Procedures & surgery prices at ECU Health Roanoke-Chowan Hospital
Ahoskie, NC · every code in this section with a posted price and a Medicare benchmark.
334 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $2,227.68 | $3,978 | 2.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,330.56 | $2,376 | 1.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $5,961.20 | $10,645 | 1.9× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $491.68 | $878 | 1.7× |
| Anoscopy diagnostic (46600) | $98.56 | $176 | 0.8× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 9 matching MRF lines |
$206.08–$412.16 | $368–$736 | varies |
| Application cast elbow finger short arm (29075) | $393.12 | $702 | 1.5× |
| Application Finger Splint Dynamic (29131) | $73.36 | $131 | 1.3× |
| Application finger splint static (29130) | $512.40 | $915 | 4.0× |
| Application Halo Cranial Including Removal (20661) | $2,599.52 | $4,642 | 1.7× |
| Application long arm splint shoulder hand (29105) | $733.60 | $1,310 | 4.7× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $589.68 | $1,053 | 2.2× |
| Application Long Leg Splint (29505) range across 6 matching MRF lines |
$733.60–$904.40 | $1,310–$1,615 | varies |
| Application of cylinder cast (thigh to ankle) (29365) | $393.12 | $702 | 1.5× |
| Application of long leg cast (29345) | $393.12 | $702 | 1.5× |
| Application of rigid total contact leg cast (29445) range across 6 matching MRF lines |
$205.52–$410.48 | $367–$733 | varies |
| Application Patellar Tendon Bearing Cast (29435) | $444.08 | $793 | 1.7× |
| Application Short Arm Splint Dynamic (29126) | $291.20 | $520 | 2.3× |
| Application short arm splint forearm-hand static (29125) | $308.56 | $551 | 2.4× |
| Application short leg splint calf foot (29515) range across 6 matching MRF lines |
$733.60–$904.40 | $1,310–$1,615 | varies |
| Apply hand/wrist cast (29085) | $155.12 | $277 | 1.0× |
| Apply long arm cast (29065) | $393.12 | $702 | 1.5× |
| Apply Multlay Comprs Lwr Leg (29581) range across 9 matching MRF lines |
$201.04–$301.28 | $359–$538 | varies |
| Apply Short Leg Cast (29405) | $444.08 | $793 | 1.7× |
| Apply short leg cast (29425) | $444.08 | $793 | 1.7× |
| Arterial puncture (36600) | $88.48 | $158 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$521.36–$1,738.80 | $931–$3,105 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$1,134–$1,890 | $2,025–$3,375 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$357.84–$1,512 | $639–$2,700 | varies |
| Aspirate pleura w/ imaging (32555) range across 6 matching MRF lines |
$680.40–$1,360.80 | $1,215–$2,430 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 6 matching MRF lines |
$637.84–$1,275.68 | $1,139–$2,278 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $218.96 | $391 | 0.7× |
| Aspiration and/or injection thyroid cyst (60300) | $859.04 | $1,534 | 1.3× |
| Aspiration bladder insert suprapubic catheter (51102) | $952.56 | $1,701 | 0.5× |
| Aspiration Bladder Needle (51100) | $303.52 | $542 | 1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) | $160.72 | $287 | 0.8× |
| Biopsy Abdominal Mass (49180) | $1,768.48 | $3,158 | 1.1× |
| Biopsy bone open deep (20245) | $3,828.16 | $6,836 | 1.4× |
| Biopsy bone open superficial (20240) | $3,388 | $6,050 | 1.2× |
| Biopsy bone trocar/needle deep (20225) | $2,427.60 | $4,335 | 1.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $883.68 | $1,578 | 0.6× |
| Biopsy muscle percutaneous needle (20206) | $3,242.96 | $5,791 | 2.0× |
| Biopsy nail unit (11755) | $1,253.84 | $2,239 | 1.8× |
| Biopsy of liver, needle; percutaneous (47000) | $1,869.84 | $3,339 | 1.2× |
| Biopsy Pleura Percutaneous Needle (32400) range across 3 matching MRF lines |
$822.64–$1,644.72 | $1,469–$2,937 | varies |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) | $2,119.04 | $3,784 | 0.6× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $2,876.16 | $5,136 | 1.0× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $1,118.32 | $1,997 | 0.7× |
| Biopsy soft tissue neck/thorax (21550) | $3,242.96 | $5,791 | 2.0× |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$95.76–$944.72 | $171–$1,687 | varies |
| Bladder Irrigation (51700) | $181.44 | $324 | 0.8× |
| Bladder Scan (51798) | $49.84 | $89 | 0.9× |
| Blood Transfusion Service (36430) | $906.64 | $1,619 | 2.1× |
| Bone Marrow Biopsy (38221) | $1,472.80 | $2,630 | 0.9× |
| Bone Marrow; Aspiration Only (38220) | $1,303.68 | $2,328 | 0.8× |
| Brnchsc Brushing/Protected Brushings (31623) | $824.88 | $1,473 | 0.5× |
| Bronchoscopy W/Biopsy(S) (31625) | $1,472.80 | $2,630 | 0.9× |
| Bronchoscopy/Needle Bx Each (31629) | $842.80 | $1,505 | 0.2× |
| Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$1,512–$2,216.48 | $2,700–$3,958 | varies |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$1,108.24–$2,216.48 | $1,979–$3,958 | varies |
| Canthotomy Separate Procedure (67715) | $1,792 | $3,200 | 0.8× |
| Catheter aspiration nasotracheal spx (31720) | $135.52 | $242 | 0.6× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$184.24–$344.40 | $329–$615 | varies |
| Chemical Cautery Tissue (17250) | $283.92 | $507 | 1.5× |
| Chemodenerv 1 extrem 5/> mus (64644) | $766.08 | $1,368 | 1.1× |
| Chemodenerv 1 extremity 1-4 (64642) | $762.72 | $1,362 | 1.1× |
| Chemodenerv Musc Migraine (64615) | $1,313.76 | $2,346 | 4.5× |
| Chemodenerv musc neck dyston (64616) range across 3 matching MRF lines |
$622.72–$1,244.88 | $1,112–$2,223 | varies |
| Chemodenerv trunk musc 1-5 (64646) | $990.64 | $1,769 | 1.5× |
| Chemodenerv trunk musc 6/> (64647) | $1,088.64 | $1,944 | 1.6× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $647.36 | $1,156 | 2.2× |
| Chest tube placement (32551) range across 6 matching MRF lines |
$1,520.96–$3,041.36 | $2,716–$5,431 | varies |
| Clear outer ear canal (69200) | $97.44 | $174 | 0.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $444.08 | $793 | 1.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $464.24 | $829 | 1.7× |
| Collect Blood From Catheter Venous Nos (36592) | $207.20 | $370 | 1.6× |
| Collection of venous blood by venipuncture (36415) | $30.24 | $54 | 3.2× |
| Complex drainage wound (10180) | $4,690.56 | $8,376 | 1.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $150.08 | $268 | 1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $134.40 | $240 | 1.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 3 matching MRF lines |
$822.64–$1,644.72 | $1,469–$2,937 | varies |
| Cornea Scraping Diagnostic Smear &/Culture (65430) | $603.68 | $1,078 | 1.4× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) | $1,570.80 | $2,805 | 0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $150.08 | $268 | 1.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $189.28 | $338 | 0.8× |
| Curettage postpartum (59160) | $4,547.20 | $8,120 | 1.5× |
| Cystourethroscopy (52000) | $637.84 | $1,139 | 1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,245.60 | $4,010 | 0.8× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $438.48 | $783 | 0.6× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $718.48 | $1,283 | 1.1× |
| Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) | $10,486.56 | $18,726 | 1.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $540.96 | $966 | 0.8× |
| Debride nail 1-5 (11720) | $33.60 | $60 | 0.6× |
| Debride nail 6 or more (11721) | $56.56 | $101 | 1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $692.16 | $1,236 | 0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $389.76 | $696 | 1.0× |
| Declot vascular device (36593) | $308 | $550 | 1.0× |
| Delivery of placenta (59414) | $2,728.32 | $4,872 | 0.9× |
| Destr W Neurolytic; Celiac Plexus (64680) range across 3 matching MRF lines |
$1,273.44–$2,546.32 | $2,274–$4,547 | varies |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$2,546.32–$5,092.64 | $4,547–$9,094 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$800.80–$1,601.60 | $1,430–$2,860 | varies |
| Destruct B9 Lesion 1-14 (17110) | $725.76 | $1,296 | 3.8× |
| Destruction Benign Lesions 15/> (17111) | $914.48 | $1,633 | 4.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) range across 3 matching MRF lines |
$1,273.44–$2,546.32 | $2,274–$4,547 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$2,060.24–$4,119.92 | $3,679–$7,357 | varies |
| Dilat female urethra general/cndj spinal anes (53665) | $1,082.48 | $1,933 | 0.5× |
| Dilate Urethra Stricture (53620) | $402.64 | $719 | 0.6× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) | $603.68 | $1,078 | 1.4× |
| Drain Cerebro Spinal Fluid (62272) | $1,563.52 | $2,792 | 2.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $399.28 | $713 | 0.6× |
| Drainage of finger abscess simple (26010) | $147.28 | $263 | 0.8× |
| Drainage of gum lesion (41800) | $128.80 | $230 | 1.0× |
| Drainage of hematoma/fluid (10140) | $1,364.16 | $2,436 | 0.9× |
| Drainage of scrotal wall abscess (55100) | $2,336.32 | $4,172 | 1.5× |
| Draw Blood Off Venous Device (36591) | $165.76 | $296 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $504 | $900 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $416.08 | $743 | 2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $290.08 | $518 | 1.5× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $675.92 | $1,207 | 0.8× |
| Dx Bone Marrow Bx & Aspir (38222) | $1,555.68 | $2,778 | 0.6× |
| Dx Bronchoscope/Lavage (31624) range across 3 matching MRF lines |
$1,011.36–$2,022.16 | $1,806–$3,611 | varies |
| Dx Bronchoscope/Wash (31622) | $797.44 | $1,424 | 0.5× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$1,508.64–$2,096.08 | $2,694–$3,743 | varies |
| Egd place gastrostomy tube (43246) | $574.56 | $1,026 | 0.3× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $584.08 | $1,043 | 2.0× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $357.28 | $638 | 1.2× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $157.36 | $281 | 0.5× |
| Epidural Blood Patch (62273) | $487.76 | $871 | 0.7× |
| Epidural lysis mult sessions (62263) | $1,293.60 | $2,310 | 1.5× |
| Escharotomy; initial incision (16035) | $249.76 | $446 | 0.6× |
| Evacuation of subungual hematoma (11740) | $215.04 | $384 | 1.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $473.76 | $846 | 0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,415.12 | $2,527 | 0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $153.44 | $274 | 0.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $538.72 | $962 | 0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $785.68 | $1,403 | 1.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,032.64 | $1,844 | 0.7× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,280.16 | $2,286 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,374.80 | $2,455 | 0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,094.80 | $1,955 | 1.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,772.40 | $3,165 | 1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $719.60 | $1,285 | 1.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,620.08 | $2,893 | 1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $2,160.48 | $3,858 | 0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,266.16 | $2,261 | 0.8× |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,527.12 | $2,727 | 0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,450.40 | $2,590 | 1.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $555.52 | $992 | 1.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $637.84 | $1,139 | 0.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $818.16 | $1,461 | 0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,286.48 | $4,083 | 0.8× |
| Exploration penetrating wound spx extremity (20103) | $1,148.56 | $2,051 | 0.7× |
| Explore/Treat Hand Joint (26070) | $3,233.44 | $5,774 | 2.1× |
| External cephalic version (59412) | $6,671.84 | $11,914 | 2.2× |
| Fetal Contraction Stress Test (59020) | $286.16 | $511 | 1.5× |
| Fetal non-stress test (59025) | $252.56 | $451 | 1.3× |
| Fine needle aspiration without imaging guidance (10021) | $416.08 | $743 | 1.1× |
| Fluid Pressure Muscle (20950) | $861.28 | $1,538 | 1.3× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $529.20 | $945 | 0.8× |
| Foreskin manipulation (54450) | $291.76 | $521 | 1.2× |
| I&d abscess peritonsillar (42700) | $156.80 | $280 | 0.7× |
| I&d abscess simple (10060) | $651.28 | $1,163 | 3.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 3 matching MRF lines |
$3,115.84–$6,231.68 | $5,564–$11,128 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $2,003.68 | $3,578 | 0.7× |
| I&d perianal abscess superficial (46050) | $939.12 | $1,677 | 1.1× |
| I&d pilonidal cyst complicated (10081) | $819.84 | $1,464 | 1.2× |
| I&d pilonidal cyst simple (10080) | $465.36 | $831 | 0.7× |
| Image Cath Fluid Colxn Visc (49405) | $1,178.80 | $2,105 | 0.7× |
| Image Cath Fluid Peri/Retro (49406) | $1,178.80 | $2,105 | 0.7× |
| Implant neuroelectrodes (63650) | $4,419.52 | $7,892 | 0.7× |
| Incise external hemorrhoid (46083) | $290.64 | $519 | 1.2× |
| Incision & drainage abscess complicated/multiple (10061) | $1,080.80 | $1,930 | 2.8× |
| Incision & removal foreign body subq tiss compl (10121) | $2,839.20 | $5,070 | 1.8× |
| Incision & removal foreign body subq tiss simple (10120) | $379.68 | $678 | 1.0× |
| Incision and drainage of bartholin's gland abscess (56420) | $372.40 | $665 | 1.9× |
| Incision and drainage of vulva or perineal abscess (56405) | $233.52 | $417 | 0.8× |
| Incision bone cortex foot (28005) | $5,029.92 | $8,982 | 1.6× |
| Incision of rectal abscess (46040) | $672.56 | $1,201 | 0.6× |
| Incisional biopsy skin single lesion (11106) | $375.76 | $671 | 0.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$2,494.80–$4,536 | $4,455–$8,100 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 3 matching MRF lines |
$1,433.04–$2,866.08 | $2,559–$5,118 | varies |
| Inject Intravitreal Pharmcologic (67028) range across 4 matching MRF lines |
$510.72–$603.68 | $912–$1,078 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $813.12 | $1,452 | 2.8× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$1,273.44–$2,546.32 | $2,274–$4,547 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$1,273.44–$2,546.32 | $2,274–$4,547 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$744.80–$1,489.04 | $1,330–$2,659 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 6 matching MRF lines |
$389.20–$778.40 | $695–$1,390 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$990.64–$1,980.72 | $1,769–$3,537 | varies |
| Injection enzyme palmar fascial cord (20527) | $618.80 | $1,105 | 2.1× |
| Injection Into Brain Canal (61055) | $560.56 | $1,001 | 1.9× |
| Injection single tendon origin/insertion (20551) | $421.12 | $752 | 1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $878.08 | $1,568 | 3.0× |
| Injection single/mlt trigger point 3/> muscles (20553) | $910.56 | $1,626 | 3.1× |
| Injection therapeutic carpal tunnel (20526) | $388.08 | $693 | 1.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$1,273.44–$2,546.32 | $2,274–$4,547 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$1,646.96–$3,293.36 | $2,941–$5,881 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 7 matching MRF lines |
$1,323.28–$2,816.24 | $2,363–$5,029 | varies |
| Insert and remove bone pin (20650) | $3,974.32 | $7,097 | 1.3× |
| Insert cath pleura w/ image (32557) range across 3 matching MRF lines |
$1,360.80–$2,201.36 | $2,430–$3,931 | varies |
| Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
$1,100.96–$1,644.72 | $1,966–$2,937 | varies |
| Insert Drug Implant Device (11981) | $95.76 | $171 | 0.8× |
| Insert non-tunnel cv cath (36556) | $907.20 | $1,620 | 0.3× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $696.08 | $1,243 | 0.5× |
| Insert Temp Bladder Cath (51702) | $107.52 | $192 | 0.8× |
| Insert tunneled cv cath (36561) | $2,157.12 | $3,852 | 0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $123.76 | $221 | 1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,214.64 | $2,169 | 0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $834.40 | $1,490 | 0.3× |
| Insj Picc Rs&I <5 Yr (36572) | $1,134 | $2,025 | 1.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,032.08 | $1,843 | 0.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $8,646.96 | $15,441 | 1.1× |
| Intubation endotracheal emergency procedure (31500) | $147.28 | $263 | 0.6× |
| Irrigation of corpora cavernosa for priapism (54220) | $155.12 | $277 | 0.6× |
| Laryngoscopy flexible diagnostic (31575) | $157.92 | $282 | 0.8× |
| Laryngoscopy W/Foreign Body Removal (31530) | $1,018.08 | $1,818 | 0.6× |
| Lithotripsy, extracorporeal shock wave (50590) | $3,483.20 | $6,220 | 1.0× |
| Myelography Lumbar Injection (62305) | $1,661.52 | $2,967 | 2.2× |
| Myelography Lumbar Injection (62304) | $1,384.32 | $2,472 | 1.8× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,384.32 | $2,472 | 1.8× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,384.32 | $2,472 | 1.8× |
| N Block Inj Celiac Pelus (64530) range across 3 matching MRF lines |
$1,273.44–$2,546.32 | $2,274–$4,547 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 3 matching MRF lines |
$990.64–$1,980.72 | $1,769–$3,537 | varies |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$1,360.80–$3,477.60 | $2,430–$6,210 | varies |
| N Block Inj Plantar Digit (64455) range across 3 matching MRF lines |
$571.76–$1,143.52 | $1,021–$2,042 | varies |
| N Block Lumbar/Thoracic (64520) range across 3 matching MRF lines |
$1,658.16–$3,315.76 | $2,961–$5,921 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $191.52 | $342 | 0.4× |
| Needle Biopsy Lymph Nodes (38505) | $1,933.68 | $3,453 | 1.2× |
| Needle Biopsy Pancreas (48102) | $1,367.52 | $2,442 | 0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $34.72 | $62 | 1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) | $34.72 | $62 | 1.3× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) | $658 | $1,175 | 0.9× |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) | $180.88 | $323 | 1.2× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) | $301.28 | $538 | 1.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $398.16 | $711 | 1.0× |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) | $399.28 | $713 | 1.0× |
| Nfct ds fungal pathogen id DNA 15 fungal targets (0140U) | $301.28 | $538 | 1.9× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 3 matching MRF lines |
$1,553.44–$3,106.32 | $2,774–$5,547 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 6 matching MRF lines |
$448.56–$897.12 | $801–$1,602 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$1,132.88–$2,265.76 | $2,023–$4,046 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,937.04 | $3,459 | 2.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $3,747.52 | $6,692 | 5.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,937.04 | $3,459 | 2.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,010.80 | $1,805 | 1.5× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$171.36–$257.04 | $306–$459 | varies |
| Onc urothelial cancer RNA rt-PCR fgfr3 gene alys (0154U) | $921.20 | $1,645 | 1.9× |
| Percut Drain/Inject Renal Cyst (50390) range across 3 matching MRF lines |
$319.20–$638.40 | $570–$1,140 | varies |
| Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$2,786–$2,814 | $4,975–$5,025 | varies |
| Peritoneal Lavage (49084) | $683.20 | $1,220 | 0.8× |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$982.80–$1,134 | $1,755–$2,025 | varies |
| Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$525.84–$1,051.68 | $939–$1,878 | varies |
| Placement of needle for intraosseous infusion (36680) | $191.52 | $342 | 0.4× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $8,827.84 | $15,764 | 1.4× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $8,254.40 | $14,740 | 1.4× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $4,879.84 | $8,714 | 1.4× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $6,045.20 | $10,795 | 1.0× |
| Punch biopsy skin single lesion (11104) | $304.64 | $544 | 0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $403.20 | $720 | 1.0× |
| Puncture Aspiration Cyst Breast (19000) | $390.32 | $697 | 0.6× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $1,154.72 | $2,062 | 1.7× |
| Reduction of rectal prolapse (45900) | $987.28 | $1,763 | 1.1× |
| Removal Foreign Body Foot Complicated (28193) | $2,444.96 | $4,366 | 1.5× |
| Removal foreign body foot deep (28192) | $2,268 | $4,050 | 1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$853.44–$1,194.48 | $1,524–$2,133 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,159.76 | $2,071 | 0.7× |
| Removal foreign body upper arm/elbow deep (24201) | $5,060.72 | $9,037 | 1.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 6 matching MRF lines |
$53.76–$80.64 | $96–$144 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 6 matching MRF lines |
$137.20–$274.40 | $245–$490 | varies |
| Removal of foreign body from pharynx (42809) | $459.76 | $821 | 1.1× |
| Removal of nail bed (11750) | $328.72 | $587 | 0.8× |
| Removal or bivalving full arm or full leg cast (29705) range across 6 matching MRF lines |
$393.12–$786.24 | $702–$1,404 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $111.44 | $199 | 0.6× |
| Remove foreign body from eye (65205) | $97.44 | $174 | 0.8× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $2,600.08 | $4,643 | 1.3× |
| Remove Intrauterine Device (58301) | $255.36 | $456 | 0.9× |
| Remove Nasal Foreign Body (30300) | $67.76 | $121 | 0.5× |
| Renal Biopsy Perq (50200) range across 3 matching MRF lines |
$736.40–$1,472.80 | $1,315–$2,630 | varies |
| Repair Blood Vessel Direct Hand Finger (35207) | $1,742.16 | $3,111 | 0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $292.32 | $522 | 0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $311.92 | $557 | 0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $446.32 | $797 | 0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $349.44 | $624 | 0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,577.52 | $2,817 | 0.8× |
| Repair of nail bed (11760) | $440.72 | $787 | 0.6× |
| Repair tongue laceration (41250) | $390.32 | $697 | 0.9× |
| Replace g/c tube perc (49450) | $725.76 | $1,296 | 0.8× |
| Reposition Venous Catheter (36597) | $736.40 | $1,315 | 0.5× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $1,539.44 | $2,749 | 1.0× |
| Rmvl embedded fb vestibule mouth comp (40805) | $880.32 | $1,572 | 1.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $633.36 | $1,131 | 0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $191.52 | $342 | 0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $112 | $200 | 0.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $150.64 | $269 | 0.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $2,983.68 | $5,328 | 1.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $511.28 | $913 | 0.9× |
| Rplc Gtube No Revj Trc (43762) | $263.20 | $470 | 1.1× |
| Rplc gtube revj gstrst trc (43763) | $372.96 | $666 | 1.6× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,305.36 | $2,331 | 0.9× |
| Rpr blood vessel direct lower extremity (35226) | $532 | $950 | 0.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $151.20 | $270 | 0.3× |
| Sclerotx Fluid Collection (49185) | $2,292.64 | $4,094 | 1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $154 | $275 | 0.8× |
| Skin sub graft face/nk/hf/g (15275) | $4,835.60 | $8,635 | 6.8× |
| Skin sub graft trnk/arm/leg (15271) | $4,835.60 | $8,635 | 6.8× |
| Skin sub grft t/arm/lg child (15273) | $4,914 | $8,775 | 2.5× |
| Skn sub grft f/n/hf/g child (15277) | $4,914 | $8,775 | 2.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $171.92 | $307 | 0.9× |
| Spinal puncture lumbar diagnostic (62270) | $1,673.84 | $2,989 | 2.5× |
| Strapping ankle (29540) | $286.16 | $511 | 1.8× |
| Strapping elbow or wrist (29260) | $64.96 | $116 | 1.1× |
| Strapping hand/finger (29280) | $58.80 | $105 | 1.0× |
| Strapping Hip (29520) | $144.48 | $258 | 1.1× |
| Strapping knee (29530) | $212.80 | $380 | 1.7× |
| Strapping shoulder (29240) | $172.48 | $308 | 1.4× |
| Strapping toes (29550) | $42.56 | $76 | 0.8× |
| Strapping Unna Boot (29580) | $92.40 | $165 | 0.6× |
| Subconjunctival injection (68200) | $501.76 | $896 | 1.2× |
| Tangential biopsy skin single lesion (11102) | $304.64 | $544 | 0.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $2,264.64 | $4,044 | 1.5× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $2,192.40 | $3,915 | 3.2× |
| Thrombolytic Therapy Stroke (37195) | $305.20 | $545 | 1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $527.52 | $942 | 2.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,135.12 | $2,027 | 0.8× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $1,421.84 | $2,539 | 4.9× |
| Treat Vaginal Bleeding (57180) | $134.40 | $240 | 0.7× |
| Trim skin lesion (11055) | $135.52 | $242 | 0.7× |
| Trim skin lesions 2 to 4 (11056) | $142.80 | $255 | 0.7× |
| Trim skin lesions over 4 (11057) | $155.12 | $277 | 0.8× |
| Trimming Nondystrophic Nails Any Number (11719) | $57.68 | $103 | 1.0× |
| Tx Gastro Intub W/Asp (43753) | $246.96 | $441 | 1.2× |
| Unlisted procedure nervous system (64999) | $820.40 | $1,465 | 2.8× |
| Vaginal delivery only (59409) | $1,832.32 | $3,272 | 0.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,119.04 | $3,784 | 1.1× |
| Wound Prep F/N/Hf/G (15004) | $1,360.80 | $2,430 | 3.5× |
| Wound Prep Trk/Arm/Leg (15002) | $1,202.32 | $2,147 | 1.7× |
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.