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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × 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× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $1,453.10 | $7,265.50 | 0.9× |
| Adding Walker Previously Applied Cast (29440) | $93.28 | $466.40 | 0.6× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $2,165.24 | $10,826.20 | 1.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $3,356.76 | $16,783.80 | 0.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $2,012.34 | $10,061.70 | 1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $2,354.22 | $11,771.10 | 1.1× |
| Anal/Urinary Muscle Study (51784) | $188.49 | $942.43 | 1.5× |
| Anoscopy diagnostic (46600) | $116.38 | $581.90 | 0.9× |
| Apheresis Platelets (36513) | $986.04 | $4,930.20 | 2.2× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) range across 3 matching MRF lines |
$113.52–$227.04 | $567.60–$1,135.20 | varies |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) | $103.18 | $515.90 | 0.4× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$113.52–$343.42 | $567.60–$1,717.10 | varies |
| Application Cast Finger (29086) range across 10 matching MRF lines |
$93.28–$124.96 | $466.40–$624.80 | varies |
| 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) range across 2 matching MRF lines |
$47.30–$66.13 | $236.50–$330.65 | varies |
| Application Hip Spica Cast 1 Leg (29305) | $93.28 | $466.40 | 0.3× |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$66.13–$124.96 | $330.65–$624.80 | varies |
| Application Long Leg Cast Brace (29358) | $103.18 | $515.90 | 0.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 2 matching MRF lines |
$103.18–$113.52 | $515.90–$567.60 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$66.13–$103.18 | $330.65–$515.90 | varies |
| Application of cylinder cast (thigh to ankle) (29365) range across 2 matching MRF lines |
$103.18–$113.52 | $515.90–$567.60 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$113.52–$129.58 | $567.60–$647.90 | varies |
| Application of rigid total contact leg cast (29445) | $93.28 | $466.40 | 0.3× |
| Application Patellar Tendon Bearing Cast (29435) | $93.28 | $466.40 | 0.3× |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$93.28–$103.18 | $466.40–$515.90 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$66.13–$124.96 | $330.65–$624.80 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$66.13–$113.52 | $330.65–$567.60 | varies |
| Application, cast; figure-of-eight Facility (29049) | $222.64 | $1,113.20 | 0.8× |
| Apply hand/wrist cast (29085) range across 3 matching MRF lines |
$106.48–$113.52 | $532.40–$567.60 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$113.52–$399.30 | $567.60–$1,996.50 | varies |
| Apply Short Leg Cast (29405) range across 6 matching MRF lines |
$113.52–$122.10 | $567.60–$610.50 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$113.52–$124.96 | $567.60–$624.80 | varies |
| Apply shoulder cast,plastr velpeau (29058) | $93.28 | $466.40 | 0.3× |
| 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) range across 2 matching MRF lines |
$260.96–$373.34 | $1,304.80–$1,866.70 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $373.34 | $1,866.70 | 1.2× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$301.73–$509.15 | $1,508.64–$2,545.76 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $373.34 | $1,866.70 | 1.2× |
| Biopsy Abdominal Mass (49180) | $217.95 | $1,089.76 | 0.1× |
| Biopsy external ear (69100) | $396 | $1,980 | 1.7× |
| Biopsy muscle percutaneous needle (20206) | $174.27 | $871.36 | 0.1× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$227.14–$504.67 | $1,135.68–$2,523.36 | varies |
| Biopsy of rectum (45100) | $460.02 | $2,300.10 | 0.2× |
| Bladder Irrigation (51700) | $161.92 | $809.60 | 0.6× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$20.24–$20.61 | $101.20–$103.04 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$349.58–$463.54 | $1,747.90–$2,317.70 | varies |
| Bone Graft Any Donor Area Minor/Small (20900) unusually low: confirm this is the full procedure |
$2,284.26 | $11,421.30 | 0.3× |
| Bone Marrow Biopsy (38221) | $347.16 | $1,735.80 | 0.2× |
| Bone Marrow; Aspiration Only (38220) | $383.68 | $1,918.40 | 0.2× |
| Breast augmentation with implant (19325) unusually low: confirm this is the full procedure |
$2,930.40 | $14,652 | 0.4× |
| Breast Reduction (19318) unusually low: confirm this is the full procedure |
$3,301.76 | $16,508.80 | 0.5× |
| 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 of Windpipe Airway (31502) | $11.20 | $56 | 0.0× |
| Chemical Cautery Tissue (17250) | $185.90 | $929.50 | 0.9× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $183.68 | $918.40 | 0.1× |
| Circumcision w/clamp/oth dev w/block (54150) | $555.45 | $2,777.25 | 0.3× |
| Clear outer ear canal (69200) | $66.13 | $330.65 | 0.5× |
| 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) range across 2 matching MRF lines |
$212.08–$234.08 | $1,060.40–$1,170.40 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $212.08 | $1,060.40 | 0.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$212.08–$257.62 | $1,060.40–$1,288.10 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$234.08–$257.62 | $1,170.40–$1,288.10 | varies |
| 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 Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $1,739.32 | $8,696.60 | 0.5× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$212.08–$233.20 | $1,060.40–$1,166 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) | $257.62 | $1,288.10 | 1.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $257.62 | $1,288.10 | 1.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $257.62 | $1,288.10 | 1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$212.08–$233.20 | $1,060.40–$1,166 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) | $212.08 | $1,060.40 | 0.9× |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$212.08–$257.62 | $1,060.40–$1,288.10 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $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 Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$212.08–$234.08 | $1,060.40–$1,170.40 | varies |
| 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) range across 2 matching MRF lines |
$234.08–$257.62 | $1,170.40–$1,288.10 | varies |
| 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 humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$212.08–$234.08 | $1,060.40–$1,170.40 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $212.08 | $1,060.40 | 0.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$257.62–$283.36 | $1,288.10–$1,416.80 | varies |
| 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 Medial Ankle Fx (27760) | $257.62 | $1,288.10 | 1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $257.62 | $1,288.10 | 1.0× |
| 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) range across 2 matching MRF lines |
$234.08–$257.62 | $1,170.40–$1,288.10 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $257.62 | $1,288.10 | 1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
$212.08–$233.20 | $1,060.40–$1,166 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) | $257.62 | $1,288.10 | 1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$233.20–$257.62 | $1,166–$1,288.10 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$234.08–$257.62 | $1,170.40–$1,288.10 | varies |
| Collect Blood From Catheter Venous Nos (36592) range across 5 matching MRF lines |
$45.98–$61.60 | $229.90–$308 | varies |
| Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$5.29–$15.41 | $26.45–$77.05 | varies |
| 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× |
| Complex Cystometrogram (51726) | $329.15 | $1,645.77 | 1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$66.13–$76.56 | $330.65–$382.80 | varies |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $483.84 | $2,419.20 | 0.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,249.50 | $6,247.50 | 0.8× |
| Cystometrogram W/Up (51727) | $329.15 | $1,645.77 | 0.5× |
| 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× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,317.58 | $6,587.90 | 1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $879.34 | $4,396.70 | 2.2× |
| Declot vascular device (36593) range across 2 matching MRF lines |
$280.50–$372.68 | $1,402.50–$1,863.40 | varies |
| Destruct B9 Lesion 1-14 (17110) | $187 | $935 | 0.9× |
| Destruction Benign Lesions 15/> (17111) | $133.32 | $666.60 | 0.7× |
| Destruction of skin lesions (17106) | $347.16 | $1,735.80 | 0.9× |
| Drain Cerebro Spinal Fluid (62272) | $339.58 | $1,697.92 | 0.5× |
| Drainage external ear abscess/hematoma cmplx (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× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $544.28 | $2,721.40 | 0.7× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $1,919.72 | $9,598.60 | 0.9× |
| Dx Bone Marrow Bx & Aspir (38222) | $730.62 | $3,653.10 | 0.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $336.90 | $1,684.48 | 0.5× |
| Egd place gastrostomy tube (43246) | $563.58 | $2,817.92 | 0.3× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $128.26 | $641.30 | 0.4× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $96.14 | $480.70 | 0.3× |
| Electro-Uroflowmetry First (51741) | $133.58 | $667.92 | 0.6× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $1,760.66 | $8,803.30 | 0.8× |
| Epidural Blood Patch (62273) | $327.94 | $1,639.68 | 0.5× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $520.20 | $2,601 | 0.3× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $502.66 | $2,513.28 | 0.3× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,654.18 | $8,270.90 | 1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,258.40 | $6,292 | 1.8× |
| 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 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 0.6-1 Cm (11441) | $914.98 | $4,574.90 | 1.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,208.24 | $6,041.20 | 1.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,268.30 | $6,341.50 | 0.8× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,609.52 | $8,047.60 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,485.22 | $7,426.10 | 0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,259.94 | $6,299.70 | 1.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,402.28 | $7,011.40 | 0.8× |
| 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 Remaindr Body (11424) | $1,656.82 | $8,284.10 | 1.0× |
| 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 Skin Benig >4cm Face,Facial (11446) | $1,684.54 | $8,422.70 | 0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $865.26 | $4,326.30 | 2.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,231.34 | $6,156.70 | 1.7× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) | $2,315.72 | $11,578.60 | 1.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $2,157.54 | $10,787.70 | 0.7× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $208.10 | $1,040.48 | 0.1× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $203.84 | $1,019.20 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (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 inferior turbinate partial/complete (30130) | $1,918.62 | $9,593.10 | 0.6× |
| Excision Lesion Tongue W/O Closure (41110) | $820.38 | $4,101.90 | 0.2× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) | $2,020.26 | $10,101.30 | 1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $2,640.22 | $13,201.10 | 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× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $249.98 | $1,249.92 | 0.4× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $249.98 | $1,249.92 | 0.4× |
| Fna bx w/us gdn 1st les (10005) | $316.06 | $1,580.32 | 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× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) unusually low: confirm this is the full procedure |
$2,746.26 | $13,731.30 | 0.5× |
| Graft, Bone; Mandible (Includes Obtaining Graft) (21215) | $3,936.90 | $19,684.50 | 0.7× |
| 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 tiss by direct exc (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) range across 2 matching MRF lines |
$66.13–$112.64 | $330.65–$563.20 | varies |
| Icd Pocket Revision (33223) | $914.76 | $4,573.80 | 0.4× |
| Image Cath Fluid Colxn Visc (49405) range across 2 matching MRF lines |
$684.54–$1,499.01 | $3,422.72–$7,495.04 | varies |
| Image Cath Fluid Peri/Retro (49406) range across 4 matching MRF lines |
$347.87–$785.12 | $1,739.36–$3,925.60 | varies |
| Impression & Preparation Auricular Prosthesis (21086) | $1,979.56 | $9,897.80 | 0.6× |
| Impression&Preparation Surg Obturator Prosthes (21076) | $1,802.24 | $9,011.20 | 1.2× |
| 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 of labial frenum (frenotomy) (40806) | $509.74 | $2,548.70 | 0.9× |
| Incision of lingual frenum (frenotomy) (41010) | $817.08 | $4,085.40 | 0.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $99 | $495 | 0.5× |
| Inj W/Fluor Eval Cv Device (36598) | $175.62 | $878.08 | 0.8× |
| Inject Intravitreal Pharmcologic (67028) | $674.96 | $3,374.80 | 2.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $373.34 | $1,866.70 | 1.2× |
| 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) range across 2 matching MRF lines |
$1,010.24–$1,070.74 | $5,051.20–$5,353.70 | varies |
| Ins cath ren art 1st unilat (36251) range across 2 matching MRF lines |
$931.26–$987.14 | $4,656.30–$4,935.70 | varies |
| 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× |
| 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 cath pleura w/ image (32557) range across 2 matching MRF lines |
$514.58–$751.52 | $2,572.90–$3,757.60 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $185.70 | $928.48 | 0.1× |
| Insert Heart Pm Atrial (33206) | $5,388.46 | $26,942.30 | 0.5× |
| Insert Heart Pm Ventricular (33207) unusually low: confirm this is the full procedure |
$4,983 | $24,915 | 0.5× |
| Insert Nasal Septal Button (30220) | $1,189.76 | $5,948.80 | 0.8× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$532.84–$1,680.14 | $2,664.20–$8,400.70 | varies |
| Insert Pacing Lead & Connect (33224) likely a partial charge, not the full procedure |
$1,207.14 | $6,035.70 | 0.1× |
| Insert pulse gen dual leads (33213) unusually low: confirm this is the full procedure |
$4,901.82 | $24,509.10 | 0.5× |
| Insert Pulse Gen Sngl Lead (33212) | $4,983 | $24,915 | 0.6× |
| Insert Temp Bladder Cath (51702) range across 5 matching MRF lines |
$6.38–$58.52 | $31.90–$292.60 | varies |
| Insert tissue expander(s) (11960) | $3,539.58 | $17,697.90 | 1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$18.48–$33 | $92.40–$165 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines |
$1,527.46–$1,939.84 | $7,637.30–$9,699.20 | varies |
| 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 Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$532.84–$1,680.14 | $2,664.20–$8,400.70 | varies |
| Insj Picc Rs&I <5 Yr (36572) range across 2 matching MRF lines |
$1,527.46–$1,680.14 | $7,637.30–$8,400.70 | varies |
| 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× |
| Insrt heart pm atrial & vent (33208) | $6,689.76 | $33,448.80 | 0.6× |
| Insrt Pulse Gen W/Singl Lead (33240) | $11,979.66 | $59,898.30 | 0.5× |
| Interdental fixation (21110) | $2,232.34 | $11,161.70 | 1.4× |
| Intro cath dialysis circuit (36901) | $250.58 | $1,252.90 | 0.2× |
| Intro Gastrointestinal Tube (44500) | $174.72 | $873.60 | 0.2× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$11.20–$114.41 | $56–$572.05 | varies |
| 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× |
| Mastectomy for gynecomastia (19300) | $3,281.74 | $16,408.70 | 0.8× |
| Nasal surgery procedure (30999) | $1,538.68 | $7,693.40 | 6.5× |
| Nasal/Orogastric W/Tube Plmt (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 Anes Trigeminal Nrv Any Div/Branch (64400) | $308.88 | $1,544.40 | 1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 2 matching MRF lines |
$106.40–$403.42 | $532–$2,017.12 | varies |
| 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 treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) | $7,398.60 | $36,993 | 1.2× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) | $5,968.38 | $29,841.90 | 1.0× |
| Open/Perq Place Stent 1St (37236) likely a partial charge, not the full procedure |
$1,369.50 | $6,847.50 | 0.1× |
| Open/Perq Place Stent Same (37238) range across 2 matching MRF lines |
$1,219.02–$1,279.74 | $6,095.10–$6,398.70 | varies |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) | $3,272.72 | $16,363.60 | 0.6× |
| Percut Cath Occlusn Non Cns Lesn (61626) range across 3 matching MRF lines |
$104.61–$1,631.52 | $523.04–$8,157.60 | varies |
| 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 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× |
| 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) range across 3 matching MRF lines |
$1,141.80–$1,374.24 | $5,709–$6,871.20 | varies |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$559.78–$635.49 | $2,798.88–$3,177.44 | varies |
| Plmt Nephroureteral Catheter (50433) | $730.02 | $3,650.08 | 0.2× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 2 matching MRF lines |
$445.76–$642.88 | $2,228.80–$3,214.40 | varies |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$1,195.26 | $5,976.30 | 0.1× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $94.40 | $472 | 0.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $470.80 | $2,354 | 0.2× |
| Punch biopsy skin single lesion (11104) | $320.98 | $1,604.90 | 0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$377.66–$394.24 | $1,888.32–$1,971.20 | varies |
| Push Transfusion Blood 2 Yr/Under (36440) | $143 | $715 | 0.3× |
| Rbc DNA gntyp 12 bld grp gen (0282U) | $339.71 | $1,698.55 | 0.5× |
| Reconst lwr jaw w/fixation (21196) | $9,674.94 | $48,374.70 | 1.6× |
| 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 Toe Polydactyly (28344) | $2,799.50 | $13,997.50 | 0.9× |
| Relocation Pocket Pacemaker (33222) | $3,520.44 | $17,602.20 | 1.7× |
| 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 of nail bed (11750) | $795.96 | $3,979.80 | 1.9× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$103.18–$113.52 | $515.90–$567.60 | varies |
| Removal Pacemaker Electrode (33235) | $1,116.06 | $5,580.30 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $696.30 | $3,481.50 | 3.5× |
| Removal subcutaneous 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 gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$93.28–$103.18 | $466.40–$515.90 | varies |
| Remove Elctrd Transvenously (33244) | $1,060.62 | $5,303.10 | 0.3× |
| Remove intrvas foreign body (37197) | $768.46 | $3,842.30 | 0.2× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$66.13–$112.64 | $330.65–$563.20 | varies |
| Remove Pulse Generator (33241) | $3,410.66 | $17,053.30 | 0.9× |
| Remove tissue expander (11971) | $2,630.98 | $13,154.90 | 0.9× |
| Renal Biopsy Perq (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 Fistula Oromaxillary (30580) unusually low: confirm this is the full procedure |
$2,884.20 | $14,421 | 0.5× |
| 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 nail bed (11760) | $647.46 | $3,237.30 | 0.9× |
| 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× |
| Replace G-J Tube Perc (49452) | $743.68 | $3,718.40 | 0.8× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$105.60–$627.42 | $528–$3,137.12 | varies |
| Reposition L Ventric Lead (33226) | $953.48 | $4,767.40 | 0.3× |
| Reposition Pacing-Defib Lead (33215) | $914.10 | $4,570.50 | 0.3× |
| Reposition Venous Catheter (36597) | $4,156.02 | $20,780.10 | 2.6× |
| Revise external ear (69300) | $2,340.36 | $11,701.80 | 0.7× |
| Rhinoplasty primary w/major septal repair (30420) | $4,176.26 | $20,881.30 | 0.7× |
| Rhinoplasty Secondary Minor Revision (30430) unusually low: confirm this is the full procedure |
$2,421.10 | $12,105.50 | 0.4× |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) unusually low: confirm this is the full procedure |
$2,364.12 | $11,820.60 | 0.4× |
| 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 Tun Cvc W/O Subq Port/Pmp (36589) | $1,763.55 | $8,817.76 | 2.8× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $93.28 | $466.40 | 0.3× |
| Rplc Gtube No Revj Trc (43762) | $298.98 | $1,494.90 | 1.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,527.46 | $7,637.30 | 1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 2 matching MRF lines |
$1,527.46–$1,680.14 | $7,637.30–$8,400.70 | varies |
| 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× |
| Rpr Nsl Vlv Collapse W/Implt (30468) unusually low: confirm this is the full procedure |
$1,851.74 | $9,258.70 | 0.3× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) | $2,407.24 | $12,036.20 | 0.6× |
| Sclerotx Fluid Collection (49185) | $1,097.58 | $5,487.90 | 0.7× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $1,769.24 | $8,846.20 | 0.5× |
| 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, flexible; with biopsy, single or 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 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× |
| 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) range across 4 matching MRF lines |
$1,141.80–$1,313.62 | $5,709–$6,568.10 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 4 matching MRF lines |
$555.28–$1,490.72 | $2,776.40–$7,453.60 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$425.60–$503.36 | $2,128–$2,516.80 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $2,309.78 | $11,548.90 | 1.1× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$75.46–$83.16 | $377.30–$415.80 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$75.46–$83.16 | $377.30–$415.80 | varies |
| Strapping hand/finger (29280) | $91.52 | $457.60 | 1.5× |
| Strapping Hip (29520) | $75.46 | $377.30 | 0.6× |
| Strapping knee (29530) range across 2 matching MRF lines |
$75.46–$82.94 | $377.30–$414.70 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$23.54–$25.96 | $117.70–$129.80 | varies |
| Strapping thorax (29200) | $87.78 | $438.90 | 0.5× |
| Strapping toes (29550) range across 2 matching MRF lines |
$82.72–$91.52 | $413.60–$457.60 | varies |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) | $812.68 | $4,063.40 | 4.0× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) | $770.88 | $3,854.40 | 1.0× |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) | $1,853.06 | $9,265.30 | 2.5× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) | $656.26 | $3,281.30 | 0.9× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $1,598.30 | $7,991.50 | 0.5× |
| 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,Red Blood Cells (36512) | $986.04 | $4,930.20 | 0.6× |
| Therapeutic Apheresis White Blood Cells (36511) | $986.04 | $4,930.20 | 0.6× |
| Therapeutic plasma exchange (36514) range across 2 matching MRF lines |
$986.04–$1,204.72 | $4,930.20–$6,023.60 | varies |
| Thromblytic art/ven therapy (37213) | $713.24 | $3,566.20 | 0.2× |
| Thrombolytic Art Therapy (37211) range across 2 matching MRF lines |
$1,226.72–$1,295.36 | $6,133.60–$6,476.80 | varies |
| Thrombolytic Venous Therapy (37212) | $1,022.56 | $5,112.80 | 0.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $2,556.84 | $12,784.20 | 1.2× |
| Tooth extraction (41899) | $2,977.26 | $14,886.30 | 12.5× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$234.08–$257.62 | $1,170.40–$1,288.10 | varies |
| Treat humerus fracture (23600) | $257.62 | $1,288.10 | 1.0× |
| Treat Tail Bone Fracture (27200) | $212.08 | $1,060.40 | 0.9× |
| Treat toe dislocation (28630) | $212.08 | $1,060.40 | 0.9× |
| Trimming Nondystrophic Nails Any Number (11719) | $75.24 | $376.20 | 1.3× |
| Trluml Balo Angiop 1St Art (37246) range across 3 matching MRF lines |
$612.26–$1,580.26 | $3,061.30–$7,901.30 | varies |
| Trluml Balo Angiop 1St Vein (37248) unusually low: confirm this is the full procedure |
$2,183.94 | $10,919.70 | 0.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$212.08–$233.20 | $1,060.40–$1,166 | varies |
| Unlisted Procedure External Ear (69399) | $2,169.64 | $10,848.20 | 9.1× |
| Upgrade of pacemaker system (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) range across 2 matching MRF lines |
$6,351.40–$6,851.26 | $31,757–$34,256.32 | varies |
| Vein Access Cutdown < 1 Yr (36420) | $152.90 | $764.50 | 1.1× |
| Venous Cutdown >1 Y/O (36425) | $83.82 | $419.10 | 0.2× |
| Venous Mech Thrombectomy (37187) likely a partial charge, not the full procedure |
$1,254.88 | $6,274.40 | 0.1× |
| Von willebrand factor type 2b plasma (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) range across 3 matching MRF lines |
$93.28–$103.18 | $466.40–$515.90 | varies |
| 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 (15002) | $1,708.52 | $8,542.60 | 2.3× |
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.