.8×
Excision of lesion other than skin tag </= 0.5 cm (11420) $1,485.22 $7,426.10 0.9×
Excision tumor soft tissue thigh/knee subq <3cm (27327) $1,956.90 $9,784.50 1.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,962.62 $9,813.10 1.2×
Excision/destruction intranasal lesion int appr (30117) $1,914.44 $9,572.20 0.6×
Face bone graft (21210)
unusually low: confirm this is the full procedure
$2,746.26 $13,731.30 0.5×
Fill contour defct <1cc (11950) $812.68 $4,063.40 4.0×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $316.06 $1,580.32 0.4×
Fna bx w/fluor gdn 1st les (10007) $249.98 $1,249.92 0.4×
Fna bx w/mr gdn 1st les (10011) $249.98 $1,249.92 0.4×
Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) $1,839.20 $9,196 0.9×
Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) $1,901.90 $9,509.50 0.9×
Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) $1,880.78 $9,403.90 0.9×
Grafting of autologous fat by lipo 25 cc or less (15773) $3,002.34 $15,011.70 1.4×
Grafting of autologous fat by lipo 50 cc or less (15771) $3,559.82 $17,799.10 1.0×
Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) $2,596.44 $12,982.20 0.7×
Guide Cathet Fluid Drainage (10030) $790.50 $3,952.48 1.1×
Hem vw factor&clgn iii bndg (0279U) $143.52 $717.60 12.4×
Hem Vwd Propeptide Ag Lvl (0281U) $176.18 $880.90 10.2×
I&d abscess simple (10060) $89.38 $446.92 0.4×
Image Cath Fluid Colxn Visc (49405) $1,091.78 $5,458.88 0.7×
Image Cath Fluid Peri/Retro (49406) $508.03 $2,540.16 0.3×
Impression & Preparation Auricular Prosthesis (21086) $1,979.56 $9,897.80 0.6×
Incision & removal foreign body subq tiss compl (10121) $2,057 $10,285 1.2×
Incision & removal foreign body subq tiss simple (10120) $629.64 $3,148.20 1.5×
Incision labial frenum frenotomy (40806) $509.74 $2,548.70 0.9×
Incision of lingual frenum (41010) $817.08 $4,085.40 0.5×
Initial tx 1st degree burn local tx (16000) $99 $495 0.5×
Inj subq fill material 1.1-5.0 (11951) $770.88 $3,854.40 1.0×
Inj subq fill material >10cc (11954) $1,853.06 $9,265.30 2.5×
Inj tendon sheath/ligament (20550) $373.34 $1,866.70 1.2×
Inject Intravitreal Pharmcologic (67028) $674.96 $3,374.80 2.0×
Injection aa&/strd trigeminal nerve each branch (64400) $308.88 $1,544.40 1.0×
Injection, Intralesional; More Than 7 Lesions (11901) $105.60 $528 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $149.82 $749.10 0.7×
Ins cath ren art 1st bilat (36252) $1,040.49 $5,202.45 0.3×
Ins cath ren art 1st unilat (36251) $959.20 $4,796 0.3×
Ins cath ren art 2nd+ bilat (36254) $3,693.80 $18,469 1.2×
Ins cath ren art 2nd+ unilat (36253) $3,426.06 $17,130.30 0.6×
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207)
unusually low: confirm this is the full procedure
$4,983 $24,915 0.5×
Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) $5,388.46 $26,942.30 0.5×
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $6,689.76 $33,448.80 0.6×
Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213)
unusually low: confirm this is the full procedure
$4,901.82 $24,509.10 0.5×
Ins Pm Pls Gen W/Exist Single Lead (33212) $4,983 $24,915 0.6×
Insert 1 electrode pm-defib (33216)
likely a partial charge, not the full procedure
$1,207.14 $6,035.70 0.1×
Insert Bladder Cath Complex (51703) $128.27 $641.36 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $185.70 $928.48 0.1×
Insert nasal septal button (30220) $1,189.76 $5,948.80 0.8×
Insert non-tunnel cv cath (36556) $1,106.49 $5,532.45 0.3×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $1,106.49 $5,532.45 0.3×
Insert pacing lead & connect (33224)
likely a partial charge, not the full procedure
$1,207.14 $6,035.70 0.1×
Insert Temp Bladder Cath (51702) $40.04 $200.20 0.3×
Insert Tissue Expander(S) (11960) $3,539.58 $17,697.90 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $29.02 $145.12 0.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,680.14 $8,400.70 1.1×
Insertion picc w/rs&i < 5 yr (36572) $1,603.80 $8,019 2.5×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure
$2,057 $10,285 0.2×
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
likely a partial charge, not the full procedure
$1,207.14 $6,035.70 0.1×
Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) $11,979.66 $59,898.30 0.5×
Insj/rplcmt defib w/lead(s) (33249) $17,017 $85,085 0.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure
$1,270.50 $6,352.50 0.2×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure
$1,270.50 $6,352.50 0.2×
Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) $250.58 $1,252.90 0.2×
Intro Gastrointestinal Tube (44500) $174.72 $873.60 0.2×
Intubation endotracheal emergency procedure (31500) $62.80 $314.02 0.3×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $216.26 $1,081.30 0.6×
Late closure of wound (13160) $2,750.44 $13,752.20 0.8×
Liver Biopsy (47000) $365.90 $1,829.52 0.2×
Lower jaw bone graft (21215) $3,936.90 $19,684.50 0.7×
Mastectomy gynecomastia (19300) $3,281.74 $16,408.70 0.8×
Nasal surgery procedure (30999) $1,538.68 $7,693.40 6.5×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $334.88 $1,674.40 0.7×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $297.78 $1,488.91 1.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $294.86 $1,474.30 0.7×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $1,817 $9,085 0.9×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $254.91 $1,274.56 0.1×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $1,143.97 $5,719.84 0.3×
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $95.87 $479.36 0.1×
Njx Sclrsnt 1 Incmptnt Vein (36470) $120.74 $603.68 0.3×
Open rx mandible fx+dental fix (21462) $5,968.38 $29,841.90 1.0×
Open/Perq Place Stent Same (37238)
likely a partial charge, not the full procedure
$1,249.38 $6,246.90 0.1×
Open/Perq Placement Intravascular Stent Initial (37236)
likely a partial charge, not the full procedure
$1,369.50 $6,847.50 0.1×
Optx complicated mndblr fx (21470) $7,398.60 $36,993 1.2×
Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) (21208) $3,272.72 $16,363.60 0.6×
Percut Cath Occlusn Non Cns Lesn (61626)
likely a partial charge, not the full procedure
$111.55 $557.76 0.0×
Percut Mech Thrombectomy, Venous (37187)
likely a partial charge, not the full procedure
$1,254.88 $6,274.40 0.1×
Percut Mech Thrombectomy, Venous, Repeat (37188) $1,195.26 $5,976.30 0.4×
Pericardiocentesis W/Imaging (33016) $1,456.62 $7,283.10 0.9×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure
$1,728.98 $8,644.90 0.1×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $633.05 $3,165.25 0.4×
Perq p-art revsc 1 nm nt uni (33900) $7,755 $38,775 0.7×
Perq p-art revsc st 1st abnor connj unilateral (33902) $13,176.24 $65,881.20 0.7×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $8,142.64 $40,713.20 0.7×
Perq p-art revsc st 1st nml native connj bi (33901) $8,142.64 $40,713.20 0.7×
Perq replacement gtube not req revj gstrst trc (43762) $298.98 $1,494.90 1.2×
Place Cath Subclavian Art (36225) $1,141.80 $5,709 0.4×
Place Cath Thoracic Aorta (36221) $513.92 $2,569.60 0.2×
Place Cath Vertebral Art (36226)
likely a partial charge, not the full procedure
$1,238.38 $6,191.90 0.2×
Plmt nephrostomy cath prq new access rs&i (50432) $597.64 $2,988.16 0.3×
Plmt nephroureteral cath prq new access rs&i (50433) $730.02 $3,650.08 0.2×
Plmt urtrl stent prq pre-existing nfros tract (50693) $544.32 $2,721.60 0.2×
Prep face/oral prost obturator (21076) $1,802.24 $9,011.20 1.2×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure
$1,195.26 $5,976.30 0.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $470.80 $2,354 0.2×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $94.40 $472 0.1×
Punch biopsy skin single lesion (11104) $320.98 $1,604.90 0.8×
Puncture Aspiration (10160) $385.95 $1,929.76 0.9×
Rbc DNA gntyp 12 bld grp gen (0282U) $339.71 $1,698.55 0.5×
Reconstr lwr jaw segment (21198) $5,555.22 $27,776.10 0.9×
Reconstruct finger joint (26545) $2,306.70 $11,533.50 0.7×
Reconstruction of mandibular ramus, sagittal split; in internal rigid fixation (21196) $9,674.94 $48,374.70 1.6×
Reconstruction of nose (30400)
unusually low: confirm this is the full procedure
$2,364.12 $11,820.60 0.4×
Reconstruction Toe Polydactyly (28344) $2,799.50 $13,997.50 0.9×
Reduction of Large Breast (19318)
unusually low: confirm this is the full procedure
$3,301.76 $16,508.80 0.5×
Relocation of skin pocket for pacemaker (33222) $3,520.44 $17,602.20 1.7×
Removal fb intranasal (30300) $89.38 $446.92 0.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $203.62 $1,018.08 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $33.66 $168.30 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $45.98 $229.90 0.8×
Removal impacted vag fb spx w/anes oth/thn local (57415) $546 $2,730 0.2×
Removal Implant Deep (20680) $2,858.46 $14,292.30 1.0×
Removal Implant Superficial Separate Procedure (20670) $2,447.28 $12,236.40 1.5×
Removal Implantable Defib Pulse Generator Only (33241) $3,410.66 $17,053.30 0.9×
Removal of nail bed (11750) $795.96 $3,979.80 1.9×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $696.30 $3,481.50 3.5×
Removal subq cardiac rhythm monitor (33286) $1,802.46 $9,012.30 2.5×
Removal Sutures/Staples Requiring Anesthesia (15851) $345.62 $1,728.10 0.2×
Removal/bivalving full arm/full leg cast (29705) $108.35 $541.75 0.4×
Removal/bivalving gauntlet boot/body cast (29700) $98.23 $491.15 0.3×
Remove digit nerve lesion (64776) $2,020.26 $10,101.30 1.0×
Remove intrvas foreign body (37197) $768.46 $3,842.30 0.2×
Remove Pilonidal Cyst Exten (11771) $2,640.22 $13,201.10 0.9×
Remove tissue expander (11971) $2,630.98 $13,154.90 0.9×
Remv Ext Canal Foreign Body (69200) $66.13 $330.65 0.5×
Remv/revisn shldr/hip spica cast (29710) $93.28 $466.40 0.3×
Renal biopsy (50200) $305.76 $1,528.80 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $824.34 $4,121.70 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $870.76 $4,353.80 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $631.62 $3,158.10 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $943.58 $4,717.90 2.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $721.38 $3,606.90 1.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,070.96 $5,354.80 2.6×
Repair extensor tendon finger w/o graft each (26418) $1,933.36 $9,666.80 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $467.06 $2,335.30 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $425.04 $2,125.20 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $415.80 $2,079 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $454.74 $2,273.70 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $458.70 $2,293.50 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $510.40 $2,552 1.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $579.48 $2,897.40 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $502.92 $2,514.60 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $550.22 $2,751.10 1.3×
Repair lead pace-defib dual (33220) $1,207.14 $6,035.70 0.3×
Repair lead pace-defib one (33218) $1,207.14 $6,035.70 0.3×
Repair mouth/nose fistula (30600) $3,894.66 $19,473.30 0.7×
Repair nasal vestibular stenosis (30465)
unusually low: confirm this is the full procedure
$2,321.66 $11,608.30 0.4×
Repair of eye socket wound (65290) $2,407.24 $12,036.20 0.6×
Repair of nail bed (11760) $647.46 $3,237.30 0.9×
Repair of nasal septum (30520) $1,769.24 $8,846.20 0.5×
Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468)
unusually low: confirm this is the full procedure
$1,851.74 $9,258.70 0.3×
Repair oro-maxillary fistula (30580)
unusually low: confirm this is the full procedure
$2,884.20 $14,421 0.5×
Repair Spica/Body/Jacket Cast (29720) $103.18 $515.90 0.6×
Repair tooth socket (41874) $1,757.36 $8,786.80 0.5×
Repair webbed toe(s) (28345) $1,609.96 $8,049.80 1.0×
Replacement gastro-jejunostomy tube percutaneous (49452) $743.68 $3,718.40 0.8×
Reposition gastrostomy tube (43761) $366.51 $1,832.56 1.5×
Reposition pacing-defib lead (33215) $914.10 $4,570.50 0.3×
Resect Inferior Turbinate (30140) $1,598.30 $7,991.50 0.5×
Revise external ear (69300) $2,340.36 $11,701.80 0.7×
Revision of nose (30430)
unusually low: confirm this is the full procedure
$2,421.10 $12,105.50 0.4×
Rhinoplasty, Primary; Including Major Septal Repair (30420) $4,176.26 $20,881.30 0.7×
Rib cartilage graft (21230) $4,249.08 $21,245.40 0.7×
Rmvl fecal impaction/fb spx under anes (45915) $202.40 $1,012 0.2×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $1,116.06 $5,580.30 0.3×
Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) $1,116.06 $5,580.30 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,763.55 $8,817.76 2.8×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,527.46 $7,637.30 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,763.55 $8,817.76 0.6×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $273.90 $1,369.50 1.2×
Rpsg prev implted car ven sys l ventr eltrd (33226) $953.48 $4,767.40 0.3×
Rpsg previously placed cvc under fluor gdnce (36597) $4,156.02 $20,780.10 2.6×
Sclerotx Fluid Collection (49185) $1,097.58 $5,487.90 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $84.26 $421.30 0.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $105.16 $525.80 0.5×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $773.40 $3,867 0.8×
Simple Cystometrogram (51725) $297.78 $1,488.91 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $207.02 $1,035.10 1.0×
Skin splt grft trnk/arm/leg (15100) $2,309.78 $11,548.90 1.1×
Skin sub graft face/nk/hf/g (15275) $1,215.50 $6,077.50 1.6×
Skin sub graft trnk/arm/leg (15271) $1,309.44 $6,547.20 1.8×
Skin Tissue Procedure (17999) $2,007.06 $10,035.30 10.0×
Skin tissue rearrangement (14040) $2,012.34 $10,061.70 1.0×
Skn sub grft f/n/hf/g child (15277) $2,010.80 $10,054 1.0×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
likely a partial charge, not the full procedure
$1,224.08 $6,120.40 0.2×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
likely a partial charge, not the full procedure
$1,224.08 $6,120.40 0.2×
Spinal puncture lumbar diagnostic (62270) $464.48 $2,322.40 0.7×
Spinal Puncture Therapeutic (62272) $339.58 $1,697.92 0.5×
Strapping ankle (29540) $79.31 $396.55 0.5×
Strapping elbow/wrist (29260) $79.31 $396.55 1.3×
Strapping hand/finger (29280) $91.52 $457.60 1.5×
Strapping Hip (29520) $75.46 $377.30 0.6×
Strapping knee (29530) $79.20 $396 0.6×
Strapping shoulder (29240) $24.75 $123.75 0.2×
Strapping thorax (29200) $87.78 $438.90 0.5×
Strapping toes (29550) $87.12 $435.60 1.5×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Other Surgical Services (11952) $656.26 $3,281.30 0.9×
Suction assisted lipectomy; trunk (15877) $3,021.48 $15,107.40 0.8×
Tangential biopsy skin single lesion (11102) $269.28 $1,346.40 0.7×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $2,398.88 $11,994.40 0.5×
Ther Apheresis,Plasma Pheresis (36514) $1,095.38 $5,476.90 0.7×
Ther Apheresis,Platelets (36513) $986.04 $4,930.20 2.2×
Ther Apheresis,Red Blood Cells (36512) $986.04 $4,930.20 0.6×
Ther Apheresis,White Blood Cells (36511) $986.04 $4,930.20 0.6×
Thoracentesis needle/cath pleura w/o imaging (32554) $405.44 $2,027.20 0.6×
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) $713.24 $3,566.20 0.2×
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure
$1,261.04 $6,305.20 0.2×
Thrombolytic Venous Therapy (37212) $1,022.56 $5,112.80 0.3×
Tis trnfr trunk 10.1-30sqcm (14001) $2,165.24 $10,826.20 1.0×
Trach Tube Change (31502) $11.20 $56 0.0×
Treat Fracture Radius & Ulna (25560) $257.62 $1,288.10 1.0×
Treat humerus fracture (24500) $245.85 $1,229.25 1.0×
Treat humerus fracture (23600) $257.62 $1,288.10 1.0×
Treat wrist bone fracture (25622) $245.85 $1,229.25 1.0×
Treat Wrist Bone Fracture (25630) $223.08 $1,115.40 0.9×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $222.64 $1,113.20 0.9×
Trimming Of Nondystrophic Nails, Any Number (11719) $75.24 $376.20 1.3×
Trlml balo angiop open/perq img s&i 1st art (37246)
likely a partial charge, not the full procedure
$1,136.74 $5,683.70 0.2×
Trlml balo angiop open/perq w/img s&i 1st vein (37248)
unusually low: confirm this is the full procedure
$2,183.94 $10,919.70 0.4×
Unlisted Procedure Dentoalveolar Structures (41899) $2,977.26 $14,886.30 12.5×
Unlisted Procedure External Ear (69399) $2,169.64 $10,848.20 9.1×
Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214)
likely a partial charge, not the full procedure
$890.78 $4,453.90 0.1×
Urine Flow Measurement (51736) $154.08 $770.39 1.2×
Vasc embolize/occlude artery (37242)
likely a partial charge, not the full procedure
$1,938.50 $9,692.48 0.1×
Vasc Embolize/Occlude Bleed (37244)
unusually low: confirm this is the full procedure
$3,791.92 $18,959.60 0.3×
Vasc embolize/occlude organ (37243)
unusually low: confirm this is the full procedure
$3,640.78 $18,203.90 0.3×
Vasc embolize/occlude venous (37241) $6,601.33 $33,006.66 0.6×
Venipuncture (36415) $14.03 $70.15 1.5×
Venipuncture Cutdown Younger Than 1 Year (36420) $152.90 $764.50 1.1×
Venipuncture, cutdown; age 1 or over (36425) $83.82 $419.10 0.2×
Vw factor type 2b eval plsm (0283U) $224.48 $1,122.40 12.2×
Vw factor type 2n eval plsm (0284U) $321.54 $1,607.70 18.6×
Wedging of cast (29740) $93.28 $466.40 0.3×
Wedging of clubfoot cast (29750) $93.28 $466.40 0.3×
Windowing of cast (29730) $93.28 $466.40 0.6×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $1,708.52 $8,542.60 2.3×